Cystitis powder. Which cystitis powder is considered the most effective? What is the name of the powdered medicine for cystitis?

As part of complex therapy for inflammation of the bladder mucosa, not only tablets and capsules, but also other dosage forms remain in demand. Doctors often prescribe powders for cystitis.

The advantage of such products is their high bioavailability, ease of use and low price due to low production costs. A large number of drugs are produced in this form, especially from various groups of antibiotics.

Efficiency

When treating urinary tract infections, medications are used that can stop the growth of pathogenic bacteria and also help normalize the excretory function of the kidneys. In this case, you need to choose a fast-acting and safe remedy.

Powder for cystitis has these properties. It is absorbed faster than tablets and does not irritate the mucous membranes of the stomach and intestines. Therefore, drugs in powder form remain in demand.

Ease of use is of great importance. Compared to injections and suppositories, anti-cystitis powder is convenient to use. The drug can be taken at home, at work, or on the road.

Since the powder must be dissolved in water or washed down with a large amount of liquid, the flushing effect for the urinary tract is enhanced.

Good absorption by the body, the ability to disinfect the mucous membrane and kill bacterial cells, availability for purchase, and a minimal number of side effects make this dosage form a priority in the treatment of the genitourinary system. However, taking any drug should only be started on the recommendation of a doctor after the necessary examination.

From chronic

For chronic cystitis, antibiotics are selected strictly based on laboratory tests. This makes it possible to find the most effective treatment for the disease, since infectious agents develop resistance to a number of drugs. For chronic cystitis, medications are prescribed to which the bacteria are sensitive. The list of medications is extensive:

  • Tetracycline;
  • Nitroxoline;
  • Monural;
  • Ampicillin;
  • Amoxicillin;
  • Ciprofloxacin.

If there is no positive result within 7-10 days after starting antibiotic treatment, the medication should be changed in consultation with your doctor.

From acute

The goal of treatment of acute cystitis is to quickly relieve pain, normalize urination and stop the growth of pathogenic microflora in order to prevent the pathology from becoming chronic. In case of sudden development and severe course of inflammation, antibiotics are used to destroy the causative agent of the infection directly at the site of damage to the organs of the genitourinary system. Such drugs include:

  • Monural;
  • Norfloxacin;
  • Ciprofloxacin.

Medicines in the form of powders in this case can be intended both for oral administration and for preparing a solution for injection. The selection, dosage and duration of administration are determined by the doctor based on the examination results.

The use of powders for cystitis

The pharmaceutical industry produces many dosage forms of drugs for the treatment of the urinary tract. Powders that are used in the complex treatment of cystitis are most often antibiotics.

In some situations, medications are prescribed for one-time use. If negative dynamics are observed, re-use is possible after a day. Preparations that are in powder form and are used for inflammation of the bladder have the property of being quickly absorbed into the blood.

By quickly achieving a sufficient concentration of active substances in the urine, the drugs destroy harmful microorganisms in a short period. Bacteria are washed away from the mucous membrane of internal organs and excreted through the kidneys.

The instructions for use of the drugs indicate the dosages and rules for taking medications. Powders in the complex therapy of cystitis are also used to wash the bladder. You cannot take medications without a doctor's prescription.

During pregnancy and lactation

During pregnancy, antibacterial medications are allowed if absolutely necessary. In the early stages, taking any pharmaceuticals is undesirable. During lactation, the use of medications is prohibited. If antibiotic therapy cannot be avoided, it is recommended to temporarily stop breastfeeding.

Treatment of cystitis in pregnant and lactating women involves the use of drugs that are safe for the child: both synthetic and herbal. Only a doctor can carry out therapy using gentle medications and determine the dosage and duration of the course of therapy.

For children

The choice of drug for urinary tract inflammation in children depends on the form, severity of the disease and the age of the child. The advisability of treating cystitis with powder in a child is determined by the doctor. He calculates the dosage of the medicine and the duration of use. Children, depending on their age, may be prescribed oral antibiotics in powder form or, if necessary, injections.

List of drugs

Untreated acute cystitis often becomes chronic. Therefore, treatment of severe inflammation without antibiotics is impossible. All groups of such drugs have a number of contraindications and side effects. Therefore, treatment should begin after a thorough examination.

Monural

Monural belongs to the group of antibiotics. The main active component of the powder is fosfomycin, which has antimicrobial properties. Monural is prescribed for acute cystitis and its relapse.

The medicine is available in a 3 g sachet. The contents are dissolved in approximately 75 ml of water and taken orally. The course of treatment involves a single dose. The antibiotic is contraindicated in children under 5 years of age, pregnant and lactating women.

Sulfacyl sodium

Sulfacyl sodium is used as part of complex therapy for cystitis together with other antibacterial agents. It belongs to the group of sulfonamides and is a good uroantiseptic.

It is recommended to divide the daily dose of powder into 3 times. This drug has a moderate bactericidal effect on coccal microflora. Sulfacyl sodium is well tolerated. It causes a small number of side effects, the main of which are allergic reactions in case of intolerance to the components of the powder.

Sulfacyl sodium for cystitis is rarely used orally, but is used for injections, sitz baths and bladder rinses.

Albucid

The medicine for cystitis in powder Albucid is considered an outdated drug. A large number of bacteria have already developed resistance to its main active component - sodium sulfacyl. It is not recommended to take the powder orally, since only a small dose of the drug enters the genitourinary system from the gastrointestinal tract.

Albucid is used to prepare solutions for intramuscular and intravenous injections. The powder is prescribed as an auxiliary drug if other drugs have not brought the desired result.

