Sumamed for children in suspension

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Suspension "Sumamed" for children: instructions for use

Sumamed is one of the popular antibacterial drugs approved for children. It is prescribed to eliminate bacteria that provoke otitis media, bronchitis, sinusitis and other diseases.

Table of contents:

To prevent young patients from protesting against treatment, a sweet-tasting suspension was made into one of the forms of Sumamed. When is it used, in what dosages is it prescribed for patients of different ages, and what similar medications can it be replaced with?

Release form

Sumamed suspension is sold in white polyethylene bottles with a capacity of 50 ml, closed with a tight cap. Inside this bottle is placed a little less than 21 grams of white-yellow powder that smells like strawberries. Along with the bottle, the box contains paper instructions and a graduated syringe or measuring spoon. After adding 12 ml of water inside the bottle, 20 ml of a white-yellow homogeneous liquid with the taste and smell of strawberries is formed, which is often called syrup.

A drug called Sumamed Forte is also available in suspension. Its difference from the usual Sumamed is a higher dosage of the antibiotic. This medicine comes in three different versions:

  1. Yellowish powder with the smell of banana. It is placed in a plastic white bottle with a volume of 50 ml in an amount of slightly more than 16 grams. When 9.5 ml of water is added to it, it produces 15 ml of banana-flavored medicine.
  2. Powder with a strawberry scent, which is about 29 grams packed in white plastic bottles with a capacity of 100 ml. To prepare a suspension, 16.5 ml of water must be added to such a powder. The result is 30 ml of sweet strawberry medicine.
  3. Powder that smells like raspberries. Its quantity in one bottle, capable of holding 100 ml of liquid, is approximately 35.5 grams. By pouring 20 ml of water into the bottle, you get a raspberry suspension, the nominal volume of which is 37.5 ml.

Compound

The main ingredient of the Sumamed suspension is called azithromycin. It is contained in the medicine in the form of a dihydrate and its amount in 5 ml of the finished medicine is 100 mg. Sumamed Forte also contains azithromycin dihydrate, but the dosage of this ingredient in 5 ml of suspension, regardless of taste, is 200 mg.

The auxiliary components in all versions of the suspension are the same, except for different flavorings. The powder contains xanthate gum, silicon and titanium dioxides, hyprolose, sodium phosphate and sucrose.

Operating principle

Azithromycin in the suspension has a bacteriostatic effect on various microorganisms, suppressing the formation of proteins in microbial cells. It binds to the ribosomes of the pathogen and inhibits special enzymes involved in the synthesis of protein molecules. As a result of this effect, the growth of bacteria slows down, but if the concentration of the drug is high, it can destroy microorganisms.

The spectrum of action of Sumamed is quite wide, because this drug affects:

Indications

The use of Sumamed is recommended for infections caused by bacteria sensitive to azithromycin. The suspension is prescribed:

  • For inflammation of the middle ear, tonsils, paranasal sinuses and other ENT organs;
  • For acute bronchitis, pneumonia and other infectious diseases of the respiratory system;
  • When bacteria damage the skin and soft tissues;
  • With borreliosis in the initial stage.

At what age is it prescribed?

Sumamed in suspension is recommended for the treatment of children aged 6 months to three years. This medicine is contraindicated to be given to infants who have not yet turned six months old, and it is not suitable for patients over 3 years of age due to the large volume of the medication (they switch to either Forte suspension or tablets of 125 mg and 250 mg each).

Sumamed Forte can also be prescribed from the age of six months, but provided that the baby’s weight is more than 10 kilograms.

Contraindications

Neither Sumamed nor Sumamed Forte should be given to children in the following cases:

  • If you are intolerant to azithromycin or another ingredient of the suspension;
  • In case of hypersensitivity to other macrolide antibiotics;
  • In case of severe liver diseases that have impaired the function of this organ;
  • In case of severe kidney pathologies affecting excretory function;
  • With isomaltase and sucrase deficiency, as well as with glucose-galactose malabsorption;
  • For fructose intolerance.

Treatment with Sumamed should be supervised by a doctor and carried out with caution in cases of myasthenia gravis, moderate and mild impairment of the kidneys or liver, bradycardia, dehydration, arrhythmia and diabetes mellitus.

Side effects

After taking Sumamed, some children experience headaches and negative symptoms from the digestive system (diarrhea, nausea, etc.). In addition, quite often the drug affects the cellular composition of the blood, causing a decrease in the number of lymphocytes and an increase in monocytes, eosinophils, neutrophils and other cells.

Somewhat less frequently, the suspension can cause swelling, fatigue, fever, back pain, skin rash, sweating, shortness of breath and other symptoms.

If they occur, consult a doctor to replace the drug with another treatment.

