How to take Sumamed for a child

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Sumamed for a child - how to quickly and safely cope with an infection

Does your child have a sore throat, bronchitis or a similar unpleasant diagnosis? Often in these cases, pediatricians prescribe the drug Sumamed. Many mothers are afraid of harming their baby with strong medicine.

Table of contents:

Our review will help you figure out when Sumamed is indicated and whether it is worth using.

Sumamed suspension can be given to children from six months.

How does the medicine work?

Sumamed with the active ingredient azithromycin in its composition belongs to the new generation of antibiotics. Azithromycin inhibits protein synthesis of microbial cells, slowing its growth and preventing reproduction.

The active substance is quickly delivered to the site of the disease by blood cells and immune cells and has an immediate effect. The therapeutic effect lasts for a long time. Thanks to this, the course of taking the drug is only 3-5 days.

Sumamed is taken once a day, which simplifies the treatment process for children who do not like to swallow medications.

What is treated with Sumamed?

Sumamed is directed against the causative agents of many infectious diseases: streptococci, pneumococci, chlamydia...

Often mothers, at their own peril and risk, carry out antibacterial therapy without consulting a doctor. Dear parents, Sumamed is a strong antibiotic. And, like any other medicine, it can only be taken as prescribed by a doctor. The key to effective and safe treatment is compliance with the prescribed dosage of the drug and following the instructions (download in pdf format).

Tablets or powders: which is right for a child?

Sumamed is available in the form:

For the smallest patients: children from 6 months (weighing more than 10 kg) to 3 years, pediatricians prescribe the Sumamed suspension. That's why:

  • it has a pleasant fruity taste;
  • in liquid form the drug is easier to give to the baby;
  • It’s easier to prepare the required dose of medicine to treat a small organism.

After adding water, the taste of the medicine resembles sweet jelly.

Children from 3 to 12 years old (18 to 45 kg) can be given tablets. The main thing is that the child is able to swallow the pill, because the tablet cannot be chewed. If this is difficult, we recommend treating the child with a suspension, observing the age-specific dosage.

Sumamed is prescribed to children at a course dose of 30 mg/kg body weight: 10 mg per kg of body weight per day for 3 days. It is necessary to use the drug strictly following the daily dose of the medication. For correct calculation, pay attention to the markings indicated on the packaging. 500 mg, 250 mg, 125 mg, 100 mg - these numbers mean how much active substance is contained in a single dose: tablet, capsule or 5 milliliters of diluted medicine (ready suspension).

Even if you see improvements in your child’s condition immediately after starting to take Sumamed, it is very important to complete the full course of treatment. Only the full course dose of the medicine can kill the infection. If the treatment was interrupted halfway, the subsided infection will manifest itself with renewed vigor, but the pathogens will already be resistant to the antibiotic.

For example, if the baby is already three years old, but weighs less than his age group, the dose of the drug should be calculated taking into account his weight.

We prepare a suspension using the example of the drug Sumamed 100 mg/5 ml

The drug Sumamed 100 mg/5 ml after dilution will contain 100 mg of azithromycin per 5 ml of the finished suspension. To prepare the solution, you need to add 12 ml of boiled water to a bottle with 17 g of powder and shake. The result will be ml of the medicine (a slight excess of the volume of 20 ml indicated on the package is provided to compensate for losses during dosing).

The suspension will cause significantly less negative emotions in the baby than bitter tablets.

The prepared suspension can be stored for 5 days at a temperature not exceeding 25 C. Before taking the medicine, the suspension must be shaken thoroughly.

The box with the medicine contains a measuring syringe and a spoon, with which it is convenient to draw the required amount of solution from the bottle and give it to the child.

To correctly calculate the dosage, use the table:

For the treatment of children, you can also purchase a similar drug, Sumamed Forte. It is also sold in powder form for the preparation of a suspension, but differs from the usual one in the higher concentration of azithromycin: 200 mg per 5 ml. Convenient when treating older children.

Now let's calculate how many ml of children's antibiotic Sumamed should be given to your child in one dose.

If you use Sumamed 100 mg/5 ml, then 10 mg of azithromycin corresponds to 0.5 ml of the prepared suspension. We multiply this amount by the baby's weight.

For example, if your child weighs 11 kg, he needs to be given 5.5 ml of solution at a time. If the child weighs 13 kg - 6.5 ml of solution, respectively.

If you do everything according to the instructions, your daughter will recover quickly.

How to give the suspension:

  • stick to the same time of taking the medicine;
  • Sumamed is given to the child between meals: preferably an hour before or two hours after he eats;
  • The suspension should be washed down with a small amount of liquid.

In order to do everything without errors, watch this video on preparing the medicine:

Prices in pharmacies

The average cost of Sumamed in Russian pharmacies at the beginning of 2016 is as follows:
  • Sumamed, powder for suspension, 100 mg/5 ml, 25 ml. Price - from 200 rubles.
  • Sumamed forte 200 mg/5 ml, 30 ml - from 500 rubles.
  • Sumamed in tablets, 6 pcs. per package - from 330 rubles.

Manufacturers: original and analogues

Russian pharmacies sell the original drug Sumamed, produced by the Croatian pharmaceutical company Pliva Hrvatska and Teva, Israel.

The medicine Azithromycin (Russia) with similar properties is widely known. The original drug Sumamed has many copies: Azivok, Azitral (India), Azitrox, Z-factor, Zitrolide, Sumazid (Russian Federation), Sumamox (India), Hemomycin (Yugoslavia).

Azithromycin is a broad-spectrum antibiotic - an analogue of Sumamed.

The main argument in favor of analogues is a more attractive price. However, it is worth understanding that only the original has passed all scientific and laboratory tests.

Adverse reaction to Sumamed

Sumamed, like any modern antibiotic, has the most gentle effect on the body as a whole. Allergic reactions to the drug, as well as severe manifestations of dysbacteriosis, are extremely rare. To protect the child from the consequences of taking antibiotics, Sumamed is prescribed in combination with antihistamines (Zyrtec, Suprastin, etc.) and probiotics (Acipol, Linex, etc.) And after treatment, a course of recovery is carried out.

