Learn More About Your Medication

• It is used to treat ear infections.

• If your child is allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell the doctor about the allergy and what signs your child had.

• If your child is allergic to penicillin.

• If your child has kidney disease.

• If your child has turned yellow or has had liver side effects with this drug before.

• If your child has mono.

• If your child is taking probenecid.

This is not a list of all drugs or health problems that interact with this drug.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

• Tell all of your child's health care providers that your child is taking this drug. This includes your child's doctors, nurses, pharmacists, and dentists.

• Have blood work checked if your child is on this drug for a long time. Talk with your child's doctor.

• This drug may affect certain lab tests. Tell all of your child's health care providers and lab workers that your child takes this drug.

• If your child has high blood sugar (diabetes) and you test your child’s urine glucose, talk with your child’s doctor to find out which tests are best to use.

• If your child has phenylketonuria (PKU), talk with your child's doctor. Some products have phenylalanine.

• Do not give to your child longer than you have been told. A second infection may happen.

• Change in tooth color to yellow-gray-brown has happened with this drug. Most reports happened in children. Most of the time, the color change got less or went away with brushing or dental cleaning. If a change of tooth color happens, talk with the doctor.

If your child is or may be sexually active:

• Birth control pills and other hormone-based birth control may not work as well to prevent pregnancy. Be sure your child uses some other kind of birth control also, like a condom, when taking this drug.

If your child is pregnant or breast-feeding a baby:

• Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks to your child and the baby.

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat. Rarely, some allergic reactions have been deadly.

• Signs of a type of allergic reaction called drug-induced enterocolitis syndrome, like vomiting within 1 to 4 hours after taking this drug, diarrhea within 24 hours after taking this drug, pale or gray skin, feeling tired or unwell, or signs of low blood pressure like severe dizziness or passing out.

• Vaginal irritation or discharge.

• Fever or chills.

• Any unexplained bruising or bleeding.

• Diarrhea is common with antibiotics. Rarely, a severe form called C diff–associated diarrhea (CDAD) may happen. Sometimes, this has led to a deadly bowel problem. CDAD may happen during or a few months after taking antibiotics. Call your child's doctor right away if your child has stomach pain, cramps, or very loose, watery, or bloody stools. Check with your child's doctor before treating diarrhea.

• Liver problems have happened with this drug. Rarely, this has been deadly. Call the doctor right away if your child has signs of liver problems like dark urine, tiredness, decreased appetite, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.

• Severe skin reactions may happen with this drug. These include Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and other serious reactions. Sometimes, body organs may also be affected. These reactions can be deadly. Get medical help right away if your child has signs like red, swollen, blistered, or peeling skin; red or irritated eyes; sores in the mouth, throat, nose, eyes, genitals, or any areas of skin; fever; chills; body aches; shortness of breath; or swollen glands.

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child's doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:

• Diarrhea, upset stomach, or throwing up.

• Diaper rash.

These are not all of the side effects that may occur. If you have questions about side effects, call your child's doctor. Call your child's doctor for medical advice about side effects.

Give this drug as ordered by your child's doctor. Read all information given to you. Follow all instructions closely.

• Give this drug at the start of a meal to help it work the best and lower the chance of upset stomach.

• Shake well before use.

• Measure liquid doses carefully. Use the measuring device that comes with this drug. If there is none, ask the pharmacist for a device to measure this drug.

• Keep giving this drug to your child as you have been told by your child's doctor or other health care provider, even if your child feels well.

• Give a missed dose as soon as you think about it.

• If it is close to the time for your child's next dose, skip the missed dose and go back to your child's normal time.

• Do not give 2 doses at the same time or extra doses.

• Store liquid (suspension) in a refrigerator. Do not freeze. Throw away any part not used after 10 days.

• Some color change may be normal for certain products during storage. If you are not sure about this, talk with your pharmacist.

• Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.

• Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

• If your child's symptoms or health problems do not get better or if they become worse, call your child's doctor.

• Do not share your child's drug with others and do not give anyone else's drug to your child.

• Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child's doctor, nurse, pharmacist, or other health care provider.

• If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms.