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Augmentin - instructions for use, analogs, reviews and release forms (tablets 250 mg, 500 mg, 875 mg, suspension 200 mg and 400 mg, injections) of the drug for the treatment of infections in adults, children and pregnancy

Augmentin - instructions for use, analogs, reviews and release forms (tablets 250 mg, 500 mg, 875 mg, suspension 200 mg and 400 mg, injections) of the drug for the treatment of infections in adults, children and pregnancy

In this article, you can read the instructions for using the drug Augmentin. Comments of visitors of the site - consumers of this medication, as well as opinions of doctors of experts on the use of Augmentin in their practice are presented. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of Augmentin in the presence of existing structural analogues. Use for the treatment of various infectious diseases in adults, children, as well as during pregnancy and lactation.Special infant dosages and forms of the preparation and methods of preparing the suspension.

 

Augmentin - a combined broad-spectrum antibiotic, resistant to beta-lactamase, containing Amoxicillin and clavulanic acid.

 

Amoxicillin is a semisynthetic broad-spectrum antibiotic that is active against many Gram-positive and Gram-negative microorganisms. Amoxicillin is degraded by beta-lactamases, therefore microorganisms producing beta-lactamases do not enter the spectrum of its antibacterial activity.

 

Clavulanic acid is a beta-lactam compound that has the ability to inactivate a wide range of beta-lactamases, enzymes that normally produce microorganisms resistant to penicillins and cephalosporins.

 

The presence of clavulanic acid in the structure of Augmentin protects amoxicillin from the destructive action of beta-lactamases and expands the spectrum of its antibacterial activity with the inclusion of microorganisms, usually resistant to other penicillins and cephalosporins.

 

Augmentin is active against gram-positive aerobic and anaerobic microorganisms, against gram-negative anaerobic microorganisms, against other microorganisms: Borrelia burgdorferi,Chlamydiae (chlamydia), Leptospira icterohaemorrhagiae, Treponema pallidum (treponema).

 

Some strains of these bacterial species produce beta-lactamases, which causes resistance to monotherapy with amoxicillin.

 

Augmentin tablets are a sustained-release dosage form that differs from conventional tablets by other pharmacokinetic parameters. This provides sensitivity to the preparation of those strains of Streptococcus pneumoniae, in which resistance to amoxicillin is mediated by penicillin-binding proteins (penicillin-resistant Streptococcus pneumoniae strains).

 

Pharmacokinetics

 

Amoxicillin and clavulanic acid are readily soluble in aqueous solutions with a physiological pH value and after absorption of Augmentin are rapidly and completely absorbed from the digestive tract. Absorption of active substances Augmentin is optimal in case of its intake at the beginning of the meal. The therapeutic concentrations of both active substances are determined in various organs, tissues and body fluids (including in the lungs, abdominal cavity organs, adipose, bone and muscle tissues, pleural, synovial and peritoneal fluids, in the skin, bile, urine, purulent detachable, sputum, in the interstitial fluid).Amoxicillin (like most penicillins) is excreted in breast milk. Trace amounts of clavulanic acid have also been found in breast milk. Except for the risk of sensitization, no other adverse effects of amoxicillin and clavulanic acid on the health of infants fed by breast milk are known. In experimental studies in animals, amoxicillin and clavulanic acid have been shown to penetrate the placental barrier. However, there were no violations of fertility or negative effects on the fetus. Amoxicillin is excreted mainly by the kidneys, whereas clavulanic acid is through both renal and extrarenal mechanisms. About 10-25% of the initial dose of amoxicillin is excreted in the urine as inactive penicillic acid. Clavulanic acid in the human body undergoes intensive metabolism and is excreted in urine and feces.

 

Indications

 

Infectious-inflammatory diseases caused by microorganisms sensitive to the preparation:

  • infections of the upper respiratory tract and ENT organs (including recurrent tonsillitis, sinusitis, otitis media), usually caused by Streptococcus pneumoniae (streptococcus), Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pyogenes;
  • infections of the lower respiratory tract: acute exacerbations of chronic bronchitis, lobar pneumonia and bronchopneumonia, typically caused by Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis;
  • urinary tract infection: cystitis, urethritis, pyelonephritis, infection of female genital organs, usually caused by species of the family Enterobacteriaceae (preferably Escherichia coli), Staphylococcus saprophyticus (Staphylococcus aureus) and a species of the genus Enterococcus, and gonorrhea caused by Neisseria gonorrhoeae;
  • skin and soft tissue infections, commonly caused by Staphylococcus aureus, Streptococcus pyogenes and species of the genus Bacteroides;
  • infections of bones and joints: osteomyelitis, usually caused by Staphylococcus aureus, if long-term therapy is required;
  • other mixed infections, such as septic abortion, obstetric sepsis, intra-abdominal infections.

 

Forms of release

 

Tablets, film-coated 250 mg, 500 mg, 875 mg.

 

Powder for the preparation of suspension for ingestion 125 mg, 200 mg, 400 mg

 

Powder for the preparation of injection solution for intravenous injection (in injections) 500 mg, 1000 mg.

 

Instructions for use and dosage

 

Inside.

 

The dosage regimen is set individually, depending on the age, body weight, kidney function of the patient, and also on the severity of the infection.

 

For optimum absorption and reduction of possible side effects from the gastrointestinal tract, the drug Augmentin is recommended to be taken at the beginning of the meal.

 

The minimum course of antibiotic therapy is 5 days. After 2 weeks after the start of treatment, it is recommended to evaluate the clinical situation for making a decision on the continuation of the course of antibiotic therapy. The duration of treatment of acute uncomplicated otitis media is 5-7 days, in children under 2 years - 7-10 days.

 

If necessary, it is possible to perform stepwise therapy (in the beginning, parenteral administration of the drug followed by a transition to oral administration).

