what type of medication is amoxicillin?
pencillin
what is its mechanism?
inhibits transpeptidase thus preventing cross-linking in peptiglycan causing a weakened cell wall and allowing water to enter due to the impaired osmotic gradient. this results in cell death and cell lysis.
what is it used for?
anthrax dental abscesses and infection h.pylori - eradication therapy chest infection - bacterial, pneumonia abdominal sepsis hosp acquired infections endocarditis
side effects
nausea, non-specific rash, diarrhoea
allergy - rash
anaphylaxis - severe reaction!
caution
those with allergy
elderly
high risk for c.difficle
renal impairment
drug interactions
reduce clearance of methotrexate - thus may lead to toxicity
enhance warfarin effect- kill normal glut flora and prevent vit K synthesis
why in renal iimpairment?
increased risk of crystalluria