Vamox

Each teaspoonful (5 mL) contains: Amoxicillin (as trihydrate) USP 400 mg, Clavulanic Acid (as Clavulanate Potassium) USP 57 mg.
Each teaspoonful (5 mL) contains: Amoxicillin (as trihydrate) USP 250 mg, Clavulanic Acid (as Clavulanate Potassium) USP 62.5 mg.

Amoxicillin inhibits transpeptidase, preventing cross-linking of bacterial cell wall and leading to cell death. Addition of clavulanate (a beta-lactam) increases drug's resistance to beta-lactamase (an enzyme produced by bacteria that may inactivate amoxicillin).

For the treatment of infections due to susceptible organisms which include infections of the urinary tract, respiratory tract and skin. It is also used for otitis media and post-operative infections.
Susceptible organisms are β-lactamase producing strains of Haemophilus influenzae and Moraxella (Branhamella) catarrhalis which cause lower respiratory infections; β-lactamase producing strains of Haemophilus influenzae and Moraxella (Branhamella) catarrhalis causing otitis media and sinusitis; and β-lactamase producing strains of Staphyloccocus aureus, Escherichia coli, Klebsiella spp and Enterobacter spp which cause skin and skin structure infections.

Children: Based on body weight 20-40 mg/Kg/day Or as prescribed by the physician.

Contraindicated to patients with hypersensitivity to drug penicillin and with history of cholestatic jaundice or hepatic dysfunction associated with this drug.

Co-amoxiclav possesses the characteristic low toxicity of the penicillin group of antibiotics. Periodic assessment of organ system functions, including renal, hepatic and hematopoietic function, is advisable during prolonged therapy. A high percentage of patients with mononucleosis who received ampicillin develop a skin rash. Thus, ampicillin class antibiotics are excreted in milk.
Therefore caution should be exercised when Co-amoxiclav is administered to a nursing woman.

Co-amoxiclav is generally well tolerated. The majority of side effects observed in clinical trials were of mild and transient nature and less than 3% of patients discontinued therapy because of drug-related side effects. The most frequently reported side effects were diarrhea/loose stools, nausea, skin rashes and urticaria, increased with the higher recommended dose. Other less frequently reported reactions include abdominal discomfort, flatulence, and headache.
Co-amoxiclav possesses the characteristic low toxicity of the penicillin group at antibiotics. Periodic assessment of organ system functions, including renal, hepatic and hematopoietic function, is advisable during prolonged therapy. A high percentage of patients with mononucleosis who received ampicillin develop a skin rash. Thus, ampicillin class antibiotics are excreted in milk; Therefore caution should be exercised when Co-amoxiclav is administered to a nursing woman.

Drug-drug: Chloramphenicol, macrolides, sulfonamides, tetracycline: decreased amoxicillin efficacy.
Hormonal contraceptives: decreased contraceptive efficacy.
Probenecid: decreased renal excretion and increased blood level of amoxicillin.

Direction for Reconstitution: For 400 mg/57 mg/5 mL. Powder for Suspension: To make up to 70 mL, shake bottle to loosen powder, then add 64 mL of distilled water and shake well to suspend powder. Keep reconstituted powder under refrigeration (2°C - 8°C). Discard after 10 days.
To make up to 10 mL, shake bottle to loosen powder, then add 9.2 mL of distilled water and shake well to suspend powder. Keep reconstituted powder under refrigeration (2°C - 8°C). Discard after 10 days.
For 250 mg/62.5 mg/5 mL Powder for Suspension: To make up to 60 mL, shake bottle to loosen powder, then add 53 mL of distilled water and shake well to suspend powder. Keep reconstituted powder under refrigeration (2°C - 8°C). Discard after 10 days.
To make up to 10 mL shake bottle to loosen powder, then add 8.5 ml of distilled water and shake well to suspend powder. Keep reconstituted powder under refrigeration (2°C - 8°C). Discard after 10 days.
Instructions and Special Precautions for Handling and Disposal: Do not freeze.
After reconstitution to form an oral suspension, this medicine should only be used up to 7 days from the dispensing data stated on the label.
Medicines should not be disposed of via wastewater or household waste. Ask the pharmacist how to dispose of medicines no longer use.

Store at temperatures not exceeding 25°C.

Penicillins

J01CR02 - amoxicillin and beta-lactamase inhibitor ; Belongs to the class of penicillin combinations, including beta-lactamase inhibitors. Used in the systemic treatment of infections.

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