ampilox ds tablet - Ampicillin (500mg) + Dicloxacillin (500mg) medicine

Ampilox DS Tablet: Comprehensive Medicine Guide

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🏭 Biochem Pharmaceutical Industries 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 20, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for susceptible bacterial infections.
Reviewed by
SaathiMed Expert Panel | Sep 20, 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or swelling of face, lips, or throat
  • Severe or persistent diarrhea, especially with blood or mucus
  • Yellowing of skin or eyes, dark urine, or severe abdominal pain
  • Unusual bleeding or bruising
  • Seizures or severe dizziness
  • Decreased urine output or swelling in legs
  • High fever with rash and joint pain

If experiencing severe symptoms, call emergency services immediately.

What is ampilox ds tablet used for?

This medicine is a combination antibiotic containing Ampicillin and Dicloxacillin, used to treat a variety of bacterial infections. It works by killing bacteria that cause infections. It is important to take it exactly as prescribed and complete the full course.

  • Generic Name: Ampicillin + Dicloxacillin
  • Manufacturer: Biochem Pharmaceutical Industries
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 ampilox ds tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एम्पीसिलिन और डाइक्लोक्सासिलिन का संयोजन है, जिसका उपयोग विभिन्न जीवाणु संक्रमणों के इलाज के लिए किया जाता है। यह त्वचा, श्वसन पथ, दांतों और हड्डियों के संक्रमण में प्रभावी है। यह जीवाणुओं की कोशिका भित्ति को नष्ट करके उन्हें मार देती है। इसे डॉक्टर के निर्देशानुसार पूरा कोर्स करना आवश्यक है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द और त्वचा पर चकत्ते शामिल हैं। गंभीर दुष्प्रभावों में एलर्जी प्रतिक्रिया, गंभीर दस्त, और यकृत की समस्या शामिल हो सकती है। यदि आपको सांस लेने में कठिनाई, चेहरे या गले में सूजन, या गंभीर दस्त हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी दवाओं और एलर्जी के बारे में बताएं। इसे भोजन के साथ लें ताकि पेट की परेशानी कम हो। पूरा कोर्स पूरा करें, चाहे आप बेहतर महसूस करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। शराब का सेवन न करें। यदि आपको दाने, खुजली या सांस लेने में कठिनाई हो, तो दवा बंद करें और तुरंत चिकित्सा सहायता लें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 ampilox ds tablet Uses & Benefits

[{"condition":"Skin and soft tissue infections","description":"This medicine is used to treat bacterial infections of the skin and soft tissues, such as cellulitis, abscesses, and wound infections, caused by susceptible gram-positive bacteria including staphylococci and streptococci.","evidence":"Well-established"},{"condition":"Respiratory tract infections","description":"It is effective in treating upper and lower respiratory tract infections like pharyngitis, tonsillitis, sinusitis, and community-acquired pneumonia when caused by susceptible organisms.","evidence":"Well-established"},{"condition":"Dental infections","description":"This combination is often prescribed for dental abscesses and periodontal infections where mixed aerobic and anaerobic bacteria are involved.","evidence":"Well-established"},{"condition":"Bone and joint infections","description":"It may be used in the treatment of osteomyelitis and septic arthritis caused by susceptible staphylococci and streptococci.","evidence":"Limited"},{"condition":"Urinary tract infections","description":"Ampicillin component is active against some urinary pathogens, but dicloxacillin is not typically used for UTIs; combination may be used in specific cases.","evidence":"Limited"}]

Off-label uses: [{"condition":"Prophylaxis in dental procedures","description":"Sometimes used off-label to prevent endocarditis in high-risk patients undergoing dental procedures, though other regimens are preferred.","evidence":"Limited"},{"condition":"Eradication of Helicobacter pylori","description":"Ampicillin has been used in some combination regimens for H. pylori eradication, but not routinely recommended.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Skin and soft tissue infections, Respiratory tract infections, Dental infections, Bone and joint infections

