Intestinal bezoars. The bezoar from Harry Potter is real.

The antibiotic Suprax is a 3rd generation cephalosporin. Like all drugs in this group, it has bactericidal effect on a large number of strains of bacteria. The drug is taken orally. Suprax for children can be used upon reaching 6 months of age.

About the drug

There are quite a lot of medications sold in pharmacies, which in some cases can replace Suprakas, and they are cheaper. The cheapest analogues of the drug Suprax are Cedex, Cephalexin and Ceftriaxone.

Comparative price table of analogues and substitutes

Name	average price	Analogue or substitute
Suprax	~762	—
Pantsef	~458	A
Cefix	~209	A
Sumamed	~492	Z
Amoxiclav	~362	Z
Ceftriaxone	~281	Z
Tsedex	~350	Z

When counting average price, all forms of release were taken into account. The exact cost of drugs can be found in online pharmacies. Apteka.ru or Piluli.ru.

But is it always possible to replace Suprax with its analogues, which are cheaper? Will it be effective?

In this article we will look at such cheap analogues of Suprax as:

Pantsef.
Cefix.
Sumamed.
Amoskyklav.
Ceftriaxone.
Tsedex.

But what will be best for a particular clinical case, Suprax or its analogues, the doctor decides.

Pantsef

Substitute for expensive Suprax made in Macedonia. This analogue belongs to the 3rd generation cephalosporins. The main active ingredient is cefixime.

The price of the drug is slightly lower than the price of Suprax. This analogue is also taken orally. Use this more cheap analogue at large group pathologies:

Respiratory infections.
Otitis. Ureteral infections, Bladder, kidney.
Gonorrhea.

allergy to cephalosporins and penicillin antibiotics
pregnancy period
lactation (up to 6 months)

Application:

Suspension for children under 12 years of age or weighing less than 50 kg. For adults and children over 12 years of age, this analogue is prescribed in 400 mg tablets once a day. In the presence of renal failure, the dose of the drug is reduced to 50%.

Pancef or Suprax – which drug is better tolerated?

Both have analogues adverse reactions are:

Allergy.
Development of hypovitaminosis B.
Imbalance of microflora.
Nausea, stool disorders of various types.
Inhibition of hematopoiesis.
Hyperbilirubinemia.

Cefix

This generic Supraxa is manufactured in Jordan. The drug belongs to a number of third generation cephalosporins. Its mechanism of action on bacteria is the same as that of Suprax, although this analogue is cheaper.

The drug is made in the form of capsules and powder for preparing a suspension. The cheaper Cefix may well replace Suprax in the treatment of the following pathologies:

Sinusitis, pharyngitis, bronchitis, pneumonia.
Infections of the bladder, kidneys and ureter that occur without complications.
Acute infections with intestinal damage.

It is prohibited to use if there is:

Porphyria.
Under six months of age.

Cefix is prescribed 400 mg once a day with meals. In patients with renal failure, the dose is reduced to 50%. For a child 6 months to 12 years old, the drug is prepared as a suspension.

When using Cefix there are:

Allergy.
Dizziness.
Inhibition of hematopoiesis.
Rarely dyspepsia, various disorders chair.

Sumamed

This cheaper analogue is produced in Croatia. The drug belongs to macrolides. The active ingredient is azithromycin.

Sumamed can be:

In tablets.
In gelatin capsules.
In powder for the preparation of a suspension taken orally.

Sumamed, like Suprax, is highly effective for such pathologies as:

Otitis, tonsillitis, pharyngitis, sinusitis, pneumonia, bronchitis of bacterial origin).
Borreliosis.
Soft tissue infections.
Infected skin lesions.
Infections of the ureter, bladder, kidneys and genitals.

The drug is not used if there is:

Suppression of the kidneys and liver.
Fructose intolerance.
Age less than 6 months.
Reception with dihydroergotamine and ergotamine.
Allergy to macrolides.

It is not advisable to use this cheap analogue for:

Tendency to arrhythmias.
Diabetes mellitus.

At the age of under 3 years, the drug is used exclusively in the form of a suspension. The antibiotic dose is calculated to be 10-20 mg/kg per day. For children weighing more than 45 kg and for adults, the dose is 500-1000 mg/day.

Sumamed may cause:

Various dyspepsia.
Shortness of breath, rhythm disturbance.
Head pain, dizziness.
Allergies.
Inhibition of the activity of the kidneys and liver.

Amoxiclav

The medicine contains Amoxicillin and Clavulanic acid. Amoxicillin is a semi-synthetic penicillin. Clavulanic acid has the ability to inhibit beta-lactamases. The drug is released as:

Tablets containing 250 mg, 500 mg or 875 mg amoxicillin and 125 mg clavulanic acid.
Available in powder form for oral suspension.
In powder form for injection.

This cheap analogue has the same indications as Suprax. These are infections:

Respiratory organs.
ENT organs.
Urinary tract.
Skin and subcutaneous tissue.
Bile ducts.
Genital organs (gonorrhea, chancroid).

The drug should not be used for:

Allergies to penicillins and cephalosporins.
Mononucleosis.
Lymphocytic leukemia.

When using amoxiclav together with other antibacterial agents performance decreases. Taking the drug during pregnancy and breastfeeding not desirable.

It is worth considering that in case of impaired renal function, Amoxiclav is used carefully and the dosage interval is adjusted. The drug, like all drugs of the macrolide group, is taken with food.

Amoxiclav is an excellent analogue of Suprax for children - it can be given to children from the first days of life. For newborns and children up to 3 months, Amoxiclav is prescribed in the form of a suspension at the rate of 30 mg/kg per day.

For a child after 3 months, the dose is calculated to be 20-40 mg/kg per day. Amoxiclav is also used as an injection solution.

Adverse reactions with this analogue do not occur often. Among them:

Inhibition of hematopoiesis.
Dyspepsia and stool disorders.
Dysbacteriosis.
Allergic reactions.
Anxiety states.
Cramps.

Ceftriaxone

This is one of the cheapest analogues. It is produced in Russia. The active ingredient is ceftriaxone, a 3rd generation cephalosporin. Synonyms this drug Polish Btotraxon and Indian Iphioceph.

To decide what to choose, Ceftriaxone or Suprax, it is important to consider that Ceftriaxone has a form for parenteral administration, but does not have an oral form.

The drug is available in vials containing 1.0 ceftriaxone. Ceftriaxone has more wide indications to use than Suprax.

It is additionally used for:

Infections of the meninges.
Infectious pathologies of the bone apparatus.
Infections of wound surfaces.

It is possible to use Ceftriaxone in newborns. List absolute contraindications This drug is not big:

Allergy to penicillins and cephalosporins.
Newborns with hyperbilirubinemia.

This analogue should be used with caution in case of impaired renal and liver activity, or colitis. During treatment with Ceftriaxone, it is prohibited to drink alcohol.

Side effects may include:

Allergic reactions.
Failure of the digestive tract.
Inhibition of friendly microflora of the intestines and genital tract.
Hematopoiesis disorder. Phlebitis.
Dizziness.
Nosebleeds.

Tsedex

This domestic analogue Supraxa. The active ingredient is ciftibuten, a 3rd generation cephalosporin. The drug is produced in vials. 1 g of powder contains 144 mg of ceftibuten.

