Neonatal Intensive Care Drug Manual




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Amoxicillin Clavulanate


Revision Date : 16-11-2020

Approved : TC, KOH




Alert

Not for intramuscular administration. The pharmacokinetics of clavulanate has not been evaluated in neonates. Dose and frequency are product specific and the products are not interchangeable. 5:1 ratio of amoxicillin and clavulanate used are for intravenous and 4:1 ratios of amoxicillin and clavulanate used for oral administration in neonates.

Indication

Directed treatment of susceptible bacterial infections covered by amoxicillin but producing beta-lactamase when amoxicillin alone is ineffective; including skin infection, ear infection, sinusitis, urinary tract infection, upper and lower respiratory tract infection, and animal bites. [1,2]


Action

Semi-synthetic penicillin with similar antibacterial spectrum as ampicillin. It is bactericidal against both, gram-positive and gram-negative bacteria but is destroyed by beta-lactamase produced by many of, these bacteria. Clavulanate binds irreversibly with beta-lactamases produced by a variety of gram-, positive and gram-negative microorganisms and protects amoxicillin from degradation. Thus extending, the spectrum of amoxicillin. [1], Amoxicillin is better -absorbed than ampicillin, following oral administration. [1]


Drug Type

Antimicrobial agent – Beta-lactam aminopenicillin and Beta-lactamase inhibitor combination

Trade Name

Oral: Curam 125mg/31.25mg Powder for Suspension,

IV: Amoxiclav Juno 1000/200, Curam 500/100, Curam 1000/200,





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Neonatal Intensive Care Drug Manual

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