Antibiotic Dosing

Aminoglycosides   [Extended Interval Dosing Info]
AntibioticTypical Adult DoseApprox. Peak Blood LevelApprox. Peak Urine LevelApprox Cost
for 10 da Rx

Amikacin (Amikin)

IM 7.5 mg/kg
IV 7.5 mg/kg

17-25
38

35-1612

 

Gentamicin (Garamycin)

IM 1-1.7 mg/kg
IV 1-1.7 mg/kg

4-7.6
4-7.6

113-423
113-423

 

Tobramycin (Nebcin)

IM 1-1.7 mg/kg
IV 1-1.7 mg/kg

4-10
4-10

75-100
75-100

 

Cephalosporins (first generation)
AntibioticTypical Adult DoseApprox. Peak Blood LevelApprox. Peak Urine LevelApprox Cost
for 10 da Rx

Cephalexin (Keflex)

PO 500 mg bid(UTI)
PO 500 mg qid

 

 

$9
$18

Cefazolin (Ancef, Kefzol)

IM 1 gm q8h
IV 1gm q8h

64-76
188

>1000
>1000

 

Cephradine (Velosef)

PO 250-500 mg q6h

 

 

 

Cefadroxil (Duricef)

PO 500 mg bid

 

 

$65

Cephalosporins (second generation)
AntibioticTypical Adult DoseApprox. Peak Blood LevelApprox. Peak Urine LevelApprox Cost
for 10 da Rx

Cefaclor (Ceclor)
Ceclor CD

PO 500 mg tid
PO 500 mg bid

 

 

$115*
$90

Cefuroxime (Ceftin, Kefurox, Zinacef)

PO 500 mg bid

 

 

$154

Cefpodoxime (Vantin)

PO 200 mg bid

 

 

$90

Cefprozil (Cefzil)

PO 500 mg bid

 

 

$134

Loracarbef (Lorabid)

PO 200 mg bid
PO 400 mg bid

 

 

$87
$122

Cefotetan (Cefotan)

IM 1-2 gm q12h
IV 1-2 gm q12h

52-92
140-250

>1000
>1000

 

Cefoxitin (Mefoxin)

 

 

 

 

Cephalosporins (third generation)
AntibioticTypical Adult DoseApprox. Peak Blood LevelApprox. Peak Urine LevelApprox Cost
for 10 da Rx

Cefixime

 

 

 

 

Ceftibuten (Cedax)

PO 400 mg qd

 

 

$80

Cefdinir (Omnicef)

PO 600 mg qd
PO 300 mg bid

 

 

$81

Cefotaxime (Claforan)

IM 1-2 gm q8h
IV 1-2 gm q8h

20-25
100-214

>1000
>1000

 

Ceftizoxime

 

 

 

 

Ceftriaxone (Rocephin)

IM 1 gm q24h
IV 1-2 gm q24h

80
150-275

600
1000

 

Ceftazidime (Fortaz, Tazicef)

IM 1 gm q8h
IV 1-2 gm q8h

29-39
60-183

>1000
>1000

 

Cephalosporins (fourth generation)
AntibioticTypical Adult DoseApprox. Peak Blood LevelApprox. Peak Urine LevelApprox Cost
for 10 da Rx

Cefepime (Maxipime)

IV 1 gm q12h

 

 

$340

Macrolides
AntibioticTypical Adult DoseApprox. Peak Blood LevelApprox. Peak Urine LevelApprox Cost
for 10 da Rx

Azithromycin (Zithromax)

IV 500 mg qd
PO 500 init, 250 qd
PO 1 gm single dose

 

 

$18 /d
$44 / 5d
$21

Clarithromycin (Biaxin)

PO 500 mg bid

 

 

$66

Erythromycin

PO 250-500 mg
IV 500 mg

0.4-1.8
11-30

13-46

 

Miscellaneous Agents
AntibioticTypical Adult DoseApprox. Peak Blood LevelApprox. Peak Urine LevelApprox Cost
for 10 da Rx

Aztreonam (Azactam)

IM 0.5-1 gm
IV 0.5-2 gm

21-46
56-242

500-1200
>1000

 

Chloramphenicol (Chloromycetin)

PO 1 gm
IV 1 gm

10-12
5-12

>100
>100

 

