Amoxiclav - a broad-spectrum drug, antibiotic, selective beta-lactamase blocker. It has several dosage forms. The drug is used in gynecology, dermatology, urology and otolaryngology. Therapeutic measures are associated with regular medication and are aimed at improving the general condition of the patient.
The international non-proprietary name (INN) is amoxicillin + clavulanic acid, and the trade name is Amoxiclav 1000.
Amoxiclav is an antibiotic, a selective beta-lactamase blocker, used in gynecology, dermatology, urology and otolaryngology.
The drug was assigned an individual code ATX - J01CR02. Registration number - N012124 / 02 dated 07.24.2010.
Forms of release and composition
The antibiotic is available in the form of tablets and powder, soluble in the liquid. Suspension and tablets in the composition have the same active ingredient - amoxicillin. Clavulanic acid (potassium salts) is the second active ingredient.
Tablet form contains 1000 mg of amoxicillin and 600 mg of potassium salts. Biconvex oval tablets of white color do not have chamfers and risok, the surface is smooth and glossy. Each tablet is coated with a film-soluble in the intestine. The manufacturer provides for the presence of auxiliary elements, which include:
- croscarmellose sodium;
- microcrystalline cellulose;
- colloidal silicon dioxide;
- magnesium stearate.
Castor oil and iron oxide can act as a dye, thanks to which the tablets get a yellowish tint. Each cellular package contains 10 tablets. In a cardboard box in which the medication is sold, there are 2 blisters. Instructions for use in the form of leaflet is present.
Tablet form contains 1000 mg of amoxicillin and 600 mg of potassium salts.
The suspension prepared from powder is intended for infusion use. In the pharmacological line included lyophilisate for the preparation of a solution that is administered intravenously. Amoxicillin (1000 mg) and potassium salts (875-625 mg) are present in the formulation. Additional items:
- sodium citrate;
- sodium benzoate;
- sodium saccharinate;
- MCC (microcrystalline cellulose).
Powders for infusion are sold in glass vials, each of which is enclosed in a cardboard box.
The drug belongs to the antibiotics of the penicillin group, and potassium salts are present, acting as beta-lactamase blockers. Amoxicillin is considered a derivative of semi-synthetic penicillin. The structure of clavulanic acid is similar to the structure of beta-lactam antibiotics, the drug has an antibacterial effect.
Amoxicillin is considered a derivative of semi-synthetic penicillin, neutralizes gram-positive bacteria and anaerobic microorganisms.
Pathogenic agents that are sensitive to the active elements of the drug:
- gram-positive bacteria;
- anaerobic microorganisms (including gram-negative and gram-positive).
Potassium salts in combination with a derivative of synthetic penicillin allow the use of the drug in the treatment of infectious diseases.
Dosage forms intended for oral administration are rapidly absorbed in the digestive tract. The presence of food in the stomach does not affect the rate of absorption of the suspension and tablets into the blood. Active elements are 54% bound to blood proteins, the maximum concentration is reached 50-60 minutes after the first dose. Amoxicillin and clavulanic acid are evenly distributed in the tissues, able to penetrate into the saliva, tissues of the joints and muscles, bile ducts, prostate.
In the absence of inflammation in the brain, the blood-brain barrier prevents the penetration of active elements. Traces of active ingredients are found in breast milk. Partially the metabolic process is carried out by the liver, its products are excreted along with the urine. A small part leaves the body along with feces and saliva. The half-life takes 90 minutes.
Dosage forms intended for oral administration are rapidly absorbed in the digestive tract.
Indications for use
The use of antibiotics is carried out when diagnosing infectious diseases in a patient, accompanied by the development of an inflammatory process. The causative agents of this type of disease are microorganisms sensitive to the drug. The manual contains the following indications for use:
- respiratory diseases (sore throat, sinusitis, pharyngitis);
- pathologies of the genitourinary system (prostatitis, cystitis);
- lower respiratory tract diseases (chronic and acute bronchitis, pulmonary pneumonia);
- diseases of the female reproductive system (colpitis, vaginitis);
- inflammatory processes in bones and joints;
- the effects of insect bites;
- inflammation of the biliary tract (cholecystitis, cholangitis).
The use of antibiotics in the treatment of gynecological diseases allows you to restore the natural microflora of the vagina.
The presence of contraindications to the patient makes it impossible to use the drug. These include:
- infectious mononucleosis;
- a history of cholestatic jaundice;
- lymphocytic leukemia;
- individual intolerance to amoxicillin;
- children's age (up to 10 years);
- antibiotic hypersensitivity.
The above cases are referred to as absolute contraindications. Relative contraindications:
- liver failure;
- renal failure.
Relative contraindications require careful reception under the supervision of a specialist.
How to take Amoxiclav 1000
Dosage regimen and period of use is calculated individually. Tablets are taken before or after meals, 1 time per day. The lyophilisate is soluble in water for injection. To dilute 600 mg of clavulanic acid, 10 ml of water is required. The introduction is carried out intravenously, the solution is injected slowly over 2-3 minutes. Ready solution is not subject to freezing.
Dosage for children
For children over 10 years old - 10 mg of clavulanic acid per 10 kg of weight. Children up to 10 years old use of the drug is strictly prohibited.
The daily rate of potassium salts (clavulanic acid) for adult patients is 600 mg.
How many days to take
The course of application is 10 days. During the rehabilitation period after surgery, it is necessary to take a tablet form of the antibiotic for 7-10 days.
Taking the drug in diabetes
Patients suffering from diabetes, treatment is recommended to start with a half dose. The daily rate should not exceed 500 mg of amoxicillin.
Incorrectly chosen dosing regimen provokes the development of some side effects.
