Where is bicillin injected?

Long-acting penicillin G benzathine (Bicillin® L-A) is the preferred antibiotic treatment for syphilis. Each dose requires two intramuscular injections, one injection into each hip or buttock muscle at the same visit. One dose of Bicillin® L-A 2.4 million units is usually adequate to treat early syphilis.

Do bicillin injections hurt?

Bicillin L-A may cause an upset stomach (nausea) and vomiting (throwing up). You may also have pain and tenderness where you get the injection. After you get the injection, you can have a reaction called a Jarisch-Herxheimer reaction.

How long does a bicillin shot hurt?

This condition may occur 1 to 2 hours after you receive the medication and can last up to 24 hours. Notify your doctor immediately if you experience any of these symptoms: fever/chills, muscle pain, worsening of skin sores, fast heartbeat, fast breathing, dizziness, flushing.

What needle do you use for bicillin?

Bicillin L-A (penicillin G benzathine injectable suspension) is supplied in packages of 10 disposable syringes as follows: 1 mL size, containing 600,000 units per syringe, (21 gauge, thin-wall 1-inch needle... For deep IM injection only.

How do you inject a penicillin shot?

Penicillin G procaine (aqueous) is for intramuscular injection only. Administer by DEEP INTRAMUSCULAR INJECTION in the upper, outer quadrant of the buttock. In neonates, infants and small children, the midlateral aspect of the thigh may be preferable. When doses are repeated, vary the injection site.

BPG Injection sites and methods

Where should penicillin be injected?

Penicillin G injection is usually injected into a muscle or vein but may also be given directly into the lining of the chest cavity, into the fluid surrounding the spinal cord, or into a joint or other areas.

Where do you inject benzathine penicillin?

Penicillin G benzathine injection comes as a suspension (liquid) in a prefilled syringe to inject into the muscles of the buttocks or thigh by a doctor or nurse in a medical facility.

Where do you give an IM injection?

Your thumb should point to the person's groin and your fingers point to the person's head. Pull your first (index) finger away from the other fingers, forming a V. You may feel the edge of a bone at the tips of your first finger. Put the injection in the middle of the V between your first and middle finger.

How do you inject penicillin in humans?

The usual dose is 10 mg per kg (4.5 mg per pound) of body weight every six to eight hours. For injection dosage form: Adults and teenagers—500 mg to 2 grams injected into a vein or muscle every four to six hours. Infants and children—Dose is based on body weight and must be determined by your doctor.

Why is penicillin given IM and not IV?

IMPORTANT WARNING: has been expanded. Penicillin G benzathine and penicillin G procaine injection should never be given intravenously (into a vein), because this may cause serious or life-threatening side effects or death.

Can bicillin be given in the thigh?

Administer by DEEP INTRAMUSCULAR INJECTION in the upper, outer quadrant of the buttock (dorsogluteal) or the anterolateral thigh (ventrogluteal). In neonates, infants and small children, the midlateral aspect of the thigh may be preferable.

Where is the syphilis shot given?

If you have an advanced case of syphilis, you may need stronger treatment. You may get shots of penicillin every day for 10 days. This can be done in the doctor's office or at a clinic. A few people have to go to the hospital to get penicillin put into their veins.

How fast does bicillin work?

After it is injected into the muscle, Bicillin releases very slowly into the blood. Based on typical dosing, Bicillin L-A (penicillin G benzathine) lasts 10 to 14 days. After a large dose, small amounts of penicillin can even be detected in the blood 4 weeks later.

Why are penicillin injections so painful?

The penicillin injections (long-acting benzathine penicillin G) are invariably painful because of the large volume that is injected, the viscosity and possibly the irritant nature of the solution.

How do you make a penicillin shot not hurt?

Lidocaine (a local pain blocking medication) added to the penicillin and given in the same injection. > EMLA cream (a skin anaesthetic). It can go on the skin on the injection site 15-30 minutes beforehand but works best if it goes on 60 minutes before the injection.

Why is syphilis injection painful?

Your butt may feel sore for several days after each injection because of the large amount of fluid that was injected. If you are allergic to penicillin, tell your doctor before the injection. Other antibiotics can be given if you are allergic to penicillin.

How do you administer Bicillin L-A?

Each dose requires two intramuscular injections, one injection into each hip or buttock muscle at the same visit. One dose of Bicillin® L-A 2.4 million units is usually adequate to treat early syphilis.

How do I find a Ventrogluteal site?

Finding the ventrogluteal site

Have your friend, family member, or caregiver, place the palm of their hand on the greater trochanter of the femur. This is the bony part that sticks out of your upper thigh near your hip. They will then locate the anterior iliac crest and place your index finger on it.

Is bicillin the same as penicillin?

Penicillin G benzathine (Bicillin L-A) is a penicillin antibiotic that is given by deep intramuscular injection. Penicillin G benzathine kills susceptible bacteria by inhibiting the synthesis or formation of bacterial cell wall.

What are the 5 injection sites?

IM injections are administered in five potential sites: deltoid (commonly used for adult vaccinations), dorsogluteal, ventrogluteal, rectus femoris, and vastus lateralis^3,10,11 (Figure 1).

At what angle do you give an IM injection?

Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle. Aspiration before injection is not required.

Why injection is given in buttocks?

The buttocks is composed of variable amounts of fat over the underlying muscle. In the presence of a large amount of fat, it is probable that some injections will be injected into a subcutaneous location. Subcutaneous fat has poorer vascularity than muscle.

What shot is given in the buttocks for STD?

Your doctor will likely prescribe ceftriaxone (Rocephin) in the form of an injection into your buttock. The CDC previously recommended ceftriaxone plus azithromycin, but the guidelines were changed because the bacteria causing gonorrhea are becoming increasingly resistant to azithromycin.

Is benzathine penicillin injection painful?

Background. Intramuscular (IM) Penicillin G Benzathine (PGB) is the cornerstone of the treatment of primary syphilis [1], but its administration is associated with sharp pain at the site of the injection that sometimes may be of severe intensity.

How do you inject benzathine benzylpenicillin?

Benzathine benzylpenicillin must only be administered via intramuscular injection into the mid-lateral aspect of the thigh (preferred in children) or upper, outer quadrant of the buttock. It should be administered at a slow, steady rate preferably over 2-3 minutes to avoid blockage of the needle and to minimise pain.