Sumamed for children dosage

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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.

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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);
  • ear, nose and throat infections;
  • sinusitis, otitis, pharyngitis, sore throat;
  • lower respiratory tract infections (bronchitis of all origins, pneumonia);
  • skin diseases;
  • urogenital (genitourinary) infections.

    • 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.

    Source: http://mama66.ru/child/sumamed-dlya-detejj

    Sumamed for children

    Sumamed is a remedy for the treatment of pathologies caused by bacterial agents. It is considered a fairly strong antibacterial agent, which is used when penicillin agents are ineffective. Sumamed for children is prescribed in the form of a suspension and tablet forms, depending on the age of the child.

    Pharmacological properties, forms, indications, limitations, undesirable effects

    Sumamed is produced in the form of tablets, capsules, and suspensions. Children's antibiotic Sumamed in bottles contains powder from which the mixture is prepared. 5 ml of the finished medicine contains 100 or 200 mg of the active substance. Tablets have drug concentrations of 125, 250, 500 mg. Capsules may contain 250 or 500 mg of antibiotic. For children, Sumamed syrup is approved from 6 months. Sumamed tablets can be prescribed to children from the age of 6 years. Capsules should be given to children over 12 years of age.

    The active component of Sumamed is Azithromycin. It has a negative effect on gram-positive, gram-negative, anaerobic, intracellular bacteria. The medicine is integrated into phagocyte cells and enters the site of infection. The drug prevents the formation of protein compounds of pathogens. This process stops the reproduction and activity of bacterial agents. Azithromycin is metabolized in the cellular structures of the liver and then excreted in bile and urine.

    Indications and restrictions

    Sumamed, according to the instructions, has its own indications and contraindications.

    Indications for prescribing the medicine:

    • diseases of the respiratory organs (pharyngitis, tonsillitis, otitis, pneumonia, bacterial bronchitis);
    • diseases of the skin, subcutaneous fat, muscles (Lyme disease, erysipelas, purulent skin diseases, erythema);
    • pathologies of the genital organs, pelvis (urethritis, cervicitis, cystitis);
    • diseases of the digestive system caused by Helicobacter pylori.

    Before using Sumamed, you should consult a doctor to clarify the restrictions, as well as undesirable manifestations. It is imperative to inform your doctor if you have allergies or concomitant chronic diseases.

    Limitations and unwanted effects of Sumamed

    Restrictions

    Undesirable manifestations

    • intolerance to the components of the drug;
    • serious pathologies of the kidneys and liver.
    • pregnancy;
    • lactation;
    • kidney and liver diseases;
    • heart rhythm disturbances;
    • children from 6 (tablets) or 12 years (capsules).
    • blood in stool;
    • cholestasis syndrome with jaundice,
    • flatulence phenomena;
    • dyspepsia (nausea, vomiting, diarrhea);
    • allergies (skin rash, angioedema, skin reaction to sunlight);
    • inflammation of the kidney tissue, vaginitis caused by Candida fungus;
    • changes in heart rhythm, chest pain;
    • vestibular disorders, drowsiness, headaches;
    • anxiety, poor sleep;
    • inflammation of the conjunctiva of the eye;
    • increase in eosinophils, neutrophils in the blood.

    Undesirable effects occur very rarely. The most likely side effects of Sumamed in children are diarrhea and vomiting. After a symptom appears, you should tell your doctor about it. In case of severe dehydration, the antibiotic should be discontinued and replaced with another drug (of a different group).

    In children, with prolonged use, intestinal dysbiosis may develop, which is accompanied by abdominal pain, stool problems, vomiting, and flatulence. In this case, the antibiotic Sumamed should be discontinued for the child and probiotics should be prescribed to restore the flora.

    Sumamed is an ototoxic drug, so if there are complaints of hearing loss, tinnitus, or vestibular dizziness, the drug should be immediately discontinued and the child should be referred for consultation with an otolaryngologist.

    Using high doses of medication

    Uncontrolled use of Sumamed may increase undesirable symptoms. The child may experience severe diarrhea, vomiting, nausea, bleeding in the digestive tract, and hearing loss. To avoid this, the dosage of children's Sumamed must correspond to the instructions.

    If the baby has taken a large amount of medicine on his own, then it is necessary to force him to drink water, induce vomiting, and give sorbents (Activated carbon, Smecta, Enterosgel, White coal). If therapy is ineffective, you should urgently call an ambulance service and hospitalize the child. In the hospital, detoxification therapy will be carried out intravenously, and the stomach will be washed out additionally.

