Suprax or Flemoxin Solutab, which is better for otitis media


Composition (active ingredient) of the antibiotic

The active ingredient of the drug is a penicillin antibiotic - amoxicillin trihydrate. It inhibits the growth and development of a large number of different microorganisms. Doctors often prescribe medications containing this substance to treat children. Amoxicillin is quickly absorbed from the gastrointestinal tract and is acid-resistant.

Dispersible tablets "Flemoxin Solutab" also contain auxiliary components, including:

  • fiber is an environmentally friendly, safe substance; it is dietary fiber in the form of a light powder; when used in medicines, it promotes greater bioavailability;
  • flavoring “vanillin” - a component in crystalline form, used to impart a specific smell, which can cause allergies;
  • “lemon” and “tangerine” flavors are substances that are included in medications for children; some doctors consider such additives with the taste and smell of citrus fruits to be dangerous;
  • crospovidone is a polymer that is used in tablet preparations as a disintegrant, does not cause side effects, and is considered safe;
  • magnesium stearate - a powdery substance, a stabilizer, recognized as safe, but may have a laxative effect;
  • saccharin is a sugar substitute, a component necessary to give medicine a sweet taste; there is debate about the safety of this sweetener.

The presence of additional substances in dosage forms produced for children is justified in some cases. A child cannot always take a bitter tablet or a capsule with an unpleasant odor. However, it is necessary to take into account the risk of an allergy to one of the components when supplementing treatment with antihistamines.

Which one is better, when and for whom?

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As a therapeutic component, Suprax contains cefixime, which is a third generation cephalosporin. Upon contact with a microorganism, it inhibits the biosynthesis of its cell wall, which causes the death of the bacterium.

The antibiotic is active against microbes that produce β-lactamases. Once in the human body, it can cause the death of the following types of gram-positive and gram-negative pathogenic agents:

  • Streptococci.
  • Haemophilus influenzae.
  • Proteus.
  • Gonococci.
  • Escherichia coli.
  • Moraxella catharalis.

In laboratory conditions, cefixime showed activity against the following bacteria:

  • Klebsiella.
  • Citrobacter.
  • Serrations.
  • Salmonella.
  • Shigella.

Most types of staphylococci are resistant to cefixime, including methicillin-resistant strains, pseudomonas, clostridia, enterobacteria, and bacteroides.

Suprax is available in several dosage forms:

  1. Granules from which a suspension for oral administration is prepared. In addition to cefixime, the drug contains inactive ingredients: E 211, strawberry flavor, E 415, sucrose.
  2. Capsules for oral administration. They contain the following inactive components: aerosil, E 576, E 122, E 132, gelatin, calcium carmellose, titanium white, shellac, ethyl alcohol, isopropanol, butanol, macrogol, sodium hydroxide, povidone.

In addition, Suprax Solutab is available for sale, which is available in soluble tablets.

Which is better Suprax or Flemoxin should be decided by the doctor depending on the sensitivity of the pathogen to the antibiotic, the age of the patient, the presence of concomitant diseases, and the patient’s body’s response to antibiotic therapy.

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These drugs can be purchased strictly according to a prescription, so self-medication with them is unacceptable.

It is quite difficult to compare Suprax and Flemoxin Solutab, because they belong to different pharmacological groups, which means their active components also differ. However, the 2 drugs have a number of similarities.

Similarities

Both antibiotics work the same way. The mechanism of their action is to stop all important vital processes in the cells of pathogenic microflora.

Antibiotics are also similar in that they come in tablet form. Both Suprax and Flemoxin are not recommended for use during pregnancy; there must be special indications for prescribing these drugs to pregnant women.

The mechanism of action of Suprax and Flemoxin Solutab is to stop all important vital processes in the cells of pathogenic microflora.

What is the difference?

