Macmirror forte instructions for use. Distinctive features of Macmirror. Organization accepting consumer claims

Macmirror - a remedy for infectious diseases intestinal diseases

For some types of infectious intestinal diseases, a drug is prescribed. However, many parents are worried about whether this drug can be prescribed to children.

The pharmaceutical market has various forms of this drug, suitable for children. So it greatly increases the effectiveness of the treatment of intestinal diseases.

Macmirror is antimicrobial agent related to nitrofurans. It has antibacterial, antifungal, antiprotozoal action.

Effectively inhibits the activity of gram-positive and gram-negative microorganisms. The drug also kills staphylococci, enterococci, Escherichia, Shigella.

The drug is prescribed for the treatment of inflammatory diseases digestive tract, amoebiasis, enterocolitis.

In addition, Macmirror is used for the treatment of bacterial urinary tract, as well as female genital organs, accompanied by leucorrhoea.

Side effects of Macmirror

• The phenomena of dyspepsia
• Bitterness in the mouth and
• allergic reactions
• Gastralgia

For intestinal infections, the drug is taken orally, 2-3 times a day, 400 mg. The dosage for children is prescribed based on the ratio of 10-15 mg per kilogram of weight.

Usually the course of treatment is 10 days, and with giardiasis - a week. For urinary tract infections, the dosage of the drug for adults increases slightly and ranges from 0.6 to 1.2 g per two doses.

The general scheme of taking the drug is not complicated, and the treatment itself is quite effective.

Reviews about Macmirror

The drug is generally well tolerated by patients. The only restriction for taking Macmirror is, but even in this case, doctors usually do not refuse it to achieve positive effect in treatment.

While taking this medicinal product it is better not to drink alcohol, because it can increase adverse reactions.

Detailed studies of Macmirror's action were carried out in Switzerland. After examining over 4.5 thousand patients who took Macmirror, it turned out that only 3% of patients could not be cured. In other cases, there was a complete recovery.

When the disease recurs, it most often passes into chronic form. Such patients have a pale color of the skin, sclera. If the process proceeds for a long time, the muscle tone and patients are losing weight. That's why sudden loss weight should alert a person.

You can learn more detailed nuances about giardia and giardiasis from the video of Dr. Komarovsky.

Further, drugs are taken that normalize the work gastro- intestinal tract. And then they attribute antimicrobials in particular Macmirror.

Macmirror (nifuratel) is an antibacterial and antiprotozoal (directed against protozoa) drug. It also has an antimycotic effect. Low toxicity, has a favorable safety profile. The spectrum of therapeutic activity extends to enterococci, staphylococci, hay stick, Escherichia coli, Shigella, Salmonella, Klebsiella, Enterobacter, Serratium, Citrobacter, Morganella, Rettergell, Acinetobacter, Candida, Trichomonas, to a lesser extent - on Proteus, Pseudomonas. Inhibits the activity of lactic acid bacteria. It is one of the most preferred drugs for the treatment intestinal infections bacterial genesis, incl. salmonellosis, shigellosis. It is especially in demand in the treatment of helicobacteriosis, incl. at infectious lesion strains resistant to metronidazole. Nifuratel is rapidly absorbed in the digestive tract. Undergoes metabolic transformations in the liver and muscles. Elimination is carried out by the kidneys. It is prescribed for infections provoked by microorganisms sensitive to nifuratel, incl. with infections of the urogenital tract, upper divisions digestive tract, giardiasis, vulvovaginitis, intestinal amoebiasis, helicobacteriosis. The spectrum of possible side effects narrow enough: dyspeptic reactions (nausea, diarrhea, heartburn, epigastric pain), dermatological reactions (itching, skin rashes). A direct contraindication to the use of Macmirror is individual intolerance to nifuratel.

The use of the drug during pregnancy is possible only after the physician has assessed the benefit / risk ratio for the fetus. In the treatment of vaginal infections, Macmirror's administration should be accompanied by topical therapy. During the course of medication, it is recommended to refrain from sexual activity. Macmirror potentiates the antimycotic effect of nystatin.

