Antibiotics for children in suspension

Update: October 2018

Children often suffer from a variety of infections. It happens
due to imperfections of the children’s immune system. Even banal
the virus, undermining local immunity, opens the gate to bacterial

it вынуждает педиатров и мам часто задумываться о выборе
The safest and most effective antibiotics.

It is often difficult for a child to swallow even a crushed pill:
ему не нравится ее  вид и размер, сразу лезет на язык
unpleasant taste and there is a risk of hitting pieces of crushed
drug in the respiratory tract.

Therefore, antibiotics for children in suspensions,
which you can just drink from the spoon. Homogeneous with pleasant or
neutral taste. They are convenient for babies and children up to three years.
Not возбраняется принимать и более старшим детям.

ATред или польза

To antibiotics, the attitude is always ambiguous. Same child
I want to give only the best and safest. Should remember that
the right antibacterial drug is a pledge
safe and uncomplicated way out of many unpleasant situations
associated with a bacterial infection.

The group of antibiotics today are mainly
semi-synthetic and synthetic drugs that kill
bacterial cell or inhibiting its growth. In addition to bacteria
certain types of antibiotics are effective against fungi. But
viruses, these drugs do not act.

So the pediatrician prescribes an antibiotic to the child in the case of
when he suspects a bacterial infection: Антибиотики для детей в суспезии

  • in the ear,
  • nose,
  • respiratory tract,
  • lightweight
  • urinary system
  • less commonly the gastrointestinal tract.

The main signs by which you can recognize the rampant bacteria –

  • purulent (green, yellow) discharge and
  • persistent temperature rise.

But part of the bacterial infections or fungi are pretty
covertly, and are detected only by laboratory or instrumental
diagnostic methods (smears, cultures, blood tests:
клинический,  на серологию или ПЦР, рентген легких или
paranasal sinuses).

ATыбирая антибиотик, врач руководствуется национальными
recommendations that spell out which classes are safe for
baby and effective with certain types of bacteria. More often the choice
falls on drugs with a wide range of activity against
most possible bacteria.

On оценку эффективности препарата отпущено 72
. If during this time the child does not feel better and will be
a decision was made about the ineffectiveness of the drug, it will be changed to
second-line medicine, stronger and more resistant to
destructive action of bacterial enzymes.

For the convenience of parents, powder for the preparation of suspensions
Available in several versions with different content.
active ingredient on the dosing spoon of diluted

The main mistake of parents is the early termination of admission.
drug when the child gets better. Antibiotic course
prescribed by a doctor, and its duration should be respected:

  • Для большинства препаратов – это 7 суток.
  • The exceptions are cases when the drug has developed:
    • аллергия (сыпь, отек), в этом случае прием стоит
      stop immediately;
    • There are side effects – you need to consult with

How to prepare a suspension

The medicine bottle contains the powder you need
prepare a homogeneous mixture:

  • For this boiled water cooled to room temperature
    add to the mark on the bottle or in the instructions
    dosage is replenished from the attached measuring syringe.
  • First, enter only half the volume of the fluid (only
    water, neither juice, nor milk, nor another drink can be) and how should
    Shake the contents of the vial.
  • After that, top up the residue and shake again.
  • Usually reception is calculated for several days.
  • The finished suspension is usually stored at room temperature and
    Shake before taking.
  • The desired amount of the mixture is measured using the attached to
    packing a spoon or syringe.

Antibiotics in suspension for children – the softest
dosage form with reduced and safe content
active antibacterial substance.

Детям антибиотики в растворе

What products are best not to combine with antibiotics

With a cold

Thats, что мы называем простудой (насморк, прозрачные сопли, кашель
without sputum, sore throat, hoarseness) even if
temperature does not require antibiotics. ATопрос о них будет поднят,
if signs of bacterial attachment appear (green
snot, yellow sputum, temperature 38 and above for more,
than three days).

Sometimes a child is affected by such formidable bacteria as meningococcus,
when immediately after a short period of inflammation of the nasopharynx on
background temperature signs of damage to the nervous system and
rash in the form of many small bruises on the legs and buttocks. it
requires an emergency call and the introduction of antibiotics
still at the stage of examination of the child by the brigade. Delay in such a case
can cost a child a life.

In order to prevent antibiotics, the child should not be given. They are not
have points of application before the activation of the bacteria.


it самые popular antibiotics for children. They act on
most common pathogens for most childhood infections
bacterial origin. Most often it is:

  • Ампициллин и Amoxicillin
  • If they want to fight resistant types of bacteria, they prescribe
    combinations of these substances with clavulanic acid: Amoxicillin
    клавулонат (Amoxiclav, Augmentin) и Ампициллина


Amoxicillin самый популярный и максимально
safe antibiotic with a dosage of 250 mg in 5 ml. Ready suspension
stored for two weeks. Suitable for the first line of treatment
diseases of the ear, throat, nose, bronchi and lungs, purulent processes
skin and subcutaneous tissue. Lost its relevance in infections
urinary tract losing to cephalosporins or amoxicillin

