Medicinal Products

AMOXICILLIN / AC CLAV SANDOZ E 100 mg / 12.5 mg / mL

Generic drug of Augmentin Child
Therapeutic class: Infectiology - Parasitology
active ingredients: Amoxicillin, Clavulanic acid
laboratory: Sandoz

Powder for oral suspension
Box of 1 vial (+ syringe for oral administration) of 60 ml
All forms

Indication

- They proceed from the antibacterial activity and pharmacokinetic characteristics of this drug. They take into account both the clinical studies it has given and its place in the range of antibacterial products currently available.
- They are limited to infections due to sensitive organisms, especially in certain situations where the bacterial species responsible for the infection can be multiple and / or resistant to the antibiotics currently available.
- On this basis, this medicinal product is of particular interest in the following indications:
. acute otitis media of young children, recurrent ear infections,
. sinusitis,
. low respiratory infections of the child from 30 months to 5 years,
. superinfections of chronic bronchopulmonary diseases,
. recurrent or complicated urinary tract infections excluding prostatitis,
. severe stomatologic infections: abscesses, phlegmons, cellulitis, periodontitis.
- Official recommendations regarding the proper use of antibacterials should be taken into account.

AMOXICILLIN / AC CLAV DOSAGE SANDOZ E 100 mg / 12.5 mg / mL Powder for oral suspension Box of 1 vial (+ syringe for oral administration) 60 ml

Dosages expressed as amoxicillin :
CHILDREN older than 30 months :
- In patients with normal renal function:
80 mg / kg / day in three doses, without exceeding the dosage of 3 g per day.
- In patients with renal insufficiency older than 30 months:
Creatinine clearance: Dosage regimen .
. greater than 30 ml / min : No dose adjustment necessary.
. between 10 and 30 ml / min : maximum 15 mg / kg / intake, twice daily.
. less than 10 ml / min : 15 mg / kg / day maximum.
Hemodialysis : 15 mg / kg / day and 15 mg / kg added during and after dialysis.
Mode of administration :
- This medicine is administered orally.
- The administration is done with the syringe for oral administration graduated in kg of body weight.
- The dose per dose is indicated, according to the weight of the child, on the plunger of the graduated oral syringe in kg. The dose is therefore read directly on the graduations of the syringe for oral administration. Thus, the indicated weight corresponds to the dose for a catch. Three takes a day are needed.
For example, graduation number 20 corresponds to the dose to be administered per dose for a child of 20 kg, three times a day .
- Take the medicine preferably at the beginning of the meal.

Against indications

CONTRAINDICATED:
This medicine MUST NEVER BE USED in case of:
- allergy to antibiotics of the beta-lactam family (penicillins, cephalosporins): take into account the risk of cross-reactivity with antibiotics of the cephalosporin group,
- allergy to one of the constituents of the drug,
- history of liver injury related to the amoxicillin / clavulanic acid combination,
- phenylketonuria, due to the presence of aspartame (E951).
Due to the presence of maltodextrin (glucose), this drug should not be taken by patients with glucose and galactose malabsorption syndrome (rare metabolic diseases).
NOT RECOMMENDED :
This medicine IS GENERALLY NOT RECOMMENDED when combined with methotrexate (see interactions).

Adverse effects Amoxicillin / AC Clav Sandoz E

- Gastrointestinal manifestations: nausea, vomiting, possibility of gastrointestinal overinfections with Candida, diarrhea, loose stools, dyspepsia and abdominal pain.
Some cases of pseudomembranous colitis and haemorrhagic colitis have been reported.
- Allergic manifestations: including urticaria, eosinophilia, angioedema, respiratory discomfort, serum sickness, vasculitis, exceptionally anaphylactic shock.
- Maculopapular rashes of allergic origin or not.
Very occasionally, some cases of Lyell's syndrome and Stevens-Johnson, erythema multiforme, and exfoliative dermatitis have been reported.
These skin manifestations may be more frequent and / or more intense in patients with infectious mononucleosis or evolving lymphoid leukemia.
Very rare cases of acute generalized exanthematous pustulosis (see warnings and precautions for use).
- Other events have been reported more rarely:
. cases of hepatitis, usually cholestatic or mixed, have occasionally been reported. These cases seem to be more likely to occur in elderly and male patients, and for more than 10 days of treatment and especially for treatments longer than 15 days. Symptoms, including jaundice that appears consistent, occur during or at the end of treatment, but may occur a few weeks after stopping. Histopathological examination of the liver usually reveals centrilobular cholestasis. The evolution is generally favorable but can be prolonged by a few weeks.
Some extremely rare cases of fatal evolution have been observed.
. moderate and asymptomatic increases in ASAT, ALT or alkaline phosphatase;
. acute interstitial nephritis;
. leukopenia, neutropenia, agranulocytosis, hemolytic anemia, reversible thrombocytopenia.
- Cases of convulsions have been exceptionally reported (see warnings and precautions for use).
Very rare cases of superficial dental stains, generally reversible after brushing, have been reported with forms for oral suspension.

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