Instructions for use

To prepare the suspension, you need to use a measuring syringe to draw the amount of water specified in the instructions (it differs for Sumamed and different flavors of Sumamed Forte). After pouring the water into the bottle, you need to close the bottle with a lid and vigorously shake the drug. This way, a suspension is obtained in a slightly larger volume than the nominal volume, for example, if the nominal volume is indicated as 30 ml, then when diluted, about 35 ml is obtained. This is done to compensate for possible errors during dosing of the medication.

The medicine is given to the child once a day. However, the use of the suspension should not be combined with food intake. The medication should be taken either before meals one hour, or 2 hours after the child has eaten.

There is no need to further dilute the prepared suspension with water. If your child has difficulty swallowing it, it is better to let him drink the medicine first, and then offer him some water.

Since the active ingredient of the suspension settles to the bottom during storage, the medicine must be shaken before each dose. To dose the drug, use a syringe with 1 ml graduations, which can hold 5 ml of suspension. Some Sumamed packages also contain a measuring spoon that can be used to measure 2.5 or 5 ml of the drug.

Having given the child a suspension from a spoon or syringe, they should be rinsed with water and dried, and then placed in a dry place until the next use of the medicine.

The dosage of Sumamed is determined both by the child’s weight and taking into account his diagnosis. If a small patient is diagnosed with an infection of the respiratory tract, skin or ENT organs, then he is prescribed 10 mg of azithromycin per day per 1 kg of his weight. For example, if a baby weighs 6 kg, he needs 60 mg of the active substance, which he will receive from 3 ml of suspension. At the indicated dose, the medicine is taken for three days in a row, that is, the course dose of the medicine is 30 mg/kg (for the child in our example this would be 180 mg of azithromycin, that is, 9 ml of the drug).

If a child is diagnosed with tonsillitis or pharyngitis caused by streptococcus pyogenes, Sumamed is also given for 3 days in a row, but the daily dosage of the drug is 20 mg/kg, and the course dosage is 60 mg/kg. To treat borreliosis, on the first day the patient is given 20 mg of azithromycin per 1 kg of his body weight, after which the medication is used at a daily dosage of 10 mg/kg for another 4 days.

Dosing of Sumamed Forte is carried out in the same way as regular Sumamed. The only difference is that 1 ml of such a suspension is a source of not 20, but 40 mg of azithromycin, which is taken into account when calculating the required amount of sweet medicine. For example, if a small patient weighs 12 kg and needs to be given 120 mg of the active substance per day, then instead of Sumamed in an amount of 6 ml, Sumamed Forte can be used, a single portion of which will be only 3 ml. The maximum daily dose for children of any of the drugs corresponds to 500 mg of azithromycin.

If you miss taking the suspension, you should take the drug as soon as possible, as soon as you remember it. Further medication should be taken at intervals of 24 hours after the missed dose.

Overdose

In a situation where a child accidentally drinks more suspension than is allowed for his age, symptoms such as vomiting, hearing loss (temporary), diarrhea, severe nausea and others may occur. To eliminate them, you need to seek medical help, rinse the patient’s stomach and give symptomatic remedies that the doctor will prescribe.

Interaction with other drugs

Taking Sumamed may interfere with treatment with many other drugs, such as ergotamine, cyclosporine, amiodarone, digoxin or cyclosporine. A complete list of drugs that should not be used simultaneously with Sumamed is indicated in the instructions for the suspension. If the child is already taking any medication, then it is important to inform the doctor about this before you start giving him Sumamed.

Terms of sale

Both Sumamed powder and all types of Forte suspension are sold by prescription, so before purchasing such an antibiotic, a doctor’s examination is required. The average price of Sumamed in suspension is 200 rubles, for one bottle of Forte with banana flavor you need to pay about rubles, and a bottle of powder that smells like raspberries or strawberries costs about rubles.

Storage conditions

A bottle of Sumamed powder is valid for 2 years from the date of manufacture. However, after adding water, the finished suspension can be stored at temperatures up to +25 degrees for no more than 5 days. You can also store Forte at room temperature, hiding the medicine in a place where it will be inaccessible to children. The shelf life of this drug is also 2 years.

After opening the bottle and adding water, the banana flavored liquid medicine (15 ml) can be stored for up to 5 days, and the raspberry and strawberry suspension can be stored for up to 10 days.

Reviews

Most reviews from parents about the treatment of children with Sumamed in suspension are positive. They praise the medicine for its quick therapeutic effect, detailed instructions, pleasant taste and ability to be stored at room temperature. According to mothers, in most cases there were no side effects of the medication. Only occasionally did the medicine provoke diarrhea, headache, allergic rash and other unpleasant symptoms.

Among its disadvantages, many parents mention only the rather high price, which is why in some cases they decide to use similar antibiotics that are cheaper.