Macmirror occupies a special place in the treatment of acute intestinal infections in children. The outcome of the disease depends on the timeliness of the start of treatment and the correct selection of drugs. The greatest difficulty is precisely the adequate choice of an antibacterial drug. The development of tolerance to the most commonly used antibiotics makes the problem of choosing a drug in the treatment of acute intestinal infections in children especially acute. At the same time, it should be taken into account that the use of many antibacterial drugs leads to an increase in dyspeptic symptoms. Therefore, gastroenterologists are constantly looking for drugs that would be the most effective and at the same time safe, so that they can be used in pediatric practice. In this regard, Macmirror seems to be one of the most promising drugs. It is successfully used in children in the treatment of helicobacteriosis, giardiasis, dysbacteriosis, while it does not suppress saprophytic microflora, including bifidobacteria.

Pharmacology

Antimicrobial drug, a derivative of nitrofuran. It has antiprotozoal, antibacterial and antifungal effects. It has low toxicity.

It is highly active against gram-positive and gram-negative microorganisms (with an IPC of 12.5-25 μg / ml, it suppresses from 44.3 to 93.2% of cultures).

Active against Enterococcus faecalis, Enterococcus faecium, Staphylococcus aureus, Bacillus subtilis, Escherichia coli, Shigella flexneri, Shigella sonnei, Salmonella typhi, Salmonella typhimurium, Salmonella enterica, Klebsiella spp., Enterobacter spp., Serratia spp., Citrobacter spp., Morganella spp., Rettgerella spp., Pragia fontium, Budvicia aquatica, Rachnella aquatilis, Acinetobacter spp., other atypical enterobacteria, as well as protozoa (including pathogens of intestinal amoebiasis and giardiasis), fungi genus Candida, Trichomonas vaginalis; less active against Proteus mirabilis, Proteus vulgaris, Pseudomonas aeruginosa. Suppresses the activity of Lactobacillus acidophilus.

It is the drug of choice for the treatment of salmonellosis, shigellosis and other intestinal bacterial infections.

It is especially effective against strains of Helicobacter pylori resistant to metronidazole.

Pharmacokinetics

Release form

Coated tablets white color, round, biconvex.

Excipients: corn starch - 60 mg, rice starch - 5 mg, macrogol 6000 (polyethylene glycol 6000) - 15 mg, talc - 30 mg, magnesium stearate - 2.5 mg, gelatin - 2.3 mg, acacia gum (gum arabic) - 2.3 mg.

Shell composition: sucrose - 150 mg, magnesium carbonate - 33 mg, titanium dioxide - 0.9 mg, wax - 0.3 mg.

10 pieces. - blisters (2) - packs of cardboard.

Dosage

For oral administration single dose for adults is 200-400 mg, for children - 10-30 mg / kg. The frequency of administration and duration of treatment depend on the indications.

Interaction

Nifuratel enhances the antifungal effect of nystatin.

Side effects

From the side digestive system: nausea, vomiting, bitterness in the mouth, diarrhea, heartburn, gastralgia.

If necessary, the use of the drug during lactation should decide on the termination breastfeeding, because nifuratel is excreted in breast milk.

special instructions

In the treatment of vaginal infections, local therapy is carried out simultaneously with the administration of nifuratel.

During the period of treatment should refrain from sexual intercourse.

"Macmirror" is a broad-spectrum antibacterial drug. The active component of the drug is active against fungi, worms and bacteria. With low toxicity this remedy efficient. Are there analogues cheaper than McMiror? Let's consider them in the article.

Compound

The main active ingredient of the drug is the substance nifuratel. Produced in the form of tablets and vaginal suppositories under the name "Macmiror complex". Auxiliary substances of tablets are:

1. Talc and wax.
2. Gelatin and starch.
3. Sucrose.
4. magnesium carbonate.
5. Gum arabic and titanium dioxide.

The shell of the tablets consists of sugar. Packed tablets in packs of 20 pieces. The drug is dispensed by prescription. Shelf life is five years.

