New Release: Alpha testing version has been released.

amoxicillin

J01C - Beta-lactam antibacterials, penicillins ATC J01CA04 Small molecule approved 1974 Oral Natural product

🧬 Cross-allergy: Penicillins

JFDA label: Penamox 1 G Tablets

Mechanism of Action

Inhibitor of Bacterial penicillin-binding protein — Bacterial penicillin-binding protein inhibitor

TargetActionGene / class
Bacterial penicillin-binding protein efficacy INHIBITOR

Indications

Approved

  • Ear, nose, and throat infections (pharyngitis/tonsillitis, otitis media, rhinosinusitis)
  • Genitourinary tract infections
  • Helicobacter pylori eradication
  • Lower respiratory tract infections (including pneumonia)
  • Pharyngitis and tonsillitis
  • Skin and skin structure infections

Off-label

  • Anthrax, inhalational post-exposure prophylaxis (documented susceptible organisms) (adults)
  • Anthrax, inhalational post-exposure prophylaxis (documented susceptible organisms) (children)
  • Community-acquired pneumonia (children)
  • Erysipeloid
  • Group A streptococcal pharyngitis (children)
  • Infective endocarditis (prophylaxis)
  • Lyme disease (excluding neurologic disease)
  • Lyme neuroborreliosis
  • Prophylaxis in patients with prosthetic joint implants undergoing dental procedures which produce bacteremia
  • Prosthetic joint infection

Antimicrobial Spectrum

Expected / intrinsic spectrum (EUCAST breakpoints & labels) — not local resistance. Source: EUCAST v16 · curated · openfda-label.

Bacteria

OrganismActivityMIC
Anaerobes Susceptible 22.0 mg/L
Bacteroides fragilis Active
Enterobacterales Susceptible 8.0 mg/L
Enterococcus faecalis Susceptible 4.0 mg/L
Enterococcus spp. Susceptible 41.0 mg/L
Escherichia coli Susceptible 8.0 mg/L
Haemophilus influenzae Susceptible 2.0 mg/L
Haemophilus influenzae Susceptible 0.001 mg/L
Helicobacter pylori Susceptible 0.125 mg/L
Listeria monocytogenes Susceptible 1.0 mg/L
Moraxella catarrhalis Susceptible -1.0 mg/L
Pasteurella multocida Susceptible 1.0 mg/L
Proteus mirabilis Active
Staphylococcus aureus Active
Staphylococcus epidermidis Active
Staphylococcus saprophyticus Active
Streptococcus pneumoniae Susceptible 0.5 mg/L
Streptococcus pneumoniae Susceptible 0.06 mg/L
Streptococcus pyogenes Susceptible 0.25 mg/L
Viridans group streptococci Susceptible 0.5 mg/L
Enterococcus faecalis Resistant 4.0 mg/L
Escherichia coli Resistant 8.0 mg/L
Haemophilus influenzae Resistant 2.0 mg/L
Streptococcus pneumoniae Resistant 2.0 mg/L

Class profile

gramStatusBoth
spectrumBreadthModerate
atypicalCoverageNo
isBactericidal1
moaCategoryCell wall synthesis inhibitor (beta-lactam, PBP binding)
pdIndexTime-dependent
postAntibioticEffectNone
mrsaCoverage0
resistanceMechanismsBeta-lactamase production,PBP mutations (PBP2a in MRSA),Reduced permeability

Contraindications

Source: Lexicomp

  • Additional contraindications (not in US labeling): Infectious mononucleosis (suspected or confirmed) Absolute
  • Serious hypersensitivity to amoxicillin (eg, anaphylaxis, Stevens-Johnson syndrome) or to other beta-lactams, or any component of the formulation Absolute

Adverse Reactions

Very Common >10%Common 1–10%Uncommon 0.1–1% Rare 0.01–0.1%Very Rare <0.01%Not Known

Cardiac disorders (1)

Not Known Hypersensitivity angiitis

Nervous system disorders (9)

Not Known Agitation · anxiety · behavioral changes · confusion · dizziness · headache · hyperactivity (reversible) · insomnia · seizure

Hepatobiliary disorders (6)

Uncommon Elevated liver enzymes

Not Known Cholestatic hepatitis · cholestatic jaundice · hepatitis (acute cytolytic) · increased serum ALT · increased serum AST

Renal and urinary disorders (1)

Not Known Crystalluria

Blood and lymphatic system disorders (7)

Not Known Agranulocytosis · anemia · eosinophilia · hemolytic anemia · leukopenia · thrombocytopenia · thrombocytopenia purpura

Immune system disorders (3)

Rare Allergic reaction (IgE-mediated urticaria/anaphylaxis)

Not Known Anaphylaxis · Serum sickness-like reaction

Gastrointestinal disorders (10)

Common Diarrhoea · Nausea

Not Known Dental discoloration (brown, yellow, or gray; rare) · diarrhea · hemorrhagic colitis · melanoglossia · mucocutaneous candidiasis · nausea · pseudomembranous colitis · vomiting

