Sumamed for throat

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Treatment of sore throat: Sumamed

A new generation macrolide antibiotic, Sumamed, causes an improvement in the patient’s condition already on the second day of treatment. What nuances are important to know when treating sore throat with Sumamed?

Sumamed: introduction

Sumamed is the trade name of a drug whose active ingredient is the antibiotic azithromycin.

Table of contents:

The macrolide antibacterial drug Sumamed came into medical practice in Russia in 1988. The drug has a fairly long and positive period of use in the treatment of a number of respiratory diseases, including tonsillitis.

It is a broad-spectrum antibiotic that accumulates in the body and therefore has a prolonged effect. With a minimum course of treatment with the drug of 3 days, the patient’s condition improves already on the second day. The last dose of the drug taken remains at the site of inflammation for another week in proportions that provide a bactericidal effect.

Antibiotic release forms:

  • tablets of 0.125 and 0.5 g;
  • capsules 0.25 g;
  • powder for making a suspension in dosages of 100 and 200 ml per 5 ml;
  • powder for intravenous drip, 500 mg – not used for angina. Sumamed is also not used for intravenous injections when treating children under 16 years of age and weighing less than 25 kg.

Sumamed: use for angina

With angina, bacteria, having penetrated the mucous membranes of the larynx, release toxins that cause general intoxication of the body, an increase in body temperature to 39 ° C and severe weakness.

Sumamed for sore throat quickly and effectively destroys pathogenic bacteria that cause purulent inflammation of the tonsils.

Sumamed is often prescribed for the treatment of sore throat if the patient is allergic to penicillin antibiotics.

Sumamed is convenient because the full course of treatment lasts only 3 days, and it is enough to take the drug once a day.

Sumamed is quite effective in the treatment of tonsillitis (tonsillitis). An important component of the treatment of sore throat is frequent rinsing (literally every hour), which removes purulent secretions and decay products of pathogenic bacteria from the larynx after the bactericidal effect of the antibiotic.

Before prescribing an antibiotic, it would be correct to conduct an analysis to determine the type of pathogens in this particular case, the quantitative data of pathogenic agents and their sensitivity to antibacterial drugs. To do this, the patient submits a throat swab for bacterial culture.

In this case, the result of the analysis will be known after 3 days - it is impossible to leave a patient with a sore throat without treatment for this period. And the main treatment for angina is taking antibacterial drugs.

For streptococcal infections, the use of Sumamed is considered inappropriate, since a significant increase in dosage will be required.

Sumamed: administration and dosage

For angina, Sumamed is taken once a day. In this case, the stomach should be empty: the drug should be taken before meals - 1 hour or at least a couple of hours after meals.

The dosage depends on the age and severity of the disease.

Adults: 1 tablet 500 mg once daily. The course dose for the treatment of sore throat, calculated for 3 days of administration, is 1.5 grams.

The drug should be taken at the same time of day. The tablets should not be chewed or crushed. Tablets and capsules are swallowed whole.

If the patient misses a dose of medication, the daily dose of Sumamed should be taken immediately, and then the medication should be taken 24 hours later.

Sumamed: treatment of sore throat in a child

The duration of taking Sumemed for the treatment of angina for all age groups is 3 days.

  • Sumamed is contraindicated for children under six months of age.
  • For children under 3 years of age, the drug is given in the form of a suspension with a dosage of 100 or 200 mg (Sumamed forte) in 5 ml of the drug.

The dosage depends on body weight; on average, for each kilogram of the baby’s weight you need to take 10 mg of suspension per day.

When treating tonsillitis caused by streptococcus pyogenes, the daily dose is doubled. In this case, the daily dose for 3-day treatment will be 20 mg per 1 kg of the child’s body weight (all doses are doubled). If the doctor prescribes a 5-day intake of Sumamed, then 12 mg of antibiotic is taken per 1 kg of the child’s body weight per day.

The instructions for Sumamed powder indicate the dosage of the drug depending on the baby’s weight, which is very convenient.

Preparation of the suspension

Add cooled boiled water – 12 ml – to the bottle with the powder using a syringe.

The prepared solution can only be used for 5 days. Store the medicine at room temperature.

Shake the bottle with the suspension well before taking it.

After administration, the child should be given a few tablespoons of liquid to wash away the remaining suspension from the mouth.

Sumamed tablets at a dosage of 125 mg are also suitable for treating children 3-12 years old. It should be taken into account that the tablets cannot be chewed or crushed for a child - they should be swallowed whole. Therefore, it is more rational to give a suspension to young children.

The dosage of Sumamed 0.125 mg tablets also depends on the baby’s weight. Below are the daily doses of Sumamed 125 mg for children.

  • 2 tablets of 0.125 g (250 mg) – for weight kg;
  • 3 tablets of 0.125 g (375 mg) – per kg;
  • 4 tablets of 0.125 g (500 mg) - with a weight of 45 kg or more.

Sumamed: dysbacteriosis

Like any antibacterial drug, Sumamed has a negative effect on the intestinal microflora. To prevent dysbiosis, it is advisable to take drugs to restore healthy intestinal microflora (Bifiform, Linex, Bifidumbacterin, etc.) simultaneously with starting antibiotic use.

Sumamed: contraindications

  • Painful sensitivity to azithromycin and other macrolide drugs and additional components of Sumamed.
  • Serious impairment of the kidneys and liver.
  • Lactation.

Contraindications for children:

  • Tablets and capsules 500 mg are contraindicated in children under 12 years of age and weighing less than 45 kg.
  • 125 mg tablets are contraindicated in children under 3 years of age.
  • The suspension is contraindicated for children under six months of age.

It is not recommended to use Sumamed for the treatment of sore throat in the following conditions:

  • myasthenia gravis;
  • pregnancy;
  • arrhythmia;
  • impaired functioning of the kidneys and liver.

Sumamed: incompatible drugs

Avoid combining Sumamed with the following medications:

Sumamed: side effects

Sumamed is considered one of the least toxic antibacterial drugs with a minimum number of side effects.

  • On the gastrointestinal tract: loss of appetite, symptoms of nausea, vomiting, bloating, diarrhea or constipation.
  • Allergic manifestations: the appearance of urticaria, rash, Quincke's edema.
  • Excitation of the nervous system: headaches, insomnia and increased anxiety.