Streptocide

Streptocide is a yellowish powder. It has a pronounced bacteriostatic effect, which helps stop the growth of bacteria. However, this drug is considered obsolete, so it can be used to eliminate symptoms until the results of the patient's examination are received. Then it is recommended to take a course of medications that are intended specifically for the treatment of cystitis.

Fosfomycin

Fosfomycin sodium is a synthetic antibiotic with a wide spectrum of action. It is effective against gram-positive and gram-negative microflora. Available in the form of a white crystalline powder, from which you can prepare a solution for injection. Sometimes medication for cystitis is prescribed orally. In this case, the powder is diluted with water and taken as a suspension.

Before starting treatment, it is necessary to consult a urologist, since Fosfomycin provokes the development of side effects and has contraindications.

Cefaclor

Granular powder Cefaclor belongs to the group of cephalosporins and is most often used to treat acute cystitis. The active components destroy the cell walls of bacteria and stop their growth. A suspension is prepared from the powder, which is taken 2 times a day for 5-7 days.

Cefaclor is effective against aerobic gram-positive and gram-negative pathogens of cystitis. It is capable of destroying microorganisms resistant to ampicillin antibiotics. However, Cefaclor should not be used to prevent genitourinary infections, since some types of opportunistic flora can develop resistance to this powder.

Cystitis in women: symptoms and treatment at home

How will powder help against cystitis? Inflammatory processes in the bladder area, or cystitis, are not a rare occurrence. According to medical statistics, almost half of the world's population suffers from it. The disease primarily affects women, and this happens for the simple reason that, unlike the male genitourinary system, the female one has a shorter and wider urethra.

How is cystitis treated?

This specific structure largely helps various harmful organisms to ascend into the bladder organ and create conditions for the occurrence of an inflammatory process. When a problem arises, the main issue becomes treatment of the disease. In many ways, therapy is prescribed depending on the factor that caused the inflammation.

The disease in medicine is precisely called primary acute cystitis. The primary manifestation is not accompanied by any other inflammatory diseases of the genitourinary system. The disease has pronounced symptoms. The acute form of the disease is treated with effective antibacterial drugs. Typically this is:

  • pills;
  • antibiotics for cystitis;
  • vaginal suppositories;
  • special powder for cystitis.

The medication should be taken as prescribed by the attending physician. If all recommendations are followed correctly, successful treatment can be completed in 7-10 days, and with a very positive effect, recovery can occur within 5 days of treatment.

The most important thing is that at the first signs of the disease, you should immediately consult a doctor, and do not delay going to the clinic until the disease takes on complicated forms. The doctor will prescribe a therapeutic course, and after its completion he will definitely take additional tests to make sure there are no signs of the disease.

This is very important, because uncontrolled use of medications can suppress the symptoms of the disease, but it will not be possible to completely eliminate the source of inflammation. Often, later, new problems and relapses of an already seemingly withered disease arise. And these relapses can be very severe.

At this stage of treatment, an integrated approach will be required, since, having only antibiotics for cystitis on hand, it is impossible to defeat the sore. New procedures include infrared laser and medicinal powders for cystitis, which have become a very effective remedy.

Furagin and his capabilities

There are several types of medicinal powder needed for use for symptoms of cystitis. The first is a drug called Furagin, a soluble powder.

The drug is used in the following cases:

  1. Sepsis, that is, blood infection with harmful particles from the source of purulent inflammation.
  2. Purulent infection.
  3. If you have pneumonia.
  4. Inflammation in the urethra.
  5. The infection is anaerobic in nature, meaning bacterial infection.

For cystitis, Furagin has a very long-lasting effect. Once in the body, it can have a therapeutic effect for another two weeks.

The main positive quality of the drug is that when exposed to areas of inflammation, it effectively destroys bacteria that have gram-negative and gram-positive properties. The drug also affects microorganisms that are resistant to various antibiotics and sulfate substances.

The drug is taken 2-3 times a day after eating. One norm is 0.1 or 0.2 g of soluble powder. For children, the daily dose of the drug can be from 0.2 to 0.7 g when calculated per 1 kg of the child’s weight.

When carrying out therapeutic and diagnostic sanitation, the course of treatment increases accordingly. But then a break is necessary to avoid the body’s possible addiction to the drug. Therapeutic therapy lasts about a week, after which you need to take a break. The standard break lasts 10-15 days, after which the course of treatment should be continued.

Powder for cystitis Furagin, when taken into the body, can cause side effects, which are expressed in headaches, attacks of nausea and vomiting, and incomprehensible tinnitus. A medicine purchased with a doctor's prescription must be accompanied by instructions for use, which will indicate how often this powder can be taken and in what doses. The instructions must be read, since the above description of the properties and method of taking the drug is simplified.

The instructions will indicate specific contraindications to the use of the drug. Furagin is not recommended for use by women during pregnancy and lactation, or by people with increased tolerance to medications.

General information about the drug Monural

Monural is a very strong and effective remedy for cystitis. The drug contains a substance called fosfomycin. It is a derivative of phosphonic acid. Fosfomycin has a very strong effect on gram-positive bacteria.

Monural for cystitis can also be used to treat other diseases; the indications for the use of this drug are as follows:

  1. The presence of an acute form of bacterial cystitis.
  2. Recurrent, acute forms of bacterial cystitis.
  3. The manifestation of bacteriuria in women who are pregnant without any symptoms.
  4. Nonspecific form of urethritis.
  5. Prevention of harmful infectious lesions of the urinary system.
  6. Infections of the genitourinary system of bacterial origin usually occur in the postoperative period.

Powder for cystitis Monural has a huge spectrum of action, which, in turn, guarantees high demand for it among the population and popularity among doctors. When there is cystitis, Monural quickly helps even with fairly severe cases of inflammation.