If after taking the drug the child has severe vomiting, loose stools, and the baby is lethargic and sleepy - these are signs of intolerance to the drug. Stop taking the antibiotic and consult a doctor.

Moms' experience

We have collected for you several visual reviews from experienced mothers whose children Sumamed helped cure.

“When my daughter developed a purulent sore throat, I had no doubt: such a disease requires serious artillery. After all, complications can be very serious. Despite the fact that my baby is allergic, she tolerated the antibiotic quite well and quickly recovered.”

“Chronic bronchitis is our eternal problem. On the forums I read good reviews from mothers about the drug Sumamed. And during the next period of exacerbation, I asked the doctor if we could take the course. This time the treatment was faster and easier.”

“At first we were diagnosed with ARVI. We were treated with sprays, drank a breast mixture, washed and put drops in our nose. But the temperature persisted and the cough did not go away. As a result, the doctor diagnosed tracheobronchitis and prescribed Sumamed. Drank for 5 days. It helped."

conclusions

You should not give your child Sumamed at the first sign of a cold. This is a new generation antibiotic that quickly brings relief in severe forms of infectious and inflammatory diseases.

You can take any antibacterial drug only as prescribed by a doctor.

Taking the drug is justified in cases where

  • when you can’t hesitate and use gentle treatment;
  • when the disease needs to be dealt with as soon as possible, preventing its dangerous development and complications.

You can also join our groups on social networks: VKontakte, Facebook, Odnoklassniki, Google+ and Twitter.

Source: http://www.o-my-baby.ru/zdorovie/lekarstva/antibiotiki/suspenziya-sumamed.htm

Use of sumamed for children

The most effective antibiotic of the new generation is Sumamed for children, the instructions for use of which include information that the drug can be used to treat infectious diseases. The medicine is effective in the fight against respiratory infections. Children's Sumamed can act on a huge number of pathogenic microbes: staphylococcus, pneumococcus, streptococcus.

What is Sumamed

The antibacterial drug Sumamed with a high concentration of azithromycin is widely used in various fields of medicine. The active substance of a strong medicine quickly penetrates to the site of the disease thanks to blood cells and suppresses the synthesis of microbes, slowing their growth and preventing further reproduction. In addition, the drug has a bactericidal effect on certain microorganisms, i.e. leads to the death of the main pathogens. The half-life of the antibiotic is 72 hours.

Compound

The active compound of the antibiotic Sumamed includes the active substance - azithromycin and some auxiliary components that ensure rapid absorption of the drug into the body tissues. The substance acts at a deep cellular level, while destroying the structure of microbes. The concentration of the active component can range from 125 and 500 mg. Excipients of the drug:

  • corn starch;
  • anhydrous calcium hydrogen phosphate;
  • talc;
  • hypromellose;
  • sodium lauryl sulfate;
  • microcrystalline cellulose;
  • polysorbate 80;
  • magnesium stearate;
  • indigo carmine dye.

Is it an antibiotic or not?

Sumamed is a strong antibacterial agent belonging to the category of macrolides. This non-toxic, safe group rarely causes side effects and effectively destroys pathogenic microorganisms. This antibiotic is prescribed by a doctor to children and adults to treat bacterial infections. You can buy it without a prescription at any pharmacy. The active ingredient azithromycin is active against many bacteria, but some of them are resistant to macrolides, so a sensitivity test must be done before use.

Release form of Sumamed for children

The drug is available in several forms that are convenient for use:

  1. Gelatin-coated capsules 250 mg. It can be found on sale with a dosage of 500 mg.
  2. Powder with active ingredient 100 mg. Can be used to prepare a suspension. The syrup has a sweet, pleasant taste of cherry, strawberry and banana. A dispenser syringe (measuring spoon) comes with the bottle. Sumamed suspension is recommended for the treatment of young children.
  3. Tablets with a hard film shell. They must be swallowed whole. Available in dosages of 500 and 125 mg.
  4. Lyophilisate for injection and solution. It is used only for patients over 16 years of age, in the treatment of severe forms of respiratory tract diseases and infectious and inflammatory diseases of the pelvic organs.

pharmachologic effect

A broad-spectrum antibiotic has a bacteriostatic effect and resistance to acidic environments, which helps it distribute and quickly be absorbed from the gastrointestinal tract. The substance is excreted from the body with bile and urine. Maintains active concentration in the affected area for one week after use. The use of macrolides is effective against gram-positive, anaerobic pathogens. The maximum level of Sumamed in the blood is reached after about 3 hours. A doctor can prescribe an antibacterial drug. The elimination period averages 4 days.

Indications for use

The antibacterial drug Sumamed is indicated for ailments caused by streptococci, gram-positive cocci and anaerobic organisms. The medication can be used in children from 6 months, but only if the baby weighs 10 kg or more. You cannot give Sumamed to a child yourself, because the drug is a strong antibiotic. It is necessary to contact a specialist who, after examination and tests, will choose a suitable treatment regimen. Children's diseases for which Sumamed may be prescribed:

  • duodenal and stomach ulcers caused by bacteria;
  • Lyme disease (in the early stages);
  • severe infections of the ENT organs: tonsillitis, scarlet fever, otitis media, tonsillitis, sinusitis, bronchitis (Sumamed is prescribed for pneumonia in children);
  • skin diseases: erysipelas, streptoderma, impetigo, secondary dermatitis.

How to breed Sumamed

A powder for suspension has been developed especially for young patients, which can be easily prepared at home. You must add the amount of water indicated in the instructions to the bottle with the medicine (the dose of the powder is different, so a certain amount of liquid will be needed for dilution) and shake well until smooth. After preparation, the finished suspension in the bottle will be more than 5 ml. The solution is suitable for use for no more than five days. It is recommended to use this form of medication once a day.