Skin and subcutaneous tissue disorders (9)

Very Common Maculopapular rash (high rate in EBV/CMV)

Common Skin rash

Not Known Acute generalized exanthematous pustulosis · erythema multiforme · erythematous maculopapular rash · exfoliative dermatitis · Stevens-Johnson syndrome · toxic epidermal necrolysis · urticaria

Infections and infestations (1)

Uncommon Clostridioides difficile colitis

Dosing

Source: Lexicomp

Note: Unless otherwise specified, all dosing recommendations based on immediate release product formulations. Usual dosage range: Oral: Mild or moderate infection: 250 mg every 8 hours or 500 mg every 12 hours Mild or moderate infection (lower respiratory tract): 500 mg every 8 hours or 875 mg every 12 hours Severe infection (as step-down therapy): 500 mg every 8 hours or 875 mg every 12 hours Extended-release: 775 mg once daily Indication-specific dosing: Anthrax, inhalational postexposure prophylaxis (CDC recommendations) (off-label use): Oral: 1,000 mg every 8 hours (Hendricks [CDC 2014]). Note: Use only if isolates of the specific B. anthracis are sensitive to amoxicillin (MIC ≤0.125 mcg/mL); may be administered to pregnant and breast-feeding women. Duration of antibiotic postexposure prophylaxis (PEP) is 60 days whether a patient is vaccinated, partially vaccinated, or unvaccinated (Hendricks [CDC 2014]). Ear, nose, throat, genitourinary tract, or skin/skin structure infections: Note: IDSA guidelines recommend amoxicillin-clavulanate as preferred first-line treatment of acute bacterial rhinosinusitis (ABRS) (IDSA [Chow 2012]); AAO-HNS guidelines for adult sinusitis recommend either amoxicillin or amoxicillin-clavulanate as initial first-line therapy of ABRS, with consideration given for amoxicillin-clavulanate instead of amoxicillin in certain patients (eg, moderate to severe ABRS symptoms, antibiotic use in past month, high prevalence of resistant bacteria in community, history of recurrent ABRS, presence of comorbidities) (AAO-HNS [Rosenfeld 2015]). Mild-to-moderate: Oral: 500 mg every 12 hours or 250 mg every 8 hours Severe: Oral: 875 mg every 12 hours or 500 mg every 8 hours Tonsillitis and/or pharyngitis: Oral: Extended release: 775 mg once daily for 10 days Endocarditis, prophylaxis (off-label use): Oral: 2 g 30 to 60 minutes before procedure. Note: American Heart Association (AHA) guidelines now recommend prophylaxis only in patients undergoing invasive procedures and in who underlying cardiac conditions may predispose to a higher risk of adverse outcomes should infection occur. As of April 2007, routine prophylaxis for GI/GU procedures is no longer recommended by the AHA. Erysipeloid (off-label use): Oral: 500 mg 3 times daily for 7 to 10 days (IDSA [Stevens 2014]) Helicobacter pylori eradication: Oral: American College of Gastroenterology guidelines (Chey 2007; Chey 2017): Clarithromycin triple therapy: 1,000 mg twice daily in combination with clarithromycin 500 mg twice daily plus a standard-dose or double-dose proton pump inhibitor; continue regimen for 14 days. Note: Avoid use of clarithromycin triple therapy in patients with risk factors for macrolide resistance (eg, prior macrolide exposure, local clarithromycin resistance rates ≥15%, eradication rates with clarithromycin-based regimens ≤85%) (ACG [Chey 2017]; Fallone 2016). Concomitant regimen: 1,000 mg twice daily in combination with clarithromycin 500 mg twice daily, and eit
(For additional information see "Amoxicillin: Pediatric drug information") Note: Unless otherwise specified, all pediatric dosing recommendations based on immediate release product formulations (oral suspension, chewable tablet, tablet, and capsule). Usual dosage range: Mild to moderate infection: Infants ≤3 months: Oral: 25 to 50 mg/kg/day in divided doses every 8 hours (Red Book [AAP 2015]). Note: Manufacturer's labeling recommends a maximum daily dose of 30 mg/kg/day divided into 2 doses per day for this age group. Infants >3 months, Children, and Adolescents (AAP recommendations (Red Book [AAP 2015]): Oral: 25 to 50 mg/kg/day in divided doses every 8 hours; maximum dose: 500 mg/dose Manufacturer's labeling: Oral: 20 to 40 mg/kg/day in divided doses every 8 hours (maximum dose: 500 mg/dose) or 25 to 45 mg/kg/day in divided doses every 12 hours (maximum dose: 875 mg/dose) Children, and Adolescents (≥40 kg): Refer to adult dosing. Severe infection (as step-down therapy): Infants, Children, and