Cedex is taken orally only.

Indications for use:

Respiratory infections.
Infections of the kidneys, bladder, ureters.
Infectious diseases of the large and small intestines.

The drug should not be used if you have:

Allergy to cephalosporins and penicillins.
Less than 6 months old.

Tsedex, like all analogues of Suprax, has side effects:

Allergic reactions.
Dyspeptic disorders of the digestive system.
Inhibition of hematopoiesis.
Reduced blood clotting.
Suppression of friendly microflora.
Dizziness. Sleep disorders.

The decision about which drug is preferable, Suprax or Cedex, is made by the doctor.

As we see, replacing the drug Suprax with cheaper antibacterial drugs in many cases is completely justified. And in some cases, its analogues even have an advantage.

Currently, the antibiotic Suprax is available in two varieties, called Suprax And Suprax Solutab. In fact, these two types of the drug differ from each other only in names and forms of release, and there are no more differences between them, since they contain the same active substances, and they also have the same indications, contraindications and rules of use. That is why both Suprax and Suprax Solutab are often household level united under one common name"Suprax". In the further text of the article we will do the same, and by the general name “Suprax” we will mean both varieties of the same drug. We will indicate a specific dosage form and its name only if it is necessary to focus attention on any features of these varieties.

In general, it can be assumed that different names were given to different dosage forms of the same drug for commercial reasons. From the point of view of commercial interests, it is more convenient for manufacturing companies to sell the same drug under different names.

So, Suprax is available in three dosage forms:

Dispersible tablets (under commercial name Suprax Solutab);
Capsules for oral administration (under the commercial name Suprax);
Granules for the preparation of an oral suspension (under the commercial name Suprax).

Dispersible tablets (absorbable) Sold under the name Suprax Solutab, they are oblong in shape, scored on both sides, pale orange in color and have a strawberry scent. Available in packs of 1, 5, 7 or 10 tablets.

Capsules are produced under the name "Suprax", they are oblong cylinders consisting of a white body and a purple cap. On the surface of the capsules there is the inscription “H808” written in edible ink. Inside the capsules there is a mixture of powder and small granules, colored yellowish-white. Capsules are available in packs of 6 pieces.

Granules for preparing suspension for oral administration are produced under the name "Suprax", they are small balls, painted white or cream. The finished suspension, obtained after dissolving the granules in water, is white or cream in color and has a sweet strawberry aroma. Granules are available in dark glass bottles, which are accompanied by a dosage spoon or dosage syringe for measuring required quantity ready suspension. The bottles contain 30.3 - 35.0 g of granules, which, when dissolved, give a suspension with an active substance concentration of 100 mg per 5 ml, or 20 mg per 1 ml.

In all dosage forms of Suprax as active component contains the same substance - cefixime. Cefixime is included in the finished medicine not in pure form, and in the form of salt - cefixime trihydrate, since this ensures its passage through the aggressive environment of the stomach undestructed, and the release of the active substance itself in the intestine, from where it is absorbed into the bloodstream.

Each tablet contains 447.7 mg of cefixime trihydrate, and each capsule contains 466 mg, which corresponds to 400 mg of pure cefixime. Accordingly, both Suprax tablets and capsules have the same dosage - 400 mg. Because of this, they are often called in everyday life Suprax 400. Previously, capsules with a dosage of the active substance of 200 mg were also available for sale, but these are currently not available.

The granules of one bottle contain 1.402 g of cefixime trihydrate, which corresponds to 1.2 g of pure cefixime. This amount of antibiotic allows you to create a concentration of the active substance cefixime in the finished solution of 100 mg per 5 ml (20 mg per 1 ml). Amount of pure cefixime in 5 ml ready solution(100 mg) corresponds to 116.83 mg of cefixime trihydrate.

Compound excipients tablets, capsules and granules are given in the table:

Excipients of Suprax Solutab tablets	Excipients of Suprax capsules	Excipients of Suprax granules
Colloidal silicon dioxide		Sodium benzoate
Povidone		Xanthan gum
Magnesium stearate		Strawberry flavor
Calcium saccharinate trisesquihydrate	Butanol	Sucrose
Strawberry flavor PV4284	Titanium dioxide
Sunset yellow dye	Gelatin
Microcrystalline cellulose	Isopropanol
Low-substituted hyprolose	Carmellose calcium
	Azorubine dye
	Indigo carmine dye
	Sodium hydroxide
	Propylene glycol
	Shellac
	Ethanol

Therapeutic effect

Suprax has an antibacterial effect, destroying pathogenic bacteria. It is a broad-spectrum antibiotic because it is harmful to large number various types pathogenic bacteria. Detrimental effect Suprax for bacteria is due to its ability to disrupt the synthesis of the cell wall of pathogenic microbes, without which they simply cannot exist. Along with the destructiveness of Suprax for bacteria, the drug is at the same time safe for the human body, so it can be used to treat children starting from the age of six months.

Thanks to antibacterial effect, Suprax leads to recovery from infectious diseases various organs and systems, if they are caused by bacteria sensitive to the effect of the antibiotic.

Suprax is resistant to beta-lactamases - special substances produced by bacteria to protect against antibiotics. Many antibiotics that are not resistant to beta-lactamase are ineffective against bacteria that produce these substances. Therefore, Suprax is considered a highly effective antibiotic to which bacteria that produce beta-lactamases do not develop resistance.

Suprax has a detrimental effect on the following types of pathogenic and opportunistic bacteria:

Citrobacter amalonaticus;
Citrobacter diversus;
Escherichia coli;
Haemophilus influenzae;
Haemophilus parainfluenzae;
Klebsiella pneumoniae;
Klebsiella oxytoca;
Moraxella (Branhamella) catarrhalis;
Morganella morganii;
Neisseria gonorrhoeae;
Proteus vulgaris;
Proteus mirabilis;
Pasteurella multocida;
Providencia spp.;
Streptococcus agalactiae;
Streptococcus pneumoniae;
Streptococcus pyogenes;
Salmonella spp.;
Shigella spp.;
Serratia marcescens.

The following types of bacteria are resistant to the action of Suprax:

Bacteroides fragilis;
Clostridium spp.;
Enterococcus (Streptococcus) group D;
Enterobacter spp.;
Listeria monocytogenes;
Pseudomonas spp.;
Staphylococcus spp.

The effectiveness of taking Suprax once a day for various diseases, according to research by clinical pharmacologists in Hungary, the following:

Pneumonia (pneumonia) – 90.9%;
Tonsillopharyngitis – 92.6%;
Exacerbation chronic bronchitis – 72,2%;
Sinusitis in children – 97.8%;
Otitis media in children – 96.0%;
Infections urinary tract – 95,0%.

IN systemic blood flow 40–50% of the total is absorbed dose taken Supraxa, and this amount does not depend on food intake. The antibiotic is excreted within 24 hours in an amount of about 60% of the dose taken. In this case, 50% is excreted unchanged in the urine, and 10% in the bile. The remaining 40% of the dose taken is eliminated from the body within a few days.