Instructions for use

Taking capsules, suspensions and tablets depends on the weight, age of the patient, what stage of the disease and whether there are complications. The dosage of Sumamed for children should be calculated by the pediatrician for the course of treatment. Capsules are prescribed to children aged 12 years, tablets - to children from 4 years old, injections - after 16 years, and a suspension - from 6 months. It is recommended to drink the drug in any form one hour before meals. If you miss a dose of the medicine once, you should take the medicine as soon as possible.

For diseases of the respiratory tract, ailments of the ENT organs, skin diseases (excluding chronic migratory erythema), children who weigh 45 kg and over 12 years of age are prescribed a medicine in a dosage of 500 mg once a day. The course of administration is 3 days, the dose of the drug should not exceed 1.5 g. Six-month-old children and older are prescribed medication at the rate of 10 mg per kg of body weight, but not more than 30 mg. The course of treatment is 5 days.

Pills

Sumamed tablets for children are dosed based on body weight: 2 tablets of 125 mg each are prescribed; from 31 to 45 kg – 3 x 375 mg; more than 45 kg – adult doses are prescribed. The tablets should be taken orally, without chewing, preferably an hour before meals, once a day. Children under three years old need to use the medicine in the form of a powder of 100 mg/5 ml or 200 mg/5 ml.

Suspension

The most ideal form of treatment for children of school and preschool age is considered to be a suspension that is convenient to take. As a rule, the course of treatment is 3 or 5 days. The medication can be taken only 2 hours after meals. After dissolving the powder with water, you should get a homogeneous suspension of light yellow or white color with a pleasant strawberry smell.

The dose of medication for children from 6 months to 4 years should be calculated based on the baby’s weight, on average it should be 10 mg per kilogram - in the first two days from the onset of the disease, then it should be taken according to the regimen of 5 mg/kg. Before each use of the drug, the bottle with the prepared suspension must be shaken. The medicine must be stored in the refrigerator. The required dose is measured using the included measuring spoon or using a syringe.

How often can you drink

Many parents are often interested in the question of how to take Sumamed for children. Based on the fact that the drug is a strong antibiotic, only a doctor should prescribe it, and he also prescribes the detailed dosage of the medication. There are certain rules that parents should follow if their child is prescribed Sumamed:

  • Antibacterial therapy can be administered to a newborn after his body weight is 10 kg (this is at least six months);
  • if a sick child has already received medicine within 6 months, then it cannot be given again;
  • the drug is taken for 5 days, if after this time there is no improvement, you must seek help from the hospital;
  • Infusions of the drug should not be given to children under 16 years of age;
  • like any modern antibacterial drug, Sumamed can cause an allergic reaction, so you need to carefully monitor the baby’s condition.

Drug interactions

For respiratory tract infections, the antibiotic cannot be combined with alcohol, because azithromycin enhances its effect and increases its concentration in the blood. Antacids containing magnesium and aluminum reduce the absorption of azithromycin, so the medicine must be taken two hours after using these drugs. If concomitant use with warfarin is necessary, the patient's condition should be monitored. Subject to a certain time interval, Sumamed for children can be taken simultaneously with other drugs:

  • lincosamines;
  • Dihydroergotamine: enhances its effect;
  • tetracyclines or Chloramphenicol: enhancing the effectiveness of Sumamed;
  • food or antacids (this only reduces the use of azithromycin);
  • Cycloserine or indirect anticoagulants;
  • valproic acid, carbamazepine, phenytoin, bromocriptine.

Side effects and overdose

Pediatricians prescribe Sumamed, as a rule, after undergoing sensitivity tests, but sometimes a specialist only conducts an external examination of a small patient and, based on this, decides to take Sumamed. Ideally, the doctor should find out in advance whether the baby has allergies and what antibiotics he has been given over the past six months. Among the adverse reactions in the case of using a high dosage of the drug in children, the following are often noted:

  • skin rash;
  • diarrhea;
  • drowsiness;
  • heart rhythm disturbance;
  • nausea;
  • high activity of liver enzymes;
  • neurological disorders;
  • vomit.

According to many parents, a modern antibiotic from the macrolide group generally has the most gentle effect on the child’s body. A rare side effect of Sumamed is a disruption of the intestinal microflora. As a rule, dysbacteriosis appears against the background of antibiotic use, so bifidobacteria and lactobacilli, probiotics Acipol or Linex are often prescribed along with the medicine. After the main treatment, parents of babies need to undergo a recovery course.

Contraindications

Prescribing an antibiotic by a pediatrician for infectious diseases is rather precautionary in nature in order to avoid complications caused by the virus. Before you start taking the medicine, you should know who should not take this medicine. The drug is contraindicated in pregnant women and women who are breastfeeding. Use the product with caution when:

  • allergies to the composition of the medication;
  • individual intolerance to components;
  • myasthenia gravis;
  • liver diseases;
  • kidney disease;
  • simultaneous use with ergotamine;
  • heart rhythm disturbances (arrhythmia, bradycardia);
  • simultaneous use with Heparin.

Analogs

Initially, Croatia was the manufacturer of Sumamed, but since 2007 other companies began producing the drug. Unlike original products, in many analogues the composition may differ in the content of azithromycin and the presence of impurities. The dissolution time of the drug in the blood may also vary, so before purchasing an analogue in a pharmacy, you should consult a specialist. The most popular drugs with the same active substance are:

You can purchase the drug Sumamed at any pharmacy. The average price of tablets is approximately 360 rubles. The cost for capsules is slightly higher - 500 rubles. In addition, you can find the medicine in the catalog, order and buy it in the online store. The approximate cost of Sumamed in Moscow is presented in the table:

powder for suspension 100 mg/5 ml

tablets (6 pieces each)

Sumamed forte 200 mg/5 ml, 30 ml

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Video

The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and make recommendations for treatment based on the individual characteristics of a particular patient.