Adolescents: Oral: 80 to 100 mg/kg/day in divided doses every 8 hours; maximum dose: 500 mg/dose for most indications (Red Book [AAP 2015]) Indication-specific dosing: Anthrax (off-label use): Cutaneous, without systemic involvement: Children and Adolescents: Oral: 75 mg/kg/day in 3 divided doses. Maximum dose: 1,000 mg/dose. Duration of therapy: 7 to 10 days for naturally acquired infection, up to 60 days for biological weapon-related exposure (AAP [Bradley 2014]). Inhalational, postexposure prophylaxis: Children and Adolescents: Oral: 75 mg/kg/day in divided doses every 8 hours for 60 days after exposure; maximum dose: 1,000 mg/dose (AAP [Bradley 2014]). Catheter (peritoneal dialysis), exit-site or tunnel infection (off-label use): Infants, Children, and Adolescents: Oral: 10 to 20 mg/kg once daily; maximum dose: 1,000 mg/dose (Warady [ISPD 2012]) Endocarditis, prophylaxis (off-label use): Infants, Children, and Adolescents: Oral: 50 mg/kg 1 hour before procedure (maximum dose: 2,000 mg/dose) (Wilson 2007) Helicobacter pylori eradication: Children and Adolescents: Oral: 50 mg/kg/day in 2 divided doses for 10 to 14 days; maximum daily dose: 2,000 mg/day. Administer in combination with a proton pump inhibitor or bismuth subsalicylate and at least one other antibiotic (clarithromycin and/or metronidazole) (NASPGHAN/ESPGHAN [Koletzko 2011]). Lyme disease (off-label use): Infants, Children, and Adolescents: Oral: 50 mg/kg/day divided every 8 hours (maximum dose: 500 mg/dose) (Halperin 2007; Wormser 2006) Otitis media, acute: Infants ≥2 months and Children: Oral: 80 to 90 mg/kg/day divided every 12 hours; variable duration of therapy, if Red Book [AAP 2015]); a maximum dose is not provided in the Guidelines for The Diagnosis and Management of Acute Otitis Media (AAP [Lieberthal 2013]); however, some experts suggest a maximum daily dose of 4,000 mg/day for high-dose amoxicillin therapy (Bradley 2015). Peritonitis, prophylaxis (for patients receiving peritoneal
Refer to adult dosing.
Adults: Oral: Immediate-release: Note: Avoid immediate-release 875 mg tablet in patients with GFR GFR ≥30 mL/minute: No dosage adjustment necessary. GFR 10 to 30 mL/minute: 250 to 500 mg every 12 hours GFR Hemodialysis: Moderately dialyzable (20% to 50%); ~30% removed by 3-hour hemodialysis: 250 to 500 mg every 24 hours; administer after dialysis on dialysis days (Aronoff 2007) Extended-release: CrCl ≥30 mL/minute: There are no dosage adjustments provided in the manufacturer’s labeling (has not been studied). CrCl Hemodialysis: Not recommended. Infants, Children, and Adolescents: Oral: Immediate-release: There are no dosage adjustments provided in the manufacturer’s labeling; however, the following recommendations have been used by some clinicians (Aronoff 2007): Mild to moderate infection: Dosing based on 25 to 50 mg/kg/day divided every 8 hours: GFR ≥30 mL/minute/1.73 m2: No dosage adjustment necessary. GFR 10 to 29 mL/minute/1.73 m2: 8 to 20 mg/kg/dose every 12 hours GFR 2: 8 to 20 mg/kg/dose every 24 hours Hemodialysis: Moderately dialyzable (20% to 50%); ~30% removed by 3-hour hemodialysis: 8 to 20 mg/kg/dose every 24 hours; give after dialysis. Peritoneal dialysis: 8 to 20 mg/kg/dose every 24 hours. Severe infection (high dose): Dosing based on 80 to 90 mg/kg/day divided every 12 hours: GFR ≥30 mL/minute/1.73 m2: No dosage adjustment necessary. GFR 10 to 29 mL/minute/1.73 m2: 20 mg/kg/dose every 12 hours; do not use the 875 mg tablet. GFR 2: 20 mg/kg/dose every 24 hours; do not use the 875 mg tablet. Hemodialysis: Moderately dialyzable (20% to 50%); ~30% removed by 3-hour hemodialysis: 20 mg/kg/dose every 24 hours; give after dialysis. Peritoneal dialysis: 20 mg/kg/dose every 24 hours Extended-release: Children ≥12 years and Adolescents: CrCl ≥30 mL/minute: There are no dosage adjustments provided in the manufacturer’s labeling (has not been studied). CrCl Hemodialysis: Not recommended.
There are no dosage adjustments provided in the manufacturer’s labeling.

Warnings & Precautions

Source: Lexicomp

Anaphylactic/hypersensitivity reactions

Serious and occasionally severe or fatal hypersensitivity (anaphylactic) reactions have been reported in patients on penicillin therapy, including amoxicillin, especially with a history of beta-lactam hypersensitivity (including severe reactions with cephalosporins) and/or a history of sensitivity to multiple allergens.

