Augmentin dosage for adults for bronchitis

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Augmentin is a modern antibiotic for the treatment of infections

It is perhaps difficult to find a doctor who has never prescribed Augmentin. Therapists, pediatricians, urologists, gynecologists, ENT doctors - doctors of all specializations cannot imagine their practice without this antibiotic.

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At the same time, in many protocols for the treatment of a wide variety of diseases, Augmentin is included as a drug of choice, that is, recommended by the Ministry of Health.

Before you continue reading: If you are looking for an effective method of getting rid of a runny nose, pharyngitis, tonsillitis, bronchitis or colds, then be sure to look at this section of the site after reading this article. This information has helped so many people, we hope it will help you too! So, now back to the article.

Both patients and doctors perceive Augmentin as a modern antibacterial agent. Meanwhile, the drug has been on the market for decades.

The combination of amoxicillin and clavulanic acid, which became the basis of Augmentin, was developed last year by scientists from the British company Beecham. A little later, in 1984, the pharmaceutical giant received a patent for the original Augmentin. Today, the drug continues to be produced by GlaxoSmithKline, Beecham's successor. WHO - the World Health Organization - included Augmentin in the list of essential medicines.

The popularity of the drug around the world is so high that it is one of the ten best-selling antibiotics. Reviews from both patients and doctors about Augmentin are almost unanimous and only confirm the universal love for the drug.

Let's take a closer look: the composition and release forms of Augmentin

Augmentin contains two substances:

Amoxicillin is a semisynthetic penicillin antibiotic with a broad spectrum of action. It is practically an analogue of Ampicillin and differs only in minor structural changes in the chemical formula. Augmentin contains amoxicillin in the form of a trihydrate.

Clavulanic acid is a fermentation product of the gram-positive bacteria Streptomyces clavuligerus. This substance is included in Augmentin in the form of a potassium salt.

Augmentin is distinguished by its richness of release forms. GlaxoSmithKline produces many different dosages of the drug. When indicating the dosage, the manufacturer indicates separately the dose of the antibiotic (first digit) and clavulanate (second digit). So, we list the forms of release of the drug registered in Russia:

  • Augmentin in the form of a dry powder for the preparation of an oral suspension, which contains 200 mg + 28.5 mg in 5 ml of the finished drug;
  • Augmentin powder containing 400 mg + 57 mg in 5 ml of ready suspension;
  • An option in the form of a dry powder for the preparation of an oral suspension, which contains 125 mg + 31.25 mg in 5 ml of the finished drug;
  • Augmentin ES powder for the preparation of a children's suspension, which contains 600 mg + 42.9 mg in 5 ml;
  • Augmentin powder intended for the preparation of a solution for intravenous administration;
  • Tablets 500mg+125mg;
  • Tablets 875 mg+125 mg;
  • Augmentin tablets 250 mg + 125 mg.
Each tablet of the drug is coated with a film coating, which protects the active substances from the aggressive hydrochloric acid environment of the stomach.

Sometimes doctors, when prescribing Augmentin, indicate the total dosage of the antibiotic and clavulanic acid. For example, you can often find a recipe with similar content: Tab.Augmentini 1000mg. Obviously, the doctor is referring to the antibiotic formulation containing 875 mg of Amoxicillin and 125 mg of clavulanic acid. Both the first and second methods of indicating dosage are equally correct.

The wealth of release forms is another advantage

GlaxoSmithKline has mastered the production of such a large number of different forms of Augmentin that the antibiotic can be easily selected for a patient of any age and weight. The search for new convenient doses continues to this day. Thus, relatively recently, a children's suspension Augmentin ES was registered, designed for the treatment of severe infections, as well as for older children. The drug has an almost adult dosage of active ingredients - 600 mg of Amoxicillin and 42.9 mg of clavulanic acid.

I would like to note that the Augmentin package contains the exact number of tablets calculated for a full course of treatment. Thus, the minimum package of the drug contains 14 tablets and is designed for the treatment of uncomplicated infections. For long-term treatment, a release form of 20 tablets of Augmentin is intended at a dose of 625 mg and 400 mg.

When purchasing an Augmentin suspension, the dosage of which is correctly calculated based on the child’s weight, there is no doubt that the volume of the drug will be sufficient for the course of treatment. Sometimes parents are surprised to notice that on the third day of antibiotic therapy, only a small amount of the medicine remains in the bottle. In such cases, most likely, the release form was chosen incorrectly, and it was necessary to buy a larger dosage of the drug.

Saving wisely, or Is it possible to split an Augmentin tablet?

Some Augmentin tablets, in particular those with a dosage of 500 mg (675 mg including clavulanate), have a cross mark. Many patients believe that the risk is needed to split the tablets in order to reduce the dosage.

Of course, from a savings point of view, this is really beneficial. After all, the cost of, for example, Augmentin 250 mg tablets is much higher than half a 500 mg tablet. However, in fact, the manufacturer warns: the transverse mark is not applied at all to select a lower dosage. The risk in Augmentin tablets serves more of an aesthetic function. Splitting the tablet is strictly not recommended: then the film shell is destroyed, and the contents of the tablet can react with hydrochloric acid of the stomach.