    Rules for using an antibacterial agent

    At what age can children be given Sumamed? The drug is approved for babies up to 1 year (from 6 months). To treat bacterial infections, you can give your child Sumamed in syrup in acceptable doses. Tablet forms of Azithromycin are indicated for children from 6 years of age. Capsules can be used by children over 12 years of age.

    Rules for taking the suspension in pediatrics

    The suspension is produced in bottles. To prepare the solution, you need to dilute the powder with boiled or distilled water. One jar is designed for 1 course of therapy. After preparing the suspension, the solution should be stored at room temperature for no more than 5 days. Before each dose, shake the mixture to obtain a uniform suspension. Otherwise, the concentration of the drug may be lower, and the treatment will be ineffective.

    How often should Sumamed be given to a child? The package contains a measuring syringe, which makes it easier to accurately dose the antibiotic. The medicine is given at a certain time, preferably in the morning, once a day. You should take the antibiotic 60 minutes before meals or 2 hours after meals. If a dose of Sumamed was missed, then the medicine should be given at any time when remembered. The next dose is taken after 24 hours. This is necessary to constantly maintain a high concentration of the antibiotic in the blood. The syringe must be washed and dried before the next use so that the piston does not stick and drug residues do not remain.

    The course of treatment lasts 3 days. If 3 days is not enough, then therapy can be extended to 5 days. Taking it for more than 5 days can cause dysbiosis, as well as other complications. In this case, it is better to replace the drug with another antibiotic.

    How to calculate the dose of Sumamed for a child? Dosages of the drug are calculated depending on the weight and age of the child. The amount of medicine also depends on the type of disease.

    Sumamed is given to infants strictly according to the instructions. The dosage of the medicine is calculated according to the weight of the child. For children less than 10 kg, use a suspension with a substance concentration of 100 mg per 5 ml, for children over 10 kg - 200 mg per 5 ml. The maximum dose per day is 10 mg per 1 kg of weight, per course no more than 30 mg per 1 kg of weight.

    Rules for use in children

    Amount of drug (ml)

    After the child has drunk the medicine, you need to give water or juice to wash away any remaining medicine in the mouth.

    Use of tablet and capsule forms of the drug in pediatrics

    For children over 6 years old, it is better to take Sumamed 125 mg tablets. It is easier to dose, since the amount of medicine for children is less than for adults. For patients over 12 years of age, 250 and 500 mg forms are suitable. The dosage of tablet forms is calculated based on the child’s weight. For diseases of the respiratory system, 10 mg per 1 kg of patient weight is prescribed. Sumamed is given once at the same time. The intervals between doses should be 24 hours. The tablet or capsule should be washed down with plenty of water without chewing. The course of treatment is 3 days, maximum 5.

    If there are other diseases, the dosage of Sumamed for children is selected individually. For erythema, the course of therapy is extended to 5 days. Sexual infections require treatment for 7 days. If bacterial diseases occur, consult a doctor. You cannot take medications on your own, as complications are possible.

    Combination of medicine with other groups of drugs

    Drugs that reduce the acidity of gastric juice, as well as food intake, reduce the effectiveness of antibiotic absorption. Therefore, Sumamed in the form of a suspension, capsules and tablets is taken before or after meals. The medicine does not affect the cytochrome systems, so it does not interact with theophylline, carbamazepine, or cardiac glycosides.

    Sumamed increases the toxic effect and amount of steroid hormones and indirect anticoagulants in the blood. Warfarin and Azithromycin require constant monitoring of the child’s condition, as well as prothrombin time in blood tests. It is prohibited to prescribe Sumamed with heparin. This increases the likelihood of heavy bleeding that is difficult to stop.

    Sumamed's analogs

    Sumamed's analogues may be cheaper or more expensive. The price of the drug depends on the pharmaceutical company producing the drug, as well as on the correct adherence to the production technology. The cheaper the medicine, the greater the likelihood of side effects. This is due to a violation of the technological requirements stated by the manufacturer of the drug Sumamed. Before choosing a drug, you should definitely consult your doctor. He will help you choose a drug. This will reduce the likelihood of unwanted manifestations.

