Amoxicillin drug data and news

Amoxicillin drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name Amoxicillin
Brand Names/Synonyms AMC; AMPC; Amoclen; Amolin; Amopen; Amopenixin; Amoxi; Amoxi-Mast; Amoxicilina [Inn-Spanish]; Amoxicillin; Amoxicillin Anhydrous; Amoxicillin Trihydrate; Amoxicilline [Inn-French]; Amoxicillinum [Inn-Latin]; Amoxiden; Amoxil; Amoxivet; Amoxycillin; Amoxycillin Trihydrate; Ampy-Penyl; Anemolin; Aspenil; BL-P 1410; BLP 1410; BRL 2333; Biomox; Bristamox; Cemoxin; Clamoxyl; D-Amoxicillin; Delacillin; Dispermox; Efpenix; Flemoxin; HSDB 3204; Hiconcil; Histocillin; Ibiamox; Imacillin; Metafarma Capsules; Metifarma Capsules; Moxacin; Moxal; P-Hydroxyampicillin; Piramox; Polymox; Robamox; Sawamox Pm; Sumox; Trihydrate; Trimox; Unicillin; Utimox; Vetramox; Wymox; [Inn-Latin]
Indication For treatment of Infections due to Streptococcus spp. (a- and b-hemolytic strains only), S. pneumoniae, Staphylococcus spp., or H. influenzae, E. coli, P. mirabilis, E. faecalis and H. pylori. (ONLY b-lactamase-negative strains).
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Description Not Available
Pharmacology Amoxicillin is an antibacterial antibiotic. It is a semisynthetic aminopenicillin and is similar to ampicillin in that it has a broader spectrum of activity than penicillin. Amoxicillin is commonly used to treat infections such as otitis media, bronchitis, sinusitis, endocarditis prophylaxis, Helicobacter pylori, and bacterial cystitis caused by susceptible organisms.
Mechanism Of Action Amoxicillin binds to penicillin-binding protein 1A (PBP-1A) located inside the bacterial cell well. Penicillins acylate the penicillin-sensitive transpeptidase C-terminal domain by opening the lactam ring. This inactivation of the enzyme prevents the formation of a cross-link of two linear peptidoglycan strands, inhibiting the third and last stage of bacterial cell wall synthesis. Cell lysis is then mediated by bacterial cell wall autolytic enzymes such as autolysins; it is possible that amoxicllin interferes with an autolysin inhibitor.
Amoxicillin News
(When available)

Combined, Genes and Environment Affect Health More Than They Do ...  07 Mar 2006
..."Drugs that block serotonergic receptors, such as olanzapine, can produce significant weight gain and diabetes, while drugs that stimulate serotonergic neurons ... - Innovations-Report,

Randomized, Placebo-Controlled Trial of Olanzapine as Maintenance ...  Feb 14, 2006
OBJECTIVE: In a placebo-controlled, double-blind study, the authors investigated the efficacy and safety of olanzapine as monotherapy in relapse prevention in ... - Am J Psychiatry (subscription)

Stephan Heres, MD , John Davis, MD , Katja Maino, MD , Elisabeth ...  Feb 9, 2006
2003) for randomized, controlled trials comparing the second-generation antipsychotics aripiprazole, amisulpride, clozapine, olanzapine, quetiapine, risperidone ... - Am J Psychiatry (subscription)

Trimipramine for Refractory Panic Attacks  Mar 2, 2006
...sertraline, citalopram, paroxetine, fluvoxamine, duloxetine, escitalopram, carbamazepine, valproic acid, lithium, olanzapine, aripiprazole, olanzapine plus ... - Am J Psychiatry (subscription)

Prevention and Early Interventions  Feb 27, 2006
Using a double-blind, randomized approach, Woods et al. (2003) compared the efficacy of olanzapine (Zyprexa) versus placebo. At ... - Psychiatric Times,

DRD2 Promoter Region Variation as a Predictor of Sustained ...  Mar 2, 2006
...promoter region polymorphisms (A-241G and –141C Ins/Del) and were randomly assigned to receive 16 weeks of treatment with either risperidone or olanzapine. ... - Am J Psychiatry (subscription)

Reducing Nonadherence: New Formulations of Antipsychotic ...  Feb 27, 2006
...antipsychotic medications now include liquid preparations (risperidone [Risperdal]) and fast-dissolving oral preparations (olanzapine [Zydis], risperidone ... - Psychiatric Times,

Sildenafil in the Treatment of Antipsychotic-Induced Erectile ...  Mar 2, 2006
...schizophrenia (N=5), and delusional disorder (N=3). They were taking the following antipsychotic medications: risperidone (N=17), olanzapine (N=12), clozapine ... - Am J Psychiatry (subscription)

