$Unique_ID{BRK03262} $Pretitle{} $Title{oxacillin} $Subject{Bactocill Beecham Prostaphlin Bristol Penicillin antibiotic oxacillin bacterial infections Staphylococcus bacteria injuring cell membranes} $Volume{} $Log{} Copyright (C) 1993 Publications International, Ltd. oxacillin ------------------------------------------------------------------------------ BRAND NAMES (Manufacturers) Bactocill (Beecham) Prostaphlin (Bristol) TYPE OF DRUG Penicillin antibiotic INGREDIENT oxacillin DOSAGE FORMS Capsules (250 mg and 500 mg) Oral solution (250 mg per 5-ml spoonful) STORAGE Oxacillin capsules should be stored at room temperature in a tightly closed container. The oral solution should be stored in the refrigerator in a tightly closed container. Any unused portion of the solution should be discarded after 14 days. This medication should never be frozen. USES Oxacillin is used to treat a wide variety of bacterial infections, especially those involving Staphylococcus bacteria. This medication acts by severely injuring the cell membranes of the infecting bacteria, thereby preventing them from growing and multiplying. Oxacillin kills susceptible bacteria, but it is not effective against viruses, parasites, or fungi. TREATMENT Oxacillin should be taken on an empty stomach or with a glass of water one hour before or two hours after a meal. This medication should never be taken with fruit juices or carbonated beverages, because the acidity of these drinks destroys the drug in the stomach. The oral solution should be measured carefully with a specially designed 5-ml measuring spoon. An ordinary kitchen teaspoon is not accurate enough. Oxacillin works best when the level of medicine in your bloodstream is kept constant. It is best, therefore, to take the doses at evenly spaced intervals day and night. For example, if you are taking four doses a day, the doses should be spaced six hours apart. If you miss a dose of this medication, take the missed dose immediately. If you do not remember to take the missed dose until it is almost time for your next dose, take it immediately, space the following dose about halfway through the regular interval between doses, and then return to your regular dosing schedule. Try not to skip any doses. It is important to continue to take this medication for the entire time prescribed by your doctor (usually seven to 14 days), even if the symptoms of infection disappear before the end of that period. If you stop taking the drug too soon, resistant bacteria are given a chance to continue growing, and the infection could recur. SIDE EFFECTS Minor. Diarrhea, heartburn, nausea, or vomiting. These side effects should disappear as your body adjusts to the drug. Major. Tell your doctor about any side effects that are persistent or particularly bothersome. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about bloating, chills, cough, darkened tongue, difficulty in breathing, difficult or painful urination, fever, irritation of the mouth, muscle aches, rash, rectal or vaginal itching, severe diarrhea, sore throat, or yellowing of the eyes or skin. Also, if your symptoms of infection seem to be getting worse rather than improving, you should contact your doctor. INTERACTIONS Oxacillin interacts with other types of medications: 1. Probenecid can increase the blood concentrations of this medication. 2. Oxacillin may decrease the effectiveness of birth control pills, and pregnancy could result. You should, therefore, use another form of birth control while taking this drug. Discuss alternatives with your doctor. BE SURE TO TELL YOUR DOCTOR about any medications you are currently taking, especially any listed above. WARNINGS * Tell your doctor about unusual or allergic reactions you have had to any medications, especially to oxacillin, other penicillins, cephalosporin antibiotics, penicillamine, or griseofulvin. * Tell your doctor if you now have or if you have ever had kidney disease, asthma, or allergies. * This medication has been prescribed for your current infection only. Another infection later on, or one that someone else has, may require a different medicine. Therefore, you should not give your medicine to other people or use it for other infections, unless your doctor specifically directs you to do so. * Diabetics taking oxacillin should know that this drug can cause a false-positive sugar reaction with a Clinitest urine glucose test. To avoid this problem while taking oxacillin, you should switch to Clinistix or Tes-Tape to test your urine for sugar. * Be sure to tell your doctor if you are pregnant. Although oxacillin appears to be safe during pregnancy, extensive studies in humans have not been conducted. Also, tell your doctor if you are breast-feeding an infant. Small amounts of this medication pass into breast milk and may temporarily alter the bacterial balance in the intestinal tract of the nursing infant, resulting in diarrhea. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.