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Antibiotic (penicillin combined with a beta-lactamase inhibitor)

Amoxicillin/Clavulanate: uses, side effects & precautions

Also known as Augmentin, Co-amoxiclav, Clavulin.

Ces informations sont fournies à titre indicatif uniquement et ne constituent pas un avis médical. Consultez toujours un professionnel de santé qualifié pour toute préoccupation médicale personnelle. En cas d'urgence, appelez votre numéro d'urgence local.

What it is used for

  • Respiratory and chest infections
  • Sinus and ear infections that have not responded to other antibiotics
  • Some urinary tract infections
  • Skin and soft-tissue infections
  • Dental infections
  • Animal or human bite infections

How it works

This medicine combines amoxicillin (a penicillin antibiotic) with clavulanic acid. Clavulanic acid blocks an enzyme that some bacteria use to defend themselves against penicillins, so the combination can work against bacteria that plain amoxicillin cannot.

How it is taken

Comes as tablets and a liquid (oral suspension), and as an injection in hospital. Take it exactly as your doctor or pharmacist directs and follow the label. Taking it with or just before food can reduce stomach upset. Complete the course as advised rather than stopping early on your own.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Diarrhoea (more common than with amoxicillin alone)
  • Nausea
  • Vomiting
  • Stomach upset
  • Thrush

Serious effects — get help

  • Signs of a severe allergic reaction such as facial or throat swelling and difficulty breathing
  • Yellowing of the skin or eyes or dark urine (possible liver problem, which can sometimes appear days or weeks after stopping)
  • Severe, persistent or bloody diarrhoea
  • Severe skin reactions such as blistering or peeling

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Blood-thinning medicines such as warfarin
  • Methotrexate
  • Allopurinol
  • Other antibiotics
  • Hormonal contraception may be less reliable during vomiting or diarrhoea

Who should take care

  • Tell your clinician about any penicillin allergy
  • Tell your clinician if you have had liver problems or jaundice with this medicine before
  • Tell your clinician if you have kidney problems
  • Discuss pregnancy or breastfeeding with your doctor or pharmacist
  • Mention glandular fever, which raises the chance of a rash

Frequently asked questions

How is this different from plain amoxicillin?
It contains an extra ingredient, clavulanic acid, that helps overcome certain resistant bacteria. Your clinician chooses it when plain amoxicillin may not be strong enough.
Why does it upset my stomach more?
The clavulanic acid component makes diarrhoea and stomach upset more common. Taking the medicine with food can help; tell your pharmacist if it is troublesome.
Can it affect my liver?
Rarely it can cause liver problems, sometimes appearing after the course ends. Seek medical advice promptly if you notice yellowing of the skin or eyes or dark urine.
Is it safe in pregnancy?
Discuss this with your doctor or pharmacist, who will weigh the benefits and risks for your situation.

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