Superinfection

Prolonged use may result in fungal or bacterial superinfection, including C. difficile-associated diarrhea (CDAD) and pseudomembranous colitis; CDAD has been observed >2 months postantibiotic treatment. Disease-related concerns:

Infectious mononucleosis

A high percentage of patients with infectious mononucleosis develop an erythematous rash during amoxicillin therapy; avoid use in these patients.

Renal impairment

Use with caution in patients with renal impairment; dosage adjustment recommended in patients with GFR Concurrent drug therapy issues:

Drug-drug interactions

Potentially significant interactions may exist, requiring dose or frequency adjustment, additional monitoring, and/or selection of alternative therapy. Consult drug interactions database for more detailed information. Dosage form specific issues:

Benzyl alcohol and derivatives

Some dosage forms may contain sodium benzoate/benzoic acid; benzoic acid (benzoate) is a metabolite of benzyl alcohol; large amounts of benzyl alcohol (≥99 mg/kg/day) have been associated with a potentially fatal toxicity (“gasping syndrome”) in neonates; the “gasping syndrome” consists of metabolic acidosis, respiratory distress, gasping respirations, CNS dysfunction (including convulsions, intracranial hemorrhage), hypotension, and cardiovascular collapse (AAP ["Inactive" 1997]; CDC 1982); some data suggests that benzoate displaces bilirubin from protein binding sites (Ahlfors 2001); avoid or use dosage forms containing benzyl alcohol derivative with caution in neonates. See manufacturer’s labeling.

Chewable tablets

May contain phenylalanine; see manufacturer’s labeling.

Pregnancy & Lactation

Pregnancy

FDA category B

Safe

First-line antibiotic for most infections in pregnancy. Part of H. pylori eradication when needed

Lactation

RID 0.15%

Amoxicillin is excreted in breast milk (Kafetzis 1981). The relative infant dose (RID) of amoxicillin is 0.15% to 0.54% when calculated using the highest average breast milk concentration located and compared to an infant therapeutic dose of 25 to 90 mg/kg/day. In general, breastfeeding is considered acceptable when the RID is 25% breastfeeding should generally be avoided (Anderson 2016; Ito 2000). Using the highest average milk concentration (0.9 mcg/mL), the estimated daily infant dose via b

Monitoring

EfficacyCulture and susceptibility testing; clinical resolution (temperature, WBC, CRP, procalcitonin)
ToxicityRenal function (dose adjustment in renal impairment); hepatic function for hepatically cleared agents; signs of C. difficile infection (diarrhoea)
Clinical pearlCulture results guide de-escalation to narrower-spectrum therapy. Review antibiotic appropriateness at 48–72 h (antimicrobial stewardship).
CounselingComplete the full course. Report persistent diarrhoea, rash, or lack of improvement after 48–72 h.

Chemistry & Properties

2D structure
FormulaC16H19N3O5S
Molecular weight365.41 g/mol
IUPAC name(2S,5R,6R)-6-[[(2R)-2-amino-2-(4-hydroxyphenyl)acetyl]amino]-3,3-dimethyl-7-oxo-4-thia-1-azabicyclo[3.2.0]heptane-2-carboxylic acid
CAS26787-78-0
PubChem CID33613
InChIKeyLSQZJLSUYDQPKJ-NJBDSQKTSA-N
logP0.02 (XLogP -2.0)
Polar surface area132.96 Ų
H-bond acceptors / donors6 / 4
Drug-likeness (QED)0.55
Lipinski violations0
SMILESCC1(C)S[C@@H]2[C@H](NC(=O)[C@H](N)c3ccc(O)cc3)C(=O)N2[C@H]1C(=O)O

Biology & Pharmacokinetics

Pharmacokinetics

BBB penetrantNo

Enzyme interactions

EnzymeRoleDetail
CYP2C19Substrate

Transporters

BCRP (Inhibitor)BCRP (Inhibitor)BSEP (Inhibitor)BSEP (Inhibitor)MRP1 (Inhibitor)MRP2 (Inhibitor)MRP4 (Inhibitor)OAT1 (Inhibitor)OATP1B1 (Inhibitor)OATP1B1 (Inhibitor)OATP1B3 (Inhibitor)OATP1B3 (Inhibitor)P-gp (Inhibitor)PEPT1 (Inhibitor)PEPT2 (Inhibitor)MDR1 (Substrate)OAT (Substrate)OAT1 (Substrate)OAT2 (Substrate)OAT3 (Substrate)P-gp (Substrate)PEPT1 (Substrate)PEPT2 (Substrate)

Drug–drug interactions (33, DDInter)