Source: http://sovets.net/13179-sumamed-dlya-detej.html

How to take Sumamed - dosage and pharmacological features of the drug

Sumamed is a broad-spectrum antibiotic that is prescribed to treat various infections. This is an original drug, during the development of which a lot of serious research was carried out, so there is no doubt about its effectiveness. The active ingredient is azithromycin - this is a representative group of macrolide antibiotics, which began to be used relatively recently. The drug has several advantages and is easy to use.

Pharmacological action and features

The answer to the question of how to take Sumamed depends on its properties and therapeutic effect. It usually comes in the form of tablets, capsules or powder (for suspension) for internal use - they dissolve well and are absorbed in the digestive tract. The drug substance is resistant to the effects of gastric juice, in addition, it is able to penetrate the membrane of living cells - this allows it to be used to combat various intracellular infections.

Azithromycin itself slows the growth of bacteria and makes them more vulnerable to attack by the immune system. When the drug accumulates in organs and tissues, it begins to have a bactericidal effect.

If used incorrectly and the dosage is not observed, bacteria can become resistant to the effects of antibiotics, but normally it can affect several groups of microorganisms:

  1. Streptococci and staphylococci. These bacteria can provoke streptococcal sore throat, kidney inflammation, scarlet fever and other diseases. Sumamed is one of the most effective drugs to date for these bacterial infections.
  2. Intracellular parasites such as chlamydia, mycoplasma and others. Sumamed is prescribed for sexually transmitted diseases; it is able to resist many sexually transmitted infections.
  3. Anaerobic microorganisms such as clostridia. These bacteria can cause dangerous diseases such as tetanus and botulism. The use of antibiotics saves the patient's life and prevents serious complications.

To determine the group of microorganisms, the doctor will prescribe a number of diagnostic procedures: these are urine and blood tests, as well as a throat smear (for sore throat) and some other types of tests. They help establish a diagnosis and choose the most effective antibiotic.

Indications for use and contraindications

Sumamed is prescribed for infectious and inflammatory processes of the respiratory tract and ENT organs: including pneumonia, bronchitis, laryngitis, tonsillitis, otitis media, tonsillitis, sinusitis and others.

In addition, Sumamed can be prescribed for Lyme disease, borreliosis, erythema and some other diseases. It is available in the form of tablets, suspension or capsules; in all cases, you must follow the instructions and calculate the dosage correctly.

In addition, Sumamed is prescribed for infectious skin diseases and inflammatory processes: including acne, erysipelas, dermatosis and many other skin problems.

Broad-spectrum antibiotics can only be prescribed by a doctor: uncontrolled use can lead to a decrease in their effectiveness and numerous side effects.

Sumamed, like any potent drug, has a number of absolute contraindications. It is not prescribed in the following cases:

  • During lactation. Contraindication is age up to 6 months; at a later date, a suspension may be prescribed. From three years of age, tablets with a dosage of 125 mg can be prescribed; from 12 years of age, the dosage of tablets increases to 450 mg.
  • During pregnancy, Sumamed is not prescribed unless there is a serious threat to the health of the mother. However, it is recommended as the main remedy for combating certain sexually transmitted infections.
  • Contraindication is impaired functioning of the kidneys and liver. The active substance is excreted from the body for quite a long time, and the main part of it is removed in the urine. Renal failure prevents this, so the drug is not prescribed.
  • The use of Sumamed is not recommended for diabetes mellitus, cardiac disorders: arrhythmia, heart failure, etc.

In addition, there are restrictions on use together with other drugs. It is not prescribed at all with digoxin and terfenadine; in all cases, only a doctor can prescribe the correct course of treatment.

Rules for taking Sumamed for adults

Sumamed - dosage for adults

How to take Sumamed? The dosage and method of administration depend on the patient’s age and some other parameters. In all cases, the medicine is taken once a day an hour before a meal or an hour after it.

Adults are prescribed tablets and capsules; the standard dosage for a patient over 12 years of age and weighing more than 45 kg is 500 mg.

The course of treatment depends on the disease:

  • For infectious diseases of the respiratory tract and ENT organs, 500 mg of the drug per day is prescribed, once a day. The course of treatment takes 3 days. After this, the doctor will evaluate changes in the patient’s condition and decide on the further use of antibiotics.
  • For Lyme disease, a 5-day course of treatment is prescribed: on the first day you need to take 1 g of the drug, on the remaining days the dose is halved. The total dose taken by the patient should not exceed 3 g.
  • For pharyngitis and tonsillitis, take 500 mg of the drug once a day.
  • When treating skin diseases and acne, the course of treatment will be longer. In the first three days, the patient should take 500 mg of the drug once a day, then for 9 weeks, take 500 mg once a week. The drug is taken strictly every 7 days.
  • For urethritis and other infectious and inflammatory processes in the urinary tract, an antibiotic is prescribed once in an amount of 1 gram. This is only part of the course of treatment; all recommendations of specialists must be followed.

This information is advisory in nature. Depending on the course of the disease and the characteristics of the patient’s body, the dosage changes and is prescribed by the attending physician. To prevent serious side effects, you should not purchase and use the drug yourself, even on the basis of medical recommendations in the instructions.

Rules for taking Sumamed for children

Sumamed - dosage for children

For children, the method of administration and possible dosage depend on age and body weight: for children weighing less than 45 kg under the age of 12 years, the dosage is 10 mg per kilogram of weight. For infectious diseases of the respiratory tract and ENT organs, the course of treatment is usually 3 days, the drug is administered in a precisely calculated dose once a day.

For Lyme disease, the course of treatment takes 5 days: on the first day the medicine is taken at a rate of 20 mg/kg, from days 2 to 5 it is halved.

Thus, the total amount of antibiotic taken should not exceed 60 mg per kg of the child’s weight.

Children are usually prescribed tablets and capsules, the dosage of which is 125 g. Depending on the child’s weight, the doctor will prescribe 2 or 3 tablets.