Analogs

Instead of Sumamed, other drugs may be prescribed in the form of a suspension with the same active ingredient, for example:

They act on the same pathogens and are prescribed to babies over 6 months old in the same dosages as Sumamed. In addition, the doctor may prescribe another macrolide antibiotic to the child, for example:

  • Macropen. This medicine contains midecamycin and is produced in granules for the preparation of a suspension (prescribed from birth) and tablet form (prescribed from the age of 3).
  • Klacid. This clarithromycin-based suspension, like Sumamed, can be given from the age of six months, and tablets are prescribed to 3-year-old patients and older children.
  • Roxithromycin. This macrolide antibiotic effectively treats bacterial infections in children older than 2 months. It is produced in tablets, which are dissolved before taking.
  • Vilprafen. The action of this antimicrobial agent is provided by josamycin. For children weighing more than 10 kg, this medication is prescribed in dispersible tablets (Solyutab).
  • Rovamycin. This medicine based on spiramycin is available in tablet form and is used from 3 years of age.

For information on how to properly dilute the suspension, see below.

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Source: http://www.o-krohe.ru/antibiotiki/suspenziya-sumamed/

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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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.

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

To drink or not to drink: instructions for use of Sumamed suspension for children

One of the most effective and recently developed drugs for children is Sumamed.

This remedy is an antibiotic with a wide range of action. Therefore, parents should be careful when self-prescribing the drug, since Sumamed has a number of contraindications and side effects.

In this article we will analyze in detail the instructions for using the Sumamed suspension for children and tell you how and in what dosage to give this children's antibiotic.

Composition, description, release forms

The main active ingredient of Sumamed is azithromycin, which has a versatile effect against microbes of various origins.

"Sumamed" is produced in this form:

  • film-coated tablets that must be swallowed whole without chewing. Available in dosages of 500 mg and 125 mg;
  • powder for preparing a suspension;
  • capsules coated with gelatin. Available in a dosage of 500 mg.

    • The container contains granular powder of white or yellowish color. After dilution in water, a homogeneous liquid is obtained that tastes like cherries or bananas.

    Dr. Komarovsky and our publication talk about the treatment of oral thrush in newborns.

    You can learn about the first symptoms of chickenpox in children from this article.

    Indications

    The drug is an antibiotic and is prescribed for infectious diseases caused by streptococci, chlamydia, pneumococci, etc.

    • infectious diseases of the lower and upper respiratory tract (sore throat, tonsillitis, sinusitis, bronchitis, scarlet fever, otitis media, pneumonia);
  • the presence of urinary and sexual infections (purulent and non-purulent urethritis, inflammation of the cervix, Lyme disease);
  • stomach and intestinal ulcers caused by the bacterium Helicobacter pylor;
  • skin infections (pustules on the body, erysipelas, skin ailments caused by infection).

    • Before prescribing this drug to a child, the doctor will advise you to undergo an antibiotic sensitivity test. After the study, the pediatrician will decide on prescribing Sumamed.

    If a child has a purulent sore throat, then before admission a culture should be taken to identify the “culprit” of the disease.

    Contraindications

    Contraindications to Sumamed are:

    • liver and kidney diseases, as well as disturbances in their functioning;
  • negative reactions to substances included in the drug;
  • drug intolerance;

    It is not recommended to take the medicine for children under 6 months of age.

    How does a children's antibiotic work?

    The main active ingredient of the drug is azithromycin. The component belongs to a new generation of broad-spectrum antibiotics.

    This component prevents the proliferation of microorganisms, slows down their growth, and also suppresses the protein synthesis of the microbe.

    Azithromycin quickly reaches the site of the disease and destroys the pathogen in the shortest possible time.

    Having reached the gastrointestinal tract, the active substance is instantly absorbed into its walls and penetrates the blood plasma, where it reaches the required concentration.

    Next, azithromycin follows the pathogen and penetrates its cells, stopping its reproduction and vital activity.

    The therapeutic effect of the drug lasts for a long time.

    Dosage at different ages

    For children, the suspension is prescribed once a day for 3 days. It is recommended to take the drug 2 hours after meals or 1 hour before meals.

    The medicine is prescribed to children from 6 months of age. Depending on the disease, the dosage of the drug is calculated.

    Thus, for infections of the lower and upper parts of the respiratory system, skin and tissues, 30 mg/kg is prescribed for the entire course. The course lasts 3 days. The drug is taken once a day at the rate of 10 mg per 1 kg of child’s body weight.

    For chronic erythema (a viral disease caused by the bacterium Borrellia burgdorferi), take 20 mg on the first day and 10 mg on subsequent days of treatment. The full dose is 60 mg.

    As for stomach and duodenal ulcers caused by the bacterium Helicobacter pylori, the treatment here will be different.

    "Sumamed" in this case is prescribed in combination with other drugs. The dosage is determined by the pediatrician depending on the severity of the disease.