 

Powder for the preparation of a suspension for oral administration (a method of preparing a suspension)

 

The suspension is prepared immediately before the first use. The powder should be dissolved with boiled water, cooled to room temperature, gradually shaking the bottle and adding water to the label on the vial. Then allow the suspension to stand for about 5 minutes to ensure complete dilution. The vial should be shaken well before each use. For an accurate dosage of the drug, you should use a measuring cap-cap, which needs to be rinsed well with water after each use.After reconstitution, the suspension should be stored for no more than 7 days in the refrigerator, but not frozen.

 

To correctly dispense the volume of the suspension in children less than 3 months (infants and newborns) it is recommended to use a syringe with graduation. For the convenience of taking the suspension in children under 2 years of age, it can be diluted with water by half.

 

Children

 

Calculation of the dose is made depending on the age and weight, indicate in mg / kg of body weight per day (calculation for amoxicillin) or in ml of suspension per day. Children with a body weight of 40 kg or more should be given the same dose as an adult.

 

Low doses of the drug Augmentin are used to treat infections of the skin and soft tissues, as well as relapsing tonsillitis.

 

High doses of the Augmentin drug are used to treat diseases such as otitis media, sinusitis, lower respiratory tract infections and urinary tract infections.

 

There are not enough clinical data to recommend the use of Augmentin in a dose of more than 40 mg / kg 3 times a day (4: 1 suspension) or 45 mg / kg 2 times a day (7: 1 suspension) in children younger than 2 years.

 

Adults: recommended dosage regimen is 20 ml of suspension in a dosage of 125 mg + 31.25 mg in 5 ml 2-3 times a day or 11 ml of suspension at a dosage of 400 mg + 57 mg in 5 ml 2 times a day.

 

Elderly patients: dosage adjustment is not required, the same dosing regimen is used as in younger patients. In elderly patients with impaired renal function, appropriate doses are prescribed for adult patients with impaired renal function.

 

Film-coated tablets, 250 mg + 125 mg

 

It should be remembered that 2 tablets of the drug Augmentin 250 mg + 125 mg are not equivalent to 1 tablet of the drug Augmentin 500 mg + 125 mg.

 

Adults and children over 12 years of age or with a body weight of more than 40 kg: 1 tablet 3 times a day for infections of mild and moderate severity. In cases of severe infections, other dosage forms of the Augmentin drug are recommended.

 

Children younger than 12 years: it is recommended to use other dosage forms of the drug Augmentin.

 

Tablets, film-coated, 500 mg + 125 mg

 

Treatment should not last more than 14 days without reassessing the patient's condition.

 

Adults and children over 12 years of age and / or with a body weight above 40 kg: 1 tablet (500 mg + 125 mg) 3 times a day.

 

Children under 12 years: the dose is prescribed depending on the age and body weight. The recommended dosing regimen is 40 mg / kg 3 times a day.

 

Children with a body weight of 40 kg or more: should be given the same dose as an adult.

 

Elderly: no dosage adjustment is required.

 

Tablets, film-coated, 875 mg + 125 mg

 

Adults and children over 12 years of age and / or with a body weight above 40 kg: 1 tablet 875 mg / 125 mg 2 times a day.

 

Children under 12 years of age: this dosage form is not intended for use in children younger than 12 years of age or weighing less than 40 kg.

 

Children with a body weight of 40 kg or more: should be given the same dose as an adult.

 

Elderly: no dosage adjustment is required.

 

Rules for the injection of the drug

 

Augmentin can be administered as a slow intravenous injection for 3-4 minutes directly into a vein or through a catheter, or as an IV infusion for 30-40 minutes.

 

Augmentin is not intended for intramuscular administration (due to instability at a concentration that could be injected / m).

 

The maximum duration of therapy should be 14 days, after which its effectiveness and tolerability should be assessed.

 

All dosage forms for children under 3 months should be administered only by infusion.

 

Side effect

  • reversible leukopenia (including neutropenia), thrombocytopenia, reversible agranulocytosis, and hemolytic anemia;
  • angioedema;
  • anaphylaxis;
  • allergic vasculitis;
  • skin rash;
  • hives;
  • dizziness;
  • headache;
  • convulsions - may occur in patients with impaired renal function and in patients receiving the drug in high doses;
  • diarrhea;
  • nausea (more often when taking the drug in high doses), vomiting;
  • dyspepsia;
  • hepatitis;
  • interstitial nephritis;
  • candidiasis of the mucous membranes.

 

When taking Augmentin, side effects occur rarely and are mostly light and transient.

 

Contraindications

  • jaundice or a violation of liver function against the background of the use of Augmentin in history;
  • increased sensitivity to beta-lactam antibiotics (including penicillins and cephalosporins).

 

It is not recommended to use Augmentin in case of suspected infectious mononucleosis, because in such cases amoxicillin can cause a skin rash, which makes it difficult to diagnose the disease.

 

Application in pregnancy and lactation

 

In studies of reproductive functions in animals with the administration of Augmentin, it was shown that oral and parenteral administration of this drug did not cause teratogenic effects.

 

In a single study in women with premature rupture of membranes, it was found that preventive therapy with Augmentin may be associated with an increased risk of necrotizing enterocolitis in newborns. Augmentin is not recommended for use during pregnancy, except in cases where, in the opinion of the doctor, this is necessary.

 

Augmentin can be used during breastfeeding. With the exception of the risk of sensitization associated with the release of active ingredients into the breast milk in trace amounts, no other adverse effects were observed in infants fed breastfeeding.

 

special instructions

 

Before starting treatment with Augmentin, you need to collect a detailed history of previous reactions of hypersensitivity to penicillins, cephalosporins or other allergens.

 

Serious and sometimes fatal hypersensitivity reactions (anaphylactic reactions) to penicillins are described. The risk of occurrence of such reactions is highest in patients who have a history of hypersensitivity reactions to antibiotics of this group.In case of an allergic reaction, it is necessary to stop treatment with Augmentin and start alternative therapy. In severe reactions of hypersensitivity, adrenaline (epinephrine) should be administered immediately. Oxygen therapy, intravenous steroids and airway patency, including intubation, may also be required.

 

With care, use Augmentin in patients with impaired liver function.

