amoxycillin 125mg oral suspension - Amoxycillin (125mg) medicine

Amoxycillin 125mg Oral Suspension: Complete Medicine Guide

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🏭 Nestor Pharmaceuticals 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 21, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established
Reviewed by
SaathiMed Expert Panel | Sep 21, 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or swelling of the face, lips, or throat
  • Severe or persistent diarrhoea, which may contain blood or mucus
  • Yellowing of the skin or eyes (jaundice)
  • Severe abdominal pain or cramping
  • Unusual bleeding or bruising
  • Decreased urine output or swelling in the legs
  • Seizures or severe headache
  • Rash with blistering or peeling skin

If experiencing severe symptoms, call emergency services immediately.

What is amoxycillin 125mg oral suspension used for?

Amoxycillin 125mg oral suspension is a penicillin antibiotic used to treat bacterial infections in children and adults who cannot swallow tablets. It works by killing bacteria and is effective against ear, throat, chest, urinary, and skin infections. Always complete the full course as prescribed.

  • Generic Name: Amoxycillin
  • Manufacturer: Nestor Pharmaceuticals
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 amoxycillin 125mg oral suspension के बारे में (Hindi Summary)

उपयोग: यह दवा एक एंटीबायोटिक है जिसका उपयोग बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है, जैसे कान का संक्रमण, गले का संक्रमण, निमोनिया, मूत्र मार्ग का संक्रमण, और त्वचा का संक्रमण। यह बैक्टीरिया को मारकर काम करती है और केवल डॉक्टर के पर्चे पर ही लेनी चाहिए।

साइड इफेक्ट्स: आम दुष्प्रभावों में दस्त, जी मिचलाना, उल्टी, पेट दर्द, और त्वचा पर दाने शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, गंभीर दस्त, या यकृत की समस्या हो सकती है। किसी भी असामान्य लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सही मात्रा मापने के लिए मापने वाला कप या सिरिंज का उपयोग करें। कोर्स पूरा करें, चाहे लक्षण ठीक हो जाएं। गुर्दे या यकृत की समस्या हो तो डॉक्टर को बताएं। दवा को सही तरीके से स्टोर करें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 amoxycillin 125mg oral suspension Uses & Benefits

[{"condition":"Acute otitis media","description":"This medicine is used to treat middle ear infections caused by susceptible bacteria such as Streptococcus pneumoniae and Haemophilus influenzae.","evidence":"Well-established"},{"condition":"Community-acquired pneumonia","description":"It is effective against mild to moderate community-acquired pneumonia caused by susceptible strains of Streptococcus pneumoniae and Haemophilus influenzae.","evidence":"Well-established"},{"condition":"Streptococcal pharyngitis","description":"This medicine is used to treat throat infections caused by Streptococcus pyogenes to prevent complications like rheumatic fever.","evidence":"Well-established"},{"condition":"Urinary tract infections","description":"It is prescribed for uncomplicated urinary tract infections caused by susceptible bacteria such as Escherichia coli and Enterococcus faecalis.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"This medicine is used for skin infections like cellulitis and impetigo caused by susceptible streptococci and staphylococci.","evidence":"Well-established"},{"condition":"Dental infections","description":"It is used to treat dental abscesses and pericoronitis caused by susceptible oral bacteria.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Helicobacter pylori eradication","description":"This medicine is sometimes used as part of combination therapy for H. pylori eradication, though resistance is common.","evidence":"Limited"},{"condition":"Lyme disease","description":"It may be used off-label for early Lyme disease in patients who cannot take doxycycline, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Otitis media, Pneumonia, Pharyngitis, Urinary tract infections, Skin infections