In addition, pharmacists point out that when a tablet is broken into two parts, it is almost impossible to predict the content of active ingredients in the resulting halves. And the likelihood that both parts of the tablet will be equal in dosage is very slim.

Therefore, there is no need to philosophize. Fortunately, Augmentin is distinguished by its richness of release forms, and each patient, regardless of age and weight, can choose the right dosage.

Protection of Amoxicillin, or Why are clavulanates needed?

Indeed, many patients wonder what function does clavulanic acid perform? Why does the drug contain another substance?

The fact is that during the use of antibacterial drugs, many microorganisms have learned to resist the effects of drugs. Cunning bacteria, in an effort to continue their life activity, began to produce a special enzyme that destroys the antibiotic. Thus, penicillin and cephalosporin drugs containing a beta-lactam ring are inactivated by penicillinase, which is produced by some microorganisms.

Scientists discovered this ability of bacteria immediately after the creation of Amoxicillin. Soon an “antidote” was found, which turned out to be clavulanic acid. It is structurally similar to beta-lactam penicillins.

Clavulanic acid inactivates beta-lactamases (a group of enzymes that includes penicillinase), blocking the active sites of these enzymes.

So, clavulanic acid in the composition of antibacterial drugs acts as a protector. It does not allow bacteria to destroy the antibiotic and thus preserves its physicochemical structure, and, consequently, its pharmacological effect.

I would like to note that not all microorganisms produce penicillinase. Therefore, pure, unprotected Amoxicillin is still successfully used to treat diseases caused by sensitive bacteria.

Augmentin: spectrum of activity and pharmacological action

Many gram-positive and gram-negative bacteria are sensitive to the action of Augmentin, including:

  • Staphylococcus aureus, including strains that produce beta-lactamase;
  • streptococcus;
  • Neisseria, the causative agent of gonorrhea;
  • Escherichia coli, including those producing beta-lactamase;
  • enterobacteria;
  • Klebsiella;
  • Moraxella;
  • Proteus.

Separately, we note that methicillin-resistant strains of Staphylococcus aureus, which cause dangerous nosocomial infections, are insensitive to Augmentin.

The mechanism of action of Amoxicillin is extremely simple. The antibiotic blocks the synthesis of the cell wall of sensitive microorganisms and thus has a bactericidal effect.

Only one active ingredient in Augmentin has a pharmacological effect - amoxicillin. Clavulanic acid does not have an antibacterial effect.

Bioavailability of Augmentin before and after meals: when is it better to take an antibiotic?

The complex of Amoxicillin and potassium clavulanate is well absorbed. Already an hour after oral administration, the blood contains the maximum concentration of the antibiotic.

The rate of absorption and distribution of the main active ingredient, Amoxicillin, is the same regardless of food intake. However, for potassium clavulanate, the dosage regimen still matters. In clinical trials, the absorption of clavulanic acid was found to be much higher when taken with food than when taken on an empty stomach.

GlaxoSmithKline scientists conducted studies to study the pharmacokinetics of the drug. The relative bioavailability of Augmentin was found to be significantly reduced when the drug was taken orally 30 and 150 minutes after a high-fat breakfast.

Based on a study of pharmacodynamics, uniform recommendations for taking Augmentin tablets and suspensions for children were developed. So, in order for the maximum doses of the drug to reach the destination point, the medicine must be taken at the beginning of the meal.

Indications for use: when will Augmentin help?

Indications for taking Augmentin are inflammatory diseases caused by pathogens sensitive to Amoxicillin. We have already mentioned that Augmentin is the drug of choice for the treatment of many infectious pathologies. Let's try to list the main indications for the use of this truly powerful antibiotic:

  • upper respiratory tract infections, in particular bronchitis (inflammation of the bronchi), bronchopneumonia (simultaneous inflammation of the bronchi and lungs), pneumonia (pneumonia), lung abscesses (ulcers);
  • infections of the oropharynx: bacterial tonsillitis (angina), pharyngitis, stomatitis;
  • ENT infections: otitis media, sinusitis (article “Antibiotics for sinusitis”);
  • skin infections: bacterial furunculosis and other pathologies caused by beta-lactamase-producing strains of Staphylococcus aureus, Klebsiella and Escherichia coli;
  • infections of the genitourinary system: cystitis (inflammation of the bladder), pyelonephritis (inflammation of the kidneys), urethritis (inflammation of the urethra - urethra);
  • infections of the pelvic organs, including after childbirth, abortion and other interventions;
  • sexually transmitted diseases: gonorrhea, syphilis;
  • postoperative infections;
  • osteomyelitis - inflammation of bone tissue.

Application of Augmentin: special instructions

First of all, I would like to emphasize that Augmentin is the gold standard in the treatment of diseases of the oropharynx, upper and lower respiratory tract, caused mainly by gram-positive microorganisms. Moreover, the spectrum of the drug is so wide that it can cover almost all pathogenic microorganisms.

Unfortunately, many therapists like to “hide behind” two or even three antibiotics. Often vigilant doctors play it safe in this way during outpatient and even inpatient treatment of pneumonia. As a result, the treatment regimen for uncomplicated pneumonia takes on a “multi-story look” and contains several antibiotics, including Augmentin. At the same time, combinations of injectable and tablet forms of various antibacterial drugs look especially impressive.

