Almox CV Syrup: Complete Guide to Uses, Dosage, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Swelling of the face, lips, tongue, or throat, or difficulty breathing
- Severe or bloody diarrhoea, or diarrhoea that persists after stopping the antibiotic
- Yellowing of the eyes or skin, dark urine, or pale stools
- Severe abdominal pain or persistent vomiting
- Widespread blistering or peeling skin rash with fever
- Unusual bruising or bleeding
- Decreased urine output or swelling of the legs
- Seizures or confusion
If experiencing severe symptoms, call emergency services immediately.
What is auxil oral suspension used for?
This medicine is an antibiotic suspension that combines amoxycillin and clavulanic acid to treat bacterial infections in children and adults. It works by killing bacteria and blocking the enzymes that would otherwise destroy the antibiotic. It should be taken with food, shaken well before each dose, and completed for the full prescribed course.
- Generic Name: Amoxicillin + Clavulanic Acid
- Manufacturer: Siomond Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 auxil oral suspension के बारे में (Hindi Summary)
उपयोग: यह दवा अमोक्सिसिलिन और क्लैवुलैनिक एसिड का संयोजन है, जिसका उपयोग बैक्टीरियल संक्रमणों के इलाज के लिए किया जाता है। यह कान, नाक, गले, साइनस, छाती, मूत्र मार्ग, त्वचा और दांतों के संक्रमण में प्रभावी है। यह सस्पेंशन (तरल) रूप में आता है, जिसे पानी मिलाकर तैयार किया जाता है और बच्चों के लिए विशेष रूप से उपयुक्त है। यह दवा वायरल संक्रमण जैसे सर्दी-जुकाम या फ्लू पर असर नहीं करती। इसे डॉक्टर के निर्देशानुसार पूरा कोर्स करना बहुत जरूरी है, भले ही लक्षण जल्दी सुधर जाएं।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में दस्त, जी मिचलाना, उल्टी, पेट में असहजता और त्वचा पर चकत्ते शामिल हैं। दस्त अक्सर हल्का होता है और खुद ठीक हो जाता है, लेकिन अगर यह गंभीर या लंबे समय तक बना रहे तो डॉक्टर से संपर्क करें। दुर्लभ मामलों में गंभीर एलर्जी, लीवर की समस्या, या आंतों का गंभीर संक्रमण हो सकता है। अगर चेहरे, होंठ, जीभ या गले में सूजन, सांस लेने में कठिनाई, या त्वचा का पीलापन दिखे तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को हमेशा अच्छी तरह हिलाकर ही दें, क्योंकि दवा नीचे बैठ जाती है। दवा के साथ दी गई मापने वाली चम्मच या सिरिंज का ही उपयोग करें, घर की चम्मच का नहीं। इसे भोजन के साथ दें ताकि पेट खराब न हो और दवा अच्छी तरह अवशोषित हो। डॉक्टर द्वारा बताया गया पूरा कोर्स पूरा करें, बीच में न रोकें। तैयार किए गए सस्पेंशन को फ्रिज में रखें और लेबल पर लिखे दिनों के भीतर ही इस्तेमाल करें। बच्चों की पहुंच से दूर रखें और किसी और के साथ साझा न करें।
💊 auxil oral suspension Uses & Benefits
[{"condition":"Acute otitis media","description":"This medicine is commonly prescribed for middle ear infections in children, especially when there is a risk of beta-lactamase producing bacteria.","evidence":"Well-established"},{"condition":"Sinusitis","description":"It is used for acute bacterial sinusitis when symptoms are severe, persistent, or worsening, and antibiotic therapy is considered appropriate.","evidence":"Well-established"},{"condition":"Community-acquired pneumonia","description":"It is used for mild to moderate community-acquired pneumonia in selected patients, often as part of a broader treatment plan.","evidence":"Well-established"},{"condition":"Urinary tract infections","description":"It may be used for uncomplicated and some complicated urinary tract infections when the causative bacteria are susceptible.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"It is used for conditions such as cellulitis, abscesses, and infected wounds when susceptible bacteria are suspected.","evidence":"Well-established"},{"condition":"Dental infections","description":"It is prescribed for dental abscesses and other odontogenic infections, often alongside dental procedures.","evidence":"Well-established"},{"condition":"Animal and human bite wounds","description":"It is commonly used for bite wounds because it covers many of the bacteria found in the mouth and on the skin.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Helicobacter pylori eradication","description":"Sometimes included in combination regimens for H. pylori eradication, although other antibiotics are more commonly preferred.","evidence":"Limited"},{"condition":"Lyme disease","description":"May be used in some patients with early Lyme disease when other antibiotics are not suitable, but this is not a first-line use.","evidence":"Limited"}]
Primary treatment for: Bacterial infections
Also treats: Acute otitis media, Sinusitis, Community-acquired pneumonia, Urinary tract infections, Skin and soft tissue infections, Dental infections
📋 Drug Information
| Generic Name(s) | Amoxicillin + Clavulanic Acid |
| Brand Name | Amoxyclav 625 Tablet |
| Manufacturer | Siomond Pharmaceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI INFECTIVES |
| Action Class | Penicillin Antibiotics |
| Route of Administration | Oral |
| Storage | Store the dry powder at room temperature, away from direct sunlight and moisture. After reconstitution with water, store the suspension in a refrigerator or as directed on the label, and use it within the number of days specified by the manufacturer. Do not freeze the suspension. Keep the bottle tightly closed and out of reach of children. |