Patients have a loss of appetite, nausea and vomiting, stomach pain, and abnormal stools.
There is an increase in heart rate, thrombocytopenia, pancytopenia.
central nervous system
Patients increase the likelihood of dizziness, anxiety, sleep disturbances, migraines.
On the part of the urinary system
Nephrite and crystalluria may develop.
In 46% of patients who complained about the side effects to the doctor, allergic reactions such as itching, urticaria, vasculitis were detected. In rare cases, anaphylactic shock may develop.
The instructions for use contain special instructions, compliance with which is mandatory.
Compatibility with alcohol
Compatibility of antibiotic and alcohol is missing. It is forbidden to drink alcohol during drug treatment.
Influence on ability to operate mechanisms
During the period of use of the medicinal product it is recommended to refrain from driving.
Use during pregnancy and lactation
Treatment of infectious diseases with an antibiotic during the period of childbearing and breastfeeding is permitted for health reasons.
Use in violation of the liver
Liver failure is an absolute contraindication.
Use in violation of kidney function
Patients who have been diagnosed with kidney disease, require careful reception.
Prevention of overdose is the strict observance of all medical prescriptions. Exceeding the therapeutic rate of 2 or more times increases the risk of developing characteristic symptoms of overdose. These include diarrhea, uncontrolled vomiting and emotional over-stimulation. Rarely, patients have seizures.
There is no specific antidote. In case of overdose, the patient is required to wash the stomach and give an enterosorbent (activated carbon).
Interaction with other drugs
An antibiotic in combination with certain drugs can cause discomforts in the form of intestinal upset. Glucosamine, antacids, laxatives, aminoglycosides can slow the absorption of the drug. Ascorbic acid simultaneously with the antibiotic accelerates the absorption of the latter.
Drugs that promote the rapid flow of urine, allopurinol, phenylbutazone and nonsteroidal anti-inflammatory drugs increase the concentration of active substances in the blood. Anticoagulants and an antibiotic reduce the prothrombin index. The combination of these medicines is selected by a specialist for health reasons. Methotrexate increases the toxicity of amoxicillin. Allopurinol and
An antibiotic at the same time increases the risk of exanthema.
Disulfiram is incompatible with an antibacterial drug. Rifampicin reduces the therapeutic effects of amoxicillin. The effectiveness of the antibiotic is reduced with the complex use of the drug with macrolides, tetracyclines and sulfamic acid derivatives. Probenecid reduces the rate of elimination of amoxicillin. The effect of oral contraceptives is reduced.
Analogs of Amoxiclav 1000
Antibiotic analogues are in different price categories. The cost of medicines depends on the manufacturer - domestic substitutes are cheaper than the original. Synonyms of the drug:
- Amoxiclav Quiktab. The structural analogue has the same active components as the original, but in a more gentle concentration (500 mg +125 mg). Available in pill form. Application is possible when diagnosing an infectious disease of the patient, accompanied by inflammation. The cost of medication - from 540 rubles.
- Panklava. The tablet form of the drug is intended for oral administration, the tablets contain 250-500 mg of amoxicillin and 125 mg of potassium salts. Antibacterial drug used in venereology, gynecology and otolaryngology. Cost - from 300 rubles.
- Sultasin. The cheapest equivalent. Penicillin antibiotic is available as a lyophilisate. Sodium ampicillin and sodium sulbactam are present. The drug has strong antimicrobial properties. Cost - from 40 rubles.
All substitutes differ in the concentration of active elements. Dosing regimen is selected individually.
Pharmacy vacation terms
Requires prescription leave.
Can I buy without a prescription
List B. No prescription to purchase the drug can not.
How much is
The minimum price for a drug is 90 rubles.
Storage conditions Amoxiclav 1000
Storage is carried out in a safe, dry place.
Store no more than 24 months.
Reviews on Amoxiclav 1000
Isakova Alevtina, otolaryngologist, Samara
The drug is popular, its effectiveness is proven by time. Side effects are minimal, the drug is well tolerated by patients. A small price is a definite plus. In practice, using an antibiotic for a long time. Dosing regimen depends on the characteristics of the course of the disease. It is important to comply with all prescriptions of the attending physician. Tablets need to drink only water, in any case not tea, coffee or carbonated drinks. Power adjustment is not required.
Kairat Zhanatasov, infectious diseases specialist, Syktyvkar
The drug has proven itself in the treatment of diseases of infectious etiology. Patients rarely complain of side effects, an allergic reaction on the skin rarely occurs. The combined drug has a strong antimicrobial effect, under the influence of which gram-negative and gram-positive bacteria die. I do not recommend drinking pills for more than 10 days. For children sold a special suspension with a pleasant taste, the composition of which is more gentle and safe.
Amoxiclav - a broad-spectrum drug, antibiotic, selective beta-lactamase blocker.
Christina, 32 years old, pos. Soviet
Chronic sore throat makes itself felt twice a year. The exacerbation of the disease is so severe that food intake becomes impossible. Tonsils are inflamed, gargling does not bring relief. I picked up the medicine for a long time, until the doctor prescribed a penicillin antibiotic. Purchased it in Latin by prescription. Saw tablets 10 days, 1 tablet per day. The first days worried about allergies. Small acne appeared on the skin, it was constantly itching. Smeared them with antihistamine ointment, the allergic reaction went away after 2 days.
Fedor, 41, Novorossiysk
After surgery, he took a penicillin antibiotic during rehabilitation. The drug did not contribute to the rapid scarring of the suture, but the cold passed quickly. Cough tormented before the operation, the intervention was urgent, so I did not have time to cure the cold. The side effects were minor - a slight bowel disorder.