    Similar medicines in tablets, capsules

    Sumamed suspension, analogues:

    • Azithromycin (price from 30 rubles);
    • AzitRus (30 rubles and above);
    • Ormax (30 rub.);
    • Chemomycin (RUB 135);
    • Z-factor (220 rub.);
    • Azitral (250 rub.).
    • Azitrox (279 rub.);
    • Chemomycin (150 rub.);
    • Azithromycin (from 250 rub.);
    • Zitrox (341 rub.);
    • Azimed (150 rub.).

    In our country, Azithromycin is produced in suspension, tablets and capsules, AzitRus in tablets and capsules. These drugs have a very low price. Hemomycin is produced in Serbia. The cost of the medicine is slightly higher. More expensive are Zitrox in suspension, Azitral, Z-factor in tablets and capsules. Of the entire list, Hemomycin has proven itself well. It has a low price and good quality.

    Rules for assessing the effectiveness of Azithromycin

    When prescribing Sumamed, you should definitely look at the effect of treatment. To assess the effectiveness of therapy, the attending physician must evaluate temperature data, the general condition of the child, the occurrence of undesirable effects, and signs of inflammatory reactions.

    The temperature is recorded at least 2 times a day (more often if necessary). A graph is constructed against the background of these measurements. If during the first day while taking Sumamed the curve on the graph decreases below 38, then the effect of therapy is good. On the second day the temperature should return to normal. If jumps in the temperature curve remain above 37 during the first 2 days, then the antibiotic is not helping. Maintaining a temperature in a high range is an indication for discontinuing the drug or replacing it with another group of antibacterial agents.

    In addition to temperature, when treating skin diseases, the doctor evaluates the condition of the skin. While taking Sumamed, the focus of inflammation should decrease. If a child has pneumonia, a control x-ray is required to assess the size of the darkening. During treatment, the darkening will be less intense, and the pulmonary pattern will begin to disappear. The general condition of the child, with a good effect from the treatment, will be satisfactory on the second day of taking the medicine.

    If Azithromycin is not suitable, it should be replaced with another antibacterial drug. To do this, a sputum analysis or smears from the skin and throat are performed to determine sensitivity to antibiotics. Based on the examination results, the doctor selects a drug.

    Conclusion

    Sumamed is an excellent antibacterial agent that is actively used in children. Recently, a large number of frequently ill children have developed bacterial flora resistance to this medicine. This is due to frequent use of the medicine, as well as improper administration. In order to prevent the emergence of resistant strains, it is necessary to follow the instructions for using Azithromycin, and also not to take the medicine yourself.

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    IMPORTANT. The information on the site is provided for informational purposes only. Do not self-medicate. At the first sign of disease, consult a doctor.

    Source: http://pillsman.org/25017-sumamed-dlya-detey.html

    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. 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

    Suspension and tablets "Sumamed": complete instructions for use for children, antibiotic analogues

    Sumamed is a new generation children's antibiotic. The main working component of the product is azithromycin. Since the drug has recently entered the pharmacological market, detailed information about its action and use will be important for parents. Antibiotics are serious medications and require strict adherence to the rules for their administration, especially when used in the treatment of children.

    How does the drug work?

    The drug belongs to the group of macrolide-azalides and fights various types of microbes. Penetrating into bacterial cells, Sumamed disrupts the process of protein synthesis in them, which leads to a decrease in their ability to reproduce and grow. At a high concentration of the active substance, the bactericidal effect of the drug is also manifested. Azithromycin is delivered to the affected area by blood and immune cells, which provides an immediate therapeutic effect.

    Sumamed is especially attractive for children because it retains its therapeutic effect for a long time. It is enough to give a child one tablet a day so that the body has an intense destructive effect on pathogenic microbes. The course of treatment is also shortened and lasts 3-5 days. For children who do not like to undergo long-term treatment, such an effective antibiotic is ideal.

    When is Sumamed prescribed?

    Indications for taking Sumamed are specified in the instructions attached to it. The antibiotic stops inflammatory manifestations and infectious processes of bacterial origin. We list the main ones:

    • infection with microbes affecting the ENT organs and upper respiratory tract (tonsillitis, sinusitis, otitis media);
    • bronchitis in acute and chronic form, pneumonia;
    • acne vulgaris (pimples and blackheads), manifested by moderate severity;
    • infectious lesions of the epidermis and muscle tissue (erysipelas, impetigo);
    • Lyme disease in its early stages;
    • infection of the genitourinary tract caused by Chlamydia trachomatis.

