"Sumamed" refers to the clinical and pharmacological group of macrolide antibiotics. The drug is used in treatment, which is aimed at eliminating the causes of diseases of various infectious origin.
Release form
"Sumamed" is of the following types:
- enteric-coated white tablets;
- capsules;
- powder for suspension.
The main active ingredient that is part of the drug is azithromycin (500 milligrams). In addition to the active substance, the medicine contains additional trace elements:
- acidic calcium salt;
- magnesium stearate;
- corn starch;
- cellulose;
- starch;
- hypromellose.
Available in bottles of 50 milliliters, the kit includes a measuring spoon. After dissolving the powder, a uniform yellow suspension is obtained. Also, the drug is packaged in blisters for three tablets. In the package there is one blister and instructions for use.
pharmachologic effect
The main 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 against gram-negative and gram-positive strains. Unlike other antibacterial agents, azithromycin helps eliminate mycoplasmas, ureaplasmas, chlamydia.
After taking the medicine, the active substance is instantly and completely absorbed from the intestine into the blood. Azithromycin is evenly distributed throughout the body. As a rule, the active component has the ability to accumulate in tissues damaged by infection. The medication is excreted from the body along with feces.
Indications
The drug is used for diseases that are caused by antibiotic-sensitive pathogens, as stated in the instructions for use to "Sumamed." The medication helps to cope with many diseases, is convenient to use, and is easily tolerated by a child. For example, the drug is effective in combating the following diseases:
- Tonsillitis is a prolonged 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 - 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. It is considered one of the main reasons for seeking professional help.
- Urethritis is a disease associated with the development of the inflammatory process in the wall of the urethra.
- Inflammation, the source of which is concentrated in the cervix.
- Dermatosis is the general 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 medication will still be present in the body for about 7 days, while fulfilling all its therapeutic properties, as indicated in the instructions.
Adult reviews of Sumamed tell us that they took the drug even to treat an infectious disease that spreads by ticks. And the drug helped them.
Contraindications
Like all other drugs, the medication has certain prohibitions, but they are insignificant in comparison with the positive effects of the drug. Contraindications:
- Impaired liver function.
- Failure to digest and absorb organic substances containing carbonyl acid.
- Intolerance to azithromycin or its substitutes from the macrolide group.
- The age of the patient is up to six years.
With extreme caution, it is necessary to take medicine for myasthenia gravis, liver diseases, cardiac and vascular 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. Children under six years old can take a suspension.
How to take Sumamed?
Tablets must be consumed regardless of the meal, without chewing. The drug is intended for adults. The regimen is selected depending on the course of the disease:
- In case of infection of the respiratory system, it is necessary to take one tablet once a day at about the same time. The course lasts 3 days.
- In the inflammatory process in the wall of the urethra, you need to take two tablets once.
- With a complicated chronic course of inflammation of the walls of the urethra, a second course can be carried out after one week.
- The initial stages of an infectious, mainly transmissible, disease - on the first day of the course of therapy, two capsules are prescribed 1 time, then from the second to fifth day of the course of therapy - once a day.
How to prepare a suspension?
12 milliliters of boiled water must be added to the contents of the vial, then it should be thoroughly shaken and insisted for twenty minutes. The amount of the finished suspension is 25 milliliters, it can only be stored for 5 days. As a rule, the duration of treatment is no more than three days, but in critical cases it can be extended to five.
The maximum daily dosage of the drug is determined by the attending doctor, depending on the age, weight, severity of the disease. The drug is taken 1 time per day one hour before meals or 2 hours after a meal.
For children from six months to four years, dosing is determined depending on the weight of the child. Usually it is 10 milligrams per kilogram (first 2 days). Then 5 milligrams per kilogram of baby weight.
Before each reception, you need to shake the bottle with the finished suspension. The drug should be stored in the refrigerator. The required dose is measured with a syringe or a measuring spoon.
Can pregnant women take the suspension?
During the bearing of a child, therapy with Sumamed medicine is contraindicated in any form, 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, during treatment it is recommended to stop lactation.
Side effects
When taking high dosages, some negative reactions may occur:
- Melena is a dark, half-fluid stool with a pronounced unpleasant odor that arises from the blood under the influence of the contents of the stomach and intestines.
- Jaundice is a yellow coloration of the skin and mucous membranes that is caused by a high bilirubin content.
- Nausea with frequent vomiting.
