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SUMETROLIM 480 mg. 20 tablets View full size

SUMETROLIM 480 mg. 20 tablets

Sumetrolim is a combination of sulphonamide and trimethoprim with antimicrobial action.

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15.00 €


SUMETROLIM 480 mg. 20 tablets

Sumetrolim is shown in the case of infections caused by pathogens that are sensitive to the combination such as:

Respiratory tract infections: bronchitis, sinusitis, middle ear infection, some forms of pneumonia;
Gastrointestinal infections: inflammatory bowel disease, "diarrhea of travelers", typhus typhus;
Urinary tract and kidney infections: acute cystitis;
Sexually transmitted infections: prostatitis (inflammation of the prostate), adnexitis (inflammation of the ovaries);
Skin infections: boils (inflamed hair follicle containing pus), abscess, wound infection;
Other bacterial infections: acute brucellosis (in combination), cat scratch disease, prophylaxis and treatment of toxoplasmosis, etc.
Dimetrol tablets are used in children and adolescents aged 6 to 18 years and in adults. For treatment of children aged 6 weeks to 6 years, another form of sulfamethoxazole and trimethoprim should be used.

2. What you need to know before taking Sumetrolim
Do not take
If you or your child are allergic to sulfamethoxazole or trimethoprim or any of the other ingredients of this medicine (listed in section 6);
If you or your child have had allergic reactions to sulphonamide derivatives and compounds of similar chemical structure (these include some anti-infective drugs, sulphonylureas antidiabetic medicines and thiazide diuretics);
If you or your child have acute hepatitis, severe hepatic impairment or metabolic disease (acute hepatic porphyria);
If you or your child have haematological disease, anemia associated with folic acid deficiency, certain enzyme deficiency (glucose-6-phosphate dehydrogenase enzyme);
If you or your child have severe kidney damage (unless you can be subjected to dialysis);
If you are pregnant or breast-feeding;
Trimethoprim and sulfamethoxazole should not be given to infants during the first 6 weeks after birth and to premature babies under 1 year of age. Trimethoprim and sulfamethoxazole should not be administered at the age of three months unless the benefits are considered to outweigh the possible risks (except for the treatment or prophylaxis of infections caused by Pneumocystis jirovecii (carinii)).

It is recommended to use Sumetrolim syrup in children under the age of 6 years.
Warnings and precautions
Talk to your doctor or pharmacist before taking Sumerolim.
Potentially life-threatening skin rashes (Stevens-Johnson syndrome, toxic epidermal necrolysis) that originally appeared as reddish-like spots or round spots, often blistering, have been reported with the use of Sumemerim.
Additional symptoms to be monitored include ulcers in the mouth, throat, nose, genitals and conjunctivitis (redness and swelling of the eyes).
These potentially life-threatening skin rashes are often accompanied by symptoms resembling influenza. The rash may progress to widespread peeling or flaking of the skin.
The risk of serious skin reactions is highest during the first weeks of treatment. If you have developed Stevens-Johnson syndrome or toxic epidermal necrolysis during treatment with Sumatrolimus, you should not be treated with Sumetrolim again.
If you get a rash or similar skin symptoms, stop taking Sumacrolim immediately, seek medical advice and tell him or her that you are taking this medicine.

If any of the following applies to you, you should tell your doctor before taking this medicine:

If you have been previously treated for a severe allergic reaction or asthma;
If you have any of the following: immune deficiency, dialysis, chronic alcoholism, acquired immune deficiency syndrome (AIDS), chronic liver disease, malabsorption syndrome or malnourishment, as the side effects are more common;
If you have kidney disease, as lower doses and more stringent blood potassium levels may be required in this case;
If you have thyroid disease or your close relatives suffer from porphyria (a rare metabolic disorder), as both components of the medicine may cause the symptoms to reappear or worsen;
Elderly patients are more prone to side effects during treatment with Sumatrolimus, especially if they have concomitant illnesses (liver and kidney problems) and if you are using other medicines at the same time;
In mental disabilities associated with the X chromosome, Sumerolim can lead to worsening of symptoms;
If you suffer from a disease called phenylketonuria, as the metabolism of phenylalanine (amino acid) may be aggravated by one of the active substances (trimethoprim) (especially if you do not follow the diet);
Because of the risk of hypoglycaemia and crystalluria, it is important to take plenty of fluids in the first few days (see section 3 "How to take Sumatromyme").
Other medicines and Sumetrolim
Tell your doctor or
Pregnancy and breastfeeding
If you are pregnant or breast-feeding, think you may be pregnant or plan to become pregnant, ask your doctor or pharmacist for advice before taking this medicine.
The two active substances of this drug affect the metabolism of folic acid, which is essential for the proper development of the fetus. Sumatrolimus should not be used by pregnant women unless this has been expressly told by their doctor.
Because Sumerolim is excreted in human milk, it should not be used during breast-feeding. If the use of the medicine can not be avoided, breast-feeding should be stopped during treatment and for another 3 days after the end of the treatment, the baby should feed on milk from another mother or baby food.

