Sumamed time. for shouted. susp. 100mg/5ml fl. 20 ml

Powder "Sumamed ^® " is applied to oral suspension at the infections caused by the microorganisms sensitive to azithromycin:

• ENT organs (bacterial pharyngitis / tonsillitis, sinusitis, average otitis);
• respiratory infection (bacterial bronchitis, community-acquired pneumonia);
• an infection of leather and soft tissues: the migrating erythema (initial stage of a disease of Lyme), an ugly face, impetigo, secondary pyodermatoses.

Structure

Active ingredient - azithromycin (one dose (5 ml) of suspension contains azithromycin of 100 mg in the form of dihydrate azithromycin).

Excipients: sucrose, sodium phosphate, hydroxypropyl cellulose, xanthane gum, silicon dioxide colloidal waterless; fragrance(s) and (or) dye: fragrance banana, fragrance cherry, fragrance vanilla or titan dioxide (E 171), fragrance strawberry.

Contraindication

Hypersensitivity to azithromycin, erythromycin or to any makrolidny or ketolidny antibiotic, or to any other component of medicine.

Route of administration

"Sumamed ^® " powder for oral suspension, is applied 1 time a day at least in 1 hour prior to or in 2 hours after a meal.

in case of the admission of reception of one dose of medicine should accept the passed dose as soon as possible, and the subsequent - with an interval of 24 hours.

Measuring off of a dose

Packing has the syringe and a bilateral spoon for dosing or a unilateral measured spoon for dosing:

• unilateral spoon: the spoon filled up to the top contains 5 ml;
• bilateral spoon: the big spoon filled up to the top contains 5 ml, it is less - 2.5 ml;
• syringe contains 5 ml.

Apply a spoon or the syringe by a doctor's advice.

In infections of ENT organs and airways, skin and soft tissues (except the chronic migrating erythema) the daily dose of azithromycin makes 10 mg/kg of body weight that corresponds to 0.5 ml/kg of body weight of ready suspension. Duration of treatment is 3 days.

Preparation and use of suspension

needs to add the distilled or boiled and chilled water To the bottle containing powder.

1. down and to turn counterclockwise.
2. From clean ware by means of the syringe for dosing to measure 12 ml of water and to add to a bottle with powder.
bottle Contents carefully to shake up
3. before receiving uniform suspension. After powder dissolution the bottle will contain additional 5 ml of suspension (for compensation of possible losses of suspension at application), that is 25 ml of suspension "Sumamed ^® " will be received.
4. to Ship the syringe in suspension and, extending the piston up, to gain necessary amount of suspension.
5. If in the syringe there are vials of air, it is necessary to return medicine to a bottle and to repeat procedure 3.
to Arrange
6. child as for feeding.
Tip of the syringe to put
7. in a mouth to the child and to slowly squeeze out contents.
8. to Give to the child the chance to gradually swallow all quantity.
9. After administration of medicament to allow the child to drink a little tea or juice to wash away and swallow residues of suspension in an oral cavity.
Used syringe to sort, wash
10. with flowing water, to dry up and store in the dry and clean place together with medicine.
11. After the child accepted the last dose of medicine, the syringe and a bottle it is necessary to utilize.

At the migrating erythema duration of treatment is 5 days. In the 1st day it is necessary to accept 20 mg/kg of body weight of azithromycin that corresponds to 1 ml/kg of ready suspension. From the second to the fifth day to accept 10 mg/kg of body weight that corresponds to 0.5 ml/kg of ready suspension.

General course dose makes 60 mg/kg.

It was shown that azithromycin is effective at treatment of streptococcal pharyngitis at children in the form of a single dose of 10 mg/kg or 20 mg/kg within 3 days. When comparing these two doses in clinical trials the similar clinical performance was found though the bacterial eradikation was more considerable at a daily dose of 20 mg/kg. However usually choice medicine for prevention of the pharyngitis caused by Streptococcus pyogenes, and rheumatic polyarthritis which arises as a secondary disease is penicillin.

Feature of application

Pregnant women

during pregnancy, only if the advantage exceeds risk.

It was reported, that azithromycin gets into breast milk, but corresponding and properly controlled clinical trials which would give the chance to characterize pharmacokinetics of excretion of azithromycin in breast milk, was not carried out.

Research of fertility was conducted on rats; the indicator of pregnancy decreased after administration of azithromycin. The relevance of these data on the person is unknown.

Children

to Apply to children with body weight from 5 to 15 kg.

Proof that azithromycin can worsen ability to steer motor transport or to work as

with mechanisms are absent, but it is necessary to consider a possibility of development of side reactions, such as delirium, hallucinations, dizziness, drowsiness, a faint, spasms which can affect ability to steer motor transport or other mechanisms.

Overdose

Experience of clinical use of azithromycin demonstrates to what side effects which develop at reception high than is recommended, medicine doses, are similar that are observed at application of usual therapeutic doses, namely: they can include diarrhea, nausea, vomiting, a reverse hearing loss. In case of overdose if necessary intake of activated carbon and performing the general symptomatic and supporting treatment is recommended.

Side effects

from nervous system: often (≥ 1/100 to <1/10) - a headache.

from a digestive tract: very often (≥ 1/10) - diarrhea; often (≥ 1/100 to <1/10) - vomiting, an abdominal pain, nausea.

to Store

at a temperature not above 25 °C, out of children's reach.

to Store ready suspension at a temperature not above 25 °C.

Expiration date - 2 years.

Expiration date of ready suspension - 5 days.