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  • Sumamed
  • Sumamed

Sumamed dispersible tablets 500 mg blister 3 pcs.

$31.77

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Sumamed 500 mg tablets with azithromycin treat ENT, respiratory, skin and chlamydial infections, offering effective short-course antibiotic therapy.

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The drug “Sumamed” is used for infections caused by microorganisms sensitive to azithromycin:

  • ENT organs (bacterial pharyngitis/tonsillitis, sinusitis, otitis media);
  • respiratory tract infections (bacterial bronchitis, community-acquired pneumonia);
  • Skin and soft tissue infections: erythema migrans (initial stage of Lyme disease), erysipelas, impetigo, secondary pyodermatoses;
  • sexually transmitted infections: uncomplicated genital infections caused by Chlamydia trachomatis.

Composition

1 tablet contains 500 mg of azithromycin (active ingredient) in the form of azithromycin dihydrate.

Excipients: saccharin sodium dihydrate, microcrystalline cellulose, crospovidone (type A), povidone, sodium lauryl sulfate, colloidal anhydrous silica, magnesium stearate, aspartame (E 951), orange flavor.

Contraindication

Hypersensitivity to azithromycin, erythromycin, any macrolide or ketolide antibiotic, or to any other component of the drug.

Method of application

Administer orally 1 hour before or 2 hours after meals. If a dose is missed, the missed dose should be taken as soon as possible, and subsequent doses should be taken at 24-hour intervals.

Disperse the tablet in at least 50 ml of water. Stir the resulting suspension thoroughly before use.

Adults and children over 12 years of age with a body weight ≥ 45 kg.

For infections of the ENT organs, respiratory tract, skin and soft tissues (except chronic migratory erythema), the total dose of azithromycin is 1500 mg (500 mg 1 time per day). The duration of treatment is 3 days.

For erythema migrans, the total dose of azithromycin is 3 g, which should be taken according to the following scheme: 1000 mg on the first day, then 500 mg once a day from the 2nd to the 5th day.

For sexually transmitted infections, the recommended dose of azithromycin is 1000 mg once.

Children 3-12 years old with a body weight <45 kg.

For infections of the ENT organs, respiratory tract, skin and soft tissues (except chronic migratory erythema), azithromycin is used at the rate of 10 mg/kg of body weight once a day for 3 days (the total dose of azithromycin is 30 mg/kg).

Dose calculation for children weighing <45 kg.

Body weightAzithromycin dose in mg
18-30 kg250 mg
31-44 kg375 mg
at least 45 kgRecommended doses for adults

Children under 3 years of age are recommended to use “Sumamed”, powder for oral suspension (100 mg / 5 ml), or “Sumamed forte”, powder for oral suspension (200 mg / 5 ml). For pharyngitis / tonsillitis caused by Streptococcus pyogenes, the drug “Sumamed” is used at a dose of 20 mg / kg / day for 3 days (course dose 60 mg/kg). The maximum daily dose is 500 mg / day.

For erythema migrans, azithromycin is used at a dose of 20 mg/kg once a day on the first day, followed by 10 mg/kg once a day from the 2nd to the 5th day.

For the convenience of using a course dose of 60 mg/kg, children are recommended to use Sumamed® , powder for oral suspension (100 mg/5 ml), or Sumamed forte, powder for oral suspension (200 mg/5 ml).

Application features

Pregnant women

There are no adequate data on the use of azithromycin in pregnant women. In animal reproductive toxicity studies, azithromycin did not show teratogenic effects on the fetus, but the drug crossed the placenta. The safety of azithromycin during pregnancy has not been established. Therefore, azithromycin should be used during pregnancy only if the benefit outweighs the risk.

Azithromycin has been reported to pass into breast milk, but adequate and well-controlled clinical studies have not been conducted to characterize the pharmacokinetics of azithromycin excretion into breast milk.

Fertility studies have been performed in rats; pregnancy rates were reduced following administration of azithromycin. The relevance of these findings to humans is unknown.

Drivers

There is no evidence that azithromycin can impair the ability to drive or use other mechanisms, but the possibility of developing adverse reactions such as dizziness, drowsiness, and visual disturbances should be taken into account.

Overdose

Clinical experience with azithromycin suggests that adverse reactions occurring at higher than recommended doses are similar to those seen at usual therapeutic doses. These may include diarrhoea, nausea, vomiting, and reversible hearing loss. In the event of overdose, administration of activated charcoal and general symptomatic and supportive measures are recommended.

Adverse reactions

The following table lists adverse reactions identified from clinical trials and post-marketing surveillance with all formulations of azithromycin. Adverse reactions are listed by system organ class and frequency. Adverse reactions reported during post-marketing surveillance are in italics. Frequencies are defined as follows: very common (≥ 1/10); common (≥ 1/100 to <1/10); uncommon (≥ 1/1,000 to <1/100); rare (≥ 1/10,000 to <1/1,000), very rare (<1/10,000); not known (frequency cannot be estimated from the available data). Within each frequency grouping, adverse reactions are presented in order of decreasing seriousness.

Adverse reactions possibly related to azithromycin based on data obtained during clinical trials and during post-marketing surveillance.

Class of systems and organsadverse reactionfrequency
Infections and infestationsCandidiasis, oral candidiasis, vaginal infections, pneumonia, fungal infection, bacterial infection, pharyngitis, gastroenteritis, respiratory dysfunction, rhinitisnot often
pseudomembranous colitisunknown
Blood and lymphatic system disordersLeukopenia, neutropenia, eosinophilianot often
Thrombocytopenia, hemolytic anemiaunknown
On the part of the immune systemAngioedema, hypersensitivity reactionsnot often
anaphylactic reactionunknown
Metabolicanorexianot often
From the psycheNervousness, insomnianot often
agitationrarely
Aggression, anxiety, delirium, hallucinationsunknown
From the nervous systemHeadacheoften
Dizziness, drowsiness, dysgeusia, paresthesianot often
Syncope, convulsions, hypoesthesia, psychomotor hyperactivity, anosmia, ageusia, parosmia, myasthenia gravisunknown
From the organs of visionvisual impairmentnot often
From the hearing organsHearing disorders, vertigonot often
Hearing impairment, including deafness and/or tinnitusunknown
From the heartincreased heartbeatnot often
Torsade de pointes, arrhythmia including ventricular tachycardia, prolonged QT interval on ECGunknown
From the vascular sidetidesnot often
arterial hypotensionunknown
From the respiratory systemDyspnea, epistaxisnot often
Gastrointestinal tractdiarrheavery often
Vomiting, abdominal pain, nauseaoften
Constipation, flatulence, dyspepsia, gastritis, dysphagia, dry mouth, eructation, mouth ulcers, salivary hypersecretionnot often
Pancreatitis, tongue discolorationunknown
Hepatobiliary systemLiver dysfunction, cholestatic jaundicerarely
Hepatic failure (rarely fatal), fulminant hepatitis, necrotizing hepatitisunknown
Skin and subcutaneous tissue disordersRash, pruritus, urticaria, dermatitis, dry skin, hyperhidrosisnot often
Photosensitivity, acute generalized exanthematous pustulosisrarely
Stevens-Johnson syndrome, toxic epidermal necrolysis, erythema multiforme, drug reaction with eosinophilia and systemic symptomsunknown
Musculoskeletal systemOsteoarthritis, myalgia, back pain, neck painnot often
arthralgiaunknown
From the urinary systemDysuria, kidney painnot often
Acute renal failure, interstitial nephritisunknown
Reproductive system and breast disordersUterine bleeding, testicular disordersnot often
General disorders and local reactionsOedema, asthenia, malaise, fatigue, facial oedema, chest pain, hyperthermia, pain, peripheral oedemanot often
laboratory indicatorsDecreased lymphocyte count, increased eosinophil count, decreased blood bicarbonate, increased basophil count, increased monocyte count, increased neutrophil countoften
Increased AST, increased ALT, increased blood bilirubin, increased blood urea, increased blood creatinine, changes in blood potassium, increased alkaline phosphatase, increased chloride, increased glucose, increased platelets, decreased hematocrit, increased bicarbonate, abnormal sodiumnot often
Injuries and poisoningComplications after the procedurenot often

Information on adverse reactions possibly associated with the prevention and treatment of Mycobacterium Avium Complex is based on clinical trial data and post-marketing surveillance. These adverse reactions differ in type or frequency from those reported with the immediate-release and long-release formulations.

Adverse reactions possibly associated with the prevention and treatment of Mycobacterium Avium Complex.

Class of systems and organsadverse reactionfrequency
Metabolicanorexiaoften
From the nervous systemDizziness, headache, paresthesia, dysgeusiaoften
hypoesthesianot often
From the organs of visionvisual impairmentoften
From the hearing organsdeafnessoften
Hearing impairment, ringing in the earsnot often
From the heartincreased heartbeatnot often
Gastrointestinal tractDiarrhea, abdominal pain, nausea, flatulence, gastrointestinal discomfort, frequent loose stoolsvery often
From the digestive systemhepatitisnot often
Skin and subcutaneous tissue disordersRash, itchingoften
Stevens-Johnson syndrome, photosensitivitynot often
Musculoskeletal systemarthralgiaoften
General disorders and local reactionsincreased fatigueoften
Asthenia, malaisenot often

Storage conditions

The drug does not require special storage conditions. Keep out of the reach of children.

Shelf life – 2 years.

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