After the beginning of winter this year, the number of patients infected with Mycoplasma pneumoniae increased instantaneously and continued for a long time. I have carried out science popularization before: three national drugs for a few cents a piece, high-quality and inexpensive drugs for Mycoplasma pneumoniae, this time to summarize and sort out.
The three drugs used for Mycoplasma pneumoniae are:
Clause. 1. Azithromycin tablets: 025 grams, 6 tablets in a box, 4 in a box98 yuan, equivalent to a piece of 083 yuan;
Clause. 2. Clarithromycin tablets: one tablet 025 grams, 8 tablets in a box, 2 in a box55 yuan, equivalent to a piece of 032 yuan;
Clause. 3. Levofloxacin tablets: one tablet of 025 grams, a box of 30 tablets, a box of 1388 yuan, equivalent to a piece of 047 yuan.
There are corresponding articles before, and you can read the popular science of specific drugs.
At present, as long as it is in the area that participates in the centralized procurement of national drugs, the domestic drugs of the above specifications of ordinary dosage forms in public hospitals are cheap**.
If the child is younger than 12 years old or weighs very little, the corresponding children's preparation can also be used. Children's formulations are available in smaller doses as well as more child-friendly tastes. However, ** is slightly higher than the above drugs.
In addition, although the above-mentioned drugs have been greatly reduced, they are all drugs that have passed the consistency evaluation of generic drugs. In other words, these domestic generic drugs have reached the same level as imported drugs, so everyone can take them with confidence.
And these three drugs are included in the 2023 edition of the guidelines for the diagnosis and treatment of Mycoplasma pneumoniae pneumonia in children issued by the National Health Commission of China.
Therefore, the above three drugs can be called high-quality and inexpensive drugs, but they are three-point poisonous, and the above three drugs have their own drugs***
Clarithromycin and azithromycin are both macrolide drugs, and both are associated with an increased risk of torsades de pointes, particularly in patients with pre-existing arrhythmias.
And these two drugs can be used for respiratory tract infections caused by Mycoplasma pneumoniae and a variety of susceptible bacteria, so they are widely used. However, it is precisely because of the widespread application of these two drugs that these two drugs have appeared, and many parents have self-medicated their children without etiological examination, which in turn leads to the emergence of drug resistance. If bacteria become resistant to antimicrobial drugs, they will become less effective against the antimicrobial drugs they were using the next time.
If azithromycin and clarithromycin have a very poor effect because of drug resistance, levofloxacin will be used for Mycoplasma pneumoniae, but although levofloxacin is also very effective, there is an increased risk of Achilles tendon rupture for children under 18 years old. Although levofloxacin has also been added to the guidelines for the diagnosis and treatment of Mycoplasma pneumoniae pneumonia in children issued by the National Health Commission, if other drugs are still effective, this drug will generally not be used, and informed information is required if it is used.
Therefore, to sum up, azithromycin, clarithromycin, and levofloxacin are all drugs with very good effects on Mycoplasma pneumoniae, but you must not self-medicate, and you must go to a public hospital near you to check and determine the pathogen of infection before taking medication, so as not to develop drug resistance.