Fimoxyclav ES

Applications: Abscess, Gastrointestinal infection, Mastitis, Metritis, Navel ill, Respiratory tract infection, Skin infection, Soft tissue infection, Urinary tract infection, Wound, cellulitis, Anal Saculitis, Dental Infection, infection of urogenital system
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 Cattle & Calves: Respiratory tract infections, digestive tract infections, soft tissue infections, joint/naval ill, abscesses, urogenital tract infections, mastitis, metritis etc.

Dogs: Skin & soft tissue infections, wounds, abscesses, cellulitis, anal sacculitis, dental infections, urogenital tract infections, respiratory tract infections & digestive tract infections. 

Cats: Skin & soft tissue infections, wounds, abscesses, cellulitis/dermatitis. 

Poultry: For the treatment of gastrointestinal, respiratory and urinary tract infections such as Colibacillosis, Salmonellosis, Fowl Cholera, Fowl Typhoid, Infectious Coryza, Necrotic Enteritis, Streptococcosis, Staphylococcosis etc. It is also indicated for the prevention of bacterial infections followed by viral infections such as Gumboro (IBD), Ranikhet (NDV) etc. 

Avoid In: Hypersensitivity
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Penicillins are contraindicated in patients with a history of hypersensitivity to them. Because there may be cross-reactivity, use penicillins cautiously in patients who are documented hypersensitive to other beta-lactam antibiotics (e.g., cephalosporins, cefamycins, carbapenems).

Beta-lactam antibiotic and beta-lactamase inhibitor (clavulanic acid/clavulanate potassium) (beta-lactam and beta-lactamase inhibitor [BLBLI] combination). Clavulanate has no antibacterial effects alone, but it is a competitive, and irreversible inhibitor of the beta-lactamase enzyme that causes resistance among gram-positive and gram-negative bacteria. By adding clavulanate to amoxicillin, the spectrum is extended to include beta-lactamase– producing strains of Staphylococcus (non-methicillin resistant) and some strains of gram-negative bacilli.

BACTERIOSTATIC ANTIMICROBIALS (e.g., chloramphenicol, erythromycin and other macrolides, tetracyclines, sulfonamides, etc.): Because there is evidence of in vitro antagonism between beta-lactam antibiotics and bacteriostatic antibiotics, use together has been generally not recommended in the past, but actual clinical importance is not clear and currently in doubt.
METHOTREXATE: Amoxicillin may decrease the renal excretion of MTX causing increased levels and potential toxic effects
PROBENECID: Competitively blocks the tubular secretion of most penicillins, thereby increasing serum levels and serum half-lives

Adverse effects with the penicillins are usually not serious and have a relatively low frequency of occurrence.
Hypersensitivity reactions unrelated to dose can occur with these agents and can manifest as rashes, fever, eosinophilia, neutropenia, agranulocytosis, thrombocytopenia, leukopenia, anemias, lymphadenopathy, or full-blown anaphylaxis.
When given orally, penicillins may cause GI effects (anorexia, vomiting, diarrhea). Because the penicillins may alter gut flora, antibiotic-associated diarrhea can occur and allow the proliferation of resistant bacteria in the colon (superinfections).
Neurotoxicity (e.g., ataxia in dogs) has been associated with very high doses or very prolonged use. Although the penicillins are not considered hepatotoxic, elevated liver enzymes have been reported. Other effects reported in dogs include tachypnea, dyspnea, edema and tachycardia.

Acute oral penicillin overdoses are unlikely to cause significant problems
other than GI distress, but other effects are possible (see Adverse Effects). In
humans, very high dosages of parenteral penicillins, especially in patients with
renal disease, have induced CNS effects.

In humans, the FDA categorizes this drug as category B for use during pregnancy

Do not administer systemic antibiotics orally in patients with septicemia, shock, or other grave illnesses as absorption of the medication from the GI tract may be significantly delayed or diminished.
Do not administer penicillins, cephalosporins, or macrolides to rabbits, guinea pigs, chinchillas, hamsters, etc. or serious enteritis and clostridial enterotoxemia may occur.

This should be stored below 25°C, protected from light and moisture. Once reconstituted suspension should be kept in the refrigerator (but not frozen) and should be usedby 7 days.