Amoxicillin
Dosing in kidney impairment
Dosing in Renal Impairment for Adults and Pediatric Patients Aged 3 Months and Older and Weight Greater than 40 kg Patients with impaired renal function do not generally require a reduction in dose unless the impairment is severe. Renal impairment patients with a glomerular filtration rate of less than 30 mL/min should NOT receive the 875 mg dose.
See dosage regimens in patients with severe renal impairment provided in Table 2. Table 2. Dosing in Patients with Severe Renal Impairment [See table below.]
| Patients with Renal Impairment | Dosage Regimen |
| GFR 10 to 30 mL/min | 500 mg or 250 mg every 12 hours, depending on the severity of the infection |
| GFR less than 10 mL/min | 500 mg or 250 mg every 24 hours, depending on severity of the infection |
| Hemodialysis | 500 mg or 250 mg every 24 hours, depending on severity of the infection Administer an additional dose both during and at the end of dialysis |
Preparation and administration
Important Administration Instructions To minimize the potential for gastrointestinal intolerance, Amoxicillin should be taken at the start of a meal.
Directions for Mixing Oral Suspension Prepare a suspension at time of dispensing as follows: Tap bottle until all powder flows freely. Measure the total amount of water (see Table 3). Add approximately 1/3 of the water to powder. Replace cap and shake vigorously to wet powder. Add remaining water and again shake vigorously .
Table 3. Amount of Water For Mixing Oral Suspension [See table below.] After reconstitution, the required amount of suspension should be placed directly on the child's tongue for swallowing. Alternate means of administration are to add the required amount of suspension to formula, milk, fruit juice, water, ginger ale, or cold drinks.
These preparations should then be taken immediately. SHAKE ORAL SUSPENSION WELL BEFORE USING. Keep bottle tightly closed. Any unused portion of the reconstituted suspension must be discarded after 14 days. Refrigeration is preferable, but not required.
| Strength | Bottle Size | Total Amount of WaterRequired for Reconstitution |
| For Oral Suspension 200 mg/5 mL | 50 mL | 39 mL |
| 75 mL | 57 mL | |
| 100 mL | 76 mL | |
| For Oral Suspension 400 mg/5 mL | 50 mL | 36 mL |
| 75 mL | 54 mL | |
| 100 mL | 71 mL |