Next "Step" in Treating Bipolar Depression  Feb 14, 2006
...(p. 247) report a large 48-week double-blind olanzapine trial for maintenance treatment of bipolar disorder. Among patients in remission ... - Am J Psychiatry (subscription)

Killing highlights system 'flaws'  Mar 2, 2006
Dr Chesterman told the court it was inevitable that Dogan would suffer a relapse of his schizophrenia once he stopped taking olanzapine, a powerful anti ... - BBC News,

Serial stabber denies attempted murder  Feb 27, 2006
He was discharged as an outpatient and prescribed anti-psychotic drug Olanzapine until he stopped collecting his prescriptions in May 2004. ... - Life Style Extra,

Maniac stabbed 6 victims  Feb 27, 2006
Dogan was diagnosed as a paranoid schizophrenic in 2000, but stopped taking the anti-psychotic drug Olanzapine in mid-2004, six months before the attacks. ... - The Sun,

Sudden Akathisia After a Ziprasidone Dose Reduction  Mar 2, 2006
48 years old. She refused to take valproate and olanzapine because she experienced hair loss and weight gain. Finally, she agreed ... - Am J Psychiatry (subscription)

Huge NIMH Study of Antipsychotics—The Catie Trial—Was ...  Mar 1, 2006
The study concluded that Zyprexa (olanzapine, Eli Lilly) was “the most effective in terms of rates of discontinuation,� the major outcome measure used in ... - PR Web (press release),

Antisaccade Performance in Monozygotic Twins Discordant for ...  Mar 2, 2006
The probands’ treatment included clozapine (N=4), olanzapine (N=2), risperidone (N=1), and none (N=2). Their mean SAPS and SANS scores were 5.22 (SD=3.38 ... - Am J Psychiatry (subscription)

The Schizophrenia Cognition Rating Scale: An Interview-Based ...  Mar 2, 2006
Eight patients were receiving monotherapy with olanzapine, seven with risperidone, 10 with aripiprazole, six with clozapine, three with quetiapine, one with ... - Am J Psychiatry (subscription)

Myocarditis During Clozapine Treatment  Feb 14, 2006
...intensive case manager. During this time, he was treated with risperidone, olanzapine, and lithium. According to Mr. A’s outpatient ... - Am J Psychiatry (subscription)

Treatment-Resistant Bipolar Depression: A STEP-BD Equipoise ...  Feb 9, 2006
Other options include combining mood stabilizers (20), switching to the combination of olanzapine and fluoxetine (21), switching to quetiapine (22), or adding ... - Am J Psychiatry (subscription)

Personal Accounts: Scaling Mount Rushmore: Cartography of a Manic ...  Feb 14, 2006
...by a group of emergency department staff, who were chanting "Give us the blood, Brian!" And my next adventure under four-point restraint on olanzapine started. ... - Psychiatric Services (subscription)

Undercover journalist in court  Feb 11, 2006
She then used these in five Dublin chemists to buy drugs including Prozac, which is used to treat depression, Lepraxo, Olanzapine, and the tranquillisers Xanax ... - The Sunday Times,

Exploring Treatment Options for Patients with Autism  Feb 6, 2006
While antipsychotic medications such as clozapine (Clozaril®), risperidone (Risperdal®), olanzapine (Zyprexa®), and quetiapine (Seroquel®) may decrease ... - DailyIndia.com,

Predictors of Recurrence in Bipolar Disorder: Primary Outcomes ...  Feb 8, 2006
BM, Koukopoulos A, Cassano GB, Grunze H, Licht RW, Dell’Osso L, Evans AR, Risser R, Baker RW, Crane H, Dossenbach MR, Bowden CL: Olanzapine versus lithium in ... - Am J Psychiatry (subscription)

MHRA asks Lilly to pull back advice leaflet  Feb 15, 2006
...about the risk of developing hyperglycaemia and diabetes in patients taking its schizophrenia drugs, including the blockbuster Zyprexa (olanzapine), and was ... - Pharma Times (subscription),

Sudden cardiac death and antipsychotics. Part 1: Risk factors and ...  Feb 9, 2006
Droperidol, sertindole and ziprasidone extend the QT interval by an average of 15–35 ms; quetiapine, haloperidol and olanzapine by 5 ms, to 15 ms. ... - Adv Psychiatric Treat (subscription)

Psychiatric drugs restored Nia's sanity and destroyed her beauty ...  Jan 25, 2006
The consultant favoured Olanzapine for Nia; he had found the drug to work well in her age group despite concerns about weight gain and diabetes. ... - Prospect Magazine,

CATIE Phase I Helps Clinicians Tailor Schizophrenia Treatment  Jan 12, 2006
Phase I of the study compared four of the second-generation or atypical antipsychotics (olanzapine [Zyprexa], quetiapine [Seroquel], risperidone [Risperdal ... - Psychiatric Times,

