Dental Procedures

Notes

Give single dose 30-60 minutes before procedure

If the antibiotic is inadvertently not administered before the procedure, it may be administered up to 2 hours after the procedure.

Do not use cephalosporins in patients with a history of anaphylaxis, angioedema, or urticaria with penicillin.

If a patient is already receiving long-term antibiotic therapy with an antibiotic that is also recommended for IE prophylaxis, an antibiotic from a different class should be used.

Oral Regimen

Amoxicillin 2 g oral

Unable to Take Oral Medication

Ampicillin 2 g IM or IV

OR

Cefazolin 1 g IM or IV

OR

Ceftriaxone 1 g IM or IV

Allergy to Penicillin or Ampicillin (Oral Regimen)

Cephalexin 2 g oral

OR

Clindamycin 600 mg oral

OR

Azithromycin 500 mg oral

OR

Clarithromycin 500 mg oral

Allergy to Penicillin or Ampicillin (Unable to Take Oral Regimen)

Cefazolin 1 g IM or IV

OR

Ceftriaxone 1 g IM or IV

OR

Clindamycin 600 mg IM or IV