What is amoxicillin used for. How is amoxicillin dosed. Can you buy amoxicillin online. What are the common side effects of amoxicillin. How does amoxicillin work against bacterial infections.

Understanding Amoxicillin: A Widely Prescribed Antibiotic

Amoxicillin is a broad-spectrum antibiotic that belongs to the penicillin class of drugs. It’s one of the most frequently prescribed medications, with over 50 million prescriptions filled annually in the United States. This antibiotic is known for its effectiveness in treating various bacterial infections while having a relatively low risk of severe side effects.

How does amoxicillin work? This medication inhibits bacteria’s ability to grow by interfering with their cell wall synthesis. Its mechanism of action involves pairing an extra amino group with penicillin, which helps combat antibiotic resistance.

Common Brand Names for Amoxicillin

• Amoxil
• Moxilin
• Amoxicit
• Biomox

Is amoxicillin available in combination with other drugs? Yes, it’s sometimes combined with potassium clavulanate to form amoxicillin-potassium clavulanate, which can enhance its effectiveness against certain bacterial strains.

Amoxicillin Uses: Treating a Wide Range of Bacterial Infections

Amoxicillin is a versatile antibiotic used to treat numerous bacterial infections. However, it’s important to note that it’s ineffective against viral or fungal infections.

Common Conditions Treated with Amoxicillin

1. Dental infections (e.g., periodontitis)
2. Ear, nose, and throat infections (e.g., strep throat, bacterial sinusitis)
3. Bacterial pneumonia
4. Urinary tract infections
5. Lyme disease
6. Skin infections
7. Anthrax exposure
8. H. pylori infections

Why is it crucial to use amoxicillin only when necessary? Using antibiotics like amoxicillin unnecessarily or incorrectly can lead to antibiotic resistance, rendering the medication ineffective against future infections.

Amoxicillin Dosage: Proper Administration for Optimal Results

The dosage of amoxicillin varies depending on the patient’s age, weight, and the severity of the infection being treated. It’s available in several forms, including capsules, tablets, chewable tablets, and liquid suspension.

Typical Dosage for Adults and Children

• Adults, teenagers, and children over 88 pounds: 250-500 mg every 8 hours, or 500-875 mg every 12 hours
• Children: 40-90 mg per kilogram of body weight, divided into 2-3 doses per day

How long should you take amoxicillin? The duration of treatment can range from 3 to 10 days, depending on the infection’s severity. Always follow your healthcare provider’s instructions and complete the entire course of antibiotics, even if you start feeling better.

Are there special considerations for certain patient groups? Patients with severe kidney impairment may require dose adjustments. Pregnant and breastfeeding individuals can typically take amoxicillin in normal doses, as it’s considered safe for these groups.

Side Effects of Amoxicillin: What to Expect

While amoxicillin is generally well-tolerated, it can cause some side effects. Being aware of these potential reactions can help patients better manage their treatment.

Common Side Effects

• Headache
• Diarrhea
• Skin rash
• Upset stomach
• Itching
• Vomiting
• Vaginal yeast infections

When should you be concerned about side effects? Most side effects are mild and resolve on their own. However, if you experience severe or persistent symptoms, contact your healthcare provider immediately.

Purchasing Amoxicillin Online: What You Need to Know

In the digital age, many patients wonder about the possibility of buying medications online. While it’s possible to purchase amoxicillin online, there are important considerations and legal requirements to keep in mind.

Can you buy amoxicillin without a prescription? No, amoxicillin is a prescription-only medication in most countries, including the United States. This means you cannot legally purchase it without a valid prescription from a licensed healthcare provider.

Steps to Obtain Amoxicillin Online

1. Consult with a qualified healthcare provider
2. Obtain a valid prescription
3. Choose a reputable online pharmacy
4. Submit your prescription and place your order
5. Receive your medication through secure delivery

Why is a prescription necessary for amoxicillin? Prescriptions ensure that antibiotics are used appropriately, reducing the risk of antibiotic resistance and potential side effects. They also allow healthcare providers to monitor your treatment and adjust as needed.