Interacting drugSeverityManagement
Methotrexate major
Typhoid vaccine (live) major
Vibrio cholerae CVD 103-HgR strain live antigen (live) major
Anisindione moderate
Balsalazide moderate
Bifidobacterium longum infantis moderate
Demeclocycline moderate
Dicoumarol moderate
Doxycycline moderate
Entecavir moderate
Estradiol moderate
Ethinylestradiol moderate
Indium In-111 oxyquinoline moderate
Iodide I-123 moderate
Iodide I-131 moderate
Lactobacillus acidophilus moderate
Mestranol moderate
Minocycline moderate
Mycophenolate mofetil moderate
Mycophenolic acid moderate
Oxytetracycline moderate
Pemetrexed moderate
Picosulfuric acid moderate
Sarecycline moderate
Tetracycline moderate
Warfarin moderate
Allopurinol minor
Amiloride minor
Azithromycin minor
Clarithromycin minor
Erythromycin minor
Probenecid minor
Troleandomycin minor

Registered Products (144)

BrandForm / strengthPackAgentCitizen (JOD)
MOXILEN CAP Capsule 500 mg 16 cap pack varies Khoury Drug Store 0.790
Amoclan 600 vials Vial (as Sodium)500 mg, 100 mg 1 pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 0.960
MOXILEN CAP Capsule 500 mg 20 cap pack varies Khoury Drug Store 0.980
Amoxil Forte Suspension Suspension 250 mg/5 ml 100 ml Suleiman Tannous & Sons Co. Ltd 0.990
Amoxil Suspension Suspension 125 mg/5 ml 100 ml Suleiman Tannous & Sons Co. Ltd 1.000
Moxiram Cap Capsule 250 mg 16 cap pack varies AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 1.180
Amoxil Caps. Capsule 250 mg 20 cap Suleiman Tannous & Sons Co. Ltd 1.200
Amoxil Caps. Capsule 500 mg 20 cap Suleiman Tannous & Sons Co. Ltd 1.200
Ramoclav-156 suspension Suspension 125 mg/5 ml, 31.25 mg/5 ml 60 ml pack varies AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 1.270
Julphamox 125mg/5ml Susp. Suspension 125 mg/5 ml 100 ml Professional Drug Store 1.280
Amoxydar G.F.SUSP.125mg/5ml Suspension 125 mg/5 ml 100 ml Dar Al Dawa Development and Investment Co Ltd/Jordan 1.320
OSPAMOX 250 SUSP Suspension 250 mg/5 ml 60 ml pack varies Nabulsi Drug Store 1.450
Penamox 250 Suspension Suspension (as trihydrate) 250 mg/5 ml 60 ml Hikma Pharmaceuticals Co.Ltd/Jordan 1.450
Moxiram-250 capsule Capsule 250 mg 20 cap pack varies AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 1.480
Moxiram-500 capsule Capsule 500 mg 20 cap pack varies AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 1.480
Moxiclav Vial 1000 mg, 200 mg 1 vial pack varies Khoury Drug Store 1.510
Amoclan 1200 vials Vial (as Sodium)1000 mg, as potassium clavulanate 200 mg 1 vial pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 1.790
Klavox Susp. Suspension 125 mg/5 ml, 31.25 mg/5 ml 100 ml Regional Drug Store 1.790
Koact Suspension 125 mg/5 ml, 31.25 mg/5 ml 100 ml AL Rahma Drug Store 1.790
Megamox Susp Suspension 125 mg/5 ml, 31.25 mg/5 ml 100 ml IBN CINA DRUG STORE 1.790
Amoxydar Forte Suspension 250 mg/5 ml 100 ml Dar Al Dawa Development and Investment Co Ltd/Jordan 1.850
Curam Suspension 125 mg/5 ml, 31.25 mg/5 ml 100 ml Nabulsi Drug Store 1.850
Moxiclav Sus Suspension 125 mg/5 ml, 31.25 mg/5 ml 100 ml Khoury Drug Store 1.850
Moxiram-125 suspension Suspension 125 mg/5 ml 100 ml AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 1.850
Origaram Suspension 250 mg/5 ml 100 ml AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 1.850
Julphamox 250mg/5ml Susp. Suspension 250 mg/5 ml 100 ml Professional Drug Store 2.010
Moxilen Forte Susp Suspension 250 mg/5 ml 100 ml Khoury Drug Store 2.010
Penamox Suspension 500 mg/5 ml 60 ml Hikma Pharmaceuticals Co.Ltd/Jordan 2.030
Flumox 250mg Dry Susp Suspension (as Trihydrate) 125 mg/5 ml, (as Monohydrate) 125 mg/5 ml 100 ml AL-Faiasel Drug Store 2.080
Moxiram-250 suspension Suspension 250 mg/5 ml 100 ml AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 2.090
