Indication for the treatment of mild to moderately severe infections (e.g. dental infection, infections in the heart, middle ear infections, rheumatic fever, scarlet fever, skin infections, upper and lower respiratory tract infections) due to microorganismsmechanism of action by binding to specific penicillin-binding proteins (pbps) located inside the bacterial cell wall, penicillin v inhibits the third and last stage of bacterial cell wall synthesis. cell lysis is then mediated by bacterial cell wall autolytic enzymes such as autolysins- it is possible that penicillin v interferes with an autolysin inhibitor.