Nafcillin

  • Brand Name : Nafcillin
  • Drug Class : Penicillins, Penicillinase-Resistant
  • Medical Author : Nazneen Memon, BHMS, PGDCR
  • Medical Reviewer : Divya Jacob, Pharm. D.
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What Is Nafcillin and How Does It Work?

Nafcillin is a prescription medicine used to treat a wide variety of bacterial infections including infections caused by penicillinase-producing staphylococci.

  • Nafcillin is available under the following different brand names: Nafcil, Nallpen

What Are Dosages of Nafcillin?

Adult and pediatric dosage

Injectable solution

  • 20mg/mL
  • 2g/100mL

Powder for injection

  • 1g
  • 2g
  • 10g

Susceptible Infections

Adult dosage

  • 500 mg IV/IM every 4-6 hours

Pediatric dosage

  • 50-100 mg/kg/day IV/IM divided every 6 hours  

Maximum 12g/day

Severe Infections

Adult dosage

  • 1 g IV/IM every 4 hours

Pediatric dosage

  • 100-200 mg/kg/day IV/IM divided every 6 hours

Staphylococcal Endocarditis

Adult dosage

  • 2 g IV every 4 hours for 4-6 weeks; may be longer and may add rifampin and gentamicin if prosthetics present

Pediatric dosage

  • 200mg/kg/day IV divided every 4-6 hours for 6 weeks; may be longer and may add rifampin and gentamicin if prosthetics present 

Neonates (less than 28 Days Old)

  • (Less than 7 days old, less than 2 kg) OR (more than 7 days old, less than 1.2 kg): 50 mg/kg/day IV/IM divided every 12 hours  
  • (Less than 7 days old, more than 2 kg) OR (more than 7 days old, 1.2-2 kg): 75 mg/kg/day IV/IM divided every 8 hours
  • (more than 7 days old, more than 2 kg): 100-140 mg/kg/day IV/IM divided every 6 hours

Bursitis septic

Adult dosage

  • 2 g IV every 4 hours

Dosage Considerations – Should be Given as Follows: 

  • See “Dosages”

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