| Shelf Life | The shelf life of the dry powder is typically 24 months from the date of manufacture, but the exact expiry date is printed on the pack. Once reconstituted, the suspension should be used within 7 to 10 days if stored in a refrigerator, or as specified by the manufacturer. Always check the label for the exact instructions. |
| WHO Guideline | The World Health Organization includes amoxycillin and amoxycillin-clavulanic acid in its essential medicines list and in some treatment guidelines for specific infections, such as pneumonia in children. However, recommendations vary by condition and region, and treatment should always follow local guidelines and a doctor's advice. |
| ICMR Guideline | The Indian Council of Medical Research has published treatment guidelines for various infections that may include amoxycillin-clavulanic acid for certain conditions. These guidelines emphasize the importance of appropriate antibiotic use and the need to follow local resistance patterns. Always consult a doctor for the most current recommendations. |
👨⚕️ 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 two active ingredients with complementary actions. Amoxycillin is a beta-lactam antibiotic that binds to penicillin-binding proteins on the bacterial cell wall and blocks the cross-linking of peptidoglycan, which weakens the cell wall and causes the bacteria to burst and die. Clavulanic acid is a beta-lactamase inhibitor that binds irreversibly to many beta-lactamase enzymes produced by resistant bacteria, preventing them from breaking down amoxycillin. By protecting amoxycillin from enzymatic destruction, clavulanic acid extends the antibacterial spectrum of amoxycillin to include several beta-lactamase producing organisms. This combination is bactericidal against susceptible bacteria, meaning it kills them rather than simply stopping their growth.
Mechanism Steps
💡 How to Take auxil oral suspension
Strength: This product is an oral suspension containing 200 mg of amoxycillin and 28.5 mg of clavulanic acid per 5 mL after reconstitution. It is supplied as a dry powder that must be mixed with water before use.
Dosage Information
| Adult Dosage | The adult dose of this medicine depends on the type and severity of the infection, the susceptibility of the bacteria, and the patient's kidney function. A commonly used adult dose is 500 mg of amoxycillin with 125 mg of clavulanic acid every 8 hours, or 875 mg of amoxycillin with 125 mg of clavulanic acid every 12 hours, but this suspension is usually prescribed for children or for adults who cannot swallow tablets. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not adjust the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing of this medicine is based on the child's weight and the severity of the infection. The suspension is available in different strengths, and the dose is usually calculated in milligrams of amoxycillin per kilogram of body weight per day, divided into two or three doses. Because the exact dose depends on the child's weight, kidney function, and the type of infection, it must be determined by a pediatrician. Do not use this medicine in children without a prescription, and do not change the dose on your own. |
| Elderly Dosage | Older adults may be more sensitive to the side effects of this medicine, especially stomach upset, diarrhoea, and liver problems. Kidney function often declines with age, so the dose may need to be adjusted if kidney function is reduced. Elderly patients should be monitored for signs of liver or kidney problems and for any unusual bleeding or bruising. |
| Renal Impairment | In people with kidney impairment, the dose and dosing interval of this medicine may need to be adjusted because both amoxycillin and clavulanic acid are removed by the kidneys. Patients with a creatinine clearance below 30 mL per minute usually require a reduced dose or a longer interval between doses. The exact adjustment must be made by a qualified clinician based on the degree of kidney impairment. |
| Hepatic Impairment | This medicine should be used with caution in people with liver disease. The dose may need to be adjusted, and liver function should be monitored. In patients with severe liver impairment, the medicine should only be used if clearly needed and under close medical supervision. |
| Maximum Daily Dose | The maximum daily dose depends on the formulation and the patient's kidney function. For adults with normal kidney function, the usual maximum is 875 mg of amoxycillin with 125 mg of clavulanic acid every 12 hours, or 500 mg with 125 mg every 8 hours. Higher doses should only be used under medical supervision. The maximum daily dose for children is determined by the pediatrician based on weight. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of auxil oral suspension
✅ 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 | |
| Probenecid | Moderate | |
| Oral contraceptives | Moderate | |
| Tetracyclines | Moderate | |
| Antacids | Minor | |
| Laxatives | Minor |
🚨 Major Interactions
