Co Maug Es Oral Suspension

CO MAUG ES 600 contains two active ingredients called amoxicillin and clavulanic acid. This belongs to a group of medicines called penicillins.

CO MAUG ES 600 is used to treat bacterial infections in children.

Do not take CO MAUG ES 600

• If you are hypersensitive (allergic) to amoxicillin, clavulanic acid, penicillin, or any of the other ingredients of this medicine (listed in section 6);
• If you have ever had a severe allergic (hypersensitive) reaction to any other antibiotic. This can include a skin rash or swelling of the face or neck;
• If you have ever had liver problems or jaundice (yellowing of the skin) when taking an antibiotic.

Warnings and precautions

Take special care with CO MAUG ES 600:

• If you develop a skin rash while taking CO MAUG ES 600, stop CO MAUG ES 600 at once and notify your doctor;
• If you develop frequent and persistent diarrhoea and stomach cramps and notify your doctor;
• If you have glandular fever;
• If you are being treated for liver or kidney problems;
• If you are not passing water regularly;
• If you are taking medication known as anticoagulants (blood thinners);
• If you are being treated for lymphatic leukaemia (a type of cancer that affects white blood cells);
• If you are having any blood tests done, tell you doctor that you are taking CO MAUG ES 600.

Other medicines and CO MAUG ES 600

Always tell your healthcare professional if you are taking any other medicine. (This includes all complementary or traditional medicines).

Please inform your healthcare professional if you are currently taking any of the following medicines:

• If you are taking allopurinol (used for gout) with your medicine, it may be more likely that you’ll have an allergic skin reaction;
• If you are taking probenecid (used for gout), your doctor may decide to adjust your dose of your medicine;
• If medicines to help stop blood clots (such as warfarin) are taken with your medicine, then extra blood tests may be needed;
• Your medicine can affect how methotrexate (a medicine used to treat cancer or rheumatic diseases) works;
• If you are taking medicine containing alcohol, as it may cause a disulfiram-like reaction, which includes symptoms such as nausea, vomiting, flushing, dizziness, throbbing headache, chest and abdominal discomfort, and general hangover-like symptoms;
• If you are taking oral contraceptives (‘the pil’), CO MAUG ES 600 may cause it work less effectively;
• Your medicine can affect how mycophenolate mofetil (a medicine used to prevent the rejection of transplanted organs) works.

CO MAUG ES 600 with food and/or drink

CO MAUG ES 600 should be taken at the start of a meal.

Alcohol should be avoided during and for several days after treatment with CO MAUG ES 600 (see disulfiram-like reaction above).

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, please consult your doctor, pharmacist or other health care provider for advice before taking CO MAUG ES 600.

You should not take CO MAUG ES 600 if you are pregnant or breastfeeding your baby.

Driving and using machines

CO MAUG ES 600 may affect your ability to drive or operate machines and caution is advised until the effects of CO MAUG ES 600 on treatment are known. It is not always possible to predict to what extent CO MAUG ES 600 may interfere with your daily activities. You should ensure that you do not engage in the above activities until you are aware of the measure to which CO MAUG ES 600 affects you.

Do not share medicines prescribed for you with any other person. Always take CO MAUG ES 600 exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

Your doctor will advise you how much of CO MAUG ES 600 you should take depending on your body weight and condition.

Always shake the bottle well before use.

Take CO MAUG ES 600 at the start of a meal. Space the doses evenly during the day. Keep taking the medicine until the course is completed. Do not stop, even if you feel better. Your doctor will tell you how long your treatment with CO MAUG ES 600 will last. If you have the impression that the effect of CO MAUG ES 600 is too strong or too weak, tell your doctor or pharmacist.

If you take more CO MAUG ES 600 than you should

In the event of overdosage, consult your doctor or pharmacist. If neither is available, contact the nearest hospital or poison centre.

If you forget to take CO MAUG ES 600

Take it as soon as you remember and continue as normal. Do not take a double dose to make up for forgotten individual doses.

If you stop taking CO MAUG ES 600

Your doctor will decide you how long your treatment with CO MAUG ES 600 will last. Do not stop your treatment with CO MAUG ES 600 without consulting your doctor first.

CO MAUG ES 600 can have side effects. Not all side effects reported for CO MAUG ES 600 are included in this leaflet. Should your general health worsen or if you experience any untoward effects while taking CO MAUG ES 600, please inform your health care provider for advice.

If any of the following happens, stop taking CO MAUG ES 600 and tell your doctor immediately or go to the casualty department at your nearest hospital:

• Swelling of the hands, feet, ankles, face, lips, mouth or throat, which may cause difficulty in swallowing or breathing;
• Rash or itching;
• Fainting.

These are all very serious side effects. If you have them, you may have had a serious reaction to CO MAUG ES 600. You may need urgent medical attention.

Tell your doctor immediately or go to the casualty department at your nearest hospital if you notice any of the following:

• Jaundice, caused by increases in the blood of bilirubin (a substance produced in the liver) which may make your skin and whites of the eyes appear yellow. This may indicate a problem with your liver.
• Inflammation of tubes in the kidney which may cause fever, blood in the urine, change in urine output.
• Blood takes longer to clot.
• Convulsions (in people taking high doses of this medicine or who have kidney problems).
• Severe reduction in the number of white blood cells, which may cause fever, chills, sore throat and other signs of infection.
• Low number of red blood cells (haemolytic anaemia) which may cause abnormal paleness, yellowish skin, eyes, and mouth (jaundice), dark-coloured urine, fever or weakness.
• Pain, fever and cloudy or foamy urine.
• Severe diarrhoea (maybe with blood or mucus) which may be accompanied by stomach cramps.
• Fever, rash, facial swelling, enlarged lymph nodes indicating a severe reaction to CO MAUG ES 600.
• Skin rash, itching, 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).

These are all serious side effects. You may need urgent medical attention.

Tell your doctor or health care provider if you notice any of the following:

Frequent side effects:

• Diarrhoea, headache, fever, and chills.
• Thrush (candida – a yeast infection of the vagina, mouth, or skin folds).
• Feeling sick (nausea), especially when taking high doses if affected take your medicine before food.
• Vomiting.

Less frequent side effects:

• Raised itchy rash (hives).
• Indigestion.
• Hyperactivity.
• Dizziness.
• A red, scaly rash with bumps under the skin and blisters (exanthematous pustulosis).
• A widespread red skin rash with small pus-containing blisters (bullous exfoliative dermatitis).
• A widespread rash with blisters and peeling skin, particularly around the mouth, nose, eyes and genitals (Stevens-Johnson syndrome).
• Stained teeth (in children), usually removed by brushing.
• Black tongue which looks hairy.

If you notice any side effects not mentioned in this leaflet, please inform your doctor or pharmacist.

Reporting of side effects

If you get side effects, talk to your doctor, pharmacist or nurse. You can also report side effects to SAHPRA via the Med Safety APP (Medsafety X SAHPRA) and eReporting platform (who-umc.org) found on SAHPRA website. By reporting side effects, you can help provide more information on the safety of CO MAUG ES 600.

Store the powder for oral suspension at or below 25 °C.

Store the reconstituted suspension in a refrigerator (2 – 8 °C) and use within 10 days.

Keep the container in the outer carton until required for use.

KEEP ALL MEDICINES OUT OF THE REACH AND SIGHT OF CHILDREN.

Do not use after the expiry date printed on the label or carton. Return all unused medicine to your pharmacist.