Q: Amoxistad suspension was left out of refrigerator for about 11 hours over night. Is is dangerous to give to our 8 year old? Has it gone bad?
A: According to Pharmacist's Letter, Amoxistad suspension can be kept at room temperature for at least 10 days. Although refrigeration improves taste, it is not needed to maintain the potency or safety of the drug. For more health information, visit everydayhealth.com and sign up for free newsletters.
Unusually weak or tired
Fatigue is a feeling of weariness, tiredness, or lack of energy.
Fatigue is different from drowsiness. In general, drowsiness is feeling the need to sleep, while fatigue is a lack of energy and motivation. Drowsiness and apathy (a feeling of indifference or not caring about what happens) can be symptoms that go along with fatigue.
If your fatigue falls under the category of “excessive tiredness,” this is a serious side effect. It’s uncommon, but you should still consult your doctor immediately. This can happen when the nervous system is affected.
If you’re just tired, take some time to rest, take things easy, and get enough sleep. Try to reduce stress.
When taking Amoxistad to combat an infection, it’s normal to feel tired. However, if you’re excessively tired to the point of feeling weak, faint, or struggling to stay awake, get medical attention.
What other information should I know?
Keep all appointments with your doctor and the laboratory. Your doctor may order certain lab tests to check your body's response to Amoxistad.
If you are diabetic, use Clinistix or TesTape (not Clinitest) to test your urine for sugar while taking this medication.
Do not let anyone else take your medication. Your prescription is probably not refillable. If you still have symptoms of infection after you finish the Amoxistad, call your doctor.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
Yellowing of the eyes or skin
Jaundice is a yellow color in the skin, the mucous membranes, or the eyes. The yellow pigment is from bilirubin, a byproduct of old red blood cells. If you’ve ever had a bruise, you may have noticed that the skin went through a series of color changes as it healed. When you saw yellow in the bruise, you were seeing bilirubin.
This effect, and liver damage or injury, can also be caused by Amoxistad. The liver injury can even occur after Amoxistad doses have stopped. This is more likely to happen when taking Amoxistad with clavulanate.
Recognizing early symptoms such as fatigue, poor appetite, and vomiting can help prevent jaundice from worsening. Talk to your doctor if you experience any of these symptoms.
Before taking Amoxistad, tell your doctor if you have or have ever had liver damage.
4. POSSIBLE SIDE EFFECTS
As with all medicines, some people may experience side effects with Amoxistad
If you experience any of the following events STOP taking your medicine and tell your doctor or go to your nearest hospital immediately:
- Hypersensitivity or severe allergic reaction including swollen face or breathing problems. If these symptoms occur, STOP taking Amoxistad right away and tell your doctor.
- Severe diarrhoea with bleeding
- Allergic skin reactions with itching e.g. hives, nettle rash, blistering or peeling of the skin. If you start to itch or get a rash, STOP taking Amoxistad and tell your doctor immediately.
- Convulsions may occur in patients on high doses or with kidney problems
- Notice your urine becoming darker or your faeces becoming paler
- Notice your skin or the white of your eyes turning yellow (jaundice)
- Difficulty or discomfort in passing urine or having cloudy urine
The following symptoms are less serious but you may wish to discuss them with your doctor if they become troublesome or last a long time.
Common side effects of Amoxistad (i.e. have been reported in more than 1 in 100 people taking it) include:
- Nausea (feeling sick) or diarrhoea
Uncommon side effects (i.e. have been reported in between 1 in 100 and 1 in 1,000 people taking Amoxistad) include:
Very rare side effects (i.e. reported in less than 1 in 10,000 people) include:
- Thrush (a yeast infection of the vagina, mouth or skin folds). You can get treatment for thrush from your doctor or pharmacist.
- Tooth discolouration. The colour usually returns to normal with brushing.
- Blackening of the tongue
- Inflammation of the kidney
- Excessive body movements (hyperkinesia) or dizziness
- Reduction (reversible) in blood cell counts including anaemia (a reduction in the body s red blood cells or haemoglobin which may be characterised by feeling weak or light-headed) or a longer time taken for blood to clot. Tell your doctor that you are taking Amoxistad if you are having blood tests.
