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Amoxicillin/Clavulanate potassium
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- Active ingredients
- Amoxicillin 875 mg
- Clavulanate Potassium 125 mg
- Other brand names
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by American Health Packaging)
- Amoxicillin and Clavulanate Potassium (by Asclemed Usa Inc.)
- Amoxicillin and Clavulanate Potassium (by Aurobindo Pharma Limited)
- Amoxicillin and Clavulanate Potassium (by Aurobindo Pharma Limited)
- Amoxicillin and Clavulanate Potassium (by Aurobindo Pharma Limited)
- Amoxicillin and Clavulanate Potassium (by Aurobindo Pharma Limited)
- Amoxicillin and Clavulanate Potassium (by Cambridge Therapeutics Technologies, Llc)
- Amoxicillin and Clavulanate Potassium (by Cambridge Therapeutics Technologies, Llc)
- Amoxicillin and Clavulanate Potassium (by Chartwell Rx, Llc)
- Amoxicillin and Clavulanate Potassium (by Chartwell Rx, Llc)
- Amoxicillin and Clavulanate Potassium (by Cipla Usa Inc.)
- Amoxicillin and Clavulanate Potassium (by Devatis Inc.)
- Amoxicillin and Clavulanate Potassium (by Devatis, Inc.)
- Amoxicillin and Clavulanate Potassium (by Devatis, Inc.)
- Amoxicillin and Clavulanate Potassium (by Devatis, Inc.)
- Amoxicillin and Clavulanate Potassium (by Dr. Reddy's Laboratories Inc)
- Amoxicillin and Clavulanate Potassium (by H. J. Harkins Company, Inc.)
- Amoxicillin and Clavulanate Potassium (by Hikma Pharmaceuticals Usa Inc.)
- Amoxicillin and Clavulanate Potassium (by Hikma Pharmaceuticals Usa Inc.)
- Amoxicillin and Clavulanate Potassium (by Micro Labs Limited)
- Amoxicillin and Clavulanate Potassium (by Micro Labs Limited)
- Amoxicillin and Clavulanate Potassium (by Micro Labs Limited)
- Amoxicillin and Clavulanate Potassium (by Northstar Rx Llc)
- Amoxicillin and Clavulanate Potassium (by Northstar Rx Llc)
- Amoxicillin and Clavulanate Potassium (by Northstar Rx Llc)
- Amoxicillin and Clavulanate Potassium (by Northstar Rxllc)
- Amoxicillin and Clavulanate Potassium (by Ranbaxy Pharmaceuticals Inc.)
- Amoxicillin and Clavulanate Potassium (by Redpharm Drug Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Sandoz Inc)
- Amoxicillin and Clavulanate Potassium (by Sandoz Inc)
- Amoxicillin and Clavulanate Potassium (by Sportpharm Llc)
- Amoxicillin and Clavulanate Potassium (by Teva Pharmaceuticals Usa, Inc.)
- Amoxicillin and Clavulanate Potassium (by Teva Pharmaceuticals Usa, Inc.)
- Amoxicillin and Clavulanate Potassium (by Usantibiotics, Llc)
- Amoxicillin and Clavulanate Potassium (by Usantibiotics, Llc)
- Augmentin (by Allegis Holdings, Llc)
- Augmentin (by Dr. Reddy's Laboratories Inc)
- Augmentin Es-600 (by Dr Reddys Laboratories Inc)
- Augmentin Es-600 (by Usantibiotics, Llc)
- View full label-group details →
- Drug classes
- Penicillin-class Antibacterial, beta Lactamase Inhibitor
- Dosage form
- Tablet, Film Coated
- Route
- Oral
- Prescription status
- Rx (prescription)
- Pregnancy
- See Pregnancy Use Section
- Lactation
- See Lactation Use Section
- Marketed in the U.S.
- Since 2023
- Label revision date
- January 12, 2026
- FDA Insert
- Prescribing information, PDF file
- Active ingredients
- Amoxicillin 875 mg
- Clavulanate Potassium 125 mg
- Other brand names
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by Aidarex Pharmaceuticals Llc)
- Amoxicillin and Clavulanate Potassium (by American Health Packaging)
- Amoxicillin and Clavulanate Potassium (by Asclemed Usa Inc.)
