Amoxicillin 500mg (Amoxycillin Trihydrate) -generic

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NOVAMOX is the international generic and equivalent of Amoxicillin

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Amoxicillin  500mg  (Amoxycillin Trihydrate) -generic


What is Generic Amoxicillin (Amoxicillin)?
Generic Amoxicillin (Amoxicillin) is an antibiotic in the penicillin group of drugs. It fights bacteria in your body.Generic Amoxicillin (Amoxicillin) is used to treat many different types of infections caused by bacteria, such as ear infections, bladder infections, pneumonia, gonorrhea, and E. coli or salmonella infection. Generic Amoxicillin (Amoxicillin) is also sometimes used together with another antibiotic called clarithromycin (Biaxin) to treat stomach ulcers caused by Helicobacter pylori infection. This combination is sometimes used with a stomach acid reducer called lansoprazole (Prevacid).Generic Amoxicillin (Amoxicillin) may also be used for other purposes not listed in this medication guide.


Important information about Generic Amoxicillin (Amoxicillin)
Do not use this medication if you are allergic to Generic Amoxicillin (Amoxicillin) or to any other penicillin antibiotic, such as ampicillin (Omnipen, Principen), dicloxacillin (Dycill, Dynapen), oxacillin (Bactocill), penicillin (Beepen-VK, Ledercillin VK, Pen-V, Pen-Vee K, Pfizerpen, V-Cillin K, Veetids), and others.Before using Generic Amoxicillin (Amoxicillin), tell your doctor if you are allergic to cephalosporins such as Ceclor, Ceftin, Duricef, Keflex, and others. Also tell your doctor if you have asthma, liver or kidney disease, a bleeding or blood clotting disorder, mononucleosis (also called "mono"), or any type of allergy.Generic Amoxicillin (Amoxicillin) can make birth control pills less effective, which may result in pregnancy. Before taking Generic Amoxicillin (Amoxicillin), tell your doctor if you use birth control pills. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Generic Amoxicillin (Amoxicillin) will not treat a viral infection such as the common cold or flu. Do not give this medication to another person, even if they have the same symptoms you do.Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.


Before taking Generic Amoxicillin (Amoxicillin)
Do not use this medication if you are allergic to Generic Amoxicillin (Amoxicillin) or to any other penicillin antibiotic, such as:ampicillin (Omnipen, Principen);dicloxacillin (Dycill, Dynapen);oxacillin (Bactocill); orpenicillin (Beepen-VK, Ledercillin VK, Pen-V, Pen-Vee K, Pfizerpen, V-Cillin K, Veetids, and others).Before using Generic Amoxicillin (Amoxicillin), tell your doctor if you are allergic to any drugs (especially cephalosporins such as Ceclor, Ceftin, Duricef, Keflex, and others), or if you have:asthma;liver disease;kidney disease;a bleeding or blood clotting disorder;mononucleosis (also called "mono");a history of diarrhea caused by taking antibiotics; ora history of any type of allergy.If you have any of these conditions, you may need a dose adjustment or special tests to safely take Generic Amoxicillin (Amoxicillin).FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Generic Amoxicillin (Amoxicillin) can make birth control pills less effective, which may result in pregnancy. Before taking Generic Amoxicillin (Amoxicillin), tell your doctor if you use birth control pills. Generic Amoxicillin (Amoxicillin) can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.The Generic Amoxicillin (Amoxicillin) chewable tablet may contain phenylalanine. Talk to your doctor before using this form of Generic Amoxicillin (Amoxicillin) if you have phenylketonuria (PKU).


How should I take Generic Amoxicillin (Amoxicillin)?
Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.If you are taking Generic Amoxicillin (Amoxicillin) with clarithromycin and/or lansoprazole to treat stomach ulcer, use all of your medications as directed. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor.You may take Generic Amoxicillin (Amoxicillin) with or without food.Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose, measure the liquid with a marked measuring spoon or medicine cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.You may place the liquid directly on the tongue, or you may mix it with water, milk, baby formula, fruit juice, or ginger ale. Drink all of the mixture right away. Do not save any for later use.The chewable tablet should be chewed before you swallow it.Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time.To be sure this medication is helping your condition, your blood may need to be tested. Your kidney or liver function may also need to be tested. Do not miss any scheduled visits to your doctor.If you are being treated for gonorrhea, your doctor may also have you tested for syphilis, another sexually transmitted disease.Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the infection is completely treated. Generic Amoxicillin (Amoxicillin) will not treat a viral infection such as the common cold or flu. Do not give Generic Amoxicillin (Amoxicillin) to another person, even if they have the same symptoms you do.This medication can cause you to have unusual results with certain medical tests. Tell any doctor who treats you that you are using Generic Amoxicillin (Amoxicillin).