Patients do not even suspect that correctly selected Augmentin does not require the addition of another antibiotic. The activity of Amoxicillin against Streptococcus pneumoniae (the main causative agent of pneumonia) is significantly higher than that of Ampicillin and Benzylpenicillin. Therefore, in the vast majority of cases of pneumonia caused by strains with intermediate sensitivity to Ampicillin and Benzylpenicillin, amenable to monotherapy with Augmentin.

When treating infections of the urogenital tract (inflammation of the kidneys, bladder, pelvic organs), fluoroquinolone antibiotics are still considered the drugs of choice. However, medications in this group are contraindicated for use in children. Therefore, Augmentin can be used in pediatric practice for such infections.

Suspension or syringe: why do we torture children?

Many patients believe that the effectiveness of an antibiotic administered by injection is higher than that of oral forms - tablets or suspension. Apparently, this opinion has been ingrained in the heads of mainly our compatriots since the times of Soviet medicine. Back then, doctors really preferred parenteral antibiotics, and there was some common sense in this. Oral forms of those years were characterized by low bioavailability. A striking example is Ampicillin, which is only 40% absorbed. And it is eliminated very quickly, which is why the tablets have to be taken four times a day.

Since then, the pharmaceutical industry has come a long way. So far that oral antibiotics have appeared, the bioavailability of which approaches that of injectable forms. Simply put, modern antibiotics in tablets or suspensions are no “weaker” than injections. And sometimes even the opposite.

The problem is that the vast majority of patients and even a certain number of doctors stuck in the past do not know about this. Or they don't want to know. And in such situations, a modern drama plays out with the participation of parents, a doctor and, of course, the victim - the child.

Parents ask the local pediatrician to prescribe “injections” in order to cure their child quickly and for sure. Doctors, to please worried mothers, describe terrible dilution schemes for adult doses of injectable antibiotics. Mothers, armed with a syringe and a jar of alcohol, examine the child’s bottom and look for the treasured upper left quadrant. And at this time the child calls all his relatives for help and receives unchildlike stress. In general, the picture is impressive.

Meanwhile, in the vast majority of infectious diseases, the action of modern tablet antibiotics is sufficient to achieve the maximum possible effect. Injections, including Augmentin, are used only for very severe diseases: post-surgical inflammatory processes, hospital-acquired infections, as well as for pathologies associated with immunosuppression.

Augmentin children's suspension not only has high bioavailability, but also another important quality for a child - a pleasant taste. Therefore, let's start breaking stereotypes and treating our children effectively, safely and even pleasantly. And with the help of Augmentin suspension as well.

The correct dosage for children is the basis for successful treatment with Augmentin

According to the instructions for use of Augmentin in children, the dosage of the drug depends on the age of the child.

— Infants up to three months

In children of this age, the urinary system does not yet function fully, as a result of which the elimination (removal) of standard doses of Augmentin may be difficult. Therefore, the recommended dosage of the drug is 30 milligrams per kilogram of weight per day. The frequency of administration is twice a day, that is, every 12 hours.

It is most convenient to buy a children's suspension of Augmentin containing 125 mg of Amoxicillin.

— Children over three months old

Starting at this age, the doctor can prescribe two options for children's suspension:

1. Augmentin 200 mg in 5 ml and Augmentin 400 mg in 5 ml are used twice a day, every 12 hours.

2. Augmentin 125 mg in 5 ml and Augmentin 250 mg in 5 ml are used three times a day - every 8 hours.

Most experts prefer to use suspensions with a 12-hour action. It is assumed that these dosage forms are much less likely to cause diarrhea than the 8-hour Augmentin suspension.

However, it should be borne in mind that Augmentin 200 mg and 400 mg suspensions contain aspartame, so they are prohibited for use in patients suffering from phenylketonuria.

Let's try to figure out how to calculate the dose of children's Augmentin.

The instructions for use indicate that:

  • 12-hour pediatric suspensions of Augmentin are dosed at the rate of 45 mg/kg of body weight for severe infections and 25 mg/kg for less severe infections;
  • 8-hour suspensions of Augmentin are designed for 40 mg/kg in severe cases and 20 mg/kg in mild cases.

By the term “severe infections,” experts mean otitis media, lower respiratory tract infections (pneumonia), sinusitis, and diseases with severe intoxication and severe symptoms.

Let's give an example. If the child weighs 8 kg, then for moderate bronchitis he will need 200 mg of Augmentin per day, divided into two doses. Based on the fact that 5 ml of the finished suspension contains 200 mg of antibiotic, the child should receive 2.5 ml of the drug every 12 hours.

— Children weighing 40 kg and above

For older children, Augmentin is dosed in accordance with adult recommendations.

In conclusion of the description of standard dosages of Augmentin, I would like to note the importance of competent consultation with a doctor. Despite the sometimes detailed description of calculating the pediatric dose in instructions or articles about Augmentin, it is best not to engage in amateur activities with the selection of dosages, but to give the reins to a specialist. Only a doctor can adequately assess the severity of your child’s illness and select the right dose of antibiotic. Remember this and do not overestimate your capabilities. Also, always check the instructions provided directly with the medicine.