Indications for use

Suprax and Suprax Solutab are indicated for use in the treatment of the same following infectious and inflammatory diseases of various organs caused by antibiotic-sensitive bacteria:

Pharyngitis;
Tonsillitis;
Sinusitis;
Acute and exacerbation of chronic bronchitis;
Otitis media;
Urinary tract infections (cystitis, urethritis, pyelonephritis, cystourethritis);
Gonorrhea;
Shigellosis.

Instructions for use

Suprax suspension - instructions for use

Suprax is produced and sold in the form of granules intended for the preparation of a suspension that is taken orally. The finished suspension can be used to treat adults and children older than six months. For young children, the suspension is the optimal dosage form of Suprax.

Before use, the granules in the bottle should be dissolved to form a suspension. The granules should be dissolved only when there is a need to take Suprax, since ready suspension Keeps for only two weeks (14 days). After two weeks, the suspension, even if it has not been completely used up, must be thrown away. And if for some reason you need to continue taking Suprax for longer than 14 days, you will have to make a new suspension by diluting the granules in a bottle with water. In the form of granules, the drug is stored for a long time and can be used until the expiration date indicated on the package.

How to dilute Suprax suspension?

To prepare the suspension, turn the bottle upside down and shake its contents well. Then you need to open the cap and add 40 ml of chilled water to the bottle. boiled water in two stages. That is, you should first pour 20 ml of water into the bottle, wait a little, and then pour in another 20 ml. After this, you need to shake the contents of the bottle well and place it on a table or other horizontal surface for 5 minutes so that the granules dissolve well and the foam formed during mixing settles. When the foam settles, you need to carefully check whether the liquid level reaches the arrow mark on the bottle label. If the liquid level does not reach the arrow, then you should carefully add a little more water into the bottle so that it reaches the mark. After this, the suspension is considered prepared and ready for use.

You can pour water into the bottle without first measuring 40 ml, but simply bringing its level to the mark. However, this can only be done if a person has experience filling any containers to the marks applied to them. After all, if water is poured above the mark level, the solution will have to be thrown away, since its concentration will be incorrect and unsuitable for treatment.

It is most convenient to measure the required amount of water to dilute the suspension or pour it directly into the bottle using a regular 20-25 ml syringe.

The prepared diluted suspension should be stored at a temperature of 15 - 25 o C for no longer than 14 days. During storage, do not allow the suspension to freeze. If the suspension is frozen, it should be thrown away, and to continue treatment, prepare a new one from another bottle.

How to take the suspension?

After dilution, the suspension can be used for 14 days. Before each use, the bottle of suspension should be shaken well. To measure the required amount of suspension, you can only use the dosing spoon or dosing syringe included with the kit. You should not use other means, devices and containers (syringes, spoons, pipettes, etc.) to measure the Suprax suspension.

Suprax suspension in the right amount should be swallowed and, if necessary, washed down with a small amount of water (for example, if a subjectively unpleasant taste remains in the mouth). The suspension should be drunk directly from a dosage spoon or a dosage syringe, without pouring the drug into other containers. After the suspension is drunk from a spoon or syringe, they should be washed with running water and detergent. Suprax suspension can be taken regardless of meals, that is, at any convenient time.

For various diseases for which the use of Suprax is indicated, the drug is used in the same dosages, which are determined only by the person’s age, and do not depend on the type, location and nature of the infection. Thus, adults and adolescents over 12 years of age weighing more than 50 kg should take Suprax 200 mg (10 ml suspension) twice a day, or 400 mg (20 ml suspension) once a day.

For children aged 6 months - 12 years, the dosage of the suspension is calculated individually, depending on body weight, based on the ratio: 8 mg per 1 kg of weight per day. The calculated dosage can be given to the child in full once a day, or divided in half into two doses per day. For example, if a child’s body weight is 10 kg, then the dosage of Suprax for him is 8 mg * 10 kg = 80 mg. Next, we calculate how many milliliters of the suspension contains 80 mg of the active substance. It is easy to calculate this, knowing that 1 ml of suspension contains 20 mg of the active substance. This means that you need to divide the amount of mg calculated by the child’s body weight by 20, and the final number will become the number of milliliters of suspension that should be given to the baby. In our example, 80 mg corresponds to 4 ml of suspension (1 ml of suspension contains 20 mg, which means 80 mg is contained in 80 mg/20 mg = 4 ml). This means that a child weighing 10 kg should be given Suprax 4 ml once a day, or 2 ml twice a day.

On average, for children aged 6 - 12 months, the daily dosage of the suspension is 2.5 - 4 ml, for children 2 - 4 years old - 5 ml, for children 5 - 11 years old - 6 - 10 ml. Daily dosage can be given at one time, or divided in half into two doses per day.

The dosage of Suprax is halved for children and adults on peritoneal dialysis or suffering from kidney disease with creatinine clearance (creatinine clearance) less than 20 ml/min. For children and adults on hemodialysis or suffering from kidney disease with CC (creatinine clearance) equal to 21 - 60 ml/min, the dosage of Suprax is reduced by 25% (that is, by 1/4).

The duration of the course of use of Suprax is 7 - 10 days, but for infections caused by Streptococcus pyogenes (pyogenic streptococcus) - at least 10 days, and optimally - 14 days. You cannot take Suprax for less than 7 days, as this can lead to incomplete cure and the formation of a type of bacteria resistant to the antibiotic. And this, in turn, will lead to the fact that after some time the untreated disease will definitely worsen again, but Suprax and other cephalosporin antibiotics will be ineffective due to the fact that the bacteria have become resistant to the drug. In such a situation, other, even stronger antibiotics will have to be used.

People who have suffered in the past from allergic reactions to penicillin antibiotics, with high probability may be allergic to Suprax. If a person experiences Lyell's syndrome, Stevens-Johnson syndrome or DRESS syndrome as an allergic reaction, then you should immediately stop taking Suprax and consult a doctor as soon as possible.

In addition, you should stop taking Suprax and go to hospital immediately if acute renal failure or hemolytic anemia develops, as described isolated cases fatal outcome from hemolytic anemia, provoked by other antibiotics of the cephalosporin group. If Suprax provoked hemolytic anemia, then in the future you should generally refrain from using cephalosporin antibiotics, since the body may again react to any drug of this class by developing anemia. You should also not start taking Suprax if a person has previously had an episode of hemolytic anemia in response to the use of cephalosporin antibiotics.

During the period of use of Suprax, a positive direct Coombs reaction and a false positive urine reaction to glucose are possible. It is better not to take these tests while taking Suprax, as they are not accurate.

Suprax for children

Children under 12 years of age can only be given Suprax in the form of tablets or suspension. Suprax capsules are suitable for use only for children over 12 years of age with a body weight of at least 50 kg. This means that the capsules cannot be taken by children, even if they are over 12 years old but weigh less than 50 kg.

Suprax tablets are approved for use in children weighing at least 25 kg. This means that, regardless of the child’s age, if his weight is 25 kg or more, he can be given Suprax Solutab in the form of dispersible tablets.

Suprax suspension can be used for children from the age of 6 months. This dosage form is optimal for children under 12 years of age. Therefore, doctors recommend giving the drug to children in the form of a suspension, preferring it to tablets and capsules.