The Importance of Proper Amoxicillin Use in Combating Antibiotic Resistance

Antibiotic resistance is a growing global health concern, and the proper use of antibiotics like amoxicillin plays a crucial role in addressing this issue.

How does antibiotic resistance develop? When bacteria are exposed to antibiotics repeatedly or inappropriately, they can evolve to become resistant to the medication’s effects. This makes infections harder to treat and can lead to more severe health outcomes.

Best Practices for Using Amoxicillin

• Only take amoxicillin when prescribed by a healthcare professional
• Complete the entire course of antibiotics, even if you feel better
• Take doses at regular intervals as directed
• Never share antibiotics with others or use leftover medication
• Dispose of unused antibiotics properly

What role do patients play in preventing antibiotic resistance? By following these best practices and only using antibiotics when necessary, patients can help slow the development of antibiotic-resistant bacteria and preserve the effectiveness of important medications like amoxicillin.

Amoxicillin Storage and Handling: Ensuring Medication Efficacy

Proper storage and handling of amoxicillin are essential for maintaining its effectiveness and safety. Following the right guidelines can help ensure that your medication remains potent throughout your treatment course.

Key Storage Guidelines

• Store in a cool, dry place away from direct sunlight
• Avoid storing in humid environments like bathrooms
• Keep at room temperature unless otherwise instructed
• Some formulations may require refrigeration – check with your pharmacist
• Keep out of reach of children and pets

How long can amoxicillin be stored? The shelf life of amoxicillin can vary depending on the formulation. Always check the expiration date on the packaging and discard any unused medication after the prescribed treatment period or if it has expired.

What should you do with leftover amoxicillin? Never save antibiotics for future use. Dispose of any remaining medication properly, following local guidelines or through a pharmacy take-back program.

Amoxicillin Interactions: Navigating Potential Risks

While amoxicillin is generally safe, it can interact with certain medications, supplements, and medical conditions. Being aware of these potential interactions can help prevent complications and ensure the most effective treatment.

Common Interactions to Watch For

• Other antibiotics (e.g., tetracyclines, macrolides)
• Blood thinners (e.g., warfarin)
• Oral contraceptives
• Probenecid (used to treat gout)
• Methotrexate (used for cancer and autoimmune disorders)

How can you minimize the risk of drug interactions? Always inform your healthcare provider and pharmacist about all medications, supplements, and herbal products you’re taking. They can assess potential interactions and adjust your treatment plan if necessary.

Are there any food interactions with amoxicillin? Generally, amoxicillin can be taken with or without food. However, maintaining a consistent approach (either always with food or always without) can help ensure steady absorption of the medication.

Special Considerations for Certain Medical Conditions

• Kidney disease: May require dose adjustment in severe cases
• Liver disease: Usually doesn’t require dose adjustment, but monitoring may be necessary
• History of allergic reactions to penicillins or cephalosporins: Increased risk of allergic reaction
• Mononucleosis: Amoxicillin may cause a rash in patients with this condition

When should you inform your doctor about your medical history? It’s crucial to provide a comprehensive medical history to your healthcare provider before starting amoxicillin treatment. This information allows them to tailor the treatment to your specific needs and minimize potential risks.

Monitoring Amoxicillin Treatment: Ensuring Effectiveness and Safety

Proper monitoring during amoxicillin treatment is essential for ensuring the medication’s effectiveness and detecting any potential issues early on. Both healthcare providers and patients play important roles in this process.

Key Aspects of Treatment Monitoring

1. Symptom improvement: Track how your symptoms change over the course of treatment
2. Side effect occurrence: Be aware of any new symptoms that may indicate side effects
3. Adherence to prescribed regimen: Ensure you’re taking the medication as directed
4. Follow-up appointments: Attend any scheduled check-ups with your healthcare provider
5. Laboratory tests: Some infections may require follow-up testing to confirm clearance

How quickly should you expect to see improvement? While individual responses can vary, many patients begin to feel better within a few days of starting amoxicillin. However, it’s crucial to complete the entire course of antibiotics as prescribed, even if symptoms improve.

What signs indicate that you should contact your healthcare provider? Reach out to your doctor if you experience severe side effects, worsening of symptoms, or no improvement after several days of treatment.