There are many differences in antibiotics:

  1. Suprax has several forms of release: adult patients are prescribed tablets, children - a suspension. Flemoxin is available only in tablets.
  2. The pharmacological groups differ: Suprax belongs to the cephalosporins, Flemoxin belongs to the penicillin series.
  3. The active ingredients differ: Suprax is based on cefixime, Flemoxin is based on amoxicillin.
  4. Suprax has a high degree of toxic effects on the body. Unlike Flemoxin, the dosage of Suprax should be adjusted if necessary to treat elderly patients over 65 years of age.
  5. Suprax has an extensive list of side effects, and the likelihood of their occurrence is higher. Flemoxin has a milder effect, and the risk that complications from its use will arise is minimal.

Which is cheaper?

Flemoxin Solutab is cheaper than Suprax. Its price is 250 rubles. A package of Suprax, which contains 6 capsules, costs from 650 to 800 rubles.

It is impossible to say which antibiotic is preferable. Both drugs are antibiotics of different pharmacological groups, therefore they have different characteristics. The choice of one or another antibacterial drug depends on many factors. First of all, the patient’s age and the characteristics of the course of the infectious disease, the presence or absence of complications are taken into account.

For adult patients, preference is given to Suprax in the treatment of infectious diseases.

For adults

For adult patients, preference is given to Suprax in the treatment of infectious diseases. This antibiotic is stronger and more effective compared to Flemoxin. The adult body tolerates antibiotics better and is therefore less susceptible to side effects.

Flemoxin Solutab can also be prescribed to adults if it has an effect on the type of pathogen that caused the infectious disease.

For children

Flemoxin is allowed to be given to children from 3 months with individual selection of the dosage of the drug. Suprax can be given to a child no earlier than 6 months.

Flemoxin is more often prescribed to children due to its mild effects and minimal risk of side symptoms. The advantage of this antibiotic is that it is more convenient to take, although it is produced in tablets. Some difficulties may arise with diluting the Suprax suspension, and in its finished form the drug has a limited shelf life of no more than 2 weeks.

If an antibiotic is prescribed to a small child, the Flemoxin tablet must be dissolved in water, juice, formula or breast milk. The tablets dissolve quickly in a minimal amount of liquid.

Flemoxin Solutab: Instructions for use

This drug belongs to the cephalosporin group of antibiotics. Its active ingredient is cefixime, which is active against many pathogenic microorganisms. Suprax is available in 2 dosage forms: capsules intended for use by adult patients, and granules from which a suspension is prepared used to treat children.

Suprax is prescribed for diseases caused by pathogenic microflora sensitive to cefixime:

  • pharyngitis, sinusitis, tonsillitis, otitis media;
  • chronic bronchitis;
  • urinary system infections;
  • uncomplicated gonorrhea.

Side effects include the following:

  • dry mouth, nausea, stool upset, dysbacteriosis and other disorders of the digestive system;
  • leukopenia, anemia and other disorders in the hematopoietic system;
  • headache, dizziness;
  • interstitial nephritis;
  • development of allergies.


Suprax is not prescribed to patients experiencing hypersensitivity to cephalosporin antibiotics.

This medicine belongs to the penicillin group of antibiotics. The active component is amoxicillin, which is active against many gram-positive and gram-negative microorganisms. Release form: dispersible tablets.

Flemoxin Solutab is used for bacterial infections of the respiratory system, genitourinary system, skin, and digestive system.

The medication has one absolute contraindication - intolerance to the components included in its composition. Relative contraindications include lymphocytic leukemia, mononucleosis of infectious origin, kidney problems, gastrointestinal diseases, pregnancy and breastfeeding.

While taking the drug, side effects may develop. They manifest themselves as nausea, diarrhea, development of colitis, nephritis, anemia, neuropenia, etc. If unpleasant symptoms appear during therapy, you should stop taking the pills and consult a doctor. The specialist will adjust the course of treatment.

There are similarities between the drugs, but there are still more differences.

Similarities

The mechanism of action of both drugs is aimed at stopping the vital activity of bacterial cells. Both medications are offered in oral dosage forms.

What is the difference

The difference between the drugs is as follows:

  • release forms - Suprax has more of them;
  • group of drugs - Flemoxin is a representative of penicillins, and Suprax is a cephalosporin;
  • active ingredients - Suprax is produced on the basis of cefixime, and Flemoxin is based on amoxicillin;
  • Suprax has more contraindications and side effects.


