Effective universal antibiotic Azithromycin (instructions for use). Azithromycin capsules What is azithromycin in capsules 250 for?

Azithromycin is a modern semi-synthetic antibacterial drug of the azalide subclass (macrolide group), which has wide range actions on pathogenic microflora and has a pronounced bacteriostatic effect.

It is used for inflammatory and infectious lesions, especially in cases where penicillin series does not suppress bacterial flora.

The active substance is azithromycin dihydrate, chemical compound which is the following: 9-deoxo-9a-aza-9a-methyl-9a-homoerythromycin A.

Azithromycin is distinguished by its ability to quickly penetrate all organs and tissues. This is achieved through active suction medicinal substance from the intestines into the blood. The active substance is not afraid of acidic environments and quickly dissolves in fats.

Azithromycin dihydrate is a long-acting substance, with a single use of the drug, especially in loading dose,retains its presence in the body for up to 6 days. After taking azithromycin, literally 2 hours later, the maximum concentration of the active substance in the body is observed, which makes it possible to achieve a high therapeutic effect after the first doses of treatment.

Due to this feature, the drug successfully treats serious infections in short courses(from 3 to 5 days), and with a convenient dosage - 1 dose per day. Thanks to this, azithromycin has gained great popularity in pediatric practice and is used for many infections in the younger generation.

Forms and dosages of azithromycin for children

Due to the fact that azithromycin is powerful tool from bacteria for mild cases of the disease, the drug is not recommended to be used. Only if there are special indications is it “connected” as a shock agent. For children, azithromycin is prescribed in tablets of 125 and 250 mg, as well as capsules of 250 mg (according to current instructions on the use of the product). One blister contains 6 tablets or capsules.

For ease of use, there is another form of azithromycin for children - this is a suspension (syrup), but the packages do not indicate 250 mg, as in tablet form, but the following information is given: 100 mg/5 ml or 200 mg/5 ml. For example, to obtain a suspension at a dose of 250 mg, you need to give the child 12.5 ml once (with a dose on the package of 100 mg/5 ml).

The dosage of the drug and duration of administration is determined only by the doctor.. Any antibacterial agent cannot be used independently, especially in children.

A dose of azithromycin of 125-250 mg is prescribed for a body weight of at least 45 kg; in other cases, a dosage form in the form of a suspension is recommended. For children weighing up to 45 kg, the drug is calculated at the rate of 10 mg/kg (taken once a day).

The drug is taken without meals (one hour or two hours after meals). The time for taking the medicine should be fixed, for example, at 11 am. Do not chew the tablet or capsule and drink plenty of water.

Instructions for use of azithromycin for children tell about the method of taking all forms of the drug, but 250 mg capsules are considered the most convenient. They are easy to swallow because... they slide off and don’t remain on the tongue discomfort like taking pills. Solid forms Azithromycin is used in children who are old enough to take it correctly without difficulty.

Important ! Azithromycin is not indicated for children under 6 months of age due to the high likelihood of convulsive reactions and gastrointestinal disorders(up to bleeding).

The price of azithromycin 250 varies between 50-90 rubles and higher, depending on the pharmacological company, although you can also find social offers, for example, from the company Vertex (Russia) - 32 rubles. Azithromycin analogues have a higher price. The cost of sumamed (Teva, Israel), the most famous analogue, is within 350 rubles.

Indications for use of azithromycin

The drug is prescribed for the following pathological processes:

sinusitis (damages of the sinuses);
tonsillitis (acute and recurrent forms);
pharyngitis;
bronchitis;
tracheitis;
pleurisy (in initial stages illness);
pneumonia;
erysipelas;
infectious dermatoses;
furunculosis;
scarlet fever;
infections of the genitourinary organs;
impetigo;
in complex treatment regimens for the gastrointestinal tract;
Lyme disease (tick-borne borreliosis).

For treatment to be effective, it must be bacterial culture for microflora with an antibiogram. This analysis will identify the causative agent of the disease and help determine whether azithromycin is appropriate in a particular case. For example, for a sore throat, a smear is taken from the area of the affected tonsils.

The negative point is that it takes 5-10 days to prepare the bacteria, but the disease is an insidious thing and will not wait long. Therefore, in most cases, cultures are performed, but treatment is prescribed blindly. If the antibiotic is not suitable, then when the smear results are received, it will be possible to accurately apply a drug sensitive to pathogenic microflora.

You can check out others effective medications from a runny nose.

