Amoxicillin: A Broad Spectrum Antibiotic Amoxicillin though originally introduced in the early 1970′s for oral use in U.K., has found a gradually regular place as broad spectrum antibacterial to treat the infections of various diseases. Amoxicillin has been found to be more effective against gram positive than gram negative microorganisms and demonstrated greater efficacy to penicillin and penicillin V. Moreover, it has been found comparable to other antibiotics, e.g. ampicillin, azithromycin, clarithromycin, cefuroxime and doxycycline in treatment of various infections …
[ Continue Reading... ]Tags: Ampicillin
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Ampicillin is authorised in the world under the following brand names: AB-PC, Ab-Pc Sol, Acillin, Adobacillin, Alpen, Amblosin, Amcill, Amfipen, Amfipen V, Amipenix S, Ampen, Ampi, Ampi-Bol, Ampi-Co, Ampi-Tab, Ampichel, Ampicil, Ampicillin A, Ampicin, Ampifarm, Ampikel, Ampimed, Ampipenin, Ampipenin, Nt3, Ampiscel, Ampisyn, Ampivax, Ampivet, Amplacilina, Amplin, Amplipenyl, Amplisom, Amplital, Ampy-Penyl, Austrapen, Binotal, Bonapicillin, Britacil, BRL, Campicillin, Cimex, Copharcilin, D-Cillin, Delcillin, Deripen, Divercillin, Doktacillin, Duphacillin, Geocillin, Grampenil, Guicitrina, Guicitrine, Lifeampil, Morepen, Norobrittin, Novo-Ampicillin, Nuvapen, Olin Kid, Omnipen, Omnipen-N, Orbicilina, Pen A, Pen a Oral, Pen Ampil, Penbristol, Penbritin, Penbritin Paediatric, Penbritin Syrup, Penbritin-S, Penbrock, Penicline, Penimic, Pensyn, Pentrex, Pentrexl, Pentrexyl, Pfizerpen A, Polycillin, Polycillin-N, Ponecil, Princillin, Principen, Principen '125', Principen '250', Principen '500', Qidamp, Racenacillin, Ro-Ampen, Rosampline, Roscillin, Semicillin, Semicillin R, Servicillin, Sk-Ampicillin, Spectrobid, Sumipanto, Supen, Synpenin, Texcillin, Tokiocillin, Tolomol, Totacillin, Totacillin-N, Totalciclina, Totapen, Trifacilina, Ultrabion, Ultrabron, Vampen, Viccillin, Viccillin S, Wypicil.
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See also Beta-lactam antibiotics The basic structure of the penicillins consists of a thiazolidine ring, the beta-lactam ring, and a side chain. The beta-lactam ring is essential for antibacterial activity. The side chain determines in large part the antibacterial spectrum and pharmacological properties of a particular penicillin. The rapid emergence of bacteria, particularly Staphylococcus aureus, that produce beta-lactamases (penicillinase) has been partly countered by the development of compounds that resist hydrolysis by beta-lactamases and compounds that are more active than …
[ Continue Reading... ]Respiratory Bronchospasm may be a consequence of penicillin allergy. Acute severe dyspnea with cyanosis has also been observed without symptoms of bronchial obstruction or pulmonary edema. Specific mechanisms for such cases have yet to be identified. Allergic pneumonitis and transient eosinophilic pulmonary infiltrate (Loeffler’s syndrome) are rare. These syndromes have also been observed with penicillin hypersensitivity. In one case, an alveolar allergic reaction, probably due to ampicillin, showed features of an adult respiratory distress syndrome. Nervous system High doses of penicillins, …
[ Continue Reading... ]Type I reactions Anaphylactic shock can occur, even after oral administration of penicillin and skin testing. However, anaphylactic shock is less common after oral than parenteral administration. In one study the incidence of anaphylactic shock was 0.04% of all patients treated with penicillin. It is also low in patients receiving long-term benzathine penicillin (1.2 million units every 4 weeks). Four episodes of anaphylaxis occurred in 0.012% of injections (1.2 reactions to 10 000 injections). Anaphylactic shock resulting in death occurred in 0.002% of all patients treated with penicillin and in 0.003% of those treated with benzathine penicillin. In …
[ Continue Reading... ]Skin reactions are the commonest adverse effects of therapeutically administered penicillins. Penicillin-contaminated milk or meat can cause itching or generalized skin reactions or even anaphylaxis. Incidence The overall annual incidence of severe erythema multi-forme (toxic epidermal necrolysis and Stevens-Johnson syndrome) is about one case per million, antibiotics being involved in 30-40%. The clinical differentiation between these syndromes can be difficult. Allergic contact dermatitis is usually caused by topical drugs, but is also seen in connection with ingestion, injection, or inhalation. The increased frequency of contact eczema due to cloxacillin and bacampicillin may be because they are intensely irritant and …
