Suprax – Antibiotic | Use | Dose

Suprax is a medicine that belongs to a group of antibiotics (medicines used to treat bacterial infections). It contains an active substance called cefixime. It belongs to the third class of cephalosporins. It is used to treat respiratory tract infections (sinusitis, tonsillitis, pharyngitis, bronchitis and pneumonia), urinary tract infections and middle ear infection (otitis media).


Suprax medicine should be avoided in patients allergic to active substance – cefixime or other similar medicines including penicillin.

Before you start using this medicine, tell your doctor if you have ever had an allergic reaction to any other medicine. Allergy symptoms include:

  1. itching of the skin,
  2. swelling,
  3. difficulty breathing, and others. If you are experiencing symptoms of an allergy, you should contact your doctor.

This medication, like all other antibiotics, may cause pseudomembranous colitis (inflammatory disease of the colon because of disturbed gut flora).

Watery diarrhea is the most common symptom of pseudomembranous colitis, and may be accompanied by blood. Call your doctor if you notice blood or changes in the color of your stool. Taking probiotics along with this medicine can help you reduce the risk of this side effect.

Suprax can cause so-called Stevens-Johnson syndrome – a life-threatening skin condition. Call your doctor if you are experiencing any skin changes.

This medicine may cause kidney damage and acute renal failure. Symptoms of kidney damage may include:



  • difficult urination,
  • painful urination,
  • dark-colored urine and others. Call your doctor right away if you are experiencing these symptoms.

It should be avoided in children under the age of 6 months. Children above the age of 6 months, are given Suprax in syrup form.

Use of Suprax during pregnancy and breastfeeding

Suprax can be used during pregnancy only if the benefit to the mother outweighs the risk to the child. Animal studies have shown that Suprax is not harmful during pregnancy, but there are no human studies.

This medication passes into breast milk and may harm your baby. Avoid breastfeeding while taking this medicine.

How to use

Recommended dosage:

Age and body weight


Patients above the age of 10 (body weight more than 50 kg) 200 mg twice a day or 400 mg once a day
Children aged 5-10 years 10 ml of syrup per day
Children aged 1-4 years 5 ml of syrup per day


Children aged 6 motnhs-1 year 3,75 ml of syrup per day



Take this medicine exactly as prescribed for as long instructed by your doctor, in order to avoid antibiotic resistance. The length of treatment depends on the severity of the infection and usually lasts for 1-2 weeks.

Suprax should be taken one hour before or two hours after a meal.

Use with other medicines (Interactions)

Suprax should be avoided in combination with the following medicines:

  • Medicines known as blood thinners, such as:
    • warfarin (Farin),
    • acenocoumarol (Sintrom 4 Sinkum 4) and others. Concomitant use of Suprax with these medicines increases the risk of bleeding.

Tell your doctor about all medications and herbal products you are taking.

Side effects

Very rarely, this medicine can cause liver damage. Symptoms of liver damage include:

  1. upper right abdominal pain,
  2. loss of appetite,
  3. dark – colored urine,
  4. jaundice – yellow skin and eyes, and others. Call  your doctor immediately if you are experiencing these symptoms.

Very rarely, this medicine may cause low white blood cell count (known as agranulocytosis). The immune system is made up of a white blood cells that defend the body against infection. Therefore, decrease in makes your body more susceptible to infections.

Very rarely, this medicine may cause decrease in the number of platelets in the blood (thrombocytopenia).

Suprax may cause the following side effects:

  1. nausea,
  2. vomiting,
  3. abdominal pain,
  4. diarrhea,
  5. flatulence,
  6. pseudomembranous colitis (inflammatory disease of the colon),
  7. headache,
  8. dizziness,
  9. kidney damage,
  10. Stevens-Johnson syndrome,
  11. mucous membrane inflammation,
  12. anorexia,
  13. anemia,
  14. allergy and others.

Tell your doctor if you are experiencing any of abovementioned side effects.


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