📋 Drug Information

Generic Name(s)Amoxycillin
Brand NameAlmox 500 Capsule
ManufacturerNestor Pharmaceuticals
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassCell wall active agent -Extended spectrum Penicillin
Route of AdministrationOral
StorageStore the dry powder at room temperature (15-30°C) in a dry place. After reconstitution, store the suspension in the refrigerator (2-8°C) and discard any unused portion after 7 days. Do not freeze.
Shelf LifeThe shelf life of the dry powder is typically 24 months from the date of manufacture. After reconstitution, the suspension should be used within 7 days if stored in the refrigerator.
WHO GuidelineThe World Health Organization (WHO) includes amoxycillin in its Model List of Essential Medicines for the treatment of various bacterial infections, including pneumonia and otitis media. It is recommended as a first-line antibiotic for community-acquired pneumonia in children.
ICMR GuidelineThe Indian Council of Medical Research (ICMR) recommends amoxycillin for the treatment of uncomplicated community-acquired pneumonia, otitis media, and streptococcal pharyngitis, based on local resistance patterns.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always shake the suspension well before each dose to ensure the medicine is evenly mixed.
2
Use a proper measuring device, such as the provided cup or syringe, to measure the dose accurately.
3
Complete the full course of antibiotics as prescribed, even if your child feels better after a few days.
4
If your child develops a rash, stop the medicine and consult your doctor immediately, as it may indicate an allergy.
5
Store the reconstituted suspension in the refrigerator and discard any unused portion after 7 days.
6
Do not give this medicine to anyone else, even if they have similar symptoms.
7
Inform your doctor if your child has kidney or liver problems before starting this medicine.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Ear pain
This medicine is commonly prescribed for ear infections.
Likely Use
Sore throat
This medicine is used for streptococcal pharyngitis.
Likely Use
Fever
This medicine may be used if fever is due to a bacterial infection.
Likely Use
Cough
This medicine is used for bacterial pneumonia or bronchitis.
Likely Use
Runny nose
This medicine is not effective for viral colds.
Not Primary
Headache
This medicine is not a primary treatment for headache.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAmoxycillin is rapidly absorbed from the gastrointestinal tract after oral administration. The oral suspension is well absorbed, with peak plasma concentrations achieved within 1 to 2 hours. Food does not significantly affect the extent of absorption but may delay the time to peak concentration.
DistributionAmoxycillin distributes widely into body tissues and fluids, including middle ear fluid, sinus secretions, bronchial secretions, lung tissue, urine, and bile. It crosses the placenta and is excreted in breast milk. It does not penetrate the cerebrospinal fluid significantly unless the meninges are inflamed.
Protein BindingAmoxycillin is approximately 17-20% bound to plasma proteins.
MetabolismAmoxycillin is partially metabolized in the liver to inactive penicilloic acid. The extent of metabolism is minimal, and most of the drug is excreted unchanged.
Half-LifeThe elimination half-life of amoxycillin is approximately 1 to 1.5 hours in patients with normal renal function. It is prolonged in patients with renal impairment.
ExcretionAmoxycillin is primarily excreted unchanged in the urine via glomerular filtration and tubular secretion. Approximately 60-70% of an oral dose is excreted in the urine within 6 hours. A small amount is excreted in bile and feces.
BioavailabilityThe oral bioavailability of amoxycillin is approximately 80-90% in fasting individuals. It is slightly reduced when taken with food.
Onset of ActionThe onset of action is typically within 1 to 2 hours after oral administration, corresponding to the time to reach peak plasma concentrations.
Peak Plasma TimePeak plasma concentrations are achieved approximately 1 to 2 hours after oral administration.
Duration of ActionThe duration of action is typically 6 to 8 hours, depending on the dose and renal function. This medicine is usually administered every 8 to 12 hours.

How It Works

This medicine works by binding to penicillin-binding proteins (PBPs) located inside the bacterial cell wall. This binding inhibits the transpeptidation reaction required for cross-linking of peptidoglycan chains, which is essential for cell wall strength and rigidity. As a result, the bacterial cell wall becomes weakened, leading to cell lysis and death, especially in rapidly dividing bacteria. This medicine is bactericidal against susceptible organisms.

Mechanism Steps

1
Binding to penicillin-binding proteins: This medicine binds to specific penicillin-binding proteins (PBPs) on the bacterial cell membrane.
2
Inhibition of cell wall synthesis: It inhibits the transpeptidase enzyme responsible for cross-linking peptidoglycan chains in the bacterial cell wall.
3
Cell wall weakening and lysis: The weakened cell wall cannot withstand osmotic pressure, leading to bacterial cell lysis and death.

