Bpclox
Generic Name
Ampicillin + Cloxacillin
Manufacturer
Acme Laboratories Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
Variant | Unit Price | Strip Price |
---|---|---|
bpclox 500 mg capsule | ৳ 4.00 | N/A |
bpclox 125 mg suspension | ৳ 44.00 | N/A |
Description
Overview of the medicine
Bpclox is a broad-spectrum antibiotic containing Ampicillin and Cloxacillin. It is used to treat various bacterial infections, especially those caused by both penicillin-sensitive and penicillinase-producing bacteria.
Uses & Indications
Dosage
Adults
250-500 mg (Ampicillin + Cloxacillin) every 6 hours, or as directed by physician.
Elderly
Dosage may need adjustment based on renal function.
Renal_impairment
Reduced dosage is necessary in patients with severe renal impairment (CrCl < 30 mL/min).
How to Take
Oral administration. Take with a full glass of water. For best absorption, take on an empty stomach (1 hour before or 2 hours after meals). If gastric upset occurs, may be taken with food.
Mechanism of Action
Ampicillin inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins. Cloxacillin is a beta-lactamase resistant penicillin, protecting Ampicillin from degradation by penicillinase enzymes produced by some bacteria.
Pharmacokinetics
Onset
Clinical effects typically observed within hours to days, depending on the infection.
Excretion
Mainly excreted unchanged via kidneys (urine), some biliary excretion.
Half life
Ampicillin: approx. 1-1.5 hours. Cloxacillin: approx. 0.5-1 hour.
Absorption
Well absorbed orally, though food may reduce absorption. Peak plasma levels usually reached within 1-2 hours.
Metabolism
Partially metabolized in the liver, primarily excreted unchanged.
Side Effects
Contraindications
- Known hypersensitivity to penicillin or any component of the formulation
- History of severe allergic reactions to other beta-lactam antibiotics
Drug Interactions
Warfarin
May enhance anticoagulant effect.
Allopurinol
Increased risk of skin rash.
Methotrexate
May increase methotrexate toxicity.
Oral Contraceptives
May reduce efficacy of oral contraceptives.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.
Overdose
In case of overdose, gastric lavage and symptomatic supportive measures are recommended. Hemodialysis may be used to remove Ampicillin and Cloxacillin from circulation.
Pregnancy & Lactation
Pregnancy Category B. Use during pregnancy only if clearly needed. Excreted in breast milk, so caution advised during lactation.
Side Effects
Contraindications
- Known hypersensitivity to penicillin or any component of the formulation
- History of severe allergic reactions to other beta-lactam antibiotics
Drug Interactions
Warfarin
May enhance anticoagulant effect.
Allopurinol
Increased risk of skin rash.
Methotrexate
May increase methotrexate toxicity.
Oral Contraceptives
May reduce efficacy of oral contraceptives.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.
Overdose
In case of overdose, gastric lavage and symptomatic supportive measures are recommended. Hemodialysis may be used to remove Ampicillin and Cloxacillin from circulation.
Pregnancy & Lactation
Pregnancy Category B. Use during pregnancy only if clearly needed. Excreted in breast milk, so caution advised during lactation.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
24 months
Availability
Available in pharmacies nationwide
Approval Status
Approved by DGDA
Patent Status
Off-patent
WHO Essential Medicine
YesClinical Trials
Extensive clinical data supports the efficacy and safety of Ampicillin-Cloxacillin combination in various bacterial infections.
Lab Monitoring
- Renal function tests (for prolonged high dose therapy or renal impairment)
- Liver function tests (periodically)
- Complete blood count (for prolonged therapy)
Doctor Notes
- Advise patients to report any signs of allergic reaction immediately.
- Consider renal function in elderly and renally impaired patients for dose adjustments.
Patient Guidelines
- Complete the full course of antibiotics as prescribed, even if symptoms improve.
- Do not share this medicine with others.
- Inform your doctor about any allergies before starting treatment.
Missed Dose Advice
If a dose is missed, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose.
Driving Precautions
Generally does not affect the ability to drive or operate machinery. However, if you experience dizziness or adverse effects, avoid such activities.
Lifestyle Advice
- Maintain good hydration.
- Avoid alcohol during treatment as it may exacerbate side effects.
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Global Brand Names
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