Amoxicillin
Prescription ·Exploratory record · not publication-reviewed ·Updated July 13, 2026
A broad-spectrum penicillin antibiotic used to treat a wide variety of bacterial infections including otitis media, sinusitis, pharyngitis, lower respiratory tract infections, urinary tract infections, and H. pylori eradication (in combination). It is one of the most commonly prescribed antibiotics worldwide due to its favorable safety profile and efficacy against many gram-positive and some gram-negative organisms.
Exploratory record, not a reviewed medical publication.
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What the research says.
A quick, data-only summary. The full evidence, dosing, and sources are below.
A broad-spectrum penicillin antibiotic used to treat a wide variety of bacterial infections including otitis media, sinusitis, pharyngitis, lower respiratory tract infections, urinary tract infections, and H. NutriStack rates the supporting evidence as strong. Common adult dosing is 250-500 mg every 8 hours or 500-875 mg every 12 hours; high-dose 1000 mg TID for resistant organisms (as prescribed by your physician), though a prescriber sets the actual dose. With long-term use it can deplete vitamin k. This profile indexes 10 sources.
The bottom line
Evidence rating strong. Most-documented uses: treats streptococcal pharyngitis (strep throat), treats acute otitis media, treats acute bacterial sinusitis. 10 sources indexed (1998–2024), with 0 interaction records on file.
How it works, mechanistically.
Core mechanism
Inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs), which are transpeptidases essential for cross-linking peptidoglycan in the bacterial cell wall. This prevents the final transpeptidation step, weakening the cell wall and leading to osmotic lysis and bacterial death. Amoxicillin is bactericidal and effective against actively dividing organisms.9
Dosing & protocol.
Well absorbed orally (~90% bioavailability) regardless of food. Can be taken with or without food; food does not significantly affect absorption.5
What it depletes.
Nutrients this medication can lower over time, and what to replace.
Vitamin K
MildBroad-spectrum antibiotic exposure can suppress gut bacteria that synthesize menaquinones, lowering vitamin K availability in susceptible patients.
Full safety detail.
Side effects
- Diarrhea
- Nausea and vomiting
- Skin rash (maculopapular, especially with EBV infection)
- Allergic reactions (urticaria, anaphylaxis in penicillin-allergic patients)
- Vaginal candidiasis
- Clostridioides difficile-associated diarrhea
Sources, by evidence tier.
Numbered references. Citations throughout the page link here.
Meta-analyses & systematic reviews
6- 1Adjunctive effect of systemic antimicrobials in periodontitis therapy: A systematic review and meta-analysis.PMIDTeughels W, Feres M, Oud V et al. · Journal of Clinical Periodontology · 2020
Systematic review found amoxicillin (often combined with metronidazole) as adjunctive therapy significantly improved periodontal treatment outcomes including probing depth reduction and clinical attachment gain compared to scaling alone.
- 2Prevalence of Antibiotic Resistance in Helicobacter pylori: A Systematic Review and Meta-analysis in World Health Organization Regions.PMIDSavoldi A, Carrara E, Graham DY et al. · Gastroenterology · 2018
Systematic review across WHO regions found amoxicillin resistance in H. pylori was relatively low (overall ~12%) compared to clarithromycin and metronidazole, supporting its continued use in first-line eradication regimens.