Store Generic Amoxicillin (Amoxicillin) at room temperature away from moisture, heat, and light. You may store liquid Generic Amoxicillin (Amoxicillin) in a refrigerator but do not allow it to freeze. Throw away any liquid Generic Amoxicillin (Amoxicillin) that is not used within 14 days after it was mixed at the pharmacy.


What happens if I miss a dose?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.


What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.Overdose symptoms may include confusion, behavior changes, a severe skin rash, urinating less than usual, or seizure (black-out or convulsions).


What should I avoid while taking Generic Amoxicillin (Amoxicillin)?
Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.


Side effects of  Generic Amoxicillin (Amoxicillin) 
Get emergency medical help if you have any of these signs of an allergic reaction to Generic Amoxicillin (Amoxicillin): hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:fever, sore throat, and headache with a severe blistering, peeling, and red skin rash;nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);diarrhea that is watery or bloody;fever, chills, body aches, flu symptoms;easy bruising or bleeding, unusual weakness;urinating less than usual or not at all;agitation, confusion, unusual thoughts or behavior; orseizure (black-out or convulsions).


Less serious side effects of Generic Amoxicillin (Amoxicillin)  are more likely to occur, such as:nausea, vomiting, stomach pain;vaginal itching or discharge;headache;swollen, black, or "hairy" tongue; orthrush (white patches inside your mouth or throat).
What other drugs will affect Generic Amoxicillin (Amoxicillin)?
Before taking Generic Amoxicillin (Amoxicillin), tell your doctor if you are using any of the following drugs:methotrexate (Rheumatrex, Trexall);probenecid (Benemid);a sulfa drug (such as Bactrim or Septra);an antibiotic such as azithromycin (Zithromax), clarithromycin (Biaxin), erythromycin (E.E.S., E-Mycin, Ery-Tab, Erythrocin), or telithromycin (Ketek); ora tetracycline antibiotic such as demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).This list is not complete and there may be other drugs that can interact with Generic Amoxicillin (Amoxicillin). Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.


Generic Name Amoxycillin Trihydrate
Search Name Amoxicillin Generic 500mg Cap
Supply Name NOVAMOX
Brand Generic GENERIC
Presentation Foil in Pharmacy Box
Dosage Cap
USA Brand Amoxicillin
Manufacture Cipla Limited
Strength 500mg
Search Terms Amoxicillin ,NOVAMOX ,Amoxycillin Trihydrate
Origin India

Use spaces to separate tags. Use single quotes (') for phrases.

FOR THE CONSUMER

Along with its needed effects, amoxicillin may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking amoxicillin:

Incidence not known:
-Abdominal or stomach cramps or tenderness
-back, leg, or stomach pains
-black, tarry stools
-bleeding gums
-blistering, peeling, or loosening of the skin
-bloating
-blood in the urine
-bloody nose
-chest pain
-chills
-clay-colored stools
-cough
-dark urine
-diarrhea
-diarrhea, watery and severe, which may also be bloody
-difficulty with breathing
-difficulty with swallowing
-dizziness
-fast heartbeat
-feeling of discomfort
-fever
-general body swelling
-headache
-heavier menstrual periods
-hives or welts
-increased thirst
-inflammation of the joints
-itching
-joint or muscle pain
-loss of appetite
-muscle aches
-nausea or vomiting
-nosebleeds
-pain
-pain in the lower back
-pain or burning while urinating
-painful or difficult urination
-pale skin
-pinpoint red spots on the skin
-puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
-rash
-red, irritated eyes
-redness, soreness, or itching skin
-shortness of breath
-sore throat
-sores, ulcers, or white spots in the mouth or on the lips
-sores, welting, or blisters
-sudden decrease in the amount of urine
-swollen, lymph glands
-tenderness
-tightness in the chest
-unpleasant breath odor
-unusual bleeding or bruising
-unusual tiredness or weakness
-unusual weight loss
-vomiting of blood
-watery or bloody diarrhea
-wheezing
-yellow eyes or skin

Some side effects of amoxicillin may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common:
-Bad, unusual, or unpleasant (after) taste
-change in taste

Incidence not known:
-Agitation
-black, hairy tongue
-changes in behavior
-confusion
-convulsions
-discoloration of the tooth (brown, yellow, or gray staining)
-dizziness
-sleeplessness
-trouble with sleeping
-unable to sleep
-white patches in the mouth or throat or on the tongue
-white patches with diaper rash
USUAL ADULT DOSE FOR ACTINOMYCOSIS
500 mg orally 3 times a day or 875 mg orally twice a day for six months
Initial treatment of actinomycosis should include high dose parenteral penicillin G or ampicillin for 4 to 6 weeks, followed by appropriate oral therapy.

