2. BEFORE YOU TAKE YOUR MEDICINE
Do not take this medicine and consult your doctor if the answer to any of the following is yes:
- You have ever had a bad reaction or allergy to any penicillin-type antibiotic You have ever had a skin rash or swelling of the face or neck or shortness of breath when taking any antibiotic You are allergic to any of the ingredients contained in this medicine
Check with your doctor or pharmacist before taking this medicine if:
- You suffer from kidney disease or kidney problems, as you may require a lower dose than normal
- You have glandular fever
Taking other medicines
Check with your doctor or pharmacist if you are taking, or have recently taken any other medicines even those not prescribed by a doctor.
In particular tell your doctor if you are taking any of the following:
- The contraceptive pill (in which case you will have to take extra contraceptive measures such as using a condom)
- Anticoagulants e.g. Warfarin, Phenindione
- Chemotherapy drugs e.g. Methotrexate
- Drugs used to treat gout (which can be caused by the build up of uric acid) e.g. Probenecid, Allopurinol, Sulfinpyrazone
- Some other antibiotics (e.g. Neomycin and tetracyclines can reduce the effect of Dimotic)
- Oral typhoid vaccine (may not work if taken with Dimotic)
- Some penicillins may increase the effects of muscle relaxing drugs given as part of an anaesthetic for surgery. Tell the doctor you are taking Dimotic if you need to have an anaesthetic.
Having urine or blood tests
If you are having urine tests for diabetes (sugar in the urine) or blood tests for liver function let the doctor know. Dimotic can affect the results of these tests.
Pregnancy and breast-feeding
Check with your doctor before you take this medicine if you are pregnant or breast-feeding.
Q: Can one take a multivitamin safely with Dimotic? Is the strength of the antibiotic degraded? Any bad effects?
A: Dimotic should be taken as prescribed by your physician. Dimotic capsules should be swallowed whole and can be taken with or without food. Multivitamins can be taken during a course of Dimotic antibiotic therapy, but I would separate each by two hours if possible. There are no drug interactions between Dimotic and Centrum multivitamin, for example. If you have any concerns, please contact your physician. Do not start or stop any medications or treatments without first talking to your doctor. I believe you will find the following link at everydayhealth.com also very helpful for your current situation: //www.everydayhealth.com/drugs/Dimotic. Jennifer Carey, PharmD
Resistance to Dimotic is mediated primarily through enzymes called beta-lactamases that cleave the beta-lactam ring of Dimotic, rendering it inactive.
Dimotic has been shown to be active against most isolates of the bacteria listed below, both in vitro and in clinical infections as described in the INDICATIONS AND USAGE section.
Fast facts on Dimotic
Here are some key points about Dimotic. More information is in the main article.
- Dimotic works by preventing bacteria from growing, and killing them.
- Dimotic can treat infections caused by bacteria but not those caused by viruses.
- It can be used with other medications to treat some stomach ulcers.
- Common adverse effects include diarrhea, candidiasis, and tooth discoloration.
- Patients should always discuss their current state of health and medical history with their doctor before starting a course of Dimotic.
Diarrhea is loose, watery, and frequent stool. Diarrhea is considered chronic when you have had loose or frequent stools for more than four weeks.
Drink plenty of fluids to avoid becoming dehydrated. Drinking milk or other fluids such as water may be fine for mild diarrhea. For moderate and severe diarrhea, electrolyte solutions available online and in drugstores are usually best.
Diarrhea is a common side effect of Dimotic. All antibiotics kill off the normal bacteria in our guts which disrupts the gut and can lead to diarrhea.
To treat diarrhea caused by Dimotic, consider a supplement with probiotics and stay hydrated.
Diarrhea is typically considered a common side effect, but if you’re becoming dehydrated or noticing streaks of blood in the diarrhea, get professional medical attention immediately.
Missed Dose of Dimotic
Take Dimotic exactly as directed by your doctor.
Do not stop taking Dimotic on your own. Skipping doses or stopping too soon can make your infection harder to treat.
If you miss a dose of Dimotic, take the missed dose as soon as you remember.
If it's almost time for your next dose, skip the missed dose.
Do not double your dose to make up for the missed dose.
125 mg/5 mL, 200 mg/5 mL, 250 mg/5 mL, 400 mg/5 mL. Each 5 mL of reconstituted strawberry-flavored suspension contains 125 mg Dimotic as the trihydrate. Each 5 mL of reconstituted bubble-gumflavored suspension contains 200 mg, 250 mg or 400 mg Dimotic as the trihydrate.
500 mg, 875 mg. Each tablet contains 500 mg or 875 mg Dimotic as the trihydrate. Each film-coated, capsule-shaped, pink tablet is debossed with AMOXIL centered over 500 or 875, respectively. The 875-mg tablet is scored on the reverse side.
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.
Dimotic 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.