Contraindications and side effects

Azithromycin, like all antibacterial agents, has a number of disadvantages and not approved for use under the following conditions:

intolerance to macrolides;
arrhythmias (severe forms);
tendency to allergic reactions;
myasthenia gravis;
severe liver and kidney disease;
age up to 6 months.

Adverse reactions are possible in the form of:

diarrhea;
vomiting;
persistent nausea;
dizziness;
pain or cramping in the abdomen;
flatulence;
tachycardia;
refusal to eat;
skin rashes;
irritability;
sleep disorders;
violations of biochemical blood parameters (more often with overdose).

The appearance of severe side effects requires immediate discontinuation of the drug.

Can be accepted antihistamine(erius, claritin, loratadine). Usually the doctor prescribes one of these drugs to “cover up” antibiotics, warning in advance dangerous symptoms. Even if there is a reaction to an antibiotic, it will pass in the most harmless form.

How to properly store azithromycin 250?

The drug should be kept away from children and sunlight. The recommended storage temperature is 15-25 °C. The shelf life of azithromycin is indicated on the packaging and is 2-3 years, depending on the manufacturer.

It should be remembered that azithromycin 250 in tablets and capsules is stored for a long time, because each pill is protected by a blister, and the syrup (suspension) is in open form It spoils quickly and should not be stored for more than 10 days.

Azithromycin analogues

Analogues may have the same active substance or mechanism of action. So, here is a list of analogues that contain azithromycin:

hemomycin;
sumamed;
clubax;
sumamox;
azitrox;
Zithrocin;
asicide;
sumaklid;
zitrolide;
other.

These drugs replace azithromycin if the drug itself is not entirely suitable. All these analogues have their own price, and it is slightly higher than the price of azithromycin.

The following drugs have a similar mechanism of action:

clarithromycin;
erythromycin;
lekoklar;
arvicin;
spiramycin;
macrofoam;
rovamycin;
fromelid;
other.

Analogs, reviews, side effects Azithromycin

Reviews of the use of azithromycin 250

Before using azithromycin 250, parents carefully study the instructions for use for children, reviews, and analyze whether the antibiotic will harm the child? This approach is undoubtedly justified and deserves respect. Unfortunately, some unfortunate doctors practice the use of azithromycin for other purposes, when milder antibiotics can cope with the disease.

Of course, the effect of azithromycin will be lightning fast, but then how to treat complex infections, if the body gets used to receiving strong antibiotic for simple forms of disease. This is a rather serious moment in treatment and parents should be aware of it. Trust but check. If in doubt, seek advice from another specialist.

Now let's take a look at the reviews from parents taken from user correspondence from well-known forums.

Nastya

My daughter (14 years old) is constantly sick with ARVI, and, unfortunately, very often the disease is complicated by tracheitis or bronchitis, and the complication after the virus occurs quickly. Recently I got very sick. The pediatrician prescribed Augmentin, ACC, Erespal in syrup. There was practically no result, the wheezing went lower. When my daughter coughed, it was clear to me, not even the doctor, that her breathing was weakened, and the cough seemed to be coming from within.

The antibiotic was replaced with azithromycin 250. After the first tablet, the temperature returned to normal. And three days later the child was healthy. Just three tablets and these are the results. The product deserves high praise, and I give it.

Valentina

The doctor stopped amoxiclav and prescribed sumamed (5 tablets in total). I want to warn you that sumamed is an analogue of azithromycin, but much more expensive. The pharmacist suggested this information to me, I really doubted it at first, but still took azithromycin. At 15:00 we took the first pill. In the morning I checked my throat, and the result was pleasing: the plaque had disappeared by 50%. We finished all the pills. Then they drank Narine (kefir for dysbiosis) for 10 days for prevention. Azithromycin overcame a severe sore throat with a bang.

Natalia

My son was 10 years old when he caught a serious cold. He coughed a lot, sweated, and his temperature remained at 37.3 degrees. The doctor, after listening to the child, determined that breathing is hard, weak and similar to right-sided dry pleurisy. On the first day, azithromycin 250 was prescribed, and the remaining four days they took a lower dose - 125 mg. The child quickly recovered.

After a while, my son had a fluorographic photograph taken, and the radiologist noticed that the sinus was “sealed” - this means that there was once pleurisy. So azithromycin helped, and at that time we did without injections. Great antibiotic!

Ioannina

Everyone writes only positive things, but my experience is different. I am 24 years old, no longer a child, but the dose of the drug azithromycin was prescribed in a pediatric dosage - 250 mg. It’s just that my weight is 49 kg, and that’s why they gave me this dose. Tracheobronchitis was treated. She complained of cough, thick sputum, shortness of breath, lethargy and headache.