For small children under 3 years of age, the dosage is calculated in a similar way:

  • When treating infections, a 3-day course will be prescribed with a dose of 10 mg of the drug per kilogram of weight; the treatment for tonsillitis and other diseases caused by streptococci will be similar.
  • For Lyme disease, a 5-day course will be prescribed according to the above scheme, the total dosage during the entire course of treatment should not exceed 60 mg/kg.
  • Small children are prescribed not tablets, but a suspension; it must be thoroughly mixed and brought to a homogeneous consistency.

Video on how to prepare the “Sumamed” suspension.

An overdose when treating children is completely unacceptable, so you must not violate the treatment period and the schedule prescribed by the doctor. There are often situations when parents try to speed up recovery and increase the dose for this. This will not only not help the child, but can lead to a serious deterioration in well-being.

Parents are advised to keep a diary in which all medications taken and their effects should be recorded. If any signs of allergies or individual intolerance appear, the doctor will select other medications, and keeping a diary will greatly facilitate his work. In addition, it will allow you to notice positive changes in your well-being.

Possible side effects

When taking Sumamed, some negative side effects are possible due to the pharmacological action of the drug.

They can manifest themselves depending on the characteristics of the body, the most common are the following phenomena:

  • Digestive system. Abdominal pain, nausea and vomiting, symptoms of gastritis, and bloating may occur. With long-term use or uncontrolled use, drug-induced hepatitis and severe liver dysfunction are possible.
  • Nervous system. Possible sleep disturbances, increased fatigue, dizziness, as well as disturbances of smell and touch. When treating otitis media in children, a side effect of Sumamed may be headache.
  • In case of individual intolerance to the components of the drug, severe allergic reactions are possible: Quincke's edema, increased sensitivity to light, skin rashes, itching, rash.
  • Cardiovascular system: heart palpitations may occur. If you already have heart problems, an exacerbation of chronic diseases is possible.

Side effects do not occur often: they may be associated with individual sensitivity to the components of the drug. If any allergic reactions to antibiotics have previously been observed, this should be reported to a specialist.

A solid list of side effects partly confirms the effectiveness of the drug: the potent substance affects all organs and systems, which is why it is so important to strictly follow the instructions and prescribe an antibiotic only when it is really necessary.

With prolonged use, serious disturbances in the functioning of the digestive system are possible.

The antibiotic destroys the beneficial intestinal microflora, which can cause dysbiosis and require special treatment. An overdose is manifested by symptoms of poisoning: nausea, vomiting, bowel movements, and temporary hearing loss is possible. No special treatment is required; symptom relief is sufficient.

Sumamed is an effective antibiotic that allows you to fight various infections and get quick results; the new drug has proven itself well and is widely used.

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Comments (5)

Elena

10/16/2015 at 11:31 pm | #

I often deal with sumamed and its analogue azithromycin, since sinusitis is my eternal problem, and this antibiotic has helped me out more than once. Its effectiveness is partly due to the fact (this is mentioned in passing in the article) that it accumulates not just in tissues, but specifically in areas of inflammation (it is transported there along with phagocytes) and acts precisely in the place where bacteria accumulate. In addition, its effect is prolonged, that is, after a 3-day course it acts in the body for several more days. But during pregnancy and lactation it is strictly contraindicated - as it has a negative effect on the child’s bone tissue (the ENT doctor at the hospital warned).

Irina

08/23/2017 at 05:16 | #

For some reason, my husband was prescribed it for six days, plus he was additionally told to go on Smartprost, supposedly because the drugs penetrate very poorly into the inflamed prostate. But it helped, apparently, such a scheme also has a right to exist.

Marat

10/30/2017 at 15:05 | #

I took 500 mg for prostatitis for 3 days, then I just finished treatment with suppositories and smartprost. so this dose is quite enough for an adult man.

Rustam

01/21/2018 at 09:01 | #

Maybe with this approach it will help, but not everyone has the opportunity to complete treatment with smartprost

02/19/2018 at 11:50 | #

in fact, if you look at it, it turns out that smartprost is even more profitable than medications. I bought it once and for life.

leave a comment

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Sumamed. Features of antibiotic use in children

Pediatricians try in every possible way to avoid the use of antibiotics in the treatment of childhood diseases, but, alas, this is not always possible. Childhood diseases are almost always caused by three groups of factors - viruses, bacteria and allergens. Often these factors combine and complicate each other. In cases where diseases are complicated by bacterial pathogens, the pediatrician is obliged to prescribe antibacterial therapy.

There are many groups of antibacterial drugs, almost all of them have a wide range of effects, that is, they destroy a large number of varieties of bacteria. Most diseases are caused by certain types of bacteria, depending on the location of the inflammation.

Accordingly, for each disease caused by a certain group of pathogens, there is a preferred group of antibiotics. For the treatment of respiratory tract infections, preference is given to macrolides. In pediatric practice, the drug Sumamed is used in the form of a suspension or tablets.

Scope of application of Sumamed in pediatrics

Various bacterial infections in children, as a rule, begin with a viral one. If left untreated, a viral infection can weaken the body and open the door to bacteria. Then the disease becomes bacterial and requires the addition of antibacterial therapy.

The drug Sumamed belongs to the group of macrolides, azithromycin drugs.

Like other azithromycin drugs, it is used to treat:

  • infectious diseases of the URT (upper respiratory tract);

Sumamed is the drug of choice mainly for diseases of the ENT organs, upper and lower respiratory tract.

What types of drugs are there?

Sumamed for children has two versions - Sumamed and Sumamed Forte. The difference lies in the concentration of the active substance in the tablet or in 5 ml of the drug. Sumamed in a simple classical form contains 100 mg of the active substance (azithromycin) in 5 ml. Sumamed forte (stronger form) contains 200 mg of active substance in 5 ml.