USUAL ADULT DOSE FOR ANTHRAX PROPHYLAXIS
500 mg orally every 8 hours
Oral amoxicillin is not considered first-line treatment for anthrax prophylaxis; it may, however, be used to complete a 60-day prophylactic course after 10 to 14 days of ciprofloxacin or doxycycline in pregnant or lactating patients or in patients with contraindications to the other two agents. The total duration of antimicrobial therapy is 60 days.

USUAL ADULT DOSE FOR CUTANEOUS BACILLUS ANTHRACIS
Treatment for confirmed cases of cutaneous Bacillus anthracis infection: 500 mg orally three times a day
Oral amoxicillin is not considered first-line treatment for the treatment of cutaneous anthrax; it may, however, be used to complete the treatment course once clinical response to ciprofloxacin or doxycycline has been observed or if the patient has contraindications to the other two agents. The total duration of antimicrobial therapy is 60 days.

USUAL ADULT DOSE FOR BACTERIAL ENDOCARDITIS PROPHYLAXIS
2 g orally given one hour prior to the procedure
Amoxicillin is considered the standard agent for prophylaxis against bacterial endocarditis in at-risk individuals undergoing certain dental, oral, respiratory tract or esophageal procedures.
Amoxicillin is not appropriate as endocarditis prophylaxis for patients identified as high-risk, including those with prosthetic heart valves, prior endocarditis, and those who have had surgically constructed systemic shunts or conduits. These patients should receive appropriate parenteral antimicrobial therapy.

USUAL ADULT DOSE FOR CHLAMYDIA INFECTION
500 mg orally 3 times a day for 7 days in pregnant patients as an alternative to erythromycin in macrolide-sensitive individuals
Amoxicillin does not have reliable activity against Chlamydia trachomatis.

USUAL ADULT DOSE FOR CYSTITIS
250 to 500 mg orally 3 times a day for 3 to 7 days; alternatively, 500 to 875 mg orally twice a day may be administered

USUAL ADULT DOSE FOR URINARY TRACT INFECTION
250 to 500 mg orally 3 times a day for 3 to 7 days; alternatively, 500 to 875 mg orally twice a day may be administered

USUAL ADULT DOSE FOR HELICOBACTER PYLORI INFECTION
1 g orally 2 to 3 times a day for 14 days
Amoxicillin is used in combination with metronidazole and bismuth subsalicylate or with clarithromycin and a proton-pump inhibitor such as omeprazole or lansoprazole.

USUAL ADULT DOSE FOR LYME DISEASE-ARTHRITIS
500 mg orally 3 times a day for 14 to 30 days
Early Lyme disease is often treated with an oral antibiotic such as doxycycline, cefuroxime or azithromycin, all of which are active against Borrelia burgdorferi. If amoxicillin is used, clinicians may wish to add probenecid, although the benefit of this addition is uncertain.
Up to 15% of patients with Lyme disease experience the Jarisch-Herxheimer reaction (increased fever, increased flushing rash, and increased pain) during the first 24 hours of therapy. This reaction is self-limiting, does not necessarily reflect true allergy to amoxicillin, and may be reduced in intensity by premedication with aspirin and/or prednisone.

USUAL ADULT DOSE FOR LYME DISEASE-CARDITIS
500 mg orally 3 times a day for 14 to 30 days
Early Lyme disease is often treated with an oral antibiotic such as doxycycline, cefuroxime or azithromycin, all of which are active against Borrelia burgdorferi. If amoxicillin is used, clinicians may wish to add probenecid, although the benefit of this addition is uncertain.
Up to 15% of patients with Lyme disease experience the Jarisch-Herxheimer reaction (increased fever, increased flushing rash, and increased pain) during the first 24 hours of therapy. This reaction is self-limiting, does not necessarily reflect true allergy to amoxicillin, and may be reduced in intensity by premedication with aspirin and/or prednisone.

USUAL ADULT DOSE FOR LYME DISEASE-ERYTHEMA CHRONICUM MIGRANS
500 mg orally 3 times a day for 14 to 30 days
Early Lyme disease is often treated with an oral antibiotic such as doxycycline, cefuroxime or azithromycin, all of which are active against Borrelia burgdorferi. If amoxicillin is used, clinicians may wish to add probenecid, although the benefit of this addition is uncertain.
Up to 15% of patients with Lyme disease experience the Jarisch-Herxheimer reaction (increased fever, increased flushing rash, and increased pain) during the first 24 hours of therapy. This reaction is self-limiting, does not necessarily reflect true allergy to amoxicillin, and may be reduced in intensity by premedication with aspirin and/or prednisone.

