354 Where There Is No Doctor 2011 Green Pages
Usually, it is cheaper, as well as easier to
figure the correct dosage, if streptomycin and
penicillin are injected separately, rather than in a
combination.
Dosage of penicillin with streptomycin—for severe
infections:
Give short-acting penicillin, at least
25,000 U./Kg. 4 times a day, and streptomycin,
no more than 30 to 50 mg./kg./day.
In newborns, give short-acting penicillin,
50,000 U./kg. twice a day together with
streptomycin, 20 mg./kg. once a day.
Give this much with this much
short-acting streptomycin
_p_e__n_ic_i_ll_in_ _____ _______________
adults:
1,000,000 U.
4 to 6 times
a day
1. g. (usually
2 ml.) once a day
children
8 to 12 years:
500,000 U.
4 to 6 times
a day
750 mg.
(1 ½ ml.) once
a day
children
3 to 7 years:
250,000 U.
4 to 6 times
a day
500 mg. (1 ml.)
once a day
children
under 3:
125,000 U,
4 to 6 times
a day
250 mg. (½ ml.)
once a day
newborn babies: 150,000 U.
twice a day
60 mg. (1⁄8 ml.)
once a day
For very severe infections, such as peritonitis,
appendicitis, meningitis, or an acute infection of the
bone (osteomyelitis), even higher doses of penicillin
may be given, but the dosage of streptomycin
must never be higher than what is suggested
here.
For less severe infections calling for
penicillin with streptomycin, procaine penicillin
can be used with streptomycin. For the dosage of
procaine penicillin, see page 353. The dosage for
streptomycin is the same as that given above.
Be sure to read the Risks and Precautions for
both penicillin and streptomycin, p. 351 and 363.
ERYTHROMYCIN:
AN ALTERNATIVE TO PENICILLIN
Erythromycin
Name:_________________________________________
Often comes in:
tablets or capsules of 250 mg.
Price:_________________ for_ ___________________
syrups with 125 or 200 mg./5 ml.
Price:_________________ for_ ___________________
in 5 ml. eye ointment at 0.5% to1%
Price:_________________ for_ ___________________
Erythromycin works against many of the same
infections as penicillin and tetracycline, but is more
expensive. In many parts of the world, erythromycin
now works better than penicillin for some cases of
pneumonia and certain other infections.
Erythromycin may be used instead of penicillin
by persons allergic to penicillin. Also, it may often
be used by persons allergic to tetracycline, and by
pregnant women and children, who should not take
tetracycline. In some cases, erythromycin is not a
good substitute for tetracycline. See the sections of
the book which discuss each illness.
Erythromycin is fairly safe, but care should be
taken not to give more than the recommended
dose. Do not use for more than 2 weeks, as it may
cause jaundice.
Dosage of erythromycin:
Take erythromycin with meals to avoid stomach
upset.
Give 1 dose 4 times a day.
In each dose give:
adults: 500 mg. (2 tablets or 4 teaspoons)
children 2 to 12 years: 250 mg.
(1 tablet or 2 teaspoons)
children under 2 years: 125 mg.
(½ tablet or ½ to 1 teaspoon)
For more serious infections: double the above
dosage.
For use in the eyes: see page 378.