Product image of Moxiclav Bis (Amoxicillin, Clavulanic Acid) supplied by GNH India

Moxiclav Bis

Active Ingredient:
Amoxicillin, Clavulanic Acid
Origin:
EU

Moxiclav Bis (Amoxicillin, Clavulanic Acid)

Amoxicillin, the active ingredient in Moxiclav Bis, is a beta‑lactam antibiotic presented as a tablet for oral use. It treats bacterial infections such as sinusitis, pneumonia, otitis media, urinary tract infections and skin infections in adults and children.

GNH India supplies Moxiclav Bis as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Medochemie Ltd.

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Indications & Clinical Uses

Moxiclav Bis is indicated for bacterial infections affecting the respiratory, ear, urinary and skin systems.

  • Sinusitis: reduces bacterial load and relieves sinus inflammation.
  • Pneumonia: eradicates the causative pathogens and improves lung function.
  • Otitis media: clears middle‑ear infection and diminishes pain.
  • Urinary tract infection: eliminates uropathogens and resolves urinary symptoms.
  • Skin and soft‑tissue infection: treats cellulitis and other bacterial skin conditions.

How It Works

  • Amoxicillin inhibits bacterial cell‑wall synthesis by binding to penicillin‑binding proteins, preventing peptidoglycan cross‑linking. Clavulanic acid, a beta‑lactamase inhibitor, protects amoxicillin from enzymatic degradation by bacterial beta‑lactamases, thereby extending the spectrum of activity against resistant organisms.

Side Effects

Adverse reactions may occur with any antibiotic therapy.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Diarrhea: increased bowel movements, sometimes loose.
  • Vomiting: occasional emesis after dosing.
  • Abdominal pain: cramping or discomfort.
  • Rash: mild skin erythema or itching.
  • Taste disturbance: altered taste perception.

Serious or Rare Side Effects

  • Anaphylaxis: severe, potentially life‑threatening allergic reaction.
  • Clostridioides difficile‑associated diarrhea: severe colitis after disruption of gut flora.
  • Hepatic enzyme elevation: increased ALT/AST indicating liver stress.
  • Neutropenia: reduced neutrophil count, increasing infection risk.
  • Stevens‑Johnson syndrome: severe mucocutaneous blistering.
  • Serum sickness‑like reaction: fever, arthralgia, rash after exposure.

Precautions & Warnings

Before prescribing Moxiclav Bis, clinicians should consider the following precautions.

  • Renal impairment: dose adjustment may be required in reduced kidney function.
  • Hepatic disease: monitor liver enzymes during therapy.
  • History of penicillin allergy: avoid use in patients with documented hypersensitivity.
  • Pregnancy and lactation: evaluate risk‑benefit ratio before prescribing.
  • Concomitant oral contraceptives: efficacy may be decreased, advise additional contraception.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Moxiclav Bis can interact with several medicines, requiring attention to avoid reduced efficacy or increased toxicity.

Major Interactions (Avoid)

  • Probenecid: may increase amoxicillin plasma concentrations leading to toxicity.
  • Methotrexate: reduced clearance can cause severe toxicity.
  • Warfarin: may enhance anticoagulant effect and increase bleeding risk.
  • Allopurinol: increased incidence of rash.
  • Oral contraceptives: may reduce hormonal efficacy.

Moderate Interactions (Monitor Closely)

  • Aminoglycosides: additive nephrotoxic potential.
  • Anticoagulants: monitor INR or PT when co‑administered.
  • Diuretics: watch electrolyte balance, especially potassium.
  • Antacids containing aluminum or magnesium: may impair amoxicillin absorption.
  • Live vaccines: possible reduction in vaccine effectiveness.

Frequently Asked Questions

Moxiclav Bis is a prescription‑only combination of amoxicillin and clavulanic acid used to treat a range of bacterial infections, including sinusitis, community‑acquired pneumonia, otitis media, urinary tract infections, and skin and soft‑tissue infections. It works by targeting bacteria that produce beta‑lactamase enzymes, extending the antibacterial spectrum of amoxicillin.

Amoxicillin interferes with bacterial cell‑wall synthesis by binding to penicillin‑binding proteins, which halts peptidoglycan cross‑linking. Clavulanic acid is a beta‑lactamase inhibitor that binds irreversibly to bacterial beta‑lactamases, protecting amoxicillin from enzymatic degradation and allowing it to remain effective against resistant strains.

The exact dose is determined by the prescribing clinician based on the type and severity of infection, patient age, weight, and renal function. Standard adult regimens often range from 500 mg/125 mg to 875 mg/125 mg taken every 8–12 hours, but the prescriber will set the appropriate schedule for each individual case.

Safety data for amoxicillin‑clavulanic acid in pregnancy and lactation are limited, and the product does not have a definitive pregnancy category. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision should be made in consultation with a healthcare professional.

To place an order, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets. After the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including any cold‑chain requirements) and assist with import documentation.

Amoxicillin alone is vulnerable to degradation by bacterial beta‑lactamases, which can limit its effectiveness against resistant organisms. Adding clavulanic acid inhibits those enzymes, broadening the spectrum to include beta‑lactamase‑producing strains such as Haemophilus influenzae and certain Staphylococcus species, making Moxiclav Bis a more versatile option for mixed infections.

Moxiclav Bis should be stored at ambient temperature, preferably below 25 °C. Keep the tablets in the original container, protect them from moisture and direct sunlight, and ensure the packaging remains tightly closed until use.

The medication is administered orally. Tablets should be swallowed whole with a full glass of water and may be taken with or without food, unless the prescribing information advises otherwise. The exact dosing interval is set by the prescriber.

Serious adverse events include severe allergic reactions such as anaphylaxis, Clostridioides difficile‑associated colitis, hepatic enzyme elevations, neutropenia, and rare skin disorders like Stevens‑Johnson syndrome or toxic epidermal necrolysis. Patients should seek immediate medical attention if they experience difficulty breathing, severe rash, persistent diarrhea, or jaundice.

Moxiclav Bis is contraindicated in individuals with a known hypersensitivity to any penicillin, beta‑lactam antibiotics, or clavulanic acid. It should also be avoided in patients who have previously experienced severe allergic reactions to similar drugs. Clinicians should assess each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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