- Loss of appetite.
- A prolonged disease, which is characterized by inflammatory changes in the gastric mucosa, proceeds with a violation of the recovery processes.
- Migraine.
- Fatigue.
- Vertigo is a 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 a pathological change in the tissues of this organ.
- Vaginal candidiasis is a fungal disease of the vaginal mucosa, which manifests itself when it is populated with 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 severely itchy blisters.
- Quincke's angioedema is a manifestation of an allergic reaction, expressed in swelling of the subcutaneous tissue, mucous membrane and epidermis.
If adverse reactions occur, you must 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 is 3 years. Store the medicine at a temperature of no more than 25 degrees.
Analogues of Sumamed
Instructions for use and reviews allow you to evaluate the effectiveness of the drug in certain diseases. It is known that the selection of another structural generic (with the same active component) may be required if the price of the original medicine is not suitable for the patient.
When the medication does not help to achieve a certain result, the doctor must review the treatment regimen. In some cases, he may prescribe another antibacterial agent with another active component 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, the following analogues exist:
- "Azitroks".
- "Azithromax".
- "Sumazid."
- "Azithromycin."
- Ecomed.
And also there are drugs with a similar spectrum of action:
- Amoxiclav.
- Wilprafen.
- Klacid.
- Flemoxin.
- Macropen.
- "Z-factor."
- "Azitrus".
- "Augmentin."
"Azithromycin" is a structural generic that is distinguished by other auxiliary components. It refers to cheap options with a similar therapeutic effect. Azithromycin is less known. This is due to a 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 treatment. With caution, it is necessary to take the drug for renal and liver failure, for 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. A medicine is produced in the form of tablets (package - 14 pieces). Active active ingredients are amoxicillin and clavulanic acid. Indications for the use of the medication are the same as those of Sumamed. According to reviews, the analogue was often taken in combination therapy with several antibacterial drugs to increase the spectrum of action.
The drug should be used only as directed by the attending doctor. It is not recommended to use Amoxiclav in the first trimester of pregnancy, and in the second and third trimester, tablets can be taken with the permission of a doctor. The cost of the drug varies from 200 to 800 rubles.
"Flemoxin" - the medicine refers to penicillin antibiotics, is available in the form of oblong tablets. The active substance is amoxicillin. The dosage is selected by the attending doctor. Flemoxin must be diluted with a small amount of water and drunk. An antibacterial agent should be consumed at the same time, after a meal. The duration of therapy, as a rule, is 5 days. The cost of the drug varies between 300-550 rubles.
Azitrox is a broad-spectrum antibiotic that slows down the growth and reproduction of bacteria. The main active ingredient is azithromycin. The component is not active against gram-positive strains that are resistant to erythromycin. After taking the medicine, it is instantly absorbed from the gastrointestinal tract. The use of the drug together with food slows down and reduces the absorption of erythromycin.
The active substance quickly penetrates the respiratory organs, as well as the tissues of the urogenital tract, and the skin. Azithromycin persists in the source of the inflammatory process for five to seven days after taking the last pill. The medication is contraindicated in severe kidney damage. Also, the drug should not be taken for children under twelve years of age. It is necessary to observe the regimen of breaks between receptions of "Azitroks" and antacid drugs (at least two hours), according to the instructions for use.
Sumamed: reviews
Adult patients in their responses tell 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. Coughing becomes much easier, although for some time it may be accompanied by wheezing.
According to reviews, the suspension "Sumamed" can be used both for adults and children. The product has a strawberry flavor, which makes it more enjoyable to eat. Some people have difficulty calculating the amount of medicine needed at one time.
Many people also respond positively to the analogues of Sumamed. The original drug is very expensive, and the effect of treatment with cheaper drugs is the same. Another important advantage of the drug is the duration of therapy, since the bacteria in such a short time do not have time to get used to the effect of the drug, and therefore develop resistance to it.
Based on the reviews of Sumamed (500 milligrams), the following negative points can be distinguished:
- high cost;
- the occurrence of intoxication with a second course;
- causes allergies.
On the other hand, the composition of the drug includes various components that, if not taken correctly, can lead to various disorders in the body, as a rule, this manifests itself in the form of side effects or allergic reactions.
Before using any drug, read the instructions. According to reviews, Sumamed (tablets of 500 milligrams) can cause problems with the stomach or intestines. Therefore, it is necessary to take probiotics to avoid problems.