The bronchitis went away, but a day after taking the last pill (the fifth in a row), a terrible rash began all over my body. There were no acne only on the face and hands. They put me on a diet and prescribed Karsil, Holosas and Erius. But despite all this treatment, the rash went away very slowly. Only after two months the skin completely cleared.

The reasons for this phenomenon were not found, except for the comment of an immunologist - weak immunity and the liver is poorly cleaned, although the results of blood and ultrasound did not find any pathology with the liver. This is my experience of treatment with azithromycin.

Alexandra

I got sick at the dacha. A runny nose, fever, and then a painful cough began. Moreover, I also infected my daughter, most likely the viral infection “worked.” I had to go to work on Monday, but the boss made it clear on the phone that I could only be sick for three days or they would find a replacement for me. Only sumamed, an analogue of azithromycin, saved me.

My daughter developed severe bronchitis, and our local police officer also advised me to take sumamed only in a child’s dosage. Moreover, my daughter’s purulent acne, with which we have been fighting for the second year. Apparently the rash was of infectious origin. We were very pleased with the drug, I can even say that I have never seen such an instant effect from antibiotics before.

Azithromycin is a highly effective antibacterial agent with a relatively low price, long half-life and low percentage side effects(no more than 2%). The antibiotic occupies a leading position in the frequency of prescriptions in the treatment of childhood infections and shows excellent treatment results.

Azithromycin belongs to the group of macrolide antibiotics and is widely used to treat various infectious processes in children. The drug is characterized by low toxicity and a low risk of side effects, which allows it to be prescribed already in the first year of a child’s life. Azithromycin was first synthesized in 1980 by the Croatian pharmaceutical company Pliva. Over time World Organization Health has included this antibiotic in the list of the most important medicines.

Pharmacological properties

Azithromycin is the first representative of the azalide class. Like other drugs in the macrolide group, it has a bacteriostatic effect on pathogenic bacteria. The drug has no effect on fungi and viruses. Azithromycin is able to bind to the 50S ribosomal subunit of the pathogen and thereby inhibit protein production by the cell. As a result, the bacterium loses its ability to reproduce and becomes more vulnerable to factors immune defense body. Those who are sensitive to this drug are:

Azithromycin after oral administration is quickly absorbed by the mucous membrane of the herbal tract. However, most of the drug is immediately metabolized by the liver and only a little more than a third (37%) of the initial dose enters the systemic circulation. The maximum concentration is recorded 180 minutes after administration.

A special feature of the drug is the fact that it penetrates human tissues and cells and is transported by leukocytes and macrophages to the site of inflammation.

Therefore, in place pathological process sometimes the concentration of azithromycin is 10-50 times greater than in blood plasma. This allows the drug to retain antimicrobial activity in the body for up to 5 days after the last use.

Food intake negatively affects the pharmacokinetics of azithromycin. Its absorption into the patient’s body decreases, so doctors strongly recommend taking the antibiotic “on an empty stomach.” Azithromycin is gradually inactivated in the patient's liver cells. About half of the drug is excreted unchanged through bile.

Indications for the use of azithromycin

Azithromycin is prescribed to children for the following conditions:

Contraindications to taking the drug

Azithromycin should not be prescribed or used if the child has the following contraindications:

hypersensitivity to your favorite macrolide drugs;
end-stage liver failure;
children up to 4 months;
malabsorption syndrome;
intolerance to sucrase or fructose;
simultaneous administration of ergotamine.

Prescription restrictions

In some cases, azithromycin should be prescribed with caution. This is allowed in situations where the benefits of taking this medicine exceed possible harm. It is also recommended to use azithromycin for children if the pathogen has developed resistance to other antibiotics.

Since the drug sometimes leads to the development of tachycardia, arrhythmias and increased QT interval, then it should be used for congenital or acquired heart pathologies under careful control of frequency and rhythm.

There is evidence that with a significant decrease in renal filtration rates, additional accumulation of azithromycin occurs in the body. Therefore, you need to either choose a different drug or use reduced doses.

Release form of the drug

Azithromycin is available in the form of capsules or tablets containing active substance 125, 250 and 500 mg. In addition, powder for making syrup is produced especially for children. The content of azithromycin is 100 or 200 mg in 5 ml of the finished suspension.

After preparation, the syrup has the taste and smell of cherries, bananas, strawberries or raspberries.

