Flemoxin Solutab for sinusitis in adults and children

For therapeutic purposes, for ENT diseases of a bacterial nature, antimicrobial agents are prescribed. One of these drugs is Flemoxin Solutab, which is often prescribed for sinusitis. Under the influence of the medicine there is no toxic effect on the body.

The medicine is characterized by a pleasant taste, is easily diluted with water, and has a high therapeutic effect. Often used by pediatricians to treat children over one year of age.

Composition and release form

Flemoxin is an antibiotic produced in the form of tablets with dosages of 125, 250, 500 and 1000 mg. Thanks to its dispersed form, the drug quickly dissolves in water during use and is easily absorbed by the stomach, which accelerates the therapeutic effect.

The active component of the drug is amoxicillin, a substance from the penicillin group. Auxiliary components in the form of cellulose and citrus flavors help improve the taste of the medicine. When taken orally, children do not refuse the tablets.

The therapeutic effect does not change regardless of how Flemoxin is taken for sinusitis - swallowed whole, dissolved, chewed or pre-diluted in water.

New generation antibiotic

Flemoxin Salutab contains amoxicillin, thanks to which the treatment of sinusitis occurs quite quickly. Reviews confirm this. By following the dosage and instructions of the attending physician, you can avoid complications. This antibiotic quickly reaches the lesion and has an antibacterial effect on it.

The advantages of the antibiotic are that it can be taken by pregnant and lactating women and children, there is no negative effect on the gastrointestinal tract, and it is easy to use. The tablet can be taken orally or dissolved in water and drunk as syrup. The medicine is acid-resistant, so it can be taken with food. The antibiotic quickly kills staphylococcus bacteria that cause sinusitis. But if the treatment does not give a positive effect in the first two days, then the drug should be replaced. The drug is excreted by the kidneys and liver. If the patient has chronic diseases of these organs, then the dose needs to be adjusted.

Pharmacological effects

The active component of Flemoxin is able to quickly penetrate into the blood, where the accumulation of therapeutic concentration is observed in the shortest possible time. 93% of the antimicrobial drug is absorbed by organs and tissues in literally 1-2 hours.

The maximum amount of medicine accumulates in bile, urine, sputum, mucous membranes, pulmonary and intestinal systems. Due to its resistance to the influence of gastric juice, the medication can be taken in tablet form rather than injected, regardless of food intake.

The active ingredient, amoxicillin, is a bactericidal antibiotic.

The medicine affects the body by disrupting the production of intercellular tissue of pathogenic microorganisms, due to which they are destroyed and dissolved. The drug affects both the action of aerobic gram-positive and gram-negative bacteria.

Microorganisms that participate in the synthesis of the penicillinase enzyme do not react to this medication, as they are able to neutralize the active component. Also, amoxicillin has no effect on the vital activity of viruses, rickettsia, and mycoplasmas.

Excretion of the drug from the body is carried out by the renal system in unchanged form (up to 70%), liver (15%), in the form of breakdown products - 10%, with mother's milk during lactation.

Against the background of chronic renal pathologies, the withdrawal time of the drug increases from one and a half to 8 hours.

If excretory work in the kidneys is reduced to 10 ml per minute, the dosage of the medication is reduced by 2 times. In cases where urine does not enter the bladder, the amount of the product should not exceed 2000 mg.

Contraindications and side effects

Flemoxin is not prescribed for malignant neoplasms in the lymphatic tissues, bone marrow, or peripheral circulatory system.

Contraindications are:

viral damage to the liver, spleen;
pregnancy;
breast-feeding;
renal failure;
intestinal disorder caused by long-term use of antibiotics.

How to take Flemoxin Solutab for various forms of sinusitis?

How to take and dose the medicine for sinusitis is decided by the attending physician, taking into account the age category of the patient, the severity of the pathology, as well as its signs.

With bacterial infection of the maxillary sinuses in the acute stage, the patient usually complains of the presence of:

nasal congestion;
swelling in the nasal passages;
pain in the cheeks, chin, forehead and nose;
deterioration of olfactory function;
purulent discharge from the sinuses;
headaches;
elevated temperature within 37-39o.

If treatment is not started promptly, infection may spread to the middle ear area and the mucous membranes of the brain.

