Man's health

Cheap analogues Flemoklav Solyutab: a list with reviews and prices


In case of kidney and urinary tract diseases, doctors prescribe antibiotics to get rid of unpleasant symptoms and prevent the occurrence of adverse effects. Flemoklav Solyuab 250 is one of the most effective.

Composition and action

The drug is considered an antimicrobial agent with a wide range of effects. It is included in the penicillin category. Amoxicillin 250 mg and clavulanic acid 62.5 mg act as active ingredients. The composition contains additional ingredients in the form of cellulose, crospovidone, vanillin, saccharin, apricot flavor.

Therapeutic properties of the drug are based on the destruction of pathogenic flora, which led to an inflammatory disease of the kidneys and bladder. Differs in a wide range, thanks to clavulanic acid.

Release form

The drug is sold in dispersible tablets. When interacting with water, they turn into a suspension. Differ in an oblong form and a whitish shade. Brown blotches may be present on the fracture. They have no risks, but there is a marking and a company logo on the outside.

In one blister is 4 tablets. The total number in a pack - 20 pcs. Included is a summary.

Pharmacological properties

Flemoklav Solyutab is considered a combined tool. This is due to the combination of two strong components - amoxicillin and clavulanic acid. Thanks to this combination, the range of effects of the drug is expanded. It exhibits a bactericidal effect, inhibits the synthesis of the bacterial wall.


It has activity against aerobic gram-positive and gram-negative bacteria in the form of enterococci, Klebsiella, moraxella, staphylococci, streptococci, Listeria, peptococci, Proteus, bacteroids and Escherichia coli.

Clavulanic acid contributes to the suppression of 2-5 types of beta-lactamase. But this substance is powerless against type 1 bacteria.

Due to this combination, an enzyme complex is formed, which prevents the degradation of amoxicillin under the influence of microbes.


After ingestion, the active ingredients penetrate the intestinal canal in 30-45 minutes. The effect of one pill lasts 8 hours. To a small extent associated with protein compounds of plasma.

Metabolization occurs in the liver. Substances come out with urine as a result of glomerular filtration and tubular secretion unchanged.

Indications for use Flemoklav Solutab 250

The drug is used for bacterial damage to the body.

It is recommended to take for children and adults:

  1. with angina, sinusitis, sinusitis, tonsillitis, pharyngitis,
  2. with osteomyelitis,
  3. with adnexitis, endometritis,
  4. with streptoderma, furuncles and erysipelas,
  5. with lesions of the genitourinary system,
  6. with infection of the kidneys and urinary tract.

Before you start taking the medication, you should visit the doctor to establish an accurate diagnosis and test for the sensitivity of bacteria to amoxicillin.

Flemoklav Solutyab 250

The dosage is selected by the doctor based on the indications, the course of the disease and the individual characteristics of the organism. Flemoklav with a dose of 250 mg is assigned to children from 1 year to 12 years. In rare cases, it is used in women at the stage of carrying and adults weighing less than 40 kg.

Before use, the tablet must be dissolved in 1 tsp. water. There should be no lumps. The medicine is washed down with a large amount of liquid.


Use a broad-spectrum antibiotic is possible only after the delivery of bacteriological analysis. Do not use the medicine for all patients. There are a number of contraindications in the form of:

  1. severe disorders in the functioning of the liver,
  2. infectious mononucleosis,
  3. acute renal failure
  4. increased susceptibility to the active ingredients of the drug,
  5. allergic reaction to penicillins.

With caution, the drug is prescribed to patients with pathologies in the kidneys and diseases of the digestive system.

Side effects of the drug Flemoklav Solutab 250

During the period of therapeutic measures, the patient may experience adverse symptoms on the active ingredients of the medication. This process is accompanied by:

  1. thrombocytosis, anemia, leukopenia,
  2. painful feeling in the abdomen, nausea, diarrhea, heartburn and the urge to vomit,
  3. convulsive syndrome, dizziness, sleep disturbance,
  4. pains during urination, burning and itching in the vagina,
  5. rashes on the skin, urticaria.

In severe cases, anaphylactic shock, drug fever, paresthesia, and nephritis occur.


Observed when the patient does not adhere to the dosage or for a long time uncontrolledly takes the medicine. In case of overdose, adverse symptoms increase. Nausea, vomiting and diarrhea develop. This process leads to disruption of water and electrolyte balance and dehydration.
The drug is canceled, the stomach is washed, the sorbent is taken. Symptomatic therapy is required.

special instructions

If the patient is prone to allergic reactions, a penicillin susceptibility test should be performed.

You can not self-cancel the drug while improving the state. This will have the opposite effect.

With the development of severe diarrhea and pain in the abdomen, you should refuse to take the medicine and seek help from a doctor.

Can I take during pregnancy and lactation

Antibiotics should not be taken in the first 12 weeks of pregnancy. This may affect the formation and development of the fetus.

In the second and third trimester use of the drug is allowed. But the doctor must evaluate the benefits to the mother and the harm to the unborn baby.

You can use Flemoklav Solutab when breastfeeding. But the doctor must select the dosage.

Drug interaction

You can not simultaneously take amoxicillin with antacids, laxative drugs and aminoglycosides. This leads to a decrease in the absorption of active ingredients.

Ascorbic acid accelerates the absorption of penicillin.

When combined anticoagulants and antibiotics increases the likelihood of internal bleeding.

Amoxicillin may reduce the effectiveness of oral contraceptives. Therefore, women are recommended to use additional methods of protection during sexual intercourse.

If Flemoklav Solyutab is not on sale, then you can purchase analogues with similar composition, dosage and action:

  1. Augmentin tablets and suspensions.
  2. Amoxiclav in tablet form and suspension.
  3. Flemoxine Solutab in dispersing tablets.

Before use, you should consult a doctor and get acquainted with the annotation.

About the drug

The drug is a complex action refers to the group of antibacterial drugs. Flemoklav Solyutab is a potent antibiotic containing penicillin.