The drug also has various release forms:

  1. Sumamed in tablets: 500 mg (3 pieces in a blister), 125 mg (6 pieces in a blister), 250 mg (6 pieces in a blister).
  2. Sumamed in capsules of 250 mg.
  3. Sumamed in a bottle contains 20 ml of powder for the preparation of a suspension at a concentration of 100 mg per 5 ml.
  4. Sumamed Forte in a bottle contains 20 ml and 30 ml of powder for preparing a suspension at a concentration of 200 mg per 5 ml.

When choosing an antibiotic, Sumamed suspension for children is recommended for children under three years of age, and tablets and capsules - after.

How Sumamed works

Azithromycin, which is the basis of the drug, has a pronounced reversible bacteriostatic effect. It binds to the ribosomes of bacteria and inhibits their vital activity until death. The quality of interaction between azithromycin and bacteria depends on the amount of the drug. The minimum dose inhibits and stops the vital processes of bacteria, and the optimal dose causes their death. In this way, the intensity of antibacterial therapy can be controlled. Azithromycin works best against various cocci.

In what doses is the drug prescribed to children?

The dosage of the antibiotic Sumamed for children is prescribed depending on the form of release.

The suspension is an ideal form for children from birth to three years, since the dosage can be calculated precisely down to milligrams. The dosage must be prescribed by a doctor.

To prepare a suspension in a bottle, the powder must be diluted with 12 ml of boiled water at a temperature of about °C and shaken until a homogeneous suspension is obtained. The result is 20 ml of finished syrup with the smell of cherry or banana. 5 ml of Sumamed suspension contains 100 mg of the drug. The suspension should be stored at a temperature of no more than 25 °C for no longer than 5 days.

The dosage is calculated based on the child’s body weight - 10 mg/kg/day. Thus, if a child weighs 10 kg, he needs 100 mg of the drug per day, which corresponds to 5 ml of the finished suspension.

Sumamed forte is diluted depending on the required amount of the finished drug. For example, for 15 ml of suspension, you need to add 8 ml of distilled or boiled water to the bottle using the supplied syringe.

This form is suitable for children over three years of age weighing more than 45 kg.

The dose calculation is the same - 10 mg/kg/day. Tablets are available in the form of 125 and 250 mg.

Capsules are available in 250 mg form, which is more appropriate for adults and children over 12 years of age. Sumamed for children is given once a day for a course of at least three days.

Recommendations for use

When giving Sumamed to children, it is necessary to take into account the characteristics of each form of the drug.

  • For children under three years of age, Sumamed is given exclusively in the form of syrup (suspension).
  • Over the age of three years, children weighing no more than 45 kg should be given Sumamed in the form of tablets of 125 mg or 250 mg, given that the drug is taken once a day.
  • When diluting the powder to prepare a suspension, you need to take into account how much of the finished suspension you need to get at the output. For preparation, it is better to use distilled water at room temperature. To accurately dilute and measure the amount of suspension, you must use only the dosage syringe and measuring spoon included with the drug.
  • For children under one year old, the drug is given using a syringe, after one year - using a measuring spoon.
  • Tablet medications can only be divided along the dividing line and into no more than two parts, so as not to disrupt the daily dosage.

General recommendations for the use of the drug in children:

  • Before giving the antibiotic Sumamed to children, the instructions must be read by parents.
  • You cannot start using an antibiotic on your own, without a doctor’s prescription and knowing the exact diagnosis.
  • The dosage is determined by the intensity of the treatment - if the goal is to correct the activity of the natural intestinal microflora, then the dose will be less, if it is necessary to significantly reduce the number of bacteria - more.
  • As with any other antibiotic, Sumamed should be given to children along with a high-quality probiotic to cause less damage to the gastrointestinal tract.
  • Allergy to Sumamed in children is rare, but still possible. Therefore, it is recommended to test sensitivity to it in the laboratory before starting use.

Author: Sukhorukova Anastasia Andreevna, pediatrician

Instructions for preparing the suspension

Why was it banned from selling it without a prescription? My husband used to immediately start drinking during an exacerbation of prostatitis, and as a result, after 3 days he switched to other medications and Smartprost. And now I just stood in line for 3 days to see a urologist.

Antibiotic "Sumamed" for children: instructions for use, price, dosage, analogues and reviews

To date, a huge number of antibiotics have been created. Each of them has many properties. Recently, the drug “Sumamed” has become very popular. This remedy is prescribed to children for almost any infectious disease. Initially, the pharmacological agent was called Azithromycin. It was changed to promote the product in the market. This is how a drug called “Sumamed” came into being. Over the past decade, this pharmacological agent has become quite widespread and is used all over the world to combat many infectious diseases that are accompanied by inflammatory processes.

As statistics from some manufacturers show, by the end of the 90s of the last century, the drug Azithromycin occupied a leading place among antibiotics. Today, approximately one billion dollars worth of this drug is sold worldwide. How to take this drug and what main qualities does it have?

Forms of release of a pharmacological agent

The composition of the drug "Sumamed" includes azithromycin. This substance belongs to azalides and is also an active component of the medication. "Sumamed" is the commercial international name of the drug. It should be noted that this drug is an antimicrobial drug that is widely used in medicine. Penetrating into the microbial cell, the product inhibits protein reactions. The main feature of the drug “Sumamed” is its high rate of penetration into infected organs and a fairly long period of action. It is these factors that allow you to take the medicine only once a day. As for the forms of release of this product, they are quite diverse.

This is due to the widespread use of the drug. The drug "Sumamed" for children, the price of which depends on the dosage of the active substance, is available in the form of a suspension, as well as in the form of syrup.

In addition, the medicine is sold in pills coated with a special coating. One pack can contain 3 or 6 tablets. The pills have a bluish-gray tint, a round shape and are marked with the name of the manufacturer imprinted on their surface.

Also, Sumamed antibiotics for school-age children are available in capsules. One pack usually contains six pills. The capsules themselves are hard and made of biosoluble substances. They are blue-gray in color, just like the tablets. Inside each capsule there is a white-cream powder.