- Amoxicillin and Clavulanate Potassium (by Aurobindo Pharma Limited)
- Amoxicillin and Clavulanate Potassium (by Aurobindo Pharma Limited)
- Amoxicillin and Clavulanate Potassium (by Aurobindo Pharma Limited)
- Amoxicillin and Clavulanate Potassium (by Aurobindo Pharma Limited)
- Amoxicillin and Clavulanate Potassium (by Cambridge Therapeutics Technologies, Llc)
- Amoxicillin and Clavulanate Potassium (by Cambridge Therapeutics Technologies, Llc)
- Amoxicillin and Clavulanate Potassium (by Chartwell Rx, Llc)
- Amoxicillin and Clavulanate Potassium (by Chartwell Rx, Llc)
- Amoxicillin and Clavulanate Potassium (by Cipla Usa Inc.)
- Amoxicillin and Clavulanate Potassium (by Devatis Inc.)
- Amoxicillin and Clavulanate Potassium (by Devatis, Inc.)
- Amoxicillin and Clavulanate Potassium (by Devatis, Inc.)
- Amoxicillin and Clavulanate Potassium (by Devatis, Inc.)
- Amoxicillin and Clavulanate Potassium (by Dr. Reddy's Laboratories Inc)
- Amoxicillin and Clavulanate Potassium (by H. J. Harkins Company, Inc.)
- Amoxicillin and Clavulanate Potassium (by Hikma Pharmaceuticals Usa Inc.)
- Amoxicillin and Clavulanate Potassium (by Hikma Pharmaceuticals Usa Inc.)
- Amoxicillin and Clavulanate Potassium (by Micro Labs Limited)
- Amoxicillin and Clavulanate Potassium (by Micro Labs Limited)
- Amoxicillin and Clavulanate Potassium (by Micro Labs Limited)
- Amoxicillin and Clavulanate Potassium (by Northstar Rx Llc)
- Amoxicillin and Clavulanate Potassium (by Northstar Rx Llc)
- Amoxicillin and Clavulanate Potassium (by Northstar Rx Llc)
- Amoxicillin and Clavulanate Potassium (by Northstar Rxllc)
- Amoxicillin and Clavulanate Potassium (by Ranbaxy Pharmaceuticals Inc.)
- Amoxicillin and Clavulanate Potassium (by Redpharm Drug Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Remedyrepack Inc.)
- Amoxicillin and Clavulanate Potassium (by Sandoz Inc)
- Amoxicillin and Clavulanate Potassium (by Sandoz Inc)
- Amoxicillin and Clavulanate Potassium (by Sportpharm Llc)
- Amoxicillin and Clavulanate Potassium (by Teva Pharmaceuticals Usa, Inc.)
- Amoxicillin and Clavulanate Potassium (by Teva Pharmaceuticals Usa, Inc.)
- Amoxicillin and Clavulanate Potassium (by Usantibiotics, Llc)
- Amoxicillin and Clavulanate Potassium (by Usantibiotics, Llc)
- Augmentin (by Allegis Holdings, Llc)
- Augmentin (by Dr. Reddy's Laboratories Inc)
- Augmentin Es-600 (by Dr Reddys Laboratories Inc)
- Augmentin Es-600 (by Usantibiotics, Llc)
- View full label-group details →
- Drug classes
- Penicillin-class Antibacterial, beta Lactamase Inhibitor
- Dosage form
- Tablet, Film Coated
- Route
- Oral
- Prescription status
- Rx (prescription)
- CSA schedule
- Not a scheduled drug
- Pregnancy
- See Pregnancy Use Section
- Lactation
- See Lactation Use Section
- Marketed in the U.S.
- Since 2023
- Label revision date
- January 12, 2026
- Manufacturer
- Northwind Health Company, LLC
- Registration number
- ANDA204755
- NDC root
- 82868-002
- FDA Insert
- Prescribing information, PDF file
If you are a healthcare professional or from the pharmaceutical industry please visit this version.
If you are a consumer or patient please visit this version.
Drug Overview
Amoxicillin and clavulanate potassium tablets are a combination antibiotic used to treat various bacterial infections in both adults and children. This medication includes amoxicillin, which is a type of penicillin antibiotic, and clavulanate potassium, a substance that helps prevent certain bacteria from becoming resistant to antibiotics. Together, they are effective against infections such as lower respiratory tract infections, acute bacterial ear infections, sinusitis, skin infections, and urinary tract infections.
The way this medication works is by attacking the bacteria causing the infection. Amoxicillin directly kills the bacteria, while clavulanate potassium protects amoxicillin from being broken down by certain enzymes that some bacteria produce. This combination makes it a powerful option for treating infections that might otherwise be difficult to manage.