    How to give medicine

    To prepare the suspension, add 12 ml of warm purified (boiled) water to a container (17 g). After this, the mixture is thoroughly shaken and taken by the child.

    The result should be a ml of ready-to-use medicine. The volume error is necessary to compensate for drug losses during dilution.

    At subsequent doses, the product is thoroughly shaken.

    For correct dosing, a convenient table is presented:

    Note to parents: what is the treatment for gingivitis in children and how to recognize it in a timely manner?

    Read this article about how to spot signs of intestinal flu in children in time.

    Symptoms of vaccine-associated polio in children are discussed in detail here: http://malutka.pro/bolezni/infektsionnyie/poliomelit.html.

    special instructions

    Based on the fact that Sumamed is an antibiotic with a lot of side effects and contraindications, only a pediatrician should prescribe it.

    The same applies to the dosage of the drug. Under no circumstances should you use the medicine for its own purposes.

    Interaction with other substances

    The drug "Sumamed" is allowed to be taken simultaneously with antiviral drugs in the treatment of complications of acute respiratory viral infections and concomitant bacterial infections.

    It is also possible to take it simultaneously with homeopathic medicines.

    Overdose and side effects

    When taking Sumamed, the following side effects may occur:

    • dizziness, weakness, drowsiness, headache, passivity or increased activity, tremors of the limbs, aggressiveness, impaired skin sensitivity;
  • hearing impairment, decreased vision and sense of smell, tinnitus;
  • palpitations, heart rhythm disturbances;
  • liver dysfunction;
  • pain in muscles and joints;
  • disruption of the kidneys and bile ducts.

    • If an overdose of the drug occurs, the side effects will increase their effect.

    Average prices in the Russian Federation

    The average price of “Sumamed” for children is:

    • powder for preparing a suspension of 100 mg/5ml (25 ml) costs from 180 to 250 rubles;

    “Sumamed Forte” in pharmacies costs from 450 to 520 rubles.

    Storage and release conditions, shelf life

    "Sumamed" is available only with a doctor's prescription. The shelf life of the finished composition is 5 days.

    Reviews

    Olga: “My son was recently diagnosed with purulent tonsillitis. The doctor insisted on taking an antibiotic - Sumamed.

    Taken according to instructions for 3 days. My son felt much better.

    The only thing is that the pediatrician prescribed taking Linex at the same time so as not to disturb the intestinal microflora.”

    Inna: “My daughter was prescribed the drug “Sumamed” when she simultaneously developed a cough, a runny nose, conjunctivitis, and otitis media.

    After taking it for three days, the eyes and ears went away. All that was left was a slight runny nose and cough.”

    Anna: “The first time we had a purulent sore throat was after coming from kindergarten, and right away. The doctor prescribed me to drink Sumamed for 3 days.

    On the 4th day the illness disappeared. The drug is very effective."

    Based on the above, we can conclude: “Sumamed” is an effective antibiotic with a lot of contraindications and side effects.

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    Source: http://malutka.pro/preparaty/suspenzii/sumamed.html

    Sumamed forte

    Sumamed forte: instructions for use and reviews

    Latin name: Sumamed forte

    ATX code: J01FA10

    Active ingredient: Azithromycin (Azithromycin)

    Manufacturer: PLIVA HRVATSKA (Croatia)

    Update of description and photo: 11/15/2017

    Prices in pharmacies: from 332 rubles.

    Sumamed forte is an antibacterial drug, azalide.

    Release form and composition

    The dosage form of Sumamed forte is a powder for the preparation of a suspension for oral administration: yellowish-white to white in color, with a characteristic aroma of banana, strawberry or raspberry; when dissolved in water, a suspension with a homogeneous structure is formed, from yellowish-white to white, with an aroma corresponding to the smell of the powder [in a polyethylene bottle with a polypropylene resistant cap: with banana aroma - 16.74 g (15 ml), in a cardboard box 1 bottle of 50 ml complete with a syringe and/or measuring spoon for dosing; with strawberry flavor - 29.295 g (30 ml), with raspberry flavor - 35.573 g (37.5 ml), in a cardboard box 1 bottle of 100 ml complete with a syringe and (or) measuring spoon for dosing].

    1 g of powder contains:

    • active ingredient: azithromycin dihydrate – 50.094 mg (with a theoretical activity of the substance of 95.4%), which is equivalent to the content of 47.79 mg of azithromycin, respectively;
    • auxiliary components: xanthan gum, sodium phosphate, sucrose, hyprolose, colloidal silicon dioxide, titanium dioxide;
    • flavorings: banana flavor powder - banana flavor and vanilla flavor, strawberry flavor powder - strawberry flavor, raspberry flavor powder - raspberry flavor.