Active ingredients - amoxicillin trihydrate together with the addition of clavulanic acid. Implemented drug in the form of tablets (dispersible). Release Flemoklav Solutab 875 mg, 500 mg, as well as 125 mg.

Indication for taking the medicine is an infectious lesion:

  • bronchi and lungs,
  • urinary organs,
  • ENT tissues,
  • sexual sphere,
  • skin and soft tissue.

It is also prescribed the drug for osteomyelitis, in the event of infection after surgery and in order to prevent these pathologies.

Contraindications to medication:

  • kidney disease
  • liver failure,
  • mononucleosis,
  • lymph leukemia,
  • Children less than 12 years old
  • body weight less than 40 kg
  • intolerance to any components of the composition.

Tablets can cause a number of side effects (see the list in the instructions), so during pregnancy, reception is not recommended in the first trimester, and from the middle of the gestation period, medication can be carried out only under the supervision of the attending physician.

The price of a medicine depends on its dosage. The minimum cost is 300 rubles. The drug is on the list of prescription drugs.

In the event that the replacement of Flemoklav is required, the specialist will decide on a suitable analogue. All drugs in this category belong to the prescription group, therefore, it is impossible to purchase Flemoklav Solyutab analogs without a doctor's prescription in an official pharmacy.

Given the effectiveness of the original means, the reason for finding a substitute, most often becomes its cost, or side effects. If there are contraindications, it is recommended to choose an analogue of Flemoklav Solutab, which has the same active ingredient.

  • Amoxicillin
  • Panklava,
  • Flemoxine Solutab,
  • Ecoclav,
  • Augmentin,
  • Amoxiclav

Before using any medication, consult with a specialist.


Drug Amoksiklav has a combined effect on the body and is appointed to eliminate the infection, accompanied by inflammation.

Release form Amoxiclav:

  • suspension powder,
  • oral tablets,
  • injection powder.

Amoxiclav developed by a Slovenian company. The antibiotic contains a potent component amoxicillin. To increase the effect of the drug, clavulanic acid was added to the composition.

Instructions for use recommends using the tool:

  • for the treatment of infectious diseases occurring on the skin and soft tissues, as well as in the bones,
  • in the treatment of diseases of the internal organs of the respiratory tract,
  • for elimination of otolaryngological, odontogenic and gynecological infectious pathologies,
  • inflammatory processes in the gastrointestinal tract and urinary tract.

An antibiotic in the form of a suspension is recommended by pediatricians for the treatment of children from birth.

An injectable form of the drug is prescribed to treat an infection developing in the abdominal cavity and genital organs. Injection powder is also used for prophylaxis before surgery.

Flemoklav substitute is contraindicated for the following health problems:

  • propensity for allergy to the active substance composition or additional components,
  • infectious form of mononucleosis,
  • lymphocytic leukemia.

The drug is not recommended during lactation and pregnancy.

During therapy, the patient may experience side effect symptoms that affect many body systems. Instructions for use describes in detail all the possible reactions of the body to the drug. When a negative reaction occurs, you should stop taking Flemoklav and pick up a substitute that has a different composition.

Amoxiclav is a relatively inexpensive drug, the price of which differs depending on the form of the medicine.

  • tablets - 200 rubles,
  • suspension - 100 rubles,
  • injection powder - 550 rubles.

Flemoxine Solutab

Inexpensive analog Flemoklav Solyutab 500 mg. - Flemoxin. The drug is used to prevent infection in the body.

The active ingredient - amoxicillin and clavulanic acid, have an antibiotic effect, preventing the development of inflammatory and infectious process in the tissues of internal organs, joints, muscles and on the skin.

Flemoxine Solutab is available only in tablet form. Dispersible tablets have three main types of dosage: 125 mg, 250 mg and 500 mg. Flemoxin Solutab 1000 mg is also sold.

Indications for use include infections:

  • urogenital sphere,
  • respiratory system
  • digestive system
  • muscle tissue
  • surfaces of the skin.

The maximum price for Flemoxin Soluteb 1000 mg - 470 rubles, and the minimum - 238 rubles. (125 mg).

Flemoklav's substitute - Augmentin is developed for elimination of health problems at development of an infection and the subsequent inflammation in a human body. Reviews of the drug indicate its high efficiency.

The medication contains active substances - amoxicillin / clavulanic acid. Unlike the original, the product is produced not only in the form of tablets, but also in the form of suspension powder.

Augmentin has similar indications, including infection:

  • musculoskeletal system,
  • dermis surfaces
  • soft tissue
  • urinary system
  • respiratory system
  • oral cavity
  • sexual sphere.

  • allergic to composition
  • pathology of the kidney / liver.

Treatment of children and pregnant women is permissible only when the risk to life is exceeded. Children from three months are recommended suspension, over 12 years old - tablets. The duration of treatment is determined solely by the attending specialist.

The cost of Augmentin differs significantly depending on the amount of active substance - amoxicillin.

Augmentin 125 milligrams is cheaper than the original - from 140 rubles.


Selecting domestic analogues, it is recommended to pay attention to the original drug, which has the name identical to the active component - Amoxicillin. Unlike other analogues, clavulanic acid is absent in this drug.

Inexpensive medication has a list of indications, including an infectious process in the tissues of organs / systems:

  • gastrointestinal tract,
  • ENT organs - areas
  • genitourinary system
  • upper and lower respiratory tract.

The use of a domestic substitute for the original is not recommended for diagnosis:

  • allergic diathesis,
  • infectious mononucleosis,
  • bronchial asthma,
  • respiratory viral infections,
  • intolerance to the body components of the drug

Cheap analogue Amoxicillin has a minimum price - 28 rubles.

Another fairly cheap substitute is Ecoclav. The drug also refers to antibiotic drugs of the penicillin series.

Ecoclav activity is based on the action of amoxicillin and clavulan calcium, which are part of the drug in the form of active ingredients.

Ecoclav is produced by the manufacturer in the standard tablet form with the prescribed dosage of 500 mg. and in the form of suspension powder with a dose of 125 mg.

