Amoxicillin Capsules BP 500mg Brawn treats infection (10 blisters x 10 tablets)

Dosage form Box of 10 blisters x 10 tablets
Specifications Amoxicillin
Ingredient Tonsillitis, pharyngitis, otitis media, sinusitis, urinary tract infections, skin and soft tissue infections, gonorrhea

Ingredient

Composition informationContent
Amoxicillin500mg

Uses

indications

Amoxicillin Capsules BP 500 mg is indicated in the following cases:

  • Acute sinusitis caused by bacteria.
  • Acute otitis media. Acute pyelonephritis. The official guide should be considered for the use of appropriate antibacterial agents. The structure should be the cell wall of the bacteria. Inhibiting peptidoglycan synthesis leads to weakening cell walls, bacteria that decompose into cells and dead. Amoxicillin is easily degenerated by beta - lactamase created by anti -drug bacteria and therefore the activity of Amoxicillin does not include microorganisms that make this enzyme.

    Pharmacokinetics

    absorption

    Amoxicillin is sustainable in gastric acid environment, quickly absorbed through the gastrointestinal tract after drinking. After a dose, bioavailability of amoxicillin is approximately 70%, Tmax is approximately 1 hour.

    Distribution

    About 18% of the total concentration of amoxicillin in the blood is attached to protein and the voltage of distribution is about 0.3 - 0.4 l/kg. Drugs through the placenta fence.

    Metabolism and elimination

    Amoxicillin is partly excreted in the urine in the form of non -active penicilloic acid, equivalent to 10-25% of the initial dose. The path of eliminating the main amoxicillin through the kidneys.

  • Before taking Amoxicillin Capsules BP 500mg Brawn treats infection (10 blisters x 10 tablets)

    How to use

    use orally, drink with water, do not open the capsule cap.

    Dosage

    Dosage for adults and children from 40 kg or more

    Table 1

    indicated

    Dosage

    250 mg - 500 mg every 8 hours or 750 mg - 1 g every 12 hours.

    With severe infections: 750 mg - 1 g every 8 hours.

    Acute cystitis: can be treated 3 g 2 times daily for 1 day.

    Acute cystitis

    500 mg every 8 hours or 750 mg - 1 g every 12 hours.

    With severe infections: 750 mg - 1 g every 8 hours in 10 days.

    500 mg - 1 g every 8 hours.

    500 mg - 2 g every 8 hours.

    Fake joint infection

    Dosage of 2 g from 30 - 60 minutes before treatment.

    750 mg- 1 g 2 times daily, combined with proton pump inhibitors (Omeprazole, Lansoprazole) and other antibiotics (Clarithromycin, Metronidazole) in 7 days.

    Lyme disease

    First phase: 500 mg - 1 g every 8 hours, increasing to a maximum dosage of 4 g/day for about 14 days (from 10 to 21 days).

    Final phase: 500 mg - 2 g every 8 hours, increasing to a maximum dose of 6 g/day in the range of 10 to 30 days.

    Table 2

    indicated

    Dosage

    20 - 90 mg/kg/day: multiple dose.

    Acute cystitis

    40 - 90 mg/kg/day: multiple dose.

    100 mg/kg/day divided into 3 doses.

    50 mg/kg, single dose before treatment from 30 - 60 minutes.

    Lyme disease

    First phase: 25 - 50 mg/kg/day, divided into 3 doses, for 10 to 21 days.

    Last phase: 100 mg/kg/day, divided into 3 doses, for 10 to 30 days.

    No dose adjustment.

    Patients with renal failure

    gfr (ml/minute)

    adults and children ≥ 40 kg

    Children

    30

    No dose adjustment.

    No dose adjustment.

    10 - 30

    Maximum dose of 500 mg 2 times/day.

    15 mg/kg 2 times/day (maximum 500 mg 2 times/day).

    Maximum dose of 500 mg/day.

    Single dose 15 mg/kg/day (maximum 500 mg).

    Amoxicillin can be removed from the circulatory system by hemorrhage.

    adults and children ≥ 40 kg

    500 mg every 24 hours.

    Before the hemorrhage, take a dose of 500 mg. To restore drug concentration in the circulatory system, one more dose of 500 mg should be used after hemorrhage.

