FLUCLOXACILLIN
Formoral.solid
250 mg orally (or by intramuscular injection) four times daily; the dose may be doubled for a severe infection.
Paediatric dosing is specialist-set and is not reproduced here.
Egyptian National Drug Formulary - antimicrobial-2023.pdf, Flucloxacillin monograph (chapter PDF p361)
A toe pulp infection is a closed-space staphylococcal soft-tissue infection, matching flucloxacillin's formulary indication for staphylococcal skin and soft-tissue infections; extra caution and a lower referral threshold apply in diabetic patients.
- Penicillin allergy is a contraindication - ask about prior reactions before prescribing.
- A fluctuant abscess needs incision and drainage referral rather than antibiotics alone.
- Diabetic patients have a lower threshold for referral given the risk of rapid spread and poor healing in the foot.
- Spreading cellulitis or signs of systemic infection need urgent reassessment.
- Rare but serious cholestatic jaundice/hepatitis can occur, more often with longer courses and in older patients.
- Oral: Take flucloxacillin on an empty stomach. This means 30 to 60 minutes before a meal or snack, or at least 2 hours after.
| Egyptian brand | Manufacturer | Indicative price |
|---|---|---|
| FLUMOCIN 250MG 12CAPS.! also contains amoxicillin | UP PHARMA | 6.20 EGP (0.52/unit) |
| AMOFLUX 125/125MG 12 CAPS.! also contains amoxicillin | RAMEDA > DELTA PHARMA | 8.25 EGP (0.69/unit) |
| FLUCAMOX 250MG 12CAPS.! also contains amoxicillin | SEDICO | 8.25 EGP (0.69/unit) |
| FLUMOCIN 500MG 8 CAPS.! also contains amoxicillin | UP PHARMA | 6.00 EGP (0.75/unit) |
| CURAFLUX 125/125 MG 12 CAPS.! also contains amoxicillin | RAMEDA > PIONEER | 12.50 EGP (1.04/unit) |
| AMOFLUX 250/250MG 16 CAPS.! also contains amoxicillin | RAMEDA > PIONEER | 18.00 EGP (1.12/unit) |
| HI-FLUCIL 250/250MG 16 CAPS.! also contains amoxicillin | CID | 20.00 EGP (1.25/unit) |
| AMPIFLUX 500 MG 12 CAPS.! also contains ampicillin | PHARCO | 16.00 EGP (1.33/unit) |