    Pharmacological properties

    Pharmacodynamics

    Sumamed forte is an antibiotic of the macrolide-azalide group, has the ability to suppress or slow down the growth and reproduction of a wide range of bacteria. The antimicrobial effect is due to the ability of azithromycin to suppress the synthesis of microbial cell protein. After binding to the 50S ribosomal subunit at the translation stage, the antibiotic inhibits peptide translocase and, by inhibiting protein synthesis, slows down the growth and reproduction of bacteria. The bactericidal effect occurs at high concentrations of the drug.

    Azithromycin is active against a number of intracellular, anaerobic, gram-positive, gram-negative and other microorganisms.

    The following are sensitive to Sumamed forte:

    • aerobic gram-positive microorganisms: methicillin-sensitive strains of Staphylococcus aureus, Streptococcus pyogenes, penicillin-sensitive strains of Streptococcus pneumoniae;
    • aerobic gram-negative microorganisms: Haemophilus parainfluenzae, Haemophilus influenzae, Legionella pneumophila, Neisseria gonorrhoeae, Pasteurella multocida, Moraxella catarrhalis;
    • anaerobic microorganisms: Clostridium perfringens, Porphyromonas speciales (spp.) Fusobacterium spp., Prevotella spp.;
    • other microorganisms: Mycoplasma pneumoniae, Chlamydia pneumoniae, Chlamydia trachomatis, Chlamydia psittaci, Borrelia burgdorferi, Mycoplasma hominis.

    Gram-positive aerobes - strains with intermediate sensitivity to penicillin and penicillin-resistant strains of Streptococcus pneumoniae - can develop resistance to azithromycin.

    The following microorganisms are naturally resistant to Sumamed forte:

    • gram-positive aerobes: methicillin-resistant strains of Staphylococcus aureus and Staphylococcus epidermidis, Enterococcus faecalis;
    • anaerobes: Bacteroides fragilis.

    There are known cases of cross-resistance between beta-hemolytic Streptococcus pyogenes group A, Enterococcus faecalis, Streptococcus pneumoniae and Staphylococcus aureus, including methicillin-resistant strains, to azithromycin, erythromycin and other lincosamides and macrolides.

    Pharmacokinetics

    The bioavailability of the drug is 37%; after oral administration, its maximum concentration (Cmax) in the blood plasma occurs within 2–3 hours.

    Azithromycin binding to plasma proteins is 12–52%. Vd (volume of distribution) of the drug is 31.1 l/kg. The effectiveness of the drug for infections caused by intracellular pathogens is due to its ability to overcome cell membranes. Azithromycin is transported to the site of infection by phagocytes, polymorphonuclear leukocytes and macrophages; there it is released in the presence of bacteria. It enters tissues through easy penetration through histohematic barriers. In tissues and cells, its concentration is 50 times higher than in blood plasma; in healthy tissues, the content of azithromycin is 24–34% less than in the site of infection.

    It is demethylated in the liver, losing activity.

    It is excreted slowly from tissues, T1/2 (half-life) – 48–96 hours. After taking the last dose, the level of therapeutic concentration of azithromycin continues to be maintained for 168 hours. 50% of the active substance is excreted unchanged by the intestines, and 12% by the kidneys.

    In severe renal failure, with creatinine clearance (CC) less than 10 ml/min, T1/2 of the drug increases by 33%.

    Indications for use

    According to the instructions, Sumamed forte is indicated for the treatment of infectious and inflammatory diseases caused by microorganisms sensitive to the drug, including:

    • pharyngitis or tonsillitis, otitis media, sinusitis and other upper respiratory tract infections;
    • exacerbation of chronic bronchitis, acute bronchitis, community-acquired pneumonia and other lower respiratory tract infections;
    • impetigo, erysipelas, secondary infected dermatoses and other infections of the skin and soft tissues;
    • erythema migrans (Erythema Migrans) – Lyme disease (first stage of borreliosis).

    Contraindications

    • severe liver dysfunction;
    • severe renal dysfunction;
    • fructose intolerance, sucrase or isomaltase deficiency, glucose-galactose malabsorption syndrome;
    • simultaneous use of ergotamine and dihydroergotamine;
    • breast-feeding;
    • individual intolerance to erythromycin, macrolides or ketolides;
    • hypersensitivity to the components of the drug.

    Sumamed forte is not prescribed to children under the age of 6 months.

    Caution must be exercised when prescribing the drug to patients with myasthenia gravis, mild to moderate liver dysfunction, end-stage renal failure (creatinine clearance less than 10 ml/min), diabetes mellitus, while using digoxin, warfarin or cyclosporine; in the presence (especially in elderly patients) of the following proarrhythmogenic factors: simultaneous therapy with antiarrhythmic drugs of class IA (procainamide, quinidine), III (sotalol, dofetilide, amiodarone), terfenadine, cisapride, antipsychotics (pimozide), fluoroquinolones (levofloxacin, moxifloxacin), antidepressants (citalopram), congenital or acquired prolongation of the QT interval, water and electrolyte imbalance, especially with hypokalemia or hypomagnesemia, cardiac arrhythmia, clinically significant bradycardia, severe heart failure.

