Sumamed suspension 100mg/5ml 20ml

Sumamed suspension user manual

You can buy Sumamed suspension here

So that little patients did not protest against the treatment, one of the forms of Sumamed was made a sweet-tasting suspension. When it is applied, in what dosages is prescribed for patients of different ages and what similar drugs can be replaced?

Release form

Sumamed suspension is sold in white plastic bottles of 50 ml with a tight lid. Inside such a bottle is placed a little less than 21 grams of white-yellow powder that smells like strawberries. Together with the bottle in the box there is a paper instruction and a measuring syringe with graduations or a measuring spoon. After adding 12 ml of water inside the bottle, 20 ml of a white-yellow homogeneous liquid with a strawberry flavor and smell, which is often called syrup, is formed.
The suspension also produces a drug called Sumamed Forte. His difference from the usual Sumamed suspension is a higher dosage of antibiotic. This medicine is represented by three different options:
    Powder yellowish with a smell of banana. It is placed in a plastic white bottle with a volume of 50 ml in the amount of slightly more than 16 grams. When 9.5 ml of water is added to it, 15 ml of a banana-flavored medicine is obtained.
    Strawberry-flavored powder, which is about 29 grams packed in plastic white bottles with a capacity of 100 ml. To prepare a suspension, 16.5 ml of water must be added to this powder. The result is 30 ml of sweet strawberry medication.
    A powder that smells like raspberries. Its quantity in one bottle capable of containing 100 ml of liquid is approximately 35.5 grams. Pouring 20 ml of water inside the bottle, get a raspberry suspension, the nominal volume of which will be 37.5 ml.

Composition

The main ingredient of the Sumamed suspension is called azithromycin. It is contained in the drug in the form of dihydrate and its amount in 5 ml of the finished medication is 100 mg. Sumamed Forte also contains azithromycin dihydrate, but the dosage of this ingredient in 5 ml of suspension, regardless of taste, is 200 mg.
Auxiliary components in all variants of the suspension are the same, except for different flavors. The powder contains xanthan gum, silica and titanium dioxide, hyprolose, sodium phosphate and sucrose.

Operating principle

Azithromycin in the suspension has a bacteriostatic effect on various microorganisms, inhibiting the formation of proteins in microbial cells. It binds to the pathogen ribosomes and inhibits specific enzymes involved in the synthesis of protein molecules. As a result of this effect, the growth of bacteria slows down, but if the concentration of the drug is high, then it can destroy microorganisms.
The range of effects of suspension Sumamed is quite wide, because this drug affects:
    Staphylococcus;
    Pyogenic streptococci;
    Hemophilic sticks;
    Pneumococci;
    Legionella;
    Gonococci;
    Pasteurella;
    Clostridia;
    Borrelia;
    Fuzobakterii;
    Chlamydia;
    Mycoplasma;
    Moraksella.

Indications

Sumamed suspension is recommended for infections that cause bacteria that are sensitive to azithromycin. Suspension appointed by:
    With inflammation of the middle ear, tonsils, paranasal sinuses and other ENT organs;
    In acute bronchitis, pneumonia and other infectious diseases of the respiratory system;
    With the defeat of bacteria of the skin and soft tissues;
    With borreliosis in the initial stage.

From what age is prescribed?

Sumamed in suspension is recommended for the treatment of children aged from 6 months to three years. This medicine is contraindicated to give to babies who have not yet turned six months, and it is not suitable for patients older than 3 years due to the large amount of medication (transferred either to Forte suspension or to tablets of 125 mg and 250 mg).
    Sumamed Forte can also be appointed from the age of six months, but on condition that the baby weighs more than 10 kilograms.

Contraindications

Neither Sumamed suspension nor Sumamed Forte should be given to children in such cases:
    In case of intolerance to azithromycin or another ingredient of the suspension;
    When hypersensitivity to other macrolide antibiotics;
    In severe liver diseases that impair the function of this organ;
    In severe renal pathologies affecting the excretory function;
    With the deficit of isomaltase and sucrase, as well as glucose-galactose malabsorption;
    When fructose intolerance.
Sumamed suspension treatment should be monitored by a doctor and carried out with caution in myasthenia, moderate and mild disorders of the kidneys or liver, bradycardia, dehydration, arrhythmias and diabetes.

Side effects

After taking Sumamed suspension, some children have headaches and negative symptoms from the digestive system (diarrhea, nausea, etc.). In addition, quite often the drug affects the cellular composition of the blood, causing a decrease in the number of lymphocytes and an increase in monocytes, eosinophils, neutrophils and other cells.
Slightly less, the suspension can cause swelling, fatigue, fever, back pain, skin rash, sweating, shortness of breath and other symptoms.
    When they occur, you must consult a doctor to replace the drug with another treatment.