 

The severity of side effects from the digestive system can be reduced by taking Augmentin at the beginning of the meal.

 

Oral care helps prevent tooth discoloration, as it is sufficient to brush your teeth.

 

Patients receiving Augmentin occasionally experience an increase in prothrombin time, and therefore, with simultaneous use of Augmentin and anticoagulants, appropriate monitoring should be carried out.

 

In patients with reduced diuresis, crystalluria is very rare, mainly with parenteral therapy. When taking amoxicillin in high doses, it is recommended to take a sufficient amount of fluid and maintain an adequate diuresis in order to reduce the probability of formation of amoxicillin crystals.

 

Long-term treatment with Augmentin can be accompanied by excessive growth of insensitive microorganisms.

 

In general, Augmentin is well tolerated and has a characteristic of all penicillins of low toxicity. During prolonged therapy with Augmentin it is recommended to periodically monitor the kidneys, liver, hematopoiesis.

 

The suspension contains aspartame, which is a source of phenylalanine, and therefore these dosage forms should be used with caution in patients with phenylketonuria.

 

In the medical literature, there is no evidence of abuse of Augmentin and of dependence on this drug.

 

Like any other antibiotic, it requires careful use when taking alcohol, as it is possible to develop hepatic complications.

 

Impact on the ability to drive vehicles and manage mechanisms

 

Augmentin does not have a negative impact on the ability to drive vehicles and work with mechanisms.

 

Drug Interactions

 

It is not recommended to use Augmentin concurrently with probenecid. Probenecid reduces tubular secretion of amoxicillin,and therefore simultaneous use of Augmentin and probenecid can lead to an increase and persistence in the blood levels of amoxicillin, but not clavulanic acid.

 

With the simultaneous use of Allopurinol and amoxicillin, an increased risk of allergic reactions is possible. Data on simultaneous application of Augmentin and allopurinol are currently absent.

 

Like other broad-spectrum antibiotics, Augmentin may reduce the effectiveness of oral contraceptives (this should be informed to patients).

 

Analogues of medicament Augmentin

 

Structural analogs for the active substance:

  • Amovicomb;
  • Amoxiclav;
  • Amoksiklav Quiktab;
  • Amoxicillin sodium and potassium clavulanate;
  • Amoxicillin trihydrate + potassium clavulanate;
  • Arlette;
  • Augmentin SR;
  • Bactocklave;
  • Verklav;
  • Clamosar;
  • Liklave;
  • Médoclase;
  • Panklav;
  • Ranklav;
  • Rapiklav;
  • Taromentine;
  • Flemoclav Solutab;
  • Ecoclave.

Similar medicines:

Other medicines:
Reviews (78):
Guests
Andrei
Accepted Augmentin on the recommendation of the surgeon, after removing the boil (said that as a prevention of relapse helps). There was a candidiasis on tonsils, so said the ENT, to which he addressed with complaints of dry mouth. The ENT said that this often happens after strong antibiotics. It is visible immunity to hell, because in 3 months there was a furuncle in the nose, now I drink Cipronex.
Administrators
admin
The answer to the question of the visitor of the site Galina (moved to the required section):
To me have written out Augmentin (875 + 125) on 1 tab. 2 rubles, 7 days. I have hr.pharyngitis, cervical lymphadenitis. But thus at me at FGS-a polyp in a stomach. How to be? Would not it be worse for the stomach? Please reply!

Galina, It does not hurt. I have not seen your results of instrumental polyp research (the doctor knows at least about your problems?), But the use of an antibiotic on this problem should not adversely affect.
Guests
Sveta
I took augmentin in tablets with bronchitis with a temperature of 39 - it helped.Has passed or has taken place somewhere months 8, now I accept at purulent angina, I hope will help or assist. I accept only augmentin, tk. the drug is safe for breastfeeding.
Administrators
admin
SvetaIt is better to consult a doctor after all, if you take antibiotics, especially if you take them in special conditions (with breastfeeding).
Guests
Lily
It is quite effective medicine for infectious diseases, as in ENT infections, bronchitis, and with cystitis. I have allergic reactions to antibiotics are rare, so the appointed augmentant at tonsillitis augmentin drank the full course and successfully). I know that there are contraindications for people who have problems with kidneys and liver, and then when serious. Just need to see a doctor during treatment.
Guests
ghoul
I was appointed Flemoklav Solutab; and baby Augmentin baby breastfeeding how to be in fact both drugs have the composition of clavulanic acid and amoxicillin what to do?
Administrators
admin
ghoul, It is necessary to consult a doctor (your treating or pediatrician of the child without a difference) who have prescribed treatment. Since Flemoklav penetrates into breast milk, the joint intake of this drug with the child's Augmentin is not very compatible. In this case, you need to look at the state, perhaps someone can do without and without an antibiotic. In an extreme case, if everything is started you can take and you and the child. Here it must be assumed that if the last doctor prescribed the drug and knew what the parent or the child was taking, then he had to take this into account in his appointment and simply had no other choice.
Guests
ana
I gave a 9 year old child (prescribed by a doctor) from him vomited and vomited, then she drank herself, too, was sick.
Guests
Leysan
Have appointed or nominated the child (11 years) Augmentin at a tonsillitis, has bought or purchased a dose 250/125. Who knows how many times a day to give?
Administrators
admin
LeysanChildren under the age of 12 years should use a dosage form in the form of a suspension.Children over 12 years of age can be given the indicated dosage of 1 tablet 3 times a day.
Guests
Nadina
The pediatrician prescribed an amoxiclav suspension for the child 125 times 3 times a day, given 2 days, then abandoned, after 3 days at a rate of 39, went to loroy, otitis media, prescribed augmentin 400 suspension 2 times a day, I gave 2 days, I was prescribed for 5 days, the pace keeps 38 not constantly, what should I do?
Administrators
admin
Nadina, Take 5 days, as you yourself note that the temperature jumps. Of course, if the first appointment was Augmentin and the reception was wrong, then it was necessary to prescribe another antibiotic, perhaps more powerful, but if so, then so. Take as long as prescribed by your doctor, then maybe replace with another if symptoms persist.
Guests
Vladimir
I accept Augmentin 2, in connection with which there are two questions:
1. Why the instruction on the drug does not say that it should be used in conjunction with a probiotic, for example Maksilak.
2. Will the drug help with flu with a high (28.5) temperature.
Administrators
admin
Vladimir, 1. Because there is no need for it. Probiotics (any) should be taken after the end of the course of antibiotics, and not at the time. What is the point of taking the probiotic together with the antibiotic, if the latter immediately destroys the beneficial bacteria from the probiotic.
2. With the flu will not help any antibiotic. Influenza is a viral infection, and antibiotics help with bacterial infections. As an option in the treatment of bacterial complications of influenza infection.
Guests
Eugene
The son was a year and ten, two days was a temperature of 38 with a penny. Have registered augmentin. Today we drink the first day. After the first reception, the temperature rose to 39. I'm shocked what to do? I called in the ambulance said that this could be. I gave the antipyretic tamper asleep to 36.5. By the evening, after taking the second dose, 38.6 again rose. Is it normal or should I change an antibiotic?
Administrators
admin
Eugene, The rise in temperature after taking antibiotics is generally a normal phenomenon if it lasts only a short time (2-4 days).The fact is that when antibiotics are taken, bacteria are destroyed and the products of their decomposition can cause a rise in temperature in the patient, as a response to the action of these pyrogenic substances on the body. Let's get more fluid for the baby, so that the body would take out all the byaku itself in a natural way.

