The best cure for sore throat. What are the best remedies for the treatment of angina? Antiseptic and anti-inflammatory drugs for angina

Properly selected medicine for angina is the key successful treatment.

This pathology is dangerous terrible complications- the development of rheumatism, heart disease, damage to the kidneys and heart muscle.

Symptoms of angina

What are the symptoms of this disease?

fever up to 38-40? C, accompanied by chills;
general weakness and lethargy;
severe sore throat at rest and when swallowing;
redness and swelling of the oropharynx (mucosa of the tonsils, arches and tongue);
purulent or fibrinous plaque on the tonsils;
increase in regional lymph nodes- submandibular and behind the ear.

To diagnose angina, a thorough examination is necessary: examination of the oropharynx, sowing from the throat, general clinical tests. Precise definition the pathogenic factor that caused the disease (viruses, bacteria - streptococcus and staphylococcus, fungi) will help prescribe the most effective medicine.

Medicines for angina

If you suspect a sore throat in adults and children, you should consult a doctor. Medical advice should be strictly followed effective fight with an infection, take prescribed drugs and drink regularly.

In acute tonsillitis, bed rest is prescribed - restriction physical activity patient helps to reduce the spread of infection and the likelihood of complications. Nutrition should be fractional, sparing, it is better to take food in liquid and warm form. With angina, soups, purees, cereals, fruit and vegetable juices should be included in the diet. This will reduce irritation of the mucous membrane of the tonsils, accelerate the healing of the mucous membrane.

At temperature and intoxication, in order to remove toxins from the body, abundant alkaline drink and infusions medicinal herbs, chamomile tea, rosehip broth, cranberry juice.

Medicinal plants grown by man and helping with angina:

chamomile,
sage,
thyme,
elecampane,
birch leaves,
eucalyptus,
calendula,
rose hip.

To properly prepare a healing decoction, you should pour drug collection boiling water, let it brew for an hour, cool slightly and drink half a glass three times a day.

The best remedy for sore throat is frequent gargling. For effective cleansing tonsils from purulent plaque, you can use the usual saline solution(dissolve 1 teaspoon in a glass of water) table salt). But antiseptics are more effective - Lugol's solution, Chlorophyllipt, Tsiteal, Miramistin.

have a high therapeutic value modern drugs for resorption, lozenges and plates - Falimint, Septolette, Strepsils, Grammidin, Anti-Angin. What remedies for angina local treatment use in a particular clinical case, the doctor will tell you.

Sore throat medicine for children

AT childhood acute tonsillitis is considered serious illness. The child should be treated immediately, at the first manifestations of the pathology. When the temperature rises above 38-38.5 ° C, the appointment of antipyretics is mandatory. Two drugs are used to relieve fever in children: Ibuprofen and Paracetamol. Acetylsalicylic acid(Aspirin) is contraindicated in children under 12 years of age.

Antipyretic drugs effectively relieve fever. They are sold in pharmacies without a prescription. The drugs are prescribed in age dosage in the form of syrup, children's suppositories (rectal suppositories) or tablets. A decrease in temperature should be expected 20-30 minutes after application. Do not be afraid of another rise in temperature in children - this means that the body is actively fighting the infection. However, doctors do not recommend bringing down the temperature to 38? C.

To remove purulent and fibrinous plaque from the tonsils, it is recommended to treat the throat with cotton-gauze swabs dipped in a disinfectant. If diagnosed bacterial sore throat(streptococcal, staphylococcal, meningococcal, etc.), it is necessary to undergo a course of antibiotic therapy.

For treatment streptococcal tonsillitis may apply various groups drugs:

Antibiotics penicillin series(Amoxicillin, Flemoxin Solutab, Amoxiclav, Ampiox, Augmentin);
Cephalosparins (Cefazolin, Ceftriaxone, Ultracef) are prescribed for allergies to penicillin or ineffectiveness of penicillin drugs;
Macrolides (Erythromycin, Sumamed, Macropen, Azithromycin) - are reserve antibiotics, they are prescribed with the development of resistance (resistance) in microbes to the effects of the main groups of antibacterial drugs.

Modern drugs are prescribed by a doctor in an age dosage, according to the instructions. The method of administration differs: for infants, drugs are prescribed in liquid form and in the form of injections, children from 1-5 years old can be given suspensions, babies from 5 years old - in tablets.

The duration of antibiotic therapy is 5-7 days. The medication should be continued throughout the prescribed course, even after the disappearance of the temperature and the decrease in the intensity of the pathological symptoms of tonsillitis.