How many days to take Flemoxin Solutab for sinusitis

The duration of the course of treatment with Flemoxin is approximately 5-14 days. Moreover, in any situation, the drug should be continued to be used for 2 days after the severity of the symptoms of the inflammatory process has decreased. How long an adult and a child will have to take the pills is decided only by a specialist.

Medicine dosage

If sinusitis is diagnosed in a child, taking into account age characteristics and the course of inflammation in the sinuses, the dosage of Flemoxin is calculated as follows.

In the mild and medium stages:

For children under one year of age, the medicine is given once a day at the rate of 30 mg of the drug multiplied by the body weight of the small patient;
at the age of 1-3 years - the daily dosage is 375 mg divided into 3 doses per day (in equal quantities);
at the age of 3-10 years - the daily dose is 250 mg of the drug twice a day;
for children over 10 years of age - the dosage is similar.

For children under 3 years of age, Flemoxin is prescribed for the treatment of sinusitis in the form of a syrup or suspension, and for older children in the form of tablets.

In case of severe inflammatory process in the maxillary sinuses, which is accompanied by purulent discharge, the dosage of the active ingredient is calculated as follows:

before reaching 10 years of age - a maximum of 60 mg of amoxicillin per 1 kg of child weight;
after 10 years - 0.3 grams daily three times a day.

For adults, Flemoxin Solutab is prescribed according to the patient’s well-being:

at the initial and middle stages of inflammation - 500-1000 mg twice a day;
in severe cases of the disease - 0.75-1 g three times a day.

Bacterial sinusitis: symptoms and causes of the disease

Bacterial sinusitis is usually accompanied by pain symptoms in the forehead and maxillary sinuses, worsening at night. In this case, the patient may be bothered by thick mucous discharge mixed with blood, chronic nasal congestion, which vasoconstrictor drops cannot eliminate.
The bacterial form can be distinguished from other types of disease by specific characteristics:

difficulty in nasal breathing;
headache;
elevated temperature from 38-39 degrees;
speech function disorder;
deterioration of sense of smell;
swelling and pain in the maxillary sinuses;
general intoxication of the body;
joint pain;
insomnia and other symptoms.

In addition, the bacterial form can be suspected by the yellowish-green color of the mucous discharge from the nose. However, it is possible to accurately determine the type of infection only by laboratory methods - by taking a smear from the patient’s nasal sinuses.

Most often, the inflammatory process is provoked by pathogenic bacteria - staphylococci, streptococci, pneumococci and other microorganisms that actively reproduce in the maxillary tract. A qualified ENT doctor will help eliminate the disease and prescribe the necessary treatment.

Typically, the cause of inflammation is a staphylococcal or streptococcal infection, which is successfully suppressed by new generation antibiotics.

Therapy of the inflammatory process requires an integrated approach, and in addition to antibiotics, a specialist can prescribe other treatment methods: in the presence of fever, antipyretic drugs are used, in case of nasal congestion, vasoconstrictors are used, as well as drugs that promote sputum production.

Not every antibacterial medication can cure an infection or prevent complications. The patient is recommended, first of all, to undergo diagnostics and find out what caused the disease - bacteria, viruses or fungi. This will help you select the necessary antibiotic that can cope with the infection and prevent the disease from becoming chronic.

Use of Flemoxin Solutab during pregnancy and breastfeeding

The drug is able to penetrate into mother's milk, which is why it can have an effect on the baby's body. If a mother is prescribed Flemoxin to treat sinusitis, she will have to give up lactation at this time.

During the first trimester of pregnancy, the baby does not have placental protection. The effect of an antimicrobial agent on the developing fetus may be negative. In the future, it is the doctor’s responsibility to decide whether this medicine can be used as therapy.

What side effects may there be?

Any drug can have side effects. Flemoxin is no exception. These include:

indigestion, vomiting, diarrhea, dry mouth;
dysbacteriosis;
anemia;
headache;
rash, urticaria.

Side effects and overdose can develop only if the drug is taken independently. If the infectious agent that provoked sinusitis is correctly identified, the duration and dosage of taking Flemoxin Solutab, which is determined by the attending physician, is not violated, then the drug is very well tolerated.

Found a mistake? Select it and press Ctrl + Enter

Analogues of Flemoxin Solutab

The following antimicrobial medications are similar in their active ingredients:

Amoxicillin - manufactured in capsules of 250 and 500 mg, granules for the preparation of suspension;
Amosin - produced in tablets with 250 and 500 mg of the active ingredient;
Ecobol – produced in tablets of 250 and 500 mg;
Gramox-D - is manufactured in the form of coated/soluble tablets, capsules for the preparation of a suspension, powder for intravenous and intramuscular injections with the active ingredient in quantities of 125 and 250 mg.

