Drug reference
Benzathine benzylpenicillin
Penicillin · Antibiotic
Also known as Benzathine penicillin G
PenicillinAntibiotic
CDSCO approved
EXCRETION
—
not curated
INTERACTIONS
—
none in our sources
PREGNANCY
—
not curated
Mechanism
Benzathine benzylpenicillin, a beta-lactam antibiotic, exerts its bactericidal effect by interfering with bacterial cell wall synthesis. It irreversibly binds to and inactivates penicillin-binding proteins (PBPs), which are transpeptidases essential for cross-linking peptidoglycan strands in the bacterial cell wall. This inhibition prevents the formation of a stable cell wall, leading to increased osmotic pressure, cell lysis, and ultimately bacterial death.
Indications
ErysipelasYawsPintaSyphilis [primary and secondary stage]Syphilis [late-stage (latent seropositive)]Prophylaxis of rheumatic fever [without cardiac involvement]Prophylaxis of poststreptococcal glomerulonephritis [without cardiac involvement]Prophylaxis of erysipelas [without cardiac involvement]Prophylaxis of rheumatic fever [transient cardiac involvement]Prophylaxis of poststreptococcal glomerulonephritis [transient cardiac involvement]Prophylaxis of erysipelas [transient cardiac involvement]
Dosing
- Adult
- Erysipelas | Yaws | Pinta: 1.2 million units as a single deep intramuscular injection in the outer quadrant of the gluteus maximus or Hochstetter’s ventrogluteal field.…
Related guidelines
Primary PCI for acute coronary syndrome
ESC · Cardiology · 2026
Preoperative cardiac evaluation for non-cardiac surgery
AHA · Cardiology · 2025
Latent tuberculosis infection
RNTCP · Infectious Disease · 2023
Dengue fever
ICMR · Infectious Disease · 2022
Extrapulmonary tuberculosis
ICMR · Infectious Diseases · 2022
Other Penicillin drugs
Ask House about Benzathine benzylpenicillin
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Sources: BNF·Verified: 2026-05-13 · House clinical team