Pregnancy amoxicillin

Amoxicillin (Trimox, Amoxil) 500 mg orally three times daily for 7 days First-line agent in pregnancy third-line agent in lactation... 

Systemic agents that are considered safe in pregnancy include acyclovir, amoxicillin, azithromycin, cephalosporins, chlorpheniramine, cyproheptadine, dicloxacillin, diphenhydramine, erythromycin (except estolates), nystatin, and penicillin. 

Pregnancy Acute pyelonephritis As above 1. Amoxicillin-davulanate x 7 days 2. Cephalosporin x 7 days 3. Trimethoprim-sulfamethoxazole x 7 days Avoid trimethoprim-sulfamethoxazole during third trimester... 

In patients with significant bacteriuria, symptomatic or asymptomatic, treatment is recommended in order to avoid possible complications during the pregnancy. Therapy should consist of an agent with a relatively low adverse-effect potential (a sulfonamide, cephalexin, amoxicillin, amoxicillin/clavulanate, nitrofurantoin) administered for 7 days. 

Aspirin is avoided in breast-feeding because of the possibility of Reye s syndrome. Moreover if high doses of aspirin are used, the neonate may develop hypoprothrombinaemia. Benzodiazepines such as diazepam are present in milk and therefore should be avoided during breast-feeding. Amoxicillin can be safely administered during pregnancy and breast-feeding. 

This may be found by routine urine testing of pregnant women or patients with known structural abnormalities of the urinary tract. Such infection may explain micturition frequency or incontinence in the elderly. Appropriate antimicrobial therapy should be given, chosen on the basis of susceptibility tests, and normally for 7-10 days. Amoxicillin or a cephalosporin is preferred in pregnancy, although nitrofurantoin may be used if imminent delivery is not likely (see below). 

Kacmar J, Cheh E, Montagno A, Peipert JF. A randomized trial of azithromycin versus amoxicillin for the treatment of Chlamydia trachomatis in pregnancy. Infect Dis Obstet Gynecol 2001 9(4) 197-202. 

Jacobson GF, Autry AM, Kirby RS, Liverman EM, Motley RU. A randomized controlled trial comparing amoxicillin and azithromycin for the treatment of Chlamydia trachomatis in pregnancy. Am J Obstet Gynecol 2001 184(7) 1352-4 discussion 1354-6. 

Amoxicillin is safe to use in pregnancy and therefore would be the drug of choice assuming patient is not penicillin sensitive. Ask prescriber to change to amoxicillin sachets 3 g, 1 every 12 hours, mitte 2 (see 4 above). 

Draw patient s attention to the patient information leaflets (PILs) and ask if she has any questions. She asks if she can drink alcohol while taking the antibiotics. What would be your response You should advise the patient that it is alright to drink alcohol while taking amoxicillin tablets. However, if the patient is pregnant, it would be advisable to avoid alcohol during her pregnancy to prevent any harm to the fetus. 

Eor pregnant women with chlamydial urogenital infections, treatment can reduce the risk of pregnancy complications and transmission to the newborn significantly. Because the use of tetracyclines and fluoroquinolones is contraindicated during pregnancy, erythromycin base and amoxicillin are the recommended drug treatments (see Table 115-8). Some clinicians prefer amoxicillin to erythromycin because of better patient tolerability and, as a resulf improved patient compliance. Patients intolerant of... 

I was started on ciprofloxacin to prevent anthrax. Tve heard that amoxicillin may be a safer drug for me to take during my pregnancy. How do 1 know if I can be switched to amoxicillin ... 

Doctors are often more confident about using amoxicillin than ciprofloxacin in pregnancy because they have more information on the safety of amoxicillin for die mother and the fetus. But in some situations, amoxicillin may not be effective against anthrax this is because the bacteria diat cause anthrax can sometimes develop reskstance to penicillins such as amoxicillin. Before prescribing amoxicillin for you, your doctor will want to learn more about the specific place and situation of your exposure to anthrax and also about your general medical history. (For instance,. some women cannot take amoxicillin because they are allergic to it.)... 

The use of a penicillin (unspecified) was implicated in 32 pregnancies in women taking an oral contraceptive (unspecified) in the adverse reactions register of the CSM in the UK for the years 1968 to 1984 (a fiuther 31 cases were attributed to other antihacterials). In an earlier review, the penicillins in 15 cases of contraceptive failure were named as ampicillin (alone or with fusidic acid, tetracycline or flncloxacillin), amoxicillin, talampicillin, phenoxymethylpenicillin (one also with oxytetracycline) and penicillin . A survey of contraceptive failure descrihed failures due to amoxicillin (16 cases), flncloxacillin, phenoxymethylpenicillin, pivampicillin (3 cases) and amoxicillin with phenoxymethylpenicillin (1 case), and a follow-up survey identified 9 further cases involving amoxicillin and one with penicillin . Another similar survey descrihed a total of 17 cases with amoxicillin and 5 cases with penicillin , and a follow-up survey identified 8 further cases with amoxicillin and 1 case with penicillin . ... 

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