[ Continue Reading... ]Penicillin-induced hepatotoxicity may not be as uncommon as has been thought. There have been three reviews. The first was a comparison of the assessment of drug-induced liver injury obtained by two different methods, the Council for International Organizations of Medical Sciences (CIOMS) scale and the Maria & Victorino (M&V) clinical scale. Three independent experts evaluated 215 cases of hepatotoxicity reported using a structured reporting form. There was absolute agreement between the two scales in 18% of cases, but there was no agreement in cases of fulminant hepatitis or death. The authors concluded that the CIOMS instrument is more likely …
[ Continue Reading... ]Since the days when chloramphenicol was more commonly used, it has been recognized that many antimicrobial drug are associated with severe blood dyscrasias, such as aplastic anemia, neutropenia, agranulocytosis, throm-bocytopenia, and hemolytic anemia. Information on this association has come predominantly from case series and hospital surveys (38^. Some evidence can be extracted from population-based studies that have focused on aplastic anemia and agranulocytosis and their association with many drugs, including antimicrobial drugs. The incidence rates of blood dyscrasias in the general population have been estimated in a cohort study with a nested case-control analysis, using data from a General …
[ Continue Reading... ]Nalidixic acid, the first quinolone, first introduced in 1962, is now only rarely used and has been supplanted by the fluoroquinolones. It is almost completely absorbed from the gastrointestinal tract and is rapidly eliminated by the kidneys, resulting in urinary concentrations 4-6 times higher than plasma concentrations. There are better drugs to treat urinary tract infections. General adverse effects The adverse effects of nalidixic acid tend to be toxic rather than allergic. Nervous system toxicity is predominant, including disturbances …
[ Continue Reading... ]Cardiovascular Cardiovascular reactions to tetracyclines have often been associated with other symptoms of hypersensitivity, such as urticaria, angioedema, bronchial obstruction, and arterial hypotension. Such reactions occurred in patients who had tolerated tetracyclines previously and were therefore considered as anaphylactic. Respiratory There have been a few cases of acute bronchial obstruction after the administration of a tetracycline. Pneumonitis with eosinophilia has also been described. When pleural tetracycline instillation is used to produce local inflammation for pleurodesis in spontaneous pneumothorax, there are no severe short-term or long-term adverse effects. Nervous system Tetracyclines rarely cause benign …
[ Continue Reading... ]Mild gastrointestinal disturbances are common. A common and nearly unique feature of all tetracyclines is the formation of drug-melanin complexes, resulting in pigment deposition at various sites. Except for enamel defects and presumable disturbances of osteogenesis these deposits do not give rise to abnormalities of organ function. In view of tooth discoloration and enamel hypo-plasia, with a tendency to caries formation, tetracyclines should be avoided in children under 8 years of age and in women after the third month of pregnancy. The risk of photosensitivity reactions largely depends on the dose of the drug and the degree of exposure …
[ Continue Reading... ]Synonyms of Ampicillin:
Aminobenzylpenicillin, Ampicilina [INN-Spanish], Ampicillin Acid, Ampicillin Anhydrate, Ampicillin Anhydrous, Ampicillin Base, Ampicillin Sodium, Ampicillin Trihydrate, Ampicillin [Usan:Ban:Inn:Jan], Ampicillina [Dcit], Ampicilline, Ampicilline [INN-French], Ampicillinum [INN-Latin], Anhydrous Ampicillin, Bayer 5427, D-Ampicillin
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Therapeutic classes of Ampicillin:
Anti-Bacterial Agents, Penicillins
Dosage forms of Ampicillin:
| Form | Route | Strength |
|---|---|---|
| Capsule | Oral | |
| Liquid | Oral | |
| Powder, for solution | Intramuscular | |
| Powder, for solution | Intravenous | |
| Powder, for solution | Oral | |
| Suspension | Oral | |
| Tablet | Oral |
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