Experts prescribe Ecoclav in the treatment of pathologies that have arisen against the background of the activity of the infection, sensitive to the active components, in the respiratory organs, urinary and its excretory system, the genital area and otolaryngology. The same medicine is used to treat skin, bone and joint and soft tissues.

Also Ecoclav is recommended for the treatment of infectious - inflammatory processes on the skin, joints and soft tissues.

Before use, you should consult with a specialist and determine whether the patient has contraindications that are indicated in the instructions.

Side effects, according to reviews, are rare and have a weak intensity.

The price for Ecoclav powder is from 150 rubles, and for tablets from 250 rubles.

You can replace the original and Panklav. The medicine is produced by a Serbian company and has an average cost of 300 rubles for a drug with a dosage of 875 mg. The drug does not apply to cheap analogues, but its price is slightly lower than Flemoklav.

The preparation, as well as all the listed analogs, is composed of substances that prevent infectious processes (clavulanic acid and amoxicillin) in the genital and urinary organs, oral cavity, respiratory sphere, as well as diseases of the bone, articular and epidermal tissues.

Panklava is contraindicated in children up to 12 years old, during the period when a woman carries a fetus, during breastfeeding, in case of infectious mononucleosis, and in case of intolerance to the composition.

Replace Flemoklav on similar drugs is possible only with the permission of the doctor. All medicines are antibiotics, which should be taken strictly according to the instructions or instructions of a specialist.

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Instructions for use - briefly

The main active ingredients are amoxicillin trihydrate and potassium clavulanate. Tablets are available in different dosages. The maximum dose of flakoqulav solubab is 1000 mg, represented respectively by amoxicillin and clavulanic acid (875 mg / 125 mg).

The drug is prescribed for infectious processes in:

  • otolaryngology,
  • pulmonology,
  • urology,
  • gynecology,
  • dermatovenerology,
  • other medical practices.

Contraindications are intolerance to the composition of flemoklav, lymphocytic leukemia, severe liver pathologies, mononucleosis, age of children under 2 years.

For patients whose age has reached 12 years or more, the drug is more often recommended at a dose of 500/125 mg three times a day. For young children, the dose is selected depending on the weight.

Flemoklav used during pregnancy.The first trimester of pregnancy is considered the most vulnerable, so taking any medication before the 12th week of gestation is not recommended.

Flemoklav Solyutab is produced in the Netherlands, the price for the packaging of tablets No. 20 (500 mg / 125 mg) is 420 rubles.

Analogs are selected by active ingredients, i.e. they must match, or according to their therapeutic effect. Consider those and others.

Structural analogues - list

In fact, any antibiotic is an analogue of flamoklav. There are simply analogs in structure or in therapeutic action. Important points in the choice of analogue remain the price, the country of manufacture and diagnosis. To your attention we present a list of the most popular analogues of the flamoklav:

  • ecoclav,
  • foraclave,
  • panclave,
  • Amoxiclav,
  • Augmentin
  • fibelle
  • MedoClav,
  • Quiktab,
  • Arlet,
  • weerclave,
  • flemoxin
  • others.

Country of origin - Russia. The drug is completely identical to flamoklavu. There are differences in the auxiliary composition, the list of indications is somewhat broader. Tablets 500mg + 125mg №15 cost about 300 rubles.

Adverse reactions and contraindications largely coincide with Flemoklav.

Manufacturer - India. The drug is a structural analogue of flamoklav, but is available in the form of a solution for intravenous administration. On sale there are vials of 500mg + 100 mg and 1000 mg + 200 mg.

  • The tool refers to semi-synthetic antibiotics, supplemented with beta-lactamase inhibitor.
  • Foraklav prescribed for severe infection. Widely used for erysipelas, septicemia, meningitis, shigellosis, salmonellosis, paratyphoid fever, typhoid fever, and other dangerous infections. The disadvantage is a large number of contraindications and side effects.

The price and delivery need to specify the pharmacy network, at the moment there is no information.

Manufacturer - Serbia. The drug has a high bactericidal activity, is also popular in dental practice. In pediatrics, taking pills is recommended only after 12 years.

The price for a package of tablets 500 mg + 125 mg № 20 on average is about 350 rubles.

Suprax (Jordan)

The active substance is cefixime. The drug belongs to the group of cephalosporins III generation. There are capsules (200 and 400 mg) for sale, as well as granules from which a therapeutic suspension is prepared. Injectable form of the drug is not.

Cefixime perfectly resists the action of beta-lactamase, destroys a wide range of pathogenic microflora, including resistant strains.

  1. The main indications are: infections of the genitourinary and respiratory systems, as well as pathologies of ENT organs.
  2. The drug is not prescribed for intolerance to penicillin and cephalosporins. Relative contraindications are the age of infants up to 6 months, pseudomembranous colitis, renal failure, age group after 60 years.
  3. Among the possible adverse reactions can be identified all forms of allergic manifestations, dry mouth, unpleasant sensations in the stomach, dysbiosis, headache, glossitis, abnormal liver function.

The course of treatment is usually 7-10 days. Doses are calculated according to the patient's age, weight and history. If necessary, the drug is used in pregnant women, but strictly for emergency reasons.

Suprax 400 mg number 6 capsules cost 760 rubles, which is almost two times the price of a flamokla.

The active ingredient of sumamed is azithromycin dihydrate (azalide, macrolide). The drug is available in capsules, tablets, powder, vials (this form is used for intravenous infusion).

The drug is often used in otolaryngology, pulmonology, dermatology, urology and other areas of medicine.

The drug is not recommended in case of intolerance to any component of the composition, renal and hepatic pathologies with severe dysfunction of these organs, and up to 12 years for all forms except suspension (allowed from 6 months). Sumamed's undesirable intake with myasthenia gravis, diabetes, cardiac arrhythmias, low levels of potassium in the blood plasma.

  • A distinctive feature of this drug is its ease of use - only 1 time per day, and the course of treatment is usually 3-5 days. Only the doctor selects the dose for the patient.
  • Side effects may occur during treatment: stomach discomfort, allergic reactions, dizziness, etc. Details about all possible negative reactions can be found in the official instructions for the drug.

