Moxikind-CV Dry Syrup: Complete Information
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or swelling of face, lips, or throat
- Severe or bloody diarrhoea
- Yellowing of skin or eyes
- Severe abdominal pain
- Persistent high fever not improving after 48-72 hours
- Signs of dehydration (decreased urine output, dry mouth, lethargy)
- New rash or hives
If experiencing severe symptoms, call emergency services immediately.
What is amzeclav 200mg/28.5mg syrup used for?
This medicine is a pediatric antibiotic dry syrup containing Amoxycillin and Clavulanic Acid. It treats bacterial infections of the ear, nose, throat, chest, urinary tract, and skin. It works by killing bacteria and blocking their resistance mechanisms. It must be used only under a doctor's supervision.
- Generic Name: Amoxycillin (200mg) + Clavulanic Acid (28.5mg)
- Manufacturer: Zeal Biotech Pvt td
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 amzeclav 200mg/28.5mg syrup के बारे में (Hindi Summary)
उपयोग: यह दवा एक एंटीबायोटिक ड्राई सिरप है जिसमें अमोक्सिसिलिन और क्लैवुलैनिक एसिड होता है। इसका उपयोग बच्चों में कान, नाक, गले, छाती, मूत्र मार्ग, त्वचा और नरम ऊतकों के बैक्टीरियल संक्रमण के इलाज के लिए किया जाता है। यह बैक्टीरिया को मारकर और उनके प्रतिरोध तंत्र को रोककर काम करती है। यह दवा केवल डॉक्टर के निर्देशानुसार ही दी जानी चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में दस्त, जी मिचलाना, उल्टी, त्वचा पर दाने और मुँह या योनि में फंगल संक्रमण शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। गंभीर दुष्प्रभाव जैसे एलर्जी, लीवर की समस्या और गंभीर त्वचा प्रतिक्रियाएँ दुर्लभ हैं लेकिन तुरंत डॉक्टर से संपर्क करना आवश्यक है।
सुरक्षा सलाह: हर बार दवा देने से पहले बोतल को अच्छी तरह हिलाएँ। दवा के साथ दी गई मापने वाली चम्मच या सिरिंज का ही उपयोग करें। बच्चे के ठीक होने पर भी पूरा कोर्स पूरा करें। बच्चों की पहुँच से दूर रखें। यदि बच्चे को किडनी या लीवर की समस्या है या एलर्जी है तो डॉक्टर को बताएं।
💊 amzeclav 200mg/28.5mg syrup Uses & Benefits
[{"condition":"Acute otitis media","description":"This medicine is commonly prescribed for middle ear infections in children caused by bacteria such as Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis.","evidence":"Well-established"},{"condition":"Sinusitis","description":"Used to treat bacterial sinusitis when symptoms are severe or persistent, particularly when resistant organisms are suspected.","evidence":"Well-established"},{"condition":"Community-acquired pneumonia","description":"Effective against common respiratory pathogens in children, including Streptococcus pneumoniae and Haemophilus influenzae.","evidence":"Well-established"},{"condition":"Urinary tract infections","description":"Used for uncomplicated urinary tract infections caused by susceptible bacteria such as Escherichia coli and Klebsiella species.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"Treats infections like cellulitis, impetigo, and abscesses caused by Staphylococcus aureus and Streptococcus species.","evidence":"Well-established"},{"condition":"Dental infections","description":"Used for dental abscesses and pericoronitis caused by oral anaerobes and streptococci.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Lyme disease","description":"Sometimes used off-label for early Lyme disease in children who cannot take doxycycline, though evidence is limited.","evidence":"Limited"},{"condition":"Helicobacter pylori eradication","description":"Part of some regimens for H. pylori eradication in children, but not a first-line choice.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Otitis media, Sinusitis, Pneumonia, Urinary tract infections, Skin infections
📋 Drug Information
| Generic Name(s) | Amoxycillin (200mg) + Clavulanic Acid (28.5mg) |
| Brand Name | amzeclav 200mg/28.5mg syrup |
| Manufacturer | Zeal Biotech Pvt td |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store the dry powder at room temperature (15-30°C) in a dry place, away from direct sunlight. After reconstitution, store the syrup in the refrigerator (2-8°C) and use within 7 days. Do not freeze. Keep the bottle tightly closed. |
| Shelf Life | 24 months from the date of manufacture for the dry powder. After reconstitution, use within 7 days if refrigerated. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines Amoxycillin, a bactericidal penicillin antibiotic, with Clavulanic Acid, a beta-lactamase inhibitor. Amoxycillin inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins, leading to bacterial lysis and death. Clavulanic Acid irreversibly inhibits beta-lactamase enzymes produced by certain bacteria, preventing them from destroying Amoxycillin. This extends the spectrum of Amoxycillin to include beta-lactamase-producing strains of Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus, and Escherichia coli.