Description of the drug

The active substance of the drug is able to metabolize in the tissues of the liver and muscles, which is very important point. Otherwise, it would accumulate in the body, cause intoxication and adverse reactions. What analogues are cheaper than McMiror? More on this later.

Its advantages

Compared to most other antibiotics, Macmirror does not pernicious influence on the microflora of the vagina. It not only inhibits harmful microorganisms, but also stimulates the reproduction of beneficial lacto- and bifidobacteria. Therefore, after the end of the course of therapy with this drug, there is no need to use additional funds recovery acid-base balance. In addition, such therapy excludes secondary infection. Analogues of candles "Macmirror" are almost always cheaper than the original.

Indications

The drug is prescribed in the following situations:

1. Inflammatory process in the intestines and stomach of a chronic type.
2. Intestinal infection by amoebas.
3. Giardiasis.
4. Vaginal pathologies caused by trichomonas, chlamydia, fungi and various bacteria.
5. Diseases genitourinary system infectious genesis- cystitis and urethritis.

Contraindications

The drug has virtually no contraindications. The instructions mention individual intolerance to the components of Macmirror. With caution, tablets should be taken during pregnancy and lactation, since the possibility of penetration of its components through the placental barrier and breast milk not fully explored. Vaginal suppositories are allowed even during childbearing and lactation. Many are sold in pharmacies good analogues cheaper than Macmirror tablets.

Side effects

Side effects during the period of taking the drug are rare. The most common of them:

1. Nausea.
2. Vomit.
3. Allergy.

For the treatment of giardiasis, it is better not to use analogues cheaper than McMiror. Often they do not provide desired effect but cause unpleasant side effects.

Mode of application

The dosage regimen must be signed by the attending physician, taking into account individual features the patient's condition. The established dosage depends on the severity of the disease and the form of its course. Standard schemes reception are reflected in the instructions. How to take the analogues of "Macmiror" (they will cost less if you buy on the Internet) and the drug itself?

1. For diseases of the gastrointestinal tract, 2-3 tablets per day should be used. The duration of admission is up to 10 days. The dosage for children is calculated taking into account the weight of the child and is equal to 15 mg per 1 kilogram of body weight. Daily dose is divided into three steps.
2. In diseases of the urinary system of infectious origin, it is necessary to use 0.4 grams of the drug. You need to take the tablets after meals. The duration of therapy is up to two weeks.
3. With vulvovaginal disease, 1 tablet is prescribed 3 times a day. For increase therapeutic effect a special cream is prescribed. Children's dosage - 0.01 grams of the drug per 1 kilogram of body weight. The daily dosage is divided into two doses.

Cases of overdose have not been registered.

When treating a vaginal disease of an infectious nature, the dose of the drug should be increased. For the period of therapy it is impossible to conduct sexual life. Analogues of "Makmiror" (you can still find cheaper) cost less than 700 rubles.

Candle analogs

This drug is a potent antibiotic that high efficiency almost completely excreted from the body, which avoids side effects. This suggests that the replacement drug should also be based on the same active ingredient as the original. Pharmacies can offer similar medicines, which can be substituted for certain conditions"Macmirror".

In suppositories, in addition to nifuratel, nystatin is added, which enhances the effect of the main substance. For this reason, the range of application of candles is somewhat wider. Structural analogs candles "Macmirror complex" are cheaper in social pharmacies.

1. "Livarol". Restores vaginal microflora. It is used in the treatment of infections caused by infection with a fungus. Do not use in case of intolerance to ketoconazole. Price from 500 rubles.
2. "Pimafucin". This is a cream that is prescribed for inflammatory processes female genital organs, balanoposthitis. The cost is from 300 rubles.
3. "Hexicon". Suppositories that are recommended for the prevention of chlamydia, syphilis, gonorrhea, vaginitis and genital herpes. It is also used before childbirth, abortion and operations. The price is from 60 to 300 rubles.
4. "Furazolidone". It is used in the treatment of paratyphoid fever, dysentery, food poisoning and salmonella. The cost is from 50 to 130 rubles.