The price of sumamed depends on the form, for example, tablets 500 mg №3 cost about 450 rubles, powder 200mg - 500 rubles, bottles of 500 mg (for infusions) - 1400 rubles.

Flemoksin or flemoklav - which is better?

Flemoksin, as well as flemoklav, is made in the Netherlands, besides, at preparations the general manufacturer - Astellas Pharma Europe B.V.

If a flamoxin does not fit the patient, the pharmacist may suggest a flemoklav as an analogue. Is it correct? The considered agents are partial analogues. Flemoxin is a mono drug, it contains only amoxicillin, and Flemoklav is a combination of amoxicillin and clavulanic acid. This is an important difference between these funds.

  • It should be noted that clavulanic acid enhances the clinical effect, therefore, the therapeutic effect of Flemoklav is stronger. Where flemoxin cannot destroy the bacteria that produce beta-lactamase, a flemoklav will do.
  • There is also a difference in belonging to a pharmacological group. Flemoklav - penicillins with beta-lactamase inhibitors. Flemoxin - penicillins group.

The form of release of drugs is no difference. Dosages are indicated differently. For example, in Flemoklava 250 mg + 62.5 mg, and in Flemoxin, 250 mg (the dose of each active substance is painted separately, 250 mg is amoxicillin, 62.5 mg is clavulanic acid).

Distinctive features of the flakoklav are:

  • wide range of antibacterial action,
  • high degree of therapeutic efficacy
  • the possibility of using lower doses for treatment, i.e. toxicity due to this reduced.

This leads to the conclusion that the flakloclav will be suitable for resistant forms of the disease, when bacteria have learned to resist antibacterial drugs. Most often, flamoklav is used in pulmonary, otolaryngological, dental and dermatovenerological practice.

Thanks to clinical trials, it has been observed that the effectiveness of the flamoklah is about 10–15% higher than flemoxin.

Also, experts state the following fact: against the background of taking Flemoklava, the rehabilitation period passes much faster. The general condition of the patient is normalized in the first two days from the start of the drug.

When treating Helicobacter pylori (the causative agent that causes ulcerative processes in the gastrointestinal tract), flemoklav shows 92% effectiveness, i.e. The chance of getting rid of this bacterium is quite high. Flemoxin has a therapeutic effect in this pathology, according to research, of 82–85%.

Sometimes there is a dilemma, since the flaklav can be applied in lower doses, is it safer? Here is not so simple. In flamoklav two chemical active substances in the composition, and each has its own toxicity. For example, clavulanic acid in some patients causes discomfort in the stomach. Of course, if the drug is prescribed in minimal doses, it will be safer.

Flemoxin has only one chemical substance, therefore, possible side reactions are reduced. But, if the drug is used in medium and high dosages, the level of toxicity increases. Therefore, to speculate which drug is safer is illogical.

Flemoksin is cheaper than flemoklava for 100 rubles.

Flemoklav or amoxiclav - which is better?

The drugs have the same composition, and this suggests that the therapeutic effect of them is the same. The parameters of the differences include the composition of auxiliary components, the form of release, the manufacturer, the degree of cleaning means. For example, flemoxin solutab has dispersible tablets that dissolve well in water. It is easier for the patient to swallow them, the assimilation of this form of substance is better.

  • In most cases, the drug is chosen by the doctor, not forgetting to coordinate the possibility of acquiring this or that drug with the patient.
  • Amoxiclav is not much cheaper, about 50 rubles.

According to the statistics of the drug trade turnover, it is noticed that the number of sales of the flamoklav is greater than that of amoxiclav. Often this picture is influenced by the marketing capabilities of pharmaceutical companies. The more advertising, the more successful the sale of medicines.

Augmentin or flamoklav?

Preparations are structural analogues, but are produced by different firms. Flemoklav - a product of the Netherlands, Augmentin - the UK. Augmentin is very popular with pediatricians.

In general, these drugs are identical, it all depends on the individual susceptibility of the organism. Sometimes the appearance of side effects can be affected by the auxiliary composition of drugs.

For the price Augmentin has the advantage, it is about 70 rubles cheaper.


Antibacterial agents require competent use. Dosage, treatment adjustment, selection of analogues and adjuvant therapy - all this must be entrusted to a doctor. Remember, you need not only to get rid of the infection, but also to keep other organs in good order. The liver, kidney, gastrointestinal tract are the target organs that are the first to take the brunt of a chemical attack, in our case antibacterial therapy.

Do not self-medicate, always seek qualified help! Be healthy!

Manufacturers, prices, forms of release

The drug is manufactured by the Dutch pharmaceutical company Astellas Pharma Europe in the form of tablets.

Pay attention to the dosage!

Depending on the concentration of active ingredients, there are 4 types of tablets. On the package indicate 2 numbers: the first is the concentration of amoxicillin, the second - clavulanic acid.

  1. 125 mg + 31.25 mg. Oblong easily dissolving in the mouth tablets with marking 421.
  2. 250 mg + 62.5 mg. The same tablets, but with marking 422.
  3. 500 mg + 125 mg. Here on each pill is the label "424".
  4. 875 mg + 125 mg. The tablets of the extended form with a label "425".

On tablets imprinted manufacturer's logo. All forms of Flemoklav are packed in blisters of 4 pieces. The carton pack contains 5 blisters each. The cost of the drug is from 310 to 500 rubles.

What treats

Flemoklav Solutab is prescribed for infections of the respiratory organs caused by the bacteria:

An antibiotic will help with otitis.

  • tonsillitis,
  • pharyngitis,
  • Chronical bronchitis,
  • chronic obstructive pulmonary disease,
  • pneumonia.

With the help of Flemoklava, infectious lesions of the skin, soft tissues, kidneys and ureters are also treated.

Dosage and administration

According to the instructions for use (download instructions), the dosage of Flemoklav Solutab depends on the weight of the child and the severity of the infection. Tactics of treatment should be chosen by the doctor.