You can buy Flemoxin Solutab for 230 rubles. for 20 tablets with a dosage of 125 mg.

Which is cheaper?

The cost of drugs depends on the dosage, the number of tablets in the package, and the form of release. You can buy Flemoxin Solutab for 230 rubles. for 20 tablets with a dosage of 125 mg. The price of 6 capsules of Suprax with a dosage of 400 mg is about 720 rubles, granules for suspension are about 590 rubles.

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An antibiotic that has 2 release forms - tablets and granules intended for preparing a suspension. Pharmacological group – cephalosporins. The active substance is cefixime.

The mechanism of action is to stop vital processes occurring in the cells of pathogenic microflora due to the destruction of cell membranes by the main substance. Without the opportunity to develop, grow and reproduce, pathogens die.

Indications for use of Suprax:

  • infectious diseases of the upper respiratory tract - bronchitis (acute and chronic), sinusitis, pharyngitis, otitis media, tonsillitis and pneumonia;
  • damage to the urinary system - kidney infections, inflammation of infectious origin in the bladder;
  • treatment of diseases of the reproductive system – endometritis, colpitis.

The likelihood of side symptoms occurring is present if there are contraindications to taking the medication or due to its improper use.

Suprax is used during pregnancy and lactation, but only if there are special indications, when the positive result from its use outweighs the risks of complications.


Headaches may occur when using Suprax.


The antibiotic Suprax can cause allergies.


The drug can be taken during pregnancy, but only if there are special indications.

The dosage of the suspension is determined individually depending on the patient’s weight and the severity of the infectious disease.

Which is cheaper?

Pharmacological properties and indications for use

The antibiotic "Flemoxin Solutab" works in the body against many types of bacteria.

The drug can be taken both with food and separately from it. It is absorbed in a short time, starting to work, on average, half an hour after administration. Penetrates into all organs and tissues. Excreted by the liver and kidneys.

The antibiotic is used both in the form of monotherapy and as part of complex treatment of infectious diseases:

  • sore throat, tonsillitis;
  • inflammation of the lung tissue;
  • bronchitis;
  • inflammation of the meninges;
  • skin infection;
  • bacterial infections affecting the gastrointestinal tract;
  • pyelitis, pyelonephritis;
  • glomerulonephritis;
  • osteomyelitis;
  • acute poisoning.

Before using the drug in any given case, you must first visit a doctor who will determine the nature and nature of the disease and select the appropriate dosage of the drug.

Instructions for taking Flemoxin Solutab tablets for children

Flemoxin Solutab is produced only in tablet form, in volumes of 125, 250, 500 and 1000 mg. The dose of the drug is calculated by the pediatrician, based on the characteristics of the course of the disease, the age and weight of the child. The tablets are chewed, swallowed or a suspension is prepared from them.

If the infection is mild or moderate, the following is prescribed:

  • for young patients from one to three years old, take Flemoxin Solutab 250 mg tablets twice a day;
  • children aged three to ten years take tablets in the same dosage three times a day;
  • adults and children over ten years of age are advised to take a different dosage of the drug - Flemoxin Solutab 500 mg taken twice a day.

If the doctor determines that the bacterial infection is acute, he prescribes the use of the drug in high doses, which must be divided into three doses during the day. The dosage for a child in this case is calculated taking into account his weight - 60 mg of the drug per kilogram.

The course of treatment for diseases occurring in mild and moderate forms ranges from five to seven days. In case of complicated diseases, the duration of therapy is determined by the doctor.

Suprax or Flemoxin Solutab: which is better and comparison of drugs

Pharmaceutical companies produce a wide variety of drugs with antibacterial activity. Therefore, patients and parents are concerned about which is better: Suprax or Flemoxin Solutab? The choice of treatment directly depends on the individual characteristics of the patient’s condition and medical history.

Characteristics of Suprax

This medication belongs to antibiotic drugs and third generation cephalosporins. The central active compound is cefixime. The pharmacological effect is achieved by inhibiting the vital activity of pathogenic bacteria, as a result of which their cell membrane is destroyed and they die.