McMiror's analogues are cheaper, but you need to buy them only after consulting a doctor.

Analogues of tablets

All of these generics can be purchased without a prescription. If for some reason the Macmirror tablets did not suit the patient, they are replaced with analogues. Replacement is made by the attending physician. Generics of the tablet form "Macmiror" are:

1. "Vilprafen". The drug closest to the original. Indicated in scarlet fever dermatological diseases, inflammation of the upper respiratory tract and infectious processes in the genitourinary system of a bacterial nature. May cause some side effects such as hives, diarrhea, vomiting, heartburn. Price from 540 rubles.
2. "Furazolidone". Antiprotozoal and antimicrobial drug. Indications for use are the same as those of the suppositories of the same name. The cost is listed above.
3. "Nifuratel". A popular tablet analogue of Macmirror. Active against lamblia, staphylococcus, candidiasis and other bacteria. Indications for its appointment are enterocolitis, giardiasis, trichomoniasis, nephritis and vaginitis. Price from 700 rubles.
4. "Gynoflor". Represents vaginal tablets. Effectively treats vaginitis and candidiasis. Restores vaginal microflora. It is well tolerated by the body and rarely leads to side effects. The cost is from 900 rubles.

All of these drugs have a pronounced antibiotic effect.

Thus, Macmirror has many analogues, but none of them can claim the same wide range of action. All of the above generics affect only one cause of a particular disease. Analogues "Makmiror complex" are cheaper, but the difference is almost imperceptible.

Macmirror inhibits the development of fungi in the human body, negatively affects the life of Giardia and amoebas. The drug remains in the human kidneys and liver, and can also rot in breast milk, so it should be taken with caution during breastfeeding. The drug is completely eliminated from the body after six hours.

Macmirror complex during pregnancy is also prescribed to prevent the occurrence of infectious vaginal diseases. Many people ask: Macmirror is an antibiotic or not? In fact, it is classified as an antibiotic, but not very strong.

The main active component of McMirror is nifupatel. In addition to it, the composition of the drug contains auxiliary substances that help to better absorb the main component.

The main composition of the medicinal product:

• nifuratel 0.2 g;
• magnesium stearate;
• magnesium carbonate;
• starch;
• polyethylene glycol;
• titanium dioxide;
• wax;
• fructose.

Macmiror is available in several forms: Macmiror, suppositories and Macmiror complex cream (ointment). In the blister of one package of the drug there are 10 tablets. There are two such blisters in the package. The tablets taste sweet due to the shell, so they are not disgusting to drink.

What Macmirror treats for: indications

Suppositories or in another way - vaginal suppositories Macmirror is used as antifungal drug. They are screenings in gynecology for treatment since they have wide range actions. For example, the release form - Macmirror candles help with:

• vaginal candidiasis;
• bacterial infections developing in the urogenital region;
• urogenital trichomoniasis.

How to use Macmirror candles correctly is indicated in the instructions for use. In addition, the main indications of the drug include:

• intestinal amoebiasis;
• giardiasis;
• inflammatory processes of the mucous membranes of the intestinal tract caused by Helicobacter pylori;
• infectious and inflammatory diseases genitourinary system: pyelitis, urethritis, cystitis and others.

These are not all indications for use. More detailed information can be disclosed only by a specialist.

Macmirror cream and tablets: instructions for use

The daily dose of the drug is prescribed by the doctor for each patient individually. Self-medication is very dangerous! How to take the complex, only a specialist will write. According to the instructions themselves, an antifungal drug is prescribed as follows:

1. If the infection is caused by the bacterium Helicobacter pylori, then an adult is prescribed 2 tablets (400 mg) 3 times a day. The child dose is calculated based on the patient's body weight. 15 mg of the drug per kilogram of body weight 2 times a day. The treatment period takes 7 days.
2. Intestinal amebiasis Macmirror treats with two tablets 3 times a day after meals. Acceptance period - 10 days. Macmirror children in the case of amoebiasis are given 10 mg per 1 kilogram of weight.
3. Macmiror with giardiasis is given in the same way as with amoebiasis. But for children, the dose is increased to 15 mg by 1 kg. The course is a week.
4. Vaginal infections are treated in adults with 200 g, that is, one tablet, 3 times a day for 7 days. Children should be given 10 mg per kilogram of body weight 2 times a day. Treatment lasts 10 days.

