Amoxicillin in tablet, capsule or syrup powder form.
Action
Amoxicillin is an antibacterial drug of the beta-lactam family of the aminopenicillin group.
Indications
- Antibacterial used in the treatment of:
- Otitis
- Acute bronchitis
- Acute pneumonia
- Chronic bronchitis
- Digestive and biliary infection
- Sinusitis
- Genital infection
- Urinary infection
- Angina
- Bacterial endocarditis
- Eradication of Helicobacter in combination with clarithromycin or imidazoles
- Stomatological infection
- Lyme disease
- Endocarditis
Dosage
Adult: 1 to 2 g per day divided into 2 or 3 doses
Children under 30 months: 50 to 100 mg per kilo per day in three doses spaced eight hours apart.
Children over 30 months: 25 to 50 mg per kilo per day in two or three doses without exceeding 3g per day.
In cases of endocarditis and septicemia, the dosage is sometimes increased to 150 mg per kilo per day in 3 or 4 doses without, however, exceeding 6 g per day.
In case of streptococcal angina in children over 30 months, it is necessary to carry out a 6-day treatment at a dosage of 50 mg per kilogram per day in two doses.
Contraindications
Infectious mononucleosis
Allergy to beta-lactam antibiotics (penicillin and cephalosporin) as well as to one of the components of the drug
Phenylketonuria (due to the presence of aspartame)
Warnings
- Risk of allergy occurrence
- Need for sufficient water intake
- Risk of occurrence of severe anaphylactic-type hypersensitivity
- Usefulness of adjusting the dosage in case of renal insufficiency
- Risk of Jarisch-Herxheimer reaction in treatment of Lyme disease
This medicine contains sodium: this should be taken into account in patients with high blood pressure or those on a salt-free diet.
Amoxicillin should not be combined with the following medications:
Methotrexate
Allopurinol (risk of skin reaction)
Precautions
- Possible interferences: determination of total serum protein levels by color reaction
- In diabetics in particular, amoxicillin may decrease blood sugar test results.
- Amoxicillin may give a false-positive color reaction in urine glycosuria assays by the semi-quantitative colorimetric method.
- Precautions are necessary in case of renal failure
- As for the injectable preparation, the solvent should not be used in children under 3 years of age because it contains benzyl alcohol.
Pregnancy and breast feeding
This medication is not recommended during pregnancy and breastfeeding.
Adverse reactions
- Allergic manifestation
- Nausea
- Bullous or exfoliative dermatitis
- Troubles digestifs
- vomiting
- Erythema multiforme
- Maculo-papular rash
- Stevens Johnson Syndrome
- Pseudomembranous colitis
- Acute interstitial nephritis
- Diarrhea (this is the case with many antibiotics. If significant diarrhea occurs during the days following the start of antibiotic treatment, the treatment should be stopped)
- Candidiasis
- Reversible thrombocytopenia
- Moderate and transient increase in transaminases
- Anemia
- Leukopenia
Please note:
A decrease in hyperthermia (fever) or the disappearance of symptoms should not lead to discontinuation of treatment. Indeed, there is a risk of the germ developing resistance to this antibiotic.