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1 May 2026Oral drugs

Cloxacillin Oral: Dosing and Precautions

Cloxacillin guidance for impetigo, with adolescent and adult dosing plus penicillin allergy precautions.

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Cloxacillin
Prescription under medical supervision

Source reviewed

source date listed on the source page

Guide category

Oral drugs

Safety boundary

Prescription medicine information for clinician-guided use.

Kenza Health Hub presents this medicine page as structured health education. Check dose, route, interactions, pregnancy or breast-feeding considerations, and local protocol with a qualified clinician or pharmacist. Read our medical editorial policy.

This guide page is for structured reference only and does not replace a clinician, pharmacist, or emergency review. Dose choice, route choice, interactions, and safety decisions still need professional judgment.

Therapeutic action

Penicillin antibacterial.

Indications

Impetigo. Preferably use cefalexin for this indication.

Forms and strengths

  • 250 mg and 500 mg capsules.

Dose and duration

  • Child over 10 years: 15 mg/kg 3 times daily for 7 days, maximum 3 g daily.
  • Adult: 1 g 3 times daily for 7 days.
  • 10 to < 13 years and 30 to < 45 kg: 2 capsules of 250 mg 3 times daily or 1 capsule of 500 mg 3 times daily.
  • 13 to < 15 years and 45 to < 55 kg: 3 capsules of 250 mg 3 times daily.
  • Adult >= 55 kg: 4 capsules of 250 mg 3 times daily or 2 capsules of 500 mg 3 times daily.

Contra-indications, adverse effects, precautions

  • Do not administer to patients with allergy to penicillin.
  • Administer with caution to patients with allergy to cephalosporins because cross-sensitivity may occur, or severe renal impairment by reducing the dosage.
  • May cause gastrointestinal disturbances, particularly diarrhoea, allergic reactions sometimes severe, and rarely haematological disorders.
  • Do not combine with methotrexate because methotrexate toxicity increases.
  • Pregnancy: no contra-indication.
  • Breast-feeding: no contra-indication.

Dosage and duration

Cloxacillin capsule dose by age and weight
AgeWeight250 mg capsule500 mg capsule
10 to < 13 years30 to < 45 kg2 cap x 31 cap x 3
13 to < 15 years45 to < 55 kg3 cap x 3-
Adult≥ 55 kg4 cap x 32 cap x 3

Source

MSF Essential drugs practical guidelines (January 2026)

This page combines source-derived medicine reference sections with Kenza editorial context, while leaving out the Storage and Remarks sections from the source batch.

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