High-Cost Use of Second-Generation Antipsychotics Under ...  Jan 25, 2006
Medicaid fee-for-service pharmacy claims were analyzed from May 1999 through August 2000 for patients who received risperidone, olanzapine, or quetiapine. ... - Psychiatric Services (subscription)

Patient- and Facility-Level Factors Associated With Diffusion of a ...  Jan 25, 2006
...in 2002, but VA strategic groups recommended that trials of risperidone or quetiapine be completed before trials of ziprasidone or olanzapine because of the ... - Psychiatric Services (subscription)

Exploring Treatment Options for Patients with Autism  Feb 6, 2006
While antipsychotic medications such as clozapine (Clozaril®), risperidone (Risperdal®), olanzapine (Zyprexa®), and quetiapine (Seroquel®) may decrease ... - DailyIndia.com,

Guideline Watch: Practice Guideline for the Treatment of Patients ...  Jan 23, 2006
...or implemented, several case reports and open studies suggest that second-generation (ie, atypical) antipsychotic medications such as olanzapine (28–34 ... - Focus (subscription)

Retrospective Analysis of Diabetes Risk in Elderly Patients With ...  Jan 23, 2006
...of established risk factors for treatment-emergent diabetes (TED) among patients over 65 years of age with dementia who received treatment with olanzapine. ... - Am J Geriatric Psychiatry (subscription)

Lilly Reports Q4 EPS of $.64, or $.80 Excluding Charges; 2005 EPS ...  Jan 26, 2006
DNA origin, Lilly) Prozac(R) (fluoxetine hydrochloride, Dista) Strattera(R) (atomoxetine hydrochloride, Lilly) Symbyax(R) (olanzapine fluoxetine combination ... - PR Newswire (press release),

Lilly Reports Q4 EPS of $.64, or $.80 Excluding Charges; 2005 EPS ...  Jan 26, 2006
DNA origin, Lilly) Prozac® (fluoxetine hydrochloride, Dista) Strattera® (atomoxetine hydrochloride, Lilly) Symbyax® (olanzapine fluoxetine combination, or ... - Yahoo! News (press release)

Effect of Aripiprazole for a Patient With Psychotic Symptoms and ...  Jan 23, 2006
...symptoms and parkinsonism due to delayed sequeale of COI but successfully treated with aripiprazole after failed trial of both olanzapine and quetiapine. ... - Journal of Neuropsychiatry (subscription)

People Can Suffer from Bipolar Disorder for Years until It is ...  Jan 30, 2006
Heinz Grunze). Chapter 6 Olanzapine in Treatment of Bipolar Disorder (Mauricio Tohen, Giedra Campbell and Daniel Lin). Chapter 7 ... - Genetic Engineering News,

We need more studies like CATIE - says Principal Investigator  Jan 11, 2006
...with schizophrenia were recruited at 57 US sites and randomly assigned to one of four newer, 'atypical' antipsychotics: olanzapine (Zyprexa), quetiapine ... - Pharma Times (subscription),

Brief Reports: Patterns of Psychotropic Medication Use by Race ...  Jan 25, 2006
...molindone. Second-generation antipsychotics included clozapine, olanzapine, aripiprazole, quetiapine, risperidone, and ziprasidone. ... - Psychiatric Services (subscription)

Neurological and Psychopathological Sequelae Associated With a ...  Jan 23, 2006
Mr. A was then prescribed olanzapine 10 mg and admitted to a brain-injury unit, where there was some improvement of his memory skills as a result of the use of ... - Psychosomatics (subscription)

Lundbeck gets first nod for revived schizophrenia drug  Jan 18, 2006
2001 in the USA, and while it has not achieved the blockbuster status of the leading antipsychotic brands, such as Eli Lilly's Zyprexa (olanzapine) and Johnson ... - Pharma Times (subscription),

Australian and New Zealand Clinical Practice Guidelines for the ...  Jan 23, 2006
...helpful. Antidepressants have a role in patients with depressive symptoms and olanzapine may be useful in attenuating hyperactivity. - Focus (subscription)

Prevalence of the Night Eating Syndrome in a Psychiatric ...  Jan 24, 2006
Atypical antipsychotic agents (which included aripiprazole, olanzapine, quetiapine, risperidone, and ziprasidone) were used more frequently by night eaters ... - Am J Psychiatry (subscription)

Interpreting the Results of the CATIE Study  Jan 7, 2006
The CATIE results showed that olanzapine, perphenazine, quetiapine, risperidone, and ziprasidone differ from one another somewhat in terms of efficacy and ... - Psychiatric Services (subscription)

Dosage Forms CAPSULES ; TABLET
Drug_Category Anti-bacterial Agents; Penicillins; ATC:J01CA04
Absorption Rapidly absorbed after oral administration
Interactions -->Interactions for Amoxicillin:

Probenecid decreases the renal tubular secretion of amoxicillin. Concurrent use of amoxicillin and probenecid may result in increased and prolonged blood levels of amoxicillin.

