Sumamed powder for oral suspension with strawberry flavor 100 mg/5 ml bottle 20 ml (400 mg) 1 pc.

Active ingredient: azithromycin;

1 dose (5 ml) of suspension contains 100 mg of azithromycin as azithromycin dihydrate;

Excipients: sucrose, sodium phosphate, hydroxypropylcellulose, xanthan gum, colloidal silicon dioxide;

Flavoring(s) and/or coloring: banana flavoring, cherry flavoring, vanilla flavoring or titanium dioxide (E 171), strawberry flavoring.

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

Powder for oral suspension, used once daily at least 1 hour before or 2 hours after a meal.

If you miss a dose of the drug, take the missed dose as soon as possible, and the following doses should be taken at 24-hour intervals.

Pregnant women

Azithromycin is prescribed 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 conducted in rats; pregnancy rates were reduced following administration of azithromycin. The relevance of these findings to humans is unknown.

Children

Use in children weighing 5 to 15 kg.

Drivers

There is no evidence that azithromycin can impair the ability to drive or operate complex mechanisms, but the possibility of developing adverse reactions such as delirium, hallucinations, dizziness, drowsiness, fainting, and seizures, which may affect the ability to drive or operate machinery, should be taken into account.

Experience with the clinical use of azithromycin suggests that the side effects that develop when taking higher than recommended doses of the drug are similar to those observed when using conventional therapeutic doses, namely: they may include diarrhea, nausea, vomiting, reversible hearing loss. In case of overdose, if necessary, it is recommended to take activated charcoal and carry out general symptomatic and supportive treatment measures.

From the nervous system: often (≥ 1/100 to <1/10) – headache.

Gastrointestinal tract: very often (≥ 1/10) – diarrhea; often (≥ 1/100 to <1/10) – vomiting, abdominal pain, nausea.

Antacids: In a study of the effect of concomitant administration of antacids on the pharmacokinetics of azithromycin, there was generally no change in bioavailability, although the maximum plasma concentration of azithromycin was reduced by approximately 25%. Azithromycin and antacids should not be taken simultaneously.

Cetirizine: In healthy volunteers, coadministration of azithromycin for 5 days with cetirizine 20 mg at steady state did not result in any pharmacokinetic interaction or significant changes in the QT interval.

Didanosine: Coadministration of daily doses of 1200 mg azithromycin with 400 mg didanosine per day in six HIV-positive volunteers had no effect on the steady-state pharmacokinetics of didanosine compared to placebo.

Store at a temperature not exceeding 25 °C, out of the reach of children.

Store the prepared suspension at a temperature not exceeding 25 °C.

Shelf life – 2 years.

The shelf life of the finished suspension is 5 days.