📋 Drug Information

Generic Name(s)Ampicillin + Dicloxacillin
Brand NameAmpilox Capsule
ManufacturerBiochem Pharmaceutical Industries
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassPenicillin Antibiotics
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from moisture, heat, and direct sunlight. Do not refrigerate unless specified. Keep in the original container, tightly closed.
Shelf LifeThe shelf life is typically 24 months from the date of manufacture, but refer to the expiry date on the packaging.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Complete the full course as prescribed, even if you feel better.
3
Do not share this medicine with others.
4
Inform your doctor if you are allergic to penicillins or cephalosporins.
5
Avoid alcohol while taking this medicine.
6
If you miss a dose, take it as soon as you remember, but do not double dose.
7
Report any unusual bleeding, bruising, or severe diarrhea to your doctor.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Skin infection with redness and swelling
This medicine is commonly prescribed for this.
Likely Use
Dental pain and abscess
This medicine is effective for dental infections.
Likely Use
Common cold
This medicine is not effective against viral infections.
Not Primary
Fever
This medicine is not a primary fever reducer; it treats bacterial infections that may cause fever.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAmpicillin and dicloxacillin are both absorbed from the gastrointestinal tract after oral administration. Ampicillin absorption is partially affected by food, but the effect is not clinically significant. Dicloxacillin absorption is reduced by food, so it is best taken on an empty stomach, but the combination is often taken with food to reduce stomach upset. Peak plasma concentrations are typically reached within 1 to 2 hours for ampicillin and 1 to 2 hours for dicloxacillin.
DistributionBoth ampicillin and dicloxacillin distribute widely into body tissues and fluids, including skin, soft tissues, lungs, and bone. Ampicillin penetrates the cerebrospinal fluid only when the meninges are inflamed. Dicloxacillin is highly protein-bound and has a smaller volume of distribution compared to ampicillin. Both drugs cross the placenta and are excreted in breast milk in small amounts.
Protein BindingAmpicillin is approximately 15-20% bound to plasma proteins. Dicloxacillin is approximately 95-99% bound to plasma proteins, primarily albumin.
MetabolismAmpicillin is partially metabolized in the liver to inactive metabolites, but a significant portion is excreted unchanged. Dicloxacillin is extensively metabolized in the liver to inactive metabolites.
Half-LifeThe elimination half-life of ampicillin is approximately 1 to 1.5 hours in patients with normal renal function. The elimination half-life of dicloxacillin is approximately 0.5 to 0.9 hours.
ExcretionAmpicillin is primarily excreted unchanged in the urine via glomerular filtration and tubular secretion. Dicloxacillin is excreted in the urine and bile as metabolites and unchanged drug. Renal impairment can prolong the half-life of both drugs, especially ampicillin.
BioavailabilityThe oral bioavailability of ampicillin is approximately 30-55% in fasting conditions and may be slightly reduced with food. The oral bioavailability of dicloxacillin is approximately 35-76% and is 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. However, clinical improvement may take 24 to 48 hours.
Peak Plasma TimePeak plasma concentrations for ampicillin are reached in about 1 to 2 hours. For dicloxacillin, peak plasma concentrations are reached in about 1 to 2 hours.
Duration of ActionThe duration of action depends on the dosing interval. With typical dosing every 6 to 8 hours, therapeutic levels are maintained. The antibacterial effect persists as long as concentrations remain above the MIC for the pathogen.

How It Works

This medicine contains two penicillin antibiotics that inhibit bacterial cell wall synthesis. Ampicillin and dicloxacillin both bind to penicillin-binding proteins (PBPs) located inside the bacterial cell wall. This binding inhibits the transpeptidation reaction that cross-links peptidoglycan chains, which are 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. Dicloxacillin is resistant to hydrolysis by penicillinase enzymes produced by certain staphylococci, allowing it to be effective against penicillinase-producing Staphylococcus aureus. Ampicillin extends the spectrum to include some gram-negative bacteria such as Escherichia coli, Haemophilus influenzae, and Proteus mirabilis, though it is susceptible to beta-lactamase enzymes. The combination provides broader coverage for mixed infections.