Take the drug you need before you eat, to reduce the risk of intestinal problems. The tablet can be swallowed whole and drink a glass of liquid. To give medicine to a child who cannot swallow tablets, dissolve a single dose in a small amount of water (at least 30 ml).

You can dissolve the tablet in a small amount of water.

Prescribe the drug Flemoklav Solyutab for children from 3 months. The table provides an approximate regimen, where the amount of amoxicillin required for treatment is indicated in milligrams.

Giving Flemoklav to a child younger than 3 months is needed in smaller doses, and only when there is an urgent need for this. Dosages will be calculated by the attending physician.

Dosage prescribed by a doctor!

The course of taking the funds should not last more than two weeks. It is usually 5-7 days.

After treatment with any antibiotics, the child needs a course of rehabilitation therapy.

Side effects

Sometimes, adverse reactions are observed on Flemoklav Solyutab by the gastrointestinal tract organs:

Taking the drug may cause nausea, vomiting, or diarrhea.

  • diarrhea,
  • colitis,
  • intestinal candidiasis.

On the part of the nervous system: a child may experience dizziness, sleep disturbance, hyperactivity, anxiety, aggressive behavior, headache.

Taking the drug may cause malfunction of the hematopoietic system and the liver.

It is extremely rare in the treatment with Flemoklav there is itching and burning in the groin area, interstitial nephritis.

The tool can cause allergies in the form of a rash, urticaria, itching, dermatitis, hemolytic anemia, laryngeal edema, angioedema, anaphylactic shock.

Allergies to the skin can appear when you first use the medicine.

When the first symptoms of side effects appear, stop using Flemoklav Solyutab and consult a doctor.

Interaction with other drugs

Flemoklav does not combine with some anti-inflammatory drugs (aspirin, products that contain phenylbutazone, sulfinpyrazon, indomethacin, probenecid). When taken simultaneously, these drugs can cause an increase in the content of amoxicillin in the blood and bile, as they inhibit its excretion by the kidneys.

The antitumor drug Methotrexate, when administered together, is eliminated from the body more slowly, which can cause symptoms of overdose in a child.

Do not use the drug in conjunction with other antibiotics.

Many parents notice the significant external similarity of Flemoklav Solyutab with Flemoksin. These tools really have a lot in common, including the manufacturer. The only significant difference is that Flemoxin does not contain clavulanic acid. Although, in fact, can be considered an analogue of Flemoklav. Antibiotic is also available in pills. There are 4 types of the drug, and they differ in the concentration of the active substance: 125 mg, 250 mg, 500 mg and 1000 mg. The dosages are the same as those of Flemoklav. The price of Flemoxin varies from 240 to 500 rubles, depending on the type.

Analogue of Flemoklav Solutab - Flemoksin Solutab.

Consider other agents with a similar effect. Most of the antibiotics listed below are available in the form of a suspension — that is, they are convenient for treating a child.

  • Amoxiclav - a drug that will replace Flemoklav, because in addition to amoxicillin also contains clavulanic acid. It is possible to buy Amoxiclav at a price from 120 to 850 rubles, depending on the amount of the bactericidal substance in the preparation.
  • Augmentin also contains not only amoxicillin, but clavulanic acid. The dosage is calculated in the same way as for Flemoklav. Cost depending on the concentration of the active substance - from 70 to 400 rubles.
  • Amoxicillin is sold in pharmacies in the form of tablets, capsules and granules for dilution of the suspension. Dose it depending on the severity of the disease and the patient's age. The average single dose for a child:
    • up to 2 years - 20 mg per 1 kg of weight,
    • 2-5 years - 125 mg,
    • 5 - 10 years - 250 mg,
    • over 10 years old - 250 to 500 mg.

    The cost of the drug is from 50 to 170 rubles.

    • Sumamed contains another active ingredient - azithromycin. This is a bacteriostatic drug, that is, it slows down the growth and reproduction of pathogenic bacteria, and in high concentration kills them. Designed to treat children from 6 months. The price range is 220-560 rubles.

    Analogue of Flemoklav Solutab - Sumamed.

    • Klacid The active substance is clarithromycin. Available in the form of tablets, powder and lyophilisate. They treat children from 6 months. Price - from 370 rubles.
    • Vilprafen is available as tablets containing 500 or 1000 mg of josamycin, a natural bacteriostatic antibiotic. The drug is contraindicated in children weighing less than 10 kg. In the instructions, dosages are indicated only for adults and children over 14 years. You can buy the drug on average for 540 rubles (500 mg) and 660 rubles (1000 mg). Prescription.
    • Azithromycin is available in the form of tablets and capsules of 250 and 500 mg of the active substance, as well as powder for a suspension of 100, 200 and 500 mg. The dosage of the drug is calculated by the doctor based on the age, weight of the child and the severity of the disease. The average children's daily dose is 5-10 mg of azithromycin per 1 kg of weight. Among the contraindications indicated only individual intolerance to the active substance and the like. The cost of a medicine pack varies from 35 to 190 rubles.

    Before choosing an analogue, consult a pediatrician.

    The most valuable drug reviews for parents are the doctor's assessment. Dr. Komarovsky, whose opinion many mothers listen to, did not mention Flemoklav Solyutab, but spoke of antibiotics in general. The main problem is the incompetence and arrogance of adults. Parents make decisions about taking a serious drug without consulting a doctor, they are mistaken in doses. In some cases, there is no need to take antibacterial agents. Antibiotics do not treat ARVI. They are designed to fight only bacterial infections.

    Consider feedback from parents.

    Ksenia from Voronezh shares experience:

    “When my two-year-old daughter had a fever and a sore throat, I called a doctor. We were diagnosed with purulent tonsillitis, prescribed Flemoklav Solyutab. On the 4th day of the reception, the daughter was already racing, the temperature did not rise. Intestinal problems could not be avoided. But unlike Sumamed, which we had taken earlier, Flemoklav treated our tummy more gently. They drank 3 times a day for 125 mg. I am happy with the quality of the treatment, I can recommend the medicine as effective. ”

    The drug will quickly help with angina.

