Description
Fleming 228.5mg/5ml Suspension, 70ml
Fleming 228.5mg/5ml Suspension is a powerful antibiotic that works by killing bacteria that cause infections. It contains two different medicines called amoxicillin and clavulanic acid. Amoxicillin belongs to a group of medicines called “penicillins” that can sometimes be stopped from working (made inactive). The other active component (clavulanic acid) stops this from happening. This makes Fleming 228.5mg/5ml Suspension a very effective medication for treating a wide range of infections in children.
Fleming is used in babies and children to treat the following infections:
- middle ear and sinus infections
- respiratory tract infections
- urinary tract infections
- skin and soft tissue infections including dental infections
- bone and joint infections.
Additional information
How to Use
How to use Fleming 228.5mg/5ml Suspension
Always give this medicine exactly as your doctor or pharmacist has told you.
Check with your doctor or pharmacist if you are not sure.
Children weighing less than 40 kg All doses are worked out depending on the child’s body weight in kilograms.
- Your doctor will advise you how much Augmentin you should give to your baby or child.
- You may be provided with a plastic measuring spoon or syringe
. Instructions on how to use the dosing syringe are provided at the end of this leaflet.
You should use this to give the correct dose to your baby or child.
- Recommended dose – 25 mg/3.6 mg/kg/day (0.4 ml of suspension/kg/day) to 45 mg/6.4 mg/kg/day (0.6 ml of suspension/kg/day), given in two divided doses.
- Higher dose – up to 70 mg/10 mg/kg/day (1.0 ml of suspension/kg/day) given in two divided doses.
If you forget to give Augmentin If you forget to give your child a dose, give it as soon as you remember.
You should not give your child the next dose too soon, but wait about 4 hours before giving the next dose.
Do not take a double dose to make up for a forgotten dose.
If your child stops taking Augmentin Keep giving your child Augmentin until the treatment is finished, even if they feel better.
Your child needs every dose to help fight the infection.
If some bacteria survive they can cause the infection to come back.
If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.
Product Details
Product Information of Fleming 228.5mg/5ml Suspension
What you need to know before you give Fleming
Do not give your child Fleming: • if they are allergic to amoxicillin, clavulanic acid, penicillin or any of the other ingredients of this medicine (listed in section 6). • if they have ever had a severe allergic reaction to any other antibiotic. This can include a skin rash or swelling of the face or throat. • if they have ever had liver problems or jaundice (yellowing of the skin) when taking an antibiotic. ➔ Do not give Fleming to your child if any of the above apply to your child. If you are not sure, talk to their doctor or pharmacist before giving Fleming. 2 Warnings and precautions Check with their doctor, pharmacist or nurse before giving your child Fleming if they: • have glandular fever • are being treated for liver or kidney problems • are not passing water regularly. If you are not sure if any of the above apply to your child, talk to their doctor or pharmacist before giving Fleming. In some cases, your doctor may investigate the type of bacteria that is causing your child’s infection. Depending on the results, your child may be given a different strength of Fleming or a different medicine. Conditions you need to look out for Fleming can make some existing conditions worse, or cause serious side effects. These include allergic reactions, convulsions (fits) and inflammation of the large intestine. You must look out for certain symptoms while your child is taking Fleming, to reduce the risk of any problems. See ‘Conditions you need to look out for’ in Section 4. Blood and urine tests If your child is having blood tests (such as red blood cell status tests or liver function tests) or urine tests (for glucose), let the doctor or nurse know that they are taking Fleming. This is because Fleming can affect the results of these types of tests. Other medicines and Fleming Tell your doctor or pharmacist if your child is taking, has recently taken or might take any other medicines. If your child is taking allopurinol (used for gout) with Fleming, it may be more likely that they will have an allergic skin reaction. If your child is taking probenecid (used for gout), your doctor may decide to adjust the dose of Fleming. If medicines to help stop blood clots (such as warfarin) are taken with Fleming then extra blood tests may be needed. Fleming can affect how methotrexate (a medicine used to treat cancer or rheumatic diseases) works. Fleming can affect how mycophenolate mofetil (a medicine used to prevent the rejection of transplanted organs) works. Pregnancy, breast-feeding and fertility If your child who is about to take this medicine is pregnant or breast-feeding, thinks they may be pregnant or are planning to have a baby, ask their doctor or pharmacist for advice before taking this medicine. Driving and using machines Fleming can have side effects and the symptoms may make you unfit to drive. Do not drive or operate machinery unless you are feeling well. Fleming contains aspartame, benzyl alcohol and maltodextrin • This medicine contains 2.5 mg aspartame in each ml. Aspartame is a source of phenylalanine. It may be harmful for children born with phenylketonuria (PKU), a rare genetic disorder in which phenylalanine builds up because the body cannot remove it properly. • Fleming contains traces of benzyl alcohol. Benzyl alcohol may cause allergic reactions.. • Fleming contains maltodextrin (glucose). If you have been told by your doctor that your child has an intolerance to some sugars, contact your doctor before taking this medicine.
