clavet syrup - Amoxycillin (200mg) + Clavulanic Acid (28.5mg) medicine

Augmentin Duo Oral Suspension: Complete Medicine Guide

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🏭 Marquess Genetica Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction: swelling of face, lips, throat, difficulty breathing.
  • Severe diarrhea: watery or bloody stools, abdominal cramps, fever.
  • Signs of liver problems: yellowing of skin or eyes, dark urine, severe abdominal pain.
  • Signs of kidney problems: decreased urine output, swelling in legs or feet.
  • Severe skin rash: blistering, peeling, or painful rash.
  • Persistent vomiting: inability to keep fluids down.
  • High fever that does not improve after 48-72 hours of treatment.

If experiencing severe symptoms, call emergency services immediately.

What is clavet syrup used for?

This medicine is a combination antibiotic containing amoxycillin and clavulanic acid. It is used to treat various bacterial infections in children and adults. It works by killing bacteria and preventing their growth. Always take it as prescribed by your doctor.

  • Generic Name: Amoxicillin + Clavulanic Acid
  • Manufacturer: Marquess Genetica Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 clavet syrup के बारे में (Hindi Summary)

उपयोग: यह दवा एक संयोजन एंटीबायोटिक है जिसमें अमोक्सिसिलिन और क्लैवुलैनिक एसिड होते हैं। इसका उपयोग बच्चों और वयस्कों में विभिन्न जीवाणु संक्रमणों के इलाज के लिए किया जाता है, जैसे कि श्वसन पथ संक्रमण, कान का संक्रमण, साइनसाइटिस, मूत्र पथ संक्रमण और त्वचा संक्रमण। यह दवा बैक्टीरिया को मारकर और उनके विकास को रोककर काम करती है। यह वायरल संक्रमण जैसे सर्दी या फ्लू के लिए प्रभावी नहीं है। इसका उपयोग केवल डॉक्टर के निर्देशानुसार ही करें।

साइड इफेक्ट्स: आम दुष्प्रभावों में दस्त, मतली, उल्टी और त्वचा पर दाने शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें गंभीर एलर्जी प्रतिक्रिया, यकृत की समस्या और गंभीर दस्त शामिल हो सकते हैं। यदि आपको चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई, या गंभीर दाने जैसे लक्षण दिखाई दें, तो तुरंत चिकित्सा सहायता लें।

सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के निर्देशानुसार ही लें। खुराक न छोड़ें और उपचार जल्दी बंद न करें, क्योंकि इससे एंटीबायोटिक प्रतिरोध और संक्रमण दोबारा हो सकता है। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सही मापने वाले उपकरण का उपयोग करें। यदि आपको गुर्दे या यकृत की बीमारी है, या पेनिसिलिन से एलर्जी है, तो अपने डॉक्टर को बताएं। यदि आपको खुराक लेने का समय याद न रहे, तो याद आने पर तुरंत लें, लेकिन अगली खुराक का समय नजदीक हो तो छोड़ दें। दोहरी खुराक न लें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 clavet syrup Uses & Benefits

[{"condition":"Acute bacterial sinusitis","description":"This medicine is used to treat sinus infections caused by susceptible bacteria, helping to relieve facial pain, congestion, and pressure.","evidence":"Well-established"},{"condition":"Acute otitis media","description":"It is commonly prescribed for middle ear infections in children, reducing ear pain and preventing complications.","evidence":"Well-established"},{"condition":"Community-acquired pneumonia","description":"This medicine may be used to treat pneumonia acquired outside of hospitals, targeting common respiratory pathogens.","evidence":"Well-established"},{"condition":"Urinary tract infections","description":"It is effective against many bacteria that cause urinary tract infections, helping to alleviate symptoms like burning and frequent urination.","evidence":"Well-established"},{"condition":"Skin and soft tissue infections","description":"This medicine is used for skin abscesses, cellulitis, and wound infections caused by susceptible bacteria.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Dental infections","description":"Sometimes prescribed off-label for dental abscesses or pericoronitis, though other antibiotics may be preferred.","evidence":"Limited"},{"condition":"Animal bites","description":"May be used off-label for prophylaxis or treatment of animal bite wounds, but careful evaluation is needed.","evidence":"Limited"}]