    Marina from the Tambov region says:

    “The son, he is 4 years old, often suffers from bronchitis. Tried, it seems, by all means. Высокая температура и сильный кашель нас преследуют постоянно.Recently, the baby fell ill again, and the doctor prescribed him a new antibiotic Flemoklav Solyub. I bought the package, it was expensive - 500 rubles. And we used only half of the pills, and the rest is just in case. The pills for the baby are huge, at first, the son tried to swallow them whole, but later we began to grind them into powder and mix with water. In parallel, take Bifidumbakterin. Problems with the digestive tract were, but not strong. The child had no side effects or allergies. On the 3rd day, the temperature finally subsided, and it began to decline already after 2 tablets. I liked Flemoklav, but I’m still afraid of self-healing and I’m not advising anyone. Antibiotics should be prescribed by a doctor, especially children. ”

    Irina Vasilievna, a pediatrician from Kursk, writes:

    “I often give Flemoklav Solutab to children with a bacterial infection. In my practice there was not a single case when Flemoklav did not work. In addition to those in which the parents themselves have changed the antibiotic. Flemoklav more effective and safer than many other means. First, dispersible (soluble in the mouth) tablets allow the active substances to be absorbed faster. Secondly, the drug contains clavulanic acid, which resists the "response fire" from the pathogenic bacteria. Do not forget that Flemoklav has side effects. In any case, the children's intestines will react negatively to it. Therefore, together with the antibiotic, I prescribe a drug to restore the microflora — Hilak, Linex, Bifiform, or Bifidumbacterin. ”

    Linex helps to eliminate dysbiosis in the crumbs when taking antibiotics.

    Manual for Flemoklav Solyutab

    Instructions for use Flemoklav Solyutab recommends that adults, children under 12 years old and children under twelve years old weighing more than 40 kilograms, take this antibiotic at a dose of 875 + 125 mg (the total dose of active ingredients is 1000 mg) twice a day (for chronic, severe, recurrent infectious diseases dose doubled).

    Children under 12 years old and weighing less than 40 kilograms are prescribed the drug in weaker dosages (Flemoklav 250 mg + 62.5 mg and Flemoklav 500 mg + 125 mg).

    Adults and children weighing 40 kilograms are recommended by Flemoklav Solutab 500mg + 125mg three times a day.

    The daily dose for children under 12 years old and weighing up to 40 kilograms is 5 mg clavulanic acid and 25 mg amoxicillin per kilogram of weight.

    In severe infectious and inflammatory diseases, these doses can be doubled, but it is forbidden to exceed a dose of 60 mg. amoxicillin and 15 mg clavulanic acid per kilogram of body weight per day.

    The duration of drug treatment should not exceed two weeks.

    In patients with concomitantrenal failure Flemoklav Solyutab 875 mg / 125 mg can be used if the rate of renal filtration is more than 30 ml per minute.

    To reduce the risk of side effects from the digestive organs, the drug is recommended to be taken immediately before meals. The pill must be swallowed whole with water, or dissolved in 50 ml of water, fully stirred before use.

    Analogs of Flemoklav Solutab

    The price of the analogues listed below is often more attractive to patients: Amoxiclav 2X, Augmentin, Augmentin SR, Backcloth,Klavam, Medoklav, Panklav, Recute, Trifamoks IBL.

    What is the difference between Flemoxine Solutab and Flemoklav Solutab?

    There are often questions among patients - what is the difference? Flemoxin from Flemoklav? Understanding the difference is not difficult: Flemoklav, unlike Flemoxin, contains clavulonic acid, which prevents the destruction of antibiotic molecules by bacterial enzymes, which has a better effect on many indicators characterizing the effectiveness of the drug.

    Which is better: Amoxiclav or Flemoklav Solyutab?

    Difference Amoxiclav and Flemoklava consists only in the variety of dosages produced, in the latter it is larger, which allows for better control of the used dose and reduce the number of side effects. The price category of both drugs is comparable.

    Flemoklav Solyutab for children

    Section "Manual for Flemoklav Solyutab»Clearly indicates how to take this drug to children. The maximum daily dosage for children should not exceed 15 mg clavulanic acid and 60 mg amoxicillinand per kilogram of weight.

    Reports of the occurrence of side effects are generally not characteristic of children's feedback. The price of small dosages of the drug compares favorably with the price of Flemoklav Solutab at a dose of 875/125 mg.

    During pregnancy and lactation

    Reports of toxic effects on the fetus or newborn amoxicillin and clavulanic acid not noted.

    Use after 13 weeks of pregnancy is possible only as directed by the attending physician. In the first 12 weeks of pregnancy, the appointment of the drug dosage 875/125 mg.

    Active ingredients penetrate placenta and get into breast milk. This does not prohibit the use of the drug during lactation, but it should be used with caution.

    Flemoklav Solyub reviews

    Reviews Flemoklav testify to the high efficiency and rapid onset of the expected effect from the use of the drug. Children are often prescribed additional therapy to prevent adherence. superinfection and development dysbacteriosis. Reviews at sinus reported on the rapid onset of relief after the start of use of the drug in most patients.

    Forms of release and composition

    The tool is available in tablet form. Dispersible tablets contain two active ingredients: amoxicillin and clavulanic acid. The amount of the first is 250 mg, the second is contained in the volume of 62.5 mg.

    Initially, the tablets are white. On the surface marked "422". During storage, yellow spots are allowed on their surface.

    pharmachologic effect

    The main active ingredient of the drug is amoxicillin. It is a semi-synthetic substance of antibacterial action. It affects both gram-positive and gram-negative bacteria.

    The active substance is subject to decay under the influence of beta-lactamase - enzymes that are produced by certain microorganisms for protection against antibiotics. Clavulanic acid, which is contained in the preparation, helps amoxicillin to cope with bacteria. It inactivates beta-lactamase microorganisms that are resistant to penicillin antibiotics.

    The tool is available in tablet form.