Mechanism Steps

1
Binding to penicillin-binding proteins: Ampicillin and dicloxacillin bind to specific penicillin-binding proteins (PBPs) on the bacterial cell membrane.
2
Inhibition of cell wall cross-linking: This binding inhibits the transpeptidase enzyme responsible for cross-linking peptidoglycan strands, which are crucial for cell wall integrity.
3
Activation of autolysins: The disruption of the cell wall triggers autolytic enzymes that further degrade the existing peptidoglycan.
4
Bacterial cell lysis: The weakened cell wall cannot withstand osmotic pressure, leading to cell lysis and bacterial death.

💡 How to Take ampilox ds tablet

Strength: Each tablet contains Ampicillin 500 mg and Dicloxacillin 500 mg.

1Take the tablet orally with a full glass of water.
2Swallow the tablet whole; do not crush, chew, or break it.
3Take with food to reduce stomach upset, unless your doctor advises otherwise.
4Take at evenly spaced intervals as prescribed by your doctor.
5Complete the full course of treatment even if you feel better.
6Do not share this medicine with others.

Dosage Information

Adult DosageThe usual adult dose of this medicine is one tablet taken orally every 6 to 8 hours, depending on the severity of the infection and the prescribing doctor's judgment. The dose may need to be adjusted in patients with kidney or liver impairment. The duration of treatment varies based on the type of infection, typically 7 to 14 days. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate; always follow your doctor's prescription.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may have reduced renal function, which can increase the risk of side effects. Dose adjustment may be necessary based on renal function. Monitor closely for signs of toxicity.
Renal ImpairmentIn patients with renal impairment, the dose of this medicine may need to be reduced or the dosing interval extended. For creatinine clearance less than 10 mL/min, the dose should be significantly reduced. Consult your doctor for specific dosing recommendations based on your renal function.
Hepatic ImpairmentIn patients with hepatic impairment, dicloxacillin metabolism may be affected, but dose adjustment is not typically required. However, monitor liver function tests. Consult your doctor for guidance.
Maximum Daily DoseThe maximum daily dose is not established from the available information. The dose should not exceed the prescribed amount. Typically, the maximum adult dose is 4 grams per day (8 tablets of 500 mg each), but this must be confirmed by a clinician.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Dairy products
No specific restriction
No significant interaction.
Grapefruit juice
No specific restriction
No known interaction.

⏰ 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 ampilox ds tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Vomiting (Common (5-10%))
Take with food and stay hydrated. If vomiting is severe, contact your doctor.
Diarrhea (Common (5-10%))
Drink plenty of fluids. If diarrhea is severe or bloody, seek medical advice.
Stomach pain (Common (5-10%))
Take with food. If pain is severe or persistent, consult your doctor.
Skin rash (Uncommon (1-5%))
Stop the medicine and consult your doctor if rash develops.

🚨 Serious Side Effects

Anaphylaxis (Rare (<0.1%))
Seek emergency medical help immediately if you experience difficulty breathing, swelling of face or throat, or a sudden drop in blood pressure.
Clostridium difficile-associated diarrhea (Rare (<0.1%))
Contact your doctor if you develop severe or persistent diarrhea, abdominal pain, or fever.
Hepatotoxicity (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe abdominal pain to your doctor immediately.
Blood dyscrasias (Rare (<0.1%))
If you notice unusual bleeding, bruising, or signs of infection, seek medical attention.
Seizures (Very rare (<0.01%))
Seek immediate medical attention if seizures occur, especially in patients with renal impairment.

