Augmentin ES (Extra Strength) is a high-potency, bactericidal medication specifically engineered to treat persistent or recurrent middle ear infections (Otitis Media) in children. It contains a specialized ratio of Amoxicillin and Clavulanic Acid. Unlike standard Augmentin, the "ES" formula provides a much higher dose of Amoxicillin (600mg) relative to Clavulanic Acid (42.9mg). This specific "Extra Strength" ratio is designed to overcome resistant bacteria, such as Streptococcus pneumoniae, which have developed the ability to survive standard antibiotic concentrations.
Product Type: High-Potency Pediatric Combined Antibiotic
Active Ingredients: Amoxicillin (600mg) + Clavulanic Acid (42.9mg) per 5ml
Manufacturer: GlaxoSmithKline (GSK) — Original Brand
Pack Size: 100ml (Powder for Reconstitution)
Route: Oral
Availability: Strictly Prescription Required (POM) — Weight-based dosing is critical
Suitable For: Infants and children (usually 3 months to 12 years)
Augmentin ES is the clinical "Step-Up" therapy for specific pediatric infections:
Recurrent Otitis Media: Treating ear infections in children who have failed previous antibiotic courses or who have frequent infections.
Persistent Sinusitis: Managing severe bacterial sinus infections that do not respond to standard treatments.
Community-Acquired Pneumonia: Resolving lung infections caused by highly resistant bacterial strains.
Treatment Failure: Used when standard-dose antibiotics (like Amoxicillin or Augmentin 457) have not cleared the infection.
Penicillin Allergy: Do NOT give Augmentin ES to any child with a known allergy to Penicillin, Amoxicillin, or Cephalosporins. An allergic reaction can be life-threatening. Liver Health: In rare cases, high-dose Amoxicillin can affect liver function. If you notice yellowing of the child's eyes (jaundice), stop use and contact a doctor immediately. Complete the Course: You must finish the entire bottle as prescribed. Stopping early allows "Superbugs" to survive and grow. Severe Diarrhea: If the child develops watery or bloody diarrhea, stop the medication and seek medical advice immediately. Kidney Function: Not recommended for children with severe kidney impairment.
For maximum efficacy and to reduce stomach upset, Augmentin ES must be administered with precision.
Standard Dosage:
Weight-Based: The dosage is strictly calculated based on the child's weight (typically 90mg/kg/day of the amoxicillin component, divided into two doses).
Timing: Administer doses every 12 hours (e.g., 8:00 AM and 8:00 PM).
Application Tips:
The "Start of Meal" Rule: Give the dose at the start of a meal or milk feed. This significantly improves absorption and is the best way to prevent nausea and stomach cramps.
Shake Well: Always shake the bottle vigorously before every single dose to ensure the medicine is not settled at the bottom.
Measure Accurately: Use ONLY the oral syringe or measuring spoon provided. Never use a kitchen spoon.
Reconstitution: The powder must be mixed with the exact volume of cooled, boiled water. Our pharmacists at Sanlive can do this for you.
The most common side effects are mild diarrhea, nausea, and "diaper rash" (yeast infection/thrush). Because of the high Amoxicillin content, loose stools are more common with "ES" than with standard versions. Giving the dose with food and using a probiotic can help. If you notice a widespread itchy rash or difficulty breathing, seek emergency medical care immediately.
Before Mixing: Store the dry powder in a cool, dry place below 25°C.
After Mixing (Reconstituted): The liquid MUST be stored in a refrigerator (2°C to 8°C).
Expiry: Discard any remaining liquid 10 days after mixing. Do not save "leftover" antibiotic for future use.
Q: Why is it "ES" (Extra Strength)?
A: It contains 600mg of Amoxicillin per 5ml, which is much higher than standard Augmentin (which usually has 125mg, 250mg, or 400mg). This higher dose is needed to kill resistant ear-infection bacteria.
Q: Can I use it for a "Common Cold"?
A: No. Colds are caused by viruses. Antibiotics like Augmentin ES only work against bacteria. Using it for a virus will not help and can cause side effects.
Q: Why does it have to be "Refrigerated"?
A: The Clavulanic Acid component is very delicate. Heat will destroy it, making the medicine ineffective against resistant bacteria.
Q: What if I miss a dose?
A: Give it as soon as you remember, then wait 12 hours before the next one. Do not give two doses at once to "catch up."
Authentic Augmentin ES-600 (by GSK) is available at Sanlive Pharmacy with a valid prescription. We ensure our pediatric stock is genuine and strictly maintained under Cold Chain Protocols to guarantee its life-saving potency.
Authentic GSK (Original) premium pediatric stock with verified batch numbers.
Expert guidance on "Reconstitution" and 12-hour dosing schedules.
Licensed pharmacists available for weight-based dosage verification.
Temperature-controlled delivery nationwide across Nigeria.
Order Augmentin ES from Sanlive Pharmacy today for professional-grade protection for your child's health.
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