Children under 6 months of age should be given Suprax in the form of a suspension only under the supervision of a physician, unless it is possible to replace this antibiotic with another that is safer for the baby.

Impact on the ability to operate machinery

Since Suprax may cause side effects from nervous system(dizziness, tinnitus, etc.), then it has bad influence on psychomotor activity and the ability to control mechanisms. Therefore, during the entire period of use of the drug, you should refrain from any activities that require high speed reactions and concentration.

Overdose

Overdose of Suprax at any time dosage form possible, and is manifested by increased severity of side effects (except allergic reactions). In case of overdose, you should rinse the stomach, take a sorbent (Activated carbon, Polyphepan, Polysorb, etc.) and then, if necessary, carry out symptomatic therapy in intensive care aimed at maintaining normal functioning vital important organs and systems. Symptomatic therapy may include the use of glucocorticosteroids (Dexamethasone, Prednisolone, etc.), adrenaline (epinephrine), norepinephrine (norepinephrine), dopamine, as well as oxygen therapy, transfusion various solutions And artificial ventilation lungs

In case of an overdose of Suprax, there is no need to perform peritoneal or hemodialysis, since these methods do not accelerate the elimination of the drug from the body.

Interaction with other drugs

Simultaneous use with tubular secretion blockers (Allopurinol, Probenecid, diuretics (Furosemide, Ethacrynic acid, Tobrasemide, etc.), penicillin antibiotics (Amoxicillin, Ampicillin, etc.), Phenylbutazone, etc.) leads to an increase in the concentration of Suprax in the blood, which may provoke an overdose of the latter.

Suprax increases the concentration of Carbamazepine in the blood when simultaneous use these medicines.

Suprax reduces the value of the prothrombin index, thereby enhancing the effects of indirect anticoagulants (for example, Warfarin). Therefore, Suprax in combination with anticoagulants should be used with caution, constantly monitoring the INR or PTI to prevent the development of bleeding.

Antacids containing aluminum or magnesium hydroxides (for example, Maalox, Almagel) must be taken 4 hours before or 1 to 2 hours after taking Suprax, as they slow down and worsen the absorption of the antibiotic into the bloodstream. And Suprax, accordingly, should be taken 1 - 2 hours before or 4 hours after antacid medications.

Taking Suprax in combination with drugs that have toxic effect on the kidneys (Polymyxin B, Colistin, aminoglycoside antibiotics (Gentamicin, Tobramycin, etc.), Viomycin, etc.), as well as with diuretics (Furosemide, Ethacrynic acid, etc.), increases the risk of developing kidney disorders.

Suprax may reduce the effectiveness of oral contraceptives. Therefore, during the period of use and within a week after completion of therapy with Suprax, additional oral contraceptives use barrier (yellowing of the skin, sclera of the eyes and mucous membranes);

Contraindications for use

Suprax and Suprax Solutab are contraindicated for use in humans following states or diseases:

Individual hypersensitivity or allergic reactions for antibiotics of the cephalosporin and/or penicillin groups;
Individual hypersensitivity or allergic reactions to cefixime or any other auxiliary components drugs;
Chronic renal failure in children under 18 years of age (for Suprax Solutab dispersible tablets);
Impaired kidney function, in which creatinine clearance (CC) according to the Rehberg test is less than 60 ml/min (for capsules);
The body weight of a child or adult is less than 25 kg (for Suprax Solutab dispersible tablets);
Children under 12 years of age (for capsules);
Children under six months of age (for granules for the preparation of a suspension for oral administration);
Hereditary fructose intolerance, glucose and galactose malabsorption, sucrase and isomaltase deficiency (for granules for oral suspension).

In addition, Suprax in any dosage form (dispersible tablets, capsules and suspension) should be used with caution and under supervision if a person has the following conditions or diseases:

Old age (over 65 years old);
Chronic renal failure;
Pseudomembranous colitis suffered in the past.

Analogs

Currently on the domestic pharmaceutical market Suprax has two types of analogues - these are synonymous drugs and, in fact, analogues. Synonyms for Suprax are medications, which also contain cefixime as an active ingredient. Actually, analogues are drugs that contain different active substance, like Suprax, but have the most similar spectrum of therapeutic action. This means that analogues of Suprax are antibiotics belonging to the cephalosporin group (to which Suprax itself belongs).

The following drugs are synonyms for Suprax:

Ixim Lupine powder for the preparation of suspension for oral administration;
Panzef granules for the preparation of suspension for oral administration, tablets;
Cemidexor tablets;
Ceforal Solutab dispersible tablets.

The following antibiotics are analogues of Suprax:

Azaran powder for solution for injection;
Axone powder for the preparation of solution for injection;
Bacperazone powder for the preparation of solution for injection;
Bestum powder for the preparation of solution for injection;
Betasporin powder for the preparation of solution for injection;
Biotriaxone powder for the preparation of solution for injection;
Broadsafe-S powder for the preparation of solution for injection;
Vicef powder for the preparation of solution for injection;
Dardum powder for solution for injection;
Intrataxime powder for the preparation of solution for injection;
Ificef powder for solution for injection;
Kefotex powder for the preparation of solution for injection;
Clafobrine powder for the preparation of solution for injection;
Klaforan powder for the preparation of solution for injection;
Lendacin powder for the preparation of solution for injection and infusion;
Lifaxon powder for solution for injection;
Liforan powder for the preparation of solution for injection;
Lorazidim powder for solution for injection;
Loraxone powder for solution for injection;
Medaxone powder for solution for injection;
Medocef powder for the preparation of solution for injection;
Movigip powder for the preparation of solution for injection;
Movoperiz powder for the preparation of solution for injection;
Operaz powder for the preparation of solution for injection;
Orzid powder for the preparation of solution for injection;
Oritax powder for the preparation of solution for injection;
Oritaxim powder for the preparation of solution for injection;
Oframax powder for the preparation of solution for injection;
Pactocef powder for the preparation of solution for injection;
Resibelact powder for solution for injection;
Roceferin powder for solution for injection;
Rocephin powder for the preparation of solution for injection and infusion;
Sefpotek tablets;
Spectracef tablets;
Stericef powder for the preparation of solution for injection;
Sulzoncef powder for the preparation of solution for injection;
Sulmover powder for the preparation of solution for injection;
Sulperazon powder for the preparation of solution for injection;
Sulperacef powder for the preparation of solution for injection;
Sulcef powder for the preparation of solution for injection;
Sulcefazone powder for solution for injection;
Tax-o-bid powder for the preparation of solution for injection;
Talcef powder for the preparation of solution for injection;
Tarcefoxime powder for solution for injection;
Terzef powder for the preparation of solution for injection;
Tizim powder for the preparation of solution for injection;
Torocef powder for the preparation of solution for injection;
Triaxone powder for solution for injection;
Fortazim powder for the preparation of solution for injection;
Fortoferin powder for solution for injection;
Fortum powder for the preparation of solution for injection;
Hizon powder for solution for injection;
Cebanex powder for solution for injection;
Cedex capsules and powder for the preparation of suspension for oral administration;
Ceperon J powder for the preparation of solution for injection;
Cetax powder for the preparation of solution for injection;
Cephabol powder for solution for injection;
Cefaxone powder for solution for injection;
Cefantral powder for solution for injection;
Cefathrin powder for solution for injection;
Cefzide powder for solution for injection;
Cefzoxime J powder for solution for injection;
Cefobid powder for the preparation of solution for injection;
Cefogram powder for the preparation of solution for injection;
Cefoperabol powder for the preparation of solution for injection;
Cefoperazone powder for solution for injection;
Cefoperus powder for solution for injection;
Cefosin powder for the preparation of solution for injection;
Cefotaxime powder for solution for injection;
Cefpar and Cefpar SV powder for the preparation of solution for injection;
Cefson powder for the preparation of solution for injection;
Ceftazidime powder for solution for injection;
Ceftidine powder for solution for injection;
Ceftriabole powder for the preparation of solution for injection;
Ceftriaxone powder for solution for injection.

