Each mL is designed to provide 300,000 units of penicillin G as procaine in a stable suspension. Approved for 96 hour milkout. Milk taken from treated dairy animals within 48 hours after the last treatment must not be used for food. In neonates, infants and small children, the midlateral aspect of the thigh may be preferable. This content does not have an English version. Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. After reconstitution, the oral suspension should preferably be refrigerated (refrigeration not absolutely necessary) and any unused product discarded after 14 days. Children less than 12 years of age and weighing up to 40 kg (88 pounds)125 to 250 mg every six hours; or 6.25 to 12.5 mg per kg (2.8 to 5.7 mg per pound) of body weight every six hours. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Jun 23, 2015. Get medical help right away, if you have any of the symptoms listed above. The product is ready for injection after warming the vial to room temperature and shaking to ensure a uniform suspension. Adults, teenagers, and children 10 years of age and older525 to 1050 milligrams (mg) two times a day. Of course, anyone else's thinking is welcomed too as I would like to know. . Penicillin G procaine should be stored at 2-8C; avoid freezing. Amoxypen, another long-lasting, broad-spectrum antibiotic, is also sometimes injected and tackles a different set of bacteria. Lean the head slightly forward, bringing the chin slightly down toward the chest (do not touch the chin to the chest, as this will narrow the throat opening). Shadrach's Ex Battery and Rescued chickens thread. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. It was initially thought that Blane Horton was the breeder for Rebel Starfighter Prime but this has been proven incorrect. Each is used to treat different kinds of infections. Not for use in humans. )Dose is based on body weight and must be determined by your doctor. Adults and teenagers500 milligrams (mg) to 1 gram every six hours. information submitted for this request. Penicillins are effective in the treatment of sinusitis and chronic respiratory disease in poultry. JavaScript is disabled. For oral dosage form (oral solution, oral suspension, and tablets): Adults and teenagers200,000 to 500,000 Units (125 to 312 milligrams [mg]) every four to six hours. Definitive guidelines for choosing the IM route or oral route are unlikely to be forthcoming. Intramuscular penicillin is the recommended treatment for group A beta-hemolytic streptococcal pharyngitis when the oral route cannot be used. Oral medications do not cause pain or compromise the skin barrier. First, it is important to choose the right type of planter and support system for your plants. Location. Infants and children weighing up to 20 kg (44 pounds)Dose is based on body weight and must be determined by your doctor. Teenagers and children: Use and dose must be determined by your doctor. Medicated feed should be freshly prepared on at least 3 occasions per day over the treatment period. For injection dosage forms (potassium and sodium salts): Adults and teenagers1,000,000 to 5,000,000 Units, injected into a vein or muscle every four to six hours. I do inject penicillin under the loose skin of the neck area sometimes. Infants 3 months of age and older and children weighing up to 40 kg (88 lbs. You can give it orally - if you absolutely have to.of course injections are a little more effective and quicker working. Keep out of reach of children. My horse vet said that it's not as effective and I believe it is one of the only injectables ones that shouldn't be given orally. Generally, if a bacteria is susceptible to a natural penicillin, either penicillin G or V is preferred for treating that infection as long as adequate penetration of the drug to the site of the infection occurs and the patient is not hypersensitive to penicillins. However, none of the penicillins will work for colds, flu, or other virus infections. The use of antibiotics in the management of diseases is based on an accurate diagnosis and an adequate course of treatment. Long-acting penicillin is not FDA-approved for sheep or goats and requires veterinary approval. Available for Android and iOS devices. As a prescription-only injection, procaine is used for local anesthesia. Since many diseases look alike but require different types of treatment, the use of professional veterinary and laboratory services can reduce treatment time, costs and needless losses. Should allergic or anaphylactic reactions occur, discontinue use of the product and call a veterinarian. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Infants and children weighing up to 20 kg (44 pounds)Dose is based on body weight and must be determined by your doctor. 15. other information we have about you. Penicillin Injectable should be stored between 2 to 8C (36 to 46F). Mayo Clinic does not endorse companies or products. Animals administered penicillin G procaine should be kept under close observation for at least one half hour. anaphylaxis. Giving Oral Medications to Chickens and Ducks. Outdoor Hub, LLC (d/b/a Carbon Media Group), 30800 Telegraph Rd, Suite 1921, Bingham Farms, MI 48025 USA. I'd only do oral in young kids for scours, as adults that are ruminating kinda rely on a very large microbial population in their gut. For bacterial infections: For the benzathine salt oral dosage form (oral solution): Adults and teenagers200,000 to 500,000 Units every six to eight hours. Infants and children300,000 to 1,200,000 Units injected into a muscle as a single dose; or 50,000 Units per kg (22,727 Units per pound) of body weight injected into a muscle as a single dose. Can you use penicillin for chickens? In such instances, consult your veterinarian. THIS SERVICE AND DATA ARE PROVIDED "AS IS". Dosage Drug Form Side Effects Drug Interactions What is the dosage? For oral dosage forms (capsules and oral suspension): Adults, teenagers, and children weighing more than 20 kilograms (kg) (44 pounds)250 to 500 milligrams (mg) every six hours. How to Give a Chicken an Injection Intramuscular & Subcutaneous. How do I keep squirrels from eating my chicken eggs? How do you use diatomaceous earth on chickens for mites? The usual dose is 6.25 mg per kg (2.8 mg per pound) of body weight every six hours. It is advisable to avoid giving penicillin in conjunction with bacteriostatic drugs such as tetracyclines. Penicillins (except bacampicillin tablets, amoxicillin, penicillin V, pivampicillin, and pivmecillinam) are best taken with a full glass (8 ounces) of water on an empty stomach (either 1 hour before or 2 hours after meals) unless otherwise directed by your doctor. Similarly, medications such as diphenhydramine (Benadryl), opioid analgesics, ondansetron (Zofran), triptans, and others were not included. Whether you live in Las Cruces or Atlanta, there are a few steps you can take to ensure your tomato plants survive the heat and continue producing. ChildrenDose is based on body weight and must be determined by your doctor. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are taking a penicillin. 6wk old duck attacked by opossum. Can benzathine penicillin be given orally? Raise the vein. Both amoxicillin and penicillin cover Streptococcal bacteria. For patients taking amoxicillin, penicillin V, pivampicillin, and pivmecillinam: Procaine is taken by mouth or given as a shot for arthritis, hardening of the arteries in the brain (cerebral atherosclerosis), dementia, depression, hair loss, high blood pressure, and sexual performance problems. The daily dose of penicillin is 3,000 units per pound of body weight (1 mL per 100 lbs body weight). A withdrawal period has not been established for this product in pre-ruminating calves. However, Amoxicillin is considered a broad-range antibiotic that covers a wider variety of bacteria compared to penicillin. ChildrenDose must be determined by your doctor. If this interferes with your sleep or other daily activities, or if you need help in planning the best times to take your medicine, check with your health care professional. Some of the penicillins may also be used for other problems as determined by your doctor. 715. This will provide approximately 297 000 I.U. Older infants and childrenDose is based on body weight and must be determined by your doctor. For oral dosage form (capsules and oral suspension): Adults, teenagers, and children weighing more than 40 kilograms (kg) (88 pounds)125 to 250 milligrams (mg) every six hours. Children 7 to 10 years of age350 mg two times a day. information and will only use or disclose that information as set forth in our notice of Rotate injection sites for each succeeding treatment. Such reactions can occur unpredictably with varying intensity. This is especially important in strep infections. Restricted Drug - California. Penicillin G is available in crystalline, procaine, and benzathine forms. How do I help him, 1.5/2 month old chick acts with neurological or crop issues. Penicillin Injectable is indicated for treatment of bacterial pneumonia (shipping fever) caused by Pasteurella multocida in cattle and sheep, erysipelas caused by Erysipelothrix rhusiopathiae in swine, and strangles caused by Streptococcus equi in horses. Antibiotics