💡 How to Take amoxycillin 125mg oral suspension

Strength: Oral suspension: 125mg per 5mL

1Shake the bottle well before each use to ensure the medicine is evenly mixed.
2Use the measuring cup or syringe provided with the medicine to measure the correct dose.
3Take the medicine orally, with or without food. If it upsets your stomach, take it with a meal.
4Swallow the suspension directly. Do not mix with large amounts of liquid unless instructed.
5After use, close the bottle tightly and store as directed.
6Wash the measuring device thoroughly with water after each use.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 250-500 mg every 8 hours or 500-875 mg every 12 hours, depending on the type and severity of infection. For severe infections, higher doses may be prescribed. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosageThe pediatric dose is based on body weight and the specific infection. The usual dose is 20-40 mg/kg/day divided every 8 hours, or 25-45 mg/kg/day divided every 12 hours. For severe infections, up to 90 mg/kg/day may be used. This medicine is available as a 125mg/5mL suspension for accurate dosing. Pediatric dosing must be determined by a pediatrician based on weight, age, and renal function.
Elderly DosageElderly patients may have reduced renal function and may require dose adjustment. The dose should be individualized based on renal function. No specific dose adjustments are recommended solely based on age, but caution is advised.
Renal ImpairmentIn patients with renal impairment, dose adjustment is required. For creatinine clearance (CrCl) 10-30 mL/min, the usual dose should be given every 12 hours. For CrCl less than 10 mL/min, the dose should be given every 24 hours. For patients on hemodialysis, a dose should be given after each dialysis session. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentNo specific dose adjustment is recommended for hepatic impairment, but caution is advised. Monitor liver function if prolonged use.
Maximum Daily DoseThe maximum recommended daily dose for adults is 4 grams per day. For children, the maximum daily dose is 90 mg/kg/day, not to exceed the adult maximum.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
May take with or without food
Food does not significantly affect absorption but can reduce stomach upset.
Milk
Can be taken with milk
Milk does not interfere with amoxycillin absorption.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of amoxycillin 125mg oral suspension

✅ Common Side Effects

Diarrhoea (Common (5-10%))
Usually resolves on its own. Maintain hydration. Consult doctor if persistent or severe.
Nausea (Common (5-10%))
Take with food to reduce nausea. Consult doctor if it interferes with eating.
Vomiting (Common (5-10%))
Take with food and stay hydrated. Consult doctor if vomiting persists.
Skin rash (Common (5-10%))
Stop the medicine and consult your doctor immediately, as it may indicate an allergy.
Stomach pain (Common (5-10%))
Take with food. Consult doctor if pain is severe or persistent.

🚨 Serious Side Effects

Anaphylaxis (Rare (<0.1%))
Seek immediate medical attention if you experience difficulty breathing, swelling of face or throat, or severe rash.
Clostridioides difficile-associated diarrhoea (Rare (<0.1%))
Seek immediate medical attention if you develop severe, persistent diarrhoea, abdominal pain, or fever.
Hepatotoxicity (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe abdominal pain to your doctor immediately.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Very rare (<0.01%))
Seek immediate medical attention if you develop a painful rash, blistering, or peeling skin.
Seizures (Rare (<0.1%))
Seek immediate medical attention if seizures occur, especially in patients with renal impairment.

⚠️ Rare Side Effects

Interstitial nephritis
Report decreased urine output, swelling, or blood in urine to your doctor immediately.
Blood dyscrasias (e.g., agranulocytosis, thrombocytopenia)
Report unusual bleeding, bruising, or signs of infection to your doctor immediately.
Crystalluria
Maintain adequate hydration. Report painful urination or blood in urine to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Methotrexate Major
Allopurinol Major
Probenecid Major
Oral contraceptives Moderate
Tetracyclines Moderate
Chloramphenicol Moderate
Antacids Minor

🚨 Major Interactions

  • Warfarin
  • Methotrexate
  • Allopurinol
  • Probenecid

⚡ Moderate Interactions

  • Oral contraceptives
  • Tetracyclines
  • Chloramphenicol

🍷 Alcohol Interaction

Alcohol does not directly interact with amoxycillin, but it may worsen stomach upset and should be avoided during treatment, especially if you have an infection.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to penicillins or cephalosporins","History of severe allergic reaction to beta-lactam antibiotics","Infectious mononucleosis (increased risk of rash)"]

⚠️ Warnings & Precautions

["Before starting this medicine, inform your doctor if you are allergic to penicillins or cephalosporins.","Use with caution in patients with renal impairment; dose adjustment may be needed.","Prolonged use may lead to overgrowth of non-susceptible organisms, including fungi.","This medicine may reduce the efficacy of oral contraceptives; use additional contraception.","Do not use this medicine to treat viral infections like the common cold.","Complete the full course as prescribed, even if symptoms improve.","Shake the suspension well before each use to ensure uniform dosing."]

