Clamox (1 gm+200 mg)/20 ml (IV Injection)

1.2 gm vial: ৳ 300.00

Medicine Details

Indications

  • Upper respiratory tract infections (tonsillitis, sinusitis, otitis media)
  • Lower respiratory tract infections (acute and chronic bronchitis, pneumonia)
  • Genito-urinary tract infections (cystitis, urethritis, pyelonephritis)
  • Skin and soft tissue infections
  • Bone and joint infections
  • Other infections (septic abortion, puerperal sepsis)

Composition

  • 375 mg tablet: Amoxicillin 250 mg + Clavulanic Acid 125 mg
  • 625 mg tablet: Amoxicillin 500 mg + Clavulanic Acid 125 mg
  • 1 gm tablet: Amoxicillin 875 mg + Clavulanic Acid 125 mg
  • Powder for Suspension: Amoxicillin 125 mg + Clavulanic Acid 31.25 mg
  • Powder for Suspension (Forte): Amoxicillin 400 mg + Clavulanic Acid 57.5 mg
  • 1.2 gm Injection: Amoxicillin Sodium 1 gm + Clavulanate Potassium 200 mg
  • 0.6 gm Injection: Amoxicillin Sodium 500 mg + Clavulanate Potassium 100 mg

Pharmacology

  • Pharmacodynamic properties: Broad spectrum bactericidal activity against many Gram-positive & Gram-negative microorganisms
  • Pharmacokinetic properties: Peak serum levels of both components occur about one hour after oral administration

Dosage

  • Adult: 625 mg Tablet every 12 hours or 375 mg Tablet every 8 hours for usual dose
  • Children: Dosage based on age and weight

Administration

  • Oral dosage form can be taken without regard to meals
  • IV injection suitable for intravenous administration
  • Reconstituted vial must be used within 20 minutes

Interaction

  • Potential reduction in efficacy of oral contraceptives
  • Concomitant use of allopurinol can increase likelihood of allergic skin reactions

Contraindications

  • History of penicillin hypersensitivity
  • Cross-sensitivity with other beta-lactam antibiotics
  • Patients with previous Co-amoxiclav or penicillin-associated cholestatic jaundice

Side Effects

  • Uncommon and mainly mild and transient
  • Gastrointestinal side effects can be reduced by taking with meals
  • Rare reports of hepatitis, cholestatic jaundice, skin reactions, angioedema, and anaphylaxis

Pregnancy & Lactation

  • Not recommended unless considered essential by physician
  • Trace quantities can be detected in breast milk

Precautions & Warnings

  • Use with care in patients on anticoagulation therapy or severe hepatic dysfunction
  • Dosage adjustment in patients with moderate or severe renal impairment

Use in Special Populations

  • Adjust dosage in renal impairment
  • Monitor hepatic function at regular intervals

Overdose Effects

  • Gastrointestinal symptoms, disturbance of fluid and electrolyte balances
  • May be removed from circulation by haemodialysis

Therapeutic Class

Broad spectrum penicillins

Reconstitution

IV injection can be reconstituted with Water for Injection BP

Storage Conditions

  • Store below 25°C, protected from light and moisture
  • Reconstituted suspension to be kept in refrigerator and used within 7 days
  • Reconstituted vial must be used within 20 minutes

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