Sensitive to "Augmentin"

Special warnings about this medication

Augmentin and other penicillin-like medicines are generally safe; however, anyone with liver, kidney, or blood disorders is at increased risk when using this drug. Alternative choices may be available to your doctor.

If you have diabetes and test your urine for the presence of sugar, you should ask your doctor or pharmacist if this medication will interfere with the type of test you use.

Allergic reactions to this medication can be serious and possibly fatal. Let your doctor know about previous allergic reactions to medicines, food, or other substances before using Augmentin. If you experience a reaction, report it to your doctor immediately and seek medical treatment.

If you develop diarrhea while taking Augmentin, inform your doctor. It could be a sign of a potentially dangerous form of bowel inflammation.

Some formulations of Augmentin contain phenylalanine. If you have the hereditary disease phenylketonuria, check with your doctor or pharmacist before taking this drug.

How should you take this medication?

Augmentin should be taken every 8 or 12 hours, depending on the dosage strength. It may be taken with or without food, but taking it with meals or snacks will help prevent stomach upset. However, the extended-release form, Augmentin XR, should always be taken with food to improve absorption. Be sure to take all the medicine your doctor has prescribed, even if you begin to feel better.

Shake the suspension well. Use a dosing spoon or medicine dropper to give a child the medication; rinse the spoon or dropper after each use.

--If you miss a dose...

Take it as soon as you remember. If it is almost time for the next dose, and you take 2 doses a day, take the one you missed and the next dose 5 to 6 hours later. If you take 3 doses a day, take the one you missed and the next dose 2 to 4 hours later. Then go back to your regular schedule.

--Storage instructions...

Store the suspension under refrigeration and discard after 10 days. Store tablets away from heat, light, and moisture.


Why is this drug prescribed?

Augmentin is used in the treatment of lower respiratory, middle ear, sinus, skin, and urinary tract infections that are caused by certain specific bacteria. These bacteria produce a chemical enzyme called beta lactamase that makes some infections particularly difficult to treat.

Augmentin ES-600, a stronger, oral-suspension form of the drug, is prescribed for certain stubborn ear infections that previous treatment has failed to clear up in children two and under, or those attending day care.

Augmentin XR is an extended-release form of the drug used to treat pneumonia and sinus infections.

Augmentin
Augmentin has a number of formulations. Find the formulation that you need below and click for specific product information.

The doctor thought you gets allergic reaction / sensitivity to the antibiotics 'Augmentin'.
Your tongue feeling / condition can be angioedema, which is also one of the sensitivity reaction. Do you have rash? Difficulty in breathing or fainting?

Therefore, the doctor changed another group of medication for you.

'Augmentin' belongs to Penicillin group. You should be careful & remind doctors in future conditions.

有兩則關於 Augmentin嘅新聞。

1)一名對盤尼西林有敏感的中年婦早前在那打素醫院屬下的社康服務中心檢查身體，醫生指其肺部X 光片有陰影，懷疑是癌細胞，處方抗生素給她服用後，出現氣促及呼吸困難。後往屯門醫院求診，發現其肺部正常，而抗生素含有盤尼西林，不滿醫生診斷及開藥出錯。

四十一歲的張女士一向對盤尼西林有敏感，以往服用該藥後身體即出現敏感不適，及後每次求診均告訴醫生其對該藥敏感。去年十一月，她往佐敦的基督教聯合那打素社康服務中心進行定期身體檢查，今年一月初到該中心看報告，一名駐中心醫生向她講解報告時稱，根據肺部X 光片所見，其右邊肺部有大幅懷疑是癌細胞陰影，並建議她再做一次電腦掃描。

她表示，由於她有親人死於肺癌及曾患肺癆，故十分擔心，當時醫生處方一星期的肺炎藥讓她服用，並囑她即時做電腦掃描，她欲回家與家人商量，未有接受安排，只同意服用其處方藥物。她說，當時已一再向醫生強調她對盤尼西林有敏感，對方稱藥物沒有問題，適合她服用，並即時在其檢查報告上註明她對此藥有敏感。