Self-Monitoring Tips for Patients

• Keep a symptom diary to track your progress
• Set reminders for taking medication doses
• Note any unusual reactions or side effects
• Stay hydrated and maintain good overall health practices
• Avoid alcohol consumption during treatment, unless otherwise advised by your doctor

How can proper monitoring contribute to antibiotic stewardship? By closely monitoring treatment effectiveness and adhering to prescribed regimens, patients can help ensure that antibiotics are used appropriately, reducing the risk of antibiotic resistance and promoting better health outcomes.

Alternatives to Amoxicillin: Exploring Other Treatment Options

While amoxicillin is a widely used and effective antibiotic, there are situations where alternative treatments may be necessary or preferred. Understanding these options can be helpful for patients who may not be able to take amoxicillin or who have infections that don’t respond to this medication.

Common Alternatives to Amoxicillin

• Other penicillin antibiotics (e.g., ampicillin, dicloxacillin)
• Cephalosporins (e.g., cephalexin, cefuroxime)
• Macrolides (e.g., azithromycin, clarithromycin)
• Fluoroquinolones (e.g., ciprofloxacin, levofloxacin)
• Tetracyclines (e.g., doxycycline, minocycline)

When might an alternative to amoxicillin be necessary? Alternatives may be considered in cases of amoxicillin allergy, antibiotic resistance, or when treating infections caused by bacteria that are not susceptible to amoxicillin.

Are there non-antibiotic alternatives for some conditions? In some cases, especially for viral infections or mild bacterial infections, supportive care and symptom management may be recommended instead of antibiotics. This approach can help reduce unnecessary antibiotic use and combat resistance.

Factors Considered When Choosing Alternatives

1. Type and severity of infection
2. Patient’s medical history and allergies
3. Local patterns of antibiotic resistance
4. Potential drug interactions
5. Side effect profiles of different antibiotics
6. Cost and availability of medications

How do healthcare providers determine the best alternative? Doctors consider various factors, including culture and sensitivity test results, to select the most appropriate antibiotic for each patient’s specific situation.

What role does patient preference play in choosing alternatives? While medical considerations are paramount, patient preferences and lifestyle factors can sometimes influence the choice of alternative treatments. Open communication with your healthcare provider is key to finding the best option for your individual needs.

Can You Buy Amoxicillin Online? What You Need To Know

Amoxicillin is an antibiotic used to help treat bacterial infections in both adults and children.

It’s been available for decades, and is one of the most commonly prescribed of all medications: More than 50 million prescriptions for amoxicillin are filled in the United States each year.

If you’re among that group, you may wonder if you can save money by filling your prescription online.

In this article, I’ll tell you more about amoxicillin, including whether you can buy it online.

I’ll also tell you when you should talk to a doctor—and how K Health can help you do so without leaving home.

What is Amoxicillin?

Amoxicillin is in the class of penicillin antibiotics sold under brand names including Amoxil, Moxilin, Amoxicit, and Biomox.

It is made by pairing an extra amino group with penicillin, which helps combat resistance to the drug.

Amoxicillin works by inhibiting bacteria’s ability to grow. It is a highly effective medication with a low risk of severe side effects.

This antibiotic can be combined with potassium clavulanate (another active ingredient) in the form of amoxicillin-potassium clavulanate for better efficiency. 

Your doctor may recommend using amoxicillin for any number of days.

How long it takes antibiotics to clear out an infection depends on the infection being treated, and how you take your medication. 

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Uses

Amoxicillin is a broad-spectrum antibiotic used to treat a wide range of bacterial infections.

It does not work for fungal or viral infections like the common cold or flu.

Some common uses include:

• Dental infections such as periodontitis (gum disease)
• Ear, nose, and throat infections such a strep throat or bacterial sinusitis
• Bacterial pneumonia
• Urinary tract infections (often combined with clavulanic acid)
• Lyme disease
• Skin infections
• Anthrax exposure
• H. pylori infections (the bacteria that can trigger stomach ulcers)

This prescription-only medication works by stopping bacterial growth.

Taking an antibiotic like amoxicillin unnecessarily, or incorrectly, can lead to the occurrence of drug resistance, which is a situation where the medication no longer works against infections. 