Primary treatment for: Bacterial infections

Also treats: Respiratory tract infections, Otitis media, Sinusitis, Urinary tract infections, Skin infections

📋 Drug Information

Generic Name(s)Amoxicillin + Clavulanic Acid
Brand NameAmoxyclav 625 Tablet
ManufacturerMarquess Genetica Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI INFECTIVES
Action ClassPenicillin Antibiotics
Route of AdministrationOral
StorageStore below 25°C in a dry place. Protect from light. After reconstitution, store in refrigerator (2-8°C) and discard after 7 days.
Shelf Life24 months from the date of manufacture. After reconstitution, use within 7 days if refrigerated.
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
Always shake the bottle well before measuring the dose to ensure even distribution of the medicine.
2
Take this medicine with food to enhance absorption and reduce the chance of stomach upset.
3
Complete the full course of treatment as prescribed, even if symptoms improve after a few days.
4
Inform your doctor if you have kidney or liver problems, as dose adjustment may be needed.
5
Watch for signs of allergic reactions such as rash, swelling, or difficulty breathing, and seek help immediately if they occur.
6
Do not share this medicine with others, even if they have similar symptoms.
7
Store the reconstituted suspension in the refrigerator and discard any unused portion after 7 days.

🔍 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
✅
Fever
May be used if fever is due to bacterial infection.
Likely Use
✅
Cough
Used for bacterial respiratory infections.
Likely Use
❌
Runny nose
Not effective for viral colds.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAmoxycillin and clavulanic acid are well absorbed from the gastrointestinal tract after oral administration. The suspension formulation is designed to be readily absorbed, with peak plasma concentrations typically reached within 1 to 2 hours.
DistributionBoth components distribute into various body tissues and fluids, including lungs, middle ear, sinus, and urine. Protein binding is relatively low for amoxycillin and about 25% for clavulanic acid.
Protein BindingAmoxycillin is approximately 18% protein-bound; clavulanic acid is about 25% protein-bound.
MetabolismAmoxycillin is partially metabolized to inactive penicilloic acid. Clavulanic acid is extensively metabolized, primarily in the liver.
Half-LifeThe elimination half-life of amoxycillin is approximately 1 to 1.5 hours, and that of clavulanic acid is about 1 hour. These may be prolonged in patients with renal impairment.
ExcretionBoth components are primarily excreted unchanged in the urine. A small amount of clavulanic acid is excreted in feces.
BioavailabilityThe oral bioavailability of amoxycillin is approximately 70-90%, and that of clavulanic acid is about 60-70% when taken with food.
Onset of ActionThe onset of action is typically within 1 to 2 hours after oral administration, but clinical improvement may take 24 to 48 hours.
Peak Plasma TimePeak plasma concentrations are reached approximately 1 to 2 hours after oral administration.
Duration of ActionThe duration of action is generally 6 to 8 hours, which supports dosing every 8 to 12 hours.

How It Works

This medicine combines amoxycillin, a beta-lactam 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 inactivating amoxycillin. This extends the spectrum of amoxycillin to include beta-lactamase-producing strains of bacteria.

Mechanism Steps

1
Clavulanic acid inhibits beta-lactamase: Clavulanic acid binds to and inactivates beta-lactamase enzymes, preventing them from breaking down amoxycillin.
2
Amoxycillin binds to penicillin-binding proteins: Amoxycillin attaches to penicillin-binding proteins on the bacterial cell wall, inhibiting cell wall synthesis.
3
Bacterial cell lysis: The inhibition of cell wall synthesis leads to weakening of the bacterial cell wall and ultimately cell death.

💡 How to Take clavet syrup

Strength: Oral suspension: 200 mg amoxycillin + 28.5 mg clavulanic acid per 5 mL.

