DAVID .and the rest of you manufacturers directions how to open a package go beyond this being a Pharmacist most kids antibiotics are given in liquid form and come as a dry powder since after mixing a life of only 10 days or so. Made in USA mixing directions "Add 70cc of distilled water shake refrigerate after mixing
Some we got in was made in the UK, Brit directions Unscrew the bottle lid, remove the paper seal on the bottle, add 70cc of distilled water, REPLACE the bottle top, shake sharply
refrigerate after mixing . I reaaly like replace the top before shaking the mixture martin