Hereβs the detailed profile for Phenoxymethylpenicillin (Penicillin V) Tablet 250 mg π
π Phenoxymethylpenicillin (Penicillin V) Tablet 250 mg
π Description:
- Phenoxymethylpenicillin (Penicillin V) is an oral penicillin antibiotic.
- It is an acid-stable natural penicillin, suitable for oral administration (unlike Penicillin G).
- Mechanism: Inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs) β weakens cell wall β bactericidal.
π Prescription / Indications:
- Streptococcal pharyngitis & tonsillitis (Streptococcus pyogenes)
- Scarlet fever
- Rheumatic fever prophylaxis (long-term)
- Mild to moderate skin infections caused by streptococci
- Dental infections and prophylaxis before dental procedures in at-risk patients (endocarditis prophylaxis)
πΏ Nature / Drug Class:
- Ξ²-lactam antibiotic
- Natural penicillin
- Narrow-spectrum antibacterial (mainly Gram-positive bacteria)
β Advantages:
- Effective against streptococcal infections
- Oral dosage form (unlike benzylpenicillin, which is injectable)
- Low toxicity and well tolerated
- Preferred agent for rheumatic fever prophylaxis in children and adults
β οΈ Precautions:
Contraindications:
- Hypersensitivity to penicillins or Ξ²-lactams (risk of anaphylaxis)
Use with caution in:
- History of asthma, atopy, or multiple allergies (β risk of allergic reaction)
- Renal impairment (dose adjustment may be required)
Adverse effects:
- GI upset (nausea, vomiting, diarrhea)
- Skin rash, urticaria
- Rare but serious: anaphylaxis, Stevens-Johnson syndrome, serum sickness
- Long-term use may cause superinfection (e.g., Candida)
π Dosage (Adults):
- 250β500 mg every 6β8 hours depending on infection
- For rheumatic fever prophylaxis: 250 mg twice daily
(Pediatric dosing is weight-based; typically 25β50 mg/kg/day in divided doses)
π¦ Common Packaging:
- Strip packs of 10 tablets
- Bottles / hospital packs (100 or more tablets)
βοΈ Storage Conditions:
- Store at room temperature (<25Β°C)
- Protect from light & moisture
- Keep tightly closed & out of reach of children

