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Introduction About ALMOX 250MG INJECTION
ALMOX 250MG INJECTION contains Amoxicillin which belongs to a group of medicines called Penicillin. It is used in emergency to manage severe bacterial infections or in patients who cannot take amoxicillin by mouth.
ALMOX 250MG INJECTION is not recommended for use if you have been previously informed of non-indication of amoxicillin or ampicillin to manage your infection.
Before receiving ALMOX 250MG INJECTION, inform your doctor if you have glandular fever (viral infection caused by Epstein Barr Virus), suffering from pharyngitis (undiagnosed sore throat), HIV, kidney problems (such as renal impairment), and/or liver problems (such as liver impairment).
ALMOX 250MG INJECTION should be used with caution in pregnant and breast-feeding women. The medicine is also used with caution in children & adolescents (below 18 years) and elderly patients (aged above 65 years). Consult your doctor before receiving the medicine.
The most common side effects of receiving ALMOX 250MG INJECTION are skin rash, nausea and diarrhoea. Consult your doctor if any of these symptoms got worse.
Uses Of ALMOX 250MG INJECTION
- manages severe bacterial infections during emergency
- manages bacterial infections in patients who are unable to take amoxicillin by mouth
How ALMOX 250MG INJECTION Works
ALMOX 250MG INJECTION works by inhibiting the synthesis of penicillin binding proteins which leads to activation of autolytic enzymes in bacterial cell wall resulting in lysis/destruction of bacterial cell wall thus managing the spread of infection in affected individuals.
How to use ALMOX 250MG INJECTION
ALMOX 250MG INJECTION will be given to you only by a doctor or a nurse into a vein as an intravenous/infusion or into a muscle as an intramuscular injection (when intravenous administration is not possible/less appropriate). Your doctor will determine the correct dose and duration for you based upon your age, body weight and disease condition.
Side Effects Of ALMOX 250MG INJECTION
Common
- skin rash
- nausea
- diarrhoea
Uncommon
- vomiting
- signs of less severe skin reactions such as mild itchy rash (round, pink-red patches), and/or hive-like swollen areas on forearms, legs, palms, hands or feet
Rare
Stop receiving ALMOX 250MG INJECTION and contact your doctor immediately if you experience any of the following side effects:
- signs of allergic reactions allergic reactions such as skin itching/rash, swelling of the face/lips/tongue/body, and/or breathing difficulties.
- signs of inflammation of blood vessel walls (due to allergic reaction) such as rash/ pinpoint red round spots under the skin surface or bruising of the skin sometimes associated to kidney problems and joint pain (arthritis).
- signs of delayed allergic reaction (that occurs usually after 7 to 12 days of use) such as rashes, fever, joint pains, and enlargement of lymph nodes under the arms.
- signs of erythema multiforme (a type of skin reaction) such as itchy reddish-purple patches on the skin (especially on the palms of the hands/soles of the feet), ‘hive-like’ raised swollen areas on the skin, tender areas on the surfaces of the mouth, eyes and genitals which may be associated with fever, tiredness.
- signs of other severe skin reactions include changes in skin colour, bumps under the skin, blistering, pustules, peeling, redness, pain, itching, scaling, fever, headaches, and body aches.
- signs of Dress (Drug Reaction with Eosinophilia and Systemic Symptoms) associated with flu-like symptoms such as rash, fever, swollen glands.
- signs of problems (associated with blood cell) such as fever, bruise, chills, sore throat, and/or associated signs of infection
- signs of Jarisch-Hexheimer reaction (temporary clinical reaction that occurs in patients managed with antibiotics for spirochete infections) such as fever, chills, headache, muscle pain and/or skin rash.
- inflammation of the colon with diarrhoea (sometimes containing blood), pain and fever
- signs of serious (reversible) liver effects such as severe diarrhoea with bleeding, blisters/ redness/bruising of the skin, darker urine/paler stools, yellowing of the skin/the whites of the eyes (jaundice)
How To Manage Side Effects
Nausea/vomiting:
Try to take this medication right before or right after a snack or meal. Stick to simple meals. Avoid eating rich or spicy food.
Diarrhoea:
Drink lots of fluids, such as water or fruit juices to keep you hydrated. Consult your doctor if the diarrhoea doesn’t improve.
Itchy skin:
Avoid taking hot showers because the hot water can irritate your skin. Do not scratch the affected area. Use sunscreen and protective clothing when outdoors. Regularly use unscented moisturizers to soothe and hydrate the affected area. If the itching does not improve, contact your doctor.
Warning & Precautions

Pregnancy
ALMOX 250MG INJECTION should be taken with caution during pregnancy and in women planning for pregnancy. Consult your doctor before receiving ALMOX 250MG INJECTION.

Breastfeeding
ALMOX 250MG INJECTION should be used with caution in breast-feeding women. Consult your doctor before receiving ALMOX 250MG INJECTION.

Driving and Using Machines
Do not drive or operate any machines if you have allergic reactions, dizziness, and/or convulsions after receiving ALMOX 250MG INJECTION.

Kidney
ALMOX 250MG INJECTION should be used with caution in patients undergoing dialysis and in patients suffering from kidney problems. Consult your doctor before receiving ALMOX 250MG INJECTION.

Liver
ALMOX 250MG INJECTION should be taken with caution in patients with liver problems such as hepatic impairment. Consult your doctor before receiving ALMOX 250MG INJECTION.

Allergy
Do not receive ALMOX 250MG INJECTION if you are allergic to amoxicillin, penicillin, other antibiotics, and/or any other ingredients of this medicine.