    Clavulanic acid prevents the occurrence of cross-resistance because it inhibits the activity of plasmid beta-lactamase, which are responsible for the occurrence of this type of resistance.

    Acid maximizes the spectrum of action of the tool. It contains the following microorganisms:

    1. Gram-positive aerobes: anthrax sticks, enterococci, listeria, nokardii, streptococci, coagulozonegative staphylococci.
    2. Gram-negative aerobes: Bordetella, Hemophilus Influenza and Parainfluenza, Helicobacter, Moraxella, Neisseria, Vibrio choleraea.
    3. Gram-positive anaerobes: clostridia, peptococci, peptostreptokokki.
    4. Gram-negative anaerobes: bacteroids, fuzobakterii, prevotella.
    5. Others: Borrelia, leptospira.

    Resistance to the action of the drug have:

    • citrobacter,
    • enterobacter,
    • legionella
    • morganella,
    • providence
    • pseudomonads,
    • chlamydia
    • mycoplasma.

    What is prescribed

    Flemoklav Solyutab is prescribed for the treatment of the following pathologies caused by microorganisms sensitive to amoxicillin:

    • bacterial sinusitis (after laboratory confirmation),
    • bacterial lesions of the middle ear,
    • lower respiratory tract diseases (non-hospital pneumonia, bronchitis, etc.),
    • diseases of the genitourinary system (cystitis, pyelonephritis),
    • bacterial lesions of the skin and its derivatives (cellulite, abscesses),
    • infectious diseases of bones and joints.

    How to take Flemoklav Solyubab 250

    Dosage means should be selected in accordance with the severity of the disease and the localization of the pathological process. The patient’s age, weight and renal function are also taken into account.

    Adults and children weighing 40 kg and more often are given daily dosage: 1.5 g of amoxicillin and 375 mg of clavulanic acid. The drug is taken 3 times a day.

    Before meal or after

    It is recommended to take the drug at the beginning of the meal. This will ensure optimal absorption and distribution of the active substances throughout the body.

    The drug can be taken with diabetes.


    • transient leukopenia, neutropenia, thrombocytopenia,
    • reversible agranulocytosis,
    • anemia,
    • increase bleeding time.

    On the part of the skin

    • hives,
    • itch
    • erythematous rash,
    • exematous pustus,
    • pemphigus,
    • dermatitis,
    • epidermal necrolysis.

    Possible side effects in the form of an allergic reaction to the drug.

    Use during pregnancy and lactation

    Negative effects of the drug on the fetus during the study was not observed. Flemoklav can be prescribed when breastfeeding, because the antibiotic does not cause side effects in a child.

    Flemoklav can be assigned when breastfeeding.

    Indications for use and dosage

    Flemoklav Solyutab prescribed for the treatment of infections of bacterial origin, sensitive to the action of the active ingredients of drugs:

    • Acute sinusitis.
    • Acute otitis media.
    • Infections affecting bone and articular tissues, including osteomyelitis.
    • Repeated exacerbations of chronic bronchitis.
    • Cystitis
    • Community-acquired pneumonia.
    • Infections of the skin and soft tissues: cellulite, animal bites, severe dentoalveolar abscesses.
    • Pyelonephritis.

    In selecting the appropriate dosage, the age and body weight of the patient, the functioning of the kidneys (the drug is removed from the body), the localization and the course of pathological processes are taken into account.

    If you need to prescribe amoxicillin in a high dosage, then preference should be given to another medication in order to prevent excessive use of clavulanic acid in an excessive dose.

    • Adults and children who weigh more than 40 kg: 1 tablet of 500/125 mg three times a day.
    • Adults, children over 12 years old: 1 tablet of 875/125 mg twice a day.
    • Children weighing less than 40 kg: 20/5 mg / kg per day - 60/15 mg / kg per day, which are divided into 3 doses.
    • Elderly: do not adjust the dose.

    Patients in the history of which there is renal insufficiency, the dose is selected individually.

    List of structural analogues cheaper Flemoklava

    The price of Flemoklav is formed as follows:

    • From 330 rub. for 20 tablets 125 + 31.25 mg.
    • From 410 rubles. for 20 pcs. 500 + 125 mg.
    • From 420 rub. for 20 pcs. 250 + 62.5 mg.
    • From 485 rub. for 14 pcs. 875 + 125 mg.

    Inexpensive structural substitutes (with the same active ingredients) of Russian production are:

    • "Arlet" - domestic analog Flemoklava from 320 rubles,
    • "Ecoclav" - the cheapest analog Flemoklav Solyutab from 160 rubles.

    Foreign preparations-synonyms with the same composition, only cheaper:

    • "Amoksil-k" - an analogue of Ukrainian production from 290 rubles,
    • "Rapiklav" - Indian generic from 290 rubles,
    • "Augmentin" - English drug from 171 rubles.

    Close substitutes for the therapeutic effect: Trifamox and Ampisulbin, preparations based on cefibutem and cefixime, respectively.

    What to replace Flemoklav for children?

    As analogues for children consider the possibility of using:

    • Augmentina suspension.
    • "Amoksiklava" and "Ekoklava" in the form of powder for suspension.

    Selection of a suitable medicinal product is carried out only by a pediatrician, taking into account the age and weight of the child.

    Flemoksin or Flemoklav - which is better?

    Flemoxine is a one-component drug based on amoxicillin trihydrate, while the composition of Flemoklav is represented by two active ingredients at once.

    Flemoklav is effective in those clinical cases when the use of Flemoxin is not advisable due to the resistance of pathogenic microorganisms to penicillins.

    • The active ingredient of both drugs, amoxicillin, is able to bind with the active sites of enzymes that catalyze the production of peptidoglycans, the vital components that make up the bacterial cell membranes.
    • Often patients are interested in: if the substance is so effective, why supplement it with other active ingredients? This is due to the fact that in the process of evolution, pathogenic microorganisms began to produce enzymes that destroy the beta-lactam antibiotic, which makes it useless.
    • Clavulanic acids bind to such an enzyme and neutralize it. Due to this, the drug can have its direct antibacterial effect.
    • The presence of the second component allows not only to protect amoxicillin, but also expands the range of action of the drug, increasing its clinical efficacy and providing an opportunity to reduce the dose of the drug.