Mechanism Steps
💡 How to Take amzeclav 200mg/28.5mg syrup
Strength: Dry syrup containing Amoxycillin 200 mg and Clavulanic Acid 28.5 mg per 5 mL after reconstitution.
Dosage Information
| Adult Dosage | This medicine is primarily intended for pediatric use. For adults, the dosage form may not be suitable. Adult dosing of Amoxycillin-Clavulanic Acid is typically 500 mg/125 mg or 875 mg/125 mg tablets every 12 hours, but this dry syrup is not intended for adults. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | The dosage is based on the child's weight and the severity of infection. The usual dose is 20 to 45 mg/kg/day of the Amoxycillin component, divided every 12 hours, but dosing must be individualized by a pediatrician. Use the measuring device provided. Shake well before use. Do not exceed the prescribed dose. |
| Elderly Dosage | This dry syrup is not intended for elderly patients. Elderly patients should use tablet formulations. Dose adjustment may be needed based on renal function. Consult a doctor. |
| Renal Impairment | Dose adjustment is required in patients with renal impairment. For creatinine clearance 10-30 mL/min, the dose should be reduced. For creatinine clearance less than 10 mL/min, the dose should be further reduced. Consult a doctor for specific dosing. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Monitor liver function. Dose adjustment may be needed. Consult a doctor. |
| Maximum Daily Dose | The maximum daily dose of the Amoxycillin component should not exceed 90 mg/kg/day in children, but must be individualized by a clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of amzeclav 200mg/28.5mg syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Methotrexate | Major | |
| Allopurinol | Moderate | |
| Oral contraceptives | Moderate | |
| Probenecid | Moderate | |
| Mycophenolate mofetil | Moderate | |
| Antacids | Minor | |
| Iron supplements | Minor |
🚨 Major Interactions
- Warfarin
- Methotrexate
- Allopurinol
⚡ Moderate Interactions
- Oral contraceptives
- Probenecid
- Mycophenolate mofetil
🍷 Alcohol Interaction
Alcohol may worsen gastrointestinal side effects such as nausea and diarrhoea. 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 allergy to penicillins or beta-lactam antibiotics","History of severe allergic reaction to any beta-lactam antibiotic","Previous history of cholestatic jaundice or hepatic dysfunction associated with this combination","Infectious mononucleosis (increased risk of rash)"]
⚠️ Warnings & Precautions
["Use with caution in patients with renal impairment; dose adjustment may be needed.","Use with caution in patients with hepatic impairment; monitor liver function.","May cause Clostridioides difficile-associated diarrhoea; if severe diarrhoea occurs, discontinue and consult a doctor.","May reduce efficacy of oral contraceptives; advise additional contraception.","Prolonged use may lead to overgrowth of non-susceptible organisms.","Not effective against viral infections.","Do not use in patients with a history of penicillin allergy."]
🤱 Lactation Safety
Amoxycillin and Clavulanic Acid are excreted in breast milk in small amounts. This medicine is generally considered compatible with breastfeeding, but monitor the infant for diarrhoea or thrush. Consult your doctor.
💊 Overdose Management
Overdose may cause gastrointestinal symptoms such as nausea, vomiting, and diarrhoea. In severe cases, fluid and electrolyte imbalance may occur. There is no specific antidote. Treatment is symptomatic and supportive. Maintain adequate hydration. In patients with renal impairment, hemodialysis may be considered to remove Amoxycillin from the bloodstream. Seek immediate medical attention if overdose is suspected.
