โ Active Ingredient Overview Table:
| ๐ฌ Active Ingredients: | Amoxicillin 875 mg + Clavulanic Acid 125 mg |
|---|---|
| ๐ Indication: | Bacterial Infections (Respiratory, Skin, ENT, Urinary) |
| ๐บ๐ธ US Brand Equivalent: | Augmentin |
| ๐ญ Manufacturer: | GlaxoSmithKline Pharmaceuticals Ltd (Founded: 2000) |
| ๐ฆ Packaging: | 10 Tablets per Strip |
| ๐งช Strength: | 1000 mg (875/125 mg) |
| ๐ Delivery Time: | 6โ15 days |
๐ฟ What is Augmentin Duo 1000 mg?
Augmentin Duo 1000 mg is a high-strength combination antibiotic that pairs Amoxicillin, a broad-spectrum penicillin, with Clavulanic Acid, a potent ฮฒ-lactamase inhibitor. By protecting Amoxicillin from enzymatic degradation, Clavulanic Acid extends the antibioticโs activity against ฮฒ-lactamaseโproducing bacteria, including resistant strains of Staphylococcus aureus, Haemophilus influenzae, Moraxella catarrhalis, and various anaerobes. This makes Augmentin Duo 1000 mg ideal for serious or resistant infections such as complicated sinusitis, community-acquired pneumonia, diabetic foot infections, and severe urinary tract infections.
Unlike standard-dose formulations, Augmentin Duo 1000 mg delivers a higher Amoxicillin component for maximal bactericidal effect in moderate-to-severe infections. Additionally, the ratio of Amoxicillin to Clavulanic Acid has been optimized to balance efficacy with tolerability, minimizing gastrointestinal side effects while ensuring broad-spectrum coverage. Patients with refractory or hospital-substituted infections often benefit from this high-dose regimen, paired with clinical monitoring and appropriate duration.
๐งฌ Pharmacology & Mechanism of Action
| Component | Mechanism |
|---|---|
| Amoxicillin 875 mg | โข Binds to penicillin-binding proteins (PBPs) โ inhibits bacterial cell wall synthesis โ bactericidal activity. |
| Clavulanic Acid 125 mg | โข Irreversibly inhibits ฮฒ-lactamase enzymes produced by resistant bacteria โ protects Amoxicillin from degradation โ restores activity against ฮฒ-lactamaseโproducers. |
| Pharmacokinetics | โข Absorption: ~75โ80% oral bioavailability; minimal effect of food. |
| โข Distribution: High tissue penetration, including middle ear, sinuses, lung, and bone. | |
| โข Metabolism & Excretion: Excreted primarily unchanged in urine; Clavulanic Acid partially metabolized in liver. | |
| โข Half-Life: Amoxicillin: ~1 hour; Clavulanic Acid: ~1 hour. |
๐ก Indications & Usage
| Condition | Recommended Regimen |
|---|---|
| Severe Sinusitis (Adults) | 1000 mg twice daily for 10โ14 days (may extend to 21 days based on clinical response). |
| Community-Acquired Pneumonia (Moderate-to-Severe) | 1000 mg three times daily for 7โ10 days (adjust based on severity and patient factors). |
| Diabetic Foot Infection (Mild-to-Moderate) | 1000 mg twice daily for 7โ14 days (alongside wound care and glycemic control). |
| Complicated Urinary Tract Infection (UTI) | 1000 mg twice daily for 7 days (adjust for renal impairment; extend to 10โ14 days if needed). |
| Skin & Soft Tissue Infections (Moderate-to-Severe) | 1000 mg twice daily for 7โ10 days (e.g., cellulitis, abscesses requiring broad-spectrum coverage). |
| Intra-Abdominal Infections (with Metronidazole) | 1000 mg twice daily plus Metronidazole 500 mg three times daily for 5โ7 days. |
- Administration: Swallow whole with water within 30 minutes of meal to maximize absorption and minimize gastrointestinal upset.
- Missed Dose: If missed, take as soon as possible unless it is near the time of the next dose; do not double doses.
- Complete Course: Finish the entire prescribed regimen to prevent resistance and recurrence.
โ ๏ธ Warnings & Side Effects
Common Side Effects (โฅ1%):
- Gastrointestinal: Diarrhea, nausea, vomiting, dyspepsia
- Skin: Rash, urticaria
Less Common:
- Transient elevations in liver enzymes (AST/ALT)
- Vaginal candidiasis (thrush)
Serious (Rare):
- Clostridioides difficileโassociated diarrhea (CDAD)
- Severe hypersensitivity reactions (anaphylaxis, StevensโJohnson syndrome)
- Hepatic dysfunction, cholestatic jaundice
Precautions:
- Allergy: Contraindicated in patients with a history of penicillin allergy or ฮฒ-lactamase inhibitor hypersensitivity.
- Hepatic Impairment: Use with caution; monitor liver function tests, particularly in patients with cholestatic disorders.
- Renal Impairment: Dose adjustment required for creatinine clearance <30 mL/min; extend dosing interval or reduce dose per kidney function.
- Pregnancy & Lactation: Category B; use only if clearly needed. Amoxicillin and Clavulanic Acid excreted into breast milk; monitor nursing infants.
- Pediatric Use: Approved in children โฅ12 years for this strength; children <12 years typically receive lower-dose formulations.
๐ฅ Storage Instructions
Store Augmentin Duo 1000 mg tablets at 20โ25ยฐC (68โ77ยฐF). Protect from moisture and excessive heat. Keep tablets in original strip until use. Discard any expired tablets. Keep out of reach of children.
๐ Availability & Purchasing
Augmentin Duo 1000 mg serves patients with serious infections, but regional availability and brand naming may vary.
- United States: Prescription-only; marketed as Augmentin 875/125 mg or 1000/125 mg. Major pharmacies carry branded and generic formulations.
- United Kingdom: Prescription required; available as Co-amoxiclav 1000/125 mg (generic Augmentin) under various brand names.
- Australia: PBS-listed; prescription necessary; Co-amoxiclav 1000/125 mg pack widely accessible.
Importing Augmentin Duo from India:
International patients may opt to import GSKโs Augmentin Duo 1000 mg from India for cost savings. Ensure a valid prescription, verify regulatory compliance (FDA, TGA, MHRA approvals or import permits), and confirm authenticity through batch certificates to avoid counterfeit medicines.
๐ Authoritative Resources
๐ Antibiotic Therapies (Indian Brands)
- Monocef 1000 mg โ Ceftriaxone 1 g for severe infections.
- Azithral 500 mg โ Azithromycin by Alembic for atypical pneumonia and STIs.
๐ฅ Educational Video on Amoxicillin/Clavulanate Therapy
๐จโโ๏ธ Expert Insight: Dr. Vandana Mehta, Infectious Disease Specialist
โAugmentin Duo 1000 mg provides an enhanced Amoxicillin dose, crucial for tackling resistant or deep-seated bacterial infections. Prescribers must emphasize adherence, monitor renal function, and watch for gastrointestinal side effects.โ







