Medical Pharmacology Chapter 35 Antibacterial Drugs
Penicillin G and Penicillin V
Penicillin overview
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Penicillins, and all β-lactam antibiotics, are defined by their unique chemical architecture.
The core of the penicillin molecule is a bicyclic system
known as the penam nucleus.
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Chemically
definition(2S,5R,6R)-3,3-dimethyl-7-oxo-6-[(2-phenylacetyl)amino]-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic
acid.
A defining feature is the benzyl (phenylacetyl) group that
constitutes its side chain.9
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Penicillin G has also been known as benzylpenicillin or benzylpenicillinic acid.9
In its free acid form, penicillin G is a white
crystalline powder that is only sparingly soluble in
water and is chemically unstable, particularly in
aqueous solutions.
To overcome limitations with the free acid form,
penicillin G is formulated for example, as its
potassium salts, which are much more water-soluble
and stable, allowing for parenteral (intravenous or
intramuscular) administration.
To address this pharmacokinetic challenge, long-acting "depot" or "repository" formulations were developed.
These involve creating salts with large organic bases, such as procaine or benzathine, which are far less soluble in water.11,12
When injected intramuscularly, these salts form a depot from which the active penicillin G is slowly hydrolyzed and absorbed into the circulation over an extended period.
Procaine penicillin G provides therapeutic concentrations for approximately 24 hours11, while benzathine penicillin G can maintain low but effective levels for two to four weeks.12
August, 2025
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