🤱 Lactation Safety

Amoxycillin is excreted in breast milk in small amounts. It is generally considered safe during breastfeeding, but monitor the infant for diarrhoea, thrush, or rash. Consult your doctor before use.

💊 Overdose Management

Overdose may cause nausea, vomiting, diarrhoea, and abdominal pain. In severe cases, crystalluria and renal failure may occur. Treatment is symptomatic and supportive. Maintain adequate hydration. Hemodialysis may be considered in severe cases with renal impairment. Contact a poison control center or emergency department immediately if overdose is suspected.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Shake the bottle well before each dose. Use a proper measuring device to ensure accurate dosing. Do not skip doses or stop the course early, even if you feel better. Inform your doctor if you have kidney problems, liver problems, or a history of allergies. Avoid taking this medicine with certain other drugs without consulting your doctor. Store the suspension as directed and discard any unused portion after the recommended period.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have reduced renal function and may require dose adjustment. Monitor renal function and watch for signs of toxicity. They may also be more susceptible to antibiotic-associated diarrhoea.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. Amoxycillin is generally considered safe during pregnancy, but it should only be used when clearly needed and prescribed by a doctor.

🏥 Post-Surgery Considerations

If you are scheduled for surgery, inform your surgeon that you are taking this medicine. It may interact with other medications used during surgery. Your doctor may advise you to stop or adjust the dose before surgery.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. It may be prescribed to prevent infection after dental surgery, but your dentist will determine the appropriate use.

💚 Lifestyle Tips for Better Results

🏃
Ensure your child gets plenty of rest to help the body fight the infection.
🥗
Offer plenty of fluids to prevent dehydration, especially if there is diarrhoea or fever.
😴
Maintain good hand hygiene to prevent the spread of infection to others.
💧
Follow a balanced diet rich in fruits and vegetables to support the immune system.
🧘
Avoid close contact with others who are sick to prevent reinfection.
🌞
Complete the full course of antibiotics as prescribed, even if symptoms improve.

🏋️ Exercise Considerations

There are no specific exercise restrictions while taking this medicine. However, if you or your child feels tired or unwell due to the infection, rest is recommended. Resume normal activities as symptoms improve.

🥗 Diet Recommendations

Stay well hydrated with water, soups, and oral rehydration solutions.
Include probiotic-rich foods like yogurt to help maintain healthy gut bacteria.
Avoid spicy and greasy foods if experiencing stomach upset.
Eat small, frequent meals if nausea is present.
Include fruits and vegetables rich in vitamin C to support healing.

💼 Impact on Daily Work & Life

This medicine is not known to impair driving or operating machinery. However, if you experience dizziness or fatigue due to the infection, avoid driving or operating heavy machinery until you feel better. Children should be monitored for any unusual symptoms.

🛑 When to Stop This Medicine

Do not stop taking this medicine before completing the full course prescribed by your doctor, even if you feel better. Stopping early can lead to recurrence of infection and antibiotic resistance. If you experience severe side effects, consult your doctor before stopping.

📅 Long-Term Use Effects

Long-term use of amoxycillin can lead to antibiotic resistance and may increase the risk of superinfections, such as oral thrush or Clostridioides difficile-associated diarrhoea. Prolonged therapy may also rarely affect liver or kidney function. Regular monitoring may be required if used for extended periods. Always use antibiotics only when prescribed and for the shortest duration necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Probiotics

May help prevent antibiotic-associated diarrhoea when taken alongside antibiotics.

Evidence: Moderate
Adequate hydration and rest

Supports the body's natural healing process during infection.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between amoxycillin and vaccines. However, if you or your child is scheduled for a vaccination, inform the healthcare provider about the current antibiotic use. Antibiotics do not interfere with vaccine efficacy.