The original drug is considered to be “Sumamed”, which is manufactured by the Croatian company “Pliva”. But besides this, there are more on the market available analogues: “Zitrox”, “Azinort”, “Azitral”, “Azithromax”, “Azithromycin”, “Azithromycin-Norton” and others.

Side effects

Even with short-term use of the drug, bacterial resistance to the drug may develop. Also, secondary fungal (candidiasis) or microbial infection is rarely associated. Cases of the development of pseudomembranous colitis caused by C. dificcile have been described. The severity of this complication varies. Some children have only diarrhea, while others have severe damage to the digestive tract.

In some children (especially early age) cases of neurological symptoms have been described. In them, taking the drug was accompanied by headache, dizziness, paresthesia of the limbs, drowsiness, depression, convulsions, nervousness, hyperactivity and hearing impairment. In the presence of cardiac pathology, the risk of rhythm disturbances, tachycardias and arrhythmias increases.

Sometimes azithromycin inhibits hematopoiesis in bone marrow patient. In the laboratory, this is manifested by a decrease in the number of red blood cells, leukocytes and platelets in the peripheral blood. The patient experiences symptoms of anemia, secondary infection, hemorrhages in the skin and mucous membranes. Cases of occurrence have been described allergic reactions varying degrees gravity.

When taking the drug in children with impaired liver function, cases of toxic hepatitis and worsening organ failure.

Interaction with other drugs

Like other macrolides, azithromycin cannot be combined with bactericidal antibiotics, since their effectiveness is reduced. Should also be avoided simultaneous administration the drug with antacids, since they are able to bind and remove the antibiotic from the patient’s body.

Azithromycin also leads to an increase in the concentration of cardiac glycosides (digoxin) in the blood plasma, which must be taken into account when choosing drug doses.

This drug has a similar effect on indirect anticoagulants (coumarin derivatives) and cyclosporine.

How to use azithromycin

Suspension

Mostly children are prescribed the drug in syrup form. This allows not only to accurately dose the required amount of azithromycin, but is also more positively perceived by children and their parents. The syrup is taken orally once a day, having previously measured out the required volume of antibiotic using a spoon or a special syringe.

The intake should take place no sooner than 60 minutes before a meal, or 2 hours after it. After this, be sure to give the child something to drink. a small amount of ordinary water. If you miss a dose, you need to take it as quickly as possible, and take the next dose of azithromycin after 24 hours.

The drug is dosed to children depending on their body weight. Below are these calculations for 200 mg/5 ml syrup. The daily amount of azithromycin suspension for children weighing 15-24 kg is 5 ml, 25-34 kg - 7.5 ml, 35-44 kg - 10 ml, over 45 kg - 12.5 ml suspension. These indicators are most relevant for bacterial infections of the upper respiratory tract. For erythema migrans, a twice as high dose of antibiotic is prescribed. The course of therapy usually lasts 3 days, but can be continued by the doctor up to 5.

The 100 mg/5 ml suspension form is intended for children of the first year of life. The drug is also taken once a day. The antibiotic dosage is as follows: 0.5 ml of syrup per 1 kg of body weight. In this case, the drug can be used only if the child is not lighter than 5 kg.

Tablet form

Azithromycin tablets can be prescribed from the age of three. The main criterion is a body weight of more than 12.5 kg and the ability to adequately swallow this form of the drug.

It was for children that tablets containing 125 and 250 mg of azithromycin were developed. The antibiotic dosage is 10 mg per 1 kg of body weight per day. The course of therapy also lasts 3 days. The basic rules for administration do not differ from those for syrup. After reaching 45 kg, the child is prescribed adult dose- 500 mg.

Azithromycin is a popular antibacterial agent that is used to treat diseases of the upper and lower respiratory tract and bacterial lesions of the genitourinary system, including in children. It has low level toxic effects on the child’s body and long-term effects. Therefore, the drug can be taken only once a day.

The antibiotic Azithromycin is sold in any pharmacy in the form of tablets, capsules and powder for preparing a suspension.

There is also a number of its complete analogues: Azitrus, Azivok, Sumametsin, Zitrolide, Zitrocin, Ecomed, ZI-factor, etc.

The listed drugs are prepared on the basis of one active substance - 9-Deoxo-9a-aza-9a-methyl-9a-homoerythromycin A, and they all have an identical effect.

Azithromycin is well tolerated by children under one year of age.

How does the medicine work?

Azithromycin belongs to a group of drugs called macrolides due to their special structure (if you go deeper into chemistry, they are based on a 14 or 16-membered lactone ring with attached carbohydrate residues).