Dosage

Amoxicillin comes in a few forms.

Your doctor may prescribe it as a capsule, tablet, chewable tablet, or a suspension (liquid).

Typically, people take amoxicillin twice to three times a day, or every 8-12 hours, either with or without food.

For adults, teenagers, and kids who weigh more than 88 pounds, the most common dose is 250-500 mg taken every eight hours, or 500-875 mg every 12 hours.

For children, doses range from 40-90 mg per kilogram of body weight, divided into 2-3 doses per day.

No matter how much you’re taking, aim to take your amoxicillin at the same time each day.

Infections that are not severe may be treated in as little as 3 days, but the typical course of treatment is 7-10 days.

Your prescription label insert will tell you how long you should take your amoxicillin.

Patients with kidney disease do not need to take a reduced dose unless the kidney impairment is severe. 

The US Food and Drug Administration recommends amoxicillin as safe for those pregnant and breastfeeding.

Pregnant and breastfeeding adults can take amoxicillin in normal doses. 

Your pharmacist or prescriber will give you dosing instructions and tell you exactly how to take your medication, including whether to take it with food.

Your medication should not be stored in a humid environment, like the bathroom.

Keep it in a cool, dry place out of sunlight.

Some medications may require refrigeration. Ask your pharmacist if you have questions about how to take or store your medicine.

Be sure to take amoxicillin precisely as prescribed.

If you do not, the bacterial infection may not heal, and the situation may worsen.

Missing doses could also make your medication regimen less effective or completely ineffective

If you forget to take a dose, do not panic.

If it has only been a few hours, take your dose and adjust your next ones accordingly.

If you are close to your next dose, skip your missed one and resume your schedule as normal. Never double up on amoxicillin doses.

Complete your medication regimen even if you’ve begun to feel better.

This prevents antibiotic resistance from developing.

If resistance builds up, amoxicillin will be ineffective against future bacterial infections. 

Side effects 

Common side effects of amoxicillin include:

• Headache 
• Diarrhea
• Skin rash
• Upset stomach
• Itching
• Vomiting 
• Vaginal yeast infections 

Can You Purchase Amoxicillin Online? 

If you have a bacterial infection, you can get a prescription from a qualified healthcare provider and purchase amoxicillin online.

However, you cannot purchase amoxicillin without a prescription.

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How much Is amoxicillin?

Prices may vary depending on the pharmacy you visit, but on average, 500 mg of amoxicillin with four capsules costs $10 and, and a 20-tablet pack costs $13.48.

The cost of amoxicillin will also vary depending on your insurance and your treatment plan.

When to See a Doctor 

If you think you or someone else has taken too much amoxicillin, watch out for overdose symptoms like severe diarrhea and vomiting, and contact your healthcare provider for medical attention. 

You should also seek medical advice if you notice an allergic reaction to this medicine.

Some common allergic reactions to antibiotics include hives, difficulty breathing, or difficulty swallowing.

Get Treatment with K Health

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Check your symptoms, explore conditions and treatments, and if needed, text with a healthcare provider in minutes.  

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Frequently Asked Questions

Can amoxicillin be purchased over the counter?

No, you cannot purchase amoxicillin over the counter. You need a prescription. To reduce the risk of developing drug resistance, your doctor or healthcare provider must be convinced that you need this medication before you can get it.

What is a good substitute for amoxicillin?

If you’re allergic to amoxicillin, your doctor might prescribe cephalexin, clarithromycin, erythromycin, or doxycycline, or another appropriate antibiotic for your infection.

Do you need to see a doctor in order to get amoxicillin?

Yes, you need to see a doctor for an amoxicillin prescription. You can do this by booking a physical appointment or reaching out to a doctor online.

K Health articles are all written and reviewed by MDs, PhDs, NPs, or PharmDs and are for informational purposes only. This information does not constitute and should not be relied on for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment.

K Health has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions,
and medical associations. We avoid using tertiary references.

