Pharmaniaga Co-Amoxiclav 228mg/5ml suspension
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Overview
Pharmaniaga Co-Amoxiclav 228mg/5ml suspension is a prescription-only medicine (POM) presented as an oral suspension, with Amoxicillin 200mg and clavulanic acid 28mg per 5mL as its active ingredient content.
This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.
Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.
Directions for Use
Shake Pharmaniaga Co-Amoxiclav 228mg/5ml suspension well before each use, and give it at the start of a meal or with a snack, as taking this combination with food helps reduce the stomach upset that can occur with co-amoxiclav and also improves absorption. Measure each dose accurately using the measuring spoon or oral syringe provided, not a regular household spoon.
Dosage
The dose of Pharmaniaga Co-Amoxiclav 228mg/5ml suspension is calculated by your doctor based on body weight and the type and severity of infection, typically given as a divided dose two to three times daily for a course of about 5-10 days. Always use the measuring spoon or oral syringe provided, and complete the full course exactly as prescribed, even if symptoms improve early.
Shelf Life
Use this product before the expiry date stated on the packaging. Once reconstituted, the suspension is generally only stable for a limited period (commonly around 7-10 days when refrigerated) – check the label or ask your pharmacist for the specific in-use shelf life and discard any unused suspension after this time.
Storage Instructions
Once reconstituted, store in a refrigerator (2-8°C) and do not freeze; discard any unused suspension after the stated in-use period. Keep out of reach of children, and store the unopened bottle below 30°C in a dry place away from direct sunlight.
Side Effects
- Nausea or vomiting
- Diarrhoea
- Abdominal discomfort
- Skin rash or itching
- Headache
- Changes in taste
- Mild liver enzyme elevation (rare)
Contraindications
- Known hypersensitivity to amoxicillin, clavulanic acid, or other penicillin antibiotics
- History of jaundice or liver problems associated with previous amoxicillin/clavulanic acid use
- History of a severe allergic reaction to any beta-lactam antibiotic (including cephalosporins, due to possible cross-reactivity)
- Caution required in patients with significant kidney impairment (dose adjustment may be needed)
Drug / Food Interactions
- Allopurinol taken together with amoxicillin may increase the likelihood of a skin rash
- Probenecid can increase and prolong amoxicillin blood levels
- Oral contraceptives may be less reliable during antibiotic treatment – discuss additional contraceptive precautions with your doctor
- Warfarin’s blood-thinning effect may be enhanced, requiring closer INR monitoring
Quick Tips
- Give at the start of a meal or with a snack to reduce stomach upset and improve absorption
- Shake the bottle well before every dose to mix the suspension evenly
- Use only the measuring spoon or oral syringe provided for an accurate dose
- Complete the full course of antibiotics exactly as prescribed, even if symptoms improve early
- Keep the reconstituted suspension refrigerated and discard it after the stated in-use period
- Contact your doctor if diarrhoea becomes severe or bloody during treatment
Frequently Asked Questions
Is Pharmaniaga Co-Amoxiclav 228mg/5ml suspension a prescription medicine?
Yes. Pharmaniaga Co-Amoxiclav 228mg/5ml suspension is a prescription-only medicine (POM). It can only be supplied against a valid prescription written by a registered doctor, and it should be used only by the person named on the prescription label.
What does Pharmaniaga Co-Amoxiclav 228mg/5ml suspension contain?
Pharmaniaga Co-Amoxiclav 228mg/5ml suspension is supplied as an oral suspension and contains Amoxicillin 200mg and clavulanic acid 28mg per 5mL. The full composition is listed in the Composition section on this page and on the product packaging.
Why is there no information here about what Pharmaniaga Co-Amoxiclav 228mg/5ml suspension is for?
Malaysian rules for prescription medicines limit public product pages to product, safety and handling information. Your doctor decides whether this medicine is appropriate for you and will explain it during your consultation, and your pharmacist can answer further questions when the medicine is dispensed.
How should I take Pharmaniaga Co-Amoxiclav 228mg/5ml suspension?
Follow your doctor’s instructions and the directions on the dispensing label without changing them. If anything on the label is unclear, check with your pharmacist before taking the first dose, and read the Directions for Use section on this page.
What should I do if I miss a dose?
Take it as soon as you remember, unless your next dose is nearly due. In that case skip the missed dose and carry on with your usual schedule. Never take two doses together to make up for a missed one. If you miss doses often, tell your doctor or pharmacist.
How should I store Pharmaniaga Co-Amoxiclav 228mg/5ml suspension?
Once reconstituted, store in a refrigerator (2-8°C) and do not freeze; discard any unused suspension after the stated in-use period. Keep out of reach of children, and store the unopened bottle below 30°C in a dry place away from direct sunlight. Keep it in the original pack until use, and do not use it after the expiry date printed on the packaging.
What should I do if I notice side effects?
Tell your doctor or pharmacist about any reaction that concerns you, and seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.
Can I stop taking Pharmaniaga Co-Amoxiclav 228mg/5ml suspension on my own?
No. Speak to your doctor before stopping, pausing or changing the dose, even if you feel well or think you no longer need the medicine.
How do I get a prescription for Pharmaniaga Co-Amoxiclav 228mg/5ml suspension?
Customers in Malaysia can complete an online consultation with a DoctorOnCall doctor, who decides whether a prescription is appropriate, or upload a valid prescription already issued by their own doctor.
Orders going to Singapore are dispatched from Malaysia as an international delivery, so you need to hold a valid prescription or doctor’s letter for the medicine. Check the consultation and prescription upload options shown at checkout for your delivery address before placing the order.
How long will delivery take?
Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.
Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.
What payment methods can I use?
Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.
FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.
Can Pharmaniaga Co-Amoxiclav 228mg/5ml suspension be delivered to Singapore?
Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.
Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.
Is Pharmaniaga Co-Amoxiclav 228mg/5ml suspension registered with the authorities?
Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.
An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.
Who do I contact if there is a problem with my order?
DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.
For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.
Ingredients / Active Ingredients
- Amoxicillin 200mg and clavulanic acid 28mg per 5mL
Safety Advice
Pregnancy
This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.
Breastfeeding
This medicine is generally safe during breastfeeding with minimal risk to the infant.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
It is not advisable to consume alcohol while taking this medicine.
Driving
This medicine is generally safe and should not impair your driving ability.