USUAL ADULT DOSE FOR LYME DISEASE-NEUROLOGIC
500 mg orally 3 times a day for 14 to 30 days
Early Lyme disease is often treated with an oral antibiotic such as doxycycline, cefuroxime or azithromycin, all of which are active against Borrelia burgdorferi. If amoxicillin is used, clinicians may wish to add probenecid, although the benefit of this addition is uncertain.
Up to 15% of patients with Lyme disease experience the Jarisch-Herxheimer reaction (increased fever, increased flushing rash, and increased pain) during the first 24 hours of therapy. This reaction is self-limiting, does not necessarily reflect true allergy to amoxicillin, and may be reduced in intensity by premedication with aspirin and/or prednisone.

USUAL ADULT DOSE FOR OTITIS MEDIA
250 to 500 mg orally 3 times a day for 10 to 14 days; alternatively, 500 to 875 mg orally twice a day may be administered

USUAL ADULT DOSE FOR PNEUMONIA
500 mg orally 3 times a day or 875 mg orally twice a day may be administered for 7 to 10 days if pneumococcal pneumonia is suspected
Only mild pneumonia due to pneumococcus should be treated with amoxicillin.

USUAL ADULT DOSE FOR SINUSITIS
250 to 500 mg orally 3 times a day for 10 to 14 days; alternatively, 500 to 875 mg orally twice a day may be administered
Longer courses of therapy, up to 3 or 4 weeks, may be required in refractory or recurrent cases.

USUAL ADULT DOSE FOR SKIN OR SOFT TISSUE INFECTION
250 to 500 mg orally 3 times a day for 7 to 10 days; alternatively, 500 to 875 mg orally twice a day may be administered

USUAL ADULT DOSE FOR UPPER RESPIRATORY TRACT INFECTION
250 to 500 mg orally 3 times a day for 7 to 10 days; alternatively, 500 to 875 mg orally twice a day may be administered

USUAL ADULT DOSE FOR BRONCHITIS
250 to 500 mg orally 3 times a day for 7 to 10 days; alternatively, 500 to 875 mg orally twice a day may be administered

USUAL ADULT DOSE FOR TONSILLITIS/PHARYNGITIS
Immediate-release: 250 to 500 mg orally 3 times a day for 7 to 10 days; alternatively, 500 to 875 mg orally twice a day may be administered
Extended-release: 775 mg orally once a day within 1 hour after a meal for 10 days; for infections secondary to Streptococcus pyogenes

USUAL ADULT DOSE FOR BACTERIAL INFECTION
250 to 500 mg orally 3 times a day for 7 to 21 days; alternatively, 500 to 875 mg orally twice a day may be administered

USUAL PEDIATRIC DOSE FOR BACTERIAL ENDOCARDITIS PROPHYLAXIS
50 mg/kg orally as a single dose 1 hour prior to procedure
Amoxicillin is not appropriate as endocarditis prophylaxis for patients identified as high-risk, including those with prosthetic heart valves, prior endocarditis, and those who have had surgically constructed systemic shunts or conduits. These patients should receive appropriate parenteral antimicrobial therapy.

USUAL PEDIATRIC DOSE FOR ANTHRAX PROPHYLAXIS
80 mg/kg/day divided into equal doses administered orally every 8 hours
Maximum dose: 500 mg/dose
Oral amoxicillin is not considered first-line treatment for anthrax prophylaxis; it may, however, be used to complete a 60-day prophylactic course after 10 to 14 days of ciprofloxacin or doxycycline in pediatric patients. The total duration of antimicrobial therapy is 60 days.

USUAL PEDIATRIC DOSE FOR CUTANEOUS BACILLUS ANTHRACIS
Treatment for confirmed cases of cutaneous Bacillus anthracis infection: 80 mg/kg/day divided into equal doses administered orally every 8 hours
Maximum dose: 500 mg/dose
Oral amoxicillin is not considered first-line treatment for the treatment of cutaneous anthrax; it may, however, be used to complete the treatment course once clinical response to ciprofloxacin or doxycycline has been observed. The total duration of antimicrobial therapy is 60 days.