Suprax - analogues are cheaper

The following analogue drugs are cheaper than Suprax:

Klaforan - price per bottle of powder 160 - 200 rubles;
Sulperazon - price per bottle of powder 300 - 400 rubles;
Fortum - price per bottle 200 - 600 rubles;
Cefaxon - price per bottle 160 - 250 rubles;
Cefantral - price per bottle 80 - 120 rubles;
Cephobid - price per bottle 300 - 350 rubles;
Cefosin - price per bottle 40 - 60 rubles;
Cefotaxime produced in Russia, Belarus, Ukraine, China or India - price per bottle is 20 - 40 rubles;
Ceftazidime – price per bottle 75 – 160 rubles;
Ceftriaxone produced in Russia, Belarus, Ukraine, China or India - price per bottle is 20 - 40 rubles.

The drug Suprax is a very effective drug, but at the same time quite expensive. In the event of an allergy to the drug, or the impossibility of taking the drug for some other reason (price inaccessibility, lack of the drug in the pharmacy), it is possible to replace it with an analogue that is similar to it in pharmacological properties.

Suprax

Release form: capsules (6 blisters in a package) and granules for preparing a suspension (tinted glass bottle with a dosing spoon in the package).

Suprax is a broad-spectrum cephalosporin antibiotic that inhibits the cell walls of pathogenic infections. It is prescribed for diseases of the throat, ears and nose (pharyngitis, bronchitis, tonsillitis, otitis), as well as diseases urinary system(simple infections, gonococcal infection, cystitis, pyelonephritis).

Mode of application– capsules: for adults over 12 years old – take 1 capsule per day, the duration of the course is determined for each individual, it all depends on the severity of the disease, but on average does not exceed 10 days; ready-made suspension: for children from six months to 12 years – 5 milliliters per day. The suspension is prepared in this way: pour 40 milliliters of water into the bottle, shake, then add the same amount of water and stir well until the granules are completely dissolved. The prepared suspension is stored for no more than 14 days. During pregnancy, the daily dose is prescribed by the doctor.

Side effects– stomatitis, urticaria, diarrhea, dysbacteriosis, itching, bleeding, anemia, shortness of breath, dizziness, headaches, vaginitis, constipation, abdominal pain.

Contraindications– impaired renal function, lactation, allergies to the components of the drug, colitis, age up to six months, old age.

Analogs

Analogues of the drug Suprax include the following drugs:

Amoxiclav

Active ingredients: amoxicillin.

An antibacterial medication that is prescribed for acute diseases of the throat, ears and nose (sinusitis, bronchitis, pneumonia, otitis), as well as for infectious diseases of the skin and bones (pyelonephritis, cellulitis, animal bites), with gynecological diseases and after surgical interventions. It is possible to take the drug during pregnancy, only under the supervision of a doctor.

Mode of application– tablets: 1 tablet is mixed in 100 milliliters of water or chewed thoroughly, depending on the complexity of the disease, 1 tablet is prescribed every 8 hours, or a tablet 2-3 times a day; suspension: the norm is calculated relative to body weight - for children up to 9 months, 62 milligrams, 2-7 years - 125 milligrams, 7-12 years, 250 milligrams 3 times a day. The suspension is taken with meals, tablets immediately before meals.

Side effects– nausea, urticaria, anemia, vomiting, vaginal candidiasis, rash, diarrhea.

Contraindications– hepatitis, jaundice, sensitivity to the components of the drug.

Augmentin

Release form: powder for the preparation of oral suspension, tablets.

Active ingredients: amoxicillin, clavulanic acid.

Augmentin is a semi-synthetic antibiotic with a broad spectrum of action. The drug is prescribed for the following diseases: otitis media, sinusitis, pneumonia, cystitis, pyelonephritis, sepsis. Also used after animal bites, cellulite, osteomyelitis.

Mode of application– for adults: 1 tablet every 8 hours, with severe infections every 4-6 hours; for children: from 2 years, 35 milligrams of the drug 2 times a day. The suspension is prepared in this way: pour chilled boiled water into the bottle with the powder to the indicated red level and shake well. Then add water to the black level indicated on the bottle and shake again. The suspension and tablets are taken with meals. Stored in the refrigerator.

Side effects– candidiasis, allergic vasculitis, vomiting, headaches, migraines, nausea, dizziness, diarrhea.

Contraindications – Infectious mononucleosis, pregnancy, allergies to the components of the drug, breastfeeding.

Zinnat

Active ingredients: cefuroxime.

Zinnat is a bactericidal antibiotic agent. Prescribed for the treatment of otitis, bronchitis, sinusitis, sinusitis, tonsillitis, pyelonephritis, cystitis, furunculosis, pyoderma, urethritis, as well as early stage Lyme disease. Dispensed by prescription.

Mode of application– for adults: 1 sachet twice a day, or 1 tablet 2 times a day with meals; children (sachet): 3-6 months – 60 milligrams per day, six months to 2 years – 120 milligrams per day, 2-18 years – 125 milligrams per day. Preparation of the suspension: dilute the sachet in water or juice (150 milliliters), stir. Tablets and suspension are taken with meals.

Side effects– candidiasis, eosinophilia, rash.

Contraindications – negative reaction for components, children under 3 years of age, breastfeeding, pregnancy.

Ikzim

Ukrainian drug.

Release form: tablets, suspension.

Active ingredients: cefixime.

An antibacterial agent prescribed to treat diseases of the ear, nose and throat, acute inflammations pulmonary system, urinary tract, intestinal infections. The drug is available by prescription.

Mode of application– for adults: 1 tablet or 400 milligrams of suspension per day; for children (suspension): from 6 months to 10 years – 8 milligrams per 1 kilogram of the child’s weight.

Side effects – anaphylactic shock, anorexia, headache, candidiasis, stomatitis, jaundice, vaginitis, weakness, aches, fever.

Contraindications– sensitivity to cefixime, urticaria, rash, pregnancy, porphyria, lactation, asthma.

Ixim Lupine

Release form: capsules, granules for the preparation of oral suspension, tablets.

Active ingredients: cefixime.

Ixim Lupine – antibacterial antibiotic with a wide spectrum of effects, used for inflammatory diseases nose, throat and ears (otitis, sinusitis, tonsillitis), simple infections genitourinary system. The medicine is available by prescription.