    The preparations belong to the same pharmacological group and are manufactured by a pharmaceutical company - Astella Pharma Incorporated, located in the Netherlands.

    The dosage form is also similar - these are tablets that dissolve easily in water. The dosages of amoxicillin in both antibiotics are the same: 125, 250, 500, 1000 mg, only Flemoklav additionally contains clavulanic acid in doses of 31.25, 62.5 and 125 mg, respectively.

    Specialists compared Flemoksin and Flemoklav in the treatment of patients with reactive arthritis. The use of Flemoxin allowed to achieve improvements in 47% of cases, Flemoklav - in 57%.

    Answer the question, what is better, can only a doctor. But it must be remembered that the presence of an additional component, clavulanic acid, in the Flemoklav composition allows one to “protect” amoxicillin from the destructive action of individual microorganisms.

    Flemoksin will not be able to provide the necessary therapeutic effect against bacteria that produce destructive enzymes. At the same time, Flemoklav can be the drug of choice in the treatment of otitis, sinusitis, bronchitis, soft tissue and urinary tract infections, abscesses in the oral cavity.

    As for the disadvantages, the use of any combined antibacterial drugs increases the likelihood of unwanted reactions and expands the range of possible contraindications.

    • Against the background of the use of Flemoklav, side effects from the digestive organs are much more common.
    • In patients with 4-5 times more common violations of the normal functioning of the liver.

    This information indicates that you should refrain from self-treatment and entrust the selection of a suitable medicine to a specialist who will take into account possible risk factors and the individual characteristics of the patient.

    Flemoklav or Augmentin

    Augmentin is an exact structural analogue of Flemoklav, but with a lower cost (even cheaper ones are described here). Manufacturer - British pharmaceutical company GlaxoSmithKline.

    The drug has a wide spectrum of action, it is used in the treatment of diseases of the upper respiratory tract, skin, bone tissue, etc.

    For the convenience of patients and doctors presented in various dosages and dosage forms: tablets, oral suspensions, powders for the preparation of solutions for intramuscular infusions.

    Unlike Flemoklav, Augmentin is not presented in the form of soluble tablets, but this does not affect the therapeutic effect.

    Due to the presence of clavulanic acid, the antibiotic eliminates infections that are insensitive to ordinary penicillins.

    This allows you to use and Augmentin and Flemokrav as a drug of choice in the empirical treatment of diseases of unknown origin, to obtain the results of bacteriological studies.

    The analogue has the ability to rapid absorption from the gastrointestinal tract, demonstrates pronounced anti-streptococcal properties. In the process of treatment may develop adverse reactions from the gastrointestinal tract and liver, as well as allergic manifestations.

    In the course of treatment with both antibiotics, the likelihood of dysbacteriosis is high, so it is advisable to additionally use drugs from the group of probiotics.

    Adverse reactions are reversible and disappear 1-2 days after discontinuation of the drug. With the development of side effects, especially allergic manifestations, it is necessary to immediately consult a doctor.

    Flemoklav or Supraks

    Flemoklav and Supraks differ in active ingredients and belong to different groups of antibacterial agents.

    At the same time, both drugs are similar in therapeutic effect: they are broad-spectrum antibiotics and can be used in the treatment of diseases of the upper respiratory tract, the urinary system, etc.

    Suprax and its analogues are cefixime-based cephalosporin antibiotics, while Flemoklav is a representative of penicillins.

    Suprax is available in several dosage forms:

    • Suspensions for internal use, which is prescribed to children from six months.
    • Granules for the preparation of suspensions.
    • Capsules for oral administration in several dosages: 200 and 400 mg.

    Suprax can be used to replace Flemoklav in the treatment of very young patients younger than a year.

    The list of indications for drugs is very similar, but Supraks is not used in the treatment of patients with bacterial lesions of the skin.Both funds can be used for angina, pneumonia, inflammation of the kidneys and bladder, colpitis, endometritis.

    In no case should Suprax and Flemoklav be taken at the same time, as this may contribute to the development of serious complications.

    Suprax can be used in the treatment of patients with a history of mononucleosis or lymphatic leukemia. Special care is required for colitis, kidney failure and the elderly.

    Sumamed or Flemoklav Solyutab

    These drugs belong to different groups of antibiotics, differ in pharmacological properties, contraindications, possible side effects.

    Sumamed is an original drug based on azithromycin - a representative of the macrolide group. For ease of use, it is presented in different dosages and forms of release, which allows you to choose the right means for the treatment of both adults and children.

    Sumamed is prescribed to patients who have identified infections that are not sensitive to the action of penicillins, including those protected by clavulanic acid. Macrolides are well tolerated, cause undesirable reactions in rare cases.

    At the same time, drugs based on amoxicillin are often prescribed to children diagnosed with angina. Sumamed and his inexpensive counterparts are recommended for an allergic reaction to penicillin, which is observed in 8% of the population and in the severe course of the pathological process.

    Interaction with other drugs

    It is not recommended to prescribe disulfiram at the same time as Flemoklav.

    Aminoglycosides, glucosamine, antacids slow down the absorption of the active ingredients of the drug. Vitamin C increases the activity of absorption.

    Antagonistic action is observed with the joint use of Flemoklav Solutab with bacteriostatic antibiotics. Means synergizes with Rifampicin, Cephalosporin and other antibacterial agents of bactericidal action.

    With simultaneous use of amoxicillin with methotrexate, the rate of excretion of the latter decreases. This leads to an increase in its toxicity.

    Analogs of this drug are:

    • Abiklav,
    • A-Klav,
    • Amoxy-alo-clav,
    • Amoxicomb,
    • Augmentin,
    • Betaklav,
    • Clavicillin
    • Clavamatin,
    • Michael,
    • Panklava,
    • Rapiklav.

    Panklav - one of the analogues of the drug.