It is advisable to take the medicine in the following cases:

  • infectious diseases of the upper respiratory tract;
  • damage to the urinary system;
  • diseases of the reproductive system of an infectious nature.

There are a number of contraindications: an individual reaction of the immune system to a specific component, porphyria and intolerance to the active substance. The development of side effects cannot be ruled out: stool upset, painful discomfort, migraines, shortness of breath, anemia.

Features of Flemoxin Solutab

The pharmacological effect of taking Flemoxin directly depends on amoxicillin, which is a penicillin antibiotic. The drug affects the biosynthesis of pathogenic bacteria, resulting in destruction of the cell membrane and immediate death. There is only one release form - tablets.

It is worth noting that Flemoxin is not active against pathogenic pathogens that produce lactamase. The main indications include:

  • diseases of the upper respiratory tract of an infectious nature;
  • damage to the genitourinary system;
  • diseases of soft tissues, joints and skin;
  • infectious lesions of the oral cavity;
  • prostatitis.

Before using the drug, it is important to consider a number of contraindications: bronchial asthma, pregnancy and lactation, allergic diathesis, ARVI, renal and hepatic dysfunction, oncology of the circulatory system, infectious mononucleosis. Undesirable reactions may occur: attacks of nausea, jaundice, rashes, sleep disturbance, stomatitis, candidiasis of the mucous membranes, breathing problems.

Comparison of medicines

The comparative characteristics of two antibiotic drugs are based on their similarities, as well as some significant differences, since the drugs belong to different pharmacological groups.

Similarity of the drug

If you compare these two drugs, they will be similar only in terms of their therapeutic effect. The therapeutic effect is achieved by the fact that the active compound penetrates the shell of the pathogenic bacterium, inhibits all its vital processes, which ultimately leads to the death of the pathogenic cell.

Another similarity is that both drugs are available in tablet form. Also, both Suprax and Flemoxin can be prescribed during pregnancy, but this must be recommended by the attending physician.

Drug difference

There are several significant differences in the two antibiotic agents. Suprax is produced by pharmaceutical companies in two forms: tablets and suspension.

The first is usually prescribed to adult patients, and the second to children. Flemoxin is sold exclusively in tablets.

Also, the drugs belong to different pharmacological groups: Suprax is from the group of cephalosporins, Flemoxin belongs to the penicillin series.

The active compounds also differ: the central one in Suprax is cefixime, in Flemoxin it is amoxicillin. It is also important to note that Suprax has a large toxic effect on the body.

Its dosage is adjusted for elderly patients.

Suprax also has an extensive list of negative reactions and a high probability of their development, while Flemoxin acts milder and safer.

Is it possible to replace one drug with another?

Yes, if for any reason one drug is contraindicated for the patient, it can be replaced with another similar drug. This is explained by the fact that although Suprax and Flemoxin belong to different pharmacological groups, they have similar indications and also fight bacterial damage.

Which is better: Suprax or Flemoxin Solutab

It is impossible to definitively answer which antibiotic drug is the best, since each of them has different characteristics. The choice of treatment directly depends on the following indicators: age, medical history and the presence of contraindications.

Choice for a child

Both drugs have certain age restrictions. Suprax is prescribed to children from six months of age in the form of suspensions, and Flemoxin is prescribed to patients from three months, taking into account the condition and selection of the dosing system. As a rule, due to its mild effects and minimal toxicity, Flemoxin is prescribed to young children.

However, if it is not possible to take tablets, Suprax is prescribed in the form of a suspension.

Flemoxin is often prescribed to young children who are not able to independently take the tablet form. In this case, the tablets can be diluted in water or milk formula.

By action

In terms of pharmacological effects, Suprax is considered a stronger drug, since it belongs to the group of third-generation cephalosporins, while Flemoxin belongs to a rather weak category of antibiotics. However, both drugs are prescribed against diseases of an infectious nature.

For adults

Adult patients are recommended to choose Suprax, since it is a stronger antibiotic and has an immediate therapeutic effect. The adult body adapts better to antibiotics, and therefore reduces the risk of unwanted reactions.

