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Peds Calc

Pediatric Reference

Penicillin VK Side EffectsComprehensive Pediatric Safety Guide

Penicillin VK is generally well tolerated in children. Most side effects are mild and self‑limited. Serious allergic reactions are uncommon but require immediate care.

3 Categories
0 Clinical Sources
Evidence-Based
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Essential Information

1

GI upset

nausea, abdominal discomfort, or diarrhea — giving with a small snack may help.

2

Rash

delayed, non‑urticarial rashes can occur and are not always a true allergy; seek care for hives, swelling, or breathing trouble.

3

Yeast overgrowth

diaper dermatitis or oral thrush may occur; treat if symptomatic.

4

Rare

immediate hypersensitivity (hives, wheeze, anaphylaxis) — call emergency services.

Clinical Overview

Typical effects include mild GI upset and transient rash. Educate families on warning signs of true allergy.

Side Effect Categories

3 Systems

Gastrointestinal

2 documented effects

Total Sources: 0

Nausea/abdominal discomfort

Incidence: Common
Onset:
Mild
Duration

Management

Small snack, hydration

Monitoring Guidelines

Diarrhea

Incidence: Common
Onset:
Mild
Duration

Management

Fluids; seek care if severe or bloody

Monitoring Guidelines

Dermatologic/Allergic

2 documented effects

Total Sources: 0

Maculopapular rash (delayed)

Incidence: Uncommon
Onset:
Mild–moderate
Duration

Management

Supportive; distinguish from urticaria

Monitoring Guidelines

Urticaria/angioedema (IgE)

Incidence: Rare
Onset:
Severe
Duration

Management

Discontinue and seek urgent care

Monitoring Guidelines

Hematologic

1 documented effect

Total Sources: 0

Cytopenias (very rare)

Incidence: Very rare
Onset:
Variable
Duration

Management

Evaluate if bruising/fatigue present

Monitoring Guidelines

Frequently Asked Questions

Parent and clinician concerns about Penicillin VK