Having purchased the medicine for cystitis Monural, you need to consult a doctor and ask how to take Monural. The doctor will give instructions for the appointment, but most often the method looks like this:

  • before drinking Monural, you need to dissolve the powdered product in a third of a glass of clean water;
  • the drug is always taken only on an empty stomach 1 time per day, usually in the evening before bedtime or 2 hours before the last meal;
  • Before using the powder, you need to go to the toilet and empty the urethra.

For adults, the standard dosage is 3 g per day. The doctor may recommend increasing the dose, but this depends on how Monural works. Elderly patients are allowed admission. In the case of an advanced phase of inflammation, doctors often prescribe additional dosages.

Pediatricians usually use two-gram doses in treatment for children, but only over 5 years. Patients who have any kidney problems need to either reduce the dose or increase the interval between taking the drug. The drug is not allowed for use by children under 5 years of age and persons with an allergic reaction. Monural for cystitis is considered the best drug.

Methylthioninium chloride

Another powder for cystitis is a remedy called Methylthioninium Chloride. Its action is that it has a very strong antiseptic effect, has oxidative properties and restores damaged tissue.

The product has well-defined antidote capabilities against the substances aniline and hydrocyanic acid. The drug is used for the following diseases:

  1. Inflammation in the urinary tract.
  2. In the presence of pyoderma.
  3. When painful burns occur.
  4. For possible poisoning from carbon monoxide, cyanide compounds or nitrites.

This powder for cystitis is used as prescribed by the attending physician in the following cases:

  1. In the presence of cystitis, methylene is applied externally in the form of a 1% or 3% alcohol solution. This is exactly how it is used for advanced cystitis.
  2. If there are signs of poisoning with carbon monoxide compounds, the substance is injected into the body intravenously in 50 or 100 ml doses.
  3. In case of poisoning with nitrates, 0.15 ml of solution is injected into the body into the veins.

The drug has side properties, which manifest themselves in the form of decreased appetite, periodic nausea, accompanying vomiting, and abdominal pain. Psychological discomfort, pain in the bladder area and, at times, allergic reflexes are possible. The medicine should not be used by people with an organism that is too sensitive to the drug; the drug is completely contraindicated in pregnant women, as well as during lactation.

The drug has one feature - it is blue. This means that when it gets into the urine, it colors the contents of the bladder in a bluish tint, which is a very rare phenomenon in medical practice. Therefore, this powder is also called methylene blue. For this reason, it is often used to examine kidney function.

This product should be taken only as prescribed by a doctor, strictly following all recommendations and prescribed doses. The powder is sold in well-packed containers, which protect the product itself from light harmful to the substance; then it should only be stored in a place protected from light.

Possibility of using Furadonin

The drug Furadonin is another powdered drug that the attending physician can recommend to the patient. This drug has many advantages, the most tangible of which is that it is cheap and at the same time very effective.

Price multiplied by efficiency is an important incentive to purchase it. This is an antimicrobial substance that is often classified as an antibiotic. The drug destroys microbes that have entered the body and lead destructive activities there. These are the same organisms that ultimately provoke cystitis. This happens by destroying protein synthesis, which is vital for the harmful cell.

Furandonin belongs to the nitrofuran group of drugs. It is used in the presence of the following inflammatory processes:

  1. Cystitis.
  2. Urethritis.
  3. Pyelonephritis.

In addition, it is used for prophylactic treatment of the urethra before surgery in the urinary canal area.

The treatment regimen is selected individually for each patient individually. The standard instructions for use dictate that you need to take 1-2 tablets at a time. In total, this is about 150 g per dose. You need to use this product 3-4 times a day.

The treatment course usually lasts a week, and in some cases it lasts for two. The product is taken in a simple way, washed down with water. The sooner therapy with Furadonin begins, the greater success will be achieved in treatment.

Aching pain in the abdomen, painful sensations and - this is how most people describe the first signs of cystitis and are mistaken.

In fact, the disease is insidious and can occur in a latent form for more than 3 months, affecting the mucous membrane and deeper layers of the bladder. And the above symptoms can already serve as the beginning of serious complications.

At this stage the patient requires. Medicines for the treatment of cystitis are available as injections, tablets and powders. Powder is considered the most effective remedy for cystitis. You will learn why you should choose them from our article.

Advantages of powders over tablets

To understand what the main difference between powder and tablets is, let’s consider the mechanism of its effect on pathogenic microflora.

After taking the powder, it is absorbed instantly, and after a couple of hours its maximum concentration accumulates in the urine, allowing it to fight bacteria. On the third day, the medicine is eliminated from the body.

They operate on a different principle. They are absorbed into the lymphatic channels for about 3-4 hours. Then the active substance is adsorbed in the gastrointestinal tract, spreads through the vessels and fights microorganisms.

Thus, we can highlight a number of advantages of powder compared to tablets:

  1. ​Does not cause problems with the gastrointestinal tract, because... does not reach the mucous membranes of the stomach.
  2. It is quickly absorbed and acts instantly.
  3. ​Neutralizes the causative agents of cystitis, settling directly on the walls of the bladder.
  4. Enhances the therapeutic effect due to the additional intake of water necessary to dissolve the powder.
  5. Possibility of fractional dosage and mixing with other components.
  6. ​Relatively low price.

Popular medicines

There are many powdered medicines for cystitis. Most often these are antibiotics, less often - sulfenamides or. The most popular among them are sodium sulfacyl and, as well as several similar drugs, which we will consider in the next chapter.

Monural powder is a drug based on the broad-spectrum antibiotic fosfamycin. The effectiveness of the drug lies in neutralizing the enzyme pyruviltransferase, without which no bacterial wall can be built. Sprayed on the surface of cells, fosfamycin also prevents pathogenic microflora from attaching to them.