Augmentin: adult dosages

With dosages for adults, the situation is much simpler. However, here too the severity of the disease must be taken into account.

The instructions for use of Augmentin tablets describe that the standard adult dose includes 500 mg of the drug every 12 hours or 250 mg every 8 hours.

For the treatment of more severe diseases and lower respiratory tract infections, the dose of Augmentin is increased to 875 mg every 12 hours or 500 mg every 8 hours.

Adults who have difficulty swallowing a whole tablet can take a 125 mg or 250 mg suspension instead of Augmentin 500 mg. Tablets at a dose of 875 mg are replaced in such cases with a suspension of Augmentin containing 200 or 400 mg of antibiotic.

Rules for preparing Augmentin suspension: translating instructions from medical into Russian

Augmentin children's suspension is sold in the form of a dry powder, from which parents must prepare the final product themselves. Many mothers and fathers who are unfamiliar with pharmaceutical activities, even after carefully studying the instructions for Augmentin, are afraid to make mistakes in this delicate matter - making a medicine.

Let's try to figure out how to prepare the suspension. But first, let us remember that Augmentin is a very high-quality original drug. And this quality is manifested in literally everything, from packaging to efficiency. That’s why preparing medicine is a pleasure.

To obtain a suspension, we need cool boiled or highly purified water. So, first, let's look at the bottle itself. There is a cross mark on its label. It shows the level to which the finished Augmentin suspension should reach.

The preparation of any suspension is carried out in two stages:

  • dilution in half the volume of solvent. To do this, you need to pour approximately 1/2 of the water (relative to the mark) and try to distribute the powder as much as possible by vigorously shaking the bottle;
  • final dilution. At this stage, you need to add water to the mark, shake well and the cooking process can be considered complete.

As you can see, everything is actually very simple. The only subtlety of preparation is to accurately measure the required volume of water. The final dosage of the medicine depends on this. If the solvent does not reach the mark, the concentration of the antibiotic in the suspension will exceed the norm. If we do not spare water and, in a fit of generosity, pour it above the mark, we will get a “diluted” Augmentin suspension, the dose of which is lower than necessary.

Both the first and second errors affect the effectiveness and outcome of treatment.

Augmentin suspension - where to store and how to take?

Suspensions and emulsions are two-phase systems. Take a closer look at the finished Augmentin suspension: the powder does not dissolve, but is simply distributed in water. Don't worry - it's not your inability to prepare medicine. It's just that Amoxicillin, like most other antibiotics, is completely insoluble in water.

Therefore, one of the main tasks of a parent who is treating a child with an antibiotic suspension is to follow the rule of taking a two-phase medication. The amount of active substance that enters the body ultimately depends on the relative homogeneity of the suspension.

So, how to take Augmentin suspension correctly? There is nothing simpler: immediately before use, the bottle of medicine must be shaken vigorously.

The prepared Agumentin suspension should be stored in the refrigerator. Let us emphasize the word “ready”. If you bought the drug in advance, then an ordinary shelf in a closed cabinet is enough for Augmentin powder to retain its properties.

If at the end of treatment some amount of the medicine remains unused, you should not leave it “just in case.” Augmentin suspension can be stored for about three weeks, after which the antibiotic is destroyed.

Penicillin allergy: don't miss it!

The main contraindication to taking Augmentin is an allergic reaction to penicillin antibiotics.

During post-marketing studies of Augmentin, which have been ongoing for about 30 years, a number of rather severe cases of individual hypersensitivity to the drug have been reported. They manifested themselves as an anaphylactic reaction to the penicillin antibiotic Amoxicillin.

I would like to reassure patients who until now knew nothing about allergies. All cases of an individual reaction to Augmentin occurred in patients with allergies to penicillin drugs or other allergens in quantities of more than two.

In addition, the cross-sensitivity of penicillin and cephalosporin antibiotics should be taken into account. If the patient has a history of allergies to, say, ceftriaxone, then the likelihood of a reaction to Augmentin is very high. In such situations, it’s definitely not worth taking risks - it’s much easier and safer to choose an antibiotic from a different group.

Contraindications to treatment with Augmentin

Let's try to list the main contraindications to taking Augmentin:

  • allergic reaction to penicillin or cephalosporin antibiotics;
  • a history of liver dysfunction during treatment with Augmentin (that is, with previous use of the drug);
  • individual intolerance to Augmentin components;
  • Infectious mononucleosis. The erroneous prescription of penicillins for this disease (note, a viral disease) leads to the appearance of a characteristic rash.

During pregnancy and lactation, Augmentin is allowed conditionally. This very vague phrase only means that a sufficient number of clinical studies studying the effect of the drug on pregnancy have not been conducted. The drug, without a doubt, penetrates the placental barrier and into breast milk.

However, due to the extremely low toxicity and wide spectrum of action of Augmentin, this particular antibiotic is the drug of choice in the treatment of many infectious diseases in both pregnant and lactating women.

Side effects of Augmentin: what can you expect?

