— Product
CARIMOX CV 375 TAB
AMOXY 250MG + CLAUV POTASIUM 125MG
CARIMOX CV 375 TAB is a tablet combining amoxicillin 250 mg with clavulanate potassium 125 mg. The clavulanate protects the amoxicillin from bacterial beta-lactamase, and this lower 375 mg strength is used for milder infections or three-times-daily regimens in respiratory, urinary, skin, soft-tissue and dental infection.
01
Benefits
- Clavulanate inhibits beta-lactamase, restoring amoxicillin's activity against organisms that would otherwise destroy it.
- Covers beta-lactamase-producing Haemophilus influenzae, Moraxella catarrhalis and Staphylococcus aureus.
- The lower strength suits milder infections and smaller adults, and keeps the clavulanate load down.
- A lower clavulanate dose per tablet means less of the diarrhoea that limits this combination.
- Good cover for the mixed flora of dental infection and bite wounds.
02
Side effects
Not everyone gets these. Most are mild and settle as the course finishes.
Common
- Diarrhoea or loose stools
- Nausea or vomiting
- Abdominal discomfort
- Skin rash
Less common
- Oral or vaginal thrush after the course
- Raised liver enzymes on testing
- Headache or dizziness
- Indigestion
Stop and get medical help if any of these occur
- Swelling of the face, lips or tongue, difficulty breathing, or collapse
- Yellowing of the skin or eyes, dark urine, or pale stools
- Severe, watery or bloody diarrhoea during or in the weeks after the course
- Widespread rash with blistering or peeling skin
- Unusual bruising or bleeding
03
Precautions
- Contraindicated in known penicillin allergy, and in any previous amoxicillin-clavulanate-associated jaundice or hepatic dysfunction.
- Clavulanate carries a risk of cholestatic jaundice, more so in the elderly, in men, and with courses beyond two weeks.
- Take with food, which improves clavulanate absorption and substantially reduces diarrhoea.
- Dose reduction is required in significant renal impairment.
- Avoid in suspected infectious mononucleosis, where a florid rash is common.
- Complete the full prescribed course, and never use a leftover course for a new infection.
- Use with caution where there is a cephalosporin allergy.