In the article, we will consider instructions for use for children for the Sumamed preparation.
Antibacterial drugs, the main purpose of which is to suppress the vital activity of certain varieties of harmful viruses, bacteria and infections, are currently the most effective way to treat a number of serious pathologies. In this case, the type of antibiotics is determined by the location of the inflammatory process and the type of its pathogens.
For example, macrolides are prescribed for the treatment of infectious lesions of soft tissues and skin, as well as respiratory infections. In this group, Sumamed suspension has good therapeutic properties, minimal side effects and ease of use. Instructions for children must be strictly followed.
Medication description
A drug currently often prescribed by pediatricians fortreatment of children, is also used by adult patients due to its formulations.
The drug "Sumamed" is an antibiotic with a broad spectrum of influence. The active substance is azithromycin, which is part of it, produces a bactericidal effect with a rather high accumulation in the inflammatory focus. At the same time, the drug is one of the modern ones, it has proven its effectiveness and is widely used by patients.
Rules for admission in the treatment of children
Based on the fact that the Sumamed drug is very strong, it should be prescribed exclusively by a pediatrician who will set the dosage in detail, as well as the amount and frequency of use.
There are several recommendations that parents should be aware of when they are prescribed Sumamed for children 100 and 200 mg.
If the baby has received this product within the last six months, it is forbidden to reuse it. This applies not only to Sumamed, but also to most antibiotics.
The drug is given to a newborn only after his body weight is equal to ten or more kilograms (from six months).
Until the age of sixteen, infusions with this drug should not be done. Like any other drug, Sumamed can cause allergic reactions in a patient, so the child's condition should be monitored especially carefully.
If an antibiotic is prescribed by a doctor with an estimated likelihood of developing a disease (pneumonia, for example), then you should talk to him about a replacementits more benign drug.
What can you learn from the instructions for use for "Sumamed" for children?
Indications for prescription
An antibiotic of broad influence, used in diseases caused by a number of streptococci of groups G and CF, gram-positive cocci, anaerobic organisms and gram-negative bacteria.
Pathologies for which Sumamed is prescribed are as follows:
- infectious diseases of the ENT organs, lower and upper parts of the respiratory system: pneumonia, bronchitis, tonsillitis, scarlet fever, otitis media, sinusitis, tonsillitis;
- infectious pathologies of the skin: impetigo (skin pustular inflammation, due to which purulent crusts appear), erysipelas, epidermal diseases caused by an infectious agent;
- an ulcer of the duodenum and stomach caused by the bacterium Helicobacter pylori;
- infections of the genital and urinary system - non-gonorrheal and gonorrheal urethritis, Lyme disease, inflammation of the cervix.
Instructions for "Sumamed" for children confirms this.
Of course, when prescribing a drug, a child should ideally be tested for sensitivity to it, but in most cases this procedure and waiting for a response takes time, which during the illness does not work for the patient. That is why the specialist, after conducting an examination, decides whether it is necessary to prescribe the drug to the patient,characterized by a wide range of influence in each case.
It should also be said that with angina, sowing is required to establish a pathogen, since not all of its pathogens are sensitive to this drug, and then the specialist will be able to adjust the treatment course.
According to the instructions, Sumamed is prescribed for children in the treatment of pneumonia, laryngitis, sinusitis, pharyngitis, bronchitis, chronic tonsillitis, purulent tonsillitis and a number of other infectious diseases.
Medication form
The drug is produced in such dosage forms as:
- Film-coated tablets. They are swallowed whole, its shell should not be broken. Available in dosages such as 500 and 125 milligrams.
- Capsules in a gelatin shell and with a dosage of five hundred milligrams.
- In accordance with the instructions for use "Sumamed" for children 100 and 200 mg is a powder for making a suspension with a banana-cherry smell and a pleasant sweet taste. The bottle also comes with a dosing syringe and / or a measuring spoon. Instructions for children for "Sumamed" 200 and 100 are included in each pack.
- The product is also produced in the form of a lyophilisate for the manufacture of an infusion solution, that is, droppers.
Used only by patients over the age of sixteen, in the treatment of severe types of infectious pathologies of the respiratory system (for example, community-acquired pneumonia) and severe inflammatory and infectious diseases of the pelvic organs. Let's take a closer look at the instructionson application to "Sumamed" for children.
How is the drug given to the baby?
For ease of use, small patients are given Sumamed powder for making a suspension, as well as Sumamed-forte, which differs from the usual Sumamed in the concentration of the active ingredient. The suspension itself is made before the first use.
In the vial where the powder lies, you need to add as much water as indicated in the instructions, since the dosage of the medicine may differ, therefore, dilution will require a different amount of water, shaken until a homogeneous state is reached. When the drug is ready, the volume of the resulting suspension will be five milliliters larger than what is written in the instructions. The manufacturer provided for this in order to compensate for possible losses.
As the instructions indicate, the ready-made suspension for children "Sumamed" 200 and 100 mg can be used no longer than five days, the measuring spoon and / or syringe dispenser should be disassembled and rinsed well after each use.
The suspension is drunk once a day, which is very convenient for the child's parents, especially when the baby does not like to take drugs.
It is also important to remember that the use of the suspension should be one hour before meals or two hours after.
The dosage can be calculated independently: for one kilogram of the child's body weight, ten milligrams of the suspension.