use in poultry farming has been regulated to conform to the healthy living of human consumers and also to reduce toxicity in the chicken. Follow your doctor's orders or the directions on the label. This product is available in the following dosage forms: There is a problem with There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. For most patients, the evidence does not support the IM route over the oral route for antibiotics, corticosteroids, nonsteroidal anti-inflammatory drugs (NSAIDs), or vitamin B12, although IM antibiotics are indicated for some infections. Portions of this document last updated: April 01, 2023. Neonates and infants up to 3 months of ageDose is based on body weight and must be determined by your doctor. Amoxicillin, penicillin V, pivampicillin, and pivmecillinam may be taken on a full or empty stomach. If blood appears in the syringe, a blood vessel has been entered; withdraw the needle and select a different site. Norocillin is a suspension of penicillin G procaine in 100, 250, and 500 mL multiple dose vials. Review/update the However, oral antibiotics are the treatment of choice for the outpatient treatment of pneumonia and most other outpatient bacterial infections. The usual dose is 30,000 Units per kg (13,636 Units per pound) of body weight, injected into a vein or muscle every twelve hours. Adults, teenagers, and children 10 years of age and older500 mg to 1 gram two times a day. 13,870. Now I've the same question and you've no answer. Penicillins, like all antibiotics, are associated with an increased risk of Clostridioides difficile diarrhea. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. information is beneficial, we may combine your email and website usage information with Keep from freezing. The usual dose is 12.5 mg per kg (5.7 mg per pound) of body weight, injected into a vein or muscle every six hours. If respiratory distress is severe, immediate injection of epinephrine or antihistamine following manufacturers recommendations may be necessary. This content does not have an English version. It is advisable to avoid giving penicillin in conjunction with bacteriostatic drugs such as tetracyclines. Adults, teenagers, and children weighing more than 20 kg (44 pounds)250 to 500 mg, injected into a vein or muscle every three to six hours. Penicillin G procaine (aqueous) is for intramuscular injection only. Infants over 1 month of age and children up to 12 years of ageDose is based on body weight and must be determined by your doctor. I'll have a look and post what I find. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. Oxytetracycline has activity against gram-positive and gram-negative bacteria, including some anaerobes. coontail did you read the post above?? II). Bacitracin: is an antibiotic used to prevent necrotic enteritis in broilers, an infection caused by the bacteria Clostridium. The Oxymav B Antibiotic is a must have for all owners of Caged Birds. Intramuscular (IM) Penicillin G Benzathine (PGB) is the cornerstone of the treatment of primary syphilis [1], but its administration is associated with sharp pain at the site of the injection that sometimes may be of severe intensity. I was just wondering if anyone had ever tried to give procaine penicillin G by mouth instead of intramuscularly (as a shot?) A lack of response by the treated animal, or the development of new signs or symptoms suggest that an overgrowth of nonsusceptible organisms has occurred. Made in the UK. Exceeding the daily dosage of 3,000 units per pound of body weight, administering for more than four consecutive days, or exceeding the maximum injection site volume per injection site may result in antibiotic residues beyond the withdrawal time. Dissolve the contents of one (1) pail in 50 460 litres (11 100 Imperial gallons) of drinking water (or 20 g of powder per 100 litres of drinking water). If you have a strep infection, you should keep taking this medicine for at least 10 days. Therefore, it is pointless to provide chickens growth hormones in their food because they would be rendered ineffective. Copyright 2023 Thank Chickens |As an Amazon Associate I earn from qualifying purchases. It is also exceptionally effective in the treatment of respiratory infections. SHAKE WELL BEFORE USING. They inhibit bacterial cell wall synthesis and are generally bactericidal. wheezing. Someone on here recently posted that he gives Tylan 200 orally when his hounds has the kennel cough. Copyright 2023 American Academy of Family Physicians. After the discovery of penicillin in the early 1940s, the shot became associated with a dramatic reversal