    Children

    15 mg/kg/day used as single dose (maximum 500 mg). Before hemorrhage, take a dose of 15 mg/kg. To recover the concentration of drugs in the circulatory system, one more dose of 15 mg/kg should be used after hemorrhage.

    Amoxicillin dose is up to 500 mg/day.

    Patients with liver failure

    Need to be cautious and monitor liver function regularly.

    Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.What to do when overdose?

    Symptoms

    Symptoms of gastrointestinal tract (such as nausea, vomiting and diarrhea) and liquid and electrolyte balance disorders may occur. The case of amoxicillin has been noted, some of which lead to renal failure. Convulsions can occur in patients with impaired renal function or in patients with high doses.

    Handling

    Symptoms of gastrointestinal tract may be treated with symptoms, paying attention to electric water balance. Amoxicillin can be removed from the circulatory system thanks to hemorrhage.

    What to do when you forget a dose? However, if close to the next dose, skip the forgotten dose and take the next dose at the time as planned. Note that it should not be used double the prescribed dose.

    Side Effects

    When using Amoxicillin Capsules BP 500 mg you may experience unwanted effects (ADR).

    Blood disorders and lymphatic systems

    Very rare: Restoration of leukocytes (including neutropenia or granulocytes), thrombocytopenia recovery and hemolytic anemia; The bleeding time lasts and prolongs prothrombin time.

    immune system disorders

  • Very rare: allergic reactions, including nerve coverage, hypersensitivity, serum and vasculitis.
  • Unknown: Jarisch - Hersheimer reaction.

    Nervous system disorders

    Very rare: hyperactivity, dizziness and convulsions.

    Disorders of the digestive system

    Common

    : diarrhea and nausea.

    Less: vomiting.

    Very rare: colitis is related to antibiotics; The tongue has black hair.

    Liver disorders - bile

    Very rare: hepatitis and jaundice. Moderate increase AST/ALT.

    Skin and tissue disorders

    Data and clinical trial: Common: skin rash.

    Less: itching and urticaria.

    data after circulation. Very rare: skin reactions such as many types of erythematosus, Stevens - Johnson syndrome, poisoned epidermal necrotic, peeling dermatitis and blistering dermatitis, acute bodied pustules, Dress syndrome (drug rash with eosinophilia and many symptoms of body).

    kidney and urinary tract disorders

    Very rare: ureter, interstitial nephritis.

    Instructions on how to handle ADR

    When experiencing side effects of the drug, it is necessary to stop using and notify the doctor or go to the nearest medical facility for timely treatment.

    Warnings

    Before using the drug you need to read the instructions carefully and refer to the information below.

    Contraindicated

    Amoxicillin Capsules BP 500 mg is contraindicated in the following cases:

  • Too hypersensitivity to any ingredients of the drug, with any penicillin.
  • There is a history of anaphylaxis or serious hypersensitivity reaction to any type of beta lactam.

    Be cautious when using

    Hypersensitivity reaction

    Before starting treatment with amoxicillin, careful consideration of a history of hypersensitivity reactions to penicillin, cephalosporin or other beta -lactam inhibitors. There has been a serious hypersensitivity report and sometimes fatal (including skin anaphylactic reactions and serious side effects on the skin) in patients using penicillin. These reactions are more likely to occur in people with hypersensitivity and allergies. If allergic reactions occur, amoxicillin should be stopped and appropriate alternative therapy.

    Unpake microorganisms

    Amoxicillin is not suitable for treating some types of infections unless the pathogenic bacteria have been recognized and known as sensitive or highly likely to be appropriate bacteria to treat amoxicillin. This is especially applied when considering the treatment of patients with urinary tract infections and severe infections in the ear, nose and throat.

    convulsions

    Convulsions can occur in patients with impaired renal function or in patients with high doses or in patients with risk factors (such as history or epilepsy or meningitis).

    kidney failure

    In patients with renal failure, the rate of amoxicillin secretion will decrease depending on the degree of decline and may need to reduce the total daily dosage of amoxicillin.