According to the mechanism of action on the body, analogues of Flemoxin are:

Ampicillin - Ampicillin differs in molecular shape from Flemoxin, since there is no hydroxyl group. Since the structure has been changed, the drug is less absorbed into tissues and organs. Other characteristics regarding indications, adverse reactions and contraindications for use are basically identical.
Flemoklav Solutab - a medicine, in addition to amoxicillin, contains clavulanic acid. Thanks to the additional active component, there is an increased bactericidal effect on the body by destroying the enzyme penicillase, which is synthesized by individual bacteria. The expansion of the spectrum of action is observed due to the fact that the drug is able to influence the vital activity of anaerobic gram-positive and gram-negative microorganisms.
Azlocillin sodium salt is an antimicrobial agent that is particularly active against Pseudomonas aeruginosa. It is prescribed for the treatment of purulent lesions with symptoms characteristic of bloodstream infection. It is made in the form of injection solutions for injection into a vein or muscle.
Standacillin - the active ingredient is ampicillin. The medicine is available in the form of granules, capsules and powder. Used in the form of a suspension, injection solution for injection into a muscle or vein. During use, the functional state of the renal, hepatic systems and blood should be monitored.

Recommendations: antibiotics for sinusitis in adults

Adults must take an antibiotic for sinusitis, because without these medications there will be no positive result. If the doctor is completely sure that the problem arose as a result of the influence of bacteria and because of them the inflammatory process began, then there is only one thing left: to choose which of the many antibiotics is suitable in a particular case for adult patients.

For the treatment of acute sinusitis, it is better to choose penicillins

Experts have been studying for a long time exactly how different antibiotics act to treat sinusitis. You should not conduct numerous experiments on your own and choose antibiotics to treat the problem, because doctors have long ago determined which drugs are suitable for this or that form of sinusitis.

To treat acute sinusitis in adults, it is necessary to use drugs from the penicillin group.

Amoxicillin is considered the most effective remedy that helps get rid of the disease. After just a week of using the medicine in tablets, a significant improvement in the sick person’s well-being occurs.

Amoxicillin is effective because it kills microorganisms, because in the acute form they secrete beta-lactamase. This is a unique enzyme that is destroyed by penicillins.

Recently, experts have begun to conduct additional research and have come up with quite a lot of other medications that help with acute sinusitis. These drugs are still based on protected penicillins.

In order to kill bacteria even better, this product can be mixed with clavulanic acid.

Penicillins without and with clavulanates

If the antibiotic contains clavulanic acid, then it completely kills all microorganisms that cause acute sinusitis. At the same time, antibiotics of this type can also be used to treat the chronic form of the disease. Amoxicillin (an unprotected antibiotic) has recently begun to be used less and less for the treatment of sinusitis in adults. Most often it is prescribed to children whose bodies are not yet familiar with many bacteria.

This antibiotic is practically not used at all for the treatment of chronic sinusitis. This is due to the fact that recently the resistance of bacteria to Amoxicillin has increased several times.

Unprotected antibiotics have lost their popularity and are rarely used, because the protected version of the medicine is several times more effective and helps treat sinusitis not only in adults, but also in children, has fewer contraindications, and the recovery process is faster.

Antibiotic Amoxicillin

Medicines containing amoxicillin are completely safe for the human body and are well tolerated. This antibiotic is effective against almost all bacteria that can cause the development of sinusitis. It does not affect only those strains that produce penicillinase.

A huge advantage of Amoxicillin is its availability in different forms: tablets, suspensions, drops, and so on. For the treatment of an adult, 1 tablet is prescribed 3 times a day. The course of treatment for acute sinusitis is 2 weeks.

Today there are quite a lot of drugs based on amoxicillin. The following are considered the most popular:

Austrian Ospamox.
Flemoxin Solutab - tablets that dissolve in the mouth or in liquid, manufactured by Astellas.
Hiconcil, a Slovak drug.
Protected Amoxicillin with added clavulanic acid.