• Amoxicillin. (2021).
  https://www.ncbi.nlm.nih.gov/books/NBK482250/

• Common harms from amoxicillin: a systematic review and meta-analysis of randomized placebo-controlled trials for any indication. (2015).
  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4284189/

• Availability of Antibiotics for Purchase Without a Prescription on the Internet. (2009).
  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2746509

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Amoxicillin – Overview

Amoxicillin is an antibiotic medication that is used in the treatment of infections that are thought to be caused by bacteria susceptible to amoxicillin treatment. Push Health can help people who might need an amoxicillin prescription connect with medical providers who can prescribe amoxicillin medication, including generic amoxicillin 500 mg capsules and amoxicillin 875 mg tablets, when appropriate to do so.

Amoxicillin – Uses and Metabolism

Amoxicillin prescription medication, previously marketed under the brand Amoxil, is an oral antibiotic medications similar to ampicillin and penicillin (Bicillin). Amoxicillin is a semisynthetic medication with a bactericidal effect against both gram-negative and gram-positive organisms. Amoxicillin may be used to treat specific types of infections of the ear, nose and throat (e.g. strep throat), genitourinary tract, skin and lower respiratory tract. Amoxicillin is a type of beta-lactam antimicrobial. Amoxicillin is absorbed quickly after being ingested orally and is mostly excreted in the urine unchanged. Amoxicillin medication has a half-life of 61 minutes and roughly 20% of it is bound by proteins in the blood. Peak amoxicillin levels occur between 1 and 2 hours after administration. Amoxicillin capsules contain amoxicillin 500 mg and are royal blue and pink in color. Amoxicillin tablets contain amoxicillin 500 mg or amoxicillin 875 mg. Amoxicillin is also available as chewable tablets and powdered oral suspensions. Amoxicillin is sometimes combined with another drug and used as Augmentin. Amoxicillin medication is also used in combination with clarithromcyin (Biaxin) and lansoprazole (Prevacid) as part of Prevpac which is used for H. pylori treatment.

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Amoxicillin – Dosage and Cost

The dosage of amoxicillin medication used depends on the health needs of the patient and the judgement of the prescribing medical provider. In adults, starting dosages of amoxicillin 500 mg twice per day or amoxicillin 875 mg twice per day are sometimes used. After administration, the half-life of amoxicillin is under 120 minutes. Amoxicillin prescription medication is largely excreted in the urine. Generic amoxicillin is consider an affordable medication. Most pharmacies carry amoxicillin pills for under thirty cents per pill. Because most amoxicillin regimens only require a limited number of pills, the total cost for an amoxicillin prescription is also reasonable. For people who cannot afford amoxicillin, it may be worth looking for amoxicillin coupons online. Also, some insurance plans may cover the cost of an amoxicillin prescription.

Can I Buy Amoxicillin Online?

Amoxicillin is a prescription medication. To reduce the likelihood of creating bacteria resistant to the amoxicillin, amoxicillin OTC (over the counter) is not available in the United States and the first step to getting an amoxicillin medication prescription is consulting with a licensed medical provider. Push Health can help connect people who think they need an amoxicillin prescription with a licensed medical provider who can prescribe amoxicillin medication, including generic amoxicillin 500 mg capsules and amoxicillin 875 mg tablets, when appropriate to do so.

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Amoxicillin – Side Effects

Amoxicillin prescription medication can cause side effects when used. Side effects after amoxicillin use include diarrhea, nausea, vomiting, candidiasis, and an allergic reaction. People who have had a history of hypersensitivity or allergy to amoxicillin or penicillins should not use amoxicillin. Longer term, overuse of amoxicillin medication can lead to bacterial resistance, making amoxicillin less effective in the future. Amoxicillin prescription medication and alcohol should not be used together. Questions and concerns about amoxicillin tablet and capsule use should be directed to one’s pharmacist and medical provider prior to using the medication.

More Amoxicillin Information

• Amoxicillin (Medline)

Last updated November 1, 2022. Given the evolving nature of medicine and science, this information might not be accurate and should not be construed as medical advice or diagnosis / treatment recommendations. Please consult a licensed medical provider if you have additional questions. Please call 911 immediately or go to the nearest emergency room if you believe you are experiencing a medical emergency.

