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Prescription antibiotic given by intravenous (IV) injectiona penicillin-type antibacterial medicine

Ampicillin Sodium

Ampicillin Sodium · Say it: am-pi-SIL-in SO-dee-um

Ampicillin sodium is a penicillin-type antibiotic given into a vein to treat certain bacterial infections, such as pneumonia, meningitis, and urinary tract infections.

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⬛ Boxed warning (the FDA's strongest warning)

This label carries a boxed notice that the product is a Pharmacy Bulk Package and is NOT FOR DIRECT INFUSION. It is meant for preparing IV mixtures only, and the label's instructions for direct intravenous or intramuscular injection are listed for information only.

Used for

Respiratory tract infections caused by susceptible bacteria, such as S. pneumoniae, Staphylococcus aureus, H. influenzae, and Group A strep

Comes as

Dry powder for injection in a 10 gram Pharmacy Bulk Package bottle (ampicillin sodium equivalent to 10 grams of ampicillin per bottle)

Common side effects

Diarrhea, Nausea and vomiting, Skin rashes and hives (urticaria)

Key facts
Generic nameAmpicillin Sodium
Brand names—
Type of medicinea penicillin-type antibacterial medicine
How it is soldPrescription antibiotic given by intravenous (IV) injection
Comes asDry powder for injection in a 10 gram Pharmacy Bulk Package bottle (ampicillin sodium equivalent to 10 grams of ampicillin per bottle)
Routeintravenous
Boxed warningYes, see below
Label date2026-06-22

💊 What is Ampicillin Sodium used for?

  • Respiratory tract infections caused by susceptible bacteria, such as S. pneumoniae, Staphylococcus aureus, H. influenzae, and Group A strep
  • Bacterial meningitis caused by E. coli, Group B strep, Listeria, and N. meningitidis
  • Septicemia (bloodstream infection) and endocarditis (infection of the heart lining) caused by susceptible bacteria
  • Gram-negative sepsis caused by E. coli, Proteus mirabilis, and Salmonella
  • Urinary tract infections caused by sensitive strains of E. coli and Proteus mirabilis
  • Gastrointestinal infections, including typhoid fever, Salmonella, and Shigella (dysentery)
  • Urethritis in males caused by Neisseria gonorrhoeae, and gonorrhea-related gastrointestinal and genitourinary infections

How it works

The label describes ampicillin as an antibacterial agent with broad activity that is bactericidal, meaning it kills many susceptible bacteria. It is effective only against infections caused by susceptible bacteria.

How it is usually taken

  • This medicine is given by IV injection. The label is written for a pharmacy bulk package that is used to prepare IV mixtures, and it says the dose and schedule depend on the infection, the person's body weight, and age. The label says the injectable form is reserved for moderately severe and severe infections and for people who cannot take oral forms, and that a switch to oral ampicillin may be made when appropriate. Follow the instructions from your prescriber or pharmacist.

Comes as

  • Dry powder for injection in a 10 gram Pharmacy Bulk Package bottle (ampicillin sodium equivalent to 10 grams of ampicillin per bottle)

⚠️ Ampicillin Sodium side effects

Common side effects

  • Diarrhea
  • Nausea and vomiting
  • Skin rashes and hives (urticaria)
  • Sore or inflamed tongue and mouth (glossitis, stomatitis)
  • Black, hairy-looking tongue
  • Mild, temporary rises in a liver-related blood test (SGOT), which the label says often does not mean liver damage

Get medical help right away if

  • Get medical help right away if you have signs of a severe allergic reaction (anaphylaxis), such as trouble breathing or swelling. The label says serious reactions need immediate emergency treatment.
  • Get medical help as soon as possible if you have watery or bloody diarrhea, with or without stomach cramps and fever. This can happen even up to two months or more after the last dose, and the label says it may be a sign of Clostridium difficile-associated diarrhea (CDAD), which can be severe.
  • Tell your doctor right away if you develop a severe skin reaction, such as peeling skin (exfoliative dermatitis) or a target-shaped rash (erythema multiforme). The label says the drug should be stopped if these reactions occur.
  • Tell your doctor promptly if you have a skin rash or hives, since the label says ampicillin should be stopped when these occur unless the doctor decides the infection is life-threatening and needs this medicine.

🛑 Who should not take Ampicillin Sodium, and who should be careful

The label says not to take it if

Tell your doctor before taking it if

  • Tell your care team about any past allergic reaction to penicillins, cephalosporins, or other medicines, including reactions to multiple allergens.
  • Tell your care team if you have a history of allergy, asthma, hay fever, or hives. The label says reactions are more likely in these people.
  • Tell your care team if you have infectious mononucleosis. The label says ampicillin is not recommended in these patients because it often causes a skin rash.
  • Tell your care team if you have kidney problems, since the label discusses removing the medicine by dialysis in people with reduced kidney function.
  • Tell your care team if you take allopurinol, or if you are pregnant or breastfeeding.