Driving and using machines
There are no clinical data showing that Sumetrolim will affect the ability of patients to drive or operate machines.

3. How to take Sumetrolim
Always take this medicine exactly as your doctor has told you. If you are not sure, ask your doctor or pharmacist.
The tablets should be taken with enough fluids, preferably after a meal. For full recovery, it is important to take these tablets as you have been told even if your symptoms improve before the end of treatment. Make sure you take enough fluids - at least 1.5 liters per day - during treatment.
For long-term treatment, your doctor will require regular blood counts and liver function tests and renal function tests. Folic acid may also be prescribed, which would not jeopardize the antimicrobial efficacy of the treatment, but can still counteract the haematological side effects of long-term drug administration.
Since Sumacrolim can cause photosensitivity, you should avoid exposure to direct sunlight or should be protected with protective clothing and / or photo-protective preparations during treatment.

Unless otherwise prescribed by your doctor, the recommended doses for adults and children over 12 years of age are:

2 x 2 tablets daily (morning and evening). For longer maintenance treatment, the daily dose is 2 x 1 tablet. The maximum daily dose is 2 x 3 tablets.
Use in children:

Children aged 6 years or younger: it is recommended that they be treated with Sumetrolium syrup instead of Sumerclim tablets.
Children aged 6-12: The recommended daily dose for children 6 to 12 years of age is 2 x ¾ - 1 tablet.
Special patient groups
In patients with kidney disease, the dose should be changed by the physician based on renal function and the type of infection.
In the elderly, the dosage is determined by the physician depending on the severity of the infection and by taking into account concomitant diseases and concomitant use of other drugs. In patients with reduced renal function, the dose should be changed accordingly.

If you take more Sumetrolim than you should
Call your doctor immediately. Possible symptoms of overdosage include headache, nausea, vomiting, dizziness, loss of appetite, diarrhea, blurred vision, mental disorders, confusion, fever, punctual bleeding, redness of the skin, jaundice (yellowing of the skin or whites of the eyes) bone marrow. Hematopoietic disorders occur later. Hematuria (urine blanching), crystalluria (urine crystals) and anuria (decreased urine output) may occur.

If you forget to take Sumetrolim
Take the missed dose as soon as possible but only if there is enough time before the next dose comes in.
Do not take a double dose to make up for the missed dose. This will not compensate for it, and you risk overdosing.

If you stop taking Sumetrolim
For full recovery, it is important to take the tablets as prescribed even if your symptoms improve before the end of the treatment.

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everyone gets them.
If used in the recommended doses, this combined medicine is usually well tolerated. The most common side effects are diarrheal and skin allergic reactions.
In very rare cases, serious and sometimes fatal side effects and acute hypersensitivity reactions affecting both the entire body and specific organs (eg skin, liver, lungs, haematopoietic organs) may occur. Severe consequences can be avoided if the instructions are strictly observed and the symptoms are recognized early.
Potentially life-threatening skin rashes (Stevens-Johnson syndrome, toxic epidermal necrolysis) have been reported very rarely (see section 2).
Stop taking Sumetrolim, contact your doctor, Get medical help, or go to the emergency department of the nearest hospital immediately if you experience any of the following symptoms:

swelling of the hands, feet, lips, mouth or throat, resulting in difficulty in swallowing or breathing;
loss of consciousness.
These symptoms are signs of severe hypersensitivity reactions (allergic reactions).
The frequency of these extremely serious side effects is very low.

hives (urticaria), redness of the skin, pruritus
These may occur as symptoms of allergic reactions. Stop using Sumatrolim immediately and contact your doctor to ask / ask him / her for further treatment. To avoid serious consequences, talk to your doctor immediately if the symptoms are severe and appear all over the body.