    Dosage forms

    They produce a drug aimed at treating children in various dosage forms. Pharmacies offer:

    1. Biconvex tablets of 125 mg, round, film-coated, colored blue. There are engraved designations - “125” or “PLIVA”. Sold in packaging: one blister - 6 tablets.
    2. 500 mg oval tablets. If you break it, it will be white inside. There are engravings “500” or “PLIVA”. The blister contains 3 tablets.
    3. Gelatin capsules containing white or light yellow powder inside. The shell of the capsules is painted blue, the lid is blue. Blister for 6 capsules.
    4. Powder in the form of tiny granules to obtain a suspension (syrup), white or light yellow. The syrup obtained when the powder is dissolved has a cherry or banana flavor. To measure the dose, the package contains a measuring spoon or syringe.

    Sumamed in the form of a powder for preparing a suspension is convenient for accurately measuring the amount of the drug needed by the child

    How to give the medicine?

    Children from 6 months of age to 3 years of age are given the drug in the form of a suspension. When diluting the powder with water, you will get a liquid with the consistency of jelly, which many children really like. In addition, this choice is determined by the following factors:

    • pleasant taste of the suspension;
    • The baby accepts liquid medicine more easily;
    • It simplifies the preparation of the required dose.
    Tablets are prescribed to children aged 3 years and older. They cannot be chewed, so parents should ensure that the child swallows the tablet without biting it. If your baby is choking on pills and cannot swallow them normally, buy him Sumamed suspension. The drug in capsules is not recommended for use by children under 12 years of age, because even at an older age they can hardly swallow them.

    Treatment of a child over three years of age can be carried out using tablets that are washed down with water without chewing.

    How is the course of treatment structured?

    The correct dose is calculated according to the same scheme as any other children's medicine: 10 mg of the drug per 1 kg of weight. The course dose of Sumamed is 30 mg/kg. The reception lasts 3 days. Since the product is an antibiotic, drink it strictly according to the prescribed daily dose. To correctly calculate the medicine, take into account the markings on the medicine packaging.

    What do the numbers mean?

    The content of azithromycin, the working substance of the drug, in one tablet or capsule is prescribed in numbers - 100, 125, 200, 250, 500 milligrams. For a suspension, this indicator means the content of azithromycin in 5 ml of the finished drug. However, there is no need to do independent calculations; the pediatrician observing the patient will select the correct dosage for him.

    The importance of the complete course

    Despite the visible improvements that the child showed after starting to take Sumamed, the course cannot be stopped. Please note that only with a full course will the infection be completely destroyed. If the treatment process is interrupted, the microbes will develop resistance to the medicine and the disease will return. Be sure to correlate the dose of the drug with the child’s weight. Children may weigh more or less than the average for their age group.

    When is the drug contraindicated?

    Contraindications to the use of Sumamed are:

    • high sensitivity of the body to azithromycin, erythromycin, other antibiotics from the macrolide or ketolide series, and other components of the drug;
    • simultaneous use with ergotamine and dihydroergotamine;
    • liver and kidney pathologies;
    • sucrase deficiency, fructose intolerance, glucose-galactose malabsorption.

    In addition, the list of contraindications includes diseases such as arrhythmia, myasthenia gravis, bradycardia, heart failure, which occur in adult patients.

    Instructions for use

    Pills

    1. Traditionally, the calculation for children's drugs is as follows: 10 mg per 1 kg of weight. This dose is prescribed for ENT infections, skin and muscle tissue lesions. The daily dose per weight kilogram is mg (2 pomg tablets), given once a day. For weight - three tablets (375 mg), once a day for 3 days.
    2. For pharyngitis or tonsillitis - 20 mg per 1 kg, frequency of administration - 1 time per day, duration of administration - 3 days.
    3. Some diseases require special calculations regarding the dosage of the antibiotic. So, for Lyme disease, a small patient is prescribed medication based on 20 mg per 1 kg of weight on the first day from the start of treatment. Then they continue taking it for another 3 days, but at the usual rate of 10 mg per kilogram of the child’s weight. Parents should take into account all the nuances of taking an antibiotic and not resort to its help without consulting a doctor.

