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It is important to follow the exact dosage and frequency as instructed by health care providers.

If a dose is missed, one should be taken as soon as possible unless it is nearly time for the next dose.

Never take a double dose to make up for a missed one.

Even if symptoms resolve, the patient must follow the treatment course to the end. Discontinuing treatment before the end of the prescribed course increases the risk of bacteria developing a resistance to the antibiotic.

Like many forms of medication, amoxicillin can have unwanted side effects. Some of these are more common, and some are more severe. It is most important for doctors to check whether the patient is allergic to penicillin because an anaphylactic reaction can be fatal. Signs and symptoms of an allergic reaction include: chest tightness difficulty breathing rash or hives itchiness swelling of the face or throat. Anyone experiencing any of these symptoms while taking amoxicillin should seek urgent medical attention.

Between 1 and 10 percent of patients will experience an upset stomach, possibly with vomiting and diarrhea, due to Clostridium difficile (C. This is because the antibiotic changes the gut flora.

Between 1 and 10 percent will develop candidiasis, a fungal or myotic infection. Patients who are concerned about these side effects should contact their doctor. Some people experience vaginal itching or a swollen, black tongue that feels “hairy.” Less common but more serious adverse effects include: severe skin rash or hives seizures yellowing of the eyes or skin or dark-colored or bloody urine pale skin unusual bleeding or bruising fatigue. For more information and a full list of adverse effects, patients should check the patient information leaflet (PIL) that comes with the medication or speak to their healthcare provider. It is very important that a doctor is aware of what medication a patient is taking before prescribing amoxicillin.

Amoxicillin works well with some forms of medication such as clarithromycin and lansoprazole, but with other drugs, there may be unwanted interactions. Interaction can occur with: anticoagulant drugs such as warfarin treatments for gout, such as probenecid and allopurinol other antibacterials, such as chloramphenicol, macrolides, sulfonamides, and tetracycline methotrexate, used in cancer therapy some muscle relaxants oral typhoid vaccine.

increasing or reducing the effectiveness of other drugs increasing toxicity by reducing the body’s ability to excrete the drug after use. Amoxicillin can also affect the results of certain diagnostic tests, such as urine glucose tests.

Doctors and other health care providers must be fully informed of any other drugs, treatments or tests that a patient is being given before they prescribe amoxicillin.

They may need to change the dosage or take extra precautions. Anyone who takes an overdose should call their local poison center at 1-800-222-1222.

Amoxicillin may reduce the effectiveness of birth control measures, such as patches, rings, or the birth control pill. A secondary prevention method such as condoms may be needed during the treatment course. Anyone who is using these methods of birth control should discuss their options with their physician or health care provider.

Although amoxicillin can treat certain infections effectively, repeated use can reduce its effectiveness. A 20-year study published in the BMJ in 2014 found that 1 in 10 of all antibiotic prescriptions failed to treat the infection.

This would appear to indicate a growing tendency toward antibiotic resistance, where overuse of antibiotics is reducing their effectiveness. For this reason, doctors need to be sure that the patient’s condition is caused by a bacteria, and to know if a patient has previously used amoxicillin.

Alcohol does not affect the antibiotic activity of amoxicillin, but patients should avoid drinking alcohol while an active infection is present. This can support the body in effectively eradicating infection.

The use of alcohol may also mask side effects that can occur with amoxicillin, increasing the potential for complications.

Health care providers should also know if the patient has any of the following conditions: allergy to penicillin or cephalosporin antibiotics asthma hay fever hives kidney disease mononucleosis phenylketonuria. Being clear and concise with doctors and health care providers will ensure the safe and effective use of amoxicillin. Amoxicillin is used to treat certain infections caused by bacteria, such as pneumonia; bronchitis (infection of the airway tubes leading to the lungs); and infections of the ears, nose, throat, urinary tract, and skin. It is also used in combination with other medications to eliminate H.

Amoxicillin is in a class of medications called penicillin-like antibiotics. Antibiotics such as amoxicillin will not work for colds, flu, and other viral infections. Taking antibiotics when they are not needed increases your risk of getting an infection later that resists antibiotic treatment. Amoxicillin comes as a capsule, a tablet, a chewable tablet, and as a suspension (liquid) to take by mouth.

It is usually taken every 12 hours (twice a day) or every 8 hours (three times a day) with or without food. The length of your treatment depends on the type of infection that you have. Take amoxicillin at around the same times every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Do not take more or less of it or take it more often than prescribed by your doctor.

Shake the suspension well before each use to mix the medication evenly. The suspension may be placed directly on the child's tongue or added to formula, milk, fruit juice, water, ginger ale, or another cold liquid and taken immediately. The chewable tablets should be crushed or chewed thoroughly before they are swallowed. Swallow the

tablets

If your symptoms do not improve or get worse, call your doctor. Take amoxicillin until you finish the prescription, even if you feel better. If you stop taking amoxicillin too soon or skip doses, your infection may not be completely treated and the bacteria may become resistant to antibiotics. Amoxicillin also is sometimes used to treat Lyme disease, to prevent anthrax infection after exposure, and to treat anthrax infection of the skin .

Talk with your doctor about the possible risks of using this medication for your condition.

This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.

Before taking amoxicillin, tell your doctor and pharmacist if you are allergic to amoxicillin; penicillin antibiotics; cephalosporin antibiotics such as cefaclor, cefadroxil, cefazolin (Ancef, Kefzol), cefepime (Maxipime), cefixime (Suprax), cefotaxime (Claforan), cefotetan, cefoxitin (Mefoxin), cefpodoxime, cefprozil, ceftaroline (Teflaro), ceftazidime (Fortaz, Tazicef, in Avycaz), ceftibuten, ceftriaxone, cefuroxime (Ceftin, Zinacef), and cephalexin (Keflex); any other medications; or any of the ingredients in amoxicillin capsules, tablets, or suspension. tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take.

Be sure to mention any of the following: allopurinol (Lopurin, Zyloprim), other antibiotics, anticoagulants ('blood thinners') such as warfarin (Coumadin, Jantoven), oral contraceptives, and probenecid (Probalan, in Col-Probenecid).