Amoclav
Generic Name
Amoxicillin + Clavulanic Acid
Manufacturer
Square Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| amoclav 1 gm injection | ৳ 300.00 | N/A |
Description
Overview of the medicine
Amoclav 1 gm Injection is a combination antibiotic containing Amoxicillin and Clavulanic Acid. It is used to treat a wide range of bacterial infections, including those resistant to amoxicillin alone due to beta-lactamase production.
Uses & Indications
Dosage
Adults
Typically 1.2 gm (1000 mg Amoxicillin + 200 mg Clavulanic Acid) intravenously every 8 hours. In severe infections, every 6 hours.
Elderly
No special dosage adjustment required unless renal function is impaired. Follow adult dosage with caution.
Renal_impairment
Dosage adjustment is necessary based on creatinine clearance. Consult product leaflet or physician for specific guidelines.
How to Take
For intravenous use only. Reconstitute the powder with sterile water for injection as per manufacturer's instructions. Administer by slow intravenous injection over 3-4 minutes or by intravenous infusion over 30-40 minutes.
Mechanism of Action
Amoxicillin inhibits bacterial cell wall synthesis. Clavulanic acid is a beta-lactamase inhibitor that protects amoxicillin from degradation by beta-lactamase enzymes produced by resistant bacteria, thereby extending its antibacterial spectrum.
Pharmacokinetics
Onset
Rapid, typically within minutes of intravenous administration.
Excretion
Primarily excreted unchanged in urine by renal tubular secretion and glomerular filtration. Small amount excreted in feces.
Half life
Amoxicillin: approximately 1-1.5 hours; Clavulanic acid: approximately 1 hour. Increased in renal impairment.
Absorption
Administered intravenously, hence 100% bioavailability. Rapid distribution into most body tissues and fluids.
Metabolism
Amoxicillin undergoes limited hepatic metabolism. Clavulanic acid is extensively metabolized.
Side Effects
Contraindications
- •Hypersensitivity to amoxicillin, clavulanic acid, or any other penicillin antibiotic.
- •History of severe immediate hypersensitivity reaction (e.g., anaphylaxis) to another beta-lactam agent (e.g., cephalosporin, carbapenem or monobactam).
- •History of amoxicillin/clavulanate-associated jaundice or hepatic dysfunction.
Drug Interactions
Probenecid
Decreases renal tubular secretion of amoxicillin, leading to increased and prolonged blood levels of amoxicillin.
Allopurinol
Increased incidence of rash when co-administered.
Methotrexate
May increase methotrexate toxicity due to reduced renal excretion.
Oral contraceptives
May reduce efficacy of oral contraceptives; advise additional contraceptive methods.
Warfarin and other oral anticoagulants
May prolong prothrombin time (INR). Close monitoring is required.
Storage
Store in a cool, dry place, below 25°C-30°C. Protect from light and moisture. Do not freeze. Reconstituted solution should be used immediately or stored as per manufacturer's guidelines.
Overdose
Symptoms of overdose may include gastrointestinal symptoms (nausea, vomiting, diarrhea) and disturbances in fluid and electrolyte balance. Convulsions may occur in patients with impaired renal function or those receiving high doses. Treatment is symptomatic and supportive. Hemodialysis can remove both amoxicillin and clavulanic acid from circulation.
Pregnancy & Lactation
Pregnancy Category B. Use only if clearly needed after careful risk-benefit assessment. Both amoxicillin and clavulanic acid are excreted into breast milk. Caution should be exercised when administered to a nursing mother. Monitor breastfed infants for potential adverse effects (e.g., diarrhea, fungal infections).
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Refer to the manufacturer's specific product leaflet, typically 2-3 years for unopened vials. Reconstituted solution has limited stability.
Availability
Available in hospitals and pharmacies
Approval Status
Approved by major regulatory bodies (e.g., FDA, DGDA)
Patent Status
Patent expired, generics widely available
WHO Essential Medicine
YesAlternative Medicines in Bangladesh
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Global Brand Names
International brand names for this medicine
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