The medicine does not bind to blood plasma proteins, therefore it can be used according to indications by pregnant women and children from 5 years of age.

To relieve the acute phase of cystitis, it is enough to take the powder once in a three-gram dose. After two hours, the product will accumulate in the urinary system and begin to act. The effectiveness of Monural is also explained by the small number of bacteria that are resistant to it (1% of the total). The drug is eliminated from the body on the 4th day and is used in the prevention of urogenital diseases.

Sulfacyl sodium

The drug is a water-soluble powder. Belongs to the group of sulfonamides, which, unlike antibiotics, do not destroy bacteria, but stop their growth. Due to its low cost, this medicine was previously used everywhere. It is used as an auxiliary medicine for a week, one sachet three times a day.

Other effective remedies

Powder products are used not only internally, but also for rinsing the bladder. In severe cases, several medications may be prescribed at the same time: one is the main one and the other is supportive. Monural is an effective medicine, but not everyone can afford it. Therefore, it is useful to know that there are inexpensive analogues with the same effect, but a longer adsorption period.

Alphacet

The drug is based on . Unlike Monural, the maximum concentration is achieved only after three times of use, so its effect on the body occurs only on the second day. Effective against gram-negative bacteria, but has little effect on anaerobic microorganisms. The medication is taken every 8 hours at a dosage of 4g/day.

Palitrex

Cephalosporin antibiotic powder, effective against. Evenly distributed in all organs. Partially binds to blood plasma proteins, so it is not recommended for pregnant women and children. Has a destructive effect on most gram-positive bacteria. It is quickly eliminated from the body. Dosage regimen: 1.5 g - 2 times a day.

A combined product based on Aoxicillin and Sulbactam. Active antibiotics are quickly absorbed and spread not only through tissues, but also through biological fluids.

In combination, both antibiotics inhibit the synthesis of the protein wall and effectively act on most gram-positive microbes.

Rarely with cystitis, usually if other drugs are prohibited. For example, people who do not tolerate nitrofurans well. Dosage for adults: 1 g twice a day.

Flucloxacillin

Refers to semisynthetic penicillins. Has a detrimental effect on bacteria in the stage of their active growth. With repeated use, resistance of microorganisms to the penicillin series is observed. It has many side effects and is contraindicated for kidney and liver diseases.

Before use, it is necessary to take a urine culture and find out the causative agent of the disease. If it is not E. coli, then taking the drug may worsen the course of the disease.

Recommended dosage regimen: 4 times a day, 1 tsp.

Principles of disease treatment

Treatment of cystitis should begin with identifying the causes that caused it. The causative agents are most often Escherichia coli, staphylococci, streptococci, mycoplasma and ureaplasma. Acute cystitis can be quickly relieved using the above medications. already requires a different approach and is subject to the following principles:

  1. Complex use of drugs. Etiological treatment involves 7-day therapy with broad-spectrum antibiotics. After which nitrofurans are prescribed for a course of up to six months.
  2. Local treatment. Pathogenic therapy is aimed at eliminating hormonal and immune imbalances and correcting genital hygiene. Exercise therapy and... Solutions of silver nitrate or heparin are also commonly used.
  3. Eliminating the source of inflammation and strengthening the immune system. If there are concomitant diseases, they are also treated, while simultaneously prescribing immunomodulatory drugs;
  4. Prescribing antihistamines and non-steroidal anti-inflammatory drugs, to relieve severe pain.
  5. Use of serious medications, treatments, and surgery. For chronic inflammation that is difficult to treat, physiotherapy and novocaine blockades are performed. If the bladder shrinks, surgery may be required.

Let's summarize. Why are powders most effective in treating cystitis? They are quickly adsorbed, do not cause side effects from the gastrointestinal tract and are effective against most bacteria. Some drugs, for example Monural, help for a long time in just one dose.

But do not forget that they are not a panacea and with prolonged use of the same medicine, its effect worsens. Therefore, it is advisable to carry out repeated treatment with analogues of drugs based on different active antibiotics.

The medicine Monural contains 3.754 or 5.631 grams fosfomycin trometamol (which corresponds to 2 or 3 grams fosfomycin ), as well as flavoring (tangerine and orange), sucrose and saccharin.

Release form

Granules for the preparation of a solution for oral administration, packaged in 2 and 3 g in laminated paper bags, 1 or 2 bags per pack.

Pharmacological action

Has a wide range antimicrobial activity , renders bactericidal effect .

Suppresses the process of bacterial cell wall synthesis (in particular, its first stage).

Specific action fosfomycin manifested in its ability to inactivate enolpyruvil transferase, which ensures the absence of cross-drug resistance and eliminates the possibility of synergy with other antimicrobial agents (in vitro synergism with pipemidic acid has been noted, cephalexin , ).

Pharmacodynamics and pharmacokinetics

Is Monural an antibiotic or not?

The action of the active substance of the drug is aimed at destroying and preventing further proliferation of bacteria that cause UTIs. Therefore, the product is an antibiotic.

Description of the drug Monural

The antibiotic Monural is available in the form of characteristically smelling white granules. The drug contains a phosphonic acid derivative as an active substance - fosfomycin . Being a structural analogue phosphoenol pyruvate , the substance is active against most Gram (+) and Gram (-) bacteria.

Pharmacodynamics

The antibacterial activity of the drug in vitro includes most of the common Gram (+) microorganisms: enterococci (including fecal), staphylococci (including golden and saprophytic).

Gram (-) pathogens are also sensitive to the action of the drug: citrobacter , enterobacteria , klebsiella (including Klebsiella pneumoniae), Proteus mirabilis , morganella morgani , serrations , pseudomonas .