    During pregnancy, the use of Sumamed forte is indicated only in special cases, if the benefit of treatment for the mother outweighs the potential threat to the fetus and child.

    Instructions for use of Sumamed forte: method and dosage

    The prepared suspension is taken 1 hour before meals or 2 hours after meals, 1 time per day. After taking the drug, children should be given a small amount of water to drink so that they can swallow the remainder of the suspension.

    To prepare the suspension, add water to the contents of the bottle using a dosing syringe. When dissolving the powder, the following proportions must be strictly observed:

    • bottle with 16.74 g of powder: to obtain 15 ml of suspension, add 9.5 ml of water to the bottle. The resulting volume of suspension will be approximately 20 ml. Shelf life – no more than 5 days;
    • bottle with 29.295 g of powder: to obtain 30 ml of suspension, add 16.5 ml of water to the bottle. The resulting volume of suspension is about 35 ml. Shelf life – no more than 10 days;
    • bottle with 35.573 g of powder: to obtain 37.5 ml of suspension, add 20 ml of water to the bottle. The resulting volume is approximately 42.5 ml. Shelf life - no more than 10 days.

    After mixing the drug with water, the bottle is shaken to obtain a homogeneous suspension structure. The amount of suspension in each bottle exceeds the nominal volume by approximately 5 ml. This is provided in order to compensate for natural losses during dosing of the drug.

    The suspension should be stored at temperatures up to 25 °C.

    The contents of the bottle must be shaken thoroughly before each dose of the drug and taken immediately.

    The prescribed dose of Sumamed forte is measured using the dosing syringe included in the package (division value - 1 ml, nominal capacity - 5 ml of suspension, or 200 mg of azithromycin) or measuring spoon (nominal capacity - 2.5 or 5 ml of suspension, which corresponds to 100 mg and 200 mg azithromycin).

    After use, the syringe (pre-disassembled) and measuring spoon must be rinsed with running water, dried and stored in a dry place until the next dose.

    The dose of Sumamed forte is determined by the doctor based on clinical indications.

    For the treatment of children weighing up to 10 kg, it is recommended to prescribe Sumamed powder to prepare an oral suspension containing 100 mg of azithromycin per 5 ml of suspension. When using a measuring spoon to dose this form of the drug, it should be taken into account that a 2.5 ml measuring spoon contains 50 mg, and a 5 ml measuring spoon contains 100 mg of azithromycin.

    For children, Sumamed forte 200 mg/5 ml is indicated in the following accordance with the child’s weight:

    • 10–14 kg: 2.5 ml (100 mg azithromycin);
    • 15–24 kg: 5 ml (200 mg);
    • 25–34 kg: 7.5 ml (300 mg);
    • 35–44 kg: 10 ml (400 mg);
    • 45 kg and above: 12.5 ml (500 mg, which corresponds to a single dose for adult patients).

    Recommended daily dosage of Sumamed forte:

    • infectious and inflammatory diseases of the upper and lower respiratory tract, soft tissues and skin: at the rate of 10 mg per 1 kg of body weight, course duration - 3 days, course dose - 30 mg per 1 kg;
    • tonsillitis or pharyngitis caused by Streptococcus pyogenes: 20 mg per 1 kg, but not more than 500 mg per day. Duration of treatment – ​​3 days, dose for 1 course – 60 mg per 1 kg of weight;
    • Lyme disease: on day 1 – 20 mg per 1 kg, from days 2 to 5 – 10 mg per 1 kg of weight. The maximum dose of one course is 60 mg per 1 kg.

    In case of functional renal impairment, the recommended dose is not adjusted in patients with CC 10–80 ml/min.

    In case of mild to moderate liver dysfunction and when treating elderly patients, the recommended doses should not be reduced.

