Benzathine penicillin G is a long-acting, injectable antibiotic used to treat bacterial infections. It is known as a standard treatment for syphilis and Group A streptococcal infections.
Therapeutic action
- Long-acting penicillin antibacterial
Indications
- Early syphilis (primary, secondary, or early latent infection of less than 12 months duration)
- Late latent syphilis (infection of more than 12 months duration or of unknown duration)
- Congenital syphilis (absence of clinical signs in the neonate and adequate treatment in the mother)
- Endemic treponematoses (yaws, bejel, pinta)
- Streptococcal tonsillitis
- Prophylaxis of diphtheria in the event of direct contact
- Primary and secondary prophylaxis of rheumatic fever
Forms and strengths, route of administration
- Powder for injection in vials of:
- 1.2 MIU (900 mg), to be dissolved in 4 ml of water for injection, for IM injection
- 2.4 MIU (1.8 g), to be dissolved in 8 ml of water for injection, for IM injection
- NEVER FOR IV INJECTION NOR INFUSION
Dosage
Syphilis
- Child: 50 000 IU (37.5 mg)/kg per injection (max. 2.4 MIU or 1.8 g per injection)
- Adult: 2.4 MIU (1.8 g) per injection
Yaws, bejel, pinta
- Child under 10 years: 1.2 MIU (900 mg) per injection
- Child 10 years and over and adult: 2.4 MIU (1.8 g) per injection
Streptococcal tonsillitis, prophylaxis of diphtheria, prophylaxis of rheumatic fever
- Child under 30 kg: 600 000 IU (450 mg) per injection
- Child 30 kg and over and adult: 1.2 MIU (900 mg) per injection
Duration
- Early syphilis, congenital syphilis, tonsillitis, yaws, bejel, pinta, prophylaxis of diphtheria, primary prophylaxis of rheumatic fever: single dose
- Late latent syphilis: one injection/week for 3 weeks
- Secondary prophylaxis of rheumatic fever: one injection every 4 weeks for several years










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