Instructions for use

To prepare the suspension, you need to collect the amount of water specified in the instructions with a measuring syringe (it is different for Sumamed suspension and different tastes of Sumamed Forte). Pour the water inside the bottle, you need to close the bottle cap and actively shake the drug. So get a suspension in a slightly larger volume than the nominal, for example, if the nominal volume indicated 30 ml, then the dilution is about 35 ml. This is done to compensate for possible errors during dosing of the drug.
The medicine is given to the child once a day. However, the use of the suspension should not be combined with food intake. The medication should be drunk either before meals one hour or 2 hours after the child has eaten.
    It is not necessary to dilute the finished suspension with water. If it is difficult for a child to swallow it, it is better to give him to drink the medicine first, and then offer some water.
Since the active ingredient of the suspension settles to the bottom during storage, the medicine should be shaken before each use. For dosing of the drug use a syringe with graduations of 1 ml, which can hold 5 ml of suspension. In some packages of Sumamed there is also a measuring spoon, which can measure 2.5 or 5 ml of the drug.
    After giving the child a suspension from a spoon or syringe, they should be washed with water and dried, and then put in a dry place until the next use of the medicine.
Sumamed suspension dosage is determined by the weight of the child, and taking into account his diagnosis. If a small patient is diagnosed with an infection of the respiratory tract, skin or ENT organs, then he is prescribed 10 mg of azithromycin per day per 1 kg of his weight. For example, if a baby weighs 6 kg, it needs 60 mg of the active substance, which it will receive from 3 ml of suspension. In this dose, the medication is taken three days in a row, that is, the course dose of the medicine is 30 mg / kg (for the child from our example, this would be 180 mg azithromycin, that is, 9 ml of the drug).
If a child has tonsillitis or pharyngitis triggered by pyogenic streptococcus, Sumamed suspension also give 3 consecutive days, but the daily dosage of the drug is 20 mg / kg, and the course dosage is 60 mg / kg. For the treatment of borreliosis on the first day, the patient is given 20 mg of azithromycin per 1 kg of its mass, after which the medication is used in a daily dosage of 10 mg / kg for another 4 days.
Dosing Sumamed Forte is the same as the usual Sumamed suspension. The only difference is that 1 ml of this suspension is not a source of 20, but 40 mg of azithromycin, which is taken into account when calculating the right amount of sweet medicine. For example, if the weight of a small patient is 12 kg and he needs to be given 120 mg of active substance per day, then instead of Sumamed in an amount of 6 ml Sumamed Forte can be used, a single portion of which will be only 3 ml. The maximum daily dose for children of any of the drugs corresponds to 500 mg of azithromycin.
    If the suspension is missed, drink the drug should be as soon as possible, as soon as he remembered. Further medication should be administered within 24 hours after the missed dose.

Overdose

In a situation where a child accidentally drank more of the suspension than is allowed at his age, symptoms such as vomiting, hearing loss (temporary), diarrhea, severe nausea, and others may occur. To eliminate them, one should seek medical help, wash the patient's stomach and give symptomatic remedies that the doctor will issue.

Interaction with other drugs

Sumamed suspension may be affected by many other treatments, such as ergotamine, cyclosporine, amiodarone, digoxin, or cyclosporine. A complete list of drugs that should not be used simultaneously with suspension Sumamed is given in the instructions for the suspension. If the child is already taking any medication, then it is important to inform the doctor before starting to give him Sumamed.

Storage conditions

The bottle with Sumamed powder is valid for 2 years from the date of manufacture. However, after adding water, the finished suspension can be stored at a temperature of up to +25 degrees for no more than 5 days. Forte can also be stored at room temperature by hiding the medicine in a place where it will not be accessible to children. The shelf life of such a drug is also 2 years.
After opening the bottle and adding water, the liquid medicine with a banana flavor (15 ml) can be stored for up to 5 days, and the raspberry and strawberry suspension is stored for up to 10 days.

Reviews

On the treatment of children Sumamed in suspension, most of the reviews from parents are positive. They praise the medicine for fast therapeutic effect, detailed instructions, pleasant taste and the ability to store at room temperature. According to moms, the side effects of the drug in most cases did not occur. Only rarely did the drug provoke diarrhea, headache, an allergic rash, and other unpleasant symptoms.
Among its shortcomings, many parents mention only a rather high price, which is why in some cases they decide to use similar antibiotics, which are cheaper.

Terms of sell

You can buy Sumamed suspension without a prescription.