Mode of application– for adults: 400 milligrams of the drug once a day; children from 6 months: 8 milligrams of the drug per 1 kilogram of weight. The course of antibiotics is on average 10 days.

Side effects– urticaria, itching, thrush, abdominal pain, vaginitis, diarrhea, tinnitus, headaches, anemia, bleeding.

Contraindications– reaction to drug components, lactation, children under six months.

Klacid

Release form: tablets, granules for the preparation of oral suspension.

Active ingredients: clarithromycin.

A semi-synthetic antibiotic medicine with a wide spectrum of effects, prescribed for infectious diseases respiratory tract and tissues (tonsillitis, pharyngitis, bronchitis, otitis media, acute pneumonia, impetigo, folliculitis, furunculosis). The medicine is available by prescription.

Mode of application– for adults: 1 tablet per day (Klacid 500) or 2 tablets per day (Klacid SR); for children (suspension): from six months to 12 years – 7.5 milligrams per 1 kilogram of weight 2 times a day. The course of treatment lasts up to two weeks, and depends on the complexity of the disease.

Side effects– diarrhea, insomnia, vomiting, dizziness, nausea, abdominal pain, hyperhidrosis, rash, impaired taste.

Contraindications– children under six months, liver failure, jaundice, tachycardia, 1st trimester of pregnancy, lactation.

Loprax

Release form: powder for suspension, tablets.

Active ingredients: cefixime.

An antimicrobial drug that is prescribed for acute bronchitis, otitis, pharyngitis, tonsillitis, cystitis, urethritis, pyelonephritis, cervicitis. It works systematically. The drug is available by prescription.

Mode of application– for children under 12 years old: the dose is calculated at 8 milligrams per 1 kilogram of weight once a day, from 12 years old – 400 milligrams once a day; for adults (tablets): 1 tablet once a day. Dispensed by prescription. In case of complications, the dose and course of treatment are prescribed by the attending physician.

Side effects– abdominal pain, dry mouth, headaches, nephritis, vaginitis, itching, inflammation of the mucous membranes, stomatitis, diarrhea.

Contraindications– allergy to the components of the drug, pregnancy, porphyria, breastfeeding.

Pantsef

Release form: tablets, suspension, granules for preparing a suspension.

Active ingredients: cefixime.

A broad-spectrum antibiotic used to treat acute diseases of the throat, ears and nose (tracheitis, otitis media, bronchitis, laryngitis, sinusitis, tonsillitis), gonorrhea, and inflammation of the genitourinary system.

Mode of application– for adults: tablets – 1 tablet per day, suspension – 400 milliliters per day (20 milliliter cap); for children: suspension – 3-9 milliliters per kilogram of weight, take the drug 2-3 times a day.

Side effects– urticaria, skin flushing, dizziness, tinnitus, anemia, bleeding, nausea, vomiting, gastrointestinal disorders, diarrhea, vaginitis, candidiasis, shortness of breath.

Contraindications– age up to six months, breastfeeding, allergy to the components of the drug.

Sumamed

Release form: capsules for oral use.

Active ingredients: azithromycin.

Sumamed is an antibacterial medicine for systemic use, which is prescribed for bacterial diseases of the throat, nose and ears (bacterial pharyngitis, otitis, bronchitis, tonsillitis, pneumonia, sinusitis), as well as for erythema migrans, impetigo, genital infections (chlamydia, candidiasis). It is possible to take the drug during pregnancy and, in extreme cases, during lactation. The drug is dispensed according to a prescription.

Mode of application– taken one hour before meals, or two hours after meals, 1 capsule once a day. If you miss a dose, required dose You need to take it at the first opportunity, and the next one exactly one day later.

Side effects– blurred vision, abdominal pain, headaches, nausea, diarrhea, rash, vomiting.

Contraindications– sensitivity to antibiotics and drug components, children under 12 years of age.

Fixim

Release form: tablets.

Active ingredients: cefixime.

Antibacterial medicine with a wide spectrum of effects, used to destroy infections respiratory system(bronchitis, pharyngitis, tonsillitis, tonsillitis) and urinary tract (cervicitis, cystitis, urethritis, pyelonephritis).

Mode of application– for adults: 400 milligrams of the drug once a day; for children daily norm is 4 milligrams per 1 kilogram of weight. Tablets are taken before or during meals.

Side effects – intestinal cramps, jaundice, diarrhea, candidiasis, stomatitis, headaches, vaginitis, itching, urticaria.

Contraindications– allergies to drug components and antibiotics, breastfeeding, pregnancy.

Flamifix

Ukrainian drug.

Release form: capsules.

Active ingredients: cefixime.

Flamifix is an antimicrobial semi-synthetic drug. Intended for the treatment of diseases caused by infections, such as bronchitis, pneumonia, tracheitis, otitis media. Also suitable for the treatment of urinary tract and gynecology (gonorrhea). The drug is available by prescription.

Mode of application– for adults: once a day, 400 milligrams of the drug, or 2 times a day, 200 milligrams of the drug with meals; for children: 200 milligrams of medication once a day, or 100 milligrams 2 times a day. The course of taking the drug is at least two weeks.

Side effects– anorexia, nephritis, nausea, urticaria, vomiting, itching, headaches, blurred vision.

Contraindications– sensitivity to the components of the drug, kidney disorders, asthma, children under 7 years of age, pregnancy, lactation.

Cefix

Release form: capsules, powder for suspension.

Active ingredients: cefixime.

A semi-synthetic antibiotic medicine with a wide spectrum of effects, which is used in medicine for the treatment of ENT and respiratory diseases (bronchitis, laryngitis, otitis media, pneumonia, sinusitis, tracheitis) and infectious inflammation genitourinary system (intestinal infections, urethritis).

Method of administration– for adults tablets: once every 24 hours; for children suspension: the norm is calculated at 8 milligrams per 1 kilogram of weight. The duration of the appointment is prescribed by the doctor, and it depends on the degree of complexity of the disease.

Side effects– migraine and mild headaches, dysbacteriosis, nausea, bloating, diarrhea, vomiting, dermatitis, dry mouth.

Contraindications– porphyria, children under six months, allergies to components, breastfeeding, pregnancy.

Ceftriaxone

Release form: free-flowing consistency for preparing an injection solution.

Active ingredients: ceftriaxone sodium.

Antibiotic only for intramuscular injection, which is prescribed for infectious diseases of the nose, throat and ears, abdominal cavity, kidneys and pelvic organs, bones, subglobs and soft tissues. Also prescribed for postoperative period(surgeries of the gastrointestinal tract and gynecology, biliary and urinary tract). The medicine is available by prescription.

Mode of application– for adults over 12 years old: once every 24 hours, 1-2 grams of solution intramuscularly; for children: from 2 weeks – 30 milligrams per 1 kilogram of weight once every 24 hours. Duration necessary treatment depends on the complexity of the infection. It is best to dilute the drug with Lidocaine, since without it the injection is very painful.

Side effects– anemia, nausea, diarrhea, pancreatitis, vomiting, rash, urticaria, headaches.

Contraindications– breastfeeding, allergy to the drug, pregnancy, kidney and liver diseases, jaundice.