However, Flemoxin Solutab can also be prescribed to adult patients if it is active against the pathogenic agent that caused the progression of the disease.

Which is cheaper?

When compared in terms of cost, Suprax is one of the more expensive antibiotic drugs, which is its main disadvantage. One package of capsules, which includes six pieces, will cost between 700-800 rubles. Flemoxin in this regard will be much cheaper - one package of this drug will cost 250 rubles.

Doctors' opinions and patient reviews

Valentina Andreevna, therapist

“Both Suprax and Flemoxin are effective drugs with antibiotic activity. However, now Suprastin is prescribed somewhat more often, since it is able to have a pronounced therapeutic effect. For mild infectious diseases, Flemoxin is sometimes recommended.”

Andrey Anatolyevich, pediatrician

“In my practice, I often prescribe drugs from the penicillin group, as they are quite effective, easily tolerated and rarely cause side effects. In case of prolonged infection and the presence of complications, Suprax is prescribed, since the range of its use is wider.”

Alexandra, patient

“Every time a child was sick and needed an antibiotic, we were prescribed Flemoxin. The drug coped well with the disease and did not cause adverse reactions. But recently we were switched to Suprastin - I didn’t notice much of a difference.”

Yulia Kalashnik

Source: https://VipLor.ru/preparaty/supraks-ili-flemoksin-solyutab-chto-luchshe

Drug interactions

Instructions for use of the antibiotic "Flemoxin Solutab" contain data regarding the simultaneous use of the drug with other drugs.

  1. NSAIDs, Aspirin, Phenylbutazone, Febuxostat interfere with the absorption of amoxicillin in the body and its excretion.
  2. Flemoxin Solutab reduces the effectiveness of COCs taken.
  3. If an antibiotic is used while taking Heparin, Fragmin and other blood thinning agents, the intestinal microflora may be affected.
  4. Antacids and laxatives reduce the absorption of the antibiotic.
  5. The drug should not be taken simultaneously with medications that also contain penicillins.

Self-medication and the simultaneous uncontrolled use of various medications can lead to complications and adverse reactions, so before starting therapy with an antibiotic, you need to visit a specialist who treats chronic pathologies.

Contraindications, side effects and overdose

Undesirable side effects may occur when taking the drug.

These include:

  • pain in the abdomen, nausea, heartburn;
  • diarrhea associated with changes in the microbial composition of the intestinal microflora;
  • involuntary muscle contractions;
  • weakness, dizziness;
  • cystitis;
  • decreased hemoglobin levels;
  • rashes and hyperemia of the skin;
  • itchy dermatoses;
  • angioedema.

It is prohibited to take the drug in the following cases:

  • individual hypersensitivity reaction to components, especially if an allergy to penicillin antibiotics was previously observed;
  • period of childbearing and breastfeeding;
  • chronic gastrointestinal diseases;
  • lymphocytic leukemia;
  • renal failure.

When used in therapy at the recommended dosage of Flemoxin Solutab for children, it is impossible to exceed the permissible concentration.

However, if the drug is used uncontrolled, the following symptoms may appear:

  • general weakness and malaise;
  • nausea, vomiting;
  • movement coordination disorder;
  • rhythmic muscle contractions.

If these signs of overdose occur, it is necessary to use enterosorbents to normalize the condition, as well as intravenously administer electrolyte solutions.

Characteristics of Suprax

An antibiotic that has 2 release forms - tablets and granules intended for preparing a suspension. Pharmacological group: cephalosporins. The active substance is cefixime.

Suprax is prescribed for damage to the urinary system.

The mechanism of action is to stop vital processes occurring in the cells of pathogenic microflora due to the destruction of cell membranes by the main substance. Without the opportunity to develop, grow and reproduce, pathogens die.

Indications for use of Suprax:

  • infectious diseases of the upper respiratory tract - bronchitis (acute and chronic), sinusitis, pharyngitis, otitis media, tonsillitis and pneumonia;
  • damage to the urinary system - kidney infections, inflammation of infectious origin in the bladder;
  • treatment of diseases of the reproductive system - endometritis, colpitis.