Uses
Amoxicillin and clavulanate potassium tablets are used to treat various bacterial infections in both adults and children. These include infections of the lower respiratory tract, acute bacterial otitis media (an ear infection), sinusitis (inflammation of the sinuses), skin and skin structure infections, and urinary tract infections.
It's important to note that these tablets should only be used when infections are confirmed or strongly suspected to be caused by bacteria. This helps ensure that the medication is effective and appropriate for your condition.
Dosage and Administration
If you are an adult or a child weighing more than 40 kg, you may be prescribed either 500 mg or 875 mg of the medication every 12 hours, or 250 mg or 500 mg every 8 hours. The specific dosage will depend on the amount of amoxicillin (a type of antibiotic) in the medication.
For children aged 12 weeks (3 months) and older, the dosage is based on their weight. You should give them between 25 to 45 mg for every kilogram of their body weight each day, divided into two doses every 12 hours, or 20 to 40 mg per kilogram each day, divided into three doses every 8 hours. However, the total amount should not exceed the adult dose.
If you have a newborn or an infant who is less than 12 weeks old, the recommended dosage is 30 mg for every kilogram of their body weight each day, split into two doses every 12 hours. It is advised to use the 125 mg/5 mL oral suspension for this age group to ensure accurate dosing.
What to Avoid
If you have a history of serious allergic reactions, such as anaphylaxis (a severe, potentially life-threatening allergic reaction) or Stevens-Johnson syndrome, to amoxicillin and clavulanate potassium or other beta-lactam antibiotics (like penicillins or cephalosporins), you should not take this medication. Additionally, if you have experienced cholestatic jaundice or liver problems related to amoxicillin and clavulanate potassium, it is important to avoid using this drug.
Always consult your healthcare provider if you have any concerns about your medical history or potential reactions to medications. Your safety is the top priority, so make sure to discuss any allergies or past health issues before starting new treatments.
Side Effects
You may experience some common side effects while taking amoxicillin and clavulanate potassium, including diarrhea or loose stools (9%), nausea (3%), skin rashes or hives (3%), vomiting (1%), and vaginitis (1%). It's important to be aware of more serious reactions as well. If you notice any signs of a severe allergic reaction, such as difficulty breathing or swelling, stop taking the medication immediately. Other serious concerns include severe skin reactions, liver problems, and a specific type of diarrhea caused by Clostridioides difficile, which may require further evaluation.
If you have a history of serious allergic reactions to this medication or similar drugs, or if you have liver issues related to its use, you should avoid taking it. Additionally, be cautious of potential kidney problems if you take too much of the medication. Always consult your healthcare provider if you have any concerns about side effects or your health while on this treatment.
Warnings and Precautions
You should be aware of some important warnings and precautions when using amoxicillin and clavulanate potassium. If you experience any serious allergic reactions, such as difficulty breathing or swelling, stop taking the medication immediately and seek emergency help. Additionally, if you notice a rash that worsens, discontinue use right away.
It's also crucial to monitor for signs of liver problems, such as jaundice (yellowing of the skin or eyes), and to have your liver function tested if you have existing liver issues. If you develop diarrhea, especially if it is severe, consult your doctor, as it may indicate a condition called Clostridioides difficile-associated diarrhea (CDAD). Lastly, if you have mononucleosis, avoid using this medication, as it can lead to skin rashes. Always discuss any concerns with your healthcare provider.
Overdose
If you suspect an overdose of amoxicillin and clavulanate potassium, it’s important to stop taking the medication immediately and seek medical attention. While studies suggest that overdoses of less than 250 mg/kg typically do not cause serious symptoms, there are potential risks. Some individuals may experience interstitial nephritis (inflammation of the kidneys) leading to reduced urine output or crystalluria (crystals in the urine), which can sometimes result in kidney failure.
To help prevent complications, ensure you maintain adequate fluid intake and urination. This can help reduce the risk of crystalluria. If you have kidney issues, be aware that your body may not clear the medication as effectively, increasing the risk of high blood levels. In severe cases, hemodialysis (a procedure to remove waste products from the blood) may be necessary. Always consult a healthcare professional if you notice any unusual symptoms or if you are concerned about an overdose.
Pregnancy Use
If you are pregnant or planning to become pregnant, it's important to know that amoxicillin and clavulanate potassium are classified as Pregnancy Category B. This means that studies in pregnant animals, such as rats and mice, did not show any harm to the fetus when given high doses of the medication. However, these doses were significantly higher than what is typically recommended for adults.
