"Sumamed" refers to the clinical and pharmacological group of macrolide antibiotics. The drug is used in the treatment, which is aimed at eliminating the causes of diseases of various infectious origins.
Issue form
"Sumamed" is of the following types:
- white enteric coated tablets;
- capsules;
- powder for suspension.
The main active ingredient in the drug is azithromycin (500 milligrams). In addition to the active substance, the medicine contains additional trace elements:
- sour calcium s alt;
- magnesium stearate;
- cornstarch;
- cellulose;
- starch;
- hypromellose.
Produced in bottles of 50 milliliters, the kit includes a measuring spoon. After dissolution of the powder, a homogeneous yellow suspension is obtained. Also, the drug is packaged in blisters of three tablets. The package contains one blister and instructions for use.
Pharmacological action
Basica component in the composition of the drug is azithromycin, which is a chemical derivative of azalide macrolides. The component has a bactericidal effect, leading to the death of sensitive bacteria.
"Sumamed" has a pronounced effect on gram-negative and gram-positive strains. Unlike other antibacterial agents, azithromycin helps to eliminate mycoplasmas, ureaplasmas, chlamydia.
After taking the medicine, the active substance is instantly and completely absorbed from the intestines into the blood. Azithromycin is evenly distributed throughout the body. As a rule, the active component has the ability to accumulate in tissues disturbed by infection. The drug is excreted from the body along with feces.
Indications
The drug is used for diseases that are caused by antibiotic-sensitive pathogenic microorganisms, as stated in the instructions for use for Sumamed. The medication helps to cope with many diseases, is convenient to use, and is easily tolerated by the child. For example, the drug is effective in combating the following diseases:
- Tonsillitis is a long-term inflammation of the pharyngeal and palatine tonsils.
- Pharyngitis is an acute or chronic inflammatory process localized in the pharynx, affecting its mucous membrane and deeper tissues.
- Otitis media is an acute or chronic inflammation in various parts of the ear.
- Sinusitis - inflammation of the maxillary sinuses.
- Tracheitis is an inflammatory disease of the trachea, often of an infectious nature.
- Diseases of the upper and lower respiratory tract,in which inflammation penetrates the bronchi. Considered one of the main reasons for seeking professional help.
- Urethritis is a disease associated with the development of an inflammatory process in the wall of the urethra.
- Inflammation, the source of which is concentrated in the cervix.
- Dermatosis is a common name for a large group of skin diseases of various origins and with a variety of clinical symptoms.
- Impetigo is a superficial pustular skin disease, a type of pyoderma, caused by staphylococci, streptococci, or a combination thereof.
- Acne.
After cancellation, the drug will still be present in the body for about 7 days, while fulfilling all its therapeutic properties, as indicated in the instructions.
Reviews of adults about Sumamed tell that they took the drug even to treat an infectious disease spread by ticks. And the drug helped them.
Contraindications
Like all other drugs, the drug has certain prohibitions, but they are insignificant compared to the positive effects of the remedy. Contraindications:
- Impaired liver function.
- Failure in the digestion and absorption of organic substances containing carboxylic acid.
- Intolerance to azithromycin or its macrolide substitutes.
- The patient is under six years of age.
With extreme caution, it is necessary to take medicine for myasthenia gravis, liver diseases, cardiac andvascular pathologies. And also when taken together with antidepressants, fluoroquinolones, digoxin, warfarin, cyclosporine. You can not use "Sumamed" with water-electrolyte imbalance, diabetes. Before purchasing the drug, you need to consult a doctor to exclude contraindications. Suspension may be taken by children under six years of age.
How to take Sumamed?
Pills should be taken regardless of the meal, without chewing. The drug is intended for adults. The regimen is selected depending on the course of the disease:
- When infecting the respiratory system, take one tablet 1 time per day at about the same time. Course duration - 3 days.
- In case of inflammation in the wall of the urethra, you need to take two tablets once.
- In case of complicated chronic inflammation of the walls of the urethra, a second course can be carried out after one week.
- The initial stages of an infectious, predominantly transmissible, disease - on the first day of the course of therapy, two capsules are prescribed 1 time, then from the second to the fifth day of the course of therapy - once a day.
How to prepare a suspension?
To the contents of the vial, add 12 milliliters of boiled water, then shake thoroughly and insist for twenty minutes. The amount of the finished suspension is 25 milliliters, it can be stored for only 5 days. As a rule, the duration of treatment is no more than threedays, but in critical cases it can be extended to five.
The maximum daily dosage of the drug is determined by the attending physician, depending on age, weight, severity of the disease. The drug is taken 1 time per day an hour before meals or 2 hours after meals.
Children six months to four years of age, dosing is based on the weight of the child. Usually it is 10 milligrams per kilogram (first 2 days). Then 5 milligrams per kilogram of the child's weight.
Before each dose, shake the vial with the finished suspension. The drug must be stored in the refrigerator. The required dose is measured with a syringe or measuring spoon.
Can pregnant women take the suspension?
During the bearing of a child, therapy with Sumamed in any form is contraindicated, since the use of the drug can lead to toxic damage to the liver and central nervous system of the fetus. The active substance is excreted in breast milk. Therefore, it is recommended to stop lactation during the treatment period.
Side effects
Some adverse reactions may occur when taking higher dosages:
- Melena is a dark, semi-liquid stool with a pronounced unpleasant odor, which arises from the blood under the influence of the contents of the stomach and intestines.
- Jaundice is a yellow discoloration of the skin and mucous membranes, which is caused by a high content of bilirubin.
