The most important information about amoxicillin
• Take all of the amoxicillin that has been prescribed for you even if you begin to feel better. Your symptoms may begin to improve before the infection is completely treated.
• Do not break, chew, open, or crush the capsules. Swallow them whole.
• Amoxicillin may decrease the effectiveness of birth control pills. Use a second method of birth control while taking amoxicillin to protect against pregnancy.
What is amoxicillin
• Amoxicillin is an antibiotic in the class of drugs called penicillins. It fights bacteria in your body.
• Amoxicillin is used to treat many different types of infections, such as tonsillitis, pneumonia, ear infections, bronchitis, urinary tract infections, gonorrhea, and infections of the skin.
• Amoxicillin may also be used for purposes other than those listed in this medication guide.
Who should not take amoxicillin?
• If you have ever had an allergic reaction to another penicillin or to a cephalosporin, do not take amoxicillin unless your doctor is aware of your allergy and monitors your therapy.
• Before taking this medication, tell your doctor if you have kidney disease or infectious mononucleosis. You may not be able to take amoxicillin because of an increased risk of side effects.
• If you are a diabetic, some glucose urine tests may give false positive results while you are taking amoxicillin.
• Amoxicillin is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Amoxicillin is generally considered to be safe for use during pregnancy. Do not, however, take amoxicillin without first talking to your doctor if you are pregnant.
• Amoxicillin passes into breast milk. Rarely, amoxicillin may cause a yeast infection, diarrhea, or allergic reaction in a nursing infant, although no serious harm is expected. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
How to take amoxicillin
• Take amoxicillin exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Amoxicillin can be taken with food or on an empty stomach.
• Amoxicillin should be taken at evenly spaced intervals throughout the day and night to keep the level in your blood high enough to treat the infection.
• Do not crush, chew, or open the capsules. Swallow them whole. The chewable tablets must be chewed before they are swallowed.
• To ensure that you get the correct dosage, measure the liquid form of amoxicillin with a dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one. Shake the suspension well before measuring a dose.
• Take all of the amoxicillin that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.
• Store the tablets and capsules at room temperature and store the suspension in the refrigerator for longer use. The suspension is good for 7 days at room temperature and for 14 days if it is stored in the refrigerator. Throw away any unused liquid after this amount of time.
In case of miss a dose
• Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the dose you missed and take only your next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor.
• If you have only missed one dose, you can take the rest of your scheduled doses for the day at evenly spaced intervals.
In case of overdosing
• Seek emergency medical attention.
• Symptoms of an amoxicillin overdose include muscle spasms or weakness, pain or twitching, pain in the fingers or toes, loss of feeling in the fingers or toes, seizures, confusion, coma, or agitation.
What to avoid while taking amoxicillin
• Alcohol may irritate your stomach if taken with amoxicillin, so use it with moderation.
The possible side effects of amoxicillin
• If you experience any of the following serious side effects, stop taking amoxicillin and seek emergency medical attention:
· an allergic reaction (shortness of breath; closing of your throat; hives; swelling of your lips, face, or tongue; rash; or fainting);
· seizures;
· severe watery diarrhea and abdominal cramps; or
· unusual bleeding or bruising.
• Other, less serious side effects may be more likely to occur. Continue to take amoxicillin and talk to your doctor if you experience
· mild nausea, vomiting, diarrhea, or abdominal pain;
· white patches on the tongue (thrush/yeast infection);
· itching or discharge of the vagina (vaginal yeast infection);
· black, "hairy" tongue or sore mouth or tongue.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect amoxicillin
• Some drugs may decrease the effects of amoxicillin and prevent it from properly treating your infection. Before taking amoxicillin, tell your doctor if you are taking any of the following drugs:
· cholestyramine (Questran) or colestipol (Colestid); or
· another antibiotic (for the same or for a different infection) such as erythromycin (Ery-Tab, E-Mycin, E.E.S., others), tetracycline (Sumycin, others), minocycline (Minocin), doxycycline (Doryx, Vibramycin, others), or any other antibiotic.
• Amoxicillin may decrease the effectiveness of birth control pills. Use a second method of birth control while taking amoxicillin to protect against pregnancy.
• Amoxicillin increases the effects of methotrexate, and you may need a dose adjustment during therapy with amoxicillin.
• Amoxicillin also increases the side effects of allopurinol (Zyloprim) and may cause a rash.
• Probenecid (Benemid) increases the effects of amoxicillin. These drugs may be used together for this purpose; however, be sure your doctor is aware if you are taking probenecid. You may need a lower dose of amoxicillin.
• Drugs other than those listed here may also interact with amoxicillin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.
