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penicillin V

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Brand names: Pen-Vee K

Natural Penicillin Rx

Penicillin V is an antibiotic. It fights infections caused by bacteria.

Drug Shortage Alert

penicillin V is currently listed as in shortage by the FDA. Affected manufacturer: Pfizer Inc.. Status: Limited Availability.

View all drug shortages →

Drug Pricing (NADAC)

Generic Price

$0.05/unit

Generic Available

Yes (9 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

Penicillin V treats mild to moderate infections caused by bacteria that are sensitive to penicillin.

Common side effects

Nausea, Vomiting, Upset stomach

Key warnings

You should not take this medicine if you have had an allergic reaction to any penicillin antibiotic before.

How It Works

Penicillin V stops bacteria from growing. It does this by preventing bacteria from building cell walls. Without a cell wall, the bacteria die.

How to Take It

Take Penicillin V exactly as your doctor tells you. The usual dose for adults and children 12 and over is 125 to 500 mg every 6 to 8 hours, depending on the infection. You should take it for the full course of treatment, even if you feel better. You can take it with or without food.

Pregnancy & Breastfeeding

Tell your doctor if you are pregnant or breastfeeding. It is not known if Penicillin V will harm an unborn baby. Penicillin V does pass into breast milk.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store Penicillin V at room temperature, away from heat and moisture. Keep the container tightly closed and out of reach of children.

Side Effects (from patient reports)

Based on 1,793 FDA adverse event reports.

Drug Hypersensitivity
457
Dyspnoea
211
Anxiety
178
Hypersensitivity
149
Asthma
145
Condition Aggravated
143
Fatigue
135
Rash
130
Therapeutic Product Effect Incomplete
123
Pain In Extremity
122

FDA Adverse Event Report Analysis

Detailed analysis of 2,398 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

2,398

Death-Related Reports

171

Hospitalization Reports

612

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 1,315 (61%)
Male 818 (38%)

Age Distribution

0–17 141
18–44 320
45–64 391
65–74 280
75+ 140

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG HYPERSENSITIVITY 457
2 DYSPNOEA 211
3 ANXIETY 178
4 HYPERSENSITIVITY 149
5 ASTHMA 145
6 CONDITION AGGRAVATED 143
7 FATIGUE 135
8 RASH 130
9 THERAPEUTIC PRODUCT EFFECT INCOMPLETE 123
10 PAIN IN EXTREMITY 122
11 WHEEZING 119
12 HYPOTHYROIDISM 116
13 OBSTRUCTIVE AIRWAYS DISORDER 116
14 OFF LABEL USE 114
15 SLEEP DISORDER DUE TO A GENERAL MEDICAL CONDITION 110

Reactions in Death Reports

DEATH 85
DYSPNOEA 52
ANXIETY 48
PULMONARY EMBOLISM 48
CONDITION AGGRAVATED 46
PAIN IN EXTREMITY 44
ARTERIOSCLEROSIS 40
HAEMOPTYSIS 40
HYPOXIA 40
THROMBOSIS 40

Reactions in Hospitalization Reports

DYSPNOEA 118
PULMONARY EMBOLISM 95
ANXIETY 94
ASTHMA 84
CONDITION AGGRAVATED 84
PAIN IN EXTREMITY 80
OBSTRUCTIVE AIRWAYS DISORDER 75
WHEEZING 75
THERAPEUTIC PRODUCT EFFECT INCOMPLETE 74
PRODUCTIVE COUGH 72

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

You should not take this medicine if you have had an allergic reaction to any penicillin antibiotic before. Allergic reactions can be severe and even deadly.

Common Questions

Can I take Penicillin V if I'm allergic to amoxicillin?
No, you should not take Penicillin V if you are allergic to amoxicillin or any other penicillin.
How long should I take Penicillin V?
Take Penicillin V for the full course of treatment prescribed by your doctor, even if you feel better.
Can I drink alcohol while taking Penicillin V?
There are no known interactions between Penicillin V and alcohol, but it's best to ask your doctor.
What should I do if I develop a rash while taking Penicillin V?
Stop taking Penicillin V and contact your doctor immediately if you develop a rash or other allergic reaction.
Can Penicillin V interact with other medications?
Tell your doctor about all the medications you are taking, including over-the-counter drugs and supplements.
Is it okay to stop taking Penicillin V when I feel better?
No, you should finish the entire course of Penicillin V, even if you feel better, to prevent the infection from returning.
Can Penicillin V cause diarrhea?
Yes, diarrhea is a common side effect of Penicillin V.
Does Penicillin V treat viral infections?
No, Penicillin V only treats bacterial infections. It will not work for viral infections like the common cold or flu.
What if I can't swallow the pill?
Ask your doctor or pharmacist if Penicillin V is available in a liquid form.
Can I take Penicillin V with food?
Yes, you can take Penicillin V with or without food.
What are the common side effects of penicillin V?
The most commonly reported side effects of penicillin V include Nausea, Vomiting, Upset stomach, Diarrhea, Black, hairy tongue. Based on 1,793 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
What drug class is penicillin V?
penicillin V belongs to the Natural Penicillin drug class. It requires a prescription (Rx). Penicillin V treats mild to moderate infections caused by bacteria that are sensitive to penicillin.
Is penicillin V safe during pregnancy?
Tell your doctor if you are pregnant or breastfeeding. It is not known if Penicillin V will harm an unborn baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Is penicillin V currently in shortage?
Yes, penicillin V is currently listed as in shortage by the FDA. Affected manufacturer: Pfizer Inc.. Status: Limited Availability. Visit the FDA Drug Shortages database for the latest updates.

Related Medications in Natural Penicillin

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Medication Guides

Related Health & Safety Data

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What the FDA Data Shows for penicillin V

The FDA label for penicillin V (sold under brand names such as Pen-Vee K) classifies it as a prescription-only medication in the Natural Penicillin class. Penicillin V treats mild to moderate infections caused by bacteria that are sensitive to penicillin. Official labeling lists 5 commonly reported side effects, including Nausea, Vomiting, Upset stomach.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 1,793 voluntary reports. Interaction data is drawn directly from FDA-approved prescribing information. NADAC pricing from CMS shows a generic unit cost of $0.05.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC). Shortage status: FDA Drug Shortages Database.

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: October 15, 2025

All federal data sources used on this page