An effective antibiotic, cephalosparin, with high antibacterial activity. Active ingredient is cephexime. Has proven itself in many clinical disciplines. Suitable for treatment for adults and children. It features a convenient dosing regimen - once a day. The drug has high cost, which forces many patients to look for cheaper analogues of Suprax.

Available in two dosage forms. Price:

Capsules 400 mg 6 pieces - 720 rubles.
Granules (suspension) in a 30 gram bottle - 610 rub.

List of cheap analogues of Suprax - tablets, suspension

All drugs on the list contain cephexime and are accurate structural analogues Suprax according to the active substance.

1. Pancef (Macedonia). Prescribed for various bacterial infections. This analogue of the antibiotic Suprax shows high threshold sensitivity to pathogenic strains.

It is the drug of choice for inflammation of the pharyngeal mucosa, palatine tonsils, lung tissue, paranasal sinuses. Side effects minimized. This antibiotic cephalosporin series one of the best means for the treatment of gonococcal infection.

By therapeutic effect is not inferior to Suprax, and its cost is almost two times lower.

Tablets 400 mg 6 pcs. - 350 rub.

Suspension 60 ml/32 g - 330 rub.

2. Ixim Lupine (India). Antibacterial drug cephalosporin group with a wide spectrum of action. Effective analogue Suprax suspension. Used to treat acute and chronic diseases: ENT organs, genitourinary area.

Active against a range of pathogenic microorganisms, including staphylococci and streptococci - the main pathogens of diseases in the oral cavity.

Shows a pronounced clinical effect on days 2 - 3 of therapy. Has a low percentage of side effects. It is produced in only one dosage form, a suspension (for preparing a solution).

Cost of susp. 100 mg/5 ml, 25 g - 460 rub.

Substitutes for medicinal (therapeutic) effect

The mechanism of action of the Suprax analogues listed below for adults and children differs from it due to a different component composition. However, all the products on the list are antibiotics and are suitable for the treatment of similar infectious diseases.

Contraindications differ from Suprax, but the medications are safe, since the doctor prescribes taking into account possible restrictions to the reception.

1. Klacid (USA). An original medicine from the macroid group long acting. Suprax analogue in tablets and suspension contains clarithromycin. Suppresses many antibiotic-resistant strains.

Shows high efficiency in the treatment of ENT organs, mycoplasmosis, ureaplasma, excess bacterial growth in the intestines. Prescribed for eradication therapy of Helicobacter pylori infection.

Tablets 500 mg 5 pcs. - 490 rubles.

Suspension 42.3 g, 60 ml bottles - 360 rubles.

2. Sumamed (Israel). The antibacterial medication is included in the list of analogues cheaper than Suprax. Affects microorganisms with high susceptibility to it. Quality medicine produced in accordance with all GMP standards.

Includes azithromycin. Used in many clinical disciplines. Eliminates infections of the upper and lower respiratory tract and genitourinary tract. It is fast-acting.

Tablets 125 mg 6 pcs. - 346 rub.

Susp. 100 mg/5 ml 20.925 grams - 225 rub.

3.Amoxiclav (Switzerland). The main component is amoxicillin. An analogue of the drug Suprax shows high effectiveness in the treatment of pneumococcal infections.

Prescribed for prolonged infectious and inflammatory diseases of the ENT organs, purulent complications after surgical interventions, wound infections, erysipelas of soft tissues, diseases of the genitourinary system.

Well tolerated. It is actively used in children's practice (the suspension has a sweetish taste).

Tab. 250 mg+125 mg 15 pieces - 230 rub.

Susp. 5 ml bottles 35 g - 270 rub.

4. Zinnat (UK). The medicine has a wide range of applications. Active ingredient medicines cefuroxime has a bactericidal effect, inhibits the growth of pathogenic microorganisms.

This analogue of the drug Suprax is used in ENT practice to eliminate acute and chronic bronchitis, genitourinary infections, gonorrhea, and soft tissue damage.

Effective in the treatment of pelvic organs. Indicated for prevention possible complications after surgical interventions.

Tablets 125 mg, 10 pcs. - 238 rubles, 250 mg - 380 rubles.

Suspension 125 mg/5 ml/50 ml - 285 rub.

5. Augmentin (UK). Contains amoxicillin. Stops the development of purulent-inflammatory processes. Analogue substitute Suprax shows good result during therapy respiratory diseases, including in the treatment of uncomplicated acute infections upper respiratory tract.

Widely used in dentistry after traumatic operations in the oral cavity. Clinical effect appears quickly. Has low toxicity.

It is convenient to select the dosage for different patients age groups. Side effects rarely appear.

Tablets 375 mg, 20 pcs. - 260 rub.

Respiratory tract infections always cause a lot of inconvenience - headaches, severe runny nose, cough and other symptoms. It is important to start treatment as early as possible, otherwise you may experience severe complications up to the transition of diseases to chronic form. But there is a way out: an antibacterial drug such as Suprax tablets can completely prevent all unpleasant symptoms right in the first stages of the disease. But first, it’s still worth carefully studying Full description this medicine.

Each capsule contains the main element - cefixime trihydrate. Its dosage is 400 mg, for this reason there is a name on the package - Suprax Solutab 400 mg. In addition to the main element there is additional components:

colloidal silicon dioxide;
magnesium stearate;
titanium dioxide;
dye;
povidone.

Suprax is considered the first antibiotic to be considered a third generation cephalosporin. It can be used for internal use. This product is based on cefixime and has a wide range of interactions.

Bactericidal effect medicine carried out by suppressing the formation of the main element of the cell wall of pathogens pathological process. If we compare the antibiotic Suprax with similar medications of previous generations, it can be noted that this medication has increased resistance to beta-lactamases, namely bacterial enzymes that have a destructive effect on many antibiotic drugs.

According to the description in the instructions, the drug has a depressing effect on gram-positive (streptococci various types) And gram negative bacteria(hemophilic and coli, Klebsiella, Proteus, Salmonella, Shigella, Serracia, Citrobacter, Gonococcus). But it is worth considering that such drugs have increased resistance to the effects of this drug. pathogenic organisms, like Pseudomonas aeruginosa, a large number of varieties of staphylococcus, enterobacter and listeria.

The level of bioavailability of the drug is 30-40%. At the same time, eating food does not have a reducing effect on this indicator; it can only slightly increase the period of achievement the greatest content in blood. Due to the fact that Suprax has long period half-life, its use should be no more than once a day. This quality is very convenient, especially for small children.

The active component penetrates quite well into infectious lesions - into the cavity of the middle ear, into paranasal sinuses nose, tonsils, lungs, bile ducts.

Together with urine, about 50% of the drug is excreted unchanged, for this reason it is highly effective in the treatment of infectious lesions of the urinary tract. Approximately 10% of the drug is excreted in the bile.

Release form and cost

The medicine is produced in the form of capsules for internal use. The capsules have a white body and a purple cap. Upon opening, you can see that inside there are granules with a yellow-white color. Capsules are packaged in blisters, each blister contains 6 capsules. Each pack contains 1 blister.

The cost of packaging the drug in different pharmacies in Russia is relatively different. She may be influenced various factors– city, supplier, manufacturer. On average, the price for one package of Suprax varies from 550 to 670 rubles. Perhaps somewhere you can find the drug and its analogues cheaper.