If the temperature lasts a long time and there is no positive dynamics of treatment, then it can be said that the antibiotic is ineffective and it is necessary to change either the antibiotic or the treatment regimen in general.
Visitors
Lydia
The pulmonologist prescribed Augmentin 875/125 for 1 table. 3 times a day. The instructions say 2 times a day. Is not a very high daily dose obtained? The diagnosis is chronic bronchitis.
Administrators
admin
LydiaThe maximum daily dose of Augmentin is 6 grams. Recommended to you 3 grams per day is quite within the given framework. The instructions show the average therapeutic dosages for the average intensity of infections. Given the presence of chronic bronchitis, you need a higher dosage than the standard one.
Guests
Daria
To the child 3.4 months, already 3 times we accept Аугументин 400, and always helps, every 3 months we have tracheitis or bronchitis! But sometimes a child tears I do not understand from him or not, prescribe 4.5 mg for 13 kg of the weight of the daughter - it's not a lot and 7 days to drink 2 times a day?
Administrators
admin
Daria, young children get sick often and you will have to experience this period somehow. About the dosage of Augmentin - the instructions say, children older than 3 months should take the form of a suspension in a dosage of 20 mg per 1 kg of the child's weight in case of a weak bacterial infection and 40 mg per 1 kg of the child's weight in case of a strong infection. So either you messed up something, or your doctor made a mistake. Antibiotics need to drink the recommended dosage, otherwise all treatment goes wrong, and besides this, bacteria resistant to antibiotics are brought up. Please consult your doctor again for advice.
Guests
Irina
To the child 1,7, a laryngitis, have appointed augmentin 200 mg 2 times a day on 5,5 ml. Weight 9,5 kg. We drink the first day. Fenistil for 6 cap. 2 times a day. What do you think is the right treatment? Should I take a line or something else? Immediately give or after a course of antibiotic?
Administrators
admin
Irina, Fenistil and other antiallergic drugs when taking antibiotics, why appoint I do not know, all the same, the faded allergic reaction will show itself and it is better to see it immediately and change the drug to another, without allergies, than to swoop on the ambulance with the same edema Quincke. Therefore, Fenistil and others like them in antibiotic therapy are superfluous if they are not aimed at the pathogenesis of the disease itself.

Antibiotic to you the doctor has appointed or nominated in an average therapeutic dosage sufficient for treatment of standard bacterial diseases. In this regard, everything is fine, if the course of the disease is not severe. If heavy, you can give and a large dosage of the suspension of Augmentin.

I already wrote about probiotics that I prefer to give medicines (and probiotics are medicines too), only if there are grounds for doing so. If everything is in order with the digestive tract, then it is possible not to give, but to confine oneself to kefir and other fermented milk products after a course of antibiotic therapy. If you want to give Lineks, then give it after a course of antibiotics, short-term. If there are problems in the process of taking antibiotics, then you need to look at the nature of the manifestations, you may have to give medication and take it more seriously,than Lineks.
Guests
Yulia Galat
Child 1d. 5 months, weighing 8 kg. Assigned Augmentin 400 to 5 ml. 2 times a day. It seems to me that the dosage by weight is exceeded?
Administrators
admin
Yulia Galat, Yes, it seems like a mistake. As for the high dosage regimen (in case of severe infections), the dose of Augmentin is exceeded by a minimum of 2 times, and if the disease is of medium or low intensity, then more. It is necessary to correct the dosage according to the severity of the child's disease.
Guests
Oksana
The therapist has written out augmentin 875 + 125 on 1 tab. 2 times a day. In the pharmacy of the drug in this dosage was not, I bought augmentin SR 1000 + 62.5. As I understand, in this dosage of the active substance is more, why then it is necessary to take it on 2 tablets. 2 times a day?
Administrators
admin
Oksana, I explain, as recently I have been concerned with these issues. Augmentin SR is a specific antibiotic that is used exclusively for the treatment of penicillin-resistant pneumonia, it is the only indication and dosage of 2 tablets 2 times a day prescribed specifically for this indication.A simple substitution of normal Augmentin for CP can not be done and you should have told it in the pharmacy, since there will be less clavulanic acid for substitution in CP and this is another nuance. It's strange that this moment is unknown to pharmacists. You can not replace one with another.
Guests
Natalia
Hello! I was diagnosed with chronic tonsillitis on the basis of analysis of ASLO-273 (norm up to 200), a sowing tank from the throat (Streptococcus Gem gr.A.1 • 106) and examination of the tonsils (slightly enlarged, but no pus). There were practically no complaints and it was all quite accidental at all, so sometimes the throat may be a little sore, but there was never angina. The ENT was prescribed by Augmentin. On the 3rd day of admission lymph nodes on the neck increased. Is it somehow related to the drug?