Important: During the treatment of vaginal infections, both partners should take the drug!

1. Urinary tract infections in adults are treated differently, depending on the severity of prescribed doses. Macmirror is prescribed up to 1.2 mg per day for an adult. This treatment will last up to 14 days. Children are given up to 60 mg in two doses before meals.

Macmirror: side effects of the drug

Any medical preparation can cause side effects in the human body. McMiror is no exception. It has practically no contraindications for use. But for people with hypersensitivity to the active substance of the drug, it is recommended to use it with caution.

Some side effects of Macmirror:

• nausea and vomiting;
• allergic reaction;
• abdominal pain and cramps.

In fact, an overdose of McMror has not yet been recorded. But, nevertheless, you need to take it in the doses prescribed by the doctor. Therefore, the Macmirror complex is released only by prescription. Store the medicinal product in accordance with the instructions in the attached instructions: at a temperature not exceeding 25 degrees in a place where there is no access for children.

Important: You can store the drug for five years from the date of manufacture. After the expiration date, you can not take the Macmirror complex!

Take with caution: Macmirror during pregnancy

McMiror and alcohol are two incompatible concepts. It is unlikely that there will be drugs, the treatment of which will be allowed in tandem with the use of alcoholic beverages. As always, when mixing alcohol and a drug, side effects appear.

During pregnancy and lactation, the use of Macmirror should be monitored by a physician. Large dose can harm a baby who is in the womb or can be passed on to the baby along with milk. During lactation, it is generally not recommended to use the medicine. If treatment is necessary, then feeding is stopped for a while. After the active substance is completely removed from the mother's body, feeding can be continued.

Macmirror: analogues and cost of the complex

For the packaging of the drug Macmirror in a pharmacy, you can pay about 900 rubles. Since the price is not small, you can consider the presence of analogues on the pharmaceutical market this drug. Their cost is cheaper, some - ten times. In its composition, it does not differ much from the Macmirror complex, the active substances are also aimed at antibacterial and antifungal effects.

Macmiror's analogue in tablets:

• "Furazolidone" (see photo) is one of the cheapest substitutes for Macmirror;
• "Aciakt" - is presented, both in tablets, as well as in powder, and in suppositories for insertion into the vagina;
• "vokadin";
• "hexicon";
• "horhexidine";
• "Betadine" and other drugs.

Important: No matter how many good analogues there are on sale, you can replace the drug prescribed by the doctor only after his own consultation!

AT recent times especially the problem of increasing resistance pathogenic microorganisms to the action of antimicrobial and antiprotozoal medicines. Therefore, many doctors are inclined to use new drugs (and they do not always outperform other, "old" medicines), which have a wider range of therapeutic activity.

One such drug is Macmirror, synthesized in the Polichem Research Laboratory, Italy. Main active substance medication is nifuratel.

Unlike other nitrofuran derivatives, this compound contains in its chemical formula thioether group SCH3. This significantly expands the antimicrobial and antiprotozoal action of the agent. In addition, it is this structure that prevents the development of resistance. pathogenic flora to the activity of the Macmirror drug.

A characteristic feature of the drug is its ability to inhibit the growth and reproduction of infectious agents. At the same time, an increase in the concentration of lacto- and bifidobacteria necessary for normal and complete digestion is noted. The listed features of the Macmirror drug ensure its widespread use for therapy. a large number diseases caused by bacteria susceptible to the influence of nifuratel and protozoa.