⚠️ Rare Side Effects

Interstitial nephritis
Report decreased urine output, swelling, or fatigue to your doctor.
Serum sickness-like reaction
Seek medical attention if you experience fever, joint pain, and rash.
Pseudomembranous colitis
Seek medical attention if you have severe diarrhea with blood or mucus.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

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

🚨 Major Interactions

  • Warfarin
  • Methotrexate
  • Allopurinol

⚡ Moderate Interactions

  • Oral contraceptives
  • Tetracyclines
  • Chloramphenicol

🍷 Alcohol Interaction

Alcohol may increase the risk of stomach upset and liver problems when taken with this medicine. It is advisable to avoid alcohol during treatment.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity or allergy to penicillins or cephalosporins.","History of severe allergic reaction (e.g., anaphylaxis) to any beta-lactam antibiotic.","Infectious mononucleosis (increased risk of rash with ampicillin).","Concurrent use with live typhoid vaccine (may reduce efficacy)."]

⚠️ Warnings & Precautions

["Before starting this medicine, inform your doctor about all your medical conditions, especially kidney or liver disease, asthma, or bleeding disorders.","Serious allergic reactions, including anaphylaxis, can occur. Stop the medicine and seek emergency help if you experience difficulty breathing, swelling, or rash.","Clostridium difficile-associated diarrhea can occur during or after treatment. Report any severe or persistent diarrhea.","This medicine may reduce the effectiveness of oral contraceptives. Use additional contraception.","Prolonged use may lead to overgrowth of non-susceptible organisms, including fungi. Monitor for superinfections.","Use with caution in patients with renal impairment; dose adjustment may be needed.","Do not use this medicine for viral infections like the common cold or flu.","Complete the full course as prescribed, even if symptoms improve, to prevent resistance."]

🤱 Lactation Safety

Ampicillin and dicloxacillin are excreted in breast milk in small amounts. This medicine is generally considered safe during breastfeeding, but it may cause diarrhea or thrush in the nursing infant. Monitor the baby for any signs of adverse effects. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose of this medicine may cause nausea, vomiting, diarrhea, and abdominal pain. In severe cases, especially in patients with renal impairment, it can cause seizures and other neurological symptoms. There is no specific antidote. Treatment is symptomatic and supportive. If overdose is suspected, contact a poison control center or emergency room immediately. Hemodialysis may be considered to remove ampicillin from the blood in severe cases.

⏰ 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 take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Before taking this medicine, inform your doctor if you are allergic to penicillins, cephalosporins, or any other medications. Tell your doctor about all other medicines you are taking, especially blood thinners like warfarin, methotrexate, and oral contraceptives, as this medicine may interact with them. Take this medicine with a full glass of water, with or without food, but preferably with food to reduce stomach upset. Do not crush or chew the tablet; swallow it whole. Complete the full course of treatment even if you feel better after a few days. Do not share this medicine with others. If you are pregnant or breastfeeding, consult your doctor before using this medicine. If you develop a rash, itching, or difficulty breathing, stop the medicine and seek emergency medical help. Avoid alcohol while taking this medicine as it may increase the risk of stomach upset and liver problems. If you have kidney or liver disease, your doctor may need to adjust your dose. Do not use this medicine for future illnesses without consulting a doctor, as it may not be appropriate.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more likely to have reduced kidney function, which can increase the risk of side effects. Dose adjustment may be necessary. Monitor renal function and watch for signs of toxicity.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. Penicillins are generally considered safe, but the decision should be made with your healthcare provider.

🏥 Post-Surgery Considerations

This medicine may be prescribed after surgery to prevent or treat surgical site infections. Follow your surgeon's instructions carefully. Inform your surgeon if you are allergic to penicillins.

🦷 Dental Procedures

This medicine is often used for dental infections and may be prescribed before or after dental procedures. Inform your dentist if you are allergic to penicillins. It may interact with other medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy diet to support your immune system.
🥗
Stay well hydrated.
😴
Get adequate rest to help your body fight the infection.
💧
Practice good hygiene to prevent the spread of infection.
🧘
Avoid sharing personal items like towels or utensils.
🌞
Complete the full course of antibiotics as prescribed.

🏋️ Exercise Considerations

If you feel dizzy or weak due to the infection or medicine, avoid strenuous exercise. Light activity is generally fine, but listen to your body and rest when needed.