I want to add. Lymphonoduses (I grope 3) are not increased much - no more than a pea. But only on the left side (left gland more right).
Administrators
admin
Natalia, Slightly enlarged tonsils and pus or no raids - we put chronic tonsillitis? An interesting policy for your ENT.I advise you to consult another specialist, because it is unclear what you are now treating. Although the diagnosis of angina or tonsillitis, we still will not be discarded, but antibiotics are taken during an exacerbation of a chronic disease, and not in a calm period. Antibiotic Augmentin with confirmation of tonsillitis can not be damaged.

What is the general purpose of referring to an otorhinolaryngologist? At us people without the reasons to doctors do not go, unfortunately. I will also advise you to pass a general blood test with a leukocyte formula, because you may have some mononuclear angina, although it does occur at high temperature, but it will not hurt to check.
Visitors
vladimir12061989
Visitor question vladimir12061989 Transferred to the drug Amikacin, where it is more appropriate.
admin
Guests
Rosalia
Diagnosis of chronic tonsillitis, tonsils of pus, blood ulcers, tonsils increased, the doctor attributed amoxiclav, in the nearest pharmacies of this drug was not offered augmentin, is it possible to replace the drug, is it also effective?
Administrators
admin
Rosalia, Adequate replacement. Augmentin is a good imported antibiotic with the same composition of active ingredients as Amoxiclav.
Visitors
Namo
Good afternoon! There was a constant problem with the throat. Chronic pharyngitis / tonsillitis. I made a swab from the throat and an antibioticogram. Found a golden staphilococcus to everything sensitive, except for penicillin in its pure form. Lor was not treated with antibiotics - he said to check his stomach. Stomach checked - it's all right. I went to the therapist. The therapist said that the infection should still be removed. Has written out augmentin 875 and has told or said to spend on drink 5 days on 1 tab. 2 times a day, despite the fact that at that time the disease was not exacerbated. I visited all the drugstores in my city and found only augmentin SR 1000 + 62.5. The apothecary said that he is better than the usual augmentin. I bought and after the instructions I drank 2 tablets 2 times a day for 5 days. A week later he noticed that his throat again made itself felt. And as it was - it does not hurt, but the condition seems to have squeezed the throat, a lump. So I think, or because of immunity it started to strain again, or it was necessary to take 875, not SR 1000.Although, there is more dosage there, it should work.
Thank you, if that tell me!
Administrators
admin
Namo, I will. There is absolute illiteracy in the appointment of antibiotics. The first - outside of an exacerbation anybody chronic tonsillitis antibiotics does not treat. The second - the Augmentin SR 1000 given in the pharmacy by the illiterate pharmacist is used only for the treatment of streptococcal pneumonia, if pharmacists carefully read the instructions, and not the prospectuses of medical representatives, they would know more.

