Generic Name

Composition

Therapeutic Category

Division

Amoxicillin Trihydrate

Amoxicillin Trihydrate 250mg Capsules

Amoxicillin Trihydrate 500mg Capsules

Amoxicillin Trihydrate 100mg/1ml Drops

Amoxicillin Trihydrate 125mg/5ml Dry Syrup

Penicillin Antibiotic

NEXUS

    BRAND COMPOSITION DESCRIPTION

    HIMOX 250

     Each capsule contains:
    Amoxycillin Trihydrate BP equivalent to Amoxycillin        250mg

    HIMOX 250 is a size '2' hard gelatin capsule having yellow body and green cap filled with white to yellowish blend of granular powder.

     HIMOX 500  Each capsule contains:

    Amoxycillin Trihydrate BP equivalent to Amoxycillin        500mg

    HIMOX 500 is a size '0' plain hard gelatin capsule with yellow body and green cap filled with white to yellowish blend of granular powder.

     HIMOX Dry Syrup  Each 5 ml of the reconstituted suspension contains:

    Amoxycillin Trihydrate BP equivalent to Amoxycillin        125mg

     HIMOX Dry Syrup contains white blended granules and powder filled in 78 ml overflow capacity amber colored bottle with outer ring at 60 ml volume for reconstitution.

    HIMOX Drops

     

    Each ml of Reconstituted Suspension Contains:

    Amoxycillin Trihydrate BP equivalent to Amoxycillin        100mg

     

    HIMOX Drops contain amber bottle with a label with a mark for 10 ml on the outer side filled with white blend of granular powder labeled as HIMOX PAEDIATRIC DROPS 10 ml.

    PHARMACOLOGY

    Pharmacotherapeutic Group: Penicillin antibiotics

    Pharmacodynamic properties: HIMOX has bactericidal action. It inhibits the bacterial cell wall synthesis by interfering with transpeptidase enzyme. Amoxicillin is bactericidal against non β-lactamase producing G(+) organisms and selected G(-) pathogens.

    Pharmacokinetic properties:
    Absorption: Rapidly and completely absorbed from the GI tract. Time to peak plasma concentration: 1-2 hr
    Distribution: Widely distributes into body tissues and fluids. Crosses the placenta and enters breast milk in small amounts. Plasma protein binding: approximately 20 %
    Metabolism: Undergoes partial hepatic metabolism and converted to penicilloic acid.
    Excretion: urine (60% as unchanged drug) and faeces. Plasma half-life: 1-1.5 hr

     INDICATIONS

    ENT infections, H. pylori infections, dental infections, pneumonia, respiratory tract infections, bronchitis, urinary tract infections, gonorrhea

    DOSE: 

    Adult: 250-500 mg every 8 hr; 

    Child <10 yrs: 125-250 mg every 8 hr

    <40 kg: 20-40 mg/kg daily in divided doses every 8 hours

    <3 months: 30mg/kg daily in divided doses every 12 hours

     

    PATIENT INFORMATION

     Administration:

    • May be taken with or without food.

    Food Interaction: 

    • Increases the absorption and reduces GI discomfort.

    Pregnancy: Category B

    Storage:  Store capsules at or below 68°F in an air-tight container away from children.

    Missed dose: 

    • Take the missed dose as soon as you remember.

    • Skip the missed dose if it is almost time for your next scheduled dose.

    • Do not take extra medicine to make up the missed dose.

    • Complete the course of the medication.

    CONTRAINDICATIONS

    Hypersensitivity to penicillins, cephalosporins, imipenem

     SPECIAL PRECAUTIONS

    Renal and hepatic disease; pregnancy; lactation; infectious mononucleosis

     ADVERSE DRUG REACTIONS

    Serious AEs: Neuromuscular hypersensitivity; pseudomembranous colitis General AEs: Hyperactivity, agitation, insomnia, dizziness, maculopapular rash, exfoliative dermatitis, urticaria, hypersensitivity vasculitis, diarrhoea, nausea, vomiting, anaemia, thrombocytopenia, leucopenia, agranulocytosis.

     DRUG INTERACTIONS

    Increased levels with disulfiram and probenicid. Decreased effects with tetracyclines and chloramphenicol.

    Serious drug interaction: Increase effects of oral anticoagulants. 

    PRESENTATION

    HIMOX 250: Each box is supplied with 10 strips of 10 capsules per strip

    HIMOX 500: Each box is supplied with 10 strips of 10 capsules per strip

    HIMOX DS: Each phial is supplied with 60 ml DS volume to be reconstituted

    HIMOX Drops: Each phial is supplied with 10 ml volume to be reconstituted