⏰ Missed Dose
If a dose is missed, give it as soon as remembered. If it is almost time for the next dose, skip the missed dose and continue with the regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Always shake the bottle well before measuring each dose. Use a proper measuring device provided with the medicine, not a household spoon. Complete the full course as prescribed, even if your child feels better. Do not save leftover medicine for future use. Keep out of reach of children. Do not use this medicine if the syrup has changed colour or contains particles. Inform your doctor if your child has kidney or liver problems, or a history of allergies. Do not give this medicine to anyone else, even if they have similar symptoms.
👴 Special Considerations for Elderly
💡 For Patients Above 65
This dry syrup is not intended for elderly patients. Elderly patients should use tablet formulations and may require dose adjustment based on renal function.
🤰 Pregnancy Planning (TTC)
This medicine is for pediatric use. For adults planning pregnancy, consult a doctor for appropriate antibiotic therapy.
🏥 Post-Surgery Considerations
This medicine may be prescribed to treat or prevent bacterial infections after surgery in children. Follow the doctor's instructions.
🦷 Dental Procedures
This medicine may be prescribed for dental infections or as prophylaxis before dental procedures in children with certain heart conditions. Consult a doctor.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
No specific exercise restrictions, but allow rest during acute illness. Resume normal activities as tolerated.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is for children; it may cause drowsiness or dizziness in some cases. Children should avoid activities requiring alertness if affected.
🛑 When to Stop This Medicine
Stop the medicine only after completing the full prescribed course or as directed by the doctor. If serious side effects occur, stop and consult a doctor immediately.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to bacterial resistance, superinfections, and rare liver or kidney problems. It is not intended for prolonged use. Regular monitoring of liver and kidney function may be needed if used for extended periods. Always consult a doctor before using for more than the prescribed duration.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
For viral infections, rest, fluids, and fever reducers may be used.
Evidence: Well-establishedIf allergic to penicillin, alternative antibiotics like cephalosporins or macrolides may be prescribed.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with vaccines. However, if the child is due for vaccination, consult the doctor. Antibiotics do not affect vaccine efficacy.
📦 Storage Guide
✅ DO
Store dry powder at room temperature (15-30°C)
❌ DON'T
Do not refrigerate the dry powder
✅ DO
After reconstitution, store in refrigerator (2-8°C)
❌ DON'T
Do not freeze the reconstituted syrup
✅ 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
✅ DO
Discard reconstituted syrup after 7 days
❌ DON'T
Do not use beyond 7 days after reconstitution
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with the prescription label. For air travel, keep it in your carry-on luggage. If the syrup is already reconstituted, store it in a cool place or refrigerator if available. Carry a copy of the prescription to avoid customs issues. If traveling across time zones, adjust dosing times gradually. Consult your doctor for specific advice.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Improvement is usually seen within 48 to 72 hours, but the full course must be completed.
A: Yes, it can be given with or without food. Giving with food may reduce stomach upset.
A: Give the missed dose as soon as remembered, unless it is almost time for the next dose. Do not double dose.
A: No specific food restrictions, but avoid giving with antacids or iron supplements within 2 hours.
A: No, it is not effective against viral infections like cold and flu.
🤔 Common Patient Concerns
🔄 Substitutes for amzeclav 200mg/28.5mg syrup
View AllAlternative brands with exact same active ingredient:
-
acuclav lb dry syrupMacleods Pharmaceuticals Pvt Ltd ₹42.98 33.9% CHEAPER
-
flemiclav lb kid syrupFDC Ltd ₹46.70 28.2% CHEAPER
-
flemiclav lb syrupFDC Ltd ₹46.70 28.2% CHEAPER
-
clavam lb bid dry syrupAlkem Laboratories Ltd ₹51.66 20.5% CHEAPER
-
c moxy lb syrupLifeline Biotech Ltd ₹53.20 18.2% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure viral infections like the common cold.
Fact: This medicine is an antibiotic and is only effective against bacterial infections. It does not treat viral infections. - Myth: You can stop the medicine once your child feels better.
Fact: You must complete the full prescribed course to prevent bacterial resistance and recurrence of infection. - Myth: This medicine can be given to anyone with a fever.
Fact: This medicine is prescribed for specific bacterial infections. It should not be used for fever without a doctor's advice.
🔄 Alternative Options
Generic Alternatives
- Amoxycillin + Clavulanic Acid dry syrup (generic)
Brand Alternatives
- Moxikind-CV Dry Syrup