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Staphcillin Side Effects

Generic name: methicillin

Note: This document contains side effect information about methicillin. Some dosage forms listed on this page may not apply to the brand name Staphcillin.

Applies to methicillin: injectable powder for injection.

Hematologic

Hematologic adverse effects reported with methicillin (the active ingredient contained in Staphcillin) include neutropenia, leukopenia, and thrombocytopenia. Agranulocytosis has been reported rarely.[Ref]

Adverse hematologic effects occur in approximately 7% of treated patients and appear to be associated with higher doses given for long periods of time. Recovery generally occurs within one to two weeks.[Ref]

Hepatic

Methicillin (the active ingredient contained in Staphcillin) therapy has resulted in transient increases in liver function tests.[Ref]

Hypersensitivity

Hypersensitivity reactions to methicillin (the active ingredient contained in Staphcillin) include rash (2% to 6%), eosinophilia (up to 38%), pruritus, fever, chills, and myalgias. Methicillin is contraindicated in patients who are allergic to penicillin.[Ref]

Local

Local reactions include thrombophlebitis associated with intravenous administration, and pain at injection site if given intramuscularly.[Ref]

Renal

Acute renal failure and interstitial nephritis have been associated with methicillin (the active ingredient contained in Staphcillin) therapy. These problems occur most frequently after prolonged therapy (longer than ten days). Acute interstitial nephritis may be accompanied by rash, fever, dysuria, proteinuria, eosinophilia, and hematuria.[Ref]

The frequency of acute interstitial nephritis is higher with methicillin than other penicillinase-resistant penicillins and has been reported in up to 17% of patients. Acute renal failure generally occurs after ten days and with doses of methicillin greater than 200 mg/kg/day. Renal function slowly returns towards normal after discontinuation of methicillin, but irreversible decreases in renal function have been observed.[Ref]

References

1. Godin M, Deshayes P, Ducastelle T, Delpech A, Leloet X, Fillastre JP. Agranulocytosis, haemorrhagic cystitis and acute interstitial nephritis during methicillin therapy. J Antimicrob Chemother. 1980;6:296-7.

2. Product Information. Staphcillin (methicillin). Apothecon Inc. 2002;PROD.

3. Mayaud C, Kanfer A, Kourilsky O, Sraer JD. Interstitial nephritis after methicillin. N Engl J Med. 1975;292:1132-3.

4. Linton AL, Clark WF, Driedger AA, Turnbull DI, Lindsay RM. Acute interstitial nephritis due to drugs. Ann Intern Med. 1980;93:735-41.

5. Mignon F, Mery JP, Mougenot B, Ronco P, Roland J, Morel-Maroger L. Granulomatous interstitial nephritis. Adv Nephrol Necker Hosp. 1984;13:219-45.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.