Age of child Daily dose Number of admissions per day A course of treatment
From 0 to 2 years 20 mg. substances on 1 kg of body weight of the child 3 5-14 days
2 to 5 years 125 mg 3 5-14 days
5 to 10 years 250 mg 3 5-14 days
Older than 10 years 500 mg 3 5-14 days

Ospamox and Hikontsil

  • Оспамокс это 500 mg амоксициллина в 5 мл
  • Амосин  — порошок для суспензии 250
  • Хиконцил — порошок 250 mg в 5 мл во флаконах
    on 100 ml with a dosing spoon. This is amoxicillin production
    Slovenia. Dosages for all 3 drugs are similar to Ospamox.
Age of child Dosage
For oral administration, a single dose for children over 10 years
(weighing more than 40 kg) with severe disease
250-500 mg до 1 г
For children aged 5 to 10 years single dose 250 mg
Children from 2 to 5 years 125 mg
For children under 2 years of age, the daily dose is 20 mg per kg of body weight
Interval between receptions 8 hours
Amoxicillin в суспензии Амосин суспензия Оспамокс суспензия
Amoxicillin (100 руб) Амосин (50 rub)  Оспамокс (80 rub)


Amoxiclav – комбинация амоксициллина с клавулановой кислотой,
overcoming the resistance of bacteria. Ready suspension хранится на
the wall of the refrigerator in a closed form no longer than one week. it
antibiotic of choice for children with angina, for the treatment of otitis,
pharyngitis, sinusitis, bronchitis, pneumococcal pneumonia. Logged in
standard for the treatment of urinary tract infections in children.

Available in dosages:

  • 125 mg антибиотика+31,25 мг клавулановой кислоты
    (130 rub)
  • 250 mg+62,5 мг на 5 мл готовой суспензии (300

Clavulanic acid can cause stool disorders,
passing independently after discontinuation of the drug, not related to
intestinal dysbiosis. Amoxicillin может вызывать аллергию, боли в
stomach, nausea.

Age of child Number of admissions per day A course of treatment
From 0 to 3 months 2 5-14 days
From 3 months to 12 years 2-3 5-14 days


Augmentin другой вариант амоксициллина клавулоната.

  • 125 mg антибиотика+31,25 мг клавулановой кислоты
    (140 rub)
  • 200 мг+28,5 мг на 5 мл готовой суспензии (170
Age of child Daily dose Number of admissions per day A course of treatment
From birth to 12 years 30 mg. for every kilogram of child’s weight 3-4 7-14 days
Amoxiclav в суспензии Augmentin в суспензии
Amoxiclav (130 и 300
Augmentin (140 и 170


Cephalosporins в суспензиях – препараты второго ряда для
most infections of the upper respiratory tract and respiratory tract. Give
cross-allergy with penicillins: with intolerance
ampicillin or amoxicillin cephalosporins are also not prescribed.


Cephalexin во флаконе 150 мл в 10 ml суспензии 250 mg
active ingredient. Cephalosporin 1st generation. Second line
therapy for respiratory tract infections. The drug of choice when
infections of soft tissues and ENT organs. Used as
prevention of bacterial complications before operative

  • Children under one year old, whose body weight is more than 10 kg, are prescribed in 10
    ml of suspension 2 times a day.
  • Детям от 1 до 6 лет — по 10 ml of suspension 2 times a day.
  • Children from 6 to 12 years old – 10 ml 3 times a day.
  • Детям старше 12 лет – по 20 ml of suspension 2 times a day.

The duration of the course of drug treatment is at least 5
days, if necessary, receive the suspension is extended to 10 days.


Цефуроксим (Zinnat) – цефалоспорин 2 поколения. Effective with
otitis, sinusitis, bronchitis. Second line при инфекциях
respiratory tract after penicillins. First line for infections
urinary tract, cystitis and pyelonephritis. Assigned to children not
younger than 3 months.

Age of child Daily dose Number of admissions per day A course of treatment
From 3 months to 12 years 125 mg, максимальная доза в сложных случаях – 500 mg. 2 5-10 days
Cephalexin суспензия Zinnat суспензия
Cephalexin (70 rub) Zinnat (280 р.)


Цефиксим (Suprax) – препарат выбора для дыхательных инфекций
with the ineffectiveness of amoxicillins. Not suitable for allergies.
on penicillins. It is used for heavy or prolonged flow.
bronchitis, pneumonia, otitis media. For angina or
tonsillitis inferior to penicillins because it does not prevent
post-streptococcal renal lesions or rheumatism. Not
recommended for children younger than six months.

Sold in bottles in the form of granules. 1st generation cephalosporin
wide spectrum of antibacterial activity. Dosage needed
count, given the weight and age of the child:

Age of child Daily dose Number of admissions per day A course of treatment
6 months – 1 year 2.5-4 ml. 1-2 7-10 days
1 year – 4 years 5 ml. 1-2 7-10 days
5 years-11 years 6-10 ml. 1-2 7-10 days


Цефиксим (Pancef) – 3 поколение цефалосопринов. In 5 ml of ready
раствора 100 мг active ingredient. The finished slurry is not stored.
more than 14 days. The drug of choice when инфекция мочевыводящих путей.
Second row for respiratory lesions, otitis, pharyngitis
тяжелого течения или не отвечающих on penicillins.

Dosage препарата вычисляется по формуле, в зависимости от
weight, age and severity of illness.

Age of child Daily dose Number of admissions per day A course of treatment
From 6 months to 12 years 8 mg.medication for 1 kilogram of child’s weight 1 per day 7-10 days
From 6 months to 12 years 4 mg. medication for 1 kilogram of child’s weight 2 times a day (after 12 hours) 7-10 days
Suprax суспензия Pancef суспензия
Suprax (620 р)  Pancef (450 р)


  • Azithromycin (Sumamed, Hemomitsin) – convenient for a three-day
    applications of the suspension today do not give a decent profile
    security and gave way to Josamycin (Vilprofen) and
    Clarithromycin (Klacida).
  • Macropen (Midekamitsin) – more recently, the drug of choice for acute
    and chronic bronchitis and pneumonia, a representative macrolide. On
    rarely used today.

They should not be appointed by the first line, unless
suspicions of atypical pathogens (chlamydia, mycoplaasm,
clostridia) or allergies to penicillins and cephalosporins. AT
treatment of intestinal infections also go to the side after
intestinal antiseptics (Nifuroxazide, Enterofuril).


  • Sumamed (Азитромицин) во флаконах в вариациях 200 и 100 мг на 5
    мл suspensions. Convenient, easy to use. Calculation of doses – 10 mg per kg
    weight per day. A single dose per day. The course is from 3 to 5 days.
  • Азитромицин, Азитрокс, Хемомицин  – аналоги Sumamedа. Thats
    the same active ingredient with the same dosing regimen and

May be the second row for respiratory infections, otitis media,
soft tissue infections.

Sumamed менее эффективен при стрептококковых ангинах (не
prophylactic rheumatic fever). Today everything is applied
less often due to the high risks of allergies and the development of pseudomembranous
colitis when against the background of knocking out own flora in the digestive tract
breeding clostridia.

May go as a third line drug in a number of intestinal
infections. Sometimes used to treat atypical pneumonia (on
background chlamydia, mycoplasma). Not используется у детей до достижения
age 2 months.

Age of child Daily dose Number of admissions per day A course of treatment
From 0 to 6 months 131.25 mg 2 7-14 days
From 6 months to 2 years 262.5 mg 2 7-14 days
2 to 4 years old 10 ml 2 7-14 days
4 to 6 years 15 ml 2 7-14 days
From 6 and up 22.5 ml 2 7-14 days


Кларитромицин (Klacid) – показан при инфекциях ЖКТ (в том числе,
Helicobacter pylori), pneumonia, bronchitis, otitis. Reception
suspensions can be combined with food, no need to withstand two hours
after eating. ATыпускается в гранулах для приготовления
суспензии в дозировках 125 и 250 mg. AT готовом виде суспензия
stored no more than 2 weeks.

Age of child Daily dose Number of admissions per day A course of treatment
0-12 years old 7,5 mg. per 1 kg of weight 2 5-7 days
Sumamed в суспензии Хемомицин
Sumamed (230 р) Хемомицин (150 р)
Азитрокс Klacid
Азитрокс (230р) Klacid (370 р)


Tetracyclines (Доксициклин, Юнидокс солютаб) – неоднозачные
drugs with a large number of side effects (violation
формирования эмали и костей,  дисфункции ЖКТ) подключаемые у
children rarely with a limited number of infections, for example,
mycoplasma pneumonia and only after 8 years.


Fluoroquinolones (Левофлоксацин, Мофлоксацин) – прекрасные средства
for adults. Not должны использоваться у детей, оставаясь в резерве
for unforeseen circumstances (insensitive to anything
urinary tract infections, cystic fibrosis). Absence in the world
prospects for the development of new antibiotics of a child treated
with fluoroquinolone for bronchitis or otitis, leaves defenseless in
a case of severe antibiotic resistant infection.

If the child coughs

Cough is a protective mechanism that allows the child to clear
respiratory tract from infectious agents and mucus. ATо время вирусной
attack develops swelling and irritation of the respiratory tract with
increased mucus production. Until sputum becomes purulent or not
there was a suspicion of pneumonia (a pediatrician with
listening and tapping the chest) antibiotics are not needed.
ATполне достаточно ингаляций с физраствором или отхаркивающими через
nebulizer or taking expectorant in syrup.

За кашлем часто скрываются ОРATИ, бронхит, ринофарнгит, пневмония
or whooping cough.

If the question arises about choosing an antibiotic for children from coughing
about bronchitis or pneumonia, then come to the first place
aminopenicillins or cephalosporins (if penicillins were given
recently or ineffective). With intolerance to these groups can
use macrolides.

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