Formulations of AMOXIL contain amoxicillin, a semisynthetic antibiotic, an analog of ampicillin, with a broad spectrum of bactericidal activity against many Gram-positive and Gram-negative microorganisms. Chemically, it is 2S,5,R,6,R [ ,R - - amino p-hydroxyphenyl acetamido]-3,3-dimethyloxothiaazabicyclo[3. It may be represented structurally as:.
Each capsule of AMOXIL, with royal blue opaque cap and pink opaque body, contains mg or mg amoxicillin as the trihydrate. Each tablet contains mg or mg amoxicillin as the trihydrate.
The mg tablet is scored on the reverse side. Powder for Oral Suspension: Each 5 mL of reconstituted suspension contains mg, mg, mg or mg amoxicillin as the trihydrate. Each 5 mL of the mg reconstituted suspension contains 0.
AMOXIL, in combination with clarithromycin plus lansoprazole as triple therapy, amoxicillin trihydrate ip 500mg tablets, is indicated for the treatment of patients with H.
AMOXIL, in combination with lansoprazole delayed-release capsules as dual therapy, is indicated for the treatment of patients with H. See the clarithromycin package insertMicrobiology. To reduce the development of drug-resistant bacteria and maintain the effectiveness of AMOXIL amoxicillin and other antibacterial drugs, AMOXIL should be used amoxicillin trihydrate ip 500mg tablets to treat infections that are proven or strongly suspected to be caused by bacteria.
When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. In the absence of such data, local epidemiology and susceptibility patterns may contribute to the empiric selection of therapy. Treatment should be continued for a minimum of 48 to 72 hours beyond the time that the patient becomes asymptomatic or evidence of bacterial eradication has been obtained.
In some infections, therapy may be required for several weeks. Children weighing 40 kg or more should be dosed according to the adult recommendations. There are currently no dosing recommendations for pediatric patients with impaired renal function. The recommended adult oral dose is 1 gram AMOXIL, mg clarithromycin, and 30 mg lansoprazole, all given twice daily every amoxicillin trihydrate ip 500mg tablets hours for 14 days. The recommended adult oral dose is 1 gram AMOXIL and 30 mg lansoprazole, amoxicillin trihydrate ip 500mg tablets, each given three times amoxicillin trihydrate ip 500mg tablets every 8 hours for 14 days.
Please refer to clarithromycin and lansoprazole full prescribing information. Tap bottle until all powder flows freely. Add remainder of the water and again shake vigorously. Alternate means of administration are to add the required amount of suspension to formula, milk, fruit juice, water, ginger ale, or cold drinks.
These preparations should then be taken immediately. Keep bottle tightly closed. Any unused portion of the reconstituted suspension must be discarded after 14 days. Refrigeration is preferable, but not required.
Each 5 mL of reconstituted strawberry-flavored suspension contains mg amoxicillin as the trihydrate. Each 5 mL of reconstituted bubble-gumflavored suspension contains mg, mg or mg amoxicillin as the trihydrate.
Each 5 mL of reconstituted bubble-gum-flavored suspension contains mg, mg or mg amoxicillin as the trihydrate. Because clinical trials are conducted under safe alternative for ketorolac trometh varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.
For more information on adverse reactions with clarithromycin or lansoprazole, refer to the Adverse Reactions section of their package inserts. In addition to adverse events reported from clinical treatment for amoxicillin rash, the following events have been identified during postmarketing use of penicillins.
Because they are reported voluntarily from a population of unknown size, estimates of frequency cannot be made.
These events have been chosen for inclusion due to a combination amoxicillin trihydrate ip 500mg tablets their seriousness, frequency of reporting, or potential causal connection to AMOXIL. Probenecid decreases the renal tubular secretion of amoxicillin. Concurrent use of amoxicillin and probenecid may result in increased and prolonged blood levels of amoxicillin. Abnormal prolongation of prothrombin time increased international normalized ratio [INR] has been reported in patients receiving amoxicillin and oral anticoagulants.
Appropriate monitoring should be undertaken when anticoagulants are prescribed concurrently. Adjustments in the dose of oral anticoagulants may be necessary to maintain the desired level of anticoagulation, amoxicillin trihydrate ip 500mg tablets. The concurrent administration of allopurinol and amoxicillin increases the incidence of rashes in patients receiving both drugs as compared to patients receiving amoxicillin alone.
It is not known whether this potentiation of amoxicillin rashes is due to allopurinol or the hyperuricemia present in these patients. Chloramphenicolmacrolides, sulfonamidesand tetracyclines may interfere with the bactericidal effects of penicillin.
This has been demonstrated in vitro ; however, the clinical significance of this interaction is not well documented. Following administration of ampicillin or amoxicillin to pregnant women, a transient decrease in plasma concentration of total conjugated estriol, amoxicillin trihydrate ip 500mg tablets, estriol-glucuronide, conjugated estrone, and estradiol has been noted.
Serious and occasionally fatal hypersensitivity anaphylactic reactions have been reported in patients on penicillin therapy including amoxicillin, amoxicillin trihydrate ip 500mg tablets. Although anaphylaxis is more frequent following parenteral therapy, it has occurred in patients on oral penicillins.
