As with all medicines, it's important to make sure your doctor knows if you are pregnant before you start treatment. Co-amoxiclav is used to treat infections in babies and it can be used by women who are breastfeeding. However, as with all medicines, make sure your doctor knows if you are breastfeeding before you start treatment with this antibiotic. Co-amoxiclav passes into breast milk in small amounts. Although this is unlikely to have any harmful effects on a nursing infant, it could theoretically affect the natural bacteria found in the baby's mouth or gut.
Let your doctor know if your baby develops diarrhoea or oral thrush while you're taking a course of co-amoxiclav. The dose of co-amoxiclav that's prescribed and how long you need to take it for depends on what infection is being treated, age, weight and kidney function. Always follow the instructions given by your doctor. These will be printed on the label that your pharmacist has put on the packet of medicine. If you forget to take a dose at the correct time you should take it as soon as you remember, and then space the rest of the day's doses over the remainder of the day.
Don't take a double dose to make up for a missed dose. To treat an infection your doctor may prescribe you a course of co-amoxiclav that lasts between 5 and 14 days. Unless your doctor tells you otherwise, it is important that you finish the prescribed course of co-amoxiclav, even if you feel better or it seems the infection has cleared up.
Stopping the course early makes it more likely that your infection will come back, or that the bacteria will grow resistant to the antibiotic. Make sure the medicine is out of the reach of children. The medicine keeps for 7 days; if there's any left after this you should dispose of it, preferably by returning it to your pharmacist.
Don't pour it down the sink. It's usually fine - there is no 'do not drink alcohol' warning that applies to taking co-amoxiclav because it doesn't specifically affect the medicine itself. However, if you feel unwell with your infection, or if you find co-amoxiclav gives you an upset stomach, then drinking alcohol could make this worse. It's also possible that drinking excessive amounts of alcohol with co-amoxiclav could increase the risk of getting side effects on your liver.
Nouhavandi cites doxycycline Vibramycin, Monodox and amoxicillin Amoxil as two examples of antibiotics that are known to frequently cause digestive problems. Since having alcohol in your system can also cause these symptoms on its own, using both antibiotics and alcohol together increases your risk of these side effects. Alcohol consumption won't directly impact how effective your antibiotics are. But, drinking alcohol can mean that it takes your body longer to recover from whatever infection or illness you are taking antibiotics for in the first place.
Nouhavandi says this is partly because when you're sick, you need to be properly hydrated. One of the side effects of drinking alcohol can be dehydration, which can make it harder for you to get well.
Like many types of antibiotics, alcohol is broken down and processed by your liver before it can exit your body. When your liver is already working to help fight infection, adding alcohol to the mix can overwork it.
In rare cases, this can cause drug-induced liver toxicity swelling of your liver. Even if you want a drink, it's important not to skip a dose or a day of your antibiotics until your prescribed course of medication is complete. Skipping a single dose won't really protect you from side effects, anyway, as it takes several days for the medication to clear from your system.
When you take antibiotics, you typically start feeling better within 48 hours. But that doesn't mean that there's no more infection present in your body.
This link has been disputed since a review of studies found a lack of evidence to support it, and a very small controlled study in which Finnish men given metronidazole for five days suffered no side effects when they consumed alcohol. There are a few other antibiotics for which there are good reasons to avoid drinking alcohol while taking them, including tinidazole, linezolid and erythromycin, but these interactions are so well-known that doctors give patients specific warnings.
This leaves a long list of other antibiotics that can be mixed with alcohol. One is that because antibiotics are used to treat some of the most common sexually transmitted diseases, doctors in the past were somehow punishing the patients for becoming infected by depriving them of their favourite tipple.
At the time penicillin was in such short supply that after a patient had taken it, the drug was retrieved from his urine and recycled. Recuperating soldiers were allowed to drink beer, but unfortunately this increased the volume of their urine, making it harder obtain the penicillin and, according to the Brigadier, led commanding officers to ban beer.
It's a good story, irrespective of whether or not it is the true source of the popular misconception. Dispelling the myth is something of a double-edged sword. Encouraging those on the antibiotics who cannot resist a glass or two to complete their courses of treatment could help counter the spread of antibiotic resistance.
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