Amoxicillin 150 – instructions for use for animals in veterinary medicine

I. General information

1. Name of the medicinal product for veterinary use:

– trade name – Amoxicillin 150 (Amoxicillin 150).

– international non-proprietary name – amoxicillin.

2. Dosage form – suspension for injection.

Amoxicillin 150 in 1 ml contains amoxicillin trihydrate – 150 mg as an active ingredient, as well as excipients: butylhydroxytoluene, anhydrous colloidal silicon dioxide and triglycerides of saturated fatty acids.

3. In appearance, the drug is a suspension from white to light yellow. During storage, separation of the suspension is allowed, which disappears when shaken.

The shelf life of the drug Amoxicillin 150, subject to storage conditions in the manufacturer’s unopened package, is 4 years from the date of production, after opening the primary package – 28 days. It is forbidden to use Amoxicillin 150 after the expiration date.

4. Amoxicillin 150 is produced packaged in 20, 50, 100 and 250 ml in glass vials of appropriate capacity, hermetically sealed with rubber stoppers, reinforced with aluminum caps with first opening control clips. Vials with the drug can be packed in individual packs of cardboard. Each consumer package is supplied with instructions for use.

5. Amoxicillin 150 is stored in the manufacturer’s closed packaging, separately from food and feed, in a place protected from direct sunlight, at a temperature of 5 ^o C to 25 ^o C.

6. Amoxicillin 150 should be stored out of the reach of children.

7. The unused medicinal product is disposed of in accordance with the requirements of the current legislation.

8. Amoxicillin 150 is available without a veterinarian’s prescription.

II. Pharmacological properties

9. Amoxicillin 150 refers to antibacterial drugs of the group of semi-synthetic penicillins.

10. Amoxicillin trihydrate, which is part of the drug – a semi-synthetic antibiotic of the penicillin series, has a wide spectrum of antimicrobial activity, is active against most gram-positive and gram-negative microorganisms, including Actinobacillus spp., Actinomyces spp., Bacillus spp., Bacillus anthracis, Clostridium spp. ., Corynebacterium spp., Erysipelothrix rhusiopathiae, Escherichia coli, Haemophilus spp., Leptospira spp., Listeria spp., Listeria monocytogenes, Pasteurella spp., Proteus spp., Proteus mirabilis, Salmonella spp., Staphylococcus spp. , Streptococcus s pp.

The mechanism of the bactericidal action of the antibiotic is to disrupt the synthesis of the mucopeptide, which is part of the cell wall of microorganisms, by inhibiting the enzymes transpeptidase and carboxypeptidase, which leads to disruption of the osmotic balance and destruction of the bacterial cell.

After parenteral administration of the drug, the maximum concentration of amoxicillin trihydrate in the blood serum is reached after 1-2 hours and is maintained at a therapeutic level for 48 hours. The antibiotic is excreted from the body with urine and faeces, mainly in unchanged form.

Amoxicillin 150, according to the degree of impact on the body, belongs to moderately hazardous substances (hazard class 3 according to GOST 12.1.007-76).

III. How to use

11. Amoxicillin 150 is used to treat cattle, small cattle and pigs with diseases of bacterial etiology of the gastrointestinal tract, respiratory tract, genitourinary system, joints, soft tissues and skin, necrobacteriosis, umbilical infections, atrophic rhinitis, metritis-mastitis syndrome -agalactia and other primary and secondary infections, the pathogens of which are sensitive to amoxicillin.

12. A contraindication to the use of the drug Amoxicillin 150 is the individual hypersensitivity of the animal to penicillin antibiotics, severe violations of the liver and / or kidneys.

13. When working with the drug Amoxicillin 150, you should follow the general rules of personal hygiene and safety precautions provided for when working with drugs.

People with hypersensitivity to the components of the drug should avoid direct contact with the drug Amoxicillin 150. During work, it is forbidden to smoke, drink and eat. At the end of work with the drug, hands should be washed with warm water and soap. Empty containers from under the medicinal product must not be used for domestic purposes, they must be disposed of with household waste.

In case of accidental contact of the medicinal product with the skin or mucous membranes of the eyes, they must be washed with plenty of water. In case of allergic reactions or in case of accidental ingestion of the drug into the human body, you should immediately contact a medical institution (you should have instructions for using the drug or a label with you).