of illness. ChildrenDose is based on body weight and must be determined by your doctor. For oral dosage forms (capsules, oral suspension, tablets, and chewable tablets): Adults, teenagers, and children weighing more than 40 kilograms (kg) (88 pounds)250 to 500 milligrams (mg) every eight hours or 500 to 875 mg every twelve hours, depending on the type and severity of the infection. Be sure to drink all the liquid to get the full dose of medicine. Children up to 40 kg (88 pounds)Dose must be determined by your doctor. Milk taken from treated dairy animals within 48 hours after the last treatment must not be used for food. Ask your vet about injecting antibiotics such as Tylan or Baytril. Everything I read says don't give it to chickens who lay eggs for human consumption. C. colinum is responsible for ulcerative enteritis. itching. On factory farms, antibiotics are used for two reasons: to promote growth and to prevent or treat infection. You may opt-out of email communications at any time by clicking on Courses of treatment will vary with the clinical need, but are typically 3-5 days. Piperacillin (Pipracil): injectable antibiotic in the penicillin family, good broad-spectrum drug; excellent antibiotic alone or when combined with . privacy practices. Does anyone know if soluble terramycin is appropriate for respiratory illness in chickens? For other indications, the intramuscular route should be considered only when the delivery of a medication must be confirmed, such as when a patient cannot tolerate an oral medication, or when compliance is uncertain. An antibiotic is a drug that inhibits or kills the growth of pathogenic bacteria within the chicken. Mulching is an effective way to keep the root zone cool and moist, while watering more frequently will also help keep the plant from getting too dry. In livestock intramuscular injections should be made by directing the needle of suitable gauge and length into the fleshy part of a thick muscle, such as rump, hip, or thigh region; avoid blood vessels and major nerves. Since many diseases look alike but require different types of treatment, the use of professional veterinary and laboratory services can reduce treatment time, costs and needless losses. Take this medication by mouth as directed by your doctor. If you are a Mayo Clinic patient, this could You can use kidney cleansing Benzylpenicillin is indicated for most wound infections, pyogenic infections of the skin, soft tissue infections and infections of the nose, throat, nasal sinuses, respiratory tract and middle ear, etc. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Apple Cider Vinegar with Garlic 1 litre (Happy Hen. This content does not have an Arabic version. Children 1 to 3 years of age175 mg two times a day. The American Thoracic Society and the Infectious Diseases Society of America recommend oral antibiotics for the outpatient treatment of pneumonia.3 No IM antibiotics are approved by the U.S. Food and Drug Administration or specifically recommended for acute sinusitis,4,5 and most community-acquired methicillin-resistant Staphylococcus aureus skin infections remain susceptible to oral trimethoprim/sulfamethoxazole (Bactrim, Septra) and tetracycline.6, One systematic review found that there is no evidence that oral antibiotic therapy is less effective or slower than parenteral treatment for severe urinary tract infection in children and adults.7 Other studies have shown similar clinical effectiveness for a single dose of IM ceftriaxone (Rocephin) or 10 days of oral trimethoprim/sulfamethoxazole for urinary tract infections in febrile children.810 Several studies have shown that for children with otitis media, a single dose of IM ceftriaxone is no more effective in regard to rates of improvement, failure, or relapse than 10 days of oral amoxicillin, amoxicillin/clavulanate (Augmentin), or trimethoprim/sulfamethoxazole.1113, Although IM antibiotics have not been shown to be more effective or to lead to faster recovery, they are appropriate for specific indications. (penicillin G procaine injectable suspension). slow heart rate, weak pulse, slow breathing (breathing may stop); pain, numbness, tingling, burning, or feeling cold; pale or mottled skin, blue-colored lips, fingers, or toes; severe pain or swelling in your lower leg. Use Only as Directed. include protected health information. One kind of penicillin usually may not be used in place of another. Tomato Varieties: From Determinate to Indeterminate & Dark to Yellow Research Your Options Before Planting! The usual dose is 6.25 to 12.5 mg per kg (2.8 to 5.7 mg per pound) of body weight every six