OMOX CLAV-LB

AMOXYCILLIN 500 mg + POTASSIUM CLAVULANATE 125 mg + LACTIC ACID BACILLUS 60 MILLION SPORES

OMOX CLAV-LB Tablet is used for Bacterial infections, Lower respiratory tract infections, Otitis media, Sinusitis, Skin and skin structure infections, Urinary tract infections, Diarrhea, Travelers diarrhea, Diarrhea associated with hospitalization, Antibiotic treatments and other conditions. OMOX CLAV-LB Tablet may also be used for purposes not listed in this medication guide.
OMOX CLAV-LB Tablet contains Amoxicillin, Clavulanic Acid and Lactobacillus as active ingredients.
OMOX CLAV-LB Tablet works by inhibiting the production of bacterial cell wall; inhibiting the growth of bacteria; suppressing or killing harmful bacterial growth;
AaRnA CARE PHARMA manufactures OMOX CLAV-LB Tablet.

OMOX CLAV-LB Tablet is used for the treatment, control, prevention, & improvement of the following diseases, conditions and symptoms:
Bacterial infections
Lower respiratory tract infections
Otitis media
Sinusitis
Skin and skin structure infections
Urinary tract infections
Diarrhea
Travelers diarrhea
Diarrhea associated with hospitalization
Antibiotic treatments
Cancer chemotherapy
Irritable bowel syndrome
Long-lasting inflammation in the digestive tract
Ulcers in the digestive tract
Infections of vagina
Skin diseases in infants and children who are allergic to cow’s milk
OMOX CLAV-LB Tablet may also be used for purposes not listed here.
References: 1, 2, 3

OMOX CLAV-LB Tablet Side-effects
The following is a list of possible side-effects that may occur from all constituting ingredients of OMOX CLAV-LB Tablet. This is not a comprehensive list. These side-effects are possible, but do not always occur. Some of the side-effects may be rare but serious. Consult your doctor if you observe any of the following side-effects, especially if they do not go away.
Nausea
Vomiting
Diarrhea
Cholestatic jaundice
Anemia
Agitation
Anxiety
Insomnia
Confusion
Convulsions
OMOX CLAV-LB Tablet may also cause side-effects not listed here.
If you notice other side-effects not listed above, contact your doctor for medical advice. You may also report side-effects to your local food and drug administration authority.
References: 1, 2, 4

Before using OMOX CLAV-LB Tablet, inform your doctor about your current list of medications, over the counter products (e.g. vitamins, herbal supplements, etc.), allergies, pre-existing diseases, and current health conditions (e.g. pregnancy, upcoming surgery, etc.). Some health conditions may make you more susceptible to the side-effects of the drug. Take as directed by your doctor or follow the direction printed on the product insert. Dosage is based on your condition. Tell your doctor if your condition persists or worsens. Important counseling points are listed below.
Children below 3 years of age
Clostridium difficile associated diarrhea
Consult your doctor immediately if you develop watery or bloody diarrhea during or after this medication
Diarrhea is a common problem
Do not take it for more than 2 weeks
Do periodic assessment of renal, hepatic or hematopoietic functions
Have AIDS, poor immunity, short bowel syndrome, or on medications to prevent rejection of organ transplant
Hepatic dysfunction
If the drug format is suspension, keep it refrigerated and shake well before using
It may reduce the effect of oral contraceptives

Hypersensitivity to OMOX CLAV-LB Tablet is a contraindication. In addition, OMOX CLAV-LB Tablet should not be used if you have the following conditions:
High fever
History of cholestatic jaundice or hepatic dysfunction associated with Amoxicillin and Clavulanate
Hypersensitivity
Hypersensitivity to any penicillin
Penicillin hypersensitivity
Severe intestinal infection
References: 1, 2, 2

Interactions with OMOX CLAV-LB Tablet
If you use other drugs or over the counter products at the same time, the effects of OMOX CLAV-LB Tablet may change. This may increase your risk for side-effects or cause your drug not to work properly. Tell your doctor about all the drugs, vitamins, and herbal supplements you are using, so that you doctor can help you prevent or manage drug interactions. OMOX CLAV-LB Tablet may interact with the following drugs and products:
Allopurinol
Antibiotic drugs
Chloramphenicol
Immunosuppressants
Macrolides
Oral contraceptives
Probenecid
Sulfonamides
Tetracyclines
References: 1, 2

Is OMOX CLAV-LB Tablet safe to consume or apply when pregnant?
Amoxicillin: Please consult with your doctor for case-specific recommendations.
Clavulanic Acid: Please consult with your doctor for case-specific recommendations.
Lactobacillus: Please consult with your doctor for case-specific recommendations.
References: 1 2
Is OMOX CLAV-LB Tablet safe while breastfeeding?
Amoxicillin: Please discuss the risks and benefits with your doctor.
Clavulanic Acid: Please discuss the risks and benefits with your doctor.
Lactobacillus: Please discuss the risks and benefits with your doctor.
References: 1 2
Is it safe to drive or operate heavy machinery when consuming?
If you experience drowsiness, dizziness, hypotension or a headache as side-effects when using OMOX CLAV-LB Tablet medicine then it may not be safe to drive a vehicle or operate heavy machinery. One should not drive a vehicle if using the medicine makes you drowsy, dizzy or lowers your blood-pressure extensively. Pharmacists also advise patients not to drink alcohol with medicines as alcohol intensifies drowsiness side-effects. Please check for these effects on your body when usingOMOX CLAV-LB Tablet. Always consult with your doctor for recommendations specific to your body and health conditions.
Is this medicine or product addictive or habit forming?
Most medicines don’t come with a potential for addiction or abuse. Usually, government’s categorizes medicines that can be addictive as controlled substances. Examples include schedule H or X in India and schedule II-V in the US. Please consult the product package to make sure that the medicine does not belong to such special categorizations of medicines. Lastly, do not self-medicate and increase your body’s dependence to medicines without the advice of a doctor.
Can it be stopped immediately or do I have to slowly ween off consumption?
Some medicines need to be tapered or cannot be stopped immediately because of rebound effects. Please consult with your doctor for recommendations specific to your body, health and other medications that you may be using.

