Penicillin G Benzathine (Bicillin L-A)

Dosing: Adult Antimicrobial Dosing, Non-dialysis

IndicationDose
Primary, secondary, early latent syphilis2.4 million units IM x 1
Late latent syphilis2.4 million units IM once weekly x 3 doses

Dosing: Antimicrobial Dosing in Intermittent & Continuous Hemodialysis

IndicationDoseNotes
Primary, secondary, early latent syphilis2.4 million units IM x 1No dose adjustment for hemodialysis
Late latent syphilis2.4 million units IM once weekly x 3 doses

Dialysis Notes

Dialysis Notes

Intermittent HD assumes high-flux hemodialysis. CRRT assumes CVVHD with ultrafiltration rate 2L/h and residual native GFR < 10 mL/min. 

Restricted during Bicillin L-A shortage (2025 - est resolution Q4 2027)

References: