In the article, we consider the reviews and price of Hemomycin.
The Serbian-made drug is an antibiotic that has a wide range of antimicrobial effects from the number of macrolides. These antibiotics are currently one of the most effective drugs with low toxicity for the treatment of a variety of bacterial infections. In addition, azalides have such an indisputable advantage as a short period of antibiotic therapy, as well as the possibility of taking them once a day.
Reviews about “Hemomycin” are abundant.
The composition and form of the drug
The drug is produced in such dosage forms as:
- Hard gelatine capsules, light blue, contain azithromycin in an amount of 250 mg. Additional substances: corn starch, magnesium stearate, anhydrous lactose, sodium lauryl sulfate. The blister contains six capsules.
- Biconvex round tablets with a bluish-gray shell, which contains azithromycin in an amount of 500 mg. Additional elements: talc, povidone, microcrystalline cellulose, colloidal silicon dioxide, sodium carboxymethyl starch, magnesium stearate. There are three tablets in blisters.
- White powder for the manufacture of a suspension, which is taken orally and contains azithromycin in an amount of 100 or 200 mg. Additional substances: anhydrous sodium phosphate, flavoring, sodium saccharinate, xanthan gum, potassium carbonate, colloidal silicon dioxide. It is in bottles equipped with a dispenser.
Reviews about the suspension "Hemomycin" are mostly positive.
When is it used?
The antimicrobial mechanism and its spectrum determine the situations in which a drug is prescribed during the development of such infectious and inflammatory processes as:
- otitis media, tonsillitis and sinusitis of various types;
- whooping cough, scarlet fever, pneumonia and bronchitis;
- uncomplicated urethritis and cervicitis (including gonorrhea);
- the initial stage of tick-borne borrelliosis;
- dermatoses that arose due to secondary infection, impetigo, erysipelas;
- gastric ulcer associated with Helicobacter.
Contraindications
Due to the fact that the active substance of the drug “Hemomycin” is demilitilized in the liver and excreted through the kidneys, it is contraindicated if the patient has an insufficiency of these organs. It is forbidden to use any form of the drug in case of intolerance to one or another component in the composition. Patients with arrhythmias and pregnant women are prescribed the drug carefully, taking into account the alleged risks.
It is also necessary to observe age restrictions when taking an antibiotic. Capsules and tablets are prescribed only after twelve years. In addition, the instruction for the use of the suspension for young patients indicates that a drug that contains 200 milligrams of azithromycin in five milliliters should not be given to a baby up to a year, with a content of 100 mg - up to six months of age.
Dosage features for all release forms
Due to the specificity of their absorption, oral dosage forms must be taken exclusively on an empty stomach, since the products in the gastrointestinal tract interfere with absorption. The best option is to eat one hour before a meal or two hours after, preferably in the evening. Most often, the following therapeutic regimens are prescribed.
- A three-day treatment of inflammation of the respiratory system and ENT organs by taking the drug in an amount every 24 hours at a dosage of 500. According to reviews, Hemomycin is usually well tolerated.
- Urethritis and cervicitis, provoked by intracellular pathogens and gonococci, are treated with a single dose of one gram of the drug.
- Therapy of skin infections and borelliosis requires treatment for five days with a total course dosage of three grams. In this case, on the first day, two tablets are taken in an amount of 500 mg, then every 24 hours, one at a time.
- The combined treatment of inflammations associated with Helicobacter is to take 3000 mg of the drug once a day, 1000 mg each.
- If the interval between the use of capsules (tablets) is exceeded, the next dose should be taken immediately and adhere to the new schedule subsequently.
- Instructions for use of "Chemomycin" in the form of a lyophilisate recommends that it be administered very slowly and exclusively intravenously (drip for an hour) under stationary conditions. The solution is prepared in stages: first, injection water (4.8 milliliters) is added to the vial with the drug, after the substance is completely dissolved, the medicine is brought to the desired concentration with saline or Ringer's solutions, dextrose. For example, to get two milligrams per milliliter, you need to add 250 ml of solvent, for one milligram - 500.
- Serious types of community-acquired pneumonia and inflammation in the pelvic organs are treated with Hemomycin infusions for the first two days (500 mg of the active substance is poured per day at a time). After this, the patient is transferred to oral forms: daily for at least a week, 0.5 grams for pneumonia, 0.25 for urogenital infections.
- With moderate renal and hepatic insufficiency, the course and daily doses do not require adjustments (creatinine clearance should be above forty milliliters per minute). The method of administering the drug is not used infusion in the treatment of adolescents and children under the age of sixteen.
Reviews of "Hemomycin" consider below.
Suspension: dilution and quantity
This drug is taken similarly to capsules and tablets: once a day on an empty stomach. Before the first use, the powder should be diluted with boiled or distilled water, which is gradually added to the bottle until a special mark is applied to it. The pediatrician chooses one of the options for the amount of antibiotic (100 or 200 mg per 5 ml) in accordance with the characteristics of the disease and age restrictions. They are also assigned the optimal dose suitable for the weight of the child.
According to reviews, Hemomycin is ideal for children.
Any inflammatory processes caused by susceptible pathogens require such a scheme: ten milligrams of an antibiotic per kilogram of body weight is given to children per day. For a suspension that contains 200 milligrams of azithromycin in five milliliters, the following dosages are recommended:
- a child from 10 to 14 kilograms needs to drink 2.5 milliliters of medicine per day;
- from 15 to 25 - five milliliters;
- from 26 to 35 - the permissible dose is up to 7.5, which is equal to one and a half teaspoons or measuring spoons;
- 36-45 kg - ten milliliters of suspension;
- more than 45 kg - dosage, as for an adult patient.
If the concentration is 100 mg per 5 ml, then the dosage should be doubled. Before the first and any subsequent administration, shake the vial well until a homogeneous substance is obtained. The prepared product is stored at room temperature for five days.
Feasible side effects
According to reviews of “Chemomycin”, all dosage forms of the drug are characterized by low toxicity, but the occurrence of negative reactions of the human body in certain situations is possible. Such phenomena as nausea and diarrhea (about five percent of cases), epigastric pain and very rarely jaundice, vomiting, activation of liver enzymes, anorexia and gastritis are observed. Headache, tachycardia, drowsiness, hyperkinesia, anxiety, photosensitivity, allergies, candidiasis, and nephritis may occur. All these side effects are recorded very rarely - less than in 1% of patients. This is confirmed by the instructions for use and reviews of "Hemomycin."
Drug interaction
If the drug is simultaneously used with antacids, then the absorption of the active substance slows down. Taking the drug with digoxin increases the concentration of the latter. The toxic effect of ergotamine and dihydroergotamine increases when combined with azithromycin. Tetracycline and chloramphenicol enhance the effectiveness of Hemomycin, while lincosamines, on the contrary, weaken it.
Analogs
Analogs of the drug "Hemomycin" are: "Sumamed"; "Azicide"; "Azivok"; "Tremak-Sanovel"; Azimed Ecomed; "Azitrocin"; "Sumamox"; Zomax "Z-factor"; Zyxax. Only a doctor should prescribe them.
Reviews about Hemomycin
Numerous reviews indicate that the drug is really active and effective, almost does not cause side effects. Cases of abdominal pain and nausea after taking the drug are sometimes described. Some patients developed stool disorders and dysbiosis. The drug is quite expensive, but all patients believe that it costs this money.
According to reviews of Chemomycin, 500 mg tablets are generally well tolerated, but sometimes nausea and abdominal pain occur.