Moxaclav is a prescription co-amoxiclav medication containing a combination of Amoxicillin and Clavulanic Acid. It is used for the short-term treatment of bacterial infections. The addition of Clavulanic Acid protects Amoxicillin from degradation by beta-lactamase enzymes, extending its reach to bacteria that are otherwise resistant to penicillin. Produced by Square Pharmaceuticals PLC, it remains a first-line choice for complex infections.
What is Moxaclav Syrup Used For?
Moxaclav Syrup and Moxaclav Forte are primarily prescribed for:
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Respiratory Tract Infections: Treatment of tonsillitis, sinusitis, otitis media (middle ear infection), bronchitis, and pneumonia.
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Urinary Tract Infections (UTI): Relief from cystitis, urethritis, and pyelonephritis.
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Skin and Soft Tissue Infections: Management of cellulitis, animal bites, and dental abscesses.
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Bone and Joint Infections: Treatment of conditions like osteomyelitis.
Clinical Insight: Because it is a bactericidal agent, Moxaclav works by inhibiting the biosynthesis of the bacterial cell wall. Peer-reviewed research from StatPearls highlights that taking this medication at the start of a meal significantly improves the absorption of Clavulanate and minimizes gastrointestinal discomfort.
Dosage
Dosage is based on the severity of the infection and the weight of the patient. It is typically administered every 8 to 12 hours.
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Children (6–12 years): 10 ml (2 teaspoonfuls) of standard suspension every 8 hours.
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Children (1–6 years): 5 ml (1 teaspoonful) of standard suspension every 8 hours.
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Moxaclav Forte: For serious infections in children (2–12 years), the dose is often 5–10 ml of Forte suspension twice daily.
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Note: Always complete the full course as prescribed, even if symptoms improve.
Common Side Effects
Moxaclav is generally well-tolerated, but common side effects can include:
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Diarrhea (the most frequent event)
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Nausea and vomiting
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Indigestion or abdominal discomfort
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Candidiasis (oral or vaginal thrush)
2026 Safety Update: Rare but serious hepatic effects (hepatitis or cholestatic jaundice) have been reported. A study in the Journal of Clinical Pharmacy suggests monitoring liver function if treatment extends beyond 14 days. If you notice yellowing of the skin or eyes, contact a doctor immediately.
Important Warnings & Precautions
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Penicillin Allergy: Do not use if you have a known history of allergy to penicillin or cephalosporins.
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Finish the Course: Stopping the antibiotic early may lead to bacterial resistance and recurrence of the infection.
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Renal Impairment: Dosage must be adjusted for patients with severe kidney problems.
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Storage: Once reconstituted, the suspension must be stored in a refrigerator (2°C to 8°C) and used within 7 days.
Moxaclav vs. Fixiclav: Key Differences and Usage
While both are “clav” combinations, Moxaclav uses Amoxicillin, whereas Fixiclav uses Cefixime. Moxaclav is often preferred for skin and soft tissue infections, while Fixiclav is frequently used for more resistant typhoid or respiratory cases.
| Feature | Moxaclav (Co-Amoxiclav) | Fixiclav (Cefixime + Clav) |
| Drug Class | Beta-lactam + Inhibitor | 3rd Gen Cephalosporin + Inhibitor |
| Primary Use | ENT, Skin, & Lung Infections | Typhoid & Resistant UTIs |
| Action Mechanism | Blocks cell wall synthesis | Enhanced cell wall inhibition |
| Common Dosage | 2–3 times daily | 1–2 times daily |
| Unit Price (100ml) | ৳220.00 | ৳250.00 – ৳300.00 |
Moxaclav Price in Bangladesh (January 2026 Update)
Updated pricing for the Square Pharmaceuticals Moxaclav range:
| Product Name | Strength (per 5ml) | Unit Price (BDT) | Format |
| Moxaclav 100ml | 156.25 mg | ৳220.00 | Suspension |
| Moxaclav 60ml | 156.25 mg | ৳165.00 | Suspension |
| Moxaclav Forte 50ml | 457.5 mg | ৳230.00 | Forte Susp. |
| Moxaclav Paed. Drop | 80 mg | ৳85.00 | 15 ml Drop |
Moxaclav Alternative Brands & Prices
If Moxaclav is unavailable, the following top 10 alternatives are bioequivalent and widely available:
| Brand Name | Company Name | Price (100ml BDT) |
| Tyclav 100ml | Beximco Pharmaceuticals | ৳220.00 |
| Augment 100ml | Eskayef (SK+F) | ৳220.00 |
| Avloclav 100ml | ACI Limited | ৳220.00 |
| Clamox 100ml | Opsonin Pharma | ৳220.00 |
| Amoclav 100ml | Techno Drugs Ltd. | ৳220.00 |
| Fimoxyclav 100ml | Synovia Pharma (Sanofi) | ৳245.00 |
| Clacido 100ml | Healthcare Pharma | ৳220.00 |
| Demoxiclave 100ml | Drug International | ৳200.00 |
| Amotid CL 100ml | Biopharma Limited | ৳200.00 |
| Co-Clav 100ml | Ad-din Pharmaceuticals | ৳220.00 |
Frequently Asked Questions (FAQ) About Moxaclav
Q: What is the Moxaclav Syrup price in Bangladesh?
As of January 2026, the retail price for a 100 ml bottle is ৳220.00, while the 60 ml bottle is approximately ৳165.00.
Q: What is Moxaclav Syrup used for?
It is used for bacterial infections including ear, nose, and throat (ENT) infections, pneumonia, urinary tract infections, and skin/soft tissue infections.
Q: What are the side effects of Moxaclav?
Common side effects include diarrhea, nausea, vomiting, and skin rashes. It can also lead to oral thrush due to the disruption of natural bacteria.
Q: Is Moxaclav safe during pregnancy?
Animal studies show no teratogenic effects, and it has been used in human pregnancy without known harm. However, it should only be used if essential and prescribed by a doctor. You can check the MSF Medical Guidelines for more safety data
Q: What is the recommended Moxaclav dose for children?
The dose is usually 25 mg/kg/day to 45 mg/kg/day based on weight, divided into two or three doses. Always follow your pediatrician’s specific chart.
Q: Can I use Moxaclav for a cold or flu?
No. Moxaclav is an antibiotic and only works against bacterial infections. It will not treat viral infections like the common cold or influenza.
Q: How should I store Moxaclav after mixing?
Once you add water (reconstitution), you must store it in the refrigerator and discard any unused portion after 7 days.
Q: Does Moxaclav cause tooth staining?
In very rare cases, superficial tooth discoloration has been reported in children, which can usually be removed by brushing.
Q: Are there alternatives to Moxaclav in Bangladesh?
Yes, high-quality alternatives include Tyclav, Augment, and Clamox, most of which are priced around ৳220.00 for 100ml.
Disclaimer: This is educational information only (updated January 2026). Antibiotics should only be taken under the supervision of a licensed physician. Misuse leads to antibiotic resistance.