In vitro, the agent reduces the adhesion (clumping) of a number of microorganisms on the urothelium.

Pharmacokinetics

When taken orally, it is absorbed quickly from the digestive tract. In the body it breaks down into trometamol (the substance does not have antibacterial activity) and fosfomycin .

The bioavailability of a single dose of Monural 3 g can vary from 34 to 65%. TCmax 2–2.5 hours, Cmax is in the range of 22–32 μg/ml. T1/2 - 4 hours.

Fosfomycin is in a state not associated with plasma proteins, is not metabolized, and accumulates mainly in the urine.

With a single dose of 3 g of the drug, a high concentration is created in the urine (from 1.053 to 4.415 g/l), which is 99% bactericidal for most UTI pathogens.

IPC fosfomycin for these pathogens - 128 mg/l. It is maintained in urine for 24–48 hours, which requires a single-dose course of treatment. Excreted by the kidneys (unchanged). From 18 to 28% of the dose taken is excreted unchanged in the feces.

Indications for use

Drugs such as Fosfomycin and Monural, used to treat acute attacks bacterial cystitis (including recurrent), bacterial nonspecific urethritis , asymptomatic massive bacteriuria (including in pregnant women), postoperative UTI.

For preventive purposes, they are prescribed for transurethral diagnostic studies and surgery.

Treatment of cystitis with antibiotics

Which is better: Monural or Nolitsin?

- This quinolone bacterial agent with a wide spectrum of action, which is used for treatment infectious diseases of the upper and lower urinary tract (complicated or uncomplicated, occurring in acute or chronic form).

Indications for its use are pyelitis , pyelonephritis , cystitis , chronic prostatitis infectious diseases associated with urological operations, neurogenic bladder , and also nephrolithiasis caused by those sensitive to (active substance Nolitsina ) pathogens.

Course of treatment Norfloxacin lasts - depending on the severity of the patient’s condition and the nature of the disease - from 3-5 days (for uncomplicated cystitis) to several weeks (for chronic form of bacterial prostatitis ).

Unlike Monural, Nolitsin cannot be used in pediatrics and pregnant women.

Monural and alcohol

During treatment with the drug, alcohol is contraindicated.

Monural during pregnancy and breastfeeding

According to the instructions, during pregnancy the use of the drug is possible if necessary.

The drug is used exclusively in urological practice, which eliminates the occurrence of cross-resistance with other antibiotics, meets safety criteria, has proven microbiological effectiveness and, in addition, has favorable pharmacokinetic parameters.

Despite the fact that studies conducted on animals have not revealed that the drug can cause harm to the fetus, it should be remembered that taking even safe medications in the early stages is undesirable.

In the 2nd trimester and 3rd trimester, the medicine is taken according to the standard regimen: 1 sachet of 3 g and then another one a day after the first dose.

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Powder for cystitis once

Monural for cystitis: one-time use

The dream of any sick person is to take medicine once and get well. And now such a drug has been found for the treatment of cystitis - this is monural. How effective is Monural for cystitis? Will only one tablet be enough?

Monural is the trade name of the drug fosfomycin (a broad-spectrum antibiotic), which is a derivative of phosphonic acid. Its unique mechanism of action is based on the fact that the drug neutralizes the enzyme pyruvyltransferase, without which the construction of the bacterial wall is impossible. No antibiotic works this way. In addition to this, fosfomycin binds perfectly to the surface of cells and does not allow new bacteria to attach to the mucous membrane of the urinary tract.

A distinctive feature of the medicine for cystitis Monural is the frequency of its use. For an acute illness of an infectious nature, a one-time dose at night after emptying the bladder is sufficient; the dosage is three grams. In less than three hours, the concentration of the antibiotic in the lower parts of the urinary system will reach its maximum, and the patient will feel the therapeutic effect in the form of disappearance of the symptoms of inflammation.

Another advantage is that monural tablets for cystitis are practically safe, since the drug substance does not bind to blood plasma proteins, most of it is excreted unchanged by the kidneys, with virtually no effect on other organs and systems. This allows it to be used for diseases not only in women and men, but also in children starting from the age of five. For pregnant and lactating women, the drug is prescribed when the use of other drugs for the treatment of cystitis has proven ineffective and the benefits of therapy may outweigh the potential harm to the fetus. Fosfomycin crosses the placenta and into breast milk, so it can have an effect on the baby. However, there is no absolute contraindication to the use of Monural in pregnant women, and breastfeeding women are advised to temporarily stop breastfeeding for the duration of the drug.

The powder also has an immunomodulatory effect, which is alien to almost all antibiotics. The protective effect of monural on the kidneys and hearing organs has been proven with the simultaneous use of antibiotics (aminoglycosides, polymyxin) with ototoxic and nephrotoxic side effects. There are very few bacteria resistant to fosfomycin - about 1%. Monural is excreted from the body within 80 hours, which is quite enough to effectively destroy pathogenic microflora in the urinary tract. It is successfully used for preventive purposes during the period before and after medical manipulations on the urethra (surgical interventions, catheterization).

Reviews

If monural has so many advantages, then why is it not always used during acute urinary tract infections? The first reason why not everyone can use the antibiotic for cystitis monural is that its price is quite high compared to other drugs and averages $10.

In addition to the cost, as reviews note on monural for cystitis, there are also the following disadvantages:

  • There are, although few, bacteria that can resist the antibiotic. These are Serracia and some species of Klebsiella. However, patients are understandably disappointed when they pay for a drug and it has no therapeutic effect. The doctor prescribed it, counting on the breadth of antimicrobial action of fosfomycin, without receiving the results of bacteriological tests, focusing on the speed of the effect;
  • despite very low toxicity, it can cause nausea, vomiting, stomach pain and diarrhea;
  • sometimes, judging by the reviews, an allergic reaction may occur;
  • changes in blood and enzyme levels are possible.

The drug is contraindicated in renal failure. Monural is prescribed extremely rarely for chronic cystitis and relapses; it is indicated only for acute attacks.

How to take monural for cystitis? Before bed, once, after emptying the bladder. By the way, this particular technique is another drawback; the disease can appear at any time of the day. In any case, the drug for cystitis monural is prescribed by a doctor, and the safety and effectiveness of its use during acute cystitis exceeds most known antibiotics.

cystis.ru

What is the name of the powder for cystitis?

Medicine in powder is a convenient form of use for children, as well as for people who do not like to swallow tablets. This form of medication is also available for the treatment of cystitis.

Disposable powder for cystitis

The most common powder for the treatment of urinary tract diseases is Monural.

This is a uroantiseptic containing a phosphonic acid derivative - fosfomycin. This substance is capable of destroying the bacterial cell wall, thereby killing it. Active against gram-negative Klebsiella, Escherichia coli, Proteus, as well as gram-positive streptococcus, staphylococcus, enterococcus.

The medicine is presented in the form of granules, which are packaged in sachets in a dose of 3 grams. Monural has a pleasant tangerine taste.

The product has a high level of bioavailability and almost all of it enters the blood within 2-2.5 hours. Long-term presence in urine (24-48 hours) allows you to take Monural once.

3 grams of powder is prescribed once. Sometimes those suffering from chronic cystitis are advised to drink another 3 grams every other day.

cystitis is treated with this drug after 5 years: 2 grams once, after dissolving the substance in 50 ml of clean water.

It is important to take the medicine on an empty stomach before meals (2 hours before) or before bed. The bladder should be empty during administration.

rarely prescribed. Only in case of massive bacteriuria in the absence of symptoms.

If you are looking for the name of the powder for cystitis, then this is Monural.

Find out about furadonin for cystitis>>

Remedy for cystitis in powder

Should be taken after meals with plenty of liquid.

Children are allowed to take it after 1 month.

They are produced in capsules with an enteric coating and powder inside, as well as powder for oral administration.

For children after a month of life, Furadonin powder is dosed at 5-8 milligrams per kilogram of weight. The daily dose is divided into 4 doses.

Adults are prescribed 0.1-0.15 g 3-4 times a day.

Medicine for cystitis powder

Also available in powder is a representative of sulfonamides - Sulfacyl sodium and the antiseptic methylene blue. They have uroantiseptic properties.

Methylene blue can be used not only internally. It is used for chronic cystitis for intravesical instillations, as well as for baths for cystitis and urethritis.

However, due to low therapeutic activity, they are currently not used for cystitis.

cystis.ru

Medicines for cystitis in powder form

There is an opinion among the population that there is a mysterious powder for cystitis that cures the disease in one go. On the one hand, it’s good that they still think about medicine and believe in treatment, on the other hand, it’s an easy way to deceive gullible, exhausted patients with all sorts of healers’ fairy tales.

Therefore, we will talk about both the supposed “all-powerful” powder and other remedies for the treatment of cystitis, used in powder form.

What are the advantages of powders over tablets?

In ancient times, with artisanal pharmaceutical production, tablets could not be made at all. Medicines were prepared manually in the form of powders, pills, alcohol tinctures, and aqueous solutions. The powders were packaged in waxed paper bags. Typically, the amount of the drug in one serving corresponded to a single dose.

The pills were the same powder, but placed in a gelatin capsule. Such forms were used in the treatment of all diseases, including cystitis.

The current level of the pharmaceutical industry is able to produce medications for oral administration (oral), injections, and suppositories. Technologies have been developed for targeted delivery of the desired drug to the diseased organ, a layer-by-layer structure of capsules to protect the active substance from the effects of gastric juice and digestive tract enzymes.

But powders remain on sale. What is so good about this ancient form of medicine?

Benefits include:

  • ease of manufacture, correspondingly lower price of the drug;
  • the ability to introduce different components into the composition;
  • good absorption (in medicine this property is called bioavailability), since the finer the powder, the easier it is distributed over the surface of the intestine;
  • since the powders must be dissolved or washed down with water, the amount of liquid drunk increases, and this enhances the “flushing” effect for the urinary tract;
  • convenience for the manufacturer in transportation and storage (nothing will break), although the shelf life is much shorter than that of tablets, powders are affected by environmental conditions (humidity, temperature).

Powdered medicine is not easy to take unchanged due to bitterness

The disadvantages include:

  • unpleasant taste of some components;
  • irritation of the gastric mucosa;
  • inconvenience of taking it at work; not everyone has the means to dilute the powder with water (which means the substances are more suitable for no more than twice daily use at home).

All of the above problems concern us as consumers. Since the economic role in the family is mainly performed by women, and mainly women suffer from cystitis, the price plays an important role in purchasing medicine. If patients agree to buy an expensive medicine, then all that remains is to solve medical problems.

You can learn about existing drug options for the treatment of cystitis in this article.

Medicines should not be taken without a doctor's prescription. There are many examples of poisoning, overdose, and the development of resistance of pathogenic flora due to self-treatment. When treating cystitis, it is important to verify the main cause of the disease and identify the microorganisms that caused the inflammation.

Selecting the right antibacterial agent with a wide spectrum of damage to different types of pathogens is not an easy task. When a patient comes to the doctor, as a rule, he has been tormented by the symptoms of cystitis for several days.

Urine tests show bacteriuria. Under a microscope, an experienced laboratory technician can distinguish some pathogenic bacteria. But a specific answer about the pathogen is given only by the bacteriological method of inoculation on nutrient media. At the same time, the degree of sensitivity to antibiotics is examined.

In order not to waste time in treatment, the doctor prescribes the latest generation of antibiotics with a wide spectrum of bactericidal effects. The drug Monural is most suitable for this purpose. It has undergone clinical trials and shown high effectiveness after a single dose. Produced by the Swiss company Zambon.

The drug Monural is not a powder, but a granular product in a bag. The pharmacy chain supplies 2 types of packaging, taking into account the amount of active ingredient:

Excipients include sucrose, tangerine and orange flavors. Therefore there is no feeling of bitterness.

The active ingredient is fosfomycin, a phosphonic acid derivative. Monural is a synthetic antibiotic. The drug destroys gram-positive and gram-negative flora in the urinary tract:

Inexpensive medicines for cystitis

  • coli,
  • streptococci,
  • staphylococci,
  • enterococci,
  • klebsiella,
  • enterobacteria,
  • Protea

No resistant forms of bacteria to this drug have yet been identified, which is why the effectiveness of treatment is so high.

After taking a bag of granules dissolved in water, fosfomycin is quickly absorbed into the blood, reaching its maximum concentration after 3 hours. Further, 90% of the drug reaches the kidneys and urinary system.


The therapeutic concentration of Monural in the bladder is maintained for two days, this time is usually enough for sterilization from bacteria

Monural supports the action of the antibiotics Amoxicillin, Cephalexin, and drugs based on pipemidic acid (Palin, Pemidel).

Fosfomycin has two ways of fighting infection:

  • blocks the enzyme involved in the construction of the cell wall, destroys microorganisms;
  • enhances the flushing effect of urine flow, thereby reducing the ability of pathogenic flora to become fixed in the parietal space.

How to take the drug?


Single use of the drug is very convenient for patients and doctors

The presence of undigested food residues in the stomach reduces the activity of the drug. It is recommended to empty your bladder immediately after taking it.

In rare severe cases, a second dose is prescribed after 1–2 days. For children after the age of five, pediatricians prescribe 2 g of the drug, once.

  • urethrocystoscopy,
  • bladder catheterization.

During instrumental examination there is always a danger in the spread of infection deep into the urinary tract.

Monural powder for cystitis is indicated not only for inflammation of the bladder, but also treats:

  • any urinary tract infections;
  • postoperative complications during surgical interventions on the kidneys.

Contraindications concern:

  • children under five years of age;
  • pregnant and lactating women, if the severity of the condition does not require urgent treatment (fosfomycin has the ability to penetrate the placenta and into breast milk);
  • severe renal failure;
  • allergic reactions to the components of the drug.

Researchers attribute the contraindications to insufficient study of the effects of Monural on the listed populations. Safety has not been proven. Work is being carried out on the effect of a reduced dosage. Some gynecologists still consider it possible to prescribe it for cystitis in pregnant women.

Negative symptoms include:

  • nausea and vomiting;
  • pain along the intestines.

Manifestations are rare.

For patients with diabetes mellitus, attention should be paid to the presence of sucrose in the composition. It may be necessary to temporarily recalculate the dosage of glucose-lowering drugs.

An analogue of Monural from the same company has appeared on the Russian pharmaceutical market - Ecomural. No differences in the drugs have yet been established. The dosage is the same. A significant limitation is the price of one sachet within 500 rubles.

Other powders for cystitis

The powder for cystitis is used not only internally, but also for rinsing the bladder. Substances with local anti-inflammatory effects are called uroseptics. They are pre-dissolved in water and administered through a catheter (intravesical instillation).

Such agents are sodium sulfacyl and methylene blue. It is recommended to use their moderately expressed bactericidal properties in sitz baths for urethritis.


Granules and powders are suitable for preparing a fresh suspension solution for a child

Cephalosporin antibiotics are available in powder form:

  • Cephalexin in granules of 40 g in a bottle for the preparation of 100 ml of suspension for the treatment of children from six months;
  • Palitrex is considered an analogue; in children's dosage it is available in a bottle with a concentrated suspension (5 ml), which should be diluted with water to 100 ml;
  • Ceclor - in a package there are 3 sachets of granules of 125, 250 or 375 mg. A suspension is prepared for use.
  • Alphacet - the active main substance is cefaclor.

In addition to diseases of the urinary system, drugs are used to treat diseases of the respiratory system, nasopharynx, and are effective against gonococcus. Some are prescribed by pediatricians from the age of one month three times a day, for a course of 10 days.

Trifamox powder is a penicillin antibiotic; the active ingredient amoxicillin is combined with sulbactam. To prepare the suspension, it is available in polyethylene bottles of 30 and 60 g. The box contains a measuring cap.

This group also includes Flucloxacillin, Grunamox, powders containing 125 or 250 mg of antibiotic. The suspension is taken one teaspoon up to four times a day.

Nitrofuran derivatives in powder are presented as follows.

Furagin and Furadonin - in addition to tablets, they are produced in powder form in 100 g jars for self-preparing a solution. The main active ingredient is furazidin. It destroys the DNA of bacteria and destroys pathogenic flora.

The solution is pre-prepared. It is used only after meals and should be washed down with plenty of water. It is prescribed for 10 days, the dose is determined by the doctor. It is characterized by frequent undesirable manifestations (nausea, vomiting, headache). Does not affect Proteus, is active against:

  • staphylococci,
  • streptococci,
  • coli,
  • salmonella,
  • shigella,
  • Klebsiella

Contraindicated in the treatment of cystitis:

  • in children up to a week old;
  • pregnant and lactating women;
  • in the presence of congenital absence of certain enzymes;
  • if the patient has chronic renal or liver failure.