🥗 Diet Recommendations

Include probiotic-rich foods like yogurt to help maintain gut health.
Eat a balanced diet with plenty of fruits and vegetables.
Stay well hydrated by drinking plenty of water.
Avoid spicy and oily foods if you have stomach upset.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some people. If you experience these effects, avoid driving or operating heavy machinery until you feel better. Most people can continue their normal activities, but take it easy if you feel unwell.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor, even if you feel better. Stopping early can lead to recurrence of infection and antibiotic resistance. If you experience severe side effects, contact your doctor immediately; they may advise you to stop.

📅 Long-Term Use Effects

Long-term use of this medicine can lead to antibiotic resistance and superinfections. It may also cause liver or kidney problems rarely. Regular monitoring of liver and kidney function may be required if used for prolonged periods. Use only as prescribed and for the recommended duration.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Other antibiotics

Depending on the infection and susceptibility, other antibiotics like amoxicillin-clavulanate or cephalexin may be used.

Evidence: Well-established
Topical antibiotics

For minor skin infections, topical antibiotics may be sufficient.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine may reduce the effectiveness of live bacterial vaccines like the typhoid vaccine. Avoid vaccination with live bacterial vaccines during treatment. Consult your doctor for specific advice.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or cold. If crossing time zones, adjust dosing times gradually, but consult your doctor for specific advice. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with a skin infection
He was prescribed this medicine for a skin abscess. He took it with food as advised and completed the 10-day course. His infection cleared up, and he experienced only mild nausea that went away after the first few days.
💡 Lesson: Taking the medicine with food helps reduce stomach upset, and completing the full course ensures the infection is fully treated.
👤 A 50-year-old woman with a dental infection
She had a severe toothache and swelling. Her dentist prescribed this medicine. She noticed improvement in 3 days but continued the full course. She also used a cold compress for swelling. The infection resolved without complications.
💡 Lesson: Even if symptoms improve, completing the antibiotic course is crucial to prevent recurrence and resistance.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 24 to 48 hours, but it is important to complete the full course as prescribed.

Q: Can I take this medicine with food?

A: Yes, taking it with food can help reduce stomach upset.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Q: Is this medicine safe during pregnancy?

A: Penicillins are generally considered safe during pregnancy, but you should consult your doctor before taking any medicine.

Q: Can I drink alcohol while taking this medicine?

A: It is advisable to avoid alcohol as it may increase the risk of stomach upset and liver problems.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for ampilox ds tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Antibiotics can cure viral infections like the flu.
    Fact: Antibiotics only work against bacterial infections. They are ineffective against viruses.
  • Myth: You can stop taking antibiotics once you feel better.
    Fact: You must complete the full course to prevent the infection from returning and to avoid antibiotic resistance.
  • Myth: Antibiotics are safe for everyone.
    Fact: Antibiotics can cause side effects and allergic reactions. They should only be taken when prescribed by a doctor.

🔄 Alternative Options

Generic Alternatives

  • Ampicillin and Dicloxacillin combination (generic)
  • Ampicillin alone
  • Dicloxacillin alone

Brand Alternatives

  • Ampilox DS
  • Ampilox
  • Dicloxacillin and Ampicillin combination brands

📊 Comparison with Similar Medicines

[{"medicine":"Amoxicillin and Clavulanic acid","composition":"Amoxicillin + Clavulanic acid","uses":"Broad-spectrum antibiotic, including beta-lactamase producing bacteria","difference":"Clavulanic acid inhibits beta-lactamase, expanding coverage."},{"medicine":"Ampicillin and Sulbactam","composition":"Ampicillin + Sulbactam","uses":"Similar to Ampicillin and Dicloxacillin, but with beta-lactamase inhibitor","difference":"Sulbactam provides beta-lactamase inhibition, but not as effective against staphylococci as dicloxacillin."},{"medicine":"Cloxacillin","composition":"Cloxacillin","uses":"Penicillinase-resistant penicillin for staphylococcal infections","difference":"Narrow spectrum, only gram-positive coverage."}]

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