In case of an overdose of the drug, the patient experiences severe nausea, which is accompanied by vomiting and diarrhea.

Hearing may be temporarily lost - hearing is restored after stopping taking Sumamed.

Sumamed is a potent antibiotic with a wide range of effects, so it should be used to treat a sore throat only as prescribed by a doctor.

Source: http://grippe.su/lechenie-anginy-sumamed.html

From the throat sumamed

Sumamed is a strong and effective new generation antibacterial drug used for sore throat and some other infectious diseases. It is a broad-spectrum antimicrobial drug, which means it can kill not only the microbes that cause sore throats, but also other gram-positive and gram-negative bacteria, anaerobic ones, as well as some types of protozoan intracellular parasites.

Why do doctors choose Sumamed for a throat infection?

Sore throat is a common infectious disease of the respiratory tract, in particular the throat, when the tonsils become inflamed due to an acute bacterial infection. Treatment requires complex, methods vary somewhat, depending on the severity and extent of the disease. In the acute, purulent form, only gargling and irrigating the throat is not enough: taking antibiotics is necessary. Our body can cope with milder infections on its own; at the initial stage of a cold, folk remedies help, but for a sore throat, medications are usually prescribed.

The active ingredient in Sumamed is azithromycin, a derivative of erythromycin, an old-generation antibiotic. Sumamed is the newest macrolide antibiotic, on the development of which entire groups of scientists worked. The result of their work did not disappoint. Today it is one of the best drugs for angina.

Not only Sumamed, but also its analogues are found in pharmacies under the names:

Azimed; Azikar; Zetamax retard; Zitmak; Sumalek; Zitmak; Sumalek.

Sumamed is prescribed for sore throat and other respiratory infections (pharyngitis, tonsillitis, otitis, pneumonia, bronchitis), as well as infectious skin diseases (erysipelas, dermatoses), infections of the pelvic organs and some others.

Advantages of Sumamed

Sumamed is by far the most effective antibacterial agent for sore throat. The fact is that penicillin antibiotics (for example, amoxicillin) were previously prescribed for angina, but they often caused allergic reactions in patients. Sumamed is indicated for patients with allergies to penicillin. It takes a lot of time to find out whether a patient has an allergy; the patient does not always know this. Therefore, most often the doctor immediately prescribes this drug. In severe cases of tonsillitis with pustules on the tonsils, only Sumamed quickly and effectively acts on the source of infection.

Compared to other drugs, the antibiotic Sumamed has the following advantages:

low allergenicity; high efficiency; take only once a day; taking only 3-5 days, and not 6 or more, which is typical for other antibiotics; can be easily taken by children, since one of the forms is available in the form of a sweet suspension.

The disadvantage is perhaps the high price of the medicine, as well as the likelihood of an allergy to the composition in some people. In addition, individual intolerance to the substance azithromycin is possible: then the medicine simply will not work.

Composition and release form of the drug

Like all antibiotics, Sumamed contains the main active ingredient (azithromycin) and auxiliary ones. Moreover, the latter will be slightly different: different forms of release will have something different, for example, flavoring and sugar will be added to the syrup, etc.

The antibiotic is available in several forms, which is also an advantage - the patient can choose the one that is suitable for himself:

Tablets containing 125 mg of azithromycin or 500 mg (standard, for adults). Capsules (250 mg). Suspension Sumamed (powder for preparation, 100 mg) or Sumamed Forte (200 mg).

How does an antibiotic work?

This is an antimicrobial drug. Like all antibiotics, it directly affects the bacterial cell, stopping all its vital processes. In other words, it has a bactericidal (bacteria-killing) effect.

Sumamed is absorbed into the blood almost immediately. A single dose, as a rule, for angina is 500 mg. This is explained by the fact that the antibiotic penetrates the tissue very quickly and accumulates there. In addition, azithromycin has the ability to enter directly into phagocytes (cells of our immune system that devour bacteria) and are delivered by the blood to the site of inflammation.

The possibility of taking it once a day and taking it not for 6 days, as antibiotics are usually taken, but only 3-5, is explained by the fact that it is removed from the body for a long time and continues to act after taking it for quite a long time.

Sumamed accumulates in a very high concentration, and goes exactly to the target: into infected tissues. Azithromycin does not reach other organs and tissues that are not affected by infection in such large quantities and does not harm the body.

In addition to a targeted effect on the cells of the upper respiratory tract, azithromycin is effective against microorganisms that cause infections:

lower respiratory tract; genitals; skin; as well as Helicobacter pylori, which causes stomach ulcers.

Features of use: how and with what Sumamed can be combined and what not with

It is better to take the medicine on an empty stomach, as food slows down the absorption of the main substance. For the most positive effect, it is better to drink it always at the same time, for example, in the morning, 1 hour before lunch, or 2 hours after breakfast. The same can be done in the afternoon. The main thing is that about 2 hours should pass after eating.

The standard course of taking Sumamed for angina is 3 days (one tablet or two capsules at a time). If you take an antibiotic for 5 days, the dosage changes slightly. On the first day you need to drink 500 mg, in the next 4 days - 250 mg, since the total weight of the medicine should not exceed 1.5 g. The antibiotic accumulates and will act on the body for another 2-3 weeks.

Alcohol is contraindicated during antibiotic treatment. Also, taking certain medications simultaneously with Sumamed can strengthen or weaken its effect. More details about this are written in the instructions.

How to use for children and pregnant women

For children, the method of administration is somewhat different, depending on age, and especially body weight. It is not difficult to calculate the amount of medicine at one time. For one kilogram of a child’s body weight, 10 mg of the drug is needed. But if the weight exceeds 45 kg, the medicine is dosed as for adults.

An antibiotic is prescribed from the age of six months. From 6 months to 3 years, only a suspension is indicated, which has a sweet taste, so it is easy to give. There is simply a suspension of Sumamed (100 mg) and Sumamed Forte (200 mg). For small patients weighing more than 14 kg, only the second is prescribed.

For simple sore throat, a dose of 10 mg per 1 kg of body weight is prescribed, that is, the total dose calculated for three days should not exceed 30 mg per 1 kg.

