Neonatal Intensive Care Drug Manual




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Amoxycillin


Revision Date : 16-11-2020

Approved : TC, KOH




Alert



S4 – High risk medicine.

Antimicrobial Stewardship Team recommends this drug is listed as unrestricted.



Indication


Directed treatment of infections caused by

  1. susceptible gram positive (including Streptococcus species, Enterococcus faecalis and Listeria monocytogenes) and

  2. susceptible gram negative bacteria (some strains of Escherichia coli, non-beta-lactamase-producing Haemophilus influenzae, Neisseria meningitidis, non-penicillinase-producing strains of Proteus and Salmonellae).

Empiric treatment of suspected early onset sepsis including meningitis, with an aminoglycoside.

Action

Bactericidal – inhibits synthesis of the bacterial cell wall. Amoxicillin is hydrolysed by beta-lactamases and therefore not effective against penicillinase-producing bacteria.

Drug Type

Antibacterial – semi-synthetic, bactericidal aminopenicillin

Trade Name

Alphamox Suspension [Alphapharm], Amoxil Paediatric Drops [Aspen], Amoxil Parenteral [Aspen], Amoxil Syrup Forte Sugar Free [Aspen], Amoxil Syrup Sugar Free [Aspen], Amoxycillin Sandoz [Sandoz], APO-Amoxycillin [Apotex], Bgramin [Ascent Pharma], Chemmart Amoxycillin [Apotex], Cilamox Sugar Free Syrup [Aspen Pharma], Fisamox [Aspen], Ibiamox [Willow], Maxamox [Sandoz], Ranmoxy Granules [Ranbaxy], Terry White Chemists Amoxycillin [Apotex]

Presentation

IV: Amoxicillin sodium 500 mg and 1 g vials.

Oral: Syrup 125 mg/5 mL and 250 mg/5 mL; Paediatric drops 100 mg/mL.




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Neonatal Intensive Care Drug Manual

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