- Crystalluria, forming of crystals in the urine
If you notice any side effects not mentioned in this leaflet, please inform your doctor or pharmacist.
What should I discuss with my veterinarian before giving Amoxistad to my pet?
Tell your veterinarian if your pet has ever had an allergic reaction to another penicillin or to a cephalosporin. Tell your veterinarian if your pet has kidney disease or stomach or intestinal disease.
Q: When taking Amoxistad, do I need to wait 4 hours before eating yogurt?
A: No, you do not have to wait 4 hours after taking your Amoxistad before eating yogurt. Amoxistad does not interact with dairy products like some of the other antibiotics. Megan Uehara, PharmD
How to use Amoxistad
Take this medication by mouth with or without food as directed by your doctor, usually every 8 or 12 hours. The dosage is based on your medical condition and response to treatment.
Drink plenty of fluids while using this medication unless your doctor tells you otherwise.
For the best effect, take this antibiotic at evenly spaced times. To help you remember, take this medication at the same time(s) every day.
Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may allow bacteria to continue to grow, which may result in a return of the infection.
Tell your doctor if your condition persists or worsens.
How does Amoxistad work?
Amoxistad works by inhibiting the formation of bacterial cell walls.
Important: if you develop an itchy rash, swollen face or mouth, or have difficulty breathing, these may be signs that you are allergic to a penicillin antibiotic. Do not take any more Amoxistad and speak with your doctor or go to your local accident and emergency department straightaway.
If you experience any other symptoms which you think may be due to the antibiotic, speak with your doctor or pharmacist for further advice.
Other uses for this medicine
Amoxistad also is sometimes used to treat Lyme disease, to prevent anthrax infection after exposure, and to treat anthrax infection of the skin . Talk with your doctor about the possible risks of using this medication for your condition.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Nausea, vomiting, or diarrhea may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Use of this medication for prolonged or repeated periods may result in oral thrush or a new vaginal yeast infection (oral or vaginal fungal infection). Contact your doctor if you notice white patches in your mouth, a change in vaginal discharge or other new symptoms.
Tell your doctor right away if any of these rare but serious side effects occur: dark urine, persistent nausea or vomiting, stomach/abdominal pain, yellowing eyes or skin, easy bruising or bleeding, persistent sore throat or fever.
This medication may rarely cause a severe intestinal condition (Clostridium difficile-associated diarrhea) due to a type of resistant bacteria. This condition may occur during treatment or weeks to months after treatment has stopped. Do not use anti-diarrhea or opioid medications if you have the following symptoms because these products may make them worse. Tell your doctor right away if you develop: persistent diarrhea, abdominal or stomach pain/cramping, blood/mucus in your stool.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
Amoxistad can commonly cause a mild rash that is usually not serious. However, you may not be able to tell it apart from a rare rash that could be a sign of a severe allergic reaction. Therefore, get medical help right away if you develop any rash.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Q: What is Amoxistad?
A: Amoxil (Amoxistad) is a semi-synthetic antibiotic in the penicillin group of drugs. Amoxil acts by inhibiting the synthesis of bacterial cell walls of both gram-negative and gram-positive bacteria. Amoxistad is used to treat many different types of infections caused by bacteria, such as ear infections, bladder infections, pneumonia, gonorrhea, and E. coli or salmonella infection. The most common side effects reported with Amoxil use include nausea, vomiting, diarrhea, rashes, and antibiotic-associated colitis. Amoxil should be used only to treat or prevent infections that are proven or strongly suspected to be caused by bacteria. Prescribing Amoxil in the absence of a proven or strongly suspected bacterial infection or a prophylactic indication is unlikely to provide benefit to the patient and increases the risk of the development of drug-resistant bacteria. Amoxil may be taken without regard to meals every 8 hours or every 12 hours, depending on the strength of the product prescribed. Serious, and occasionally fatal, hypersensitivity reactions (anaphylaxis) have been reported in patients receiving beta-lactam antibiotics. Although anaphylaxis is more frequent following parenteral therapy, it has occurred in patients on oral therapy. If an allergic reaction occurs, appropriate therapy should be instituted and Amoxil therapy discontinued.