- Warfarin and other oral anticoagulants
- Methotrexate
- Allopurinol
- Probenecid
⚡ Moderate Interactions
- Oral contraceptives
- Tetracyclines and chloramphenicol
- Aminoglycosides
🍷 Alcohol Interaction
Alcohol is not directly contraindicated with this medicine, but it can worsen nausea, vomiting, and stomach discomfort, and it may place extra stress on the liver. It is best to avoid alcohol while you are recovering from an infection and while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to amoxycillin, clavulanic acid, or any other penicillin antibiotic","Previous severe allergic reaction to a cephalosporin or other beta-lactam antibiotic","History of jaundice or liver problems caused by amoxycillin-clavulanic acid","Use in patients with infectious mononucleosis, because of a high risk of rash","Use in patients with phenylketonuria if the formulation contains aspartame (check the label)"]
⚠️ Warnings & Precautions
["Tell your doctor about any allergies to antibiotics before starting this medicine.","Use with caution in people with liver disease or a history of liver problems.","Dose adjustment may be needed in people with kidney impairment.","Stop the medicine and seek medical help if a severe allergic reaction occurs.","Report severe or persistent diarrhoea, which may indicate a serious bowel infection.","Do not use this medicine to treat viral infections such as colds or flu.","Complete the full prescribed course to reduce the risk of resistance.","Shake the suspension well before each dose and use the supplied measuring device.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Keep out of reach of children and follow storage instructions carefully."]
🤱 Lactation Safety
Amoxycillin and clavulanic acid pass into breast milk in small amounts. This medicine is usually considered compatible with breastfeeding, but it may cause diarrhoea or thrush in the nursing infant. If you are breastfeeding, inform your doctor so that the baby can be monitored for any signs of upset stomach or rash.
💊 Overdose Management
Overdose with this medicine can cause stomach upset, vomiting, diarrhoea, and fluid or electrolyte imbalance. In severe cases, kidney problems or seizures may occur. If you suspect an overdose, contact a doctor or a poison control centre immediately. Treatment is supportive and may include fluids and monitoring of kidney function and electrolytes. There is no specific antidote, but amoxycillin can be removed by haemodialysis in serious cases.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, provided there is enough time before the next scheduled dose. If it is almost time for the 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. If you are unsure, contact your doctor or pharmacist for advice.
Additional Safety Advice
Always shake the reconstituted suspension well before each dose, because the medicine settles at the bottom and an unshaken bottle can deliver an inaccurate dose. Use the measuring spoon, cup, or oral syringe supplied with the product rather than a household spoon, since household spoons vary in size and can lead to underdosing or overdosing. Take this medicine with a meal or snack to reduce stomach upset and improve absorption. Complete the full course exactly as prescribed, even if your child or you feel better after a few days, because stopping early can allow the infection to return and can promote antibiotic resistance. Do not save leftover suspension for future use, and do not share this medicine with anyone else. Keep the bottle tightly closed and store it as directed on the label; most reconstituted suspensions are stable for a limited number of days, so check the expiry instructions carefully. Tell your doctor about all other medicines, especially blood thinners, methotrexate, allopurinol, and other antibiotics, before starting this medicine. If you are pregnant, planning pregnancy, or breastfeeding, inform your doctor so that the risks and benefits can be discussed. Seek immediate medical help if you notice signs of a severe allergic reaction, severe diarrhoea, or yellowing of the skin or eyes.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may be more prone to side effects such as diarrhoea, rash, and liver problems. Kidney function should be checked before and during treatment, and the dose may need to be reduced if kidney function is impaired. Elderly patients should also be monitored for signs of dehydration if diarrhoea occurs.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy or are pregnant, inform your doctor before taking this medicine. It is generally considered safe in pregnancy when needed for a bacterial infection, but the decision should be made by a doctor who can weigh the benefits and risks. Do not self-medicate.
🏥 Post-Surgery Considerations
This medicine may be prescribed after surgery to prevent or treat surgical site infections. It is important to follow the prescribed dose and duration, and to inform the surgeon about any allergies or other medicines you are taking. If you develop fever, redness, or discharge from the surgical wound, contact your doctor immediately.