Prepare a suspension by adding the required amount of boiled cold water to Sumamed Forte powder. Shake well. The box contains instructions according to which each parent will calculate the required amount of water and measure the medicine with a special measuring syringe and spoon (they are included).

The drug is washed down with water. The prepared suspension is stored for only 5 days; the storage temperature should not exceed 25°C and be less than 15°C. After use, the syringe is washed, dried thoroughly and stored until next time.

In children from 3 to 7 years old, you can take Sumamed in tablet form. The dosage remains the same: 10 mg per 1 kg of child’s body weight. That is, if 125 mg tablets are taken, they must be taken two at a time if the child’s body weight is 25 kg. Capsules are allowed from the age of 12 years.

The dose can be doubled if it is discovered that the disease is caused by beta-hemolytic streptococci A, then take not 10 mg of azithromycin per 1 kg of body weight, but 20 mg.

The tablets are also washed down with a small amount of any liquid (preferably water).

The doctor, when issuing a prescription, will in any case write out the correct and appropriate regimen for your child or you.

Side effects of Sumamed

Like all antibiotics, Sumamed can cause some unpleasant side effects from use:

Problems with the gastrointestinal tract: nausea, flatulence, vomiting, constipation, diarrhea, abdominal pain, loss of appetite. The occurrence of allergies, manifested by rash and itching; in severe cases - anaphylactic shock. In the blood: excess amount of bilirubin, eosinophils (cells, the number of which increases during allergies), decrease in the number of neutrophils. All indicators return to normal 2-3 weeks after the end of therapy. The patient may rarely feel increased heartbeat or chest pain. Sometimes dizziness, headache, irritability, sleep disturbances, and increased anxiety are observed. Thrush, nephritis, and conjunctivitis occur.

After stopping the medication, all negative consequences should go away, however, if you experience at least one of the above symptoms while taking Sumamed, be sure to inform your doctor so that he can select another drug for you.

An overdose of an antibiotic usually results in diarrhea and vomiting, and the patient experiences decreased and even loss of hearing. In case of overdose, you must immediately rinse your stomach and call an ambulance.

Contraindications to antibiotics

If you are intolerant to macrolide antibiotics, you should not take Sumamed. You should choose another medicine that does not contain azithromycin.

Sumamed is also not recommended for patients with liver and kidney disease. In this case, the therapist will prescribe more gentle remedies.

Pregnant women taking the drug on their own is strictly contraindicated. Only after assessing the possible benefit of use, if it significantly outweighs the risk to the fetus, does the doctor prescribe azithromycin to pregnant women. Breastfeeding women can take an antibiotic, provided that during the period the mother replaces breastfeeding with formula, since the medicine penetrates into the blood and inevitably part of it ends up in the milk.

The antibiotic Sumamed is prescribed only by a doctor. The patient will get more detailed information from the doctor, who will write a prescription and draw up a course of treatment individually, since the characteristics of the body are different for each person. Therefore, all questions regarding the use of medication should be clarified by a physician. The article is for informational purposes only and is not a direct instruction or guide to taking such a serious medicine as Sumamed.

You should not grab antibiotics as soon as you feel a sore throat. First, you need to try to cope with it with folk remedies, solutions of tinctures with alcohol (propolis or sage, for example), and only then move on to stronger medications. If the temperature does not rise and your general health does not suffer, then you can fight it with anti-inflammatory drugs for 3-4 days.

When is antibiotics necessary?

It’s another matter if the pain is accompanied by fever, temperature, the general condition worsens, and a loss of strength is felt. This is more serious. With this condition in the throat, it is already possible for pustules to appear on the tonsils (for example, with follicular purulent tonsillitis), and their inflammation. In such cases, you can no longer be a hero - it will not lead to anything good.

Of the many existing antibiotics, doctors often choose Sumamed for angina, since it has a number of advantages over other drugs. Firstly, this is a broad-spectrum medicine, so it will definitely act on the causative agent of the disease. Secondly, it does not require frequent use - the dose is designed to be taken once a day. And, thirdly, due to the fact that Sumamed tends to accumulate in the body, the course of its administration is reduced to 3-5 days, while other antibiotics are taken in a course of 7-10 days.

Sumamed for angina begins to act very quickly, relief will come after the first or second dose of tablets. By the way, if you have chronic tonsillitis, and exacerbations occur without an increase in temperature, manifesting only in sore throat and general weakness, this condition cannot be ignored either. In this case, Sumamed will also help.

The active ingredient of this drug is azithromycin. It easily penetrates all tissues and quickly kills bacteria. It found application in practice relatively recently - about 14 years, but during this period it has already proven its effectiveness. Treatment of sore throat with the antibiotic Sumamed is optimal in terms of the combination of price-quality-effectiveness.

What is the best way to take Sumamed for a sore throat?

Manufacturers and doctors recommend taking Sumamed for a sore throat before meals, on an “empty stomach” - this way the drug will penetrate faster to the sites of the disease and will begin to act earlier. If for some reason it is difficult to take an antibiotic before eating, then this can be done a couple of hours after eating.

It often happens that the condition improves, and they forget about taking the antibiotic, missing the next dose.

But, it is necessary to remember that with imaginary relief, you should not stop taking the drug, because the pathogenic microflora still remains in the body, which, when you stop taking the antibiotic, can begin to act with renewed vigor!

It is better to take the medicine at approximately the same time - this will also speed up its effect.

The dosage of Sumamed for angina is as follows: 500 mg per day (as mentioned earlier, only once a day). The standard course dose for uncomplicated forms of the disease is 3-5 days. Such a short course of taking Sumamed, as mentioned above, is due to its ability to accumulate in the body and continue its effect even after the end of its use. Of course, the doctor will act according to the circumstances and may, if necessary, extend the course or prescribe another medicine (it happens that due to the individual characteristics of the body, Sumamed will not work on someone).

Now a little about the form in which this drug is produced. You need to know about this so as not to encounter a counterfeit - unfortunately, nowadays even medicines are often counterfeited. Sumamed is produced in tablets with a dosage of 500 mg, in capsules with a dosage of 250 mg, and also in the form of syrup (suspension) in 100 ml bottles.