Let's try to list the main adverse events that may occur during or after a course of treatment with Augmentin:

- intestinal dysfunction

The so-called “dysbacteriosis” that doctors and pharmacists scare us with sometimes actually develops after taking antibiotics. In medicine, this phenomenon is usually called pseudomembranous colitis. The reason for this complication is that antibiotic treatment can alter the normal intestinal flora. In this case, opportunistic microorganisms can begin to multiply intensively and produce toxins.

Research shows that the main cause of antibiotic-associated colitis is a toxin produced by clostridia. Diarrhea, which is often the only symptom of the complication, can range in severity from mild in most cases to severe. The latter is most often recorded in patients suffering from immunodeficiency.

On average, antibiotic-associated diarrhea occurs in 9% of patients taking Augmentin.

- liver dysfunction

The negative effect of Augmentin on the functioning of the liver and biliary tract is recorded in less than 5% of cases. Moreover, in most patients, the function of the hepatobiliary system is restored independently after discontinuation of the antibiotic.

Severe disorders that manifest as damage to liver tissue have been reported in isolated cases. For example, GlaxoSmithKline confirms information about one death as a result of the hepatotoxic effect of Augmentin. However, we hasten to reassure patients who have taken their hearts to heart. The probability of such a reaction is close to zero - it is possible only in one of their patients!

However, in order to avoid complications, during long-term treatment with Augmentin, experts recommend periodically monitoring liver function.

The probability of developing dermatological rashes during Augmentin therapy is 3%. As a rule, these symptoms do not require discontinuation of the antibiotic and disappear upon completion of treatment.

- nausea and vomiting

Some patients experience dyspeptic symptoms associated with taking Augmentin: nausea (in 3% of patients) and vomiting (in 1%). To reduce the likelihood of these side effects, you need to follow the rules for taking Augmentin and take the medicine at the beginning of meals.

Augmentin analogues: a choice that boggles the imagination

As we have already mentioned, Augmentin is an original drug. It was with him that the era of protected Amoxicillin began. Therefore, its quality and safety are beyond doubt.

However, this does not mean that generics, that is, analogues of Augmentin, work worse or cause more side effects. After all, each analogue is tested for bioequivalence. An ideal generic has the same similarity to the original as two identical drugs from different series. And the price of the analogue is almost always lower than the brand drug.

So, let's try to list the most common analogues of Augmentin. And let's start, of course, with the highest quality ones:

  • Amoxiclav is a Slovak analogue of Augmentin;
  • Flemoclav is an orally dispersible form of protected Amoxicillin, which is characterized by very high bioavailability and ease of administration. There is no doubt about the quality of the Dutch manufacturer of this drug, Astellas;
  • Medoclav, produced by the Cyprus company MEDOCHEMIE LTD;
  • Panclave is a fairly economical and at the same time high-quality generic product produced by the European company Hemofarm.

Separately, I would like to list Indian analogues of Augmentin. These drugs belong to the cheaper segment of the market. On the Russian market you can find more often than others:

Russian generics meet quality standards and are favorably priced. The most common among them are:

  • Arlet (manufacturer: AKO Sintez);
  • Ecoclave produced by Avva Rus OJSC;
  • Klamosar, which is produced by Saransk JSC Biokhimik.

As you can see, the choice is really wide. Nevertheless, it is still better to leave the right to make a decision to a specialist: the attending physician or pharmacist.

The article above and comments written by readers are for informational purposes only and do not encourage self-medication. Consult a specialist regarding your own symptoms and illnesses. When taking any medicine, you should always use the instructions that come with the medicine and your doctor's advice as a guide.

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Do you want to get rid of your nose, throat, lung and cold diseases? Then be sure to check it out here.

It is also worth paying attention to other medications:

Secondly, it is possible that your child was allergic to this drug!

I wrote a comment below Zhikharka.

The child was diagnosed with lymphadenitis, prescribed an antibiotic, for the first 3 days nothing was clear against the background of the temperature, but on the 4th and 5th days of treatment the temperature began to rise, everyone attributed it to a sore, and only on the 5th day it became clear that this was an allergic reaction to a drug!

When taking this antibiotic, the child simply felt ill, he immediately became lethargic, had terrible weakness, a stuffy nose, and HIGH TEMPERATURE. On the 5th day in the evening, they stopped taking this drug, the child went to bed cheerful and without the listed symptoms.

THANK GOD that our brains can still think, I myself am a doctor by training, and in time I thought about the fact that this was a reaction to this antibiotic. Last year, my son had a sore throat and was prescribed FLEMOXIN SOLUTAB; there was no similar reaction to it.

Join, speak out and discuss. Your opinion may be very important to many readers!

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Why is Augmentin prescribed for bronchitis in children and adults?

When an adult or children begin to get sick, the doctor prescribes Augmentin for bronchitis. This remedy is also used to treat most inflammatory infections.

Bronchitis is the most common respiratory tract disease. Both adults and children suffer from it. With this disease, a person begins to have a severe cough caused by inflammatory processes in the bronchi.

Why do doctors recommend Augmentin?

Doctors do not prescribe antibiotics for bronchitis in adults without good reason, since the disease itself can occur without an increase in body temperature. This is due to the fact that bronchitis is a viral disease, and for them antibacterial drugs are not an effective remedy.