Side Effects
Side Effects of Fleming 228.5mg/5ml Suspension
Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them. The side effects below may happen with this medicine. Conditions you need to look out for Allergic reactions: • skin rash • inflammation of blood vessels (vasculitis) which may be visible as red or purple raised spots on the skin, but can affect other parts of the body • fever, joint pain, swollen glands in the neck, armpit or groin • swelling, sometimes of the face or throat (angioedema), causing difficulty in breathing • collapse. ➔ Contact a doctor immediately if your child gets any of these symptoms. Stop taking Fleming. Inflammation of large intestine Inflammation of the large intestine, causing watery diarrhoea usually with blood and mucus, stomach pain and/or fever. ➔ Contact your doctor as soon as possible for advice if your child gets these symptoms. Common side effects These may affect up to 1 in 10 people • thrush (candida – a yeast infection of the vagina, mouth or skin folds) • feeling sick (nausea), especially when taking high doses → if affected take Fleming before food • vomiting • diarrhoea (in children). Uncommon side effects These may affect up to 1 in 100 people • skin rash, itching • raised itchy rash (hives) • indigestion • dizziness • headache. Uncommon side effects that may show up in blood tests: • increase in some substances (enzymes) produced by the liver. Rare side effects These may affect up to 1 in 1000 people • skin rash, which may blister, and looks like small targets (central dark spots surrounded by a paler area, with a dark ring around the edge – erythema multiforme) ➔ if you notice any of these symptoms contact a doctor urgently. Rare side effects that may show up in blood tests: • low number of cells involved in blood clotting • low number of white blood cells. 5 Frequency not known Frequency cannot be estimated from the available data. • Allergic reactions (see above) • Inflammation of the large intestine (see above) • Inflammation of the protective membrane surrounding the brain (aseptic meningitis) • Serious skin reactions: – a widespread rash with blisters and peeling skin, particularly around the mouth, nose, eyes and genitals (Stevens-Johnson syndrome), and a more severe form, causing extensive peeling of the skin (more than 30% of the body surface – toxic epidermal necrolysis) – widespread red skin rash with small pus-containing blisters (bullous exfoliative dermatitis) – a red, scaly rash with bumps under the skin and blisters (exanthemous pustulosis) – flu-like symptoms with a rash, fever, swollen glands, and abnormal blood test results (including increased white blood cells (eosinophilia) and liver enzymes) (Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS)). ➔ Contact a doctor immediately if your child gets any of these symptoms. • inflammation of the liver (hepatitis) • jaundice, caused by increases in the blood of bilirubin (a substance produced in the liver) which may make your child’s skin and whites of the eyes appear yellow • inflammation of tubes in the kidney • blood takes longer to clot • hyperactivity • convulsions (in people taking high doses of Fleming or who have kidney problems) • black tongue which looks hairy • stained teeth (in children), usually removed by brushing. Side effects that may show up in blood or urine tests: • severe reduction in the number of white blood cells • low number of red blood cells (haemolytic anaemia) • crystals in urine. Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet
Ingredients
Product Ingredients of Fleming 228.5mg/5ml Suspension
The active substances are amoxicillin and clavulanic acid. Each ml of suspension contains amoxicillin trihydrate equivalent to 80 mg amoxicillin and potassium clavulanate equivalent to 11.4 mg of clavulanic acid.
• The other ingredients are aspartame (E951), xanthan gum, silicon dioxide, colloidal anhydrous silica, succinic acid, hypromellose, orange dry flavour 1* (including benzyl alcohol), orange dry flavour 2*, raspberry dry flavour* and golden syrup dry flavour* (*also includes maltodextrin).
• See section 2 for further important information about aspartame, benzyl alcohol and maltodextrin in Augmentin.
How to store
How to store Fleming 228.5mg/5ml Suspension
Keep this medicine out of the sight and reach of children.
Dry powder Store in the original package in order to protect from moisture.
Do not store above 25°C.
Do not use this medicine after the expiry date (EXP) which is stated on the carton.
The expiry date refers to the last day of that month.
Liquid suspension Store in a refrigerator (2°C – 8°C). Do not freeze.
Once made up, the suspension should be used within 7 days.
Do not throw away any medicines via wastewater or household waste.
Ask your pharmacist how to throw away medicines you no longer use.
These measures will help to protect the environment.
Prescription Product
This product requires a prescription from your Doctor.
Please follow the instruction received from the pharmacy on how to forward your prescription to the pharmacy after you have paid for the medicine.
A prescription drug is a pharmaceutical medication that legally requires a medical prescription to be dispensed.
To order this product you confirm that you are under the care of your doctor or consultant and have been given permission by them for purchase, fulfillment & use in treatment with their written consent
Delivery
Delievry time are estimates. Can vary due to the time of day you order.
Delivery time estimate are subject to the courier company.
Shipping to Lagos cost starts from N1850 Next day delivery
Shipping to Rest Of Nigeria – 2-3 days cost starts from N2000
Shipping to Rest of Africa – 5-7 working days Cost starts from N12000
Shipping to Europe 7 – 14 working days Cost srats from N18000
Shipping to Rest of the world – 7 – 14 days Cost starts from N18000
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