The drug is available in the form:

• enteric-coated tablets containing 200 mg of the main component - nifuratel;
• intravaginal suppositories Macmirror Complex, which include 500 mg of nifuratel and 200 thousand IU antifungal component nystatin;
• cream for vaginal administration Macmirror Complex, contains 100 mg of nifuratel and 40 thousand IU of nystatin per 1 g of the product.

The addition of nystatin to the composition of suppositories and ointments gives the drug activity against fungi of the genus candida albicans.

As evidenced by the data clinical research, the drug has antibacterial and antifungal activity against gram-negative and gram-positive pathogenic flora, including resistant microorganisms. Other drugs affect the protein synthesis of bacteria. But Macmirror blocks some chains of enzymes and inhibits protein synthesis in ribosomes for early stages cell division. This prevents the emergence of resistant strains of bacteria and the development of cross-resistance.

AT late XIX century, the idea of ​​an infectious nature first arose peptic ulcer stomach. Currently, doctors are confident that the leading role in the pathogenesis of the disease belongs to Helicobacter bacteria pylori. The drug Macmirror is also effective against this microorganism, therefore it is successfully used in complex therapy pathologies antral gastritis, peptic ulcer and other diseases associated with Helicobacter pylori.

An important feature of this drug is the fact that nifuratel is completely excreted by the kidneys. Therefore, even long-term treatment does not affect the detoxification function of the liver. When ingested, Macmirror is rapidly absorbed from the gastrointestinal tract, passes through the placental membrane and into breast milk.

The therapeutically active concentration of the active substance in the blood is reached quickly. According to clinical studies, this is enough to eliminate more than 90% of the pathogenic flora. In the body, only half the dose of nifuratel is metabolized. Remaining quantity active component excreted unchanged through the urinary system. Due to such features of pharmacodynamics, Macmirror is prescribed for the treatment of not only giardiasis and other infections caused by protozoa, but also for the treatment of cystitis and other bacterial pathologies organs of the excretory system.

Vaginal cream and suppositories Macmiror Complex are prescribed for vulvovaginitis, gardnerellosis, chlamydia. Nystatin increases the effectiveness of nifurantel and expands the list of indications for the use of the drug.

Macmirror's medicine: indications for use, restrictions on use and adverse reactions

The drug is active against a large number of protozoa and other pathogenic flora.

Given the wide range of therapeutic efficacy of the active substance, Macmirror is prescribed for the treatment of the following diseases:

The drug Macmirror is well tolerated. According to the results of clinical studies, the drug causes much fewer complications than others. antibacterial agents. An example is the examination of 120 patients with severe bacteriuria. They were divided into two groups, half took antibiotics penicillin series, which are considered the least toxic (for example, Retarpen), others are Macmirror's medicine. Among the first group of patients, the occurrence of side effects was noted in 40% of patients, and among the second - only in 15%, which indicates a low risk of adverse reactions.

However, against the background of taking the drug inside, the following complications may occur:

• allergy, which manifests itself in the form of itching skin rash, the appearance of areas of peeling and redness;
• nausea, in rare cases- vomit;
• loosening of the stool;
• heartburn;
• belching;
• bitter bad taste in the mouth;
• pain or discomfort in the epigastric region.

Using vaginal cream or Macmirror suppositories, slight hyperemia, mild burning and itching are possible. These symptoms disappear some time after application and do not affect the condition of the mucous epithelium of the vagina.

If the drug Macmirror is used topically for the treatment of vaginitis, it is necessary to refuse sexual contact before the end of treatment. In addition, the sexual partner must also take the drug in the form of tablets to prevent re-infection.

The drug Macmirror has limited list contraindications. The agent is not prescribed for hypersensitivity to the main active ingredient nifuratel (and nystatin for cream and suppositories) and auxiliary components. Given the characteristics of the pharmacodynamics of the drug, dosage adjustment may be necessary for severe kidney damage.

In clinical studies, the antiprotozoal drug Macmirror has not been confirmed to adversely affect intrauterine development fetus. Pregnancy is not in the list of contraindications indicated in the instructions for use. However, only an obstetrician-gynecologist should prescribe tablets if the potential benefit of taking Macmirror outweighs the likely risks to the unborn child. Cream and suppositories can be used during pregnancy and lactation at the dosage indicated in the annotation.