If your problem gives you inconvenience and there are more than three exacerbations of tonsillitis for a year, or there are violations in the work of the heart and kidneys, and in addition you have already tried all the methods of conservative treatment of tonsillitis (washing of lacunae of tonsils, lubrication with antibacterial agents, tonsilotrene and the like) would advise to remove tonsils. In 90% of cases, they still come to this and everything else is only an additional pain for the patient. Naturally, if chronic tonsillitis really exists, and in tonsils there is a constant bacterial inflammatory process.
Visitors
Namo
Thank you very much for your answer!
I used to go to the lavage, where in the end the doctor said that there were no complaints about my tonsils. Therefore, I think that the sensation is more worried about chronic granulosa pharyngitis. These inflamed pellets are constantly on the back wall. Only when I, for example, get enough sleep and feel good - they are slightly less inflamed and do not bother me. And when a little factor (cold, nedosyp), they a little more inflamed and feeling, as if the throat was squeezed.
Therefore, I, nevertheless, do not tend to remove tonsils. By heart and kidneys there is no problem. Did uzi thyroid: a moderate hypoplasia of the thyroid gland, microcysts of the right lobe of the thyroid gland. They said that in general everything is fine. Handed over hormones shchitovidki: thyrotropic hormone and thyroxine free in absolute norm, only antibodies to TPO are raised. The therapist said it was because of the infection. Handed over the rheumatoid factor, antistreptolysin-O, SRB - everything is normal.
Augmentin SR, as you wrote earlier, I finished drinking almost 3 weeks ago. After that he drank bifidobacteria. What advise to do? To drink all the same augmentin 875 or something else to do? And another small question.The acute period of the disease as before, when the throat really hurted and there could be a temperature - now there are no months. 8. Instead, as I described to you - I can walk with a compressed throat the next day, everything feels normal on the next day, then again 2 days after throat. That is, a very acute stage, as such, no. But the back wall of the throat is constantly inflamed, only one day more, the other less. Can I drink antibiotics in this period? Because I really want to treat, I've already got it, and the acute stage can only wait for autumn or winter.
Thank you very much for your advice and time!
Administrators
admin
Namo, I would then advise you to drink the course of the drug Tonzilotren, while digging in Aqua Maris with dexpanthenol (spray in the nose) and alternating it with dropping into the nose droplets Pinosol on an oil base (bury a little more to get a sip in the throat). If this is really pharyngitis, then in a week your symptoms of irritation in the pharynx should go away. If it does not help - then it is worthwhile to find a good ENT for a thorough examination and treatment. You do not need antibiotics now, most likely there is no need for them.
Guests
LOVE
I have problems with the throat, I have cooled down a bit, I'm tired, nervous, my throat ill and my voice sits. With a cold in May 2015, the throat was very sick, the voice was completely gone, the temperature was added, then a cough. The therapist prescribed antibiotics, cuts, it's better, but the voice has not recovered. I say very quietly, ENT prescribed injections of calcium chlorine 10 injections. There are still no changes, by the evening I say hoarse, I went to Laura today, I prescribed augmentin 875/125, hexoral, septotlet. The throat does not hurt now, only the problem with the voice. Advise what to do ....
Administrators
admin
LOVE, Something with vocal cords. Maybe they have some kind of inflammatory and / or infectious process. So the purpose of ENT is justified. It is true that if after that the hoarseness of the voice remains (and the ENT will say that everything is clean in its part), then it will be necessary to check not only ligaments, but also the accompanying organs and diseases - the thyroid gland, oncology, that is all that can give a change in the voice and is beside.
Guests
Anastasia
Good afternoon! The child and her husband are on vacation. It was very bad there with the doctors. My ear aches, my fever has risen, I prescribed Augmentin 400 mg suspension of 7 ml 2 times a day. Have spent on drink 3 days. Today, they get on the train, whether it is possible to replace the suspension with tablets, confuses the amount of clavulanic acid at a similar dosage of amoxicillin. Those. if you replace 25 kg of weight with the recommended dose for 8 years, you get 250 mg tablets * 3 times = 750 mg per day, and 1125 mg is obtained in the suspension. The doctor advised to give 1.5 tablets 3 times a day, then you get the same dose of amoxicillin, but a large dose of clavulanic acid ... Thank you in advance for your reply.
Administrators
admin
Anastasia, Taking pills in your case is not indicated. They can be used in children from the age of 12. Your child does not meet the age criteria, so you should use an Augmentin suspension, which I thought you were prescribed in the correct dosage.
Guests
Galina
Good afternoon. The pediatrician prescribed a daughter of 7 years (weight 30 kg) Augmentin 500 mg - 2 tablets a day (due to the increase in one tonsil and pus). And according to the instructions, we have tablets early. Tell me how to calculate the suspension for our case. Thank you!
Administrators
admin
Galina, To replace the dosage form of Augmentin, you will still have to see a doctor, since there are nuances of calculating dosages depending on the severity of the disease. I can only reply with the words of the instruction: the recommended dosage regimen for children is 40 mg / kg 3 times a day. That is, for a suspension of 400 mg / 57 mg, 15 ml of the finished suspension is necessary. But, I repeat, it is better to the doctor.
Visitors
Sve-tik
Good afternoon! I started taking Augmentin 875 due to a sharp deterioration of the condition (pharyngitis). On the second day of the reception, by the evening I felt a squeezing pain in my chest (like a heavy weight on my chest was laid), it became hard to breathe. In the morning the pain passed, but by the next evening everything again happened again. And for the morning the unpleasant sensations in the chest were preserved. (Apparently the cumulative effect). The drug I take the fourth day. Tell me, please, can it be an allergic reaction to Augmentin?
Administrators
admin
Sve-tik, There may be side effects from Augmentin, and maybe heart problems.The age and previous possible reception of Augmentin are not specified to understand what effect and what you observe in yourself.
Visitors
Swallow_N
Hello. Please help with the dosage. I have been coughing for 2,5 weeks, during this time I drank various drugs prescribed by doctors. Today, a left-sided lower-lobe pneumonia was diagnosed on the x-ray (before that, the fluorography showed nothing, the wheezing is not audible), since previously I was discharged AB Glevo with a diagnosis of tracheobronchitis, today I finish taking it. Improvements on this AB did not come any, and the X-ray diagnosed pneumonia precisely at the reception of AB. From tomorrow, the doctor prescribed a drug Augmentin 1 g. 2 times a day for 7 days. In the pharmacy I was sold for this purpose Augmentin SR 1000 mg, showing that this is the dosage of 1 g. A question: how all the same it or him to accept? As written in the instructions for (and the word PO there is missing) 2 tablets 2 times a day or as a doctor wrote 1 gr 2 times a day? And did he mean this drug in general at the appointment? Thank you.
Administrators
admin