🔀 Ampicillin Sodium with other medicines, food and alcohol

The label says to discuss these with your doctor or pharmacist

  • Allopurinol: taking allopurinol with ampicillin increases the chance of skin rashes compared with taking ampicillin alone. The label says it is not known whether this is due to allopurinol or to high uric acid levels in these patients.

Alcohol and food

The label does not say.

🤰 Ampicillin Sodium in pregnancy and breastfeeding

Pregnancy

The label lists this medicine as Pregnancy Category B. Animal reproduction studies at several times the human dose showed no evidence of harm, but there are no adequate, well-controlled studies in pregnant women. The label says it should be used during pregnancy only if clearly needed.

Breastfeeding

The label says ampicillin passes into human breast milk in trace amounts. Caution is advised when it is given to a nursing woman.

🗓️ Storage, missed doses and taking too much

Storage

Store the dry powder at 20 to 25 degrees C (68 to 77 degrees F), as the label directs for controlled room temperature. The label notes the product is sterile, nonpyrogenic, and preservative-free.

If a dose is missed

The label does not say.

If too much is taken

The label says that in cases of overdose, the medicine should be stopped, the person treated for symptoms, and supportive measures used as needed. In people with kidney impairment, ampicillin-class antibacterials can be removed by hemodialysis but not by peritoneal dialysis.

🗒️ Questions to ask about Ampicillin Sodium

🎯 Check what you understood

1. According to the label, who should NOT receive ampicillin sodium?

2. What does the label say about watery or bloody diarrhea after treatment?

3. What does the boxed warning on this label say about the product?

❓ Ampicillin Sodium: frequently asked questions

What is ampicillin sodium used for?

The label says it treats infections caused by susceptible bacteria, including pneumonia, meningitis, bloodstream and heart-lining infections, urinary tract infections, and some gastrointestinal infections. It does not treat viral infections such as the common cold.

Can people with a penicillin allergy use ampicillin sodium?

The label says a previous hypersensitivity reaction to any penicillin is a contraindication. It also warns that serious and occasionally fatal allergic reactions have been reported with penicillin therapy.

What are the most common side effects of ampicillin sodium?

The label lists diarrhea, nausea, vomiting, skin rashes, and hives as common reactions. It also lists mouth and tongue changes, such as a sore tongue or a black, hairy-looking tongue.

Does ampicillin sodium interact with other medicines?

The label says taking allopurinol with ampicillin increases the chance of skin rashes compared with ampicillin alone. Tell your prescriber or pharmacist about all medicines you take.

How should ampicillin sodium be stored?

The label says the dry powder should be stored at 20 to 25 degrees C (68 to 77 degrees F), which is controlled room temperature. Follow the instructions from your pharmacist for storage.

🧪 Tests and reports linked to Ampicillin Sodium

The label text mentions these. If you have one of these reports, get every line of it explained.

📖 Medical words used on this page

  • Allergic reaction

    An allergic reaction is when the immune system overreacts to something harmless, such as a medicine or food, causing symptoms from a rash to swelling.

  • Anaphylaxis

    Anaphylaxis is a severe, whole-body allergic reaction that comes on fast and is a medical emergency needing urgent help.

  • Antibacterial

    An antibacterial is a medicine or product that kills bacteria or stops them from growing. Antibacterial medicines do not work on viruses.

  • Antibiotic

    An antibiotic is a medicine that kills bacteria or stops them growing; it treats bacterial infections, not viral ones like colds or flu.

  • AST (Aspartate Aminotransferase)

    AST is an enzyme found in the liver, muscles, heart and other tissues; raised levels can signal stress or damage in one of these.

  • Boxed warning

    A boxed warning is the strongest safety warning on a US medicine label, printed in a box, about a serious or life-threatening risk.

  • Bronchospastic Disease

    Bronchospastic disease means a lung condition, such as asthma, in which the airways tend to tighten suddenly (bronchospasm).

  • Cephalosporin

    A cephalosporin is a type of antibiotic related to penicillin, used for many bacterial infections. Names often begin with 'cef' or 'ceph'.

  • Clostridioides difficile-associated diarrhea

    Clostridioides difficile-associated diarrhea is a bowel infection, often after antibiotics, in which this germ overgrows and inflames the colon.

  • Contraindication

    A contraindication is a reason not to use a particular medicine, test or procedure for a person because it could cause harm.

  • Dialysis

    Dialysis is a treatment that removes waste and extra fluid from the blood when the kidneys can no longer do this well enough.

  • Edema

    Edema is swelling caused by extra fluid trapped in the body's tissues, often in the feet, ankles and legs.

  • Follow-up appointment

    A follow-up appointment is a planned visit after a test, treatment or hospital stay to check progress and decide next steps.

  • Gastrointestinal

    Gastrointestinal (GI) means relating to the digestive tract: the mouth, esophagus, stomach and intestines.

📖 Medical words on this page

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Source: official FDA drug label (label updated 2026-06-22). Read the full label on DailyMed

MedicDecode explains the official label in plain words. It is not medical advice and does not replace your doctor or pharmacist. Never start, stop or change a medicine because of what you read here.