Buy Cenmox (Amoxicillin) Online OTC

How to buy Cenmox 500 mg?

Cenmox 500 mg can be bought online using our service. Our company provides this antibiotic OTC. But the next abstract gives clear recommendations how you should use this antibiotic correctly. Our online pharmacy offers global delivery. There are two types of delivery services: regular and express. Regular delivery takes 14-21 business days. Express delivery takes 5-9 business days. It doesn’t mean where you live in. In any case, we will bring your parcel within stated periods of time.

We doesn’t require prescription but it doesn’t mean you have not to visit a doctor. Only he/she is able to prescribe the right dosage. After visiting the doctor you may easily buy Cenmox online without any additional papers. We establish favorable price for this antibiotic because we sell generic analog. It is similar with branded drug and provides the same therapeutic effect.

How to use generic Cenmox correctly?

It is strictly forbidden to independently determine the dosage for antibiotic treatment. You need to carefully study the instructions for use of Cenmox cap (Amoxicillin) 500mg to exclude possible side effects, as well as ensure the effectiveness of treatment. As a rule, the instructions for this antibiotic clearly indicate the recommended duration of the course. If, all the conditions are met, relief does not occur, you must consult your doctor to correct antibiotic therapy.

Exceeding the treatment period set by the manufacturer according to the instructions for use is not recommended. This is fraught with the development of antibiotic resistance and a decrease in its effectiveness. A second course of treatment with Cenmox according to the instructions is possible only after a few months. To exclude the likelihood of resistance, you should combine the drug with other antibiotic options.

What is Cenmox?

Cenmox is a semi-synthetic aminopenicillin. It is a bactericidal acid-resistant agent with a wide spectrum of action. It belongs to the group of beta-lactam antibiotics. It inhibits transpeptidase, disrupts the synthesis of peptidoglycan (supporting protein of the cell wall) during the period of division and growth, and causes lysis of bacteria. It is active against:

• aerobic gram-positive bacteria: Bacillus anthracis, Corynebacterium spp., Enterococcus faecalis, Listeria monocytogenes, Staphylococcus spp. (with the exception of penicillinase producing strains), Streptococcus spp., incl. Streptococcus pneumoniae.
• aerobic Gram-negative bacteria: Bordetella pertussis, Brucella spp., Escherichia coli, Haemophilus influenzae, Klebsiella spp., Neisseria gonorrhoeae, Neisseria meningitidis, Shigella spp., Salmonella spp., Microorganus, P. choleraemerausella, P. choleraibella Clostridium spp., Leptospira spp., As well as Helicobacter pylori, Borrelia burgdorferi.

This antibiotic is destroyed by beta-lactamases, therefore, microorganisms producing beta-lactamases (penicillinase, etc.) are not included in its spectrum of antibacterial activity.

Indications

This antibiotic is applied in infectious and inflammatory diseases caused by microorganisms sensitive to amoxicillin:

• upper respiratory tract infections (tonsillopharyngitis, sinusitis, acute otitis media);
• lower respiratory tract infections (acute bacterial bronchitis, exacerbation of chronic bronchitis, community-acquired pneumonia);
• urinary tract infections (pyelonephritis cystitis, urethritis, endometritis, cervicitis, gonorrhea);
• abdominal infections (cholangitis, cholecystitis);
• eradication of Helicobacter pylori in patients with gastric ulcer and duodenal ulcer intestines (always in combination with other drugs);
• skin and soft tissue infections (erysipelas, impetigo, secondarily infected dermatoses);
• leptospirosis, listeriosis, Lyme disease;
• infections of the gastrointestinal tract (enterocolitis, typhoid fever, dysentery, salmonellosis caused by Salmonella typhi sensitive to ampicillin, salmonella carriage);
• prevention of bacterial endocarditis during surgical procedures in the oral cavity and upper respiratory tract.

Dosage and mode of application

Oral administration. The dosage is set individually, taking into account the infection severity. Adults and children over 10 years old – 500 mg 3 times a day. In severe infections, the dose can be increased to 1000 mg 3 times a day.

Children under 2 years old (suspension) – 20 mg/kg per day in 3 divided doses (1/4 teaspoon each), 2–5 years old — 125 mg (1/2 teaspoon each), 5–10 years – 250 mg (1 teaspoon or 1 caps.) 3 times a day.

In acute uncomplicated gonorrhea – 3 g once.

The standard course of antibiotic therapy usually does not exceed 5 to 14 days. With a complex disease course, the dose is increased to 1000 mg.