Swallow_N, I would clarify the doctor's appointment. Under the instruction it is valid on 2 tablets 2 times a day. And you bought a good Augmentin. CP is a good drug for the treatment of community-acquired pneumonia. Glevo - also an excellent antibiotic, but apparently in the spectrum did not hit, and therefore came out as a result of pneumonia.
Visitors
Swallow_N
admin, Thank you for the answer. I ended up in the hospital and were treated with other drugs.
Administrators
admin
Swallow_N, It's even better in your situation, because I myself do not like to treat pneumonia at home - it is fraught with possible complications, only as an extreme measure. Get well.
Visitors
Natalka
Hello! To the child of 2,2 years - have diagnosed ORVI, and a tonsillitis (in my opinion, I can be mistaken in the name), a problem that the child strongly coughs. Assigned Augmentin 200 mg, 7.5 ml * 2 times a day for 5 days (the weight of the child 12 kg). And Linex 3 times a day on a pill. In parallel, we drink Prospan and pee in the throat of Miramistin.
In the evening, they began taking Augmentin. In the morning took a second time. The child did not have a stool in the morning, although previously it was always as scheduled.In the afternoon, terrible diarrhea began, 4 times with a break of 30-40 minutes. Then three hours was not and in the evening again a couple of times. In the morning the next day again. There is a lot of liquid, even the diaper does not stand. My son is already hurt when washing. Does it make sense to wait for the end of the second day after the onset of diarrhea and when it continues to call a doctor? Or it is necessary to replace an antibiotic? Or, perhaps, advise what can stop diarrhea. Thank you in advance!
Administrators
admin
Natalka, Diarrhea is severe, due to the description of the problem as an antibiotic. It is better to consult with a doctor about the volume of the stool and its frequency. There are two solutions to this problem - either adding a probiotic (Lineks, Bifidumbacterin and others by the age of the child) to the treatment regimen for loosening the stool, or replacing the antibiotic with another that is less aggressive for your child. Wait is meaningless, because the problem was repeated the next day with the same symptoms.
Visitors
Olga1825
Good afternoon. Pregnancy is 26 weeks.Have appointed augmentin in connection with pyelonephritis. Dosage 1000 (875 + 125) 1 tablet 2 times a day. I'm worried if the dosage is exceeded? Maybe you need 1 tablet 1 time per day?
Administrators
admin
Olga1825, Augmentin can be used during pregnancy only as directed by the doctor, when the risk and benefits of using the drug for the mother and fetus have been evaluated. The dosage of the antibiotic can not be reduced at the same time, therefore, everything has been formally done correctly - the average therapeutic dosage of the antibiotic and the frequency of administration are 1 tablet (875 + 125) 2 times a day.
Guests
Anton
Whether it is possible to take augmentin on an empty stomach, that is in the morning before meal?
Administrators
admin
Anton, It is possible, but the optimal absorption of the drug Augmentin is possible only with the reception at the beginning of the meal, and not instead of eating. Also, do not forget about the increase in the incidence of potential side effects with such a disrupted drug intake (the risk of dyspepsia, diarrhea increases).
Visitors
Yuryich
Hello. I am 27 years old. 2 weeks ago the throat was ill, it was ill not strongly, but to swallow it was bolnovato. I did self-medication, squirted, drank vitamin C in large doses, lollipops were different, but nothing helped. It became easier, but after a while the throat again felt itself. Has subscribed to reception to ENT the doctor. He looked at the nose, ears, when I opened my mouth, he said, immediately visible infection. Has appointed or nominated to me augmentin Wed 1000 + 62,5gr, when I asked why he, to me has told or said, that at me the infection is sensitive to penicillin cases. Hence, I have a question whether I was prescribed an antibiotic correctly, since my throat was sore and there was no temperature. I read your answers here, and as I understand it, it was this drug, with the end of Wed, for pneumonia. Thank you!
Administrators
admin
Yuryich, Augmentin SR is still a new drug for our market, so the manufacturer periodically makes additions and changes to the instructions, in particular, they have been added to the indications for streptococcal pneumonia - chronic bronchitis and acute bacterial sinusitis (sinusitis). Your angina (judging by the description and symptomatology) does not fall into one of the indicated indications,so I believe that the doctor is not right and it was necessary to appoint a standard Augmentin 875 + 125, which is effective even in the treatment of angina. But I can not interfere with the appointment of your doctor, so I advise you to consult again, maybe from another specialist.
Visitors
annaglazunova
The doctor prescribed the child 11 years old with a weight of 43 kg augmentin 875 mg + 125 1 tab 2 times a day. Suspicion of genyantritis will be more exact tomorrow. Prompt dosage to us approaches or suits?
Administrators
admin
annaglazunova, Children weighing more than 40 kg dosages prescribed as an adult, i.e. in your case 1 tablet Agumentina 875 + 125 2 times per day. The dosage of the doctor was right, but the validity of the appointment of an antibiotic, it directly to your specialist and diagnostic skills, then I will not be able to add more. Sinusitis, of course, must be treated with antibiotics.
Visitors
Lelja
Hello. I have a rest with children in Italy. I had an angina. Have registered Augmentin. Today 3 days, I feel good.Is it possible with the children on the beach, and then the poor go crazy, being with me in the room. Interested in the possibility of photoreaction? Thank you.
Administrators
admin
Lelja, Photosensitivity (as you called in the question of photoreaction) in the side reactions of Augmentin were not noted. And according to experience, patients were free in the open sun during antibiotic intake without damaging the skin. Another question is whether you can stay in the active sun for a disease - it should be decided by the attending physician.
Guests
Dima
The doctor prescribed Augmentin 875/125 for 2 tablets a day. There was a side effect - headache and dizziness. Can I somehow get rid of side effects, other drugs, for example, Nurofen?
Administrators
admin
DimaIf there are side effects when taking any drug, usually no additional medications are used to eliminate these symptoms. Change either the dosage, or the medicine itself. Still there is such an option for short-term courses of therapy - if the condition is not life-threatening and the person adequately tolerates side-effects,then take the medication until recovery and then cancel.
Visitors
Elena-Polina
Good afternoon! We are at the resort and with ourselves there is only Augmentin in tablets 250/125, daughter 4,5 months, weight 16,5 kg. The doctor diagnosed unconfirmed bronchopneumonia. The horns on the left. He said, since nothing else is there, then drink an antibiotic 1 tablet 2 times a day. Tell me, please, is this the correct dosage? And is it possible tomorrow, if I find a suspension in pharmacies, that I replace the form of an antibiotic? What dosage of a suspension is better to buy? Thank you in advance!
Administrators
admin
Elena-PolinaClavulanic acid tablets contain more than two times greater than the suspension for children in comparable doses of amoxicillin (Augmentin - bicomponent antibiotic contains in its composition amoxicillin and clavulanic acid), it may increase side effects, particularly nausea, vomiting or diarrhea. Therefore, a suspension or any other pediatric form is needed. You can agree to replace suspensions with tablets only if the medical insurance is forgotten at home and you are on a desert island; in another case, you can find enough antibiotic substitutes for children in any country in pharmacies.