Despite these findings, there are no well-controlled studies in pregnant women, so the effects on human pregnancies are not fully understood. Therefore, you should only use this medication during pregnancy if your healthcare provider determines it is clearly necessary. Always consult with your doctor before taking any medication while pregnant.
Lactation Use
Amoxicillin can pass into your breast milk, which means that if you are breastfeeding, there are some important considerations to keep in mind. Using amoxicillin and clavulanate potassium while nursing may increase the risk of your baby becoming sensitized (developing an allergic reaction) to these medications.
It's essential to be cautious if you need to take these medications while breastfeeding. Always consult with your healthcare provider to discuss the potential risks and benefits for both you and your baby.
Pediatric Use
Amoxicillin and clavulanate potassium, available as an oral suspension and chewable tablets, are safe and effective for children. Research supports their use in kids, particularly for treating conditions like acute ear infections in children aged 2 months to 12 years. However, if your child is under 12 weeks old (less than 3 months), their dosage may need to be adjusted due to their developing kidneys, which can affect how the medication is processed in their body.
It's important to keep in mind that while the elimination of amoxicillin may be slower in very young infants, the elimination of clavulanate remains unchanged. Always consult your child's healthcare provider for the appropriate dosage and any specific concerns regarding their age and health.
Geriatric Use
When considering treatment with amoxicillin and clavulanate potassium, it's important to note that a significant portion of patients in clinical studies were older adults, with 32% aged 65 and older. While no major differences in safety or effectiveness were found between older and younger patients, some older individuals may be more sensitive to the medication.
Since this drug is primarily eliminated through the kidneys, older adults, who often have reduced kidney function, may face a higher risk of side effects. Therefore, if you or a loved one is an older adult, your healthcare provider may adjust the dosage and monitor kidney function closely to ensure safe and effective treatment.
Renal Impairment
If you have kidney problems, it's important to know that there are no specific guidelines or dosage adjustments mentioned for your condition in the available information. This means that the usual recommendations for monitoring or safety considerations related to renal impairment (kidney issues) are not provided.
Always consult your healthcare provider for personalized advice and to ensure that any medications you take are safe and appropriate for your kidney health. They can help you understand how your condition may affect your treatment plan.
Hepatic Impairment
If you have liver problems, it's important to be aware of how this may affect your treatment. If you notice any signs or symptoms of hepatitis (inflammation of the liver), such as jaundice (yellowing of the skin or eyes), you should stop taking the medication immediately and consult your healthcare provider.
Additionally, your doctor will likely monitor your liver function tests regularly. These tests help assess how well your liver is working and ensure that your treatment is safe for you. Always keep your healthcare team informed about your liver condition so they can provide the best care tailored to your needs.
Drug Interactions
It's important to talk to your healthcare provider about any medications you are taking, as some can interact with each other in ways that may affect your health. For instance, using amoxicillin and clavulanate potassium tablets alongside blood thinners (oral anticoagulants) can lead to an increased risk of bleeding. Additionally, taking these tablets with probenecid is not recommended, and combining them with allopurinol may heighten the risk of developing a rash.
If you are using oral contraceptives, be aware that amoxicillin and clavulanate potassium tablets might make them less effective. Always discuss your current medications and any changes with your healthcare provider to ensure your treatment is safe and effective.
Storage and Handling
To ensure the safety and effectiveness of your product, store it at a temperature between 20° to 25°C (68° to 77°F), which is considered a controlled room temperature. Always keep the product in its original container and advise others to do the same. It's important to keep the container closed when not in use to protect the contents. Additionally, make sure to keep the product out of the reach of children to prevent any accidental exposure.
Additional Information
No further information is available.
FAQ
What is Amoxicillin and clavulanate potassium?
Amoxicillin and clavulanate potassium tablets are an oral antibacterial combination consisting of amoxicillin and the beta-lactamase inhibitor, clavulanate potassium.
What infections are treated with Amoxicillin and clavulanate potassium?
These tablets are indicated for treating lower respiratory tract infections, acute bacterial otitis media, sinusitis, skin and skin structure infections, and urinary tract infections.
What are the available dosage forms?
Amoxicillin and clavulanate potassium tablets are available in 250 mg/125 mg, 500 mg/125 mg, and 875 mg/125 mg strengths.
What are common side effects of this medication?
Common side effects include diarrhea, nausea, skin rashes, vomiting, and vaginitis.
What should I do if I experience a serious allergic reaction?
If you experience a serious hypersensitivity reaction, such as anaphylaxis or severe skin rash, discontinue use immediately and seek medical attention.