In addition, the drug is sold in powder form, which must be diluted with liquid. The original form is a regular structured mass that has a berry aroma and corresponding taste. In addition to the active ingredient, this powder contains flavoring, food coloring, and a sweetener. The drug is sold in a special container in which it can be diluted. The set also includes a special spoon with measuring divisions. In the state of a colloidal solution, the drug “Sumamed” for children, reviews of which are mostly positive, has a light cream color.

Why is it better to give children a suspension?

Giving a child medication is a difficult task. Especially if he is still very small. Why is the “Sumamed” suspension for children, about which there are different reviews, better than tablets? The answer to this question is quite simple. It is much easier to give your child a delicious syrup that smells nice of strawberries than a bitter pill. Agree, the suspension will cause significantly less negative emotions in the baby. In addition, the package along with the medicine usually contains a special measuring spoon or syringe. Such simple devices allow you to give your child exactly the amount of antibiotic prescribed by the doctor.

If there were no special prescriptions, then the drug “Sumamed” is given to children depending on body weight. However, before taking it, it is better not only to read the instructions, but also to visit a doctor. In addition, the drug must be prescribed by a specialist.

Medicine "Sumamed": description, pharmacology

This drug is a broad-spectrum antibiotic. The medicine "Sumamed" for children, the reviews of specialists about which are substantiated by research, belongs to a new group of medicines - azalides. This drug has an antimicrobial effect as soon as it reaches the organ where the inflammatory process began.

It is worth noting that this pharmacological agent is considered effective against gram-positive aerobic microbes, staphylococci, streptococci. And also to gram-negative aerobic microbes: Bordetella parapertussis, Moraxella catarrhalis, Haemophilus, Gardnerella vaginalis, Helicobacter pylori, Legionella pneumophila. In addition, the product is effective against anaerobic bacteria: peptostreptococci, Clostridium perfringens, and Bacteroides bivius. In addition, the pharmacological agent perfectly fights diseases resulting from the activity of pathogens such as chlamydia, Borrelia burgdorferi, Mycoplasma pneumoniae, Treponema pallidum and, of course, Ureaplasma urealyticum. This is why the drug “Sumamed” is so often prescribed to children.

However, this drug does not affect gram-positive microbes, which are more resistant to erythromycin.

For what ailments is the drug "Sumamed" prescribed?

This medicine is very often prescribed when there is an inflammatory process in the patient’s body. The drug “Sumamed” (suspension for children) is prescribed if the disease arose as a result of the activity of bacteria that are not resistant to the drug:

  1. For all kinds of respiratory tract infections, for example, for the treatment of atypical and typical bronchitis and pneumonia.
  2. For certain stomach diseases that are caused by bacteria sensitive to the active substance of this drug.
  3. For ailments of the ENT organs, for example, otitis media, tonsillitis, sinusitis and sore throat.
  4. In the presence of infections of soft tissues, as well as affected skin.
  5. For diseases of the urinary tract: cystitis, urethritis.

Pharmacodynamics

The drug “Sumamed” for children (suspension), the price of which depends on the composition, is quickly and, most importantly, completely absorbed by the gastrointestinal mucosa. This is due to lipophilicity and resistance to acidic environments. After taking the drug, for example, in a dose containing 0.5 grams of the active substance, its maximum concentration in the blood will be observed within three hours. This figure will be equal to 0.4 milligrams per liter.

It is worth noting that the active substance of the drug “Sumamed” penetrates the tissues and organs of the genitourinary system, as well as the organs of the entire respiratory system, the skin and other soft tissues. This pharmacological agent perfectly kills pathogenic bacteria. The maximum concentration of the drug in soft tissues exceeds the concentration in the blood by 10, or even 50 times. At the same time, the rather long half-life of the active substance is caused by poor communication of the drug with the blood plasma, or more precisely, with its proteins. In addition, there is a possibility of penetration of the drug into eukaryotic cells. Also, the drug "Sumamed" is able to remain in environments with low alkaline balance.

To combat intracellular bacteria, the ability of the active substance to concentrate in lysosomes is very important. This is why the drug “Sumamed” (suspension for children) is so popular. In addition, doctors claim that most of the active substance of this product is concentrated precisely in those places where there is an inflammatory process. The difference with the concentration in healthy tissues ranges from 23 to 33%. Despite the fact that the drug accumulates in large quantities in phagocytes, it does not affect their functions. Azithromycin remains precisely at the center of the inflammatory process for 5, and in some cases, 7 days after the end of administration. It is for this reason that the course of treatment lasts no more than five days. So how to give the drug "Sumamed" to children? The instructions for use of this product contain all the necessary information, but the dosage should be checked with your doctor.

How to take Sumamed tablets and capsules for children over 12 years of age

If a doctor has prescribed Sumamed, how should a child over 12 years of age or an adult be given this medication? Usually the drug is prescribed for oral administration once a day about an hour or a couple of hours after a meal. Elderly people, adults and children over 12 years of age, whose body weight is more than 45 kilograms, are recommended to take the drug:

  1. For various infections of the respiratory tract, as well as ENT organs, soft tissues and skin - once a day in a dose of 500 milligrams, for three days. The full dose for the entire course is 1.5 grams.
  2. For erythema migrans according to the following scheme: 1st day – 1 gram, 2nd–5th days – 0.5 grams each. Therapy lasts up to five days. The course dose should not exceed 3 grams.
  3. For acne of moderate severity, the drug “Sumamed” is prescribed to children over 12 years of age and adults, 0.5 grams once a day for three days. After which you need to take the medicine once every 7 days. In this case, the dose should be 0.5 grams. Course – 9 weeks. The interval between the last daily and first weekly dose should be at least seven days.
  4. For uncomplicated cervicitis and urethritis, the drug is prescribed in the following dose: only 1 gram once.

