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Alfamox (Amoxicillin)

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Alfamox is acceptable for uncomplicated acute sinus infections; however, many doctors prescribe amoxicillin-clavulanate (Augmentin) as the first-line antibiotic to treat a possible bacterial infection of the sinuses. Alfamox usually is effective against most strains of bacteria.

Other names for this medication:
Amoclen, Amoram, Amoxicillin, Amoxicillinum, Amoxisol, Amoxivet, Amoxypen, Bimoxan, Bristamox, Cipmox, Clamoxyl, Flemoxin, Galenamox, Gimalxina, Hidramox, Larotid, Moxicillin, Ospamox, Penamox, Polymox, Reloxyl, Robamox, Sintedix, Solciclina, Stacillin, Sumox, Tolodina, Utimox, Wymox, Zimox

Similar Products:
Avelox, Suprax, Cipro, Ceftin, Omnicef

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Also known as: Amoxicillin


Alfamox is one of the best forms of antibiotic available today. It is used to treat infections caused by certain bacteria, including: infections of the ear, nose, and throat (pneumonia, bronchitis); infections of the genitourinary tract; infections of the skin and skin structure; infections of the lower respiratory tract; gonorrhea, acute uncomplicated (ano-genital and urethral infections) in male and females.

Alfamox is also used before some surgery or dental work to prevent infection. It is also used in combination with other medications to eliminate H. pylori, a bacteria that causes ulcers. Alfamox may also be used for other purposes not listed here.

Alfamox acts by inhibiting the synthesis of bacterial cell wall and stopping the growth of bacteria.

Alfamox is available in capsules.

Alfamox is usually taken every 8 hours (three times a day). It can be taken with or without food.

The chewable tablets should be crushed or chewed thoroughly before they are swallowed. The tablets and capsules should be swallowed whole and taken with a full glass of water.

Take Alfamox exactly as directed. Do not take more or less Alfamox or take it more often than prescribed by your doctor. Do not stop taking Alfamox without talking to your doctor. To clear up your infection completely, continue taking Alfamox for the full course of treatment even if you feel better in a few days. Stopping Alfamox too soon may cause bacteria to become resistant to antibiotics.


Alfamox may be taken every 8 hours or every 12 hours, depending on the strength of the product prescribed.

Patients should be counseled that antibacterial drugs, including Alfamox, should only be used to treat bacterial infections. They do not treat viral infections (e.g., the common cold). When Alfamox is prescribed to treat a bacterial infection, patients should be told that although it is common to feel better early in the course of therapy, the medication should be taken exactly as directed. Skipping doses or not completing the full course of therapy may: (1) decrease the effectiveness of the immediate treatment, and (2) increase the likelihood that bacteria will develop resistance and will not be treatable by Alfamox or other antibacterial drugs in the future.

Diarrhea is a common problem caused by antibiotics which usually ends when the antibiotic is discontinued. Sometimes after starting treatment with antibiotics, patients can develop watery and bloody stools (with or without stomach cramps and fever) even as late as 2 or more months after having taken the last dose of the antibiotic. If this occurs, patients should contact their physician as soon as possible.


In case of overdosage, discontinue medication, treat symptomatically, and institute supportive measures as required. If the overdosage is very recent and there is no contraindication, an attempt at emesis or other means of removal of drug from the stomach may be performed. A prospective study of 51 pediatric patients at a poison-control center suggested that overdosages of less than 250 mg/kg of Alfamox are not associated with significant clinical symptoms and do not require gastric emptying.

Interstitial nephritis resulting in oliguric renal failure has been reported in a small number of patients after overdosage with Alfamox.

Crystalluria, in some cases leading to renal failure, has also been reported after Alfamox overdosage in adult and pediatric patients. In case of overdosage, adequate fluid intake and diuresis should be maintained to reduce the risk of Alfamox crystalluria.

Renal impairment appears to be reversible with cessation of drug administration. High blood levels may occur more readily in patients with impaired renal function because of decreased renal clearance of Alfamox. Alfamox may be removed from circulation by hemodialysis.


Store between 20 and 25 degrees C (68 and 77 degrees F) away from moisture and heat. Keep bottle closed tightly. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Alfamox are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Geriatric. Based on manufacturer data, geriatric patients (above 65 years) do not respond differently to Alfamox treatment than younger patients. However, a greater sensitivity to Alfamox in elderly patients could not be ruled out. Alfamox is known to be substantially excreted via the kidney. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection for elderly patients; renal function monitoring may be useful. The federal Omnibus Budget Reconciliation Act (OBRA) regulates medication use in residents of long-term care facilities. According to OBRA, use of antibiotics should be limited to confirmed or suspected bacterial infections. Antibiotics are non-selective and may result in the eradication of beneficial microorganisms while promoting the emergence of undesired ones, causing secondary infections such as oral thrush, colitis, or vaginitis. Any antibiotic may cause diarrhea, nausea, vomiting, anorexia, and hypersensitivity reactions.

Pregnancy. Alfamox is classified in FDA pregnancy risk category B. Animal data reveal no teratogenic effects, however, there are no adequate and well-controlled studies in pregnant women. While Alfamox should be used with caution in pregnancy, penicillins are usually considered safe during pregnancy when clearly needed.

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