The main treatment for bronchitis is to improve the secretion of mucus.

Therefore, doctors recommend:

  • drink more warm tea;
  • try to get rid of allergens that cause coughing;
  • bed rest.

You cannot endure bronchitis on your feet. It is better to take time and get well treated than to deal with complications later.

The patient may experience other symptoms characteristic of bronchitis, such as:
  • elevated body temperature for more than 5 days;
  • coughing;
  • the results of blood tests show an increased number of ESR and leukocytes of 12 thousand in 1 μl;
  • labored breathing.

In this case, the doctor may prescribe a special antibacterial agent. The method of administration and dosage is individual for each patient. Therefore, you should not try to take medications on your own.

The drug is available in the following forms:

Medicines have a dosage of 250 mg and 500 mg of the main substance. It is important to know that the label in the middle of a 500 mg tablet does not mean that it can be divided into two parts and each will contain an equal amount of active substances. The tablet must be taken completely.

Augmentin is characterized by high absorption of active substances by the body. It does not matter in what form the drug was taken. For severe bronchitis, it is best to use Augmentin in the form of powder for injection.

The main excipients are:

  • potassium clavulanate;
  • amoxicillin.

For bronchitis in adults, the medication can increase the level of concentration in tissues and sputum. Compared to other medications, Augmentin is much more effective.

Side effects when taking the drug appear quite rarely, however, a person may experience such phenomena as:

  • allergic reaction;
  • dysbacteriosis;
  • indigestion.

Augmentin - features

After taking the drug, it begins to act within an hour. If an injection was given, the effect will begin within half an hour.

The main feature of the drug is that its active substances affect:

  • anaerobes - bacteria that live without oxygen;
  • Aerobes are bacteria that require oxygen to exist.

Nowadays, bacteria have become susceptible to medications that contain penicillin. Augmentin also contains it, but thanks to clavulanic acid, its effectiveness increases several times. As part of antibacterial agents, clavulanic acid acts as a protector. It protects the main auxiliary substances of the antibiotic from destruction by pathogenic bacteria.

For the treatment of what diseases is the medicine prescribed:

  • bronchitis;
  • pneumonia;
  • lung abscess;
  • peritonitis;
  • cystitis;
  • other infectious diseases.

In what cases should you not take the drug:

  • during pregnancy and lactation;
  • for kidney or liver diseases.

The main therapeutic effect in Augmentin is performed by amoxicillin; clavulanic acid is not an antibacterial agent, so it has no effect.

How to take the drug

When a patient comes in with suspected bronchitis, the attending physician will prescribe a full examination. He will conduct a series of studies and tests, after which he will diagnose the disease and be able to prescribe full treatment.

Since both adults and children can suffer from bronchitis, Augmentin is prescribed for each individual individually. The form of the disease is of great importance, since in some cases doctors will not prescribe an antibiotic.

An experienced specialist knows that Augmentin is not prescribed in combination with other antibacterial agents. The active substances included in its composition are enough to independently fight bacteria.

When treating pneumonia, Augmentin will be the most effective of all drugs, since the effect of Amoxicillin on the virus is much stronger than that of Ampicillin or Benzylpenicillin.

When treating diseases of the urogenital tract, doctors prescribe quite strong antibiotics for adults, which would be contraindicated for a child. However, Augmentin can be used by both adults and children.

Who can take the drug:

  • infants;
  • children from 3 years old;
  • adults.

Augmentin is sold in all pharmacies in Russia. Dispensed from pharmacies without a prescription from a doctor.

Taking the drug in children and adults

Bronchitis is a disease that can affect even a small child. Therefore, the medications that need to be taken for bronchitis must be proven and effective.

Augmentin can be taken even by infants, but the doses must be appropriate to the child’s age. Treatment for bronchitis in children should be carried out under the careful supervision of a doctor, since only he can prescribe the correct dosage for each individual case.

How to take medicine for bronchitis in children can be found in the instructions for use, as well as in consultation with a doctor.

Babies up to three months old can take the medication no more than twice a day at a dose not exceeding 30 mg per kg of the child’s weight. It is best to use a suspension that contains 125 mg of Amoxicillin.

For bronchitis in children older than three months, the doctor may prescribe the following drug:

  • Augmentin 200 mg or 400 mg taken twice a day;
  • Augmentin 125 mg or 250 mg to be taken no more than three times a day.

Experts advise taking the medication twice a day, so the risk of diarrhea is much less than if the medicine is taken every 8 hours.

For children who have the disease phenylketonuria, taking the drug at 200 and 400 mg is prohibited, since it contains aspartame.

How to calculate the dose of Augmentin for bronchitis in children?

Based on the instructions for use of the drug:

  • a medicine that should be taken every 12 hours, for severe forms of the disease - 45 mg per 1 kg of body, for mild forms - 25 mg per 1 kg of weight;
  • a drug that is taken once every 8 hours, the dosage is 20 mg for mild forms of the disease and 30 mg per 1 kg of weight for more severe forms.

Thus, if a child weighs 8 kg, the daily dose of Augmentin will be 200 mg. It should be divided into two doses; one 5 ml measuring spoon contains 200 mg of the main substance. This means that the child should be given half a measuring spoon 2 times a day.

