Uses of Cemoxin: - Bacterial infections Adult: PO Susceptible infections 250-500 mg 8 hrly. Uncomplicated gonorrhoea W/ probenecid: 3 g as a single dose. Dental abscesses 3 g, repeat once 8 hr later. Uncomplicated acute UTI 3 g, repeat once 10-12 hr later. Prophylaxis of endocarditis 2 or 3 g as a single dose, 1 hr before dental procedure. Severe or recurrent resp tract infections 3 g twice daily. H.pylori infection W/ either metronidazole or clarithromycin and a bismuth compound or an antisecretory drug: 500 mg 3 times/day. IV/IM Susceptible infections 500 mg 8 hrly. Listerial meningitis W/ other antibiotics: 2 g 4 hrly for 10-14 days. Child: PO Standard dose: 40–45 mg/kg/day q8-12h High dose: 80–90 mg/kg/day, max 4 g/day q12h 150 mg/kg/day div q8h for penicillin-resistant S pneumoniae otitis media

How to use Amoxicillin: Take this medicine in the dose and duration as advised by your doctor. Do not chew, crush or break it. Amoxicillin may be taken with or without food, but it is better to take it at a fixed time. Administration: May reduce the efficacy of OC. May increase the effect of anticoagulants. Increased risk of allergic reactions w/ allopurinol. Increased and prolonged blood levels w/ probenecid. Chloramphenicol, macrolides, sulfonamides and tetracyclines may interfere w/ the bactericidal effect of amoxicillin. Adult Dose: Renal and hepatic disease; pregnancy, lactation; infectious mononucleosis. Lactation: Excreted in breast milk, use caution Renal Dose: Amoxicillin inhibits the final transpeptidation step of peptidoglycan synthesis in bacterial cell wall by binding to one or more of the penicillin-binding proteins (PBPs), thus inhibiting cell wall biosynthesis resulting in bacterial lysis.

Hypersensitivity

Child: PO Standard dose: 40–45 mg/kg/day q8-12h High dose: 80–90 mg/kg/day, max 4 g/day q12h 150 mg/kg/day div q8h for penicillin-resistant S pneumoniae otitis media

Common - Rash - Vomiting - Allergic reaction - Nausea - Diarrhea Renal impairment: Patients on haemodialysis should receive 250-500 mg every 24 hr and an additional dose during and after each dialysis session. CrCl (ml/min) 10-30 250-500 mg every 12 hr. <10 250-500 mg every 24 hr.

Precaution: Bacterial infections, Pharyngitis, Acute otitis media, Acute bacterial sinusitis, Endocarditis, Anthrax, Chlamydial cervicitis, Chlamydial urethritis, Lyme disease, Dental abscess, Salmonellosis,Typhoid fever, Acute Uncomplicated gonorrhea, Infections of the Lower Respiratory Tract, Skin and Skin Structure, Genitourinary Tract, Ear, Nose, Throat

May be taken with or without food. May be taken w/ meals for better absorption & to reduce GI discomfort.

Hyperactivity, agitation, insomnia, dizziness; maculopapular rash, exfoliative dermatitis, urticaria, hypersensitivity vasculitis; diarrhoea, nausea, vomiting; anaemia, thrombocytopenia, leucopenia, agranulocytosis. Potentially Fatal: Neuromuscular hypersensitivity; pseudomembranous colitis.