Administration
May be taken with or without food: Take at the start of a meal for better absorption & to minimize GI intolerance.
Contraindications
Penicillin hypersensitivity. Possible cross-sensitivity w/ other β-lactam antibiotics eg, cephalosporins. History of penicillin-associated jaundice/hepatic dysfunction.
Special Precautions
Hepatic dysfunction, moderate to severe renal impairment. Periodic assessment of hepatic, renal & hematopoietic function during prolonged therapy or in patients w/ severe hepatic impairment. Maintain adequate fluid intake & urinary output especially in high doses of amoxicillin. Avoid prolonged use. Prolonged bleeding & prothrombin time. Concomitant use w/ anticoagulants. Pregnancy & lactation.
Side Effects / Adverse Reactions
Diarrhea, pseudomembranous colitis, indigestion, vomiting, mucocutaneous candidiasis, nausea, hepatitis, cholestatic jaundice. Moderate & asymptomatic rise in AST, ALT or alkaline phosphatase; urticarial & erythematous skin rashes; transient leukopenia & thrombocytopenia. Inj: Local irritation, induration & phlebitis at inj site.
Interactions
Decreased renal tubular secretion w/ probenecid. Disulfiram-like reaction w/ alcohol. Reduced efficacy of OCs.