The most famous representative of macrolides is Erythromycin, which was used to treat the fathers and mothers, grandfathers and grandmothers of today's children.

Azithromycin is a new generation medicine, which means it has fewer side effects.

It is effective against a whole range of pathological microorganisms that are resistant to other antibiotics. Among them, many types are the plague of the twentieth century, as experts call it. Moreover, this the only drug that can fight Haemophilus influenzae, which, together with staphylococcus, takes an active part in the development of pneumonia and meningitis.

The drug has the ability to easily penetrate and accumulate in sputum located in the bronchi, as well as in the tissues of the bronchi and lungs, organs of the genitourinary system and skin. This allows the medicine to act directly on the site of inflammation. The mechanism of action of the antibiotic is based on the fact that it prevents microbial cells from synthesizing protein. And without this basic “building material” no cell can exist. Azithromycin reaches its highest concentration in the child’s blood plasma within 2-3 hours after administration. From there it penetrates into foci of inflammation, accumulates in the tissues of the affected organs and immediately begins its work.

The antibiotic is taken once a day. It would be enough.

In addition to its speed of action, the drug is characterized by slow elimination from the body, which prolongs the therapeutic effect. From child's body The antibiotic is usually eliminated within 35-55 hours. It is this property of Azithromycin that makes it possible to take it only once a day.

One of the main advantages of the antibiotic is the absence of any interaction with antiallergic drugs. This allows it to be taken by children suffering allergic diseases and, in particular, bronchial asthma.

In what cases is it prescribed?

Children Azithromycin is usually treated for respiratory diseases:

bronchitis, pneumonia caused by chlamydia and mycoplasma;
complicated pneumonia with an identified pathogen that is sensitive to the drug;
with exacerbations of chronic bronchitis;
in the absence of effect from treatment with antibiotics related to cephalosporins and penicillins, as well as intolerance to these drugs;
if the child has allergies or bronchial asthma.

If pneumonia is suspected, pediatricians usually prescribe Azithromycin.

In addition to the diseases listed, Azithromycin is used to treat:

, sore throat;
scarlet fever;
skin diseases - erysipelas, impetigo, pustular lesions;
inflammation of the urethra;
Lyme disease.

How to navigate the variety of analogues and release forms?

Azithromycin has several release forms, from which you can choose the most suitable one:

Powder for preparing a suspension or ready-made suspension 100 mg/5 ml, equipped with a dispenser syringe for children from six months to three years.
Powder for preparing a suspension or ready-made suspension 200 mg/5 ml - from three to 14 years.
Tablets 125 mg.
Tablets with a dosage of 250 mg are rarely used to treat children.

When we talk about dosage, we mean that it is the same for all Azithromycins, marketed under the different names discussed above. Some drugs, for example, Sumamed, are represented by all dosage forms- in the form of tablets, powder for suspension and capsules, but Azimed, Azitrus, Azitrox are intended only for preparing a suspension. Ecomed is a ready-to-use mixture.

A more expensive analogue of Azithromycin with the same basic active substance- Sumamed.

Dosage and regimen

Before you start using the drug, be sure to read the instructions for use (). The dosage of Azithromycin depends on the child’s body weight.

Thus, the total dose required for the course is 30-50 mg per kilogram of weight.

Example: if Alyosha weighs 14 kg, then he will need 140 mg of Azithromycin per day at one time. A 280-milligram tablet may be split in half or given as a suspension. The boy will need 5 ml of suspension obtained from a 100 mg bottle of powder (according to the table below). If Alyosha’s weight were, for example, 15 kg, it would be impossible to accurately divide the tablet. In this case, it is advisable to use a suspension. Here is a table (from the instructions for use) that will help calculate the required amount of suspension based on the child’s weight:

The drug should not be given simultaneously with food - either one hour before a meal or two hours after it.

Take the drug strictly on an empty stomach!

In some cases, during the treatment process, it becomes necessary to adjust the dosage or replace the drug, and this can only be done by a doctor. Therefore, taking an antibiotic should only be done under the supervision of a pediatrician and on his recommendation.

How to prepare a suspension from powder

The suspension is prepared immediately before the first use. To a bottle with 100 mg of the drug you need to add 11 ml of boiled cooled water using a syringe dispenser and shake well until a homogeneous liquid is obtained. Vials with 200 mg of the drug are diluted with 14.5 ml of water - here the concentration of the drug is higher.