Antibiotics will help children and adults get rid of the infection, reduce the period of contagiousness and prevent the development severe complications. Removal of tonsils in children in modern practice is extremely rare, according to narrow indications.

Effective drugs for sore throats for adults

The main cause of acute tonsillitis in adults is pathogenic microorganisms and viral agents actively multiplying in lacunae palatine tonsils. The best remedy for sore throat is gargling. The pharmacy has a wide range of antiseptic solutions: Miramistin, Chlorophyllipt, Chlorhexidine, Furacillin. These drugs are diluted warm water in proportions, according to the instructions. The procedure should be carried out often - 2 times per hour, the solution should be warm, freshly prepared.

Sprays are a modern and effective alternative to solutions. Aerosols have a combined composition, which allows you to influence several symptoms: reduce inflammation and sore throat, relieve pain, relieve swelling. The ease of use of the spray lies in the quick and easy treatment of the mucous membrane. Often, the composition of the preparations contains an antimicrobial and analgesic component, contains menthol, eucalyptus, mint.

The importance of timely treatment of angina

Inflammation of the tonsils requires special attention- absence timely treatment threatens with dangerous complications. Children with increased body reactivity in response to infection with streptococcus may develop acute rheumatic fever.

With rheumatism, the joints and kidneys are affected, a heart valve defect is often formed, and defects develop. rheumatic fever — chronic illness leading to disability.

No less formidable complications of angina are myocarditis (damage to the heart muscle), pyelonephritis, glomerulonephritis. Life-threatening conditions, quite rare in tonsillitis, are meningitis and sepsis.

With the local spread of infection, the lymph nodes can become inflamed, a paratonsillar abscess, phlegmon can form. Often the disease is accompanied by inflammation of the middle ear, swelling of the larynx, laryngitis and sinusitis.

Remember, if your child is restless, has difficulty breathing, swelling increases and sore throat increases, severe salivation, an ambulance should be called immediately.

Useful video about the treatment of angina

Not always what is called angina is such. In some cases, with any pain in the throat, people, trying to put themselves correct diagnosis, they call it angina, not wanting to deal with the real diagnosis. Angina is most often confused with pharyngitis, laryngitis, and a cold. To avoid such misconceptions, you need to know what symptoms of angina occur in adults and how it develops. If there are signs of angina, of course, you need to see a doctor to get recommendations for treatment from him.

Causes of angina in adults

Angina in adults occurs when streptococci or staphylococci enter the human body, and sometimes both at once. As a rule, infection occurs through contact with a person who is a carrier of the infection. In addition, you can get infected from a person who has recovered from a sore throat, because virulent streptococci will remain in his body for another 2-3 weeks. The mucosa is the first barrier that encounters pathological bacterial microorganisms.

When these microorganisms settle on the tonsils, the lymphoid tissue begins to work, actively releasing antibodies to the bacteria that have penetrated. In view of the fact that angina is most often ill in the autumn-spring period (due to hypothermia and contact with patients), it is clear that people have weakened immunity and slight beriberi. In a weakened body lymphatic system unable to cope on her own harmful bacteria, so they will provoke inflammation of the tonsils (in some cases, purulent), negatively affecting the work of other systems.

Symptoms of angina in adults

The main symptoms include:

In adults, tonsillitis may develop due to irregular and malnutrition as well as disorders of the immune system.

If you have signs of a sore throat, you should immediately consult a doctor. Some dangerous symptoms:

Difficulty breathing;
Swelling of the tongue and neck;
Skin rash;
problems swallowing saliva;
Stiff neck or problems opening the mouth.

Treatment of patients with angina

To prevent the development of angina dangerous complications, it is necessary to start treatment of the disease in a timely manner, without waiting for the deterioration of the state of health. First of all, the sick person needs to be isolated, because this disease is very contagious. If the patient stayed at home, then he needs to allocate separate dishes, a towel. The room in which he sleeps and stays should be ventilated more often, as well as wet cleaning twice a day. All these measures can help the patient himself and those around him.

The basic rule for the treatment of angina is compliance bed rest. This disease is forbidden to be carried on the legs. The duration of bed rest should exceed 4-5 days, in especially severe cases - about 10 days. The patient should be given a warm drink to exclude dehydration, vitamins and dietary nutrition.