For bronchitis in adults, Augmentin is prescribed quite often, as it is a good antibacterial agent.

The doctor usually prescribes the drug:

  • 500 mg one tablet 2 times a day;
  • 250 mg one tablet 3 times a day.

If complications arise with bronchitis in adults, the dosage may be increased by the doctor.

If an adult does not want to take tablets, he can replace them with a suspension. But the main thing is to maintain the prescribed dosage.

The medicine must be stored in a place inaccessible to children. Preferably in the refrigerator, since the finished suspension cannot be kept without a refrigerator.

Quiz: How susceptible are you to lung disease?

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Information

Our immunity is directly dependent on our lifestyle and nutrition. Only a small part of it is initially genetic. Throughout life, a person acquires immune deficiency, which subsequently leads to various kinds of diseases, allergic reactions and poor health. By taking care of your diet, you will also take care of your immunity, which will subsequently save you from many health problems. This test will show you what to pay attention to in your current diet. What to add, what to reduce, and what should be abandoned completely.

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Something needs to be changed urgently!

Judging by your diet, you don’t care about your immune system or your body at all. Most likely, you get sick often, suffer from intestinal problems, and are haunted by a feeling of constant fatigue. It's time to love yourself and start improving. It is urgent to adjust your diet, to minimize fatty, starchy, sweet and alcoholic foods. Eat more vegetables and fruits, dairy products. Feed the body by taking vitamins, drink more water (precisely purified, mineral). Strengthen your body, reduce the amount of stress in your life, think more positively and the transition to a healthy diet will be much easier, you just need to start.

Your immune system is in fairly good condition.

So far, it’s good, but if you don’t start taking care of her more carefully, health problems may begin (if the prerequisites haven’t already existed). Namely, allergies, frequent colds, intestinal problems and other “charms” of life accompany weak immunity. You should think about your diet, minimize fatty, flour, sweets and alcohol. Eat more vegetables and fruits, dairy products. To nourish the body by taking vitamins, do not forget that you need to drink a lot of water (precisely purified, mineral water). Strengthen your body, reduce the amount of stress in your life, think more positively and your immune system will be strong for many years to come.

Congratulations! Keep it up!

You care about your nutrition, health and immune system. Continue in the same spirit and health problems will not bother you for many years to come. Don't forget that this is mainly due to the fact that you eat right. Eat proper and healthy food (fruits, vegetables, dairy products), do not forget to drink plenty of purified water, strengthen your body, think positively. Just love yourself and your body, take care of it and it will definitely reciprocate your feelings.

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  1. With answer
  2. With a viewing mark

How often do you eat fast food?

  • Few times a week
  • Once a month
  • Several times a year
  • I don't eat at all

Do you eat healthy and nutritious food?

  • Always
  • I strive for this
  • No

How often do you eat foods containing high amounts of sugar?

  • Daily
  • Few times a week
  • Once a month or less
  • I don't use it at all

Do you carry out fasting days or any other cleansing procedures?

  • 1-2 times a week
  • Several times a month
  • Several times a month

How many times a day do you eat?

  • Less than 3 times
  • Breakfast lunch and dinner
  • More than 3 times

What type of people do you consider yourself to be?

  • Optimist
  • Realist
  • Pessimist

How often do you eat baked goods and pasta made from light flour?

  • Daily
  • Few times a week
  • Several times a month or less

Do you eat a varied diet?

  • Yes
  • No
  • I eat a variety of foods, but the same dishes for many years

What products do you have for breakfast?

  • Porridge, yogurt
  • Coffee, sandwiches
  • Other

What time do you have breakfast?

  • Before 7.00
  • 07.00-09.00
  • 09.00-11.00
  • Later 11.00

Do you have food intolerances?

  • Yes
  • No

Do you take vitamins?

  • Yes, regularly
  • Every season
  • Very rarely
  • I don't accept it at all

How much pure water do you drink per day?

  • Less than 1.5 liters
  • 1.5-2.5 liters
  • 2.5-3.5 liters
  • More than 3.5 liters

Have you ever had a food allergy?

  • Yes
  • No
  • I find it difficult to answer

What portions do you eat?

  • While it fits
  • I'm still a little hungry
  • I eat up, but not to the point of being full

Are you taking antibiotics?

  • Yes
  • No
  • In case of urgent need

How often do you eat vegetables and fruits?

  • Daily
  • Few times a week
  • Very rarely

What kind of water do you drink?

  • Mineral
  • Cleaned with household appliances with filters
  • Boiled
  • Raw

How often do you consume fermented milk products?

  • Daily
  • Few times a week
  • Once a month or even less often

Do you always eat at the same time?

Source: http://pulmonologi.ru/bronhit/augmentin.html

Antibiotic Augmentin for bronchitis for children and adults

Augmentin is an antibiotic that doctors often prefer for bronchitis. Why does the choice fall on him? Let's consider some points from the field of pharmacotherapy that will explain the choice of this drug.