Stop taking Sumetrolim and contact your doctor if you experience any of the following symptoms:

new coughing and difficulty in breathing;
fever, sore throat and joint pains that can not be explained for other reasons;
skin bleeding with the size of whole body dots;
jaundice, visible in the eyes and skin, dark urine;
skin changes that resemble scaling.
Like other antimicrobial medicines, Sumatrolim may cause so-called diarrhea associated with antibiotic treatment. Talk to your doctor immediately if you have long and severe diarrhea while using Sumatrolimus.

Very common (may affect more than 1 in 10 people):

high levels of potassium in the blood (which can lead to severe cases of muscle spasms and abnormal heart rhythm).
Common (may affect up to 1 in 10 people):

an infection called a thrush or candida that can affect the mouth or vagina. It is caused by fungi;
nausea (vomiting);
allergic skin rashes.
Uncommon (may affect up to 1 in 100 people):

malaise (nausea).
Rare (may affect up to 1 in 1,000 people):

inflammation of the tongue;
inflammation of the mouth.
Very rare (may affect up to 1 in 10,000 people):

reducing the number of white blood cells, making infections more likely;
reducing the number of blood platelets, which increases the risk of bleeding and bruising;
feeling weak, fatigue or apathy, pale skin (anemia);
methaemoglobinaemia (a disorder characterized by the presence of a higher level of methaemoglobin in the blood, resulting in a total reduction in the ability of red blood cells to release oxygen to the tissues);
increased number of eosinophils in the blood (certain types of white blood cells);
allergic reactions with rash, itching and hives, symptoms of fever, swelling of the joints and joint pain, muscle aches, swollen lymph nodes and / or flu-like symptoms (signs of serum sickness);
inflammation of the heart;
severe allergic reactions that cause swelling of the face or throat;
violet skin rash, abdominal pain, joint inflammation, blood in stools, blood in the urine (purple of Henoch-Schonlein);
inflammation of the blood vessels (periarthritis nodosa);
systemic lupus erythematosus (a disease affecting your natural defense system);
low blood sugar;
low levels of sodium in the blood (which can lead to severe cases of fatigue and confusion, muscle twitching, convulsions and coma);
Lack of appetite;
view of strange and unusual images (hallucinations);
sudden headache or numbness of your neck accompanied by fever (meningitis);
seizures (convulsions or convulsions);
weakness, tingling or numbness of the hands and feet;
difficulty controlling muscle movements;
feeling dizzy or dizzy;
ringing or other unusual sounds in your ears;
eye inflammation;
inflammation of the pancreas, which causes severe pain in the abdomen and back;
increased levels of bilirubin in the blood and some liver and kidney function parameters;
hepatic inflammation;
skin irritation with scaling, rash, erythema;
severe skin reactions: Stevens-Johnson syndrome and toxic epidermal necrolysis;
pain in the muscles or joints;
impaired kidney function (sometimes renal insufficiency has been reported);
increased levels of liver enzymes.
Not known (can not be estimated from the available data):

loss of appetite.
In addition to the above side effects, crystals in the urinary tract can be observed.
How to store Sumetrolim
Store below 30 ° C.
Keep out of the reach and sight of children.
Do not use this medicine after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.
Do not dispose of medicines in the sewage system or in the household waste container. Ask your pharmacist how to dispose of medicines you no longer use. These measures will help to protect the environment.

6. Package Contents and Additional Information
What Sumetrolim contains
The active substances are: 400 mg of sulfamethoxazole and 80 mg of trimethoprim in each tablet.
The other ingredients are: stearic acid, glycerol, sodium starch glycolate (type A), magnesium stearate, gelatin, talc, potato starch.

What Sumetrolim looks and what the package contains
White or greyish-white, round, flat, bevelled tablet marked "SUMETROLIM" on one side and two cross-stitch marks on the other side.
Each carton contains 20 tablets in a blister pack.



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SUMETROLIM 480 mg. 20 tablets

SUMETROLIM 480 mg. 20 tablets

Sumetrolim is a combination of sulphonamide and trimethoprim with antimicrobial action.

Write your review