Heart Disease
ALMOX 250MG INJECTION should be used with caution in patients with heart problems. Consult your doctor before receiving ALMOX 250MG INJECTION.
Others
ALMOX 250MG INJECTION is not recommended if you have:
- been previously informed of non-indication of amoxicillin/ampicillin to manage your infection.
Before receiving ALMOX 250MG INJECTION, inform your doctor if you:
- have signs of glandular fever (viral infection caused by Epstein Barr Virus) such as fever, sore throat, swollen glands, and/or extreme tiredness.
- are unable to urinate regularly.
- are suffering from pharyngitis (undiagnosed sore throat) or lymphatic lymphoma (cancer that affects white blood cells).
- are suffering from HIV.
- are scheduled for urine/blood tests.
- are scheduled for oestriol tests (tests done during pregnancy to check the baby is developing normally).
Use in Paediatrics:
ALMOX 250MG INJECTION should be used with caution in children and adolescents (aged below 18 years). Consult your doctor before receiving ALMOX 250MG INJECTION.
Use in Geriatrics:
ALMOX 250MG INJECTION should be used with caution in elderly patients (aged above 65 years). Consult your doctor before receiving ALMOX 250MG INJECTION.
Interactions
A. Drug - Drug interactions:
Before receiving ALMOX 250MG INJECTION, inform your doctor if you are receiving any of the following medicine:
- medicines used to manage gout (Ex. allopurinol, probenecid)
- medicines used to manage blood clot (Ex. warfarin)
- medicines used to manage infections (caused by bacteria including pneumonia and other respiratory tract infections) such as tetracycline (Ex. minocycline, doxycycline, tigecycline)
- methotrexate (used to manage certain types of cancer)
Overdosage:
ALMOX 250MG INJECTION will be administered to you only by a doctor or a nurse in a hospital, and so it is unlikely to receive an overdose. However, consult your doctor or nurse if you experience any unusual symptoms such as stomach upset (associated with signs such as nausea/vomiting/diarrhoea), and/or crystals in the urine (associated with signs such as cloudy urine, difficulty while urinating).
Synopsis
Drug | : | Amoxicillin |
Pharmacological Category | : | Antibiotics |
Therapeutic Indication | : | Severe bacterial infections (during emergency), Patients unable to take amoxicillin by mouth |
Dosage Forms | : | Dispersible tablet, Tablet, Chewable tablet, Capsule, Drops, Dry syrup, Injection, Oral suspension, Suspension, Syrup |
More Information
- Keep ALMOX 250MG INJECTION out of the sight and reach of children
- Store ALMOX 250MG INJECTION below 25°C
FAQs About ALMOX 250MG INJECTION
What are the side effects of ALMOX 250MG INJECTION?
The most common side effects of taking ALMOX 250MG INJECTION are skin rash, nausea and/or diarrhoea. These symptoms will subside after management. Consult your doctor if any of these symptoms worsens.
Can I use ALMOX 250MG INJECTION in pregnant?
ALMOX 250MG INJECTION should be taken with caution during pregnancy and in women planning for pregnancy. During management, an oestriol tests will be advised during pregnancy to check the development of baby. Consult your doctor before receiving ALMOX 250MG INJECTION.
Can ALMOX 250MG INJECTION cause diarrhoea?
Yes. ALMOX 250MG INJECTION can cause diarrhoea. Consume plenty of fluids, such as water or fruit juices which keeps you hydrated. Don’t take any medicine on your own for managing diarrhoea. Consult your doctor if the diarrhoea doesn’t improve.
How ALMOX 250MG INJECTION works?
ALMOX 250MG INJECTION works by inhibiting the synthesis of penicillin binding proteins which leads to activation of autolytic enzymes in bacterial cell wall resulting in lysis/destruction of bacterial cell wall thus managing the spread of infection in affected individuals.
How long should I take ALMOX 250MG INJECTION?
ALMOX 250MG INJECTION will usually not be prescribed for a period longer than two weeks without a doctor's review of your management. Consult your doctor before receiving.
Does ALMOX 250MG INJECTION cause thrush?
Yes. ALMOX 250MG INJECTION causes thrush (a yeast infection of moist areas of the body which can cause soreness, itching and white discharge) may develop if ALMOX 250MG INJECTION is used for a long time. Consult your doctor if the thrush doesn’t improve.
References
1. K.D. Tripathi. Beta- Lactam Antibiotics. Essentials of medical pharmacology. Seventh edition. 2013. Page - 723.
2. Bobak J. Akhavan, Niloufar R. Khanna, Praveen Vijhani. Amoxicillin. StatPearls [Internet]. NIH National Library of Medicine. National Center for Biotechnology Information. [Revised in August 2021] [Accessed on 6th October 2022] https://www.ncbi.nlm.nih.gov/books/NBK482250/
3. Raúl J. Andrade, and Paul M. Tulkens. Hepatic safety of antibiotics used in primary care. NIH National Library of Medicine. National Center for Biotechnology Information. PMC PubMed Central. [Revised in July 2011] [Accessed on 6th October 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3112029/
4. Sarah Kabbani, Danielle Palms, Monica Bartoces, Nimalie Stone, Lauri A.Hicks. Outpatient Antibiotic Prescribing for Older Adults in the United States: 2011 to 2014. J. NIH National Library of Medicine. National Center for Biotechnology Information. PMC PubMed Central. [Revised in October 2018] [Accessed on 6th October 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7909599/
5. CP Pharmaceuticals Ltd. Electronic Medicines Compendium (EMC). [Revised in July 2022] [Accessed on 6th October 2022] https://www.medicines.org.uk/emc/files/pil.1358.pdf
Useful Diagnostic Tests
- Complete Blood Count
- Bacterial Culture test