Augmentin ES-600 Powder for Oral Suspension (Amoxicillin & Clavulanate Potassium)

Augmentin ES-600 is a prescription-strength, broad-spectrum high-potency pediatric combination antibiotic manufactured by GSK / Haleon. It is specially formulated with an 14:1 ratio of amoxicillin to clavulanate potassium (delivering 600mg of Amoxicillin and 42.9mg of Clavulanic Acid per 5ml when reconstituted) to treat resistant pediatric infections without requiring excessively large liquid volumes.

It is primarily prescribed for infants and children (aged 3 months and older) for the treatment of persistent or recurrent bacterial infections, most notably:

• Acute Otitis Media (Middle Ear Infections) caused by penicillin-resistant Streptococcus pneumoniae

• Recurrent or Persistent Sinusitis

• Community-Acquired Pneumonia

• Severe Upper and Lower Respiratory Tract Infections

How It Works

Augmentin ES combines a high-dose aminopenicillin with a protective beta-lactamase inhibitor:

• High-Dose Amoxicillin (600mg/5ml): Penetrates middle ear fluid and tissues at high concentrations to effectively eradicate resistant strains of bacteria that standard pediatric amoxicillin doses fail to clear.

• Clavulanic Acid (42.9mg/5ml): Inactivates beta-lactamase enzymes produced by resistant bacteria, preventing them from destroying the amoxicillin.

Important Safety Warnings

🚨 Penicillin Allergy Alert:

Severe Hypersensitivity: Do not give Augmentin ES if the child has a known history of severe allergic reactions (anaphylaxis, angioedema) to amoxicillin, clavulanate, penicillins, or cephalosporins. Seek immediate emergency medical care if a rash, swelling, or breathing difficulty develops.

🚨 Not Interchangeable with Standard Formulations:

Concentration Caution: Augmentin ES-600 has a unique 14:1 ratio and high concentration. It is not interchangeable with standard 250mg or 400mg Augmentin suspensions. Always use the exact strength prescribed by your pediatrician to prevent under-dosing or overdosing.

🚨 Complete the Full Course:

Resistance Prevention: Always administer the entire prescribed course of treatment (typically 10 days for acute otitis media), even if the child's fever or symptoms resolve early.

Preparation & Administration Instructions

• Reconstitution (Mixing the Dry Powder):

  1. Tap the bottle lightly to loosen the powder.

  2. Add clean, boiled and cooled water up to the fill mark on the bottle label in two stages, shaking vigorously after each addition until completely mixed.

• Standard Pediatric Dosing:

  • Dosing is calculated strictly based on the child's body weight (typically 90mg/kg/day of amoxicillin divided into two doses every 12 hours) for acute otitis media. Always follow your pediatrician's precise prescription.

• How to Take:

  • Shake the bottle thoroughly before every single dose.

  • Use a calibrated oral dosing syringe to measure the exact prescribed dose accurately.

  • Take at the start of a meal or with food to optimize antibiotic absorption and minimize mild gastrointestinal upset or diarrhea.

Possible Side Effects

Augmentin ES is generally well-tolerated. Common side effects may include:

• Diarrhea or loose stools (common with higher amoxicillin ratios).

• Mild nausea, vomiting, or abdominal discomfort.

• Mild skin rash or diaper-area irritation.

• Oral thrush (fungal infection) with prolonged use.

How to Store

• Dry Powder (Before Mixing): Store in a cool, dry place below 25°C or 30°C away from direct sunlight.

• Reconstituted Liquid Suspension: Must be stored immediately in a refrigerator (between 2°C and 8°C) and discarded after 10 days. Do not freeze.

• Keep strictly out of reach of children.

Frequently Asked Questions (FAQs)

1. Why is Augmentin ES prescribed instead of regular Augmentin for ear infections?

Augmentin ES contains a higher proportion of amoxicillin relative to clavulanate, allowing doctors to deliver a high enough dose to kill resistant ear infection bacteria without overloading the child with clavulanate (which can cause diarrhea).

2. Can Augmentin ES suspension be mixed with milk or juice?

No. Do not mix the medicine directly into a full cup of milk or juice, as the child may not finish the entire amount. You can give the measured dose directly via oral syringe, followed immediately by a sip of water, milk, or juice.

Where to Buy Genuine Augmentin ES & International Delivery

You can order verified, original prescription pediatric medications like Augmentin ES-600 Suspension directly online from Sanlive Pharmacy & Stores with a valid medical prescription.

We offer fast doorstep delivery across Nigeria, as well as international shipping to the UK, US, Europe, Middle East, and other parts of the world.

Notice: This guide is for simple educational information only. Augmentin ES is a prescription-strength antibiotic and must be administered strictly under the guidance of a qualified healthcare provider.