With the intake of Cystenium, the elimination of breakdown products is significantly accelerated

Over the past year, a powdered herbal preparation called Cystenium has appeared in pharmacies. Included:

  • cranberry extract;
  • bearberry extract;
  • ascorbic acid (vitamin C).

Phytocomponents have an anti-inflammatory effect and prevent the fixation of microorganisms on the mucous membrane of the bladder. The powder from the bag is dissolved in water to prepare a healing drink.

The drug is suitable for the treatment of both acute and chronic forms of cystitis. Combines well with antibiotics and is used as a means of preventing relapses.

When describing the possibilities of powdered forms of drugs for cystitis, we hoped that readers would be convinced that there is no need to search for a miracle cure and that there are reasonable contraindications for each drug. In addition, the cost barrier is now an issue for many patients. The given powdered products are 4–5 times cheaper than Monural.

Cystitis must be treated comprehensively, starting with a restrictive diet and drinking regimen. Necessary local procedures and physical therapy help achieve the desired result. Long-term use of herbal remedies reduces the risk of relapse.

2pochki.com

Cystitis powder Monural will help quickly cure the disease

In case of acute cystitis or exacerbation of a chronic process, you should consult a doctor. Antibiotics are often used for treatment. One of the modern remedies that is highly effective against many pathogens of uroinfection is Monural, a medicine for cystitis in powder.

Powder for cystitis under the trade name Monural is produced in Italy, it is registered in Switzerland. This gives reason to believe that Monural for cystitis is an effective and safe antibiotic. It is often prescribed by doctors and helps well with pain, urinary problems and other symptoms of the disease.

Composition and release form

The medicine is available in the form of small granules in bags of 2 and 3 grams. They are dissolved in warm water and a solution is prepared for oral administration. The product has a pleasant tangerine aroma. Monural is not produced in tablets.

The active ingredient of this effective powder for cystitis is fosfomycin. It is an antibiotic, a derivative of phosphonic acid. Another representative of this group is the domestic drug Urophosphabol, which we will talk about below (these are analogues of the active substance).

This drug is a uroantiseptic, that is, it acts specifically on urinary tract infections.

Effect on the body

The instructions for use state that the product has a bactericidal effect, that is, it kills microbial cells. The drug suppresses the first stages of bacterial membrane synthesis, preventing its formation.

A special feature of the drug is the absence of cross-resistance with other classes of antibiotics. On the other hand, synergism (combined action) of fosfomycin powder and amoxicillin, cephalexin and some other antibacterial agents used for cystitis has been noted, that is, it can be taken simultaneously with these medications.

The antibiotic fosfomycin quickly kills the following bacteria:

  • enterococci;
  • staphylococci.
  1. Gram-negative microbes:
  • Gram-negative microbes:
  • coli;
  • citrobacter;
  • enterobacter;
  • Klebsiella;
  • Proteus;
  • Pseudomonas aeruginosa;
  • serration.

In addition to the bactericidal effect, fosfomycin powder for cystitis reduces the adhesion (sticking) of bacteria to the epithelium of the urinary tract, that is, it helps to wash them out with urine.

Indications

The medicine Monural can be taken for the following diseases:

  • acute cystitis caused by a bacterial infection;
  • relapses of bacterial cystitis;
  • bacterial urethritis - damage to the urethra in men and women;
  • bacteriuria - the release of microbes in the urine in pregnant women, not accompanied by any symptoms;
  • inflammatory processes of the urinary system in the postoperative period;
  • prevention of such processes before operations or transurethral interventions.

Dosage regimen

The instructions for use state that the medicine can be taken by adult patients 3 grams once, that is, drink a solution prepared from one sachet. In case of severe, recurrent cystitis or in elderly patients, you can re-drink this antibiotic one day after the first dose.

To prevent postoperative complications, the dosage is 1 application of 3 grams of powder 3 hours before the intervention and repeated use one day after it.

Children over 5 years old can take the drug only once in a dose of 2 grams.

The drug should be dissolved in a third of a glass of water and drunk once on an empty stomach, preferably before bed. Monural for cystitis, even with a single use, quickly helps to get rid of painful symptoms.

Undesirable effects and contraindications

The antibiotic fosfomycin was well tolerated. Sometimes it causes nausea, vomiting, or loose stools, which quickly resolve on their own. Skin rashes and allergic reactions occur.

The drug is contraindicated in case of hypersensitivity or individual intolerance, children under 5 years of age, as well as in severe renal failure when creatinine clearance is below 10 ml per minute.

The drug can also be taken by pregnant women, but only after consultation with a doctor, when the benefit of the drug is higher than the probable risk to the fetus.

Urophosphabol

You can often find a situation where one company produces a similar drug in a different form than the original one. Such examples include Urophosphabol. This is an analogue of the active substance – fosfomycin. However, Urophosphabol is available in powder for the preparation of a solution for intravenous administration. This antibiotic is used in the treatment of severe urinary tract infections and other inflammatory processes.

There are no analogues of Monural for the active substance for oral administration. This makes the drug the absolute leader in its niche.

Other remedies against cystitis

Often referred to as a powder for acute or chronic cystitis, Furagin is actually only available in tablet form. This is not an antibiotic, but a nitrofuran derivative with a uroantiseptic effect. The drug helps against cystitis, it can be taken at the same time as Monural.

The same applies to such a remedy as Furadonin. These are also tablets that you can take for cystitis. This drug is especially effective when combined with an antibiotic.

It must be said that sodium sulfacyl, mentioned in some sources, is available only in the form of eye drops and is used to treat eye diseases.

Thus, Furagin, Furadonin and Sulfacyl sodium are not analogues of Monural, but substances with a completely different mechanism of action. You should consult your doctor before using any medicine.

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