張女士服藥後兩天，開始出現腳痛、暈眩及嘔吐等徵狀，其中氣管更嚴重收縮，出現氣促及呼吸困難，她即時向家庭醫生求診，醫生指其服用的肺炎藥名為Augmentin ，含盤尼西林成分，建議她再照肺。當晚她因呼吸困難往屯門醫院急症室求診，經檢查後發現肺部正常。

那打素醫院屬下的社康服務中心發言人表示，已聯絡張女士了解情況，該中心亦會跟進有關投訴及進行調查。

肺炎藥成分含盤尼西林

中文大學藥劑學院教授李烱前表示，張女士服用的藥物Augmentin 主治肺炎，成分包括盤尼西林，本港不少醫生處方該藥給病人服用。若病人本身對盤尼西林敏感，服用後輕微的敏感反應包括皮膚出現紅斑及痕癢，情況嚴重者可令皮膚潰爛，呼吸困難。不過一般情況下，如盡快為患者注射抗敏感針，便會無礙，亦不會有後遺症。

他又稱，現時有不少具有治療肺炎功能，但沒有盤尼西林成分的同類藥物，供醫生選擇。

病人權益協會發言人彭鴻昌表示，上述個案令人懷疑有關醫生是否對有關藥物成分有充分了解。

他認為最了解藥物成分應是藥劑師，敦促政府盡早將醫藥分家，醫生處方藥物後交由藥劑師覆核，確定無錯漏才給病人配藥服用，並向病人解釋服藥時須注意事項，對病人增添保障。

2)一家長早前攜兒子到私家醫院急症部求診，惟服用處方藥物後，其子即出現嚴重肚瀉，院方及後解釋，指其中一種抗生素易引起肚瀉，有關家長不滿醫生未有事先提醒。

一家長早前攜兒子到私家醫院急症部求診，惟服用處方藥物後，其子即出現嚴重肚瀉，院方及後解釋，指其中一種抗生素易引起肚瀉，有關家長不滿醫生未有事先提醒。

郭女士十一月三十日凌晨，攜其未足兩歲的兒子前往太子道聖德肋撒醫院求診，當時，其兒子雖發熱至華氏一百零二度，但卻並無咳嗽、流鼻水，以至腸胃不適等症狀。

郭女士指，當值醫生替其子進行X光檢查後，即指病者患有輕微支氣管炎，並隨即處方藥物便着其離去，其間態度惡劣馬虎。

肚瀉一天達十次

惟服食有關藥物後，郭女士發現兒子開始肚瀉，因見情況愈益嚴重，肚瀉次數多達每天十次以上，郭女士惟有攜兒子到其他私家醫生處求診，經醫生查看有關藥物後，懷疑乃其中一種名「AUGMENTIN」抗生素引致腸胃出現過敏，於服用抗敏及腸胃藥物後，情況才有所改善。

郭女士不滿聖德肋撒醫院之醫生，由始至終均無告知她其子所服藥物可能引致副作用，令她事發時手足無措，且恐有損兒子健康。

本報曾就郭女士投訴聯絡聖德肋撒醫院，惟該處只覆函稱，院方已安排兒科專科醫生及放射學專科醫生會與投訴人會面，對本報之查詢，概無回應。

未提醒有副作用

而記者陪同郭女士前往該院會見兒科專科醫生時，有關醫生雖指有多方因素，包括感冒菌入腸等，均有機會令兒童出現腹瀉，但卻承認，上述之抗生素「比較容易引致肚屙」。又謂，一般兒科醫生會提醒家長，兒童服食後若出現有關症狀，應通知醫生或考慮停服，並對於有關之急症部醫生未有說明，推測為「可能當時太夜，醫生比較攰」。

現副作用應停服

瑪麗醫院藥劑部經理崔俊明表示，「AUGMENTIN」屬盤尼西林類別抗生素，使用甚為廣泛，惟其指所有抗生素本身，除有害細菌外，亦同樣殺死腸臟內益菌，引致腸道不適，服食後如出現嚴重病徵，應暫時停服，並與有關醫生聯絡。