Missing a dose
In case you miss a dose, use it as soon as you notice. If it is close to the time of your next dose, skip the missed dose and resume your dosing schedule. Do not use extra dose to make up for a missed dose. If you are regularly missing doses, consider setting an alarm or asking a family member to remind you. Please consult your doctor to discuss changes in your dosing schedule or a new schedule to make up for missed doses, if you have missed too many doses recently.
References: 5, 6, 7, 8
Overdosage of OMOX CLAV-LB Tablet
Do not use more than prescribed dose. Taking more medication will not improve your symptoms; rather they may cause poisoning or serious side-effects. If you suspect that you or anyone else who may have overdosed of Missing a dose
In case you miss a dose, use it as soon as you notice. If it is close to the time of your next dose, skip the missed dose and resume your dosing schedule. Do not use extra dose to make up for a missed dose. If you are regularly missing doses, consider setting an alarm or asking a family member to remind you. Please consult your doctor to discuss changes in your dosing schedule or a new schedule to make up for missed doses, if you have missed too many doses recently.
References: 5, 6, 7, 8
Do not give your medicines to other people even if you know that they have the same condition or it seems that they may have similar conditions. This may lead to overdosage.
Storage of OMOX CLAV-LB Tablet
Store medicines at room temperature, away from heat and direct light. Do not freeze medicines unless required by package insert. Keep medicines away from children and pets.
Do not flush medications down the toilet or pour them into drainage unless instructed to do so. Medication discarded in this manner may contaminate the environment. Please consult your pharmacist or doctor for more details on how to safely discard OMOX CLAV-LB Tablet.
References: 12, 13, 14, 15
Expired OMOX CLAV-LB Tablet
Taking a single dose of expired OMOX CLAV-LB Tablet is unlikely to produce an adverse event. However, please discuss with your primary health provider or pharmacist for proper advice or if you feel unwell or sick. Expired drug may become ineffective in treating your prescribed conditions. To be on the safe side, it is important not to use expired drug. If you have a chronic illness that requires taking medicine constantly such as heart condition, seizures, and life-threatening allergies, you are much safer keeping in touch with your primary health care provider so that you can have a fresh supply of unexpired medications.
References: 16, 17

DailyMed LABEL: AMOXICILLIN- amoxicillin capsule https://dailymed.nlm.nih.gov/dailymed/dr… – Accessed: October 12, 2016.
Accessed on 11/06/2016. DailyMed LABEL: AMOXICILLIN AND CLAVULANATE POTASSIUM- amoxicillin and clavulanate potassium powder, for suspension https://dailymed.nlm.nih.gov/dailymed/dr… – Accessed: October 12, 2016.
Dailymed LABEL: FLORA Q- lactobacillus acidophilus capsule https://dailymed.nlm.nih.gov/dailymed/dr… – Accessed: October 12, 2016.
Doron S, Snydman DR (2015). “Risk and safety of probiotics.”. Clin Infect Dis (Review). 60 Suppl 2: S129_34. doi:10.1093/cid/civ085. PMC 4490230 PMID 25922398. https://www.ncbi.nlm.nih.gov/pubmed/2592… – Accessed: October 12, 2016.
NHS Choices. What should I do if I miss a dose of antibiotics? – Accessed: July 14, 2016.
Ever Miss a Dose of Your Medicine? – Accessed: July 3, 2016.
Cancer.Net (2014). The Importance of Taking Your Medication Correctly – Accessed: July 3, 2016.
Schachter, S.C., Shafer, P. O. &; Sirven, J.I. (2013). Missed Medicines. Epilepsy Foundation – Accessed: May 28, 2016.
National Institute of Drug Abuse (2010). Prescription Drugs: Abuse and Addiction. Report Research Series – Accessed: July 21, 2016.
eMedicinehealth (2016). Drug Overdose Overview – Accessed: July 21, 2016.
Centers for Disease Control and Prevention (2010). Unintentional drug poisoning in the United States – Accessed: July 21, 2016.
Centers for Disease Control and Prevention. December 12, 2011. Put your medicines up and away and out of sight – Accessed: June 10, 2016.
The Center for Improving Medication Management and the National Council on Patient Information and Education. The quick scoop: medicines and your family: safely storing and disposing of medicines – Accessed: June 10, 2016.
U.S. Food and Drug Administration. December 24, 2013. How to dispose of unused medications – Accessed: June 10, 2016.
World Health Organization: Information sheet: Pharmaceuticals in drinking-water – Accessed: July 1, 2016.
Lyon, R. C., Taylor, J. S., Porter, D. A., et al. (2006) Stability profiles of drug products extended beyond labeled expiration dates. Journal of Pharmaceutical Sciences; 95:1549-60 – Accessed: July 3, 2016.
Harvard Medical School (2016). Drug Expiration Dates – Do They Mean Anything? – Accessed: May 1, 2016

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