How to give the drug "Sumamed" in tablets to children aged 3 to 12 years

For diseases of the ENT organs, as well as all parts of the respiratory tract, soft tissues and skin, the drug should be taken 10 milligrams per kilogram of weight once a day for three days. Usually the doctor prescribes the dose for one dose. For the entire course of therapy, the dose should not exceed 30 milligrams per kilogram.

The drug “Sumamed” (125 mg) is prescribed for children, taking into account the child’s weight. The dose can be easily determined from the table:

2 tablets or 250 milligrams

From 18 to 30 kilograms

3 tablets or 375 milligrams

From 31 to 44 kilograms

More than 45 kilograms

The drug "Sumamed" for sore throat in children, as well as for tonsillitis and pharyngitis, is prescribed at 20 milligrams per kilogram per day. The course of therapy is three days. The maximum dose per day can be no more than 0.5 grams.

For erythema migrans, the drug is prescribed according to the following scheme: day 1 – 20 milligrams per kilogram of weight, days 2–5 – 10 milligrams per kilogram.

How to give the drug "Sumamed" to a child aged 6 months to three years

In this case, tablets are unlikely to be suitable, since the baby will not be able to swallow them without chewing. For example, it is better to give the drug “Sumamed” to a child (2 years old) in the form of a suspension. It's much more convenient. The required dose can be easily measured with a measuring spoon or a special syringe. They are always in a package with suspension. If the medicine is intended for a child whose body weight is less than 15 kilograms, then it is better to use a special syringe.

For diseases of the respiratory tract, soft tissues, skin and ENT organs, the drug is prescribed once a day, 10 milligrams per kilogram of body. The course is three days. To better calculate the dosage, you can use the following table:

Required volume of drug 100 mg/5 ml

If a child is sick with tonsillitis or pharyngitis, the doctor prescribes 20 milligrams per kilogram of his weight. The course is three days.

If there are signs of Lyme disease, then the drug “Sumamed” should be taken according to the following scheme: day 1 – 20 milligrams per kilogram once a day, days 2–5 – 10 milligrams per kilogram of weight once per day.

At the moment, there is another form of this drug: the drug “Sumamed” 250 mg (for children). The dosage of the medication is determined by the doctor.

Side effects of the drug and contraindications

The drug "Sumamed" should not be taken by those people who may experience individual intolerance to this type of antibiotics. In addition, it should be prescribed with caution to patients with kidney and liver dysfunction. Also, this drug is strictly prohibited during lactation and pregnancy. The exception is if the mother's condition is very serious. However, in any case, it is necessary to remember the danger to the child.

Judging by the reviews of experts, the drug “Sumamed” practically does not cause side effects and copes well with its tasks. Although in some cases slight discomfort may occur. Only 1% of patients experience such a condition as a result of taking the drug “Sumamed”. Adverse reactions include a complete lack of appetite, stomach pain, some changes in digestion, increased gas formation, yellowing of the skin. Experts note that while taking Sumamed, red spots may appear on the face and body. With sufficiently long therapy, a fungal infection of the kidneys or genitals sometimes develops. In addition, the drug can cause irregular heart rhythms, migraine-like pain, loss of coordination and an irresistible desire to sleep.

Also, in some cases, liver hyperfunction, skin itching, inflammation of the eye mucous membranes, skin rashes, etc. are observed. It is extremely rare that eosinophilia and neutrophilia develop as a result of taking Sumamed.

As experts note, all side effects disappear on the 20th day after stopping use of this drug.

Special instructions for use

The drug "Sumamed" belongs to that group of antibiotics that must be taken with extreme caution. Therefore, this medicine should be taken as prescribed by your doctor. In this case, it is necessary to observe not only the dosage, but also the duration of therapy. Also, do not forget that when taking the drug "Sumamed" the use of antifungal agents is prescribed.

It is prohibited to use this drug during pregnancy, as this may cause harm to the unborn child. If you need to start using Sumamed during lactation, then it is better to wean the baby during the therapy period and switch to artificial feeding.

The effect of injections of this drug on young children has not yet been fully studied. Therefore, the medicine “Sumamed” in the specified form is prescribed only to adults and adolescents over 16 years of age.

It is worth noting that this drug does not have a negative effect on the nervous system. Therefore, the patient can lead his normal life.

The drug "Sumamed": analogues

Today you can buy not only this drug for children, but also its analogues. There are plenty of them today. These are medications such as:

When choosing a drug, you should remember that some analogues may contain a small amount of various additives, which are the main difference between these drugs and the drug "Sumamed".

Cost of the drug

How much does the medicine “Sumamed” cost for children? The price of this medicine depends on the amount of active substance it contains. Let's give the average value: 125 mg tablets cost an average of 540 rubles, 500 mg - 581 rubles, 250 mg capsules - 599 rubles. As you can see, the cost of this drug is not too high, especially considering the effect it has.

It is worth remembering that the medicine “Sumamed” for children (suspension), the price of which is slightly less than tablets, is also often prescribed to children over 3 years of age. Therefore, there are 100 mg and 200 mg forms. In this case, the medicine must be prescribed by a doctor.

In addition, the medicine “Sumamed” is also available in the form of a powder for the preparation of an injection solution of 500 mg. Its cost is about 2100 rubles.

Reviews from experts about the drug

About twenty years ago the drug “Sumamed” was created. Over all these years, the drug has gained great popularity. According to experts, this particular drug effectively fights a huge number of pathogenic microbes. Judging by the reviews, the use of the medication “Sumamed” allows you to speed up the healing process as much as possible. This medicine copes well with ailments such as inflammation of the hearing aid, dermatitis resulting from infections, microbial diseases of the respiratory tract, and so on. It is worth remembering that the course of treatment lasts about three days. During this time, the Sumamed remedy allows you to get rid of inflammation of the middle ear, bronchitis of microbial origin, as well as pneumonia. The drug is currently considered the most effective in the fight against many ailments.

Source: http://www.syl.ru/article/169588/new_antibiotik-sumamed-detyam-instruktsiya-po-primeneniyu-tsena-dozirovka-analogi-i-otzyivyi