How to take Sumamed for children with sore throat?

Children with sore throat are also prescribed the antibiotic Sumamed. But a slightly different dosage regimen with a lower dosage has been developed for them. The required amount of medication is calculated based on the child’s body weight: 10 mg/kg of the small patient’s weight. They can be given the drug in a gentle manner: the first day - 10 mg/kg of body weight, and then for another 4 days, but at a dose 2 times smaller - 5 mg/kg. If the child is older and tolerates the drug well, then the course can be shortened to 3 days, but then the dose on all subsequent days will be the same as on the first.

Sumamed is often prescribed for children with sore throat, as it is usually very well tolerated and has few side effects. This antibiotic is not prescribed to babies at all: until the child reaches the age of 6 months, it will be treated with other means. For parents who shudder to imagine how they will “push” the pill into their child, there is the possibility of using Sumamed in the form of a suspension: the child will drink the sweetish medicine easily and without disgust.

Side effects of Sumamed and contraindications

Side effects are standard for any antibacterial drugs and include the following manifestations: nausea, intestinal disorders (both diarrhea and constipation), flatulence. Occasionally there is a headache, as well as drowsiness and dizziness. Slight sleep disturbance may occur.

Usually these phenomena go away on their own after stopping the antibiotic. Disturbances of the intestinal microflora after treatment of sore throat with Sumamed do not always occur, since its doses are small, and the duration of administration is most often 3-5 days. But for prevention, you can still take medications containing bifidobacteria (Bifidumbacterin, Linex).

The drug should not be prescribed to patients who cannot tolerate macrolide antibiotics. In addition, renal and liver failure will also be contraindications to the use of this medication.

Those who are prone to allergies will have to be careful: Sumamed can cause hives, skin rashes or itching. If such reactions occur, you must stop taking the medication and inform your doctor about the incident so that he can change the drug.

We should not forget that despite all the positive aspects, this antibiotic is quite strong, so it can affect your own immunity. Therefore, Sumamed is not always prescribed for the first time for a sore throat, trying not to “accustom” the body to such a strong remedy.

It is also prescribed with great care to expectant mothers: this is done only if the expected benefit exceeds the serious consequences of the disease itself, that is, in extreme cases. Young mothers who are breastfeeding should take the antibiotic Sumamed with equal caution, since part of the medicine, along with the mother's milk, inevitably enters the baby's body.

How to help the body cope with a sore throat faster?

You cannot limit yourself to taking an antibiotic and think that everything will go on by itself. Any doctor will definitely prescribe gargling as an additional measure in order to completely cleanse the tonsils - the source of infection - and prevent the disease from becoming chronic.

Sumamed for sore throat in adults (as well as in young patients) is one of the most powerful remedies, but the body needs additional help. The doctor will prescribe either gargling with Hexoral or Chlorhexidine, or gargling: these drugs will have a local effect, “fighting” harmful bacteria directly at the site of their greatest accumulation. It is still difficult for kids to gargle, so they can irrigate their throat several times a day with chamomile decoctions and similar harmless solutions from a syringe.

In addition, while taking antibiotics, it is necessary to observe bed rest so that the body does not waste energy once again, and you should not go outside unless absolutely necessary: ​​the body is still weak, and the slightest hypothermia can contribute to a relapse of the disease.

Do not under any circumstances refuse antibiotics for a sore throat, but remember: only a doctor should prescribe them! Without having a medical education, it is impossible to correctly calculate the course and dosage of the drug, since what is written in the instructions are only general rules; your doctor can give other instructions based on the general picture of the disease and the characteristics of your body.

Attention! All articles on the site are purely informational. We recommend that you seek qualified help from a specialist and make an appointment.

Source: http://net-prostuda.ru/2017/11/14/ot-gorla-sumamed/

Use of Sumamed for acute throat infection

Sumamed is a very strong antibacterial agent.

This antibiotic is able to defeat infection caused by many harmful microorganisms - from Staphylococcus aureus to intracellular parasitic bacteria such as mycoplasma and chlamydia.

Sumamed (active ingredient - azithromycin) belongs to the group of macrolide antibiotics, which originate from the well-known Erythromycin.

According to general medical recommendations, it is customary to try to prescribe penicillin antibiotics (Amoxicillin, Ampicillin) to a patient with a sore throat, and if the patient has an allergy or poor tolerance to one of these medications, prescribe Sumamed or another macrolide antibiotic.

But some doctors today prefer not to wait for side effects from penicillins and immediately prescribe Sumamed to their patients with tonsillitis, especially purulent ones.

This antibiotic is really good in the fight against many infections of the ENT organs (and not only). In normal doses, azithromycin has a bacteriostatic effect, that is, it prevents the proliferation of bacteria, thus helping the sick person’s body cope with the infection easily, quickly and without complications.

Azithromycin in Sumamed acts against most pathogens of infectious and inflammatory diseases of the throat - streptococci, staphylococci, pneumococci and many other bacteria.

However, treatment with Sumamed also has its difficulties. The fact is that there are bacteria that are inherently resistant to azithromycin. This includes some species of streptococci and staphylococci. Therefore, before starting treatment, it is advisable to isolate the infectious agent by culture and test it for sensitivity to Sumamed.

Unfortunately, in most cases of angina there is no time to wait for culture results, and indeed it is not always possible to do it, therefore Sumamed is usually prescribed to patients empirically.

In this case, if the patient does not show any improvement on the 2-3rd day after starting antibiotic treatment, the doctor assumes that the causative bacteria is resistant to azithromycin and prescribes another antibiotic.

But still, in most cases, Sumamed copes well with the infection. Moreover, compared to penicillins, this antibiotic is better tolerated by patients, has less toxicity and is much less likely to cause allergic reactions.

One of the disadvantages of the drug is its cost. However, Sumamed has much more undeniable advantages, namely:

  1. Highly effective against sore throat and other infections, coupled with good overall tolerability by patients.
  2. The ability to accumulate in high concentrations precisely at the site of inflammation. Due to the ability of azithromycin to penetrate phagocytes (cells of the immune system), the drug is transferred directly to inflamed tissues and there it exerts its therapeutic effect.
  3. Possibility of using it in a short course. Treatment with Sumamed takes only 3 or 5 days, because azithromycin accumulates in tissues and has a prolonged effect. The effect of the antibiotic continues for another 5-7 days after taking the last tablet.
  4. The antibiotic is used only once a day, since azithromycin has a rather long half-life from the body.