Contraindications for use:

  • individual intolerance to individual components of the antibiotic;
  • porphyria;
  • an allergic reaction that occurs after previously taking Suprax or other antibiotics of this pharmacological group.

The age limit for taking pills is up to 12 years. It is preferable to give a suspension to this category of patients.

Taking Suprax may cause pain in the abdomen.

Possible side effects:

  • nausea and vomiting;
  • painful sensations in the abdomen;
  • headaches, dizziness;
  • allergic reactions on the skin;
  • development of jaundice;
  • dyspnea;
  • anemia;
  • laboratory blood changes.

The likelihood of side symptoms occurring is present if there are contraindications to taking the medication or due to its improper use.

Suprax is used during pregnancy and lactation, but only if there are special indications, when the positive result from its use outweighs the risks of complications.

The recommended dosage for children over 12 years of age and adults is 400 mg per day, which is divided equally into 2 applications or consumed at one time. The course of treatment ranges from 10 to 14 days; in case of uncomplicated course of the disease, the duration of taking the drug can be reduced to 3 days.

The dosage of the suspension is determined individually depending on the patient’s weight and the severity of the infectious disease.

Antibacterial spectrum drug; pharmacological group - penicillin drugs. The release form is only tablets that easily dissolve and dissolve in water and other liquids.

Indications for use of Flemoxin Solutab:

  • infections of the upper respiratory system - sore throat, sinusitis, pharyngitis, laryngitis, acute and chronic bronchitis, pneumonia, otitis media;
  • infectious lesions of the urinary system;
  • skin and soft tissue infections;
  • damage to joint and bone tissue by pathogenic microflora;
  • dental diseases, infections in the oral cavity;
  • prostatitis.

The drug is used both to treat infections that are already developing, and as a prophylaxis to prevent secondary infections after surgical interventions.

Contraindications:

  • infectious course of mononucleosis;
  • oncology of the circulatory and lymphatic system;
  • diathesis with allergic etiology;
  • allergic reactions to antibiotic components;
  • renal and liver failure;
  • bronchial asthma;
  • ARVI and other viral diseases.

Side effects:

  • development of allergic rhinitis;
  • skin rash, urticaria, redness of the skin;
  • rarely - nausea and vomiting, abdominal and stomach pain;
  • jaundice;
  • respiratory failure with the development of shortness of breath;
  • candidiasis of the mucous membranes, incl. vagina;
  • insomnia;
  • neutropenia;
  • stomatitis.

Flemoxin Solutab can cause breathing problems with the development of shortness of breath.

The risk of adverse symptoms is present in the presence of contraindications and improper use of the antibacterial drug.

Rules of application:

  • children over 12 years of age and adult patients - the daily dosage is 1500 mg, divided into several doses;
  • dosage for children 3-10 years old: 700 mg, from 12 months to 3 years: 500 mg.

The course of treatment is at least 5 days.

Analogues of Flemoxin Solutab

There are a large number of analogues of this antibiotic that are used to treat children. Often their price is lower than that of the original drug, and the release forms are also suitable for young patients.

  1. "Amosin" is called a budget substitute for "Flemoxin Solutab". Available in capsules, tablets and powder for suspension. Children under five years of age can only be given the product in the form of syrup.
  2. "Ospamox" has the same release forms and is produced in Austria. When preparing a suspension from the powder, a substance with a sweet-bitter taste is obtained, which is difficult for the baby to drink. It is noted that the drug is easier to tolerate than its domestic counterpart.
  3. Amoxicar is produced in Palestine and is in the middle price range. For children from birth it is produced in the form of a powder for the preparation of a suspension. The medicine tastes sweet and has orange flavor.
  4. Grunamox is an antibiotic produced in Germany. It has the same active ingredient – ​​amoxicillin. Available in the form of tablets and powder for dilution.
  5. Amoxicillin is a Russian-made drug and has a low cost. However, experts say it is safer, and side effects occur less often when used.

If there is a need to replace a drug recommended by a doctor with its analogue, you must consult your doctor again to exclude incorrect dosage calculations or possible adverse reactions.

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