Apoxy DS

Apoxy DS Uses, Dosage, Side Effects, Food Interaction and all others data.

Amoxycillin is a semi-synthetic antibiotic, an analog of ampicillin, with a broad spectrum of bactericidal activity against many gram-positive and gram-negative microorganisms. Amoxycillin is bactericidal against susceptible organisms during the stage of active multiplication. It acts through the inhibition of biosynthesis of cell wall mucopeptides.

Apoxy DS competitively inhibit penicillin binding proteins, leading to upregulation of autolytic enzymes and inhibition of cell wall synthesis. Apoxy DS has a long duration of action as it is usually given twice daily. Apoxy DS has a wide therapeutic range as mild overdoses are not associated with significant toxicity. Patients should be counselled regarding the risk of anaphylaxis, Clostridium difficile infections, and bacterial resistance.

Trade Name Apoxy DS
Availability Prescription only
Generic Amoxicillin
Amoxicillin Other Names Amox, Amoxicilina, Amoxicillin, Amoxicilline, Amoxicillinum, Amoxycillin, p-Hydroxyampicillin
Related Drugs prednisone, omeprazole, albuterol, pantoprazole, doxycycline, ciprofloxacin, cephalexin, metronidazole, azithromycin, clindamycin
Type
Formula C16H19N3O5S
Weight Average: 365.404
Monoisotopic: 365.104541423
Protein binding

Amoxicillin is 17% protein bound in serum.

Groups Approved, Vet approved
Therapeutic Class Broad spectrum penicillins
Manufacturer
Available Country Bangladesh
Last Updated: September 19, 2023 at 7:00 am
Apoxy DS
Apoxy DS

Uses

Apoxy DS is used for the treatment of the following bacterial infections when caused by susceptible organisms:

  • Respiratory tract, ENT infections: Acute and chronic bronchitis, pneumonia, otitis media, sinusitis, tonsillitis, pharyngitis & laryngitis, lobar & bronchopneumonia, chronic bronchial sepsis.
  • Urinary tract infections: Pyelonephritis, cystitis and urethritis.
  • Obstetric & gynaecological infections: Bacteriuria in pregnancy, septic abortion, intra-abdominal sepsis and puerperal sepsis.
  • Gastro-intestinal infections: Typhoid and paratyphoid.
  • Skin & soft tissue infections: Cellulitis, infected wounds and abscesses.
  • Generalized infections: Septicemia, bacterial endocarditis, meningitis, peritonitis and osteomyelitis.
  • Venereal infections: Gonorrhea and syphilis. Apoxy DS may also be used as prophylactic cover for patients at risk of developing endocarditis when undergoing dental surgery.

Apoxy DS is also used to associated treatment for these conditions: Acute Bacterial Sinusitis (ABS), Acute Otitis Media, Acute Otitis Media (AOM), Bacterial Infections, Community Acquired Pneumonia (CAP), Duodenal ulcer caused by helicobacter pylori, Genitourinary infections, Helicobacter Pylori Infection, Lower Respiratory Tract Infection (LRTI), Peptic Ulcer With H. Pylori Infection, Sinusitis, Skin and Subcutaneous Tissue Bacterial Infections, Urinary Tract Infection, Acute, uncomplicated Gonorrhea, Ear, nose, and throat infections

How Apoxy DS works

Apoxy DS competitively inhibits penicillin-binding protein 1 and other high molecular weight penicillin binding proteins. Penicillin bind proteins are responsible for glycosyltransferase and transpeptidase reactions that lead to cross-linking of D-alanine and D-aspartic acid in bacterial cell walls. Without the action of penicillin binding proteins, bacteria upregulate autolytic enzymes and are unable to build and repair the cell wall, leading to bacteriocidal action.

Dosage

Apoxy DS dosage

Ear/Nose/ThroatInfection (Mild to Moderate):

  • Adult:500 mg every 12 hours or 250 mg every 8 hours
  • Children:25 mg/kg/day in divided doses every 12 hours or 20 mg/kg/day in divided doses every 8 hours

Ear/Nose/ThroatInfection (Severe):

  • Adult: 875 mg every 12 hours or 500 mg every 8 hours
  • Children: 45 mg/kg/day in divided doses every 12 hours or 40 mg/kg/day in divided doses every 8 hours

Lower respiratory tractInfection (Mild/ Moderate/Severe):

  • Adult: 875 mg every 12 hours or 500 mg every 8 hours
  • Children: 45 mg/kg/day in divided doses every 12 hours or 40 mg/kg/day in divided doses every 8 hours