Side effects

• Allergic reactions: urticaria, erythema, Quincke’s edema, rhinitis, conjunctivitis; rarely – fever, joint pain, eosinophilia; in isolated cases – anaphylactic shock.
• Effects associated with chemotherapeutic action: superinfection may develop (especially in patients with chronic diseases or reduced body resistance).
• Prolonged use in high doses: dizziness, ataxia, confusion, depression, peripheral neuropathies, convulsions.
• When used in combination with metronidazole: nausea, vomiting, anorexia, diarrhea, constipation, epigastric pain, glossitis, stomatitis; rarely – hepatitis, pseudomembranous colitis, allergic reactions (urticaria, angioedema), interstitial nephritis, hematopoiesis disorders.
• When used in combination with clavulanic acid: cholestatic jaundice, hepatitis; rarely – erythema multiforme, toxic epidermal necrolysis, exfoliative dermatitis.

Contraindications

The most common contraindications of Cenmox are:

• hypersensitivity to amoxicillin, other beta-lactam antibiotics (other penicillins, cephalosporins, monobactams, carbapenems) or any components of the drug;
• infectious mononucleosis;
• lymphocytic leukemia;
• children under 3 years of age (for this dosage form).

Precautions

Possible precautions are allergic reactions (including bronchial asthma, hay fever, hypersensitivity to acetylsalicylic acid) in the anamnesis, a history of gastrointestinal tract diseases (especially colitis associated with the use of antibiotics), renal failure, pregnancy and the period of breastfeeding.

Pregnancy and lactation

Animal studies do not indicate a direct or indirect effect on reproductive toxicity. Limited data on the use of amoxicillin during pregnancy in humans do not indicate an increased risk of congenital malformations. Cenmox can be used during pregnancy only in cases when the expected benefit to the mother outweighs the potential risk to the fetus.

Breastfeeding

Amoxicillin, the main component of the described antibiotic, is excreted in breast milk in small quantities, if necessary, the drug can be used during breastfeeding. A breast-fed baby may develop diarrhea, sensitization, and fungal infection of the mucous membranes, so you may need to stop breastfeeding. This antibiotic should be used during breastfeeding only after the doctor has assessed the benefit/risk ratio.

What is combinability of Cenmox 500 mg?

Cenmox may decrease the effectiveness of contraceptives for oral administration.

• The simultaneous use of amoxicillin with bactericidal antibiotics (including aminoglycosides, cephalosporins, cycloserine, vancomycin, rifampicin), synergism is manifested; with bacteriostatic antibiotics (including macrolides, chloramphenicol, lincosamides, tetracyclines, sulfonamides) – antagonism.
• This antibiotic enhances the effect of indirect anticoagulants by suppressing the intestinal microflora, reduces the synthesis of vitamin K and the prothrombin index.
• It reduces the effect of drugs in the metabolism of which p-aminobenzoic acid is formed.
• Probenecid, diuretics, allopurinol, phenylbutazone, NSAIDs reduce tubular secretion of amoxicillin, which may be accompanied by an increase in its concentration in blood plasma.
• Antacids, glucosamine, laxatives, aminoglycosides slow down and reduce, and ascorbic acid increases the absorption of amoxicillin.
• The combined use of amoxicillin and clavulanic acid does not change the pharmacokinetics of both components.

Cenmox and alcohol

Most antibiotics do not interact with alcohol. In the instructions for the five most commonly prescribed (in the USA, for example) drugs – amoxicillin/amoxil, azithromycin/zithromax, amoxicillin-clavulanate/augmentin, cephalexin/keflex and ciprofloxacin/cipro – alcohol-related contraindications are not prescribed. Similarly, there are no comments on interactions with antibiotics and instructions for cold and cough medications that contain alcohol.

Studies that would confirm the danger of taking antibiotics and alcohol together have not been conducted. Here you can get acquainted with the results of a study (conducted only on rats), which showed that the effectiveness of amoxicillin (a broad-spectrum antibiotic that treats pneumonia, bronchitis, ear diseases, sinus and sexually transmitted infections) does not decrease when interacting with alcohol. Nevertheless, it must be understood that exposure to alcohol and the active substance of an antibiotic can cause temporary damage to the liver and, in general, create an undesirable load on all body systems. In rare cases, amoxicillin itself, being a fairly strong drug, can cause liver damage and severe side effects.

Finally, it is better not to combine alcohol and this antibiotic.