Clindamycin (Cleocin)

PO 150-450 mg q6h
IM 300 mg
IV 600 mg

2-4
6
10-14

 

 

Doxycycline (Vibramycin)

IV 100 mg bid
PO 100 mg bid

 

 

 
$12

Ertapenem (Invanz)

IV 1 gm qd
IM 1 gm qd
   

Fosfomycin (Monurol)

PO 3 gm single dose (UTI)

 

 

$26 /dose

Imipenem (Primaxin)

IV 0.5-1.0 gm

40-83

100

 

Linezolid (Zyvox)

PO 600 mg q12h
IV 600 mg q12h

 

 

 

Nitrofurantoin (Macrodantin, Macrobid)

PO 100 mg bid (UTI)
(Macrobid)
PO 50 mg qid (UTI)
PO 50-100 mg HS (prophylaxis)

N/A (<1.0)

50-150



$15 / 7d

Quinupristin/Dalfopristin (Synercid)

IV 7.5 mg/kg q8h

 

 

$85 / 500mg vial

Tetracycline

PO 250-500 mg

2-4

100

 

Trimethoprim (Trimpex)

PO 100 mg q12h
PO 100 mg qHS (prophylaxis)

 

 

 

Trimethoprim/Sulfa (Bactrim)

PO 80/400 mg qHS (prophylaxis)
PO 160/800 mg q12h
IV 160/800 mg

1/20-3/50
 
 
3/45-9/100

58-76T / 97S

 

Vancomycin (Vancocin)

IV 1.0 gm q12h

20-50

800

 

Penicillins
AntibioticTypical Adult DoseApprox. Peak Blood LevelApprox. Peak Urine LevelApprox Cost
for 10 da Rx

Ampicillin

PO 250-500 mg qid
IV 1-2 gm

1.8-6
10-48

90-700
130-610

 

Ampicillin/Sulbactam (Unasyn)

IM 1.5-3 gm
IV 1.5-3 gm

6-37
40-150

>100
>100

 

Amoxicillin (Amoxil)

PO 250-500 mg tid
PO 500-875 mg bid

 

 

$4-9
$11-19

Amoxicillin/Clavulanate (Augmentin)

PO 250-500 mg q8h
PO 500-875 mg q12h

 

 

$75-107
$72-100

Mezlocillin (Mezlin)

IV 3.0 gm

63-371

>1000

 

Oxacillin

IM 250-500 mg
IV 500 mg

5-11
52-63

 

 

Penicillin G
Penicillin G Benzathine
Penicillin V Potassium

IV 500 mg/hr
IM 0.6-1.2 MU
PO 500 mg

16
6-20
3-4

>1000
4.3-7.2

 

Piperacillin (Pipracil)

IM 2 gm
IV 2-4 gm

30-36
160-480

>1000
>1000

 

Piperacillin/Tazobactam (Zosyn)

 

 

 

 

Ticarcillin/Clavulanate (Timentin)

IV 3.1 gm

190-330

>1000

 

 

 

 

 

 

Quinolones (second generation)
AntibioticTypical Adult DoseApprox. Peak Blood LevelApprox. Peak Urine LevelApprox Cost
for 10 da Rx

Ciprofloxacin (Cipro)

PO 250-750 mg bid
IV 200-400 mg

1-4
2.1-4.6

200-400
>700

$70
$83

Ofloxacin (Floxin)

PO 200-400 mg bid
IV 200-400 mg

1.5-5.6
2.7-4.5

>220
>220

$80-100
 

Quinolones (third generation)
AntibioticTypical Adult DoseApprox. Peak Blood LevelApprox. Peak Urine LevelApprox Cost
for 10 da Rx

Levofloxacin (Levaquin)

PO 500 mg qd
IV 500 mg qd

5.7
6.2

343
343

$85
$40 /day

Quinolones (fourth generation)
AntibioticTypical Adult DoseApprox. Peak Blood LevelApprox. Peak Urine LevelApprox Cost
for 10 da Rx

Gatifloxacin (Tequin)

PO 400 mg qd
IV 400 mg qd

 

 

$70
$39 /day

Moxifloxacin (Avelox)

PO 400 mg qd
IV 400 mg qd

 

 

$87