hours. For use in beef cattle, dairy cattle, calves, and swine. information highlighted below and resubmit the form. One kind of penicillin usually may not be used in place of another. a. Administer in the liquid feed, to give 20mg amoxicillin trihydrate/kg bodyweight daily for up to 5 days. Additionally, watering daily with s, This website uses cookies for functionality, analytics and advertising purposes as described in our. Exceeding the daily dosage of 3,000 units per pound of body weight, administering for more than four consecutive days, or exceeding the maximum injection site volume per injection site may result in antibiotic residues beyond the withdrawal time. Rotate injection sites for each succeeding treatment. Children weighing up to 25 kg (55 pounds)Bacampicillin tablets are not recommended for use in children weighing up to 25 kg (55 pounds). Antibiotics can take a few days before they start to work, so you may need to wait 3-5 days before you notice improvements. The usual dose is 6.25 to 12.5 mg per kg (2.8 to 5.7 mg per pound) of body weight, injected into a vein every six hours. It is best to take this medicine on an empty stomach. For duodenal ulcers (associated with Helicobacter pylori bacterial infection): Adults: 1000 mg twice a day every twelve hours for fourteen days, along with the two other medicines, clarithromycin and lansoprazole, as directed by your doctor. Dr. Chip or Lora, would you venture an opinion on this subject. It would seem to me that the digestive action of the stomach, intestines, and colon would somehow destroy the medicinal effect of the antibiotic. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Updated: 2023-02-28. Isbar chickens- everything you need to know, Plymouth Rock Chickens: The Perfect Addition to Your Flock, How to Stop Chickens from Jumping Over the Fence. Used to treat: Chronic Respiratory Disease and Mycoplasma in chickens and turkeys. Oral medications can be easier to administer than IM injections and are equally effective for treating many conditions. Ok, I've read off and on that you can give PenG orally, but injection is obviously preferred. Before injecting the solution, pull back gently on the plunger. After reconstitution, the injectable veterinary suspension is stable for 3 months at room temperature and 12 months when refrigerated. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. If you are a Mayo Clinic patient, this could Trials of oral versus IM vitamin B12 replacement therapy have found that oral vitamin B12 in high doses appears to be as effective as IM administration in the short-term.3135 In one study, vitamin B12 was administered orally at a dosage of 2,000 mcg per day for four months.36 This resulted in a threefold increase in the level of serum vitamin B12 compared with the monthly IM injection group. For oral dosage form (capsules and oral solution): Infants and children weighing up to 20 kg (44 pounds)Dose is based on body weight and must be determined by your doctor. Children100,000 to 250,000 Units every six to eight hours. A neighbor hunting buddy recently asked me if he could give penicillin orally? This medicine is to be taken by mouth even if it comes in a dropper bottle. Sweet, Discover Tomato Varieties: While Galactic Magic Seeds is No Longer Available, There's Still Plenty of Variety for Your Garden, Galactic Magic Seeds was a website that offered tomato seeds from various breeders, including Rebel Starfighter Prime. other information we have about you. The product is ready for injection after warming the vial to room temperature and shaking to ensure a uniform suspension. of penicillin per litre of drinking water. For use in Cattle, Sheep, Swine and Horses. The decision-making process involves assessing the clinical picture, knowing medication indications, and learning patient preferences. There are several different kinds of penicillins. Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Penicillin (Oral Route, Injection Route, Intravenous Route, Intramuscular Route). You are using an out of date browser. Please read Antibiotic use in Backyard Poultry. See the Terms of Use for further details. I know you can use oral penicillin, but if you can only get the injectable at the feed store, can you use it this way? Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. The usual dose is 6.25 to 12.5 mg per kilogram (kg) (2.8 to 5.7 mg per pound) of body weight every six hours. Chicken Liquidation Count - how to give Tylan to chickens orally. Should allergic or anaphylactic reactions occur, discontinue use of the product and call a veterinarian. If it upsets your stomach, take it with food. In general, IM administration may be appropriate for patients with nausea, vomiting, diarrhea, or dehydration. allows it to better penetrate gram-negative bacteria, http://www.valleyvet.com/ct_detail.html?pgguid=8728008c-8463-4949-ad76-512c070050fa, http://answers.yahoo.com/question/index?qid=20080722091954AA0n79g. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Because of the broad nature of this topic, modes of administration were limited to the IM and oral routes. The dose medicines in this class will be different for different patients. The usual dose is 16.7 to 75 mg per kg (7.6 to 34 mg per pound) of body weight, injected into a vein or muscle every four to six hours. This is accomplished by tying the choke rope tightly around the neck close to the shoulder. Oxymav B is the most trusted way to get onto of illness caused by bacterial infection. Drug information provided by: Merative, Micromedex. swelling. No more than 10 mL should be injected at any one site. We comply with the HONcode standard for trustworthy health information. Additionally, injections are more expensive and painful, and place health care professionals at risk of needle-stick injuries.3135 Although large long-term trials are needed to determine whether oral vitamin B12 is as effective as IM treatment, high-dose oral vitamin B12 treatment with ongoing clinical surveillance appears to be painless, effective, safe, cost-efficient, and convenient for most patients.3133, All NSAIDs have the same mechanism of action, regardless of the route of administration.3941 The data do not support the practice of administering IM ketorolac (Toradol, no longer available for injection) for conditions such as migraine, gout, and musculoskeletal pain when oral NSAIDs are available and the patient can tolerate an oral medication.4043 The few studies that have compared an oral NSAID such as ibuprofen to IM ketorolac have not demonstrated a significantly better response to the injection.4043, Additionally, the evidence does not support the notion that IM ketorolac is more effective than oral NSAIDs for pain relief in patients with acute renal colic.44,45 Limited studies have shown that ketorolac is as effective as certain opioids for treating renal colic pain.40,41,44,45 However, data also indicate that oral NSAIDs generally offer at least equal analgesia when compared with opioids.40,44,45 No randomized, double-blind studies are available that directly compare oral NSAIDs with IM ketorolac. Injectible Antibiotics: Can They Be Given Orally. For a better experience, please enable JavaScript in your browser before proceeding. Adults, teenagers, and children weighing more than 40 kilograms (kg) (88 pounds)3 grams injected into a vein every four hours; or 4 grams injected into a vein every six hours. Copyright: Merative US L.P. 1973, 2023. The vet will show you how to . It is not known what happened to the breeder of Rebel Starfighter Prime or why Galactic Magic Seeds is no longer available. Penicillin G procaine is an antibacterial agent which has activity against a variety of pathogenic organisms, mainly in the Gram-positive category. I was trying to help another BYCer with a problem. Hoping someone will respond to this soon. It wont work to treat infections caused by viruses, such as the common cold. To provide you with the most relevant and helpful information, and understand which Intramuscular epinephrine is . If we combine this information with your protected When you purchase through links on our site, we may earn an affiliate commission, which supports our community. The Fora platform includes forum software by XenForo. When properly used in the treatment of diseases caused by penicillin-susceptible organisms, most animals treated with Penicillin Injectable show a noticeable improvement within 24 to 48 hours. Drug information provided by: Merative, Micromedex. 20. 190.92.189.214 Intramuscular epinephrine is the recommended drug of choice for anaphylactic reactions. There is also a 2.5% solution. Each mL is designed to provide 300,000 units of penicillin G as procaine in a stable suspension. Drugs like Tylan injectable are sometimes used orally so I wondered if anyone has tried this. Patterns never changeliars can never be believed. This content is owned by the AAFP. Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Penicillin (Oral Route, Injection Route, Intravenous Route, Intramuscular Route). Do not use after the expiration date on the label. There is a problem with They can be given in the water or with pills (there are other ways that are impractical for flocks of less than 500).