An absolute contraindication to the use of Sumamed is only its intolerance, manifested by an allergy to the drug. Common side effects while taking this antibiotic include lack of appetite and refusal to eat (anorexia), headache and dizziness, joint pain, blurred vision, hearing loss, nausea, abdominal pain, flatulence, diarrhea, skin rash or itching. .

More serious side effects occur in extremely rare cases. While taking Sumamed, like any other broad-spectrum antibacterial drug, superinfections (candidiasis or antibiotic-associated diarrhea) may develop.

When and to whom is Sumamed recommended?

Sumamed penetrates well into body tissues and is more concentrated in the respiratory tract (including the throat), genitourinary system, skin, and soft tissues. In these parts of the human body, the concentration of azithromycin is several times higher than in the blood. This antibiotic is indicated for:

  • Acute bacterial infection of the tonsils (tonsillitis),
  • Scarlet fever (a special form of streptococcal infection that occurs with symptoms of sore throat and a rash on the body),
  • Inflammation of the sinuses (sinusitis), middle ear cavity (otitis),
  • Bacterial inflammation of the lungs (pneumonia) and bronchi (bronchitis),
  • Infections of soft tissues and skin (erysipelas, impetigo, infected dermatoses),
  • Inflammation of the urethra (urethritis) or cervix in women (cervicitis), including gonorrheal origin, etc.

As you can see, Sumamed can help not only with purulent sore throat; the range of its use is quite wide. This antibiotic is used to treat both adults and children.

This drug is recommended for sore throat, even in older people, and in normal dosages, without reducing the amount of the drug. In children with sore throat and other throat infections, depending on age, the use of Sumamed in different dosage forms is indicated.

There are some restrictions on the use of antibiotics for pregnant women and nursing mothers. Doctors usually try not to prescribe them treatment with Sumamed unless absolutely necessary.

If a nursing mother is still prescribed therapy with Sumamed, she is recommended to temporarily transfer the child to formula milk.

For adults, Sumamed for angina is usually prescribed as a three-day course.

An adult patient is recommended to take 500 mg of Sumamed once a day, which is equivalent to one tablet containing 500 mg of azithromycin, or two capsules of the drug.

It is best to take the antibiotic at the same time every day. In total, 1.5 g of the drug is obtained for a course of treatment of throat infections in adults. Azithromycin is poorly absorbed when taken simultaneously with food or alcohol. This implies two main conditions for taking Sumamed tablets or capsules:

  1. Take the drug on an empty stomach. After eating, at least 2 hours must pass, only then can you take tablets or capsules. Immediately after taking the drug, you need to wait 1 hour before your next meal.
  2. No alcohol during antibiotic treatment!

How to use this drug in children?

Sumamed for sore throat is prescribed to children from 3 to 12 years of age in tablets, calculating the approximate dose depending on the child’s weight. For every kilogram of body weight, 10 mg of azithromycin is indicated. However, no matter how old the child is, if he weighs more than 45 kg, the drug is dosed for him as for an adult.

For example, for a seven-year-old child weighing 24 kg, the approximate daily (also one-time) dose of an antibiotic will be 240 mg (24 kg * 10 mg). This is approximately the equivalent of two 125 mg tablets. That is, such a child will need to take 2 tablets (at the same time) per day for three days. Children from 3 to 12 years old can only be given tablets; Sumamed capsules are contraindicated at this age.

If it is known that group A beta-hemolytic streptococcus caused a sore throat or pharyngitis in a child aged 3-12 years, it is recommended to use a double dose of the antibiotic, that is, 20 mg of azithromycin per kg of weight.

In this case, it is more convenient to take the drug in a suspension or “forte” suspension. The dosage regimen remains the same - 1 time per day for 3 days in a row.

For younger patients (aged 6 months to 3 years), Sumamed is indicated only in the form of a suspension. The dosage of the drug is calculated individually for each child - 20 mg of azithromycin per 1 kg of weight for streptococcal infections, and 10 mg/kg for other throat infections.

Since the taste of the antibiotic is not particularly pleasant for children (the drug is bitter), to make it easier for children to use, manufacturers added a sweetener (sucrose) and banana, cherry and vanilla flavors to the powder for preparing the suspension.

To prepare a suspension of Sumamed, add the volume of solvent specified in the instructions, which is usually chilled boiled water, to the powder in the bottle, and shake the bottle well.

The box with the drug contains a measuring spoon and a measuring syringe, so it will not be difficult for parents to measure the correct amount of medicine for their child. Before each use of an antibiotic, its suspension must be shaken.

The suspension is given to children once a day for three days in a row. After taking an antibiotic by a child, it is necessary to give the little patient a drink with water so that he can swallow the remaining amount of the suspension in the mouth.

Better read what Elena Malysheva says about this. For several years I suffered from constant colds, tonsillitis - headaches, severe pain in the throat even when swallowing saliva, a feeling of a lump, nasal congestion, loss of strength, loss of appetite, weakness and apathy. Endless tests, visits to doctors, and pills did not solve my problems. The doctors no longer knew what to do with me. BUT thanks to a simple recipe, I stopped getting sick, my throat problems went away. I am healthy, full of strength and energy. Now my attending physician is surprised how this is so. Here is a link to the article.

Source: http://vashegorlo.ru/preparaty/sumamed-pri-angine.html

From Virus.ru

Flu, sinusitis, sore throat

Sumamed - quick and effective relief from sore throat

Sumamed is a strong and effective new generation antibacterial drug used for sore throat and some other infectious diseases. It is a broad-spectrum antimicrobial drug, which means it can kill not only the microbes that cause sore throats, but also other gram-positive and gram-negative bacteria, anaerobic ones, as well as some types of protozoan intracellular parasites.

Why do doctors choose Sumamed for a throat infection?