Skin/skin structureInfection (Mild/Moderate):

  • Adult: 500 mg every 12 hours or 250 mg every 8 hours
  • Children: 25 mg/kg/day in divided doses every 12 hours or 20 mg/kg/day in divided doses every 8 hours

Skin/skin structureInfection (Severe):

  • Adult: 875 mg every 12 hours or 500 mg every 8 hours
  • Children: 45 mg/kg/day in divided doses every 12 hours or 40 mg/kg/day in divided doses every 8 hours

Genitourinary tractInfection (Mild/ Moderate):

  • Adult: 500 mg every 12 hours or 250 mg every 8 hours
  • Children: 25 mg/kg/day in divided doses every 12 hours or 20 mg/kg/day in divided doses every 8 hours

Genitourinary tractInfection (Severe):

  • Adult: 875 mg every 12 hours or 500 mg every 8 hours
  • Children: 45 mg/kg/day in divided doses every 12 hours or 40 mg/kg/day in divided doses every 8 hours

Gonorrhea, Acute, uncomplicated ano-genital, and urethral infections in males and females:

  • Adult: 3 g as single oral dose
  • Prepubertal children: 50 mg/Kg/Amoxycillin, combined with 25 mg/kg Probenecid as a single dose. Since Probenecid is contraindicated in children under 2 years, do not use this regimen in these cases.

Suspension: Shake the bottle well before adding water. Then add 12 tea spoonful (60 ml) of boiled and cooled water to the bottle and shake well to make 100 ml suspension.

Amoxycillin 500 mg Injection:

  • Intramuscular : Add 2.5 ml water for injection to Amoxycillin 500 mg injection vial.
  • Intravenous : Dissolve Amoxycillin 500 mg injection in 10 ml water for injection.

Side Effects

Side effects are mild, rare and infrequent. As with other penicillins, it may induce diarrhea, indigestion or skin rashes that usually stop during treatment and rarely calls for discontinuation of therapy.

Toxicity

Patients experiencing an overdose may present with hematuria, oliguria, abdominal pain, acute renal failure, vomiting, diarrhea, rash, hyperactivity, and drowsiness. Treat overdose with symptomatic and supportive treatment, which may include emesis or hemodialysis.

Precaution

In renal impairment, the excretion of antibiotic will be delayed and depending on the degree of impairment it may be necessary to reduce the total daily dose.

Interaction

The simultaneous use of Apoxy DS and an oral contraceptive might cause breakthrough bleeding or pregnancy on rare occasions. Concurrent administration of probenecid delays the excretion of Apoxy DS.

Food Interaction

  • Take with food.

Volume of Distribution

The central volume of distribution of amoxicillin is 27.7L.

Elimination Route

Apoxy DS is approximately 60% bioavailable. A 250mg dose of oral amoxicillin reaches a Cmax 3.93±1.13mg/L with a Tmax 1.31±0.33h and an AUC of 27.29±4.72mg*h/L. A 875mg dose of oral amoxicillin reaches a Cmax 11.21±3.42mg/L with a Tmax 1.52±0.40h and an AUC of 55.04±12.68mg*h/L.

Half Life

The half life of amoxicillin is 61.3 minutes.

Clearance

The mean clearance of amoxicillin is 21.3L/h.

Elimination Route

125mg to 1g doses of amoxicillin are 70-78% eliminated in the urine after 6 hours.

Pregnancy & Breastfeeding use

Because of its lack of teratogenicity, Apoxy DS can beused safely throughout pregnancy at the normal adult dose. The small amount of Apoxy DS secreted in maternal milk rarely causes problem in the infant. It can therefore be used safely during lactation in most instances.

Contraindication

Apoxy DS is contraindicated for patients hypersensitive to penicillin, infectious mononucleosis, neonatal period or babies born of mothers hypersensitive to penicillin

Acute Overdose

If encountered, gastro-intestinal symptoms and disturbance of the fluid and electrolyte balance may be evident. They may be treated symptomatically and supportive with attention to the water/ electrolyte balance. In the absence of an adequate fluid intake and urinary output, crystalluria is a possibility and the antibiotic may be removed from the circulation by haemodialysis. Oral administration can cause gastro intestinal symptoms such as transient diarrhoea, nausea and colic which are dose related and a result of local irritation not toxicity.

Storage Condition

Store in a cool & dry place protected from light. Apoxy DS suspension and drops should be freshly prepared, stored in a cool dry place preferably in a refrigerator. Reconstituted suspension and drops should be used within 5 days if kept at room temperature or within 7 days if kept in a refrigerator.

