Tab amoxclav 625mg schedule

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amoxicillin clavulanate 625mg dosage schedule adults

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Here is the complete prescribing schedule for Tab Amoxclav 625 mg (Amoxicillin 500 mg + Clavulanate 125 mg):

Tab Amoxclav 625 mg - Dosage Schedule

Standard Adult Dose

SeverityDoseFrequencyDuration
Mild to Moderate1 tab (625 mg)Every 8 hours (TDS)5-7 days
SevereUse 875/125 mg tab or higher formulationEvery 12 hours7-14 days
The 625 mg tablet (500 mg amoxicillin + 125 mg clavulanate) is specifically the TID (three times daily / every 8 hours) formulation, per The Harriet Lane Handbook and Murray & Nadel's Respiratory Medicine.

Indication-Specific Schedules

IndicationDose & FrequencyDuration
Upper/Lower RTI (sinusitis, bronchitis, pneumonia)625 mg q8h5-10 days
Otitis media625 mg q8h5-10 days
Skin & soft tissue infections / bite wounds625 mg q8h5-7 days
UTI (uncomplicated)625 mg q8h3-5 days
UTI (complicated)625 mg q8h7-14 days
Dental/orofacial infections625 mg q8h5-7 days
Diabetic foot / deep tissue625 mg q8hUp to 14 days

Key Administration Points

  • Take with food - reduces nausea and GI upset significantly (clavulanate is the GI-irritating component)
  • Take at evenly spaced intervals - every 8 hours (e.g., 6 AM, 2 PM, 10 PM)
  • Complete the full course even if symptoms improve
  • Do not crush or chew the tablet

Dose Adjustments

ConditionAdjustment
CrCl 10-30 mL/min625 mg every 12 hours
CrCl <10 mL/min625 mg every 24 hours
Haemodialysis625 mg every 24 hours + extra dose during and at end of dialysis
Hepatic impairmentUse with caution; monitor liver function

Contraindications & Cautions

  • Avoid if history of penicillin/beta-lactam hypersensitivity
  • Avoid if previous cholestatic jaundice or hepatic dysfunction with amoxicillin-clavulanate
  • Monitor INR if on warfarin (can prolong prothrombin time)
  • Can reduce efficacy of oral contraceptives

Sources: Murray & Nadel's Textbook of Respiratory Medicine; The Harriet Lane Handbook, 23rd ed.; Drugs.com Dosage Guide
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