Ultramox Forte Suspension Suspension 250 mg/5 ml 100 ml The Arab Pharmaceutical Manufactruing Co. 2.110
Amoclan Suspension Suspension (as trihydrate) 125 mg/5 ml, (as potassium)31.25 mg/5 ml 100 ml Hikma Pharmaceuticals Co.Ltd/Jordan 2.120
Clavar Suspension 125 mg/5 ml, 31.25 mg/5 ml 100 ml The Arab Pharmaceutical Manufacturing PSC/Salt 2.120
Penamox 500 Capsules Capsule (as Trihydrate)500 mg 12 cap Hikma Pharmaceuticals Co.Ltd/Jordan 2.120
Ramoclav-156 suspension Suspension 125 mg/5 ml, 31.25 mg/5 ml 100 ml pack varies AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 2.120
Amoxydar Caps. Capsule 250 mg 16 cap pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 2.140
Amoclan BID Suspension 400 mg/5 ml, 57 mg/5 ml 35 ml pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 2.150
Amoxapen Tablet 500 mg 20 tab JAWEDA INT. DRUD STORE 2.190
Curam Vial 2000 mg, 200 mg one vial Nabulsi Drug Store 2.240
OSPAMOX 375 SUSP Suspension 375 mg/5 ml 60 ml pack varies Nabulsi Drug Store 2.320
Hymox Susp. Suspension 250 mg/5 ml 100 ml Shawi & Rushedat Drug Store 2.420
OSPAMOX Suspension 250 mg/5 ml 100 ml pack varies Nabulsi Drug Store 2.420
Penamox 250 Suspension Suspension (as trihydrate)250 mg/5 ml 100 ml Hikma Pharmaceuticals Co.Ltd/Jordan 2.420
Ultramox Forte Cap Capsule (as Trihydrate) 500 mg 2x8 pack varies The Arab Pharmaceutical Manufactruing Co. 2.500
Augmentin 156 Susp. Suspension 125 mg/5 ml, 31.25 mg/5 ml 100 ml Suleiman Tannous & Sons Co. Ltd 2.550
Amoxydar Caps. Capsule 250 mg 20 cap pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 2.580
Klavox Tab Tablet 250 mg, 125 mg 20 tab Shawi & Rushedat Drug Store 2.680
Koact Tablet 250 mg, 125 mg 20 tab AL Rahma Drug Store 2.680
Amoclan Forte Suspension Suspension (as Trihydrate)250 mg/5 ml, (as potassium) 62.5 mg/5 ml 60 ml Hikma Pharmaceuticals Co.Ltd/Jordan 2.770
Ramoclav-312 suspension Suspension 250 mg/5 ml, 62.5 mg/5 ml 60 ml pack varies AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 2.770
Megamox Tab Tablet 875 mg, 125 mg 10 tab IBN CINA DRUG STORE 2.810
Amoclan Forte Tablets Tablet (as trihydrate) 500 mg, (as potassium) 125 mg 12 tab pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 2.900
Penamox Tablet (as trihydrate) 1 g 10 tab Hikma Pharmaceuticals Co.Ltd/Jordan 2.900
Ramoclav-625 tablets Tablet Anhydrous 500 mg, 125 mg 12 tab pack varies AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 2.900
Moxiclav Tab Tablet 250 mg, 125 mg 20 tab Khoury Drug Store 2.920
Klavox Susp Suspension 200 mg, 28 mg/5 ml 70 ml Regional Drug Store 2.970
Klavox Susp Suspension 400 mg/5 ml, 57 mg/5 ml 70 ml Shawi & Rushedat Drug Store 2.990
Koact Tablet 500 mg, 125 mg 15 tab AL Rahma Drug Store 2.990
Amoxydar F.C.T Tablet 1 g 10 tab pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 3.000
Moxiram Tablet 1 g 10 tab AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 3.000
Ultramox Forte Cap Capsule (as Trihydrate) 500 mg 2x10 pack varies The Arab Pharmaceutical Manufactruing Co. 3.130
Amoxydar Forte Caps. Capsule 500 mg 16 cap pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 3.140
Julphamox 500mg Cap. Capsule 500 mg 20 cap pack varies Professional Drug Store 3.210
Klavox Susp. Suspension 250 mg/5 ml, 62.5 mg/5 ml 100 ml Shawi & Rushedat Drug Store 3.210
Amoclan BID Suspension 200 mg/5 ml, 28.5 mg/5 ml 70 ml Hikma Pharmaceuticals Co.Ltd/Jordan 3.230
CLAVODAR 200/28.5 SUSPENSION Suspension 200 mg/5 ml, 28.5 mg 70 ml Dar Al Dawa Development and Investment Co Ltd/Jordan 3.230
Curam Suspension 400 mg/5 ml, 57 mg/5 ml 70 ml pack varies Nabulsi Drug Store 3.260
Curam Tablet 500 mg, 125 mg 15 tab pack varies Nabulsi Drug Store 3.260