USUAL PEDIATRIC DOSE FOR OTITIS MEDIA
4 weeks to 3 months: 20 to 30 mg/kg/day in divided doses every 12 hours
4 months to 12 years: 20 to 50 mg/kg/day in divided doses every 8 to 12 hours; acute otitis media due to highly resistant strains of Streptococcus pneumonia may require doses of 80 to 90 mg/kg/day orally divided into 2 equal doses 12 hours apart

USUAL PEDIATRIC DOSE FOR SKIN OR SOFT TISSUE INFECTION
4 weeks to 3 months: 20 to 30 mg/kg/day in divided doses every 12 hours
4 months to 12 years: 20 to 50 mg/kg/day in divided doses every 8 to 12 hours; acute otitis media due to highly resistant strains of Streptococcus pneumonia may require doses of 80 to 90 mg/kg/day orally divided into 2 equal doses 12 hours apart

USUAL PEDIATRIC DOSE FOR URINARY TRACT INFECTION
4 weeks to 3 months: 20 to 30 mg/kg/day in divided doses every 12 hours
4 months to 12 years: 20 to 50 mg/kg/day in divided doses every 8 to 12 hours; acute otitis media due to highly resistant strains of Streptococcus pneumonia may require doses of 80 to 90 mg/kg/day orally divided into 2 equal doses 12 hours apart

USUAL PEDIATRIC DOSE FOR PNEUMONIA
40 to 50 mg/kg/day orally in divided doses every 8 hours

USUAL PEDIATRIC DOSE FOR TONSILLITIS/PHARYNGITIS
4 weeks to 3 months: 20 to 30 mg/kg/day in divided doses every 12 hours
4 months to 12 years: 20 to 50 mg/kg/day in divided doses every 8 to 12 hour
12 years or older:
Immediate-release: 250 to 500 mg orally 3 times a day for 7 to 10 days; alternatively, 500 to 875 mg orally twice a day may be administered
Extended-release: 775 mg orally once a day within 1 hour after a meal for 10 days; for infections secondary to S pyogenes

RENAL DOSE ADJUSTMENTS
CrCl 10 to 30 mL/min: 250 to 500 mg orally every 12 hours
CrCl 9 mL/min or less: 250 to 500 mg orally every 24 hours
The 875 mg tablets and the 775 mg extended-release tablets should not be given to patients with CrCl less than 30 mL/min.

PRECAUTIONS
The drug should be discontinued immediately at the first appearance of a skin rash or other signs of hypersensitivity.
Clostridium difficile associated diarrhea (CDAD) has been reported with almost all antibiotics and may potentially be life-threatening. Therefore, it is important to consider this diagnosis in patients who present with diarrhea following amoxicillin therapy. Mild cases generally improve with discontinuation of the drug, while severe cases may require supportive therapy and treatment with an antimicrobial agent effective against C difficile. Hypertoxin producing strains of C difficile cause increased morbidity and mortality; these infections can be resistant to antimicrobial treatment and may necessitate colectomy.
Dose reductions are recommended in patients with severe renal impairment. It may be advisable to monitor renal function in elderly patients.
Periodic monitoring of renal, hepatic, and hematologic function is recommended in all patients during prolonged therapy.
Patients with phenylketonuria should be aware that amoxicillin chewable tablets contain phenylalanine (1.82 mg/200 mg tablet and 3.64 mg/400 mg tablet). The 200 and 400 mg tablets for oral suspension contain 5.6 mg phenylalanine per tablet.
The immediate-release formulations should not be substituted for the extended-release tablets.
Amoxicillin is not effective for the treatment of syphilis, although it may mask or delay its symptoms when used to treat gonorrhea. All gonorrhea patients should undergo serologic testing for syphilis at the time of diagnosis and 3 months after treatment.
The safety and efficacy of the extended-release tablets have not been established in patients less than 12 years of age.

DIALYSIS
Adults, conventional hemodialysis: 250 to 500 mg every 24 hours with supplemental doses during and after a hemodialysis session
The 775 mg extended-release tablets are not recommended for patients on hemodialysis.

OTHER COMMENTS
At least 10 days of therapy is recommended for infections caused by S pyogenes to prevent acute rheumatic fever.
Immediate-release amoxicillin may be given without regard to meals. The extended-release tablets should be taken within 1 hour of finishing a meal at about the same time each day.
The oral suspension may be mixed with formula, milk, fruit juice, ginger ale, or cold drinks, and should be taken immediately after mixing.
The suspension should be discarded 14 days after reconstitution.
The tablets for oral suspension should not be chewed or swallowed whole. The dispersible tablets for oral suspension should be mixed with 2 teaspoonfuls of water, the patient should drink the entire mixture, then a small amount of water should be used to rinse the container, and the patient should drink this also. The extended-release tablets should not be chewed or crushed.