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Amoxicillin + Clavulanate

Brand: Augmentin (US/EU/IN) / Amoxyclav (IN) / Clavam (BD)
Antibiotic Aminopenicillin + β-lactamase inhibitor

Chemistry

Structure
structure

Pharmacokinetics

Half-life 1 hours
Tmax 1 h
Bioavailability 70 % (approx)
Protein Binding 20 %
Volume of Distribution 0.3 L/kg (approx)
Clearance Route renal
Active Metabolites no
Notes PK based on amoxicillin component only; clavulanate not included in mg calculation.

⚠️ Safety & Warnings

Severity: Moderate

Adverse Effects:
Diarrhea, rash, elevated LFTs (more likely than amoxicillin alone), cholestatic jaundice

Contraindications:
Penicillin allergy, prior cholestatic jaundice with this drug

Precautions:
Higher GI intolerance than amoxicillin; monitor LFTs if prolonged course