The dose of Augmentin for a child of your age is 30 mg / kg per day in 2 divided doses as an Augmentin suspension of 125 mg / 31.25 in 5 ml. In total, 495 mg of amoxicillin (it turns out that the dosage of tablets is prescribed is correct) or about 20 ml of the suspension. That is 10 ml in the morning and 10 ml in the evening. But this dosage for angina, sinusitis, bronchitis, in relation to pneumonia, you may need a higher dosage. This should be asked the doctor who watched the child, and confirm the diagnosis by X-ray, analyzes. Age is very small to dose at random.
Guests
Irina
Hello. At my husband after a flu, already an one and a half month plentiful rhinitis, the doctor has appointed augmentin. At the husband after the first reception the head strongly hurts. Has started to drink at once tsitramon. Easier. Now he again took - a strong headache.
Guests
Galina
Before the New Year I caught a cold. The doctor was called only on January 12, as after lunch the temperature increased all the time to 39. It turned out right-sided n / share pneumonia. (has shown a roentgenography). The doctor immediately prescribed augmentin.After taking the first pill, there was surprisingly no temperature at all (34.8). This t-ra stayed for 3 days, although I still drank tea with raspberries. Today is the last day of taking this medicine. True after 5 days the doctor still prescribed zinnat. Tomorrow I'm going to a second shot. There were no adverse reactions from antibiotics. The truth was at first confused by a sharp drop in temperature from 38.5 to 34.8. Today is 36.2. The cough has practically passed, though it happens in the mornings, but without wheezing. In total, I took a 10-day course of 2 tablets a day augmentin and 10 zinnate tablets.
Guests
, Svetlana
The drug is normal. I had a viral infection - it helped. And constantly the colic was in the chest for about a year, too, passed almost. It's easier now.
Administrators
admin
, SvetlanaIn the treatment of viral infection, antibiotics are useless, including Augmentin.
Administrators
admin
Question of the visitor of the site Ekaterina Catherine moved to the required section:
Prompt, please, pregnancy 28 weeks, one week ago the doctor has appointed or nominated augmentin (analogue amoksiklava) on 1000 mg 2 times a day for 7 days.On blood and smear tests (enterococcus fecal), I drank 6 days, tk. I was sold in a pharmacy box with 12 tablets. Is it necessary to drink it for 7 days? Thank you.
Ekaterina Catherine, 6 days should suffice. Especially to struggle with fecal enterococcus for a long time is useless, it is an obligate or conditionally pathogenic flora, constantly present in a person, but is activated only with a decrease in immune defense, including can be reactivated during pregnancy.
Guests
M
I had insomnia and depression.
Visitors
Olga 911
Good day! After the surgery the doctor prescribed Augmentin 870/125 7 days 2 times a day and Nimika 3 times a day, the course of 7 days + started taking Suprastin, according to the advice of a pharmacist. On the 5th day, something like a thrush began. The instructions did not see such a side effect. It can be because of an antibiotic?
Administrators
admin
Olga 911, Infringement of a microflora, development of fungal diseases, like a thrush or a candidiasis is possible during reception of antibiotics.Contact your doctor and / or gynecologist for adjustments in the treatment and prescription of antifungal drugs of local or systemic action to combat this side effect of antibiotic therapy.
Visitors
Vikki
Hello. The tonsils became inflamed, it hurts not the first day, the temperature is 37 and 2, there are no more symptoms ... Weight about 50 kg. I drink Augmentin 250/125 3 times. Is the dosage correct? Thank you.
Administrators
admin
Vikki, Adults and children over 12 years of age take Augmentin in adult dosages - 1 tablet of 500 mg / 125 mg 3 times a day, or 1 tablet of 875 mg / 125 mg twice a day. It should be remembered that 2 tablets of 250 mg / 125 mg are not equivalent to 1 tablet of 500 mg / 125 mg.
Guests
Alyona
Tell me how to take augmentin 500 mg if you are prescribed augmentin 1000 mg? Two tablets instead of one? By appointment, the doctor needs 2 times a day 1 tablet augmentin 1000 mg, and in the pharmacy was only 500. Thank you.
Administrators
admin
AlyonaIf you are prescribed Augmentin SR, which goes in a dosage of 1000 mg, you can not, because the amount of clavulanic acid in it is different 62.5 mg than in two tablets of Augmentin 500 mg (they contain 125 mg of clavulanic acid). So this replacement will not work and is not recommended, including by the manufacturer of this antibiotic.
Administrators
admin
Site visitor question Nik2000 moved to the required section:
Hello. For 5 days, the disease was prescribed augmentin (I understand this is the same absolute analog of amoxiclav), all five days was a temperature of 39 or more, just the fifth rose above forty, and then prescribed an antibiotic in a dosage of 500 mg 3 times a day. Diagnosis of tracheitis or tracheolaringitis. I take an antibiotic for 2 days, the temperature can be said does not drop (in general 7 days), except that it does not rise above 39.5. Does this mean that the antibiotic does not help? Maybe you should switch to a dosage of 875 mg 2 times a day? If so it is possible. Or continue this treatment (500 mg 3 times a day)? And if it is still better to increase the dosage, is it possible, for example, to switch to amoxiclav, or is it worth continuing treatment with augmentin? I suppose the difference in essential should not be when replacing augmentin with amoxiclav.Although not so important, the main point of the issue is in the dosage, if I should continue to use this drug at all. In advance thanks for the answer.
Nik2000, I would initially have prescribed 875 mg 2 times a day, given the development of the infectious process in your situation. Replacing Amoxiclav globally does not give anything, because it is an absolute analogue of the active substance of the antibiotic Augmentin.
Visitors
Valery Baslerov
Good afternoon. The situation is as follows: at the beginning of June I fell ill, at first it seemed to be nothing special, then it turned into a bronchitis with a temperature of wheezing, spasmodic cough and all pribluda in a couple of days. I started taking augmentin 875 tablet a day. I drank a week, it became better, but tonsillitis worsened, my ear fell, my voice was gone, there was still cough, but my sputum was clean. I tell my sister in a business that looks like a streptococcal infection, to which she tells me "oh we already have children (two children 5 and 6 years) already two years, then otitis, then we catch angina ...
So I realized that the treatment of 1 tablet a day removed my bronchitis, but most likely left the infection (tonsillitis manifested after the abolition of antibiotics).Five days have passed since the withdrawal of augmentin. What to do now? To take another antibiotic or continue to be treated with augmentin, but increase the dosage by 2 tablets a day? Or can you wait until it passes and use antiseptics and antibacterial drugs?
Administrators
admin
Valery BaslerovYou need to watch your alleged tonsillitis and what caused it. Variants can be from a fungal infection, then the antibiotic will harm, before the exacerbation of chronic tonsillitis due to improper use of the antibiotic, and do not rule out a viral infection if there is contact with small children and their relatives. Without an ENT consultation, no one will say for sure. While trying rinse, warm drink, dissolve local antiseptics, better on herbs and do not tighten with a hike to the doctor.

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