Is Amoxicillin and clavulanate potassium safe during pregnancy?
It is classified as Pregnancy Category B, indicating no evidence of harm in animal studies, but should be used during pregnancy only if clearly needed.
Can nursing mothers take Amoxicillin and clavulanate potassium?
Amoxicillin is excreted in human milk, so caution should be exercised when administered to nursing mothers.
What are the contraindications for this medication?
Contraindications include a history of serious hypersensitivity reactions to amoxicillin and clavulanate potassium or other beta-lactams, and history of cholestatic jaundice associated with this medication.
How should Amoxicillin and clavulanate potassium be stored?
Store at 20° to 25°C (68° to 77°F) in the original container and keep out of reach of children.
Packaging Info
The table below lists all NDC Code configurations of Amoxicillin and Clavulanate Potassium, the U.S. brand-name prescription product. Columns show Packaging, Formulation Type, and Active Ingredient Strength.
Details | ||||
|---|---|---|---|---|
| Tablet, Film Coated |
| ||
Product details Regulatory status — Marketed All current FDA data sets list this NDC as actively marketed. FDA record dates for this NDC:
Active ingredients
Inactive ingredients
| ||||
| Tablet, Film Coated |
| ||
Product details Regulatory status — Marketed All current FDA data sets list this NDC as actively marketed. FDA record dates for this NDC:
Active ingredients
Inactive ingredients
| ||||
FDA Insert (PDF)
This is the full prescribing document for Amoxicillin and Clavulanate Potassium, submitted to the U.S. Food and Drug Administration (FDA). It contains official information for healthcare providers, including how to use the medication, possible side effects, and safety warnings.
Description
Amoxicillin and clavulanate potassium tablets, USP is an oral antibacterial combination consisting of amoxicillin and the beta-lactamase inhibitor, clavulanate potassium (the potassium salt of clavulanic acid). Amoxicillin, USP is an analog of ampicillin, derived from the basic penicillin nucleus, 6-aminopenicillanic acid. The molecular formula of amoxicillin is C16H19N3O5S•3H2O, with a molecular weight of 419.46 g/mol. Chemically, amoxicillin is (2S,5R,6R)-6-R-(-)-2-Amino-2-p-hydroxyphenyl)acetamido-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo3.2.0heptane-2-carboxylic acid trihydrate. The molecular formula of clavulanate potassium is C8H8KNO5, with a molecular weight of 237.25 g/mol. Chemically, clavulanate potassium is potassium (Z)-(2R,5R)-3-(2-hydroxyethylidene)-7-oxo-4-oxa-1-azabicyclo3.2.0-heptane-2-carboxylate.
Amoxicillin and clavulanate potassium tablets are available in three strengths: 250 mg/125 mg, 500 mg/125 mg, and 875 mg/125 mg. Each tablet of the 250 mg/125 mg formulation contains 250 mg of amoxicillin, USP as the trihydrate, and 125 mg of clavulanic acid (equivalent to 149 mg of clavulanate potassium, USP). Each tablet of the 500 mg/125 mg formulation contains 500 mg of amoxicillin, USP as the trihydrate, and 125 mg of clavulanic acid (equivalent to 149 mg of clavulanate potassium, USP). Each tablet of the 875 mg/125 mg formulation contains 875 mg of amoxicillin, USP as the trihydrate, and 125 mg of clavulanic acid (equivalent to 149 mg of clavulanate potassium, USP).
Inactive ingredients include colloidal silicon dioxide, ethylcellulose, hypromellose, magnesium stearate, microcrystalline cellulose, propylene glycol, sodium starch glycolate, talc, and titanium dioxide. Each tablet contains 0.63 mEq potassium.
Uses and Indications
Amoxicillin and clavulanate potassium tablets are indicated for the treatment of the following infections in adults and pediatric patients: lower respiratory tract infections, acute bacterial otitis media, sinusitis, skin and skin structure infections, and urinary tract infections.
These tablets should be utilized exclusively for the treatment or prevention of infections that are proven or strongly suspected to be caused by bacteria.
There are no teratogenic or nonteratogenic effects associated with the use of amoxicillin and clavulanate potassium tablets.
Dosage and Administration
For adults and pediatric patients weighing greater than 40 kg, the recommended dosage is either 500 mg or 875 mg administered every 12 hours, or 250 mg or 500 mg every 8 hours, depending on the amoxicillin component.