General rules of antimicrobial therapy

Prescribing an antibiotic is a responsible matter. The doctor must correctly assess the situation and the need for such therapy. On the one hand, delaying treatment can lead to serious complications, on the other hand, there will be complications if the antibiotic was not needed at all.

The choice of medication is based on the type of therapy:

  1. Etiotropic. The drug is selected after accurately identifying the pathogen and its sensitivity. In case of bronchitis, the causative agent can be determined by the results of sputum culture.
  2. Empirical. Therapy begins before obtaining accurate data about the nature of the pathogen. It is the basis of modern therapy for community-acquired respiratory diseases.
  3. Preventive. Aimed at preventing the disease. Prevention is not carried out using a group of antibacterial drugs.

In order for treatment with the drug to be as effective as possible, it is necessary to adhere to the following principles:

  1. Accuracy of diagnosis. Combines the correct identification of the pathogen and localization of the source of infection.
  2. Validity. In some cases, therapy can be carried out without prescribing antibiotics.
  3. Choosing the optimal drug. The doctor must choose one or a combination of drugs, taking into account the nature of the infection, the location of the pathological process, and the severity of the course.

Main symptoms

Bronchitis, which requires antibiotics, is accompanied by the following symptoms:

  1. Wheezing and whistling sounds when breathing, which can be heard even without a phonendoscope.
  2. The temperature does not return to normal on the fourth day of illness or remains at critical levels.
  3. Purulent sputum.
  4. The patient’s health only worsens, weakness and symptoms of general intoxication appear.
  5. Severe cough, shortness of breath due to bronchitis, signs of suffocation.

If bronchitis causes symptoms that threaten the patient's life, antibiotics must be prescribed. Even with viral bronchitis, such conditions may indicate the addition of a secondary bacterial infection.

Treatment with antibiotics

Depending on the severity of bronchitis, antibiotics may be prescribed in colas or tablets. The latter option makes it possible to undergo treatment at home, without hospitalization.

For children, drugs are available in the form of a suspension, which is prepared immediately before the course of treatment. The advantage of Augmentin is that it is approved from an early age. Children must be prescribed probiotics along with such medications, which continue to be given for about 2 weeks after the end of treatment.

Augmentin is also allowed for pregnant women, as it has a high safety profile. In addition, you must adhere to the following rules:

  1. You cannot interrupt the course of treatment.
  2. The intervals between doses must be strictly observed.
  3. If the patient's condition does not improve within 2 days, the doctor should change the drug.

Which drug to choose

Antibiotics should not be taken thoughtlessly or taken on the advice of friends. Especially if you don’t know how to treat bronchitis in children and what causes the disease. An experienced doctor chooses a drug, taking into account the severity of the disease, the age of the patient, the likelihood of allergies and resistance, and the nature of the pathogen. Therapy for bronchitis may include the following groups of drugs:

  1. Penicillins – Augmentin, Amoxiclav.
  2. Macrolides – Clarithromycin, Erythromycin.
  3. Fluoroquinolones – Moxifloxacin, Levofloxacin, Ciprofloxacin.
  4. Cephalosporins - Cefix, Ceftriaxone, Cefuroxime.

Priority when choosing a drug is given to the groups described above in this order. Cephalosporins are the latest generation of drugs and are mainly prescribed for moderate and severe bronchitis. For inhalation, Fluimucil is suitable, which effectively fights infection and has a mucolytic effect. In case of very high fever and severe condition of the patient, it is preferable to prescribe drugs by injection. In addition, therapy includes the use of expectorants, mucolytics, bronchodilators, and vitamins.

If a sputum test has not been performed, the doctor chooses a broad-spectrum antibiotic. These drugs include Augmentin. It contains amoxicillin (from the penicillin group) and clavulanic acid, which protects the main component and prevents bacteria from developing resistance to it.

Dosages for adults of some antibacterial agents for bronchitis:

  1. Augmentin – 625 mg (3 tablets per day).
  2. Biseptol - 2 tablets morning and evening.
  3. Ofloxacin – 200 mg twice a day.
  4. Azithromycin – 500 mg per day.

How much medication a child should take is always calculated taking into account body weight. For example, the daily dose of Azithromycin is 10 mg per kilogram of weight, Augmentin can vary from 7.5 to 30 ml.

Treatment of chronic bronchitis

Chronic infection is accompanied not only by an inflammatory process, but also by destructive changes in bronchial tissue. This form is characterized by periods of exacerbation and remission, but the pathological process in the respiratory tract continues constantly.

It is very important to identify the pathogen and choose the right antibiotic. Often exacerbation is caused by atypical microorganisms - chlamydia, mycoplasma, legionella. In this case, macrolides (Rovamycin, Azithromycin) become the drugs of choice.

Acute bronchitis, in most cases, is caused by viruses, so antibacterial agents should not be prescribed. However, some doctors may play it safe if a small child or an elderly person is sick. Vitamins, plenty of fluids and diet for acute bronchitis are the basis of treatment.

Folk remedies for bronchitis in adults cannot fully replace antibiotic treatment. Does shortness of breath occur with bronchitis? Shortness of breath is the first symptom that the bronchi are not coping with their function and may require taking an antibiotic.

Source: http://bronhit.guru/lechenie/lekarstva/augmentin.html