OSPAMOX 750 F.C TAB Film-Coated Tablet 750 mg 12 tab pack varies Nabulsi Drug Store 3.260
CLAVODAR 625 TABLETS Tablet 500 mg, 125 mg 14 tab pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 3.390
Moxiclav F.C Tab Film-Coated Tablet 500 mg, 125 mg 16 tab pack varies Khoury Drug Store 3.460
Penamox Tablet (as Trihydrate) 1 g 12 tab pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 3.480
Koact Suspension 250 mg/5 ml, 62.5 mg/5 ml 100 ml AL Rahma Drug Store 3.490
Penamox 500 Capsules Capsule (as Trihydrate) 500 mg 20 cap pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 3.540
Amoxydar F.C.T Tablet 1 g 12 tab pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 3.600
Amoclan Forte Tablets Tablet (as trihydrate) 500 mg, (as potassium) 125 mg 15 tab pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 3.630
Ramoclav-625 tablets Tablet Anhydrous 500 mg, 125 mg 15 tab pack varies AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 3.630
Amoclan Tablets Tablet (as trihydrate) 250 mg, (as potassium) 125 mg 20 tab Hikma Pharmaceuticals Co.Ltd/Jordan 3.640
Clavar 375mg Tab Tablets Tablet 250 mg, 125 mg 20 tab The Arab Pharmaceutical Manufacturing PSC/Salt 3.640
Flumox Capsule 250 mg, 250 mg 16 cap AL-Faiasel Drug Store 3.640
Ramoclav-375 tablets Tablet Anhydrous 250 mg, 125 mg 20 tab AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 3.640
Amoxibel Tablet 500 mg 20 tab MIDDLE EAST PHARMA&CHEMICAL IND/JORDAN 3.650
Klamoks Bid Fort Solution 400 mg, 57 mg 70 ml Itqan Pharmaceutical Industries/Jordan 3.700
Amoxydar Forte Caps. Capsule 500 mg 20 cap pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 3.770
Augmentin Tab Tablet 250 mg, 125 mg 20 tab Suleiman Tannous & Sons Co. Ltd 3.830
OSPAMOX 375 SUSP Suspension 375 mg/5 ml 100 ml pack varies Nabulsi Drug Store 3.860
Curam Suspension 250 mg/5 ml, 62.5 mg/5 ml 100 ml Nabulsi Drug Store 3.910
Megamox Tab Tablet 125 mg, 875 mg 14 tab IBN CINA DRUG STORE 3.930
Klamoks BID Tab Tablet 875 mg, 125 mg 10 tab Itqan Pharmaceutical Industries/Jordan 3.940
Augmentin 457 Susp. Suspension 400 mg/5 ml, 57 mg/5 ml 70 ml Suleiman Tannous & Sons Co. Ltd 4.010
Moxiclav Forte Sus Suspension 250 mg/5 ml, 62.5 mg/5 ml 100 ml Khoury Drug Store 4.070
Augmentin Infant Drops 62.5mg/ml Powder for oral suspension Suspension 250 mg/5 ml, 62.5 mg/5 ml 20 ml Suleiman Tannous & Sons Co. Ltd 4.080
Amoclan BID Suspension 400 mg/5 ml, 57 mg/5 ml 70 ml pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 4.100
CLAVODAR 400/57 Forte Suspension 400 mg/5 ml, 57 mg/5 ml 70 ml Dar Al Dawa Development and Investment Co Ltd/Jordan 4.100
Julmentin 2X Solution 400 mg, 57 mg 70 ml Professional Drug Store 4.110
Moxiclav Tablet 875 mg, 125 mg 14 tab Khoury Drug Store 4.200
KOACT Tablet 875 mg, 125 mg 15 tab AL Rahma Drug Store 4.210
Curam Tab Tablet 875 mg, 125 mg 10 tab pack varies Nabulsi Drug Store 4.250
Curam Tablet 500 mg, 125 mg 20 tab pack varies Nabulsi Drug Store 4.340
Moxiclav F.C Tab Film-Coated Tablet 500 mg, 125 mg 20 tab pack varies Khoury Drug Store 4.340
OSPAMOX 750 F.C TAB Film-Coated Tablet 750 mg 16 tab pack varies Nabulsi Drug Store 4.340
Augmentin 312 Susp. Suspension 250 mg/5 ml, 62.5 mg/5 ml 100 ml Suleiman Tannous & Sons Co. Ltd 4.590
Hymox Cap Capsule 500 mg 20 cap Regional Drug Store 4.600
Amoclan Forte Suspension Suspension (as Trihydrate) 250 mg/5 ml, (as potassium) 62.5 mg/5 ml 100 ml Hikma Pharmaceuticals Co.Ltd/Jordan 4.620
Clavar Forte Suspension 250 mg/5 ml, 62.5 mg/5 ml 100 ml The Arab Pharmaceutical Manufacturing PSC/Salt 4.620
Megamox susp. Suspension 250 mg/5 ml, 62.5 mg/5 ml 100 ml IBN CINA DRUG STORE 4.620
Ramoclav-312 suspension Suspension 250 mg/5 ml, 62.5 mg/5 ml 100 ml pack varies AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 4.620