The resulting suspension is given to the child using a double-sided dosing spoon or syringe dispenser. Divorced medicine Stored in the refrigerator for no more than 5 days.

A dispenser syringe is a great helper for mothers!

It is more convenient for very young children to give the suspension using a dosing syringe. To do this, you need to position the child as if for feeding, carefully insert the tip of the syringe into his mouth and slowly squeeze out the medicine so that he has time to swallow.

Contraindications and side effects

After antibiotics, children often experience digestive disorders, stool disturbances, and the child cannot eat foods that were easily tolerated before. Therefore, we need to do restoration children's immunity. But how to do it right?

Every mother tries to avoid the use of antibiotics during a child’s illness. When the pediatrician declares the need for such funds, most parents begin to panic. However, not everything is so scary. In some cases antibacterial drugs are able to quickly cope with the infection and return the baby to good health. One of the frequently prescribed medications is Azithromycin. Instructions for use (the drug is used quite often for children) will be presented to your attention below. You can also find out about substitutes for this drug and reviews about it.

What is Azithromycin?

For a child, the choice of drug is very important. This medication is an antibiotic. It represents a group of macrolides. The medication has a bactericidal and bacteriostatic effect on the patient's body. The drug is available in dosages of 100, 125, 250 and 500 milligrams. The main active ingredient is azithromycin. Depending on the form of release, the medicine may have additional components. Thus, the medicine is available in the form of gelatin-coated capsules, hard tablets, suspension and powder for its preparation.

Azithromycin for a child is one of the most frequently prescribed drugs. It is very easy to use and can give quick positive effect. This product is also quite safe for children's bodies.

When do children need the described antibiotic?

The drug "Azithromycin" for a child should be prescribed exclusively by a pediatrician. Self-administration may lead to negative reactions And unpleasant consequences. Medicine is usually prescribed after analysis. An antibiotic is also indicated when other medications do not work. positive result within five days. The main indications for the use of Azithromycin for a child are the following situations:

diseases affecting upper sections respiratory tract (sore throat, tonsillitis, sinusitis, laryngitis, nasopharyngitis and so on);
infections that affected lower sections respiratory tract (bronchitis, pneumonia, tuberculosis and others);
scarlet fever;
infections, causing damage soft tissues and mucous membranes;
urinary tract infections.

Also this medicine may be prescribed by doctors in other situations. In this case, each case is considered individually.

Contraindications to treatment

In what cases is it worth limiting the use of medication or completely abandoning treatment with Azithromycin? Instructions for use (for children it is especially important to take into account contraindications) informs about the following situations:

the child's age is less than 12 years (capsules, tablets) or less than 6 months (suspension);
renal failure in an advanced form;
liver diseases, including acquired ones;
hypersensitivity to azithromycin;
some diseases of the stomach and intestines.

Dosage of the drug

Doctors usually prescribe Azithromycin 250 mg for children. However, for children under three years of age it is preferable to give a suspension. The dosage of the medication depends on the age of the patient and the choice of dosage form.

For children under 16 years of age, the drug is prescribed at the rate of 10 milligrams of azithromycin per kilogram of body weight. Since it is preferable to choose a medicine for children under 12 years of age in the form of a suspension, the dose is calculated as follows. For example, your child weighs 10 kilograms. In this case, he needs to be given 100 milligrams of azithromycin. The syrup is available in two doses: 100 and 200 mg per 5 milliliters of the drug. This means that in the first case the baby needs to be given 5 ml of medicine, and in the second - 2.5.

Tablets at a dose of 250 mg are recommended for children over 12 years of age. In this case, you need to drink no more than one capsule or pill per day. It is worth noting that treatment with this medication lasts only three days. Only in special difficult situations this period can be increased to 4-5 days.

Features of the use of the drug

If Azithromycin 250 mg tablets are prescribed for children, they should not be chewed or crushed. The drug must enter the stomach unchanged. When using the suspension, shake it well each time before use. Also, the medicine should be taken with plenty of water. Especially it concerns

The medication is taken one hour before meals or two hours after meals. It is also worth remembering about the simultaneous use of other drugs. Many medications can suppress or enhance the effects of each other. That is why doctors recommend taking a break of two hours between various drugs and Azithromycin.

Side effects

What does the instructions say about the drug Azithromycin? For children, as the abstract states, antibiotics should only be prescribed by a doctor, because this drug may cause side effects. However, doctors assure that if the specified dosage is observed, the medication is well tolerated. Among the most common side effects, experts note weakness, malaise or anxiety, abdominal pain, abnormal bowel movements or nausea.