- Surgery: post-operative wound infections, post-operative pulmonary infections.
- Respiratory infections: bronchopneumonia, acute exacerbations of chronic bronchitis.
- Obstetrics: puerperal fever.
- Other infections such as septicemia, bone infections e.g., osteomyelitis, ear, nose and throat infections, GI infections
-
- Adults: PO 500mg-1g every 6 hours
- Children 3-10yrs: PO 250-500mg every 6 hours
- Children 1-2 years: PO 250mg every 6 hours
- Neonates: PO 0.6mL (90mg) of reconstituted suspension every 4 hours
-
- IM: 250mg-1g QID
- IV: 500mg-1g QID
- Capsules:
- 250mg/250mg
- Suspension:
- 125mg/125mg per 5mL
- 60mg/30mg per 0.6mL
- Injection:
- 500mg
- 1g
- Administer 0.5 to 1 hour prior to feeding or 2hrs after feeding
Ampicillin: Broad-spectrum penicillin. It inhibits cell wall mucopeptide synthesis thereby causing cell death. Bactericidal
Cloxacillin: Binds to specific penicillin-binding proteins (PBPs) located inside the bacterial cell wall, inhibiting the third and last stage of bacterial cell wall synthesis.
- Diarrhoea,
- Nausea & vomiting
- Skin rash
- Urticaria
- Pruritus
- Hypersensitivity to beta lactams e.g. penicillins, cephalosporins.
- Prolonged use may occasionally result in overgrowth of non-susceptible organisms.
- Cloxacillin can displace bilirubin from protein-binding sites. Normal caution should therefore be exercised in the treatment of jaundiced neonates. It may increase the risk of jaundice in newborn babies.
- If prolonged or significant diarrhoea occurs or the patient experiences abdominal cramps, treatment should be discontinued immediately and the patient investigated further.
- Allopurinol
- Probenecid
- Sulphonamides
- Aspirin
- Estrogen-containing oral contraceptives
Drug Status
| Availability | Prescription or OTC by Pharmacist |
| Pregnancy | Category B |
| Breastfeeding | Excreted in breast milk. Use with caution |
| Schedule | Not controlled |
| BRAND NAME | STRENGTH | FORMULATION | PACK SIZE | MANUFACTURER | DISTRIBUTOR |
|---|---|---|---|---|---|
| Ampicillin And Cloxacillin | 500mg | Capsule | 100’s | Crown Healthcare | Crown Healthcare |
| Ampiclo-Dawa | 250mg/5mL | Suspension | 60mL, 100mL | Dawa Ltd | Dawa Ltd |
| Ampiclo-Dawa | 500mg | Capsule | 100’s | Dawa Ltd | Dawa Ltd |
| Ampiclo-Dawa Neonatal | 90mg/0.6mL | Suspension | 10mL | Dawa Ltd | Dawa Ltd |
| Ampiclomed | 500mg | Injection | 1’s | Dawa Ltd | Dawa Ltd |
| Ampiclox | 500mg | Capsule | 100’s | GSK Ltd | GSK Ltd |
| Ampiclox | 250mg/5mL | Suspension | 100mL | GSK Ltd | GSK Ltd |
| Ampiclox Neonatal | 90mg/0.6mL | Suspension | 8mL | GSK Ltd Ltd | GSK Ltd Ltd |
| Ampoxin | 500mg | Capsule | 100’s | Unichem Labs | Crown Healthcare |
| Ampoxin | 1g | Injection | 1’s | Unichem Labs | Europa Healthcare |
| Ampoxin | 500mg | Injection | 1’s | Unichem Labs | Europa Healthcare |
| Axylin | 250mg/5mL | Suspension | 60mL, 100mL | Laboratory & Allied | Laboratory & Allied |
| Axylin | 500mg | Injection | 1’s | Laboratory & Allied | Laboratory & Allied |
| Axylin | 500mg | Capsule | 100’s | Laboratory & Allied | Laboratory & Allied |
| Axylin Neonatal | 90mg/0.6mL | Suspension | 10mL | Laboratory & Allied | Laboratory & Allied |
| Bactiflox | 500mg | Capsule | 100’s | Crown Healthcare | Crown Healthcare |
| Cloximed | 250mg/5mL | Suspension | 60mL | Medivet Products | Medivet Products |
| Cloximed | 250mg/5mL | Suspension | 100mL | Medivet Products | Medivet Products |
| Cloximed | 500mg | Capsule | 100’s | Medivet Products | Medivet Products |
| Elyclox | 500mg | Capsule | 100’s | Elys Chemicalsl | Elys Chemicalsl |
| Lampyklox | 500mg | Capsule | 100’s | Leben Labs | Unisel Ltd |
| Loxamp | 500mg | Capsule | 100’s | Medopharm C/O Medox | Medox Pharma |
| Meclox | 500mg | Capsule | 100’s | Harley’s Ltd | Harley’s Ltd |
| Medicloamp | 500mg | Capsule | 100’s | Regal Pharma | Regal Pharma |
| Medicloamp Dry | 250mg/5mL | Suspension | 100mL | Regal Pharma | Regal Pharma |
| Pclox | 500mg | Capsule | 100’s, 500’s | Zest Pharma | Synermed Pharma |
| Penclox | 500mg | Capsule | 100’s | Brawn Labs | Sai Pharma |
| Pencloxin | 500mg | Capsule | 100’s | Lagap SA | Lagap SA |
| Rivaclox | 500mg | Capsule | 20’s | Riva Pharma | Salama Pharma |
| Spamclox | 500mg | Capsule | 100’s | Kentons Ltd | Kentons Ltd |