Indications for use

Before you start taking Suprax capsules for adults and children, be sure to read the instructions. Particular attention should be paid to the section with indications, because the medication must be used in accordance with them.

Suprax is usually prescribed to patients who have infectious and inflammatory processes. The main indications of this remedy include:

the presence of infectious lesions of the nasopharynx and upper respiratory tract - symptoms of sinusitis, pharyngitis, tonsillitis, tracheitis, laryngitis;
recommended for use during infectious lesions lower sections respiratory tract - with bronchitis with bacterial origin, with pneumonia;
with otitis media;
prescribed for infections of the urinary system with an uncomplicated course in cystitis, urethritis, pyelonephritis;
with gonorrhea without complications.

Instructions for use

Please consider before use detailed description usage diagrams, which are described in the instructions. The period of use of the drug may depend on many factors:

from the diagnosis;
on the severity of the pathological process;
from the presence of complications;
from the characteristics of the organism.

In accordance with the instructions for Suprax, adults and children over 12 years of age with a body weight above 50 kilograms are prescribed 1 capsule of Suprax with a dosage of 400 milligrams. This dosage is taken once a day. The capsule must be taken at the same time; it is not opened when taken. It is swallowed and needs to be washed down sufficient quantity water.

The course of use in the instructions is indicated from 5 to 10 days. If after full course If symptoms of the disease still persist, it is best to consult a doctor to undergo the necessary examination.

Features of use during pregnancy and breastfeeding

It is not recommended to use Suprax in the first trimester of pregnancy.

The fact is that during this period the complete formation and formation of internal organs and systems of the unborn child. And when using medications at this time can negatively affect the development of the child and cause serious deviations in him.

During the second and third trimester of pregnancy, the use of the drug Suprax is also not recommended. However, if acute indications suddenly arise, then it can be used, but only under the strict supervision of the attending physician.

When breastfeeding, you should not use the medication, because its components are excreted along with breast milk. But if acute indications for the use of this drug suddenly arise, then during the period of taking it you should stop breastfeeding the child.

Features of use in children

Suprax should be used cautiously in children aged 0 to 6 months. It is best to use Suprax in the form of a suspension for children under 12 years of age. Taken in a dose of 8 mg per 1 kilogram of weight once a day or 4 mg per kilogram of weight every 12 hours.

The daily dose for children aged 5 to 11 years should be 6-10 ml of suspension, for children aged 2 to 4 years - 5 ml, for children aged from 6 months to one year - 2.5-4 ml.

You may also be interested in how to use Suprax for otitis media.

Side symptoms

Be sure to strictly follow the instructions for use. Sometimes, when taking Suprax capsules, the following side symptoms may occur:

disorder of the digestive organs - appearance pain in the abdominal area, signs of nausea, manifestations of vomiting, symptoms of stomatitis, increased dryness in the mouth, signs of flatulence, development reactive pancreatitis, signs of diarrhea, development of colitis, enlarged liver;
the nervous system may experience headaches, dizziness, increased lethargy, apathy, increased weakness, tinnitus may occur;
allergic reactions - symptoms of urticaria, swelling of the mucous membranes, signs of rhinorrhea, rashes on the surface of the skin, manifestations of anaphylactic shock;
unpleasant symptoms in the activity of the genitourinary system - interstitial nephritis, symptoms of oliguria, anuria, renal failure, manifestations of vaginitis may begin to develop, bacterial vaginosis, sometimes there is a sensation of itching in the genitals, signs of thrush in women, symptoms of balanitis and balanopastitis in men;
There may be an increase in the level of activity of liver transminases, an increase in bilirubin in the blood, an increase in the prothrombin period, signs of leukopenia, thrombocytopenia.

But reviews from many patients note that these unpleasant symptoms occur very rarely and they usually go away on their own.

Contraindications

Before taking Suprax, the instructions recommend that you fully study all its features and rules of use. To begin with, the patient must undergo a complete examination, pass all necessary tests which will help identify the causative agent of the infection, as well as its level of sensitivity to cefixime.

Be sure to carefully study the instructions for the drug, because it has some contraindications:

not recommended for use by children under 12 years of age;
should not be taken if available individual intolerance And hypersensitivity to the constituent components of the medicinal product;
Availability severe pathologies kidneys, which cause serious violations in the functioning of this body;
if there is a history of allergic reactions to drugs from the cephalosporin group.

It is also worth paying attention to some conditions in which the drug must be used with caution:

In the presence of pseudomembranous colitis;
At liver failure in chronic form;
Older people should take the medicine under the supervision of a doctor.

Analogs

It is advisable, before starting to use the drug Suprax, to study its analogues in advance. Sometimes this medicine is not always available in pharmacies; in these cases, it can be replaced similar medicines. In addition, not everyone can afford Suprax, and some similar medications can be purchased at a relatively low price.

can replace the drug Suprax, but first you should carefully study the properties of this medicine. What is the difference between the two drugs? In order to understand this, it is worth comparing Suprax or Amoxiclav.

These two drugs have different composition, and they belong to different pharmacological groups. Amoxiclav is a penicillin, and its effect is weaker. But at the same time it costs a lot cheaper than Suprax —from 200 rubles depending on the release form. The dosage regimen is also different - this medication should be taken twice a day, and Suprax once. It is recommended to use Amoxiclav for mild infectious processes.

Augmentin is an antibiotic with broad effects, an analogue of Suprax for children. The composition of this medication differs from the composition of Suprax; it contains two components - amoxicillin and clavulanic acid.

It is produced in several forms - in the form of a powder for preparing a suspension, in the form of a powder for preparing a solution for intravenous administration, in the form of tablets. Augmentin is used for treatment infectious lesions respiratory organs, for the treatment of infections of the skin and soft tissues, helps with acute intestinal infections, and also eliminates the symptoms of gonorrhea and syphilis. Before using Augomentin, you should study its contraindications and side symptoms.

The cost of Augmentin is less than that of Suprax - a package of tablets costs about t 270 to 380 rubles.

Flemoxin or Suprax - how to treat?

Suprax or two similar drugs, which have the same effect. But they differ in composition: the drug Flemoxin Solutab also includes additional components. Here's what better than Suprax or Flemoxin only a doctor can tell for sure.

Flemoxin Solutab is produced in the form of oblong tablets. Prescribed for the treatment of infectious diseases of the respiratory system, skin, soft tissues, and digestive organs. Before using this product, you should carefully study its instructions. Analogue price - from 200 rubles.

Sumamed and Suprax - analogues?

When choosing Suprax or, it is worth considering in advance all the properties and differences between these two drugs. Medicines have differences in composition and also belong to two different pharmacological groups. Sumamed is an azalide, its main element is azithromycin dihydrate.

In order to find out which product is better - Sumamed or Suprax, you should pay attention to one advantage of the analogue - its low cost. A package of capsules with a dosage of 250 mg costs 450 rubles. In addition, in case of an aggressive course of the pathological process, Sumamed is suitable; it has a suppressive effect on many infectious agents. The course of use of this product is short - only three days.

But which remedy is better to take - Suprax or Sumamed - only a specialist can accurately say in accordance with the indications and condition of the patient.