More on Amox!

Amoxicillin is easily one of the world’s most popular and recognizable anti-biotics. It still is the first line of defense against the most common infection known to man. Unfortunately, through the years, it has grown to have a reputation as a cure-all. As a result, the drug has been misused tremendously. The misuse has led to the unfortunate rise in drug-resistant strains of pathogens.

 

Amoxicillin is a moderate-spectrum antibiotic active against a wide range of Gram-positive, and a limited range of Gram-negative organisms. It is usually the drug of choice within the class because it is better absorbed, following oral administration, than other beta-lactam antibiotics. Amoxicillin is susceptible to degradation by β-lactamase-producing bacteria, and so may be given with clavulanic acid to increase its susceptability. The incidence of β-lactamase-producing resistant organisms, including E. coli, appears to be increasing. Amoxicillin is sometimes combined with clavulanic acid, a β-lactamase inhibitor, to increase the spectrum of action against Gram-negative organisms, and to overcome bacterial antibiotic resistance mediated through β-lactamase production.

Amoxicillin binds to penicillin-binding protein 1A (PBP-1A) located inside the bacterial cell well. Penicillins acylate the penicillin-sensitive transpeptidase C-terminal domain by opening the lactam ring. This inactivation of the enzyme prevents the formation of a cross-link of two linear peptidoglycan strands, inhibiting the third and last stage of bacterial cell wall synthesis. Cell lysis is then mediated by bacterial cell wall autolytic enzymes such as autolysins; it is possible that amoxicllin interferes with an autolysin inhibitor.

Source

The first paragraph just about sums up every answer to questions raised in the previous post.

Putting Amoxicillin on your wound will not help at all!

    Like the article puts it, the drug is absorbed following oral administration. It doesn’t work like an antiseptic when it direct contact with an open wound. Is it harmful to do it? Well, there have been no studies regarding this peculiar practice, but it is a waste.

Self-medication with any unprescribed antibiotic is still a NO-NO!

Most infections and diseases that an healthy human being gets are usually a result of organisms that are self-limiting (i.e. will resolve even without treatment) and using antibiotics in the event of the condition is not only wasteful - it’s also potentially hazardous in the long run.

Let’s all make rational drug use our advocacy!

 

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