Amoclan BID Tablets Tablet 875 mg, 125 mg 10 tab pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 4.630
Julmentin Forte 312mg/5ml Susp. Suspension 250 mg/5 ml, 62.5 mg/5 ml 100 ml Professional Drug Store 4.630
Curam Suspension 400 mg/5 ml, 57 mg/5 ml 100 ml pack varies Nabulsi Drug Store 4.660
Amoclan Bid Suspension 600 mg/5 ml, 42.9 mg/5 ml 75 ml Hikma Pharmaceuticals Co.Ltd/Jordan 4.700
Amoxydar F.C.T Tablet 1 g 16 tab pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 4.800
Amoclan Forte Tablets Tablet (as trihydrate) 500 mg, (as potassium) 125 mg 20 tab pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 4.840
CLAVODAR 625 TABLETS Tablet 500 mg, 125 mg 20 tab pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 4.840
Clavar Forte Tablet 500 mg, 125 mg 20 tab The Arab Pharmaceutical Manufacturing PSC/Salt 4.840
Ramoclav Tablet Anhydrous 500 mg, 125 mg 20 tab pack varies AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 4.840
Julmentin ES Susp Suspension 600 mg/5 ml, 42.9 mg/5 ml 100 ml Professional Drug Store 4.880
CLAVODAR Tablet 875 mg, 125 mg 10 tab pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 4.960
Curam Tab Tablet 875 mg, 125 mg 14 tab pack varies Nabulsi Drug Store 5.050
OSPAMOX 1000 F.C Tab Film-Coated Tablet 1000 mg 12 tab pack varies Nabulsi Drug Store 5.170
Penamox Tablet (as Trihydrate) 1 g 18 tab pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 5.220
Augmentin 1 gm FC Tablet Film-Coated Tablet 875 mg, 125 mg 14 tab Suleiman Tannous & Sons Co. Ltd 5.610
Augmentin Tab Tablet 500 mg, 125 mg 20 tab Suleiman Tannous & Sons Co. Ltd 5.690
Clavodar ES Powder For Oral Susp Suspension 600 mg/5 ml, 42.9 mg/5 ml 100 ml Dar Al Dawa Development and Investment Co Ltd/Jordan 6.270
Amoclan BID Tablets Tablet 875 mg, 125 mg 14 tab pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 6.490
Klavox Tab Tablet 875 mg, 125 mg 14 tab Shawi & Rushedat Drug Store 6.490
Penamox Tablet (as rrihydrate) 1 g 24 tab Hikma Pharmaceuticals Co.Ltd/Jordan 6.610
OSPAMOX 1000 F.C Tab Film-Coated Tablet 1000 mg 16 tab pack varies Nabulsi Drug Store 6.890
CLAVODAR Tablet 875 mg, 125 mg 14 tab pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 6.940
Augmentin ES-600 Solution 600 mg, 42.9 mg 100 ml Suleiman Tannous & Sons Co. Ltd 6.970
Amoclan Bid 400/57 Chewable Tab Chewable Tablet 400 mg, 57 mg 18 Chew Tab Hikma Pharmaceuticals Co.Ltd/Jordan 7.480
Julmentin 2X Tablet 875 mg, 125 mg 15 tab Professional Drug Store 7.540
Amoclan 600mg vials Vial (as Sodium)500 mg, 100 mg 10 vial pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 8.750
MOXILEN CAP Capsule 500 mg 200 cap pack varies Khoury Drug Store 8.840
Moxiclav Vial 1000 mg, 200 mg 10 vial pack varies Khoury Drug Store 13.630
Amoclan 1200 vials Vial (as Sodium)1000 mg, as potassium clavulanate 200 mg 10 vial pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 16.300
Amoxydar Caps. Capsule 250 mg 500 cap pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 43.310
Ultramox Forte Cap Capsule (as Trihydrate) 500 mg 50x8 pack varies The Arab Pharmaceutical Manufactruing Co. 53.130
Moxiram Cap Capsule 250 mg 1000 cap pack varies AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 62.690
Moxiram-500 capsule Capsule 500 mg 1000 cap pack varies AL-RAM PHARMA.INDUS.CO.LTD/JORDAN 62.900
Amoxydar Forte Caps. Capsule 500 mg 500 cap pack varies Dar Al Dawa Development and Investment Co Ltd/Jordan 68.780
Julphamox 500mg Cap. Capsule 500 mg 1000 cap pack varies Professional Drug Store 70.670
Penamox 500 Capsules Capsule (as Trihydrate) 500 mg 500 cap pack varies Hikma Pharmaceuticals Co.Ltd/Jordan 74.830
Ultramox Forte Cap Capsule (as Trihydrate) 500 mg 100x10 pack varies The Arab Pharmaceutical Manufactruing Co. 132.810