Arclav 625 Tablet

Arclav 625 Tablet

[Each film-coated tablet contains: Amoxycillin 500 mg + Potassium Clavulanate 125 mg]
Arclav-625 provides beta-lactamase protected amoxicillin in combination with clavulanate.

Antibacterial Spectrum:

This drug combination offers broader coverage by combining:

  • Amoxicillin – a penicillin derivative effective against Gram-positive and Gram-negative bacteria
  • Clavulanic acid – counters β-lactamase–producing strains

Effective against methicillin-sensitive Staphylococcus aureus (MSSA) and Neisseria species.

Mechanism of Action:

  • Peptidoglycan synthesis involves DD-transpeptidases (penicillin-binding proteins – PBPs).
  • Amoxicillin binds with PBPs and inhibits peptidoglycan synthesis.
  • This disrupts bacterial cell wall formation, leading to bactericidal lysis.

Indications:

  • Community-acquired pneumonia (CAP)
  • Acute bacterial rhinosinusitis
  • Chronic group A streptococci carriers
  • Small intestinal bacterial overgrowth (SIBO)
  • Aspiration pneumonia
  • Urinary tract infection
  • Acute otitis media
  • Skin or soft tissue infections
  • Bite wounds
  • Diabetic foot infections
  • Odontogenic infections

Drug-Drug Interaction:

  • Avoid skeletal muscle relaxants
  • Co-administration with vitamin K antagonists (e.g., warfarin, acenocoumarol, fluindione) may increase coagulation tests (PT/INR) and risk of bleeding

Pharmacokinetics:

  • Route of Administration: Oral
  • Distribution: Widely distributed in body tissues/fluids (except brain/spinal fluid); detected in middle ear effusions
  • Metabolism: Both components are metabolized into inactive compounds
  • Excretion: Primarily eliminated via urine

Contraindications:

Hypersensitivity to any ingredient of the preparation

Precautions:

Watch for secondary infections like C. difficile colitis or candidiasis

Warnings:

May cause severe hepatitis and renal failure

Side Effects:

Diarrhea, Nausea, Vomiting, Abdominal discomfort

Dosage and Administration:

500 mg every 8 to 12 hours, or as directed by the Physician (Healthcare provider)
Ingredient Amount
Amoxycillin Trihydrate 500mg (eq. to Amoxycillin)
Potassium Clavulanate 125mg (eq. to Clavulanic Acid)