Angina is treated primarily with antibiotics. Of the most effective drugs to date that can improve the patient's condition, we can distinguish: Tetracycline, Bicillin, Erythromycin, Cefalexin, Ampicillin. Except oral intake along with this, it is necessary to irrigate the throat with Hexaspray, Pharyngosept, Geksoral, Orasept preparations. The use of these sprays must be alternated with rinsing the mouth with solutions. baking soda, furacillin, hydrogen peroxide, infusions medicinal herbs- sage, calendula, chamomile. To provide an analgesic effect, it is recommended to use Ketonal, Ibuprofen, Aspirin, Paracetamol, Panadol.

The use of medications should be carried out against the background of improving immunity. Adults must be prescribed vitamin B, vitamin C, antihistamines reducing allergic manifestations.

Treatment will be considered successful if there are no side effects from other organs and systems of the body, when the patient's urine and blood tests are normal, the temperature is normal for more than a week and there are no pathological complications in the oral cavity.

Of course, antibiotics cause some harm to the body. Especially if used without purpose. Self use medicines any type is unacceptable, especially antibiotics. According to international studies, more than 50% of patients with angina stop taking antibiotics immediately after the first relief of the condition, and only about 20% continue to strictly follow the course, taking drugs until recovery.

At the same time, in cases where inflammation in the oral cavity is especially difficult, it is simply impossible to do without antibiotics. But such drugs should be prescribed only by a doctor, based on the severity of the disease, the timing of treatment, dosage, age and weight of the sick adult or child. The choice of a specific antibiotic for angina will depend on the type of bacteria that caused the angina, as well as on the patient's allergy to a particular drug. The duration of the course of antibiotics is usually 7-14 days.

If the patient is not allergic to penicillin-type antibiotics, then it is recommended to use them, because they cause minimal harm body (Amoxiclav, Amoxicillin, Penicillin). Antibiotics of the new generation (the same Amoxiclav) are best suited. But sometimes it happens that the causative agent of angina is resistant to certain drugs. Therefore, if no noticeable improvement in health is observed within 2 days, the use of other broad-spectrum antibiotics is recommended:

Klacid, Fromilid, Clarithromycin, Ecocitrin, Clerimed, Klabaks (150-500 rubles);
Ceftriaxone (1 vial. 20 r.), Lendacin (5 vial. 1.2-1.3 thousand rubles), Rocephin (1 vial. 500 r.), Oframax (160 r.);
Erythromycin (40-80 rubles);
Cefalexin (40-80 rubles);
Tsiprolet, Tsifran, Sifloks (70-200 rubles);
Sumamed, Azitsid, Azitrox, Zitrolid, Zi-Factor (200-550 rubles);
Amoxiclav (400 rubles);
Cefazolin (1 vial. 10-12 p.).

If will be absent antibiotic treatment, then dangerous complications will develop due to angina, which are glomerulonephritis, sinusitis, otitis media. With angina, antibiotics quickly alleviate the course of this disease. At elevated temperature the use of antipyretic and analgesic drugs is also recommended to reduce pain when swallowing, pain in the head, and reduce weakness from intoxication:

Panadol;
Efferalgan Upsa;
Paracetamol;
Ibuprofen tablets;
Acetylsalicylic acid.

It is widely believed that if the temperature with angina is less than 38 degrees, then it is not recommended to knock it down, because at this temperature the body will produce antibodies to the viruses and bacteria that caused the disease. Therefore, if the condition can be tolerated, it is better not to bring down the temperature.

Treatment of angina folk remedies

Some recipes for the treatment of angina folk remedies:

On the initial stages diseases it is recommended to chew honeycomb;
Chewing a clove;
Gargle with tincture of calendula (it is better to dilute with water);
A compress of cabbage leaves on the throat, change the leaves every 2 hours, fasten with a scarf on top;
Gargle with beetroot juice;
Drink a tablespoon of onion juice twice a day. Make a compress from an onion squeeze at night on the throat.

How to treat sore throat with lemon?

Angina in adults is well cured with the following folk remedy: scald 1 lemon with boiling water and eat it completely, because it will seem insipid with a sore throat. The temperature will drop and the sore throat will go away.

Another similar recipe: Squeeze the juice from a lemon and drink it without drinking anything. Repeat after 10 hours. After another 10 hours, repeat again. The sore throat will completely disappear, and the remedy will help cure a sore throat in just two days.

How to treat a sore throat with honey and propolis?

Honey and propolis will help to completely get rid of chronic tonsillitis and angina. Before going to bed, you need to mix a spoonful of alcohol tincture of propolis and a spoonful of honey. The mixture should be eaten in small portions, dissolving, slowly. Course duration: 10 days. Then - a week break and another course. Such a course of treatment will avoid surgical removal tonsils.

Sore throats are faced every year by many people. The article describes how to treat a sore throat so that the disease recedes as quickly as possible and does not cause complications.

Improper treatment of angina can lead to serious problems with health, as many complications are life-threatening. Therefore, in without fail visit a doctor. Only the doctor will tell you what medicines to take.

Angina, otherwise chronic tonsillitis, is one of the most common inflammatory diseases usually bacterial in nature.

First of all, during treatment, observe bed rest. at least the first 5 days. In addition, it is necessary to protect the patient from others. If the treatment is carried out on an outpatient basis, the patient should be in a separate room and have as little contact with loved ones as possible. He will also need separate dishes and towels.

Airing - good way reduce the concentration of pathogens in the air. The room in which the patient is located should be ventilated 3-4 times a day. To make it easier for the body to get rid of bacteria, the patient must receive a large number of fluids and vitamins.

The question arises, what to drink with angina. Doctors advise giving preference to fruit juices, compotes, tea with lemon and milk. But it is better to give up caffeine. It is important that all the liquid is warm enough, but not hot. A warm drink will not only remove pathogens from the body, help lower the temperature, but also significantly reduce the pain in the throat.

Forms of the disease and treatment

It depends on the causative agent of the infection, which drugs will be used to treat angina. There are 4 types of acute tonsillitis:

herpes
Viral
Purulent
Follicular

Most often, purulent and follicular forms are diagnosed, which are caused by bacteria.

With herpes sore throat, it is forbidden to warm the throat. Heat promotes the multiplication of the virus. Means for the treatment of sore throat of herpes type:

Antiviral and antiherpes drugs
Immunomodulators and tonics
Antiseptics
Febrifuge
Pain medication

If herpes sore throat is accompanied by a bacterial infection, which happens not so rarely, therapy is supplemented antibacterial drugs and probiotics.

Medicines for angina of viral origin are not used. Only antipyretic and analgesic drugs are used. The body itself must overcome the virus.

How to treat this sore throat in adults?

In order to help the body cope with the virus, you will need to perform the following actions:

Gargle
Inhalations
Taking vitamins
Diet with a predominance in the diet fresh vegetables and fruits.

For treatment purulent form disease requires a combination of general and local therapy. General treatment includes:

Antibiotics
Probiotics
Painkillers
Antipyretic.

Local therapy is gargling and treating the tonsils with antiseptic agents.

Follicular angina has a similar treatment regimen.

Acute tonsillitis leads to swelling of the pharynx. Recommended application antihistamines, as a rule, Loratadin, Suprastin or Claritin. Antiallergic medications can help reduce swelling and prevent breathing problems. However, they have side effects such as drowsiness. Therefore, it is best to take them at night: 1 tablet at bedtime.

The main thing to remember the best treatment- this is a dream. The more the patient rests, the easier and will pass faster disease.

Antibacterial therapy

Since acute tonsillitis in most cases bacterial disease, then antibiotics are the most effective cure for sore throats. The most commonly used drugs are the penicillin series. However, in case of allergy to penicillin, sulfonamides or tetracycline are used. Amoxicillin is prescribed for the catarrhal form of the disease.

Self-administration of antibiotics is not recommended., since all drugs have many adverse reactions. What medicines to treat the disease, the attending physician should say after examining the patient.

The choice of drug is influenced by factors such as:

Form of the disease
Severity
Individual sensitivity
Associated violations

Perhaps the use of local antibacterial drugs in the form of a spray, for example, Bioparox. But only with a mild course of acute tonsillitis.

There are rules for taking antibiotics that patients must adhere to. Thus, antibiotic therapy is carried out for 7-10 days. If treatment is interrupted earlier, there is a high risk that not all bacteria will die. The result is re-inflammation.

Any antibiotic harms the microflora of the intestines and stomach, so you will need to take probiotics and eubiotics.

Antibiotics are the most effective remedy for sore throats, improvement occurs within 1-2 days. If this does not happen, you should consult a doctor who will offer to replace the drug.

Local treatment

Some patients try to be treated without antibiotics, with rinses, sprays and compresses. It is worth noting that it is possible to cure angina in this way only in mild case degree of flow ( catarrhal form). In other cases, the above procedures are an addition to antibiotic therapy.