Sore throat is a common infectious disease of the respiratory tract, in particular the throat, when the tonsils become inflamed due to an acute bacterial infection. Treatment requires complex, methods vary somewhat, depending on the severity and extent of the disease. In the acute, purulent form, only gargling and irrigating the throat is not enough: taking antibiotics is necessary. Our body can cope with milder infections on its own; at the initial stage of a cold, folk remedies help, but for a sore throat, medications are usually prescribed.

The active ingredient in Sumamed is azithromycin, a derivative of erythromycin, an old-generation antibiotic. Sumamed is the newest macrolide antibiotic, on the development of which entire groups of scientists worked. The result of their work did not disappoint. Today it is one of the best drugs for angina.

Not only Sumamed, but also its analogues are found in pharmacies under the names:

Sumamed is prescribed for sore throat and other respiratory infections (pharyngitis, tonsillitis, otitis, pneumonia, bronchitis), as well as infectious skin diseases (erysipelas, dermatoses), infections of the pelvic organs and some others.

Advantages of Sumamed

Sumamed is by far the most effective antibacterial agent for sore throat. The fact is that penicillin antibiotics (for example, amoxicillin) were previously prescribed for angina, but they often caused allergic reactions in patients. Sumamed is indicated for patients with allergies to penicillin. It takes a lot of time to find out whether a patient has an allergy; the patient does not always know this. Therefore, most often the doctor immediately prescribes this drug. In severe cases of tonsillitis with pustules on the tonsils, only Sumamed quickly and effectively acts on the source of infection.

Compared to other drugs, the antibiotic Sumamed has the following advantages:

  • low allergenicity;
  • high efficiency;
  • take only once a day;
  • taking only 3-5 days, and not 6 or more, which is typical for other antibiotics;
  • can be easily taken by children, since one of the forms is available in the form of a sweet suspension.

The disadvantage is perhaps the high price of the medicine, as well as the likelihood of an allergy to the composition in some people. In addition, individual intolerance to the substance azithromycin is possible: then the medicine simply will not work.

Composition and release form of the drug

Like all antibiotics, Sumamed contains the main active ingredient (azithromycin) and auxiliary ones. Moreover, the latter will be slightly different: different forms of release will have something different, for example, flavoring and sugar will be added to the syrup, etc.

The antibiotic is available in several forms, which is also an advantage - the patient can choose the one that is suitable for himself:

  1. Tablets containing 125 mg of azithromycin or 500 mg (standard, for adults).
  2. Capsules (250 mg).
  3. Suspension Sumamed (powder for preparation, 100 mg) or Sumamed Forte (200 mg).

How does an antibiotic work?

This is an antimicrobial drug. Like all antibiotics, it directly affects the bacterial cell, stopping all its vital processes. In other words, it has a bactericidal (bacteria-killing) effect.

Sumamed is absorbed into the blood almost immediately. A single dose, as a rule, for angina is 500 mg. This is explained by the fact that the antibiotic penetrates the tissue very quickly and accumulates there. In addition, azithromycin has the ability to enter directly into phagocytes (cells of our immune system that devour bacteria) and are delivered by the blood to the site of inflammation.

The possibility of taking it once a day and taking it not for 6 days, as antibiotics are usually taken, but only 3-5, is explained by the fact that it is removed from the body for a long time and continues to act after taking it for quite a long time.

Sumamed accumulates in a very high concentration, and goes exactly to the target: into infected tissues. Azithromycin does not reach other organs and tissues that are not affected by infection in such large quantities and does not harm the body.

In addition to a targeted effect on the cells of the upper respiratory tract, azithromycin is effective against microorganisms that cause infections:

  • lower respiratory tract;
  • genitals;
  • skin;
  • as well as Helicobacter pylori, which causes stomach ulcers.

Features of use: how and with what Sumamed can be combined and what not with

It is better to take the medicine on an empty stomach, as food slows down the absorption of the main substance. For the most positive effect, it is better to drink it always at the same time, for example, in the morning, 1 hour before lunch, or 2 hours after breakfast. The same can be done in the afternoon. The main thing is that about 2 hours should pass after eating.

The standard course of taking Sumamed for angina is 3 days (one tablet or two capsules at a time). If you take an antibiotic for 5 days, the dosage changes slightly. On the first day you need to drink 500 mg, in the next 4 days - 250 mg, since the total weight of the medicine should not exceed 1.5 g. The antibiotic accumulates and will act on the body for another 2-3 weeks.

Alcohol is contraindicated during antibiotic treatment. Also, taking certain medications simultaneously with Sumamed can strengthen or weaken its effect. More details about this are written in the instructions.

How to use for children and pregnant women

For children, the method of administration is somewhat different, depending on age, and especially body weight. It is not difficult to calculate the amount of medicine at one time. For one kilogram of a child’s body weight, 10 mg of the drug is needed. But if the weight exceeds 45 kg, the medicine is dosed as for adults.

An antibiotic is prescribed from the age of six months. From 6 months to 3 years, only a suspension is indicated, which has a sweet taste, so it is easy to give. There is simply a suspension of Sumamed (100 mg) and Sumamed Forte (200 mg). For small patients weighing more than 14 kg, only the second is prescribed.

For simple sore throat, a dose of 10 mg per 1 kg of body weight is prescribed, that is, the total dose calculated for three days should not exceed 30 mg per 1 kg.

Prepare a suspension by adding the required amount of boiled cold water to Sumamed Forte powder. Shake well. The box contains instructions according to which each parent will calculate the required amount of water and measure the medicine with a special measuring syringe and spoon (they are included).

The drug is washed down with water. The prepared suspension is stored for only 5 days; the storage temperature should not exceed 25°C and be less than 15°C. After use, the syringe is washed, dried thoroughly and stored until next time.

In children from 3 to 7 years old, you can take Sumamed in tablet form. The dosage remains the same: 10 mg per 1 kg of child’s body weight. That is, if 125 mg tablets are taken, they must be taken two at a time if the child’s body weight is 25 kg. Capsules are allowed from the age of 12 years.

The dose can be doubled if it is discovered that the disease is caused by beta-hemolytic streptococci A, then take not 10 mg of azithromycin per 1 kg of body weight, but 20 mg.

The tablets are also washed down with a small amount of any liquid (preferably water).

The doctor, when issuing a prescription, will in any case write out the correct and appropriate regimen for your child or you.