Innovators Monograph

You find simplified version here Apoxy DS

Apoxy DS contains Amoxicillin see full prescribing information from innovator Apoxy DS Monograph, Apoxy DS MSDS, Apoxy DS FDA label

FAQ

What is Apoxy DS used for?

Apoxy DS is used to treat bacterial infections, such as chest infectionsand dental abscesses.

How safe is Apoxy DS?

Apoxy DS is a safe and affordable antibiotic; however, it is not the right antibiotic for all infections. It is important not to share your antibiotics with anyone. An antibiotic is prescribed specifically for you and your particular type of bacterial infection.

How does Apoxy DS work?

Apoxy DS work by binding proteins and inhibiting certain processes in bacterial cells.

What are the common side effects of Apoxy DS?

The most common side effects of Apoxy DS are feeling sick and diarrhoea. Liquid Apoxy DS can stain your teeth. This does not last and is removed by brushing. You can drink alcohol while taking Apoxy DS.

Is Apoxy DS safe during pregnancy?

Apoxy DS is in the penicillin family of antibiotics. Some antibiotics are safe to take during pregnancy, while others are not.Apoxy DS is considered a pregnancy category B drug by the U.S. Food and Drug Administration. That means it’s considered safe to take while pregnant. it's considered safe to take while pregnant.

Is Apoxy DS safe during breastfeeding?

Apoxy DS is used to treat infections in babies and it can be used by women who are breastfeeding.Apoxy DS passes into breast milk and although this is unlikely to have any harmful effects on a nursing infant, it could theoretically affect the natural bacteria found in the baby's mouth or gut.

Can I drink alcohol with Apoxy DS?

Yes, you can drink alcohol while taking the antibiotic Apoxy DS. The alcohol will not stop Apoxy DS from working. However, many health professionals will recommend you avoid alcohol to give your body the best chance possible to fight the infection.

Can I drive after taking Apoxy DS ?

Apoxy DS can have side effects and the symptoms may make you unfit to drive. Do not drive or operate machinery unless you are feeling well.

When should be taken of Apoxy DS?

Apoxy DS is usually taken every 12 hours or every 8 hours with or without food. The length of your treatment depends on the type of infection that you have. Take Apoxy DS at around the same times every day.

Should Apoxy DS be taken on an empty stomach?

Take this medicine by mouth with a glass of water. Follow the directions on your prescription label.You can take it with or without food. If it upsets your stomach, take it with food.

Can I take Apoxy DS once a day?

Apoxy DS is ideal for once-daily dosing due to its low cost.

How long should Apoxy DS take to work?

Apoxy DS begins to work quickly after a patient takes it, and it reaches peak blood concentrations in about one or two hours, according to the drug's label. However, improvement in symptoms will take longer.

How long do Apoxy DS stay in my system?

After taking an oral dose of Apoxy DS, 60% of it will be out of your system in 6 to 8 hours.

Can I take Apoxy DS for a long time?

A person may take antibiotics for a long time for severe or continued infections, such as osteomyelitis. Doing so puts them at higher risk of long-term complications , including crystalluria, hemolytic anemia, and nephritis.

How long can I take Apoxy DS?

Apoxy DS also depends on the type of infection you're treating. Most antibiotics should be taken for 7 to 14 days.

How should not take Apoxy DS?

You should not use Apoxy DS if you are allergic to any penicillin antibiotic, such as Apoxy DS.

What happens if I miss a dose of Apoxy DS?

Skip the missed dose and use your next dose at the regular time. Do not use two doses at one time.

Can Apoxy DS effects my fertility?

Antibiotics affect both the quantity and quality of sperm. They may reduce the number of sperm a man produces, and make the sperm he does produce swim more slowly.

What happen if I overdose on Apoxy DS?

Antibiotic overdoses are rarely dangerous, but stomach upset and diarrhea may occur. Taking the wrong antibiotic is a problem if someone is allergic to the drug.

Does Apoxy DS make sleepy?

If you're taking prescription Apoxy DS, you may feel tired and fatigued.

Can I take Apoxy DS before bed?

It is generally not a good idea to take these medications right before bedtime.

Do Apoxy DS weaken my immune system?

Very rarely, antibiotic treatment will cause a drop in the blood count, including the numbers of white cells that fight infection. This corrects itself when the treatment is stopped.

Do Apoxy DS affect the liver?

Apoxy DS are a common cause of drug-induced liver injury.

*** Taking medicines without doctor's advice can cause long-term problems.
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