Pediatric patients aged 12 weeks (3 months) and older should receive a dosage of 25 to 45 mg/kg/day divided into two doses every 12 hours, or 20 to 40 mg/kg/day divided into three doses every 8 hours, not exceeding the adult dose.
For neonates and infants less than 12 weeks of age, the recommended dosage is 30 mg/kg/day, divided into two doses every 12 hours. It is advised to use the 125 mg/5 mL oral suspension for this age group.
Healthcare professionals should ensure that the appropriate formulation and dosing schedule are selected based on the patient's age, weight, and clinical condition.
Contraindications
Use of this product is contraindicated in patients with a history of serious hypersensitivity reactions, including anaphylaxis or Stevens-Johnson syndrome, to amoxicillin and clavulanate potassium or to other beta-lactams such as penicillins or cephalosporins. Additionally, it is contraindicated in individuals with a history of cholestatic jaundice or hepatic dysfunction associated with amoxicillin and clavulanate potassium.
Warnings and Precautions
Serious hypersensitivity reactions, including anaphylaxis, have been reported in patients receiving amoxicillin and clavulanate potassium. In the event of such a reaction, it is imperative to discontinue the medication immediately.
Severe Cutaneous Adverse Reactions (SCAR) may occur during treatment. Healthcare professionals should monitor patients closely for any signs of rash, and if the rash progresses, discontinuation of the medication is warranted.
Drug-induced enterocolitis syndrome (DIES) has been associated with the use of amoxicillin, a component of amoxicillin and clavulanate potassium. Should symptoms indicative of DIES arise, the medication must be discontinued, and appropriate therapeutic measures should be initiated.
Patients with hepatic impairment are at an increased risk for hepatic dysfunction and cholestatic jaundice. It is essential to monitor liver function tests in these patients, and if any signs or symptoms of hepatitis develop, the medication should be discontinued.
Clostridioides difficile-associated diarrhea (CDAD) is a potential complication of antibiotic therapy. If a patient presents with diarrhea during treatment, a thorough evaluation is necessary to rule out CDAD.
Amoxicillin and clavulanate potassium should be avoided in patients with mononucleosis, as these individuals are prone to developing skin rashes when treated with this medication.
Additionally, healthcare professionals should remain vigilant for the possibility of superinfections due to overgrowth of fungal or bacterial pathogens during therapy, necessitating appropriate clinical management.
Side Effects
Patients receiving amoxicillin and clavulanate potassium may experience a range of adverse reactions. Common adverse reactions observed in clinical trials include diarrhea or loose stools (9%), nausea (3%), skin rashes and urticaria (3%), vomiting (1%), and vaginitis (1%).
Serious adverse reactions, although less frequent, warrant careful monitoring and prompt action. These include serious hypersensitivity reactions, which may be fatal; in such cases, amoxicillin and clavulanate potassium should be discontinued immediately. Severe cutaneous adverse reactions (SCAR) require close monitoring, and discontinuation is advised if any rash progresses. Drug-induced enterocolitis syndrome (DIES) has also been reported; if this occurs, discontinuation of the medication and appropriate therapy should be initiated. Hepatic dysfunction and cholestatic jaundice necessitate discontinuation if signs or symptoms of hepatitis arise, and liver function tests should be monitored in patients with pre-existing hepatic impairment. Additionally, Clostridioides difficile-associated diarrhea (CDAD) should be evaluated if diarrhea occurs.
Patients with mononucleosis who are treated with amoxicillin and clavulanate potassium may develop skin rashes, and the use of this medication in such patients is not recommended. The potential for superinfections with fungal or bacterial pathogens should also be considered during therapy.
Other important considerations include a history of serious hypersensitivity reactions, such as anaphylaxis or Stevens-Johnson syndrome, to amoxicillin and clavulanate potassium or other beta-lactams, as well as a history of cholestatic jaundice or hepatic dysfunction associated with this medication. Interstitial nephritis resulting in oliguric renal failure has been reported following overdosage, as has crystalluria, which in some cases has led to renal failure in both adult and pediatric patients.
Drug Interactions
Co-administration of amoxicillin and clavulanate potassium tablets with probenecid is not recommended due to potential interactions that may affect the pharmacokinetics of the drugs involved.
When used concurrently with oral anticoagulants, amoxicillin and clavulanate potassium tablets may lead to an increased prolongation of prothrombin time. It is advisable to monitor prothrombin time closely in patients receiving this combination to ensure appropriate anticoagulation levels.
The concomitant use of amoxicillin and clavulanate potassium tablets with allopurinol has been associated with an increased risk of rash. Clinicians should be vigilant for any dermatological reactions in patients receiving both medications.
