Augmentin

Augmentin

amoxicillin + clavulanic acid

Manufacturer:

GlaxoSmithKline

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Per 625 mg FC tab Amoxicillin trihydrate 500 mg, K clavulanate 125 mg. Per 1 g FC tab Amoxicillin trihydrate 875 mg, K clavulanate 125 mg. Per 228 mg/5 mL oral susp Amoxicillin trihydrate 200 mg, K clavulanate 28.5 mg. Per 457 mg/5 mL oral susp Amoxicillin trihydrate 400 mg, K clavulanate 57 mg. Per 600 mg inj Amoxicillin Na 500 mg, K clavulanate 100 mg. Per 1.2 g inj Amoxicillin Na 1 g, K clavulanate 200 mg
Indications/Uses
Short-term treatment of upper & lower resp tract, skin & soft tissue, GUT infections. Tab & inj Short-term treatment of bone & joint & other infections. Tab & oral susp Dental infections. Inj Surgical prophylaxis against infections.
Dosage/Direction for Use
Tab Adult & childn >12 yr Mild to moderate infections 625 mg every 12 hr. Severe infections 1 g every 12 hr. Adult CrCl >30 mL/min 625 mg or 1 g every 12 hr, CrCl 10-30 mL/min 625 mg every 12 hr, CrCl <10 mL/min 625 mg every 24 hr. Haemodialysis 625 mg every 24 hr + during dialysis, to be repeated after dialysis. 228 mg/5 mL oral susp Mild to moderate infections Childn 7-12 yr (22-40 kg) 10 mL bd, 2-6 yr (13-21 kg) 5 mL bd. Severe infections 2-6 yr (13-21 kg) 10 mL bd. 457 mg/5 mL oral susp Mild to moderate infections 7-12 yr (22-40 kg) 5 mL bd, 2-6 yr (13-21 kg) 2.5 mL bd. Severe infections 7-12 yr 10 mL bd, 2-6 yr (13-21 kg) 5 mL bd. Inj Adult, childn >12 yr & CrCl >30 mL/min 1.2 g 8 hrly, may be increased to 6 hrly. Childn 3 mth-12 yr 30 mg/kg 8 hrly, may be increased to 6 hrly, 0-3 mth 30 mg/kg every 12 hr, may be increased to every 8 hr. Surgical prophylaxis 1.2 g IV at anesth induction up to 3-4 doses in 24-hr period. CrCl 10-30 mL/min 1.2 g IV stat, followed by 600 mg IV 12 hrly, CrCl <10 mL/min 1.2 g IV stat, followed by 600 mg IV 24 hrly; additional 600 mg IV may need to be given during dialysis & at end of dialysis.
Administration
May be taken with or without food: Best taken at the start of meals for better absorption & to reduce GI discomfort. Tab: May be broken in half & swallowed whole w/o chewing.
Contraindications
Hypersensitivity to β-lactams eg, penicillins, cephalosporins. History of penicillin-associated jaundice/hepatic dysfunction.
Special Precautions
Discontinue use if allergic reaction occurs. Avoid use if infectious mononucleosis is suspected. Overgrowth of non-susceptible organisms. Pseudomembranous colitis, cholestatic jaundice. Monitor prothrombin time in patients receiving anticoagulants. Maintain adequate fluid intake & urinary output during high doses. Hepatic & renal impairment. Avoid use during 1st trimester of pregnancy. Tab: Not recommended in childn ≤12 yr. Oral susp: Phenylketonuria. Not recommended in renal impairment. Not recommended in childn w/ CrCl <30 mL/min. Inj: Not for IM inj. Na restricted diet. False +ve Coombs' test.
Adverse Reactions
Diarrhoea. Mucocutaneous candidiasis; nausea, vomiting.
Drug Interactions
Decreased renal tubular secretion by probenecid. Increased likelihood of allergic skin reactions w/ allopurinol. Lowered oestrogen reabsorption & reduced efficacy of combined OCs. Increased INR w/ acenocoumarol or warfarin. Reduced pre-dose conc of mycophenolic acid.
MIMS Class
Penicillins
ATC Classification
J01CR02 - amoxicillin and beta-lactamase inhibitor ; Belongs to the class of penicillin combinations, including beta-lactamase inhibitors. Used in the systemic treatment of infections.
Presentation/Packing
Form
Augmentin FC tab 1 g
Packing/Price
14's
Form
Augmentin FC tab 625 mg
Packing/Price
10's;14's
Form
Augmentin inj (vial) 1.2 g
Packing/Price
10 × 1's
Form
Augmentin inj (vial) 600 mg
Packing/Price
10 × 1's
Form
Augmentin powd for oral susp 228 mg/5 mL
Packing/Price
(mixed fruit flavour) 70 mL x 1's
Form
Augmentin powd for oral susp 457 mg/5 mL
Packing/Price
(mixed fruit flavour) 35 mL x 1's; (mixed fruit flavour) 70 mL x 1's
/malaysia/image/info/augmentin powd for oral susp 457 mg-5 ml/457 mg-5 ml x 35 ml?id=fc216b50-60e2-4350-a99f-a7f500ee98c5
/malaysia/image/info/augmentin powd for oral susp 457 mg-5 ml/457 mg-5 ml x 70 ml?id=00b03335-fc64-402d-a065-a7f500ee98c5
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