1Shake the bottle well before each use.
2Use the measuring spoon or cup provided to measure the correct dose.
3Take with food to improve absorption and reduce stomach upset.
4Swallow the suspension directly; do not mix with large amounts of liquid unless instructed.
5Wash the measuring device after each use.
6Complete the full course as prescribed, even if symptoms improve.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 500 mg/125 mg every 8 hours or 875 mg/125 mg every 12 hours, depending on the severity of infection. For severe infections, higher doses may be prescribed. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Always follow your doctor's prescription.
Pediatric DosagePediatric dosing is based on weight and is typically calculated as amoxycillin component. Common regimens include 25-45 mg/kg/day divided every 12 hours or 20-40 mg/kg/day divided every 8 hours. The dose must be individualized by a pediatrician based on the child's weight, age, and renal function. Do not use without a doctor's prescription.
Elderly DosageElderly patients may have reduced renal function, so dose adjustment may be necessary. The dose must be individualized by a clinician based on renal function and clinical response.
Renal ImpairmentIn patients with renal impairment, dose adjustment is required. For creatinine clearance 10-30 mL/min, the usual dose is 250-500 mg every 12 hours. For creatinine clearance less than 10 mL/min, the dose is 250-500 mg every 24 hours. Dose must be individualized by a clinician.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Monitor liver function. Dose adjustment may be necessary. Consult a clinician for individualized dosing.
Maximum Daily DoseThe maximum recommended daily dose is 1750 mg of amoxycillin and 250 mg of clavulanic acid (e.g., 875/125 mg every 12 hours). Do not exceed the prescribed dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Improves absorption and reduces stomach upset.
Grapefruit
No specific interaction
Not known to interact.

⏰ 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 clavet syrup

✅ Common Side Effects

Diarrhea (Common (5-10%))
Usually resolves on its own. Stay hydrated. Consult doctor if persistent or severe.
Nausea (Common (3-5%))
Take with food to reduce nausea. Consult doctor if it persists.
Vomiting (Common (1-3%))
Take with food and avoid large meals. Consult doctor if vomiting continues.
Skin rash (Uncommon (1-2%))
Stop the medicine and consult your doctor immediately if a rash appears.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of face, lips, throat, difficulty breathing, or a severe rash.
Clostridioides difficile-associated diarrhea (Rare (<0.1%))
Contact your doctor if you develop severe, persistent diarrhea, abdominal pain, or fever.
Hepatotoxicity (liver injury) (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe abdominal pain to your doctor immediately.

⚠️ Rare Side Effects

Stevens-Johnson syndrome
Seek immediate medical attention if you develop a painful rash with blisters or peeling skin.
Interstitial nephritis
Report decreased urine output, swelling, 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 Moderate
Oral contraceptives Moderate
Probenecid Moderate
Antacids Minor

🚨 Major Interactions

  • Warfarin
  • Methotrexate
  • Allopurinol

⚡ Moderate Interactions

  • Oral contraceptives
  • Probenecid

🍷 Alcohol Interaction

Alcohol may increase the risk of gastrointestinal side effects such as nausea and diarrhea. It is advisable to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known allergy to penicillins, clavulanic acid, or any component of the formulation","History of severe immediate hypersensitivity reaction to any beta-lactam antibiotic","Previous history of jaundice or hepatic dysfunction associated with amoxycillin/clavulanic acid"]

⚠️ 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 diarrhea; if severe diarrhea occurs, consider discontinuation.","May cause skin rash; if rash develops, discontinue and consult doctor.","Prolonged use may lead to overgrowth of non-susceptible organisms.","Not effective against viral infections; do not use for colds or flu."]

🤱 Lactation Safety

Amoxycillin and clavulanic acid are excreted in breast milk in small amounts. This medicine is generally considered safe during breastfeeding, but monitor the infant for diarrhea or thrush. Consult your doctor if you have concerns.

💊 Overdose Management

Overdose may cause gastrointestinal symptoms such as nausea, vomiting, and diarrhea. In severe cases, fluid and electrolyte imbalance may occur. Treatment is symptomatic and supportive. Contact a poison control center or emergency department 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

Always take this medicine exactly as prescribed by your doctor. Do not skip doses or stop treatment early, as this can lead to antibiotic resistance and recurrence of infection. Shake the bottle well before each use to ensure the medicine is evenly mixed. Use a proper measuring device to ensure accurate dosing. Inform your doctor if you have kidney or liver disease, or if you are allergic to penicillin or other antibiotics. Avoid taking this medicine with certain foods or drinks as advised by your pharmacist. If you miss a dose, 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 the dose. Store the suspension as directed on the label, and discard any unused portion after the recommended period.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have reduced kidney function and may require dose adjustment. They should be monitored for signs of toxicity.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. It is generally considered safe, but use only when clearly needed.