Side effects of Sumamed

Like all antibiotics, Sumamed can cause some unpleasant side effects from use:

  1. Problems with the gastrointestinal tract: nausea, flatulence, vomiting, constipation, diarrhea, abdominal pain, loss of appetite.
  2. The occurrence of allergies, manifested by rash and itching; in severe cases - anaphylactic shock.
  3. In the blood: excess amount of bilirubin, eosinophils (cells, the number of which increases during allergies), decrease in the number of neutrophils. All indicators return to normal 2-3 weeks after the end of therapy.
  4. The patient may rarely feel increased heartbeat or chest pain.
  5. Sometimes dizziness, headache, irritability, sleep disturbances, and increased anxiety are observed.
  6. Thrush, nephritis, and conjunctivitis occur.

After stopping the medication, all negative consequences should go away, however, if you experience at least one of the above symptoms while taking Sumamed, be sure to inform your doctor so that he can select another drug for you.

An overdose of an antibiotic usually results in diarrhea and vomiting, and the patient experiences decreased and even loss of hearing. In case of overdose, you must immediately rinse your stomach and call an ambulance.

Contraindications to antibiotics

If you are intolerant to macrolide antibiotics, you should not take Sumamed. You should choose another medicine that does not contain azithromycin.

Sumamed is also not recommended for patients with liver and kidney disease. In this case, the therapist will prescribe more gentle remedies.

Pregnant women taking the drug on their own is strictly contraindicated. Only after assessing the possible benefit of use, if it significantly outweighs the risk to the fetus, does the doctor prescribe azithromycin to pregnant women. Breastfeeding women can take an antibiotic, provided that during the period the mother replaces breastfeeding with formula, since the medicine penetrates into the blood and inevitably part of it ends up in the milk.

The antibiotic Sumamed is prescribed only by a doctor. The patient will get more detailed information from the doctor, who will write a prescription and draw up a course of treatment individually, since the characteristics of the body are different for each person. Therefore, all questions regarding the use of medication should be clarified by a physician. The article is for informational purposes only and is not a direct instruction or guide to taking such a serious medicine as Sumamed.

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Source: http://otvirusa.ru/angina/sumamed-pri-angine-kak-prinimat.html

Sumamed for sore throat

Otolaryngologists often prescribe Sumamed for angina as antibiotic therapy. This drug is available in both tablet and powder form, which greatly simplifies the treatment of young children. Sumamed affects a wide range of pathogenic microorganisms that cause tonsillitis. To get the desired effect from the drug, you must follow the doctor’s strict instructions and take no more than the permissible dosage. Before use, the patient should read the instructions for the drug.

Composition and properties of Sumamed

Sumamed for sore throat is prescribed to both children and adults, because the drug can completely cure the disease in 3-5 days. A strong effect on the body in a short period of time is justified, especially in the case of treating small children under 3 years of age. The composition of the product is based on azithromycin, a macrolide antibiotic.

Sumamed for angina affects groups of gram-negative, gram-positive and some anaerobic pathogenic microorganisms. This drug is also prescribed to combat bacteria that have already developed resistance to erythromycin.

The antibiotic has a prolonged effect, so the maximum course of treatment is 5 days. On average, it takes 3 days to fight the causative agent of a sore throat. The composition is quickly absorbed into tissues and distributed throughout the body.

Due to the different release form, Sumamed for sore throat is prescribed to an adult patient in the form of tablets or capsules. If it is not difficult for an adult to take a pill, then it will be difficult to force a child to take the medicine.

The manufacturer has developed Sumamed in powder form specifically for easy administration of the composition. With tonsillitis, the pain in the throat increases sharply, so swallowing the tablet can cause severe discomfort. The powder solves this problem because it is diluted with water, which makes taking the drug much easier. Also, the finished suspension has a pleasant strawberry taste and aroma.

If Sumamed does not help with angina, then it is worth changing the treatment tactics. The body could develop an addiction to the composition; this situation often happens when the drug is taken incorrectly. Sumamed for angina in adults and children requires strict dosage control, since the antibiotic has a number of contraindications and side effects.

When is antibiotics necessary?

When the attending physician diagnoses a bacterial sore throat in a patient, it is impossible to do without prescribing an antibiotic. This drug not only reduces the negative symptoms of the disease, but also copes with its causative agent. Staphylococci and streptococci can provoke acute tonsillitis, but laboratory testing of plaque is necessary to accurately determine the type of pathogenic microorganism. During the period of sore throat, the throat becomes covered with a film and pustules, which are a breeding ground for bacteria. The stronger the inflammation, the more ulcers on the mucous membrane. All symptoms are accompanied by high body temperature, so taking antibiotics in this case is mandatory.

For angina, Sumamed is prescribed when local therapy does not give the expected result within 3 days. The instructions for use indicate that this antibiotic is prescribed for:

  • Bacterial tonsillitis;
  • Bacterial pharyngitis;
  • Sinusitis;
  • Otitis media;
  • Bacterial and chronic bronchitis;
  • Alveolar pneumonia.

Sumamed for sore throat for children is prescribed only in the form of a suspension. It is important to take this drug at a persistently high body temperature. Additionally, children's Ibuprofen and Paracetamol should reduce the levels. While taking Sumamed, probiotics should be taken to minimize the likelihood of dysbiosis.

Sumamed intake and dosage

Sumamed for purulent sore throat in adults is recommended to take 1 capsule 1 time per day, regardless of food intake. 500 mg of azithromycin is taken at one time. Over 3 days of treatment, the total amount of the drug should not exceed 1.5 g. If Sumamed is prescribed for children with sore throat, the dosage is calculated depending on the child’s body weight. Per 10 kg of weight there are 10 mg of active substance.

Treatment of sore throat with Sumamed for babies aged 6 months and older is carried out under the strict supervision of a doctor. The dosage for angina must be strictly observed, as there is a high probability of side effects.

The drug is taken only once a day for both adults and children. If you miss the next dose, take a new amount of the drug as soon as possible. The break between doses is 24 hours.