Additionally, amoxicillin and clavulanate potassium tablets may reduce the efficacy of oral contraceptives. Patients should be counseled on the potential need for alternative or additional contraceptive measures during treatment with this antibiotic.
Packaging & NDC
The table below lists all NDC Code configurations of Amoxicillin and Clavulanate Potassium, the U.S. brand-name prescription product. Columns show Packaging, Formulation Type, and Active Ingredient Strength.
Details | ||||
|---|---|---|---|---|
| Tablet, Film Coated |
| ||
Product details Regulatory status — Marketed All current FDA data sets list this NDC as actively marketed. FDA record dates for this NDC:
Active ingredients
Inactive ingredients
| ||||
| Tablet, Film Coated |
| ||
Product details Regulatory status — Marketed All current FDA data sets list this NDC as actively marketed. FDA record dates for this NDC:
Active ingredients
Inactive ingredients
| ||||
Pediatric Use
The safety and effectiveness of amoxicillin and clavulanate potassium for oral suspension and chewable tablets have been established in pediatric patients. Evidence supporting the use of this combination in children is derived from studies involving amoxicillin and clavulanate potassium tablets in adults, along with data from a study specifically examining the oral suspension in pediatric patients aged 2 months to 12 years with acute otitis media.
In neonates and young infants, renal function is not fully developed, which may lead to delayed elimination of amoxicillin; however, the elimination of clavulanate remains unchanged in this age group. Therefore, dosing of amoxicillin and clavulanate potassium should be adjusted for pediatric patients aged less than 12 weeks (less than 3 months) to ensure safety and efficacy.
Geriatric Use
In clinical studies involving amoxicillin and clavulanate potassium, 32% of the 3,119 patients analyzed were aged 65 years or older, and 14% were aged 75 years or older. Overall, no significant differences in safety or effectiveness were observed between elderly patients and their younger counterparts. However, it is important to note that greater sensitivity to the drug may be present in some older individuals, which cannot be entirely ruled out based on current data.
Amoxicillin and clavulanate potassium is primarily excreted through the kidneys, and the risk of adverse reactions may be heightened in patients with impaired renal function. Given that geriatric patients are more likely to experience decreased renal function, careful consideration should be given to dose selection in this population. It is advisable to monitor renal function in elderly patients to ensure appropriate dosing and minimize the risk of adverse effects.
Pregnancy
Pregnancy Category B. Reproduction studies conducted in pregnant rats and mice administered amoxicillin and clavulanate potassium (2:1 ratio formulation) at oral doses up to 1200 mg/kg/day demonstrated no evidence of fetal harm attributable to the drug. The amoxicillin doses in these studies were approximately 4 and 2 times the maximum recommended adult human oral dose of 875 mg every 12 hours, while the clavulanate doses were approximately 9 and 4 times the maximum recommended adult human oral dose of 125 mg every 8 hours.
Despite these findings, there are no adequate and well-controlled studies in pregnant women. Therefore, due to the limitations of animal reproduction studies in predicting human response, amoxicillin and clavulanate potassium should be used during pregnancy only if clearly needed. Healthcare professionals are advised to weigh the potential benefits against any possible risks when considering this medication for pregnant patients.
Lactation
Amoxicillin has been shown to be excreted in human milk. The use of amoxicillin and clavulanate potassium by nursing mothers may lead to sensitization of breastfed infants. Therefore, caution should be exercised when administering amoxicillin and clavulanate potassium to a lactating mother.
Renal Impairment
Patients with renal impairment have not been specifically addressed in the available prescribing information. There are no dosage adjustments, special monitoring requirements, or safety considerations outlined for individuals with reduced kidney function. Healthcare professionals should exercise caution and consider the lack of data when prescribing to this patient population.
Hepatic Impairment
Patients with hepatic impairment should be closely monitored for liver function tests. In the event that signs or symptoms of hepatitis occur, it is recommended to discontinue treatment. Careful assessment of liver function is essential to ensure patient safety and to guide therapeutic decisions.
Overdosage
In the event of an overdosage, it is imperative to discontinue the medication immediately and provide symptomatic treatment along with supportive measures as necessary.
A prospective study indicates that overdosages of amoxicillin below 250 mg/kg typically do not result in significant clinical symptoms. However, it is important to note that higher doses can lead to serious complications. Specifically, interstitial nephritis resulting in oliguric renal failure has been documented in patients following an overdosage of amoxicillin and clavulanate potassium. Additionally, crystalluria has been reported, which in some instances has progressed to renal failure in both adult and pediatric patients.