So it says in the instructions for use for "Sumamed" for children 200 and 100mg.
In case of infectious diseases of the respiratory tract, soft tissues and skin, a suspension is taken for three days once a day. Only with a skin rash (erythema migrans), which is characteristic of Lyme disease, this scheme is adjusted: on the first day, twenty milligrams per kilogram of weight, and from the second to fifth day, ten milligrams per kilogram of weight.
Side effects of medication use
Side effects include abdominal pain, diarrhea, flatulence, nausea, vomiting, heart rhythm disturbances, neurological problems, increased liver enzymes, and skin rash.
As indicated by the instructions for "Sumamed" for children 200 mg and 100 mg, small patients can mainly feel the following side effects: vomiting, skin rashes, nausea, drowsiness. Ideally, the pediatrician, before prescribing the drug, should determine whether the baby has allergic reactions, allergies in the family, antibiotics in the past six months.
Inhibition of intestinal microflora
Another side effect of taking the suspension, like any antibiotic, is the inhibition of the intestinal microflora. Each antibiotic kills microorganisms that are beneficial to the human gut. Although doctors prescribe "Sumamed" to small patients, considering its effect on the intestinal microflora less aggressive due to the short course and frequency of administration, they often develop dysbacteriosis while taking the suspension. That is why, along with the drug, a probiotic is prescribed to maintain the balance of the flora.intestines.
Instructions for "Sumamed" for children are very detailed.
Parents of a sick child need to remember that viral pathologies, such as measles, influenza, hepatitis, chicken pox, etc., should be treated with antiviral drugs. The appointment of an antibiotic by a pediatrician for viral pathologies is more of a precautionary (preventive) character in order to avoid complications caused by the virus.
To avoid ergotism, the suspension should not be taken simultaneously with ergot alkaloids.
In accordance with the instructions for use for "Sumamed" for children, the suspension is well tolerated in most cases. However, before taking it is necessary to familiarize yourself with the possible side effects that are noted in a clinical study. For example, in treatment, the frequency of patient complaints is as follows:
- diarrhea is very common;
- medium frequency: blurred vision, headache, vomiting, abdominal pain, decreased eosinophils, bicarbonate, lymphocytes, nausea, increased neutrophils, basophils and monocytes;
- uncommon: increased laboratory values (urea, bilirubin, bicarbonate, ALT, creatinine, potassium, AST), candidiasis, asthenia, pharyngitis, peripheral edema, rhinitis, fatigue, bacterial and fungal infections, bleeding from the uterus, pneumonia, chest pain, gastroenteritis, dysuria, eosinophilia, osteoarthritis, leukopenia, myalgia, angioedema, hyperhidrosis, anorexia, dermatitis, insomnia, dysphagia, neutropenia, rash, dizziness, flatulence,dysgeusia, belching, vertigo, gastritis, tinnitus and ringing, constipation, paresthesia, dyspnea, hot flashes.
- rare: photosensitivity, liver dysfunction, agitation, cholestatic jaundice.
To minimize the development of negative reactions, you need to follow the instructions for the Sumamed suspension for children.
Drug interactions with other drugs
The drug cannot be combined with Heparin.
With complex treatment, the effect of ergot derivatives, "Dihydroergotamine" is enhanced.
The use of the tetracycline group and chloramphenicol increase the effectiveness of azithromycin. On the contrary, the use of lincosamides contributes to its decrease.
Sumamed suspension stops excretion, increasing the toxicity and concentration of cycloserine, methylprednisolone, felodipine and indirect anticoagulants.
The drug slows down the excretion and toxicity of such drugs: oral hypoglycemic, carbamazepine, phenytoin, hexobarbital, xanthine derivatives, ergot derivatives, bromocriptine, valproic acid, disopyramide.
The QT interval may lengthen due to the complex use of Sumamed with digoxin, zidovudine, cetirizine, didanosine and antacids.
Medication analogues
The drug was originally produced in Croatia, but in 2007 the license for its release ended. Many companies in different countries produce analogues with the same active ingredient.
Bcurrently there are the following generics (analogues) of "Sumamed": "Azitsid", "Sumametsin", "Hemomycin", "Sumazid", "Sumamoks" and others.
However, it is worth remembering that analogues may differ from the original drug in the amount of azithromycin, the presence of additional impurities in it, and the dissolution time of the agent in the body. That is why, before purchasing medicine for a child at a pharmacy, you need to consult with a specialist who will suggest an effective analogue.
Reviews about this drug
"Sumamed" is included in the group of macrolides with an extensive spectrum of influence. Differs in convenience of reception (only once a day), long and fast medical effect. Side effects are minimal.
It is quite expensive. "Sumamed" parents use very often. Older children drink in tablets, younger ones - in the form of a suspension. Parents really like the fact that the drug is given only once a day for 5-7 days.
Does not affect the child's stool, quickly fights the infectious focus. The very next day after taking the temperature drops. In case of intestinal infection or sore throat, it is recommended to take an analysis of the patient's sensitivity to antibiotics.
The drug is often used for obstructive bronchitis, it tastes good, children often drink it themselves, without coercion. The course prescribed by the specialist is enough for the complete recovery of the patient. Allergic manifestations are noted infrequently.
We have detailed instructions forapplication to "Sumamed" 200 mg for children.