🏥 Post-Surgery Considerations

This medicine may be prescribed to prevent or treat surgical site infections. Follow your surgeon's instructions carefully.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may interact with other medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to help flush out the infection.
🥗
Get plenty of rest to support your immune system.
😴
Eat a balanced diet rich in fruits and vegetables.
💧
Practice good hygiene to prevent spread of infection.
🧘
Avoid close contact with others while infectious.
🌞
Complete the full course of antibiotics as prescribed.

🏋️ Exercise Considerations

There are no specific exercise restrictions while taking this medicine, but if you feel weak or dizzy, avoid strenuous activities until you feel better.

🥗 Diet Recommendations

Include probiotic-rich foods like yogurt to prevent diarrhea.
Stay hydrated with water and clear fluids.
Avoid spicy and fatty foods if you have stomach upset.
Eat small, frequent meals if you have nausea.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some people. If affected, avoid driving or operating heavy machinery until you know how it affects you. Otherwise, you can continue your normal activities as tolerated.

🛑 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.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to antibiotic resistance and superinfections. It is not intended for prolonged use unless directed by a doctor. Regular monitoring of liver and kidney function may be required if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Amoxycillin alone

May be used if the infection is known to be caused by bacteria not producing beta-lactamase.

Evidence: Well-established
Other antibiotics

Depending on the type of infection and culture results, other antibiotics may be prescribed.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you are scheduled for a vaccine, inform your doctor that you are taking this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C) before reconstitution.

❌ DON'T

Do not freeze the suspension.

✅ DO

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

❌ DON'T

Do not use after 7 days of reconstitution.

✅ DO

Keep in original container.

❌ DON'T

Do not transfer to unmarked containers.

✈️ Traveling with This Medicine

When traveling with this medicine, carry it in its original packaging along with a copy of your prescription. Keep the suspension in a cool, dry place, and if reconstituted, store it in a refrigerator. For air travel, keep it in your carry-on luggage. Check customs regulations for carrying prescription medicines. If crossing time zones, adjust dosing times gradually as advised by your doctor.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 5-year-old child with recurrent ear infections.
The child was prescribed this medicine for acute otitis media. The parents administered it with food twice daily. After 3 days, the child's ear pain and fever subsided. The full 10-day course was completed to prevent recurrence.
💡 Lesson: Completing the full course of antibiotics is crucial to prevent relapse and resistance, even if symptoms improve quickly.
👤 A 35-year-old adult with sinusitis.
The patient was prescribed this medicine for bacterial sinusitis. They experienced mild diarrhea, which resolved after taking the medicine with food. Symptoms improved within 5 days, but they completed the 7-day course as directed.
💡 Lesson: Taking the medicine with food can reduce gastrointestinal side effects, and adherence to the prescribed duration is important.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 2-3 days, but it is important to complete the full course as prescribed.

Q: Can I take it with food?

A: Yes, taking it with food improves absorption and reduces stomach upset.

Q: Is it safe for children?

A: Yes, it is commonly prescribed for children, but the dose is based on weight and must be determined by a pediatrician.

Q: What if I miss a dose?

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

🤔 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 clavet syrup

View All

Alternative brands with exact same active ingredient:

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 taking this medicine once you feel better.
    Fact: You must complete the full prescribed course to prevent recurrence and antibiotic resistance.
  • Myth: This medicine is safe to take without a prescription.
    Fact: This is a prescription medicine and should only be taken under a doctor's supervision.

🔄 Alternative Options

Generic Alternatives

  • Amoxycillin and Clavulanic Acid Oral Suspension

Brand Alternatives

  • Augmentin Duo Oral Suspension

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Amoxycillin 200mg + Clavulanic Acid 28.5mg per 5mL","dosage_form":"Oral Suspension","route":"Oral"},{"medicine":"Amoxycillin Oral Suspension","composition":"Amoxycillin 125mg/5mL or 250mg/5mL","dosage_form":"Oral Suspension","route":"Oral"}]

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