14. The possibility of using the drug Amoxicillin 150 for pregnant, lactating females and newborn young animals is determined by the attending veterinarian based on an assessment of the ratio of benefits to the possible risk of using the drug.

Calculate dosage

15. The drug is administered to cattle and small cattle, pigs parenterally once at a dose of 1 ml per 10 kg of animal weight (15 mg of the active substance per 1 kg of animal weight) intramuscularly or subcutaneously. If necessary, the injection is repeated after 48 hours.

Shake the suspension thoroughly before each use. In the cold season, the medicinal product must be warmed to room temperature before administration (20-25 ⁰ C).

The maximum volume of administration of the drug Amoxicillin 150 in one place should not exceed 20 ml for cattle, 10 ml for pigs, 5 ml for sheep, goats, calves.

16. When using the drug Amoxicillin 150 in accordance with this instruction, side effects and complications, as a rule, are not observed. In rare cases, the animal may develop edema at the injection site, which resolves spontaneously within 1-2 days. With increased individual sensitivity of the animal to antibiotics of the penicillin group and the development of allergic reactions, the use of the drug is stopped and, if necessary, antihistamines and symptomatic therapy are prescribed.

17. Symptoms of an overdose of the drug in animals can be manifested by depression, dysfunction of the gastrointestinal tract, swelling at the injection site.

18. Amoxicillin 150 should not be used simultaneously with other β-lactam drugs, as well as with bacteriostatic (tetracyclines, macrolides, thiamphenicol and chloramphenicol) antibiotics, sulfonamides and fluoroquinolones, mixed in the same syringe with other drugs.

19. Features of the action of the drug during its first use and when it is canceled were not identified.

20. Amoxicillin 150 is used, as a rule, once. If it is necessary to re-administer the drug, the 48-hour interval should not be increased, as this may lead to a decrease in therapeutic efficacy.

21. Slaughter of animals for meat is allowed no earlier than 28 days after the last use of Amoxicillin 150. The meat of animals forcedly slaughtered before the expiration of the specified period can be used for feeding fur-bearing animals.

Milk of dairy animals is allowed to be used for food purposes no earlier than 96 hours after the last administration of the drug. Milk obtained during the treatment period and within 96 hours after the last administration of the drug can be used after boiling in animal feed.

Registration certificate number 44-3-3.18-4074 No. PVR-3-6.9/02429

Name and address of the production site of the manufacturer of the medicinal product for veterinary use

NITA-PHARM LLC; 410010, Saratov, st. them. Osipova V.I., d.1.

tel./fax: +7(8452) 338-600.

[email protected] www.nita-farm.ru

new rules for pharmacies selling prescription drugs

Review of laws

02. 10.17

On September 22, new rules for the sale of medicines in pharmacies came into force. Now it can be difficult or impossible to buy the right drug. Pharmacies require prescriptions and even take them for storage. And the medicine may not be sold to relatives at all: they will ask for a power of attorney.

We have reviewed the new rules and will explain how they work. The order of the Ministry of Health is complex and incomprehensible even for pharmacists, therefore, clarifications have already been issued to it. We also studied them.

How was it before?

Prescription drugs have always had to be sold by prescription. Each category has its own rules for selling and accounting. Such drugs are sold subject to strict federal requirements, but pharmacies have not always complied with them.

Previously, you could take one prescription and use it to buy as many medicines as you wanted. Doctors did not indicate the terms, and pharmacists did not pay attention to this. And they could take prescriptions only in rare cases and for dangerous drugs.

No one kept track of the dosages of conventional sedatives and did not note on the prescription how much and when it was already bought. And often they didn’t ask for the recipe at all.

Even if you used to buy an antibiotic, sedative or medicine for your grandmother without a prescription, this does not mean that the drug is really on sale. Even common medicines are on the prescription list, and buying them can now be a problem.

Pharmacies operate under the new rules

How is it now? Where can I buy medicines?

It depends on whether a prescription is needed and what category the drug belongs to. There are several such categories, it is pointless to study them all in advance, but you need to keep in mind.