To mitigate the risk of crystalluria, it is essential to maintain adequate fluid intake and promote diuresis. This is particularly crucial for patients with impaired renal function, as they may experience elevated blood levels of amoxicillin and clavulanate potassium due to decreased renal clearance.
For patients experiencing severe overdosage, hemodialysis may be employed to facilitate the removal of amoxicillin and clavulanate potassium from circulation. Healthcare professionals should remain vigilant and monitor renal function closely in cases of suspected overdosage.
Nonclinical Toxicology
Long-term studies in animals have not been conducted to assess the carcinogenic potential of amoxicillin and clavulanate potassium. In mutagenicity testing, the combination of amoxicillin and clavulanate potassium (4:1 ratio formulation) demonstrated non-mutagenic properties in both the Ames bacterial mutation assay and the yeast gene conversion assay. However, it exhibited weakly positive results in the mouse lymphoma assay, where the observed trend toward increased mutation frequencies coincided with doses that also resulted in decreased cell survival. The compound was found to be negative in the mouse micronucleus test and in the dominant lethal assay in mice.
Potassium clavulanate, when tested independently, was also negative in the Ames bacterial mutation assay and the mouse micronucleus test.
In terms of reproductive toxicity, amoxicillin and clavulanate potassium (2:1 ratio formulation) administered at oral doses of up to 1,200 mg/kg/day did not adversely affect fertility or reproductive performance in rats. This dosage corresponds to approximately four times the maximum recommended adult human oral dose of amoxicillin (875 mg every 12 hours) and about nine times the maximum recommended adult human oral dose of clavulanate (125 mg every 8 hours), when adjusted for body surface area.
Postmarketing Experience
Postmarketing experience has identified several adverse reactions reported voluntarily or through surveillance programs. These include severe allergic reactions, such as anaphylaxis, and serious skin reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis. Hepatic dysfunction has also been reported, encompassing cholestatic jaundice and hepatitis.
Hematologic reactions noted include thrombocytopenia, leukopenia, and agranulocytosis. Additionally, gastrointestinal disorders, specifically Clostridium difficile-associated diarrhea, have been documented. Renal impairment, particularly interstitial nephritis, has been observed as well. Other reactions reported include seizures and hyperactivity.
Patient Counseling
Healthcare providers should inform patients that amoxicillin and clavulanate potassium tablets may be taken every 8 hours or every 12 hours, depending on the prescribed dosage. It is important to advise patients to take each dose with a meal or snack to minimize the risk of gastrointestinal upset.
Providers should counsel patients regarding the potential for allergic reactions, as amoxicillin and clavulanate potassium tablets contain a penicillin class drug. Patients should be made aware of the signs and symptoms of serious skin reactions. They should be instructed to discontinue the medication immediately and report any initial signs or symptoms of skin rash, mucosal lesions, or other indications of hypersensitivity.
Additionally, patients should be informed that diarrhea is a common side effect associated with antibacterial medications, typically resolving upon discontinuation of the drug. However, it is crucial to alert patients that they may experience watery and bloody stools, with or without accompanying stomach cramps and fever, even weeks after completing the course of treatment. If diarrhea is severe or persists for more than 2 or 3 days, patients should be advised to contact their physician promptly.
Healthcare providers should emphasize that antibacterial drugs, including amoxicillin and clavulanate potassium tablets, are effective only against bacterial infections and do not treat viral infections, such as the common cold. When prescribed for a bacterial infection, patients should be reminded that it is common to feel better early in the treatment. However, it is essential to take the medication exactly as directed. Skipping doses or failing to complete the full course of therapy may reduce the effectiveness of the treatment and increase the risk of bacterial resistance, making future infections harder to treat with amoxicillin and clavulanate potassium tablets or other antibacterial agents.
Storage and Handling
The product is supplied in its original container to ensure integrity and stability. It is essential to store the product at a temperature range of 20° to 25°C (68° to 77°F), in accordance with USP Controlled Room Temperature guidelines.
Patients are advised to keep the product in a closed container to maintain its efficacy and prevent contamination. Additionally, it is crucial to keep the product out of the reach of children to ensure safety.
Additional Clinical Information
No further data are available.
FDA Insert (PDF)
This document is the official FDA-approved prescribing information for Amoxicillin and Clavulanate Potassium as submitted by Northwind Health Company, LLC. It includes detailed information about indications, dosage, contraindications, warnings, and clinical pharmacology.