    Only a doctor can prescribe the drug Sumamed and its dosage for a child; you cannot do this yourself

    Suspension

    For babies from 6 months to 3 years, Sumamed is prescribed in the form of a powder, from which a liquid suspension is prepared. In order to correctly calculate the amount of the drug for a child weighing less than 15 kg, the suspension must be diluted with a syringe. If the baby weighs more than 15 kg, the dose is measured with a measuring spoon:

    • For bacterial damage to the upper respiratory tract and skin diseases, the suspension is taken in a dosage of 10 mg per 1 kg of weight.
    • For tonsillitis or pharyngitis (streptococcal infection), the ratio is 20 mg per 1 kg of weight with a dosage frequency of 1 time per day for 3 days.
    • To combat the initial stage of Lyme disease, the regimen changes: the first day - a daily dose of 20 mg/kg, then 4 days of 10 mg/kg, once a day.

    In addition, parents of young patients should study in detail the rules for preparing the suspension.

    How is the suspension prepared?

    Sumamed powder is placed in a bottle, and to obtain a suspension, it must be diluted with 12 ml of water, which is drawn into a syringe. Then the bottle should be shaken thoroughly. The suspension obtained in this way is stored at room conditions, but make sure that the temperature is no higher than +25 degrees (store is allowed for no more than 5 days). Shake the bottle before using the drug. A syringe and measuring spoon for diluting the suspension are included in the package.

    For older children who do not respond well to medications in solid form, you can purchase Sumamed forte - this is a powder with a high content of azithromycin: 200 mg per 5 ml.

    How is the suspension given?

    Many parents know how difficult it is to give medicine to six-month-old babies; they don’t want to drink it, they spit it out and choke. Simple rules will help you do everything right:

    • try to give the suspension at a certain time;
    • Sumamed should be taken one hour before meals or two hours after meals;
    • Give your child some water or unsweetened tea with the medicine.

    Dosage calculation rules

    For parents of babies under one year old, the dosage is calculated based on weight. Remember that you are giving your child an antibiotic - the amount must be strictly measured. For this purpose, a syringe has been specially added to the package with the medicine, according to the divisions of which it will be easier for you to draw the required amount.

    By correlating the patient’s weight and the amount of medication, we compiled a table of application:

    Adverse reactions

    The likelihood of a small patient experiencing an adverse reaction to Sumamed is very low. According to statistics, it occurs in only 1% of children. The instructions indicate the following negative manifestations:

    • diarrhea or constipation, decreased appetite, vomiting, nausea, signs of gastritis or cholesteric jaundice;
    • nephritis in rare cases;
    • vaginal candidiasis;
    • chest pain, rapid heartbeat;
    • sleep disturbance, weakness, headaches, unreasonable anxiety;
    • allergies - manifestations of rash, itching, redness, conjunctivitis are noted;
    • photosensitivity.

    How to reduce side effects?

    The properties initially included in the antibiotic that were gentle on the child’s body greatly reduced the risk of allergies and dysbacteriosis. However, to reduce this risk, doctors recommend taking Sumamed along with antihistamines (Suprastin, Zyrtec) against allergic reactions. To prevent dysbiosis, you should drink probiotics (Linex, Acipol). It is useful to take lacto- and bifidobacteria.

    Suprastin will reduce the side effects of the antibiotic on the child’s body

    Consequences of a drug overdose

    Is it possible to overdose on a medicine if you know that it is an antibiotic and a child is being treated with it? Well, there are such cases. Exceeding the dose can be determined by the following signs: vomiting, diarrhea, temporary hearing loss, nausea. In case of such reactions, you should immediately show the baby to a doctor, who will certainly prescribe the patient symptomatic treatment to alleviate the condition.

    Manufacturers of Sumamed and its analogues

    The main manufacturers of the original Sumamed are Pliva Hrvatska, a Croatian pharmaceutical company, and Teva from Israel. The Russian analogue of the drug is called Azithromycin. In addition, domestic pharmacologists offer drugs such as:

    Foreign analogues are also sold: Yugoslav Hemomycin, Indian Azitral, Sumamox and Azivok. As a rule, all analogues are cheaper than the original drug.

    I was prejudiced against antibiotics, especially their effects on children’s bodies. When my baby got a sore throat and had a very difficult time with it, our pediatrician prescribed sumamed. The drug helped very quickly, Leva felt better. Now I understand that Sumamed can be trusted.

    Attention! All information on the site is provided for informational purposes only and is for informational purposes only. For all questions regarding the diagnosis and treatment of diseases, you must consult a doctor for an in-person consultation.

    Source: http://vseprorebenka.ru/zdorove/preparaty/sumamed-dlya-detej.html

    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