    Skin reaction

    The occurrence of the onset of the treatment of the erythema of the whole body fever related to pustules may be a symptom of the provincial -level pustules syndrome (AGEP). This reaction requires stopping amoxicillin and contraindicating any later treatment. Amoxicillin should be avoided if there is suspected monicardulus of infections and appears the phenomenon of erythema is related to this condition after using amoxicillin.

    Jarisch reaction - Herxheimer

    Jarisch - Herzheimer reaction was reported after taking amoxicillin to treat Lyme disease, which is the direct result of amoxicillin's antibacterial effects on bacteria that cause Lyme, Barrelia Burgerferi. Patients need to be guaranteed that this is a common and self -limited consequence when using antibiotics to treat Lyme disease.

    Excessive growth of non -sensitive microorganisms

    Leading drugs also occasionally leads to excessive growth of non -sensitive bacteria. Colitis associated with antibiotics has been reported in most antibiotics and the severity of mild to life -threatening. Therefore, it is important to consider this diagnosis in patients with diarrhea, or diarrhea after taking any antibiotic. If the colitis occurs in antibiotics, it is necessary to stop using amoxicillin immediately, and use an appropriate alternative therapy as directed by the doctor, the anti -peristaltic drug is contraindicated in this case.

    Treatment for a long time

    Periodically assess the function of organs in the body such as kidney, liver and hematological functions are recommended during long -term drug treatment. It is also necessary to report on the liver enzyme index and change the blood count.

    anticoagulants

    Prothrombin has been reported to rarely occur for patients using amoxicillin, appropriate monitoring when patients use simultaneous anticoagulant and amoxicillin drugs. It may be necessary to adjust the anticoagulant dose to ensure the desired concentration of this drug.

    The ureter

    In patients with reduced urine, urinary crystals have been observed rarely, mainly in patients using infusion. During the treatment of high doses of amoxicillin, pay attention to supply enough water and control the appropriate amount of urine to reduce the risk of amoxicillin urinary crystals. For patients using bladder catheter, regular checkpoints need catheter.

    Interventions in diagnostic tests

    Amoxicillin levels in serum and urine can affect certain tests. The high concentration of amoxicillin in the urine leads to the wrong positive results in some chemical tests is very common. It is recommended to use glucose enzyme oxidation when checking the presence of glucose in the urine when the patient is treating amoxicillin. The presence of amoxicillin may falsify the oestriol test results in pregnant women.

    The ability to drive and operate machinery

    Because the drug can cause some unwanted effects that affect the central nervous system such as dizziness, convulsions, hyperactivity, patients use the drug should be cautious when driving and operating machinery.

    Pregnancy

    Animal studies have not indicated the harmful effects of drugs on reproductive toxicity, both indirect and direct. The data on the use of amoxicillin during pregnancy in humans is limited, cannot indicate the risk of increased birth defects in children. Amoxicillin can be used in pregnant women if indicated and beneficial to mothers superior to the risk of children.

    The breastfeeding period

    Amoxicillin is secreted into breast milk in small amounts and is likely to cause sensitivity. Therefore, infant breastfeeding may have diarrhea, mucus infection. In this case, breastfeeding should be stopped. Amoxicillin should only be used for mothers who are breastfeeding after the doctor valuation between benefits and risks.

    Drug interaction

    Probenecid

    Concomitant use with Probenecid is not recommended. Probenecid reduces amoxicillin secretion through the renal tubules, increasing and prolonging the blood amoxicillin levels in the blood.

    Allopurinol

    Concentrated with Allopurinol may increase the risk of skin allergies.

    tetracyclin

    Tetracycline and other bactericidal drugs may affect the antibacterial effect of amoxicillin.

    Antaginalism is taken orally

    Oral anticoagulants and penicillin antibiotics have been widely used in practice without reporting on interaction. However, cases have been recorded in Inr patients maintained by acenocoumarol or warfarin and are indicated for one batch, if necessary to use simultaneously, carefully monitor prothrombin or INR time by adding or stopping amoxicillin. Moreover, it may also be necessary to adjust the anticoagulant dose.

    methotrexate

    Penicillin may reduce methotrexate excretion, leading to an increased risk of toxicity.

    Storage

    Store in a cool dry place, temperatures below 30 ° C.

    Other drugs

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