Key takeaways:
Amoxicillin (Amoxil) is a prescription antibiotic commonly used to treat bacterial infections of the ears, skin, and more. It comes as a capsule, tablet, and oral suspension.
Most kids and adults taking amoxicillin take one dose 2 or 3 times per day for 5 to 10 days at a time. But if you have kidney problems, you may need to take a lower dose or take it less often.
Amoxicillin is available as a lower-cost generic. GoodRx can help you save over 65% off the average retail price at certain pharmacies.
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Amoxicillin (Amoxil) is a prescription antibiotic that treats bacterial infections in many parts of your body. Often known for its taste and bright pink color, it belongs to a class of medications called penicillin antibiotics.
This commonly used medication is available as a brand-name product. But it also comes as a lower-cost generic medication. In the U.S., amoxicillin comes as a capsule, tablet, and oral suspension (liquid). The liquid is especially handy for kids and people who have trouble swallowing pills.
Like all antibiotics, it’s important to take amoxicillin exactly as prescribed. Even if you start to feel better, you should still finish the course of medication to get the best results. Here, we’ll discuss common amoxicillin dosages and other dose-related tips to keep in mind.
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What’s the typical amoxicillin dosage for adults?
Amoxicillin dosages for adults vary depending on your infection type and how serious your symptoms are.
In most cases, you’ll take amoxicillin for 5 to 10 days at a time. This can be longer or shorter depending on your situation. However, always make sure to finish all of your prescribed doses, even if you start to feel better. This helps make sure that the infection is fully cleared from your body.
| Infection type | Adult amoxicillin dosage |
|---|---|
Mild or moderate:
|
500 mg every 12 hours or 250 mg every 8 hours |
Severe:
|
875 mg every 12 hours or 500 mg every 8 hours |
| Helicobacter pylori infection (amoxicillin is combined with one or two other medications) | “Triple” therapy (preferred): 1,000 mg amoxicillin, 500 mg clarithromycin, and 30 mg lansoprazole taken every 12 hours for 14 days “Dual” therapy: 1,000 mg amoxicillin and 30 mg lansoprazole taken every 8 hours for 14 days |
Note: These are typical amoxicillin dosages. Your healthcare professional may prescribe a different dose. You should defer to their recommendations and reach out to them with questions or concerns.
What’s the typical amoxicillin dosage for children?
Amoxicillin dosages for kids are often based on body weight. Children that weigh 40 kg (88 lbs) or more generally receive the adult dose. But kids that weigh less than 40 kg receive smaller, more personalized doses.
Like adults, amoxicillin courses in kids tend to last 5 to 10 days. It's important for your child to keep taking amoxicillin for the entire time recommended by their pediatrician — even if they start feeling better.
| Infection type | Amoxicillin dosages in kids weighing less than 40 kg (and older than 3 months) |
|---|---|
Mild or moderate:
|
25 mg/kg per day in divided doses every 12 hours or 20 mg/kg per day in divided doses every 8 hours |
Severe:
|
45 mg/kg per day in divided doses every 12 hours or 40 mg/kg per day in divided doses every 8 hours |
If your child is younger than 3 months old, they generally shouldn’t receive more than 30 mg per kilogram of body weight of amoxicillin per day. For instance, if they weigh 5 kg (11 lbs), they shouldn’t receive more than 150 mg in a 24-hour period. Their pediatrician will calculate this dose for them.
Are there any dosage adjustments for medical conditions?
Yes, in some cases.
Dosage adjustments are recommended if you or a loved one have severe kidney problems. This is because amoxicillin leaves your body through your kidneys. If your kidneys aren’t working properly, this may cause amoxicillin to build up in your body. This can lead to unwanted side effects.
Dosage for people with kidney problems
If you have mild to moderate kidney problems, you most likely won’t need an amoxicillin dosage adjustment.
If your kidney problems are considered severe, you’ll take a lower amoxicillin dosage. Your dose will likely be based on your estimated glomerular filtration rate (eGFR). Your eGFR is a laboratory measurement of your kidneys’ ability to filter your blood effectively. Your healthcare professional will determine your eGFR for you.
Affording your antibiotic: Learn how much you can expect to pay for amoxicillin without insurance.
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Feeling under the weather? Explore one pharmacist’s breakdown of amoxicillin side effects, such as nausea, vomiting, and diarrhea, and how to manage them.
Kidney function (eGFR) | Recommended amoxicillin dose |
Greater than 30 mL/min | No dosage adjustment needed |
Between 10-30 mL/min | 250-500 mg every 12 hours |
Less than 10 mL/min | 250-500 mg every 24 hours |
People receiving hemodialysis | 250-500 mg every 24 hours |
Keep in mind: If you’re receiving dialysis, you may require additional doses. Your kidney specialist will determine your dosing schedule for you.
What happens if you miss a dose of amoxicillin?
Missing amoxicillin doses may make your treatment less effective. If you miss a dose, take it as soon as you remember. But if it’s close to the time of your next amoxicillin dose, skip the missed dose and take the next one as scheduled.
You should continue to take your amoxicillin as prescribed until you finish all of your medication.
What should you do if you take too much amoxicillin?
Amoxicillin side effects, such as diarrhea, nausea, and vomiting, can happen at regular doses. These side effects may become worse if you take too much. Your healthcare professional can offer tips on how to manage these side effects.
It’s less common, but more severe consequences are also possible. Some reported cases of amoxicillin overdose have led to kidney injury or failure. This is more likely to happen if you already have kidney problems — this can cause the medication to build up in your system. Kidney damage is usually reversible when the medication is stopped.
As a precaution, you should contact your prescriber right away if you think you or your child took too much amoxicillin. They can help you walk through the situation. They may tell you to stop taking amoxicillin and/or offer other supportive measures addressed at your symptoms. You could also contact Poison Control online or by phone at 1-800-222-1222 for guidance.
However, if your symptoms feel severe, you should call 911 or go to the nearest ER right away.
How to save on amoxicillin
There are ways to save on amoxicillin, which is available as both a brand-name and generic medication. GoodRx can help you save over 65% off the average retail price of the generic version. Generic amoxicillin’s price at certain pharmacies is as low as $8.10 for 21 capsules of the 500 mg dose with a free GoodRx discount. You can find a 100 mL bottle of the 400mg/5 mL oral suspension for as low as $8.80 with a free GoodRx discount.
The bottom line
Amoxicillin (Amoxil) is a prescription antibiotic that treats bacterial infections in many parts of your body. It comes as an oral tablet, capsule, and liquid suspension. It’s common for both children and adults to take one dose of amoxicillin 2 or 3 times per day for 5 to 10 days. If you have kidney problems, you may need to take a lower dose of amoxicillin or take it less often. Your healthcare professional can help determine which dose is best for you.
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References
Akhavan, B., et al. (2023). Amoxicillin. StatPearls.
Aurobindo Pharma Limited. (2024). Amoxicillin [package insert].
Chow, A., et al. (2012). IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clinical Infectious Diseases.
National Kidney Foundation. (n.d.). Dialysis.
National Kidney Foundation. (n.d.). Estimated glomerular filtration rate (eGFR).
Stevens, D., et al. (2014). Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clinical Infectious Diseases.