Macmirror: instructions for use, dosage features depending on the disease and form of release

Despite the annotation detailed description the required amount of medication and the duration of therapy, the doctor selects the regimen for taking nifuratel individually, depending on the severity of the patient's condition, concomitant diseases, age.

Adults drink Macmirror instructions for use recommend as follows:

• vaginitis, vulvitis and other genital infections: daily dosage is 600 mg, divided into three doses, take the drug for a week;
• bacterial lesions of the urinary system: 200-400 mg (1-2 tablets) three times a day, therapy is designed for 1-2 weeks;
• amoebiasis: 400 mg up to 3 times a day for 10 days;
• giardiasis: 2 tablets three times a day, the course of administration is 1 week;
• lesions of the digestive system caused by the bacterium Helicobacter pylori: 400 mg 2-3 times a day for a week.

Macmirror vaginal suppositories instructions for use recommend using this:

• after all hygiene procedures insert the candle deep into the vagina;
• suppositories should be used at bedtime;
• the duration of treatment is 8 days.

The cream is injected into the vagina in an amount of 2.5-5 g per day. For convenience of use the special graduated nozzle is included in the package. This allows you to accurately measure required amount ointment and introduce it without damaging the hymen.

When used in childhood drug Macmirror instructions for use indicates the amount of funds:

• bacterial lesions of the vagina and surrounding tissues: 5 mg / kg twice a day for 10 days;
• infectious diseases urinary system: 15-20 mg / kg twice a day, the duration of treatment is determined by the doctor;
• amoeba invasion: 30 mg / kg per day (this amount is divided into three doses) for 10 days;
• helminthiasis provoked by lamblia, diseases of the gastrointestinal tract caused by Helicobacter pylori: 30 mg/kg (divided into two doses) for a week.

With local therapy of vulvovaginitis in girls, Macmirror suppositories are not used due to the risk of overdose of nifuratel and damage hymen. For treatment in early age doctors prescribe cream right amount measured and injected with a nozzle. The dosage and duration of use is determined by the specialist. During pregnancy and lactation, Macmirror is used only in the form of a cream or suppositories. The standard dosage is 1 suppository at night, or 2.5 g of ointment twice a day.

Complications in excess of the recommended amount of medication does not occur. The drug is also combined with other drugs. However, Macmirror Complex cannot be administered simultaneously with nystatin and the rest antifungal agents for local use.

Macmirror tablets: analogues, cost, storage and sale conditions

The drug belongs to list B ( strong drugs), therefore, in accordance with the instructions, it is dispensed from the pharmacy only by prescription. But as practice shows, this rule is practically not observed. Macmirror tablets, cream and suppositories can be freely purchased both through online pharmacies and directly in the store.

Store the medicine in a dark place, protected from access by children, at a temperature not exceeding 25ºС. In the hot season, candles are advised to be kept in the refrigerator door. The shelf life of Macmirror tablets is 5 years, and forms for local application- 3 years. This date is indicated on the packaging.

There are no special instructions for the use of the drug. Taking the medicine does not affect the ability to concentrate, the reaction rate when driving. But it is necessary to use Macmiror tablets, suppositories and cream only as directed by a doctor in the indicated dosage.

As for the analogues of the drug, the only drug can be called Nifuratel. There is no adequate replacement for Macmirror Complex with the same composition. Doctors may prescribe medication instead antifungal suppositories and ointments, various antibiotics and antiprotozoal agents (for example, Metronidazole, Nifuroxazide, Nifurantoin, etc.), but their effectiveness is much lower. In the case of urinary tract infections, the doctor may also prescribe Strovac.

According to Internet resources, the cost of Macmiror tablets is 789 rubles for a pack of 20 pills, candles Macmiror Complex - 705 rubles for 8 suppositories, cream - 848 rubles for a tube weighing 30 g.