Co Amoxiclav (Clovimed) 312.5mg per 5 ml Powder for Suspension 60ml

Co Amoxiclav (Clovimed) 312.5mg per 5 ml Powder for Suspension 60ml

Product Description:

Co Amoxiclav (Clovimed) is a combination antibiotic consisting of Amoxicillin and Clavulanic acid. It is available as a powder for suspension. When mixed with water, it forms a liquid formulation that can be easily consumed, especially for pediatric patients or individuals who have difficulty swallowing tablets.

• Each 5 ml of prepared suspension contains:

  • Amoxicillin 250mg

  • Clavulanic acid 62.5mg

The Amoxicillin component is a broad-spectrum penicillin antibiotic that works by killing bacteria. Clavulanic acid is a beta-lactamase inhibitor that protects amoxicillin from being broken down by certain bacterial enzymes, allowing it to work more effectively.

The product is typically used to treat a variety of bacterial infections in both children and adults.

Indications:

Co Amoxiclav (Clovimed) is used to treat a wide range of bacterial infections caused by susceptible organisms. Some common indications include:

1. Respiratory Tract Infections:

   • Acute Otitis Media (middle ear infection)

   • Sinusitis

   • Bronchitis

   • Pneumonia

2. Urinary Tract Infections (UTIs):

   • Cystitis (bladder infection)

   • Pyelonephritis (kidney infection)

3. Skin and Soft Tissue Infections:

   • Abscesses

   • Cellulitis

   • Wound infections

   • Impetigo

4. Dental Infections:

   • Dental abscesses

   • Periodontal infections

5. Bone and Joint Infections:

   • Osteomyelitis

   • Septic arthritis

6. Intra-abdominal Infections:

   • Peritonitis

   • Cholecystitis (gallbladder infection)

Dosages:

The dosage of Co Amoxiclav (Clovimed) depends on the severity of the infection, the patient's age, and other factors. The general recommended doses are:

• Adults and Children over 12 years:

  • The typical dose is 10 ml of the suspension (equivalent to 500 mg Amoxicillin + 125 mg Clavulanic acid) every 8 hours.

  • For severe infections, the dose may be increased to 15 ml (equivalent to 750 mg Amoxicillin + 187.5 mg Clavulanic acid) every 8 hours.

• Children (under 12 years):

  • Children aged 6-12 years: 5-10 ml (equivalent to 250-500 mg Amoxicillin + 62.5-125 mg Clavulanic acid) every 8 hours.

  • Children aged 2-6 years: 2.5-5 ml (equivalent to 125-250 mg Amoxicillin + 31.25-62.5 mg Clavulanic acid) every 8 hours.

  • Children under 2 years: Dosage depends on the child’s weight. Consult a doctor for the exact dose.

• For severe infections or renal conditions, dosage adjustments may be needed. It’s essential to follow the dosage prescribed by a healthcare provider.

Preparation of Suspension:

1. Add the required amount of water (as per the instructions on the packaging).

2. Shake the bottle well to ensure the powder dissolves completely and the suspension is homogeneous.

3. Store the prepared suspension in the refrigerator and use it within 7 days. Shake well before each dose.

Side Effects:

As with all medications, Co Amoxiclav (Clovimed) may cause side effects. Some common side effects include:

1. Gastrointestinal Issues:

   • Diarrhea

   • Nausea

   • Vomiting

   • Abdominal pain

2. Allergic Reactions:

   • Rash

   • Itching

   • Urticaria (hives)

   • Angioedema (swelling of the face, lips, or throat)

3. Liver Effects:

   • Elevated liver enzymes

   • Jaundice (yellowing of the skin or eyes)

4. Hematologic Effects:

   • Eosinophilia (elevated eosinophils)

   • Thrombocytopenia (low platelet count)

   • Leukopenia (low white blood cell count)

5. Central Nervous System:

   • Headache

   • Dizziness

   • Fatigue

6. Superinfection:

   • Prolonged use of antibiotics can lead to the development of resistant organisms, including fungal infections.

Contraindications:

Co Amoxiclav (Clovimed) is contraindicated in certain patients and situations. These include:

1. Allergic Reactions:

   • Should not be used in patients with a history of hypersensitivity (allergy) to penicillins, cephalosporins, or Clavulanic acid.

2. Severe Hepatic Impairment:

   • Contraindicated in patients with severe liver disease or those with a history of liver dysfunction caused by Amoxicillin-Clavulanate therapy.

3. Mononucleosis:

   • Co Amoxiclav should not be given to individuals with mononucleosis (a viral infection), as they are at higher risk of developing a rash.

4. Renal Impairment:

   • Caution should be used in patients with severe kidney impairment. Dosage adjustments may be required.

5. Pregnancy and Breastfeeding:

   • Pregnancy Category B: Generally considered safe during pregnancy, but always consult your doctor before using this medication.

   • Breastfeeding: Small amounts of Amoxicillin and Clavulanic acid are excreted in breast milk. It is generally considered safe to use while breastfeeding, but you should consult your healthcare provider.

Precautions:

1. Prolonged Use:

   • Extended use of Co Amoxiclav may lead to the development of superinfections, including resistant bacterial infections or fungal infections.

2. Clostridium difficile-associated Diarrhea (CDAD):

   • Antibiotics like Co Amoxiclav can cause an overgrowth of Clostridium difficile in the gut, leading to severe diarrhea. This condition can be life-threatening and requires immediate medical attention.

3. Liver Function Monitoring:

   • Liver function should be monitored in patients receiving prolonged therapy, as liver enzyme levels may rise in some individuals.

4. Hematologic Monitoring:

   • Blood counts may be monitored in some patients, especially those receiving prolonged treatment, as eosinophilia and leukopenia have been reported in rare cases.

5. Renal Dysfunction:

   • Adjustments to the dosage may be necessary in patients with kidney dysfunction, particularly in cases of severe renal impairment.

Conclusion:

Co Amoxiclav (Clovimed) 312.5mg per 5 ml is an effective combination antibiotic used for treating a broad spectrum of bacterial infections. It contains Amoxicillin and Clavulanic acid, which work synergistically to fight infections. While generally safe, it can cause side effects such as gastrointestinal disturbances, allergic reactions, and liver enzyme changes. Care should be taken in individuals with a history of allergies, liver issues, or renal dysfunction. Always follow the prescribed dosage and consult a healthcare provider if you experience any side effects or have concerns about the medication.