Which is better absorbed, ampicillin or amoxicillin?

Prepare for the Antibacterials (ABX) Exam. Study with flashcards and multiple-choice questions, each question comes with hints and explanations. Get ready to ace your test!

Multiple Choice

Which is better absorbed, ampicillin or amoxicillin?

Explanation:
Absorption hinges on how well a drug stays intact in the stomach and how much actually enters the bloodstream after swallowing. Amoxicillin wins here because it is more acid-stable and has higher oral bioavailability than ampicillin. In practical terms, amoxicillin typically achieves about 75–90% of the dose in the systemic circulation when given orally, while ampicillin is in the roughly 40–50% range. That means amoxicillin reaches therapeutic levels more reliably through oral dosing. If you’re giving the antibiotic by mouth, amoxicillin is the better choice for absorption; if you use IV or IM routes, absorption differences don’t apply.

Absorption hinges on how well a drug stays intact in the stomach and how much actually enters the bloodstream after swallowing. Amoxicillin wins here because it is more acid-stable and has higher oral bioavailability than ampicillin. In practical terms, amoxicillin typically achieves about 75–90% of the dose in the systemic circulation when given orally, while ampicillin is in the roughly 40–50% range. That means amoxicillin reaches therapeutic levels more reliably through oral dosing. If you’re giving the antibiotic by mouth, amoxicillin is the better choice for absorption; if you use IV or IM routes, absorption differences don’t apply.

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