Sulfadimethoxin - instructions for use, reviews, analogs and formulations (tablets 200 mg and 500 mg) drugs for the treatment of sore throat, sinusitis and otitis in adults, children and pregnancy. Composition
In this article, you can read the instructions for using the drug Sulfadimethoxin. Presented are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors of specialists on the use of Sulfadimethoxin in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of Sulfadimethoxin in the presence of existing structural analogs. Use for the treatment of sore throat, sinusitis and otitis in adults, children, as well as during pregnancy and lactation. Composition of the preparation.
Sulfadimethoxin - antibacterial agent, a sulfonamide derivative. Has a long effect with ingestion. The mechanism of action is associated with competitive antagonism with PABA and competitive inhibition of dihydropteroate synthetase, which leads to a disruption in the synthesis of tetrahydrofolic acid necessary for the synthesis of purines and pyrimidines.
It is active against gram-positive bacteria: Staphylococcus spp. (Staphylococcus aureus), Streptococcus spp. (including Streptococcus pneumoniae) (streptococcus); Gram-negative bacteria: Klebsiella pneumoniae, Escherichia coli, Shigella spp.
It is active against Chlamydia trachomatis (chlamydia).
Composition
Sulfadimethoxin + auxiliary substances.
Pharmacokinetics
After oral administration after 30 minutes it is found in the blood. Poorly penetrates the blood-brain barrier (BBB). Therapeutic concentration in adults is noted when taking 1-2 g on the first day and 0.5-1 g in the following days. Unlike other sulfonamides, the preferential metabolism is carried out along the path of microsomal glucuronation associated with the isoenzymes CYP450 and NADPH-dependent.
Indications
Infectious-inflammatory diseases caused by microorganisms sensitive to sulfadimethoxin:
- angina;
- sinusitis;
- otitis;
- bronchitis;
- dysentery;
- inflammatory diseases of the biliary and urinary tract;
- erysipelas;
- wound infections;
- trachoma.
Forms of release
Tablets 200 mg and 500 mg.
Instructions for use and dosage
Adults on the 1st day of treatment - 1 g, in subsequent days - 500 mg per day. In severe disease, the dose may be increased. Children on the first day of treatment - 25 mg / kg, in the following days - 12.5 mg / kg per day.
Take inside once a day after meals. Duration of treatment 7-10 days.
Side effect
- headache;
- dyspeptic symptoms;
- nausea, vomiting;
- cholestatic hepatitis;
- skin rashes;
- drug fever;
- leukopenia, agranulocytosis.
Contraindications
- hypersensitivity to sulfonamides;
- oppression of bone marrow hematopoiesis;
- renal and / or liver failure;
- chronic heart failure;
- congenital deficiency of glucose-6-phosphate dehydrogenase;
- porphyria;
- azotemia;
- pregnancy.
Application in pregnancy and lactation
Sulfadimethoxin is contraindicated in pregnancy.
special instructions
During treatment, an abundant alkaline drink is recommended, monitoring the blood and urine.
It is applied externally as a part of combined preparations.
Drug Interactions
Sulfadimethoxin reduces the effectiveness of bactericidal antibiotics acting only on fissile microorganisms (including penicillins, cephalosporins).
Analogues of the drug Sulfadimethoxin
Structural analogues of the active substance of the drug Sulfadimetoksin does not.
Analogues on the pharmacological group (sulfonamides):
- Arhedin;
- Argosulfan;
- Bactrim;
- Bactrim forte;
- Berlocid;
- Biseptol;
- Briefeptol;
- Grosseptol;
- Dapson Fatol;
- Dvseptol;
- Dermazin;
- Duo Septol;
- Inhaliptus;
- Co-trimoxazole;
- Cotripharm;
- Lidaprim;
- Methosulfabol;
- Oriprim;
- Polseptol;
- Septrin;
- Sinersul;
- Streptonitol;
- Streptocide;
- Streptocide is soluble;
- Streptocide Ointment 10%;
- Sulotrim;
- Sulgin;
- Sulphadimezine;
- Sulfalene;
- Sulfamethoxazole;
- Sulfanilamide;
- Sulfargin;
- Sulfasalazine;
- Sulfacetamide;
- Sulfacil sodium (Albucide);
- Sumetrolim;
- Trimezol;
- Phthalazole;
- Phthalylsulfatiazole;
- Tsiplin;
- Ethazol.
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