    Side effects

    • from the nervous system: often – headache; uncommon – paresthesia, insomnia, taste disturbances, dizziness, nervousness, drowsiness; rarely – agitation; possible (frequency unknown) - psychomotor hyperactivity, hypoesthesia, anxiety, fainting, convulsions, aggression, loss of taste, loss of smell, myasthenia gravis, perverted sense of smell, hallucinations, delirium;
    • infectious diseases: infrequently - rhinitis, pneumonia, candidiasis (including the mucous membrane of the mouth, genitals), pharyngitis, respiratory diseases, gastroenteritis; very rarely - pseudomembranous colitis;
    • from the cardiovascular system: infrequently - a rush of blood to the skin of the face, a feeling of palpitations; possible - ventricular tachycardia, decreased blood pressure (BP), prolongation of the QT interval on electrocardiography, pirouette-type arrhythmia;
    • from the blood and lymphatic system: infrequently – leukopenia, eosinophilia, neutropenia; very rarely - hemolytic anemia, thrombocytopenia;
    • allergic reactions: uncommon – hypersensitivity reaction, angioedema; possibly an anaphylactic reaction;
    • labyrinthine and hearing disorders: infrequently – vertigo, hearing impairment; possibly – tinnitus, deafness;
    • from the organ of vision: infrequently – visual impairment;
    • from the respiratory system: infrequently – nosebleeds, shortness of breath;
    • from the gastrointestinal tract: very often – diarrhea; often – abdominal pain, nausea, vomiting; uncommon – constipation, dryness of the oral mucosa, increased secretion of the salivary glands, flatulence, dyspepsia, gastritis, dysphagia, belching, bloating, ulceration of the oral mucosa; very rarely - pancreatitis, change in tongue color;
    • from the hepatobiliary system: infrequently – hepatitis; rarely – cholestatic jaundice, functional liver disorder; possible - fulminant hepatitis, liver failure (including fatal), liver necrosis;
    • from the urinary system: infrequently – pain in the kidneys, dysuria; possibly – acute renal failure, interstitial nephritis;
    • from the genital organs and mammary gland: infrequently - testicular dysfunction, metrorrhagia;
    • from the musculoskeletal system: infrequently – back pain, osteoarthritis, neck pain, myalgia; possibly arthralgia;
    • on the part of metabolism and nutrition: infrequently – anorexia;
    • dermatological reactions: uncommon - dry skin, itching, skin rash, dermatitis, sweating, urticaria; rarely – photosensitivity reaction; possibly - erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis;
    • laboratory indicators: often - a decrease in the level of bicarbonates in the blood plasma, a decrease in the number of lymphocytes, an increase in the number of basophils, eosinophils, monocytes and (or) neutrophils; infrequently - increased blood glucose levels, increased activity of alanine aminotransferase and aspartate aminotransferase, increased levels of bilirubin, urea and (or) creatinine in the blood plasma, impaired potassium concentration in the blood plasma, increased activity of alkaline phosphatase in the blood plasma, increased amount of chlorine and (or ) bicarbonates in the blood plasma, increased hematocrit, impaired sodium levels in the blood plasma, increased platelet levels;
    • other: uncommon – feeling of fatigue, asthenia, peripheral edema, malaise, facial swelling, fever, chest pain.

    Overdose

    Symptoms of overdose coincide with some undesirable effects that occur when taking azithromycin in therapeutic doses: nausea, vomiting, diarrhea, temporary hearing loss.

    Treatment: administration of activated carbon, symptomatic therapy with monitoring of vital functions.

    special instructions

    Patients with diabetes mellitus and patients on a low-calorie diet should take into account that the carbohydrate content in 5 ml of suspension (200 mg per 5 ml) corresponds to 0.32 XE.

    If you accidentally miss the next dose of the drug, the patient should take it as soon as he remembers; then continue taking it at intervals of 24 hours.

    When concomitantly treated with antacids, Sumamed Forte should be taken 1 hour before or 2 hours after taking them.

    With mild to moderate severity of liver dysfunction, there is a risk of developing fulminant hepatitis and severe liver failure. The drug should be stopped if the following symptoms of liver dysfunction are present: dark urine, rapidly increasing asthenia, bleeding tendency, jaundice, hepatic encephalopathy - and conduct a liver function test.

    During the treatment period, patients need regular examination for the presence of non-susceptible microorganisms and signs of the development of superinfections, including fungal ones.

    The recommended duration of therapy should not be exceeded.

    Long-term use of Sumamed forte may contribute to the development of mild diarrhea or severe pseudomembranous colitis caused by Clostridium difficile. Patients who have had antibiotic-associated diarrhea while taking the drug should be examined to exclude clostridial pseudomembranous colitis, including 2 months after discontinuation of therapy. Do not use drugs that inhibit intestinal motility.

    Azithromycin has the effect of prolonging cardiac repolarization and the QT interval, which increases the risk of developing cardiac arrhythmias (including torsade de pointes), including cardiac arrest. In addition, the drug may contribute to the development of myasthenic syndrome or exacerbation of myasthenia.

    Impact on the ability to drive vehicles and complex mechanisms

    Since Sumamed forte can cause the development of undesirable effects on the organ of vision and the nervous system, it is recommended to exercise caution during the treatment period when driving vehicles, machinery and other activities that require a high speed of psychomotor reactions and concentration.

    Use during pregnancy and lactation

    Prescribing Sumamed Forte during pregnancy is possible only as a last resort, when, in the opinion of the doctor, the expected effect of therapy for the mother outweighs the possible threat to the fetus and child.