- Nausea with frequent vomiting.
- Loss of appetite.
- Prolonged disease, which is characterized by inflammatory changes in the gastric mucosa, proceeds with impaired recovery processes.
- Migraine.
- Fatigue.
- Vertigo - loss of balance, accompanied by a sensation of rotation of objects around the body or vice versa.
- Jade is an inflammatory disease of the kidneys, often accompanied by pathological changes in the tissues of this organ.
- Vaginal candidiasis is a fungal disease of the vaginal mucosa, which manifests itself when it is colonized by viruses of yeast-like bacteria.
- Eosinophilia is a condition in which there is an absolute or relative increase in the number of eosinophils.
- Neutrophilia is a pathological condition of the body in which there is an increased growth of neutrophilic granulocytes.
- Skin rashes.
- A skin disease characterized by the instantaneous formation of intensely itchy blisters.
- Angioedema angioedema - a manifestation of an allergic reaction, expressed in swelling of the subcutaneous tissue, mucous membrane and epidermis.
If adverse reactions occur, stop taking the drug and consult a doctor to change the drug.
Price
The cost of the drug "Sumamed" varies from 200 to 700 rubles. Shelf life - 3 years. It is necessary to store the medicine at a temperature not exceeding 25 degrees.
Analogues of "Sumamed"
Instructions for use and reviews allow you to evaluate the effectivenessmedicines for certain diseases. It is known that the selection of another structural generic (with the same active ingredient) may be required if the price of the original drug does not suit the patient.
When a medication fails to achieve a certain result, the doctor must reconsider the treatment regimen. In some cases, he may prescribe another antibacterial agent with a different active ingredient or replace it with a drug from other pharmacological groups.
With individual intolerance to the main substance and the appearance of negative reactions, the question of replacement is also raised. Today there are the following analogues:
- Azitrox.
- Azitromax.
- Sumazid.
- "Azithromycin".
- Ecomed.
And there are also drugs with a similar spectrum of action:
- "Amoxiclav".
- Wilprafen.
- Klacid.
- Flemoxin.
- Macrofoam.
- Z-factor.
- Azitrus.
- Augmentin.
"Azithromycin" is a structural generic that differs in other auxiliary components. Refers to cheap options with a similar therapeutic effect. "Azithromycin" is less well known. This is due to the lack of information about clinical trials. "Sumamed" is the original medicine that has passed all the necessary tests. If "Sumamed" does not have the desired effect, then "Azithromycin" will also be ineffective in the treatment. With caution, it is necessary to take the drug for renal and hepaticinsufficiency, with diseases of the heart and blood vessels. The cost of "Azithromycin" is from 100 to 300 rubles.
"Amoxiclav" - refers to antibacterial drugs, has a wide spectrum of action. The medicine is produced in the form of tablets (packaging - 14 pieces). The active ingredients are amoxicillin and clavulanic acid. The indications for the use of the drug are the same as for Sumamed. According to reviews, the analogue was often taken in complex therapy with several antibacterial drugs to increase the spectrum of action.
The drug should be used only as directed by the attending physician. It is not recommended to use "Amoxiclav" in the first trimester of pregnancy, and in the second and third trimester you can use tablets with the permission of a doctor. The cost of the drug varies from 200 to 800 rubles.
"Flemoxin" - the drug belongs to the antibiotics of the penicillin series, is available in the form of oblong tablets. The active ingredient is amoxicillin. The dosage is selected by the attending physician. "Flemoxin" must be diluted with a small amount of water and drunk. The antibacterial agent should be consumed at the same time, after meals. The duration of therapy is usually 5 days. The cost of the drug varies between 300-550 rubles.
"Azitrox" - a broad-spectrum antibiotic that slows down the growth and reproduction of bacteria. The main active ingredient isazithromycin. The component is not active against gram-positive strains that are resistant to erythromycin. After taking the medicine is instantly absorbed from the gastrointestinal tract. The use of the drug with food slows down and reduces the absorption of erythromycin.
The active substance quickly penetrates into the respiratory organs, as well as the tissues of the urogenital tract, the skin. Azithromycin remains in the source of the inflammatory process for five to seven days after taking the last pill. The drug is contraindicated in severe kidney damage. And also the drug should not be taken by children under twelve years of age. It is necessary to observe the break regimen between taking Azitrox and antacid drugs (at least two hours), according to the instructions for use.
"Sumamed": reviews
Adult patients in their responses talk about the high effectiveness of the drug in the event of various diseases. The first signs of relief become noticeable after about a few days. The cough becomes much easier, although it may be accompanied by wheezing for some time.
According to reviews, the Sumamed suspension can be used for both adults and children. The drug has a strawberry flavor, which makes it more pleasant to use. Some people find it difficult to calculate how much medication is needed at one time.
Many people also speak positively about Sumamed analogues. The original drug is very expensive, and the effect of treatment with cheaper drugs is the same. AnotherAn important advantage of the drug is the duration of therapy, since bacteria in such a short time do not have time to get used to the action of the drug, and therefore develop resistance to it.
Based on the reviews of "Sumamed" (500 milligrams), the following negative points can be distinguished:
- expensive;
- the occurrence of intoxication with a second course;
- causes allergies.
On the other hand, the composition of the drug includes various components that can lead to various disorders in the body if taken incorrectly, as a rule, this manifests itself in the form of side effects or allergic reactions.
Before using any drug, you should read the instructions. According to reviews, "Sumamed" (tablets 500 milligrams) can cause problems with the stomach or intestines. Therefore, taking probiotics is essential to avoid problems.