🦷 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 taking this medicine or have any allergies. Complete the course as prescribed, and maintain good oral hygiene to support healing.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
There is no specific restriction on exercise while taking this medicine, but if you have fever, body aches, or feel weak, it is best to rest and avoid strenuous activity. Children should be encouraged to rest until the fever settles. If you feel dizzy or unwell, avoid driving or operating machinery.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine usually does not affect your ability to work or study, but if you have fever, fatigue, or stomach upset, you may need to rest. Avoid driving or operating heavy machinery if you feel dizzy or unwell. Children should stay home from school while they have fever or feel unwell, and until the doctor says it is safe to return.
🛑 When to Stop This Medicine
You should stop this medicine only after completing the full prescribed course, unless your doctor tells you to stop earlier. If you experience a severe allergic reaction, severe diarrhoea, or signs of liver problems, stop the medicine and seek medical help immediately. Do not stop the medicine just because you feel better, as this can lead to a relapse of the infection.
📅 Long-Term Use Effects
Long-term use of this medicine is not usually recommended unless there is a specific reason. Prolonged use can increase the risk of antibiotic resistance, fungal infections, and rare liver or blood problems. If long-term therapy is needed, your doctor will monitor your liver and kidney function and may adjust the dose. Always discuss the duration of treatment with your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
May be used for infections caused by bacteria that do not produce beta-lactamase.
Evidence: Well-establishedAlternatives for patients allergic to penicillin or when the bacteria are resistant to amoxycillin-clavulanic acid.
Evidence: Well-establishedFor viral infections, rest, fluids, and fever reducers are the mainstay, as antibiotics are not effective.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with most vaccines, but if you or your child is scheduled for a live vaccine, inform the doctor about the current antibiotic course. In general, antibiotics do not prevent vaccination, but the doctor will decide the best timing based on the illness.
📦 Storage Guide
✅ DO
Store the dry powder at room temperature, away from moisture and direct sunlight.
❌ DON'T
Do not store the dry powder in the refrigerator unless instructed.
✅ DO
After reconstitution, store the suspension in the refrigerator and use within the recommended days.
❌ DON'T
Do not freeze the reconstituted suspension.
✅ DO
Keep the bottle tightly closed and out of reach of children.
❌ DON'T
Do not transfer the medicine to another container without proper labeling.
✅ DO
Check the expiry date before use and discard any unused portion after the recommended period.
❌ DON'T
Do not use the medicine if it looks discolored or has particles that do not disperse on shaking.
✈️ Traveling with This Medicine
When travelling with this medicine, carry it in its original packaging with the prescription label intact. Keep a copy of the prescription with you, especially for international travel, as some countries may require documentation for antibiotics. If the suspension is already reconstituted, store it in a cool place or refrigerator as directed and use it within the recommended number of days. For air travel, keep it in your hand luggage if refrigeration is needed, and check security rules for liquids. If crossing time zones, try to maintain the dosing interval as close to the original schedule as possible, and consult your doctor or pharmacist if you are unsure.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start to feel better within 24 to 48 hours, but it can take a few days for the full effect. Complete the entire course as prescribed, even if you feel better early.
A: Yes, this medicine can be taken with milk or food. Taking it with food helps reduce stomach upset and improves absorption of one of the ingredients.
A: If you remember soon after the missed dose, take it as soon as possible. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: Yes, diarrhoea is a common side effect. It is usually mild and settles on its own. If it is severe, bloody, or persistent, contact your doctor immediately.
A: It can be used in babies when prescribed by a doctor, with the dose calculated based on the baby's weight. Do not use it without medical advice.
A: No, you should complete the full course as prescribed. Stopping early can allow the infection to return and can lead to antibiotic resistance.
🤔 Common Patient Concerns
🔄 Substitutes for auxil oral suspension
View AllAlternative brands with exact same active ingredient:
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Antibiotics can cure the common cold.
Fact: This medicine only works against bacteria and is not effective against viral infections such as the common cold or flu. - Myth: You can stop the antibiotic as soon as you feel better.
Fact: You should complete the full prescribed course to ensure the infection is fully cleared and to reduce the risk of resistance. - Myth: All antibiotics are the same.
Fact: Different antibiotics target different bacteria, and this combination is specifically designed to cover certain beta-lactamase producing organisms. - Myth: It is safe to share leftover antibiotics with family members.
Fact: Antibiotics should never be shared, because the dose and choice depend on the individual's condition and weight.
🔄 Alternative Options
Generic Alternatives
- Amoxycillin and clavulanic acid oral suspension
Brand Alternatives
- Almox CV Syrup