There have been reports of individuals with a history of penicillin hypersensitivity who have experienced severe reactions when treated with cephalosporins.
Before initiating therapy with AMOXIL, careful inquiry should be made regarding previous hypersensitivity reactions to penicillins, cephalosporins, or other allergens. Clostridium difficile associated diarrhea CDAD has been reported with use of nearly all antibacterial agents, including AMOXIL, and may range in severity from mild diarrhea to fatal colitis.
Chemistry between an aries and cancer with antibacterial agents alters the normal flora of the colon leading to overgrowth of C.
Hypertoxin-producing strains of C. CDAD must be considered in all patients who present with diarrhea following antibacterial use. Careful medical history is necessary since CDAD has been reported to occur over 2 months after the administration of antibacterial agents. Appropriate amoxicillin trihydrate ip 500mg tablets and electrolyte management, protein supplementation, antibiotic treatment of C.
Prescribing AMOXIL in the absence of a proven or strongly suspected bacterial infection is unlikely to provide benefit to the patient and increases the risk of the development of drug-resistant bacteria. A high percentage of patients with mononucleosis who receive amoxicillin develop an erythematous skin rash. Thus amoxicillin should not be administered to patients with mononucleosis. Amoxil chewable tablets contain aspartame which contains phenylalanine.
Each mg chewable tablet contains 1. The oral suspensions of Amoxil do not contain phenylalanine and can be used by phenylketonurics. Long-term studies in animals have not been performed to evaluate carcinogenic potential. Studies to detect mutagenic potential of amoxicillin alone have not been conducted; however, the following information is available from tests on a 4: AUGMENTIN was weakly positive in the mouse lymphoma assay, but the trend toward increased mutation frequencies in this assay occurred at doses that were also associated with decreased cell survival.
Potassium clavulanate alone was tested in the Ames bacterial mutation assay and in the mouse micronucleus test, and was negative in each of these assays. There was no evidence of harm to the fetus due to amoxicillin. There are, however, no adequate and well-controlled studies in amoxicillin trihydrate ip 500mg tablets women. Because animal reproduction studies are not always predictive of human response, amoxicillin should be used during pregnancy only if clearly needed.
Oral ampicillin is poorly absorbed during labor. It is not known whether use of amoxicillin in humans during labor or delivery has immediate or delayed adverse effects on the fetus, prolongs the duration of labor, or increases the likelihood of the necessity for an obstetrical intervention. Penicillins have been shown triamcinolone cream amounts be excreted in human milk.
Amoxicillin use by nursing mothers may lead to sensitization of infants. Caution should be exercised when amoxicillin is administered to a nursing woman, amoxicillin trihydrate ip 500mg tablets. Because of incompletely developed renal function in neonates and young infants, the elimination of amoxicillin may be delayed. An analysis of clinical studies of AMOXIL was conducted to determine whether subjects aged 65 and over respond differently from younger subjects. These analyses have not identified differences in responses between the elderly and younger patients, but a greater sensitivity of some older individuals cannot be ruled out.
This drug is known to be substantially excreted by the kidney, amoxicillin trihydrate ip 500mg tablets, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function. See Dosing in Renal Impairment for specific recommendations in patients with renal impairment.
In case of overdosage, discontinue medication, treat symptomatically, and institute supportive measures as required. Interstitial nephritis resulting in oliguric renal failure has been reported in a small number of patients after overdosage with amoxicillin 1. Crystalluria, in some cases leading to renal failure, has also been reported after amoxicillin overdosage in adult and pediatric patients.
In case of overdosage, adequate fluid intake and diuresis should be maintained to reduce the risk of amoxicillin crystalluria. Renal impairment appears to be reversible with cessation of drug administration. High blood levels may occur more readily in patients with impaired renal function because of decreased renal clearance of amoxicillin. Amoxicillin may be removed from circulation by hemodialysis. Amoxicillin is an antibacterial drug.
Amoxicillin is stable in the presence of gastric acid and is rapidly absorbed after oral administration. The effect of food on the absorption of amoxicillin from the tablets and suspension of AMOXIL has been partially investigated; mg and mg formulations have been studied only when administered at the start of a light meal, amoxicillin trihydrate ip 500mg tablets.
Orally administered doses of mg and mg amoxicillin capsules result in average peak blood levels 1 to amoxicillin trihydrate ip 500mg tablets hours after administration in the range of 3. Dosing was at the start of a light meal following an overnight fast. Peak concentrations occurred approximately 1 hour after the dose.
Amoxicillin diffuses readily into most body tissues and fluids, with the exception of brain and spinal fluid, except when meninges are inflamed. Following a 1-gram dose and utilizing a special skin window technique to determine levels of the antibioticit was noted that therapeutic levels were found in the interstitial fluid.
The half-life of amoxicillin is Detectable serum levels are observed up to 8 hours after an orally administered dose of amoxicillin. Amoxicillin is similar to penicillin in its bactericidal action amoxicillin trihydrate ip 500mg tablets susceptible bacteria during the stage of active multiplication.