Preparation of the suspension

To prepare the suspension, mix 17 g of powder and 12 mg of water. Water must be boiled or distilled. If the water was stored in the refrigerator, it is advisable to warm it to room temperature. The total volume of liquid should be 23 ml. The prepared suspension can be stored for no longer than 5 days. Before use, shake the contents of the bottle thoroughly to avoid sediment. After administration, the child is given a small amount of water or tea to completely swallow the composition and wash away any remaining medication from the throat.

Side effects of Sumamed and contraindications

Adverse reactions of the body to Sumamed are rare, but it is still important to pay attention to the effect of the drug. Active changes in well-being occur clearly in young children when the dosage has not been observed. Possible side effects:

  • Gastrointestinal tract - nausea, vomiting, decreased appetite, exacerbation of gastritis, flatulence, jaundice;
  • Urogenital area – candidiasis, nephritis;
  • Cardiovascular system – pain in the heart area, tachycardia, arrhythmia;
  • Nervous system – headache, dizziness; drowsiness, fatigue;
  • Allergic manifestations - redness of the skin, urticaria, body itching, Quincke's edema.

If such changes occur in the body, you should immediately seek medical help. The frequency of such manifestations can be reduced after 1-2 weeks, taking into account drug withdrawal.

You should not use Sumamed if you have the following diseases:

  1. Liver failure;
  2. Kidney failure;
  3. Pathologies of carbohydrate metabolism in the body;
  4. Individual intolerance to the composition;
  5. Hypersensitivity to macrolides.

The manufacturer warns that this antibiotic should be prescribed to pregnant and lactating women with extreme caution. If the benefit of the drug is greater than the possible risk, then use is permitted, but under the strict supervision of a doctor. Antibiotic drugs affect the development of the fetus in the womb, and they also pass into breast milk. In case of arrhythmia, liver and kidney pathologies, the prescription of Sumamed should be monitored by a doctor.

If during treatment the patient increases the dosage at his own discretion, then there is a high probability of the following:

Recovery of the body after an overdose occurs quickly; treatment in such a situation is symptomatic.

Sumamed or Amoxiclav how to choose a drug?

Sumamed or Amoxiclav - what to choose during the treatment of sore throat? These drugs have a pronounced antibiotic effect, so they are often prescribed for the treatment of ENT diseases caused by bacteriological infection.
Sumamed is considered a modern, powerful drug, as it has a prolonged effect. It accumulates in tissues for another 72 hours after taking a dose. Amoxiclav also affects a wide range of pathogenic microorganisms, but it is quickly eliminated through the kidneys, so taking the drug must be constantly repeated for at least a week.

The average period for taking Amoxiclav is 10 days, which cannot be said about Sumamed. The average duration of taking Sumamed is 3 days. If the infection is acute, then treatment is extended to 5 days.

Also, these drugs differ in their active substance. Amoxiclav is based on amoxicillin (a penicillin antibiotic) and clavulanic acid, and Sumamed is based on azithromycin (a macrolide antibiotic). Amoxicillin often manifests itself in terms of the absence of a negative effect on bacteria due to the occurrence of addiction. Azithromycin is more stable in this regard.

Which is better Suprax or Sumamed?

Both drugs are classified as antibiotics, but the composition is different. Sumamed is considered more affordable, the difference in cost is almost two times. The active component of Sumamed is azithromycin, and Supraxa is cefixime trihydrate. The second drug has a stronger effect, so it is not recommended for the treatment of young children. Cefixime is considered a representative of the third generation of cephalosporin antibiotics.

To determine which is better for sore throat, Suprax or Sumamed, you still need to consult an otolaryngologist. Bacteriological laboratory analysis of a smear will help determine the exact type of causative agent of the disease. Sumamed takes longer to eliminate than Suprax. The second drug is processed faster, so the release occurs within 3-4 hours. For many patients, convenience and frequency of administration play an important role, so Sumamed wins in this regard.

As for the effect on pathogenic flora, both drugs suppress the reproduction of both gram-positive and gram-negative microorganisms. Taking capsules or tablets is allowed regardless of meals.

The average course of treatment with Sumamed is 5 days, and with Suprax – 7 days. The second medicine is calculated for children depending on body weight. There are 8 mg of the drug per 1 kg of weight. For Sumamed, 10 mg of azithromycin is prescribed per 10 kg of child weight. When taking these medications, the composition is taken into account for the presence of sucrose. This component is present in both drugs, so this fact is taken into account when prescribing therapy for diabetics.

Biseptol or Sumamed - which is better?

Biseptol is called a sulfonamide drug, and Sumamed is an antibiotic. The first drug is considered obsolete because it simply does not affect the proliferation of new strains of pathogenic microorganisms. The main active ingredients of Biseptol are sulfamethoxazole and trimethoprim. Analyzing the composition, doctors clearly say that this drug is not an antibiotic. It acts as a sulfanilamide, which has an antibacterial effect.

In this case, Sumamed significantly benefits both in terms of the safety of components and the likelihood of side effects. Biseptol has a powerful composition that can cause multiple negative changes in the patient’s well-being. The average duration of treatment with this sulfanilamide is 7-14 days. When compared with the course of therapy with Sumamed, the difference is large, since the maximum period for taking this medication is 5 days. Also, do not forget that the interval between doses of Biseptol is 12 hours, and for Sumamed - 24 hours.

The sulfanilamide drug is allowed to be taken only after meals, as it actively affects the gastric mucosa. If you take Biseptol tablets on an empty stomach, the likelihood of exacerbation of gastritis and stomach ulcers sharply increases. You can take syrup, take Sumamed capsules or tablets at any time, without being tied to meals.

Finally

Antibiotics for angina are considered the mainstay of therapy if local treatment often does not give the expected result. The main rule of taking antibiotic drugs is strict adherence to the dosage. Under no circumstances should you spontaneously increase the allowable amount of medication or continue the prescribed course for several days. Extend therapy only after consulting a doctor, because taking antibiotics for too long can cause dysbiosis.

As for Sumamed, this drug is sold only by prescription, because the composition can cause a number of side effects.

Sumamed has a wide spectrum of action against pathogenic microorganisms, but before use you still need to be diagnosed by an otolaryngologist. Self-medication with antibiotic drugs is unacceptable.

Source: http://yhogorlonos.com/sumamed-pri-angine/