📦 Storage Guide

✅ DO

Store dry powder at room temperature (15-30°C)

❌ DON'T

Do not freeze the dry powder

✅ DO

After reconstitution, store in refrigerator (2-8°C)

❌ DON'T

Do not leave reconstituted suspension at room temperature for more than 1 hour

✅ DO

Discard unused suspension after 7 days

❌ DON'T

Do not use after the expiry date

✅ DO

Keep in original container with cap tightly closed

❌ DON'T

Do not transfer to another container

✈️ Traveling with This Medicine

When traveling with this medicine, carry it in its original packaging with the prescription label intact. Bring a copy of your prescription to show at customs if needed. For reconstituted suspension, keep it refrigerated using a cool pack during travel. If traveling across time zones, adjust dosing times gradually to maintain even intervals. Always check local regulations regarding carrying antibiotics.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 3-year-old child with acute otitis media
The child was prescribed amoxycillin 125mg oral suspension for an ear infection. The parents were advised to shake the bottle well and give the dose with food to prevent stomach upset. After 3 days, the child's fever subsided and ear pain improved. The parents completed the full 10-day course as directed, and the infection resolved completely.
💡 Lesson: Completing the full course of antibiotics is essential to prevent recurrence and resistance, even if symptoms improve early.
👤 A 45-year-old adult with streptococcal pharyngitis
The patient was prescribed amoxycillin 125mg oral suspension because of difficulty swallowing tablets. They were advised to take it every 8 hours with meals. After 2 days, the sore throat improved significantly. The patient completed the 10-day course and recovered fully without complications.
💡 Lesson: Amoxycillin suspension is an effective alternative for adults who cannot swallow tablets, and adherence to the prescribed schedule is key to successful treatment.

💬 Questions Patients Often Ask

Q: How long does it take for amoxycillin 125mg oral suspension to work?

A: You may start to see improvement in symptoms within 1 to 2 days, but it is important to complete the full course as prescribed, usually 5 to 10 days, to ensure the infection is fully treated.

Q: Can I give amoxycillin 125mg oral suspension to my child with food?

A: Yes, you can give it with or without food. If it causes stomach upset, giving it with food may help. Shake the bottle well before each dose.

Q: What should I do if my child develops a rash while taking this medicine?

A: Stop the medicine and consult your doctor immediately. A rash may indicate an allergic reaction, and your doctor will advise on alternative treatment.

Q: Is amoxycillin 125mg oral suspension safe during pregnancy?

A: Amoxycillin is generally considered safe during pregnancy when prescribed by a doctor. However, always consult your doctor before taking any medicine during pregnancy.

Q: How should I store amoxycillin 125mg oral suspension?

A: Store the dry powder at room temperature. After mixing, store the suspension in the refrigerator and discard any unused portion after 7 days. Do not freeze.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine with other medications?
  • What if my child vomits after taking the dose?
  • Is it safe to breastfeed while taking this medicine?
  • How long does it take to see improvement?
  • Can I take this medicine on an empty stomach?
  • What should I do if I miss a dose?
  • Does this medicine cause drowsiness?
  • Can I drink alcohol while taking this medicine?

🔄 Substitutes for amoxycillin 125mg oral suspension

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Amoxycillin can cure viral infections like the common cold.
    Fact: Amoxycillin is an antibiotic that only works against bacterial infections. It is ineffective against viruses.
  • Myth: You can stop taking amoxycillin once you feel better.
    Fact: You must complete the full course as prescribed to prevent the infection from returning and to avoid antibiotic resistance.
  • Myth: Amoxycillin is safe for everyone.
    Fact: Amoxycillin can cause allergic reactions in people with penicillin allergy. Always inform your doctor about any allergies.
  • Myth: Amoxycillin suspension does not need refrigeration after mixing.
    Fact: After reconstitution, amoxycillin suspension should be stored in the refrigerator and used within 7 days.

🔄 Alternative Options

Generic Alternatives

  • Amoxycillin 125mg/5mL oral suspension (various manufacturers)

Brand Alternatives

  • Amoxil
  • Mox
  • Novamox
  • Almox

📊 Comparison with Similar Medicines

[{"medicine":"Amoxycillin","class":"Aminopenicillin","spectrum":"Broad-spectrum","route":"Oral","common_use":"Ear, throat, chest, urinary, skin infections"},{"medicine":"Amoxycillin-clavulanate","class":"Aminopenicillin + beta-lactamase inhibitor","spectrum":"Extended-spectrum","route":"Oral","common_use":"Resistant infections, sinusitis, bite wounds"},{"medicine":"Ampicillin","class":"Aminopenicillin","spectrum":"Broad-spectrum","route":"Oral, IV, IM","common_use":"Meningitis, enterococcal infections"},{"medicine":"Penicillin V","class":"Natural penicillin","spectrum":"Narrow-spectrum","route":"Oral","common_use":"Streptococcal pharyngitis"}]

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