When Augmentin is in liquid form, as it usually is for children, it can spoil very rapidly, which could cause serious illness to the child. The pharmacist mixes the powder form of the med with distilled water, which is sort of like 'reconstituting it'. Thus, the now liquid form of this med will spoil quite rapidly if not refrigerated. Just as in powdered milk, you don't have to refrigerate it until it is mixed with water.
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When prescribed Augmentin, it needs to be refrigerated to stay stable and fresh. It should last approximately seven days while in the fridge.