Click on the first letter in the Drug name:

Unasyn

Generic Name: ampicillin and sulbactam (am pi SIL in and sul BAK tam)
Brand Names: Unasyn

What is ampicillin and sulbactam?

Ampicillin and sulbactam are antibiotics in the penicillin group of drugs. They fight bacteria in your body.

The combination of ampicillin and sulbactam is used to treat many different types of infections caused by bacteria.

Ampicillin and sulbactam may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about ampicillin and sulbactam?

Before using ampicillin and sulbactam, tell your doctor if you are allergic to cephalosporins such as Ceclor, Ceftin, Duricef, Keflex, and others, or if you have asthma, kidney disease, a bleeding or blood clotting disorder, mononucleosis (also called "mono"), or a history of any type of allergy.

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.

What should I discuss with my healthcare provider before using ampicillin and sulbactam?

• amoxicillin (Amoxil, Amoxicot, Biomox, Dispermox, Trimox);

• carbenicillin (Geocillin);

• dicloxacillin (Dycill, Dynapen);

• oxacillin (Bactocill); or

• penicillin (Beepen-VK, Ledercillin VK, Pen-V, Pen-Vee K, Pfizerpen, V-Cillin K, Veetids, and others).

Before using ampicillin and sulbactam, tell your doctor if you are allergic to any drugs (especially cephalosporins such as Ceclor, Ceftin, Duricef, Keflex, and others), or if you have:

• kidney disease;

• a bleeding or blood clotting disorder;

• mononucleosis (also called "mono");

• a history of diarrhea caused by taking antibiotics; or

• a history of any type of allergy.

If you have any of these conditions, you may not be able to use ampicillin and sulbactam, or you may need a dosage adjustment or special tests during treatment.

How should I use ampicillin and sulbactam?

Ampicillin and sulbactam is given as an injection into a muscle or through an IV needle placed into a vein. Your doctor, nurse, or other healthcare provider will give you this injection. When it is given as an IV injection, this medicine must be given slowly, and can take up to 30 minutes to complete.

You may be given instructions on how to inject your medicine at home. Do not use this medicine at home if you do not fully understand how to give the injection and properly dispose of needles and syringes used in giving the medicine.

Use each needle and syringe only one time. Throw away used needles and syringes in a puncture-proof container. If your medicine does not come with such a container, ask your pharmacist where you can get one. Keep this container out of the reach of children and pets. Your pharmacist can tell you how to properly dispose of the container.

This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using ampicillin and sulbactam.

What happens if I miss a dose?

Use the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Symptoms of an ampicillin and sulbactam overdose may include confusion, behavior changes, a severe skin rash, urinating less than usual, or seizure (black-out or convulsions).

What should I avoid while using ampicillin and sulbactam?

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.

Ampicillin and sulbactam side effects

• fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;

• diarrhea that is watery or bloody; or

• fever, chills, body aches, flu symptoms.

Less serious side effects are more likely to occur, such as:

• nausea, vomiting, stomach pain, bloating, gas;

• vaginal itching or discharge;

• headache;

• itching;

• swollen, black, or "hairy" tongue;

• thrush (white patches or inside your mouth or throat); or

• pain, swelling, or other irritation where the needle is placed.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect ampicillin and sulbactam?

Before using ampicillin and sulbactam, tell your doctor if you are using any of the following drugs:

• allopurinol (Zyloprim);

• probenecid (Benemid); or

• an antibiotic such as amikacin (Amikin), gentamicin (Garamycin), kanamycin (Kantrex), neomycin (Mycifradin, Neo-Fradin, Neo-Tab), netilmicin (Netromycin), streptomycin, tobramycin (Nebcin, Tobi).

If you are using any of these drugs, you may not be able to use ampicillin and sulbactam, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect ampicillin and sulbactam. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

• Your pharmacist has information about ampicillin and sulbactam written for health professionals that you may read.

What does my medication look like?

Ampicillin and sulbactam is available with a prescription under the brand name Unasyn. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

• Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
• Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ("Multum") is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum"s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum"s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.