- 3A meta-analysis of short versus long therapy with a proton pump inhibitor, clarithromycin and either metronidazole or amoxycillin for treating Helicobacter pylori infectionPMIDCalvet X, García N, López T et al. · Alimentary pharmacology & therapeutics · 2000
Calvet X, García N, López T et al.. A meta-analysis of short versus long therapy with a proton pump inhibitor, clarithromycin and either metronidazole or amoxycillin for treating Helicobacter pylori infection. Alimentary pharmacology & therapeutics. 2000
- 4Proton pump inhibitor, clarithromycin and either amoxycillin or nitroimidazole: a meta-analysis of eradication of Helicobacter pyloriPMIDGisbert JP, González L, Calvet X et al. · Alimentary pharmacology & therapeutics · 2000
Gisbert JP, González L, Calvet X et al.. Proton pump inhibitor, clarithromycin and either amoxycillin or nitroimidazole: a meta-analysis of eradication of Helicobacter pylori. Alimentary pharmacology & therapeutics. 2000
- 5The importance of clarithromycin dose in the management of Helicobacter pylori infection: a meta-analysis of triple therapies with a proton pump inhibitor, clarithromycin and amoxycillin or metronidazolePMIDHuang J, Hunt RH · Alimentary pharmacology & therapeutics · 1999
Huang J, Hunt RH. The importance of clarithromycin dose in the management of Helicobacter pylori infection: a meta-analysis of triple therapies with a proton pump inhibitor, clarithromycin and amoxycillin or metronidazole. Alimentary pharmacology & therapeutics. 1999
- 6Are amoxycillin and folate inhibitors as effective as other antibiotics for acute sinusitis? A meta-analysisPMIDde Ferranti SD, Ioannidis JP, Lau J et al. · BMJ (Clinical research ed.) · 1998
de Ferranti SD, Ioannidis JP, Lau J et al.. Are amoxycillin and folate inhibitors as effective as other antibiotics for acute sinusitis? A meta-analysis. BMJ (Clinical research ed.). 1998
Randomized controlled trials
1- 7Effects of clindamycin and amoxycillin as prophylaxis against early implant failure: double-blinded randomized clinical trialPMIDPradillo-Gallego D, Manzano-Moreno FJ, Ocaña-Peinado FM et al. · Clinical oral investigations · 2024
Pradillo-Gallego D, Manzano-Moreno FJ, Ocaña-Peinado FM et al.. Effects of clindamycin and amoxycillin as prophylaxis against early implant failure: double-blinded randomized clinical trial. Clinical oral investigations. 2024
Reference material
3- 8Shulman ST et al. Clinical practice guideline for the diagnosis and management of group A streptococcal pharyngitis. Clin Infect Dis. 2012.Source linkedPMID
- 9Chow AW et al. IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults. Clin Infect Dis. 2012.Source linkedPMID
- 10Lieberthal AS et al. The diagnosis and management of acute otitis media. Pediatrics. 2013.Source linkedPMID
Common questions.
Quick answers about Amoxicillin, drawn from the data on this page.
What is Amoxicillin?
A broad-spectrum penicillin antibiotic used to treat a wide variety of bacterial infections including otitis media, sinusitis, pharyngitis, lower respiratory tract infections, urinary tract infections, and H. pylori eradication (in combination). It is one of the most commonly prescribed antibiotics worldwide due to its favorable safety profile and efficacy against many gram-positive and some gram-negative organisms.
What is Amoxicillin used for?
Commonly cited benefits of Amoxicillin include: Treats streptococcal pharyngitis (strep throat); Treats acute otitis media; Treats acute bacterial sinusitis; Treats community-acquired pneumonia; H. pylori eradication (combination therapy). NutriStack rates the overall evidence as strong.
What is a typical dose of Amoxicillin?
A typical adult dose of Amoxicillin is 250-500 mg every 8 hours or 500-875 mg every 12 hours; high-dose 1000 mg TID for resistant organisms (as prescribed by your physician). The commonly recommended form is Oral capsules, tablets, or suspension. These are general ranges, not personalized advice; confirm the right dose with a clinician.
What are the side effects of Amoxicillin?
Reported side effects include diarrhea, nausea and vomiting, skin rash (maculopapular, especially with ebv infection), allergic reactions (urticaria, anaphylaxis in penicillin-allergic patients), vaginal candidiasis, clostridioides difficile-associated diarrhea. This is educational information; check with a healthcare professional before use.
How strong is the evidence for Amoxicillin?
NutriStack rates this as Strong, meaning multiple high-quality meta-analyses or systematic reviews converge on the same finding. Full tier criteria are at https://nutristackapp.com/methodology/evidence-tiers.
Use this with your stack
Amoxicillin in NutriStack.
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