    It is contraindicated to take an antibiotic while breastfeeding.

    Use in childhood

    For the treatment of children aged 6 months and older, the use of the drug in the form of an oral suspension or tablets at a dose of 125 mg is indicated.

    If kidney function is impaired

    The use of Sumamed forte is contraindicated in case of severe renal impairment with CC less than 10 ml/min.

    For mild to moderate renal impairment, the drug should be used with caution; no dose adjustment is required.

    In case of liver dysfunction

    The drug is contraindicated in patients with severe liver dysfunction.

    It is recommended to prescribe Sumamed Forte with caution for mild to moderate liver dysfunction.

    Use in old age

    When using Sumamed forte in elderly patients, special caution must be taken due to the possible presence of proarrhythmogenic factors in the patient, which increase the risk of developing cardiac arrhythmia, pirouette-type arrhythmia.

    Drug interactions

    With simultaneous use of Sumamed forte:

    • antacid drugs: reduce the maximum concentration of azithromycin in the blood by 30%;
    • cetirizine: does not cause pharmacokinetic interactions and does not significantly change the QT interval;
    • didanosine (dideoxyinosine): does not change its pharmacokinetic indications;
    • P-glycoprotein substrates, including digoxin: increase their concentration in blood serum;
    • zidovudine (isoenzyme of the cytochrome P450 system): does not cause clinically significant interaction;
    • Ergot alkaloids: they should not be prescribed because there is a risk of ergotism;
    • Atorvastatin (statins): may cause rhabdomyolysis;
    • carbamazepine: does not significantly change its concentration and active metabolite in the blood plasma;
    • cimetidine: does not affect the pharmacokinetics of azithromycin if taken 2 hours before using the drug;
    • warfarin and other indirect oral anticoagulants (coumarin derivatives): may enhance their effect, so frequent monitoring of prothrombin time is required;
    • cyclosporine: increases its concentration in blood plasma;
    • efavirenz, fluconazole, indinavir, methylprednisolone, sildenafil, theophylline, triazolam, midazolam, trimethoprim, sulfamethoxazole: do not produce clinically significant pharmacokinetic interactions when used in therapeutic doses;
    • nelfinavir: may help increase the level of equilibrium concentrations of the drug in the blood serum, which does not cause clinically significant side effects and does not require dose adjustment of azithromycin;
    • rifabutin: may cause the development of neutropenia, although a cause-and-effect relationship between the use of this combination and the occurrence of neutropenia has not been established;
    • Terfenadine: May cause QT prolongation and arrhythmias.

    Analogs

    Analogues of Sumamed forte are Azivon, Azimicin, Azivok, Azitrox, Azitral, Azithromycin Zentiva, Azithromycin Sandoz, Azithromycin, Azicide, AzitRus, Vero-Azithromycin, Zetamax retard, Zitnob, ZI-Factor, Zitrolide, Zitrocin, Sumazid, Sumaclid, Sumamed, Sumametsin , Sumamox, Sumatrolide solutab, Azilide, Tremak-Sanovel, Azidrop, Hemomycin, Ecomed.

    Terms and conditions of storage

    Keep away from children.

    Store at temperatures up to 25 °C.

    Shelf life – 2 years.

    Conditions for dispensing from pharmacies

    Dispensed by prescription.

    Reviews about Sumamed Fort

    Reviews about Sumamed forte are mostly positive; the drug has a quick, effective effect and is well tolerated by children. The disadvantages include the unpleasant taste of the drug. In rare cases, it causes undesirable effects, including disruption of intestinal microflora.

    Price for Sumamed forte in pharmacies

    The price of Sumamed forte 200 mg/5 ml per bottle of 50 ml (16.74 g) can be 305–360 rubles, 100 ml (29.295 g) – 475–547 rubles, 100 ml (35.573 g) – 555–573 rubles .

    Sumamed forte powder 200 mg/5 ml 16.74 g

    Sumamed forte por. d/susp.internal 200mg/5ml 16.74g 15ml n1

    Sumamed forte 200mg/5ml 16.74g powder for injection. suspensions for internal use 15ml bottle 50ml

    Sumamed forte powder for suspension 200 mg/5 ml 15 ml banana

    Sumamed forte 200mg/5ml 29.295g powder for injection. suspensions for internal use 30ml bottle 100ml

    Sumamed forte powder 200 mg/5 ml 35.57 g

    Sumamed forte por. d/susp.internal 200mg/5ml 35.57g n1

    Education: First Moscow State Medical University named after I.M. Sechenov, specialty "General Medicine".

    Information about the drug is generalized, provided for informational purposes and does not replace official instructions. Self-medication is dangerous to health!

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    Source: http://www.neboleem.net/sumamed-forte.php