OTC drugs can be bought at a pharmacy, drugstore, kiosk or from IP with a license. And pharmacy kiosks do not sell prescription drugs – you will have to look for a full-fledged pharmacy.

How to get a refund for treatment

Narcotic and psychotropic drugs can only be sold by pharmacies with special approval. There are certain restrictions for immunobiological preparations: for example, a vaccine for vaccinating a child can only be bought at a pharmacy and pharmacy, and only if there is a thermal container. There are also differences in prescription forms.

If the doctor has prescribed a prescription, it is better to find out in advance where you can buy it. And do not be surprised if some pharmacies do not sell the drug. This is not their whim, but the requirement of the law.

If a prescription is needed for a drug, what should I do?

You need to get this prescription, otherwise the pharmacy will not sell the drug. Even if the medicine is needed urgently or it is taken constantly, and there is no time to go to the doctor, it still will not sell. Maybe in some cities there are pharmacies that manage to circumvent the rules, but it’s better not to count on this: the law is the law.

How to treat your teeth in a private clinic free of charge

If you need a prescription for a medicine, you will have to present it at the pharmacy. And the pharmacy has the right to take this prescription if it is required by the new rules. That is, it will not be possible to buy this medicine for the second time using the same prescription.

Recipes are also divided into several types. There are recipes for one time, urgent, for a free vacation, and various others. The prescription may be valid for several days, months or a year. You can buy a prescription medicine only while it is valid. The pharmacy can take it away permanently or return it with a note: how much and when it was sold, in what dosage and for how long it will last.

Can I buy a spare? More antibiotics, painkillers and blood pressure pills.

No, it is not possible to buy in reserve now. According to the rules, a prescription will sell as much of the drug as prescribed by the doctor.

For some drugs, limit values ​​are set. Even if more is needed for a course of treatment, only this amount will be sold.

How the CHI policy works

Pharmacists should follow this. Even if you ask the doctor for a prescription with a margin, the pharmacy will not sell that much, and even report a violation.

How do I know how long a prescription is valid?

Not all prescriptions have an expiration date. Some doctors don’t pay attention to this, but pharmacists didn’t care at all: the main thing is that there is a prescription.

Now this is important. The validity of prescriptions is set by the Ministry of Health – this is written in orders.

para. 1.16 and 1.17 of the order of the Ministry of Health No. 110

paragraphs. 20-23 Order of the Ministry of Health No. 1175n

Pharmacists must follow the deadlines and report violations if they are found.

So now the prescription will be taken away? And will you have to go for a new one every time?

Pharmacies must collect and store prescriptions for certain drugs. They are listed in clause 14 of the new rules. Read and check the instructions for medicines. Suddenly this is your case.

If you or someone in your family regularly takes these medicines, you will need to go to get a new prescription for every batch. Even if these pills are needed all the time – for example, painkillers for a seriously ill person. Or sleeping pills and sedatives for regular use. The situation is the same with alcohol-containing drugs – the prescription will remain in the pharmacy.

Whether it is possible to write out a prescription not for one time, but for a long period, the doctor decides and pharmacies check.

If the prescription is issued for a year, will it also be taken away? Will I have to go to the same pharmacy all the time or get a new prescription every time?

No, this prescription will not be taken away. Although there are rumors that they are being taken away. Don’t believe rumors – read the law. They can pick it up only if the prescription was issued before September 22, and then the sales rules for this drug changed.

How to deal with prescriptions for a long time is written in paragraph 10 of the new rules.

When a pharmacy sells a prescription drug that is valid for a year, the pharmacist must note when and how much the drug was sold. And the prescription is returned. The next time this prescription will be sold again in the right amount of medicine: past sales will be taken into account and marked again.

When the prescription expires, it will no longer be possible to buy medicine with it. If the prescription is to be kept, the pharmacy will collect it. If you don’t need to store it, they will give it back, but you still won’t be able to use it.

What are the rules for the sale of vaccines?

The vaccination vaccine will be sold only if the buyer has a thermal container. It is impossible to deliver it to the clinic in an ordinary bag: the vaccine will deteriorate and the vaccine will be useless.

You can buy a container directly from the pharmacy.