Recently, due to the fact that bacterial resistance to antibiotics has increased significantly, protected types of medicine have become more popular. Amoxicillin with clavulanic acid can kill various types of bacteria that have both gram-positive and gram-negative flora. At the same time, the human body tolerates this antibiotic very well. You can use the medicine even during pregnancy, regardless of the period, which is what is done in obstetric practice today.

The dosage of the drug in the nose will depend on how severe the person's infection is. If there is a mild form of the problem, then to treat acute or chronic sinusitis you need to take 1 tablet every 12 hours. An alternative option is to take the antibiotic in its pure form 3 times a day, but the dosage will be slightly less. If there is a moderate or severe degree of development of sinusitis, then the dose of the medicine will be quite large and should be taken 3 times a day.

If doctors have determined that the cause of sinusitis is pneumonia streptococci, then it is worth increasing the dose of the protected antibiotic by 2 times.

You can cure the acute form of sinusitis in this way in literally 2 weeks, but the chronic form needs treatment for several months, so you need to start timely treatment and not let the problem worsen.

There are quite a lot of analogues of protected Amoxicillin with clavulanic acid.

The most effective among them are: Augmentin, Amoxiclav, Flemoklav Solutab.

Alternative medications for sinusitis in adults are macrolides.

Macrolides can be taken for sinusitis in the same way as antibiotics, because drugs of this type are considered no less effective. They are often used in situations where a person with sinusitis has an allergic reaction and intolerance to penicillins. It is worth noting that macrolides in most cases are prescribed for the treatment of sinusitis when, over the past 3 months, a person has already treated the problem with drugs from the penicillin group. The most effective options for these drugs are Azithromycin and Clarithromycin. They are often prescribed for the treatment of inflammation in the maxillary sinuses.

Antibiotic Azithromycin

This medicine is an incredibly popular antibiotic, which consists of 3 tablets and is used not only to treat sinusitis, but also many other infectious diseases. The drug is excreted from the human body for quite a long time, and therefore it is enough to take it once a day. A huge plus is that the medicine can kill a wide variety of bacteria and infections. This means that absolutely all microorganisms that can provoke the development of sinusitis are sensitive to Azithromycin. At the same time, Azithromycin is considered a relatively safe antibiotic with a minimum number of side effects.

Azithromycin is considered by experts to be one of the most reliable drugs in category B. It can be used to treat sinusitis in pregnant women, but only if the risk to the mother’s life is greater than that of her child. To this antibiotic only in isolated cases can addiction occur. As numerous practice shows, even if you take the medicine for several months, there is very little chance that any new resistant strains of harmful bacteria will develop.

If a patient with sinusitis has an acute form of the disease, then in this case it is necessary to take 1 tablet of the drug per day for 5-7 days. If the inflammatory process is chronic, then the dosage is the same, but the doctor will prescribe a longer course of treatment. Its duration will vary in each individual case.

Today, there are several fairly effective analogues of the drug Azithromycin. Most often, Croatian-made Sumamed from the company “Pliva”, Serbian Hemomycin and many drugs under the trade name Azithromycin, produced by domestic and foreign manufacturers, can be used to treat sinusitis.

Antibiotic Clarithromycin

A distinctive feature of the effective antibiotic Clarithromycin from Azithromycin is that it belongs to category C. This means that it has an extremely negative effect on the child and for this reason the medicine cannot be used to treat sinusitis during pregnancy. At the same time, the medicine is eliminated from the human body several times faster. Clarithromycin should not be taken by children under six months old. Otherwise, the characteristics of both drugs are the same.

It is necessary to take the antibiotic Clarithromycin 2 times a day, 500 mg, the course of treatment and its duration will completely depend on the severity of acute sinusitis observed in a person. As a rule, in order to get rid of this unpleasant problem, 2 weeks, or even 10 days, are enough.

Most often, doctors prescribe patients to take the original medicine Klacid, which is of excellent quality. The antibiotic is manufactured by the French company Abbott. If we talk about cheaper analogues, which are also of good quality, then you can opt for Fromilid, made in Slovakia. In addition, drugs such as Clarithromycin Zentiva are often used.

Sinusitis is a very serious disease that must be treated promptly. Since the development of the problem is caused by bacteria, treatment without the use of antibiotics will be ineffective. It is not recommended to select the drug yourself. The doctor should prescribe the medicine, dosage and duration of use after a thorough examination and establishment of the severity of the disease.

respiratoria.ru⁫>