Chloramphenicol, macrolides, sulfonamides, and tetracy-clines may interfere with the bactericidal effects of penicillin. This has been demonstrated in vitro; however, the clinical significance of this interaction is not well documented.

Drug/Laboratory Test Interactions: High urine concentrations of ampicillin may result in false-positive reactions when testing for the presence of glucose in urine using CLINITEST®, Benedictís Solution, or Fehlingís Solution. Since this effect may also occur with amoxicillin, it is recommended that glucose tests based on enzymatic glucose oxi-dase reactions (such as CLINISTIX®) be used.

Following administration of ampicillin to pregnant women, a transient decrease in plasma concentration of total conjugated estriol, estriol-glucuronide, conjugated estrone, and estradiol has been noted. This effect may also occur with amoxicillin.

Carcinogenesis, Mutagenesis, Impairment of Fertility:

Long-term studies in animals have not been performed to evaluate carcinogenic potential. Studies to detect mutagenic potential of amoxicillin alone have not been conducted; however, the following information is available from tests on a 4:1 mixture of amoxicillin and potassium clavulanate (AUGMENTIN). AUGMENTIN was non-mutagenic in the Ames bacterial mutation assay, and the yeast gene conversion assay. AUGMENTIN was weakly positive in the mouse lymphoma assay, but the trend toward increased mutation frequencies in this assay occurred at doses that were also associated with decreased cell survival. AUGMENTIN was negative in the mouse micronucleus test, and in the dominant lethal assay in mice. Potassium clavulanate alone was tested in the Ames bacterial mutation assay and in the mouse micronucleus test, and was negative in each of these assays. In a multi-generation reproduction study in rats, no impairment of fertility or other adverse reproductive effects were seen at doses up to 500 mg/kg (approximately 3 times the human dose in mg/m2).

Pregnancy: Teratogenic Effects: Pregnancy Category B. Reproduction studies have been performed in mice and rats at doses up to 10 times the human dose and have revealed no evidence of impaired fertility or harm to the fetus due to amoxicillin. There are, however, no adequate and well-controlled studies in pregnant women. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

Labor and Delivery: Oral ampicillin-class antibiotics are poorly absorbed during labor. Studies in guinea pigs showed that intravenous administration of ampicillin slightly decreased the uterine tone and frequency of contractions but moderately increased the height and duration of contractions. However, it is not known whether use of amoxicillin in humans during labor or delivery has immediate or delayed adverse effects on the fetus, prolongs the duration of labor, or increases the likelihood that forceps delivery or other obstetrical intervention or resuscitation of the newborn will be necessary.

Nursing Mothers: Penicillins have been shown to be excreted in human milk. Amoxicillin use by nursing mothers may lead to sensitization of infants. Caution should be exercised when amoxicillin is administered to a nursing woman.

Pediatric Use: Because of incompletely developed renal function in neonates and young infants, the elimination of amoxicillin may be delayed. Dosing of AMOXIL should be modified in pediatric patients 12 weeks or younger 3 months). (See DOSAGE AND ADMINISTRATIONñNeonates and infants.)

Toxicity Serious toxicity is unlikely following large doses of amoxicillin. Acute ingestion of large doses of amoxicillin may cause nausea, vomiting, diarrhea and abdominal pain. Acute oliguric renal failure and hematuria may occur following large doses.
Organisms Affected Enteric bacteria and other eubacteria
Chemical IUPAC Name 7-[2-amino-2-(4-hydroxyphenyl)-acetyl]amino-3,3-dimethyl-6-oxo-2-thia-5-azabicyclo[3.2.0]heptane-4-carboxylicacid
Chemical Formula C16H19N3O5S
Molecular Weight 365.405 g/mol
Smiles String CC1(C(N2C(S1)C(C2=O)NC(=O)C(C3=CC=C(C=C3)O)N)C(=O)O)C
Melting Point 194°C
Water Solubility 3430 mg/L
State Solid; A white or almost white, very hygroscopic powder
LogP/Hphobicity -1.75
Isoelectric Point Not Available
Biotransformation Hepatic metabolism accounts for less than 30% of the biotransformation of most penicillins
Half Life 61.3 minutes
Protein Binding [%] In blood serum, amoxicillin is approximately 20% protein-bound
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Drug Reference http://www.drugs.com/cons/Amoxicillin.html
http://www.rxlist.com/cgi/generic/amox.htm
http://www.pharmgkb.org/views/index.jsp?objId=
Drug Type Approved Drug
Accession No APRD00248
CAS Registry Number 26787-78-0
KEGG Compound ID C06827
PubChem ID SID:9045
PharmGKB ID PA448406
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] 2262886

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