Update: October 2018
Today Sumamed is very popular in Russia and is one of
retail leaders. This is a relatively new drug, it was
registered in our country in 1988 and was recognized among
professionals and patients for their unique pharmacological
The advantage of this antibiotic in comparison with other
antibiotics in the possibility of using very short courses to
3-5 days, as it has a prolonged action.
Sumamed’s use for sore throat is considered very effective and
safe enough. Sumamed is a broad spectrum antibiotic
actions, i.e. it acts on many bacteria and most
strains of the most common pathogenic microorganisms here
it is still sensitive (for example, in the US, already resistant).
Independent use of such drugs is not permissible. Usually
Doctors prescribe it in severe cases, because
The drug is very strong and has a number of side effects.
Doctors should be especially balanced in their appointment.
antibiotic children. Sumamed child can be given only after 6
months in suspension with extreme caution. Some doctors don’t
Sumamed is recommended for children under 3 years. Injection
antibiotic option is contraindicated in children under 16 years old.
If Sumamed was prescribed for a sore throat in children, the parents
must be very attentive to the child during his reception. Often
young children have antibiotic disorders
digestion – diarrhea, vomiting, there may also be allergic reactions,
anxiety, poor sleep, here Sumamed is not
Pharmacological properties of Sumamed with angina
In the instructions for use of the drug
it is indicated that this is a macrolide antibiotic azithromycin. It is used
for infections caused by bacteria that are sensitive to
Among other indications for use, it is effective in ENT
diseases – bacterial pharyngitis, tonsillitis, that is
лечение ангины Сумамедом целесообразно. Only as a drug
second row. It does not prevent rheumatism and is used when
staph sore throat or penicillin allergy.
Reviews of Sumamed’s admission for angina are mostly positive,
it is very effective, positive dynamics is already observed at 2
reception day. However, children have severe
allergies to the drug. Therefore, it is best to cover him
antihistamines, and with allergic manifestations
consult a doctor to discontinue the drug. In cases where improvement
when taking antibiotics for angina did not come for 2-3 days,
the drug must be discontinued and the doctor must prescribe another
The choice of antibiotic for angina
Before prescribing antibiotics for angina in adults or
children, the physician must take a pharyngeal diphtheria swab (stick
Leflera) on the first day of treatment. In the hospital can take a smear
on bacterial seeding (wait for the result of 7 days), it allows
establish the nature of the bacterial environment in sore throat, the amount
bacteria and their sensitivity to antibiotics, but
as a rule, an antibiotic is prescribed empirically.
Амоксициллин при ангине, Амоксиклав или Аугументин также
quite effective, these are antibiotics of the penicillin series and
1st row drugs for angina. One of the important components
effective treatment, in addition to antibiotic therapy, is
gargling for sore throat, which should be done as much as possible
more often, every 3-4 hours.
How to take Sumamed children with angina?
The ease of use of this drug is that it needs to be taken
only 1 time per day. Tablet form can be taken
regardless of the meal, and the suspension or capsules one hour before meals.
When angina treatment is 3-5 days, according to the recommendation of the doctor.
Children under six months must use oral
suspension, to obtain a solution in 17 g of powder, make up 12 ml.
water, bringing the volume to 23 ml. Suspension in finished form should not
stored for more than 5 days. Shake well before use.
Children after 3 years can use 125 mg tablets. Payment
drug doses in tablets – 10 mg. on 1 kg of weight of the child (at
other diseases). Adults: 1 tablet of 500 mg once a day
Однако при тонзиллите (ангине), фарингите, вызванных
Streptococcus pyogenes, the dosage of Sumamed for children increases
— будет 20 мг/ кг курсом 3 дня, или 12 мг/кг в течение 5
days Only 60 mg / kg course.
- hypersensitivity to macrolides, to azithromycin or
other components of the drug
- severe renal impairment
- severe liver failure
- for tablets and capsules 500mg – children up to 12 years old (up to 45
kg), for tablets 125 mg – up to 3 years, for suspension – up to 6
- during breastfeeding
- concomitant use with dihydroergotamine and ergotamine
With care: at a myasthenia (autoimmune neuromuscular
disease), during pregnancy, with abnormal liver function,
kidney, with arrhythmias (see the causes of sinus arrhythmias in children), with
simultaneous use of digoxin, terfenadine, warfarin.
Side Effects of Sumamed
Unwanted side effects of medication are rare. Most
frequent side effects are as follows:
- Nausea, vomiting, diarrhea
- Bloating, loss of appetite, constipation
- Allergic reactions – urticaria, rash, angioedema
- Headache, anxiety, sleep disorders, etc.
|Candidiasis||infrequently – candidiasis of the genitals and oral mucosa|
|Metabolism and appetite||often – lack of appetite, anorexia|
|Blood changes||very rarely – hemolytic anemia, thrombocytopenia, infrequently –
leukopenia, often – lymphopenia, eosinophilia
|Organs of vision||blurred vision – often|
|Organs of hearing||rarely – vertigo, infrequently – noise in the ears (causes), often –
|GIT||very rarely – pancreatitis, yellow bloom on the tongue (causes);
infrequently – gastritis, constipation; vomiting frequently; very often – diarrhea,
nausea, abdominal pain, flatulence (causes)
|Allergic manifestations||very rarely – anaphylactic shock, erythema; infrequently –
urticaria (symptoms, treatment), angioedema,
photosensitization (see allergy to the sun), often a rash, cutaneous
|Nervous system||very rarely – aggression, convulsions, myasthenia, anxiety,
anxiety, loss of smell or taste; infrequently – бессонница,
drowsiness; often – dizziness (causes), headache,
paresthesia (numbness, crawling)
|The cardiovascular system||very rarely – tachycardia, arrhythmia, reduction of arterial
|urinary system||very rarely, acute renal failure; infrequently –
increase in creatinine and urea in plasma
|Musculoskeletal tissue||often – arthralgia|
|Liver and biliary tract||very rarely – liver necrosis, liver failure,
cholestatic jaundice, hepatitis; infrequently – повышенный билирубин
(causes) increase in liver transaminase activity
|Other||infrequently – недомогание, отеки, боль в груди; often –
Overdose: Vomiting, nausea, temporary hearing loss, diarrhea,
abnormal liver function, abdominal pain.
There are no harmless drugs, and antibiotics, as everyone knows,
disrupt the human immune system. Therefore, in the treatment of
antibiotics always have to be careful to do exactly
doctor’s appointment, follow the dosage and time of admission. Concerning
Sumamed’s appointments to the children, parents should keep a record of
when, how many days, what antibiotic and what disease
used in the child, what were the adverse reactions. It is necessary for
doctor, and for parents, so that with repeated treatment not to prescribe
the same antibiotic, it is believed that this leads to drug
Price and analogues
The price of Sumamed in pharmacy chains is different and averages:
suspension 100 mg. 230-250 rub., 200 mg. 350 rub. 6 capsules of 250 each
mg. 540-570 rubles
- Azithromycin – its price for 3 tables. по 500 mg. 80-90 rub. 6 caps.
по 250 mg. – 35 rubles.
- Хемомицин — 6 caps. 270 руб, suspension 100 mg. 140 rub. 200 mg.
- Azitrox 3 caps. по 500mg. 240 rub., Suspension 180-300
- Azicide table. 300 — 340 rub.
- Азитрал 180 rub.
- Зи-фактор 160 rub.
- Экомед 260 rub.
It is worth noting that generic Sumamed, produced in Russia,
significantly inferior to the original drug in effectiveness.