Vilprafen Solutab for children: instructions for use

In antibiotics, macrolides noted high activity against many pathogens. One of the representatives of this group of antibacterial agents is Vilprafen Solutab. Is this drug allowed for children, which microorganisms it affects, how it is properly used and what side effects it can provoke?

The drug is represented by dispersible white-yellow or white oblong tablets. They taste sweet, smell like strawberries. On one side of the tablet is the number 1000, and the other side is labeled IOSA. The drug is packaged in blisters of 5 pieces, and one pack includes 10 tablets.

The main component of the antibiotic Vilprafen Solutab is represented by josamycin. Its dosage per tablet is 1000 mg. For the drug to be solid, to keep its shape and dissolve in water, colloidal silicon dioxide, hyprolose and magnesium stearate, as well as sodium docant and microcrystalline cellulose are added to it. For a pleasant taste in the preparation there are strawberry flavor and aspartame.

In josamycin, a bacteriostatic effect is observed, due to the binding of this substance to the ribosomes of microbial cells, as a result of which the synthesis of protein molecules is disturbed in bacteria. This leads to slower reproduction and growth of microorganisms.

The drug is active against:

• Streptococci (including pneumococci and pyogenic species).
• Diphtheria pathogens.
• Meningococci.
• Peptococcus.
• Listeria.
• Staphylococcus (including golden).
• Gonokokkov.
• Legionella
• Anthrax pathogens.
• Bordetell.
• Clostridium.
• Borelli.
• Pale treponema.
• Propionobacteria.
• Peptostreptokokk.
• Ureaplasma.
• Moraksell.
• Brucella.
• Gonokokkov.
• Helicobacter.
• Hemophilic sticks.
• Chlamydia.
• Bacteroids.
• Campylobacter.
• Mycoplasma

In this case, the drug is often inactive when infected with enterobacteria. It almost does not act on the normal intestinal microflora. Note also that the drug usually acts on microbial strains that are resistant to erythromycin and other macrolides.

The tablet is very quickly absorbed in the digestive tract, and food intake in this process does not affect. The maximum josamycin in plasma is determined approximately one hour after taking the medicine. The half-life of the drug is carried out in 1-2 hours, while only 10% of the drug is excreted by the kidneys, and most of it after metabolic changes in the liver is excreted in the bile.

Treatment with the drug "Vilprafen Solutab" prescribe:

• With tonsillitis, otitis media, peritonsillitis, scarlet fever, sore throat, diphtheria, laryngitis and other infections of the upper respiratory tract.
• With bronchitis, whooping cough, community-acquired pneumonia and other bacterial diseases of the lower respiratory tract.
• With alveolitis, gingivitis, periodontitis and other dental infections.
• With bacterial eye disease - for example, when blepharitis.
• When erysipelas, cellulitis, panaritium, furunculosis, burn infection, lymphadenitis and other lesions of soft tissues.
• With gonorrhea, chlamydial urethritis, syphilis and other infections of the urinary organs.
• In diseases of the gastrointestinal tract caused by Helicobacter.

The limitation in the appointment of "Vilprafen Solutab" is not the age of the child, but his weight. The drug is allowed only for children weighing more than 10 kilograms. This means that one child may be prescribed a drug at 6 months, and another karapuzu pills can be given only from 1 year. It all depends on body weight.

"Vilprafen Solutab" is not assigned if a child has:

• There is intolerance to josamycin or other pill ingredients.
• Allergy to any antibiotic macrolide has been detected.
• Severely impaired liver function.

A child’s body may react to Wilprafen Solutub with the appearance of:

• Nausea
• Unpleasant sensations in the stomach.
• Vomiting.
• Thinning stools.

Rare side effects of taking such an antibiotic: constipation, angioedema, decreased appetite, stomatitis, urticaria, jaundice, hearing impairment or purpura.

• "Vilprafen Solutab" can be taken in different ways - like swallowing a pill or part of it, drinking water, and dissolving the drug in water, taking a liquid in a volume of 20 ml or more. If the medication is dissolved, the suspension should be mixed well before swallowing.
• The daily dose of "Vilprafen Solutab" for a child is calculated by weight. At 1 kilogram of body weight you need from 40 to 50 mg of active substance. For example, a 4-year-old child weighing 16 kg will receive 750 mg of josamycin per day, so he is given 1/4 pill three times a day. If the baby is 6 years old and his weight is 20 kg, then the daily dose will be 50x20 = 1000 mg. This amount corresponds to 1 tablet. For such a small patient, a medicine is prescribed 1/2 tablet twice a day.
• At the age of over 14 years old, 1-2 units are administered per day, dividing this dosage into 2 or 3 doses. If required, the dose can be raised to 3 tablets per day.
• How long to drink the drug - in each case, the doctor determines individually. The duration of antibiotic can be 5 days or 3 weeks. For example, with streptococcal sore throat, Vilprafen Solutub is prescribed for at least 10 days.

So far there have been no cases of overdose, but doctors suggest that exceeding the dose of soluble tablets will lead to a negative reaction of the digestive tract (in the form of vomiting, stomach discomfort or diarrhea). If you have problems, you should consult a doctor.

• “Vilprafen Solutab” is not prescribed together with any bactericidal antibiotics, as well as with representatives of the linkosamide group.
• If you take antihistamines at the same time (astemizole or terfenadine), the risk of heart rhythm disturbances increases.
• It is not advised to combine treatment with josamycin and xanthines, cyclosporine or ergot alkaloids.

To store the drug should find a place in which the drug can not get a small child. The temperature during storage of the drug should not exceed 25 degrees Celsius. The shelf life of dispersible tablets is 2 years.

On the treatment of children Vilprafen in the form of dispersible tablets, mothers respond mostly positively. They note that the drug quickly helps to get rid of the infection: for example, with pneumonia after taking such an antibiotic cough, fever and other symptoms disappear within a few days. Complaints about the side effects of drugs are very rare. Most often, among the cons of the drug is called only its relatively high cost.

Instead of the antibiotic "Vilprafen Solutab," the doctor may prescribe another medicine from the group of macrolides, for example:

• Azitrox. This azithromycin-based medication is available in powder and capsules. In the form of a suspension, it is prescribed from the age of six months.
• "Macropene". The basis of this antibiotic is midecamycin.It is produced in the form of granules (a sweet suspension is prepared from them) and in coated tablets. Liquid form medicine is allowed at any age.
• "Klacid". The effect of this drug is provided by clarithromycin. The drug is produced in several forms. In suspension it can be given to children over 3 years old.
• "Sumamed". This medicine contains azithromycin. In the form of a suspension can be given to children older than 6 months.
• "Rulid". Such tablets for the preparation of suspensions containing roxithromycin are allowed from two months of age.

You will learn more about antibiotics from Dr. Komarovsky’s program.