A good remedy for sore throats is Bioparox. This is an antibacterial spray. Besides, high efficiency have antiseptics for sore throats in adults.

These can be sprays (Orasept, Ingalipt, Geksoral), lozenges (Decatilene, Strepsils) or solutions for treating tonsils (Lugol). Such solutions are perhaps the best remedy for an ulcerative sore throat. They clean, disinfect and heal ulcers. The procedure for lubricating the tonsils is unpleasant, but painless.

Rinse allows you to remove purulent plaque on the tonsils. Rinsing with soda, furatsilin, hydrogen peroxide, infusions and decoctions of herbs helps well.

It is possible to treat a sore throat in an adult with the help of inhalations. The accepted method is to breathe steam over infusions of chamomile, calendula or sage. For this:

Herbs are poured hot water about 40°C and insist 15 minutes. During this time, the grass will steam out and give all the useful properties.
Next, you need to bend over the container and cover your head with a towel. Inhale through the mouth, exhale through the nose.
Inhalation is carried out 1-2 times a day for a week. The duration of the procedure for an adult is 10-15 minutes.

Today you can buy special inhalers that use medicines, which allows you to get maximum effect at home. With angina in adults, drugs are prescribed by a doctor. Often, pine, eucalyptus or fir oil is used for the throat. Ventolin solution reduces puffiness, therefore it is also used for inhalation from angina for adults and children.

Compresses against angina help to reduce the lymph nodes. The most effective medicine for sore throat in adults is alcohol and honey compresses, which reduce inflammation, relieve pain and promote sputum production.

Honey should be applied to polyethylene and applied to the throat, wrapped with a scarf on top.

ethnoscience

There are many folk recipes treatment of acute tonsillitis. Medications for angina:

Chewing honeycomb
Compresses from cabbage leaves(more effective when combined with honey)
Compresses and drinking onion juice
Lemon

For example, you can drink lemon juice with angina. It is necessary to squeeze the juice from 1 fruit and drink it completely, without diluting or drinking. The medicine is applied every 10 hours. Improvements are already noticeable on the 2nd day (after 3 servings).

Propolis - the best medicine from angina among recipes traditional medicine . The easiest way to treat is to chew 2 g of propolis after each meal for 30 minutes.

Can cook alcohol tincture based on propolis. 20-30 g of raw materials must be crushed and pour 100 g of alcohol. Close the container tightly and leave for 2-3 weeks in the refrigerator. The tincture must be prepared in advance. So it will be something to treat the throat in case of infection.

popular folk remedy treatment for acute tonsillitis is beets. You can use both infusion and just beetroot juice. 1 vegetable is rubbed on a fine grater and the juice is squeezed out (you can use a juicer). Next, you need to add 1 tbsp. l. 6% vinegar. The tool is used to gargle with sore throat.

The infusion is prepared from young vegetables. Grate the beets and dilute with an equal amount of water. Keep warm for 5-6 hours. Gargle with the remedy every 2-3 hours. For greater efficiency, you can add 1 tbsp. l. 6% vinegar.

Many herbal medicines contain extracts from aloe. This plant helps to cure many diseases, therefore it is widely used in folk medicine. For the treatment of acute tonsillitis, an alcohol infusion of aloe leaves is used.

The leaves are washed and crushed into gruel, which must be poured into a container and pour 0.5 cups of sugar (it is better to use granulated sugar). The mixture is infused in the refrigerator for 3 days. After that, 250 ml of vodka is added to it and insisted for another 3 days. Finished product filter and take several times a day before meals.

Diet during treatment

You need to know what to take with angina. However, no less important is the diet, which should be dominated by vitamins and nutrients. The patient's diet should consist only of easily digestible food, namely:

Dairy products
Fresh fruits and berries (hard fruits must be grated so as not to injure the throat)
Seafood
Greens
Buckwheat, rice, oatmeal and semolina
Marmalade
Lean boiled fish.

It is worth reducing the amount of protein foods, carbohydrates and especially fats.. All food should be boiled or steamed.

Necessary plentiful drink. In case of acute tonsillitis you need to know what to drink. To speed up recovery, it is best to use:

Compote of fresh or dried fruits and berries
Herbal teas with lemon
Milk
Low-fat broths from poultry or fish.

In the case when the disease occurs too often, and is difficult to conservative treatment, would need surgical intervention- removal of the tonsils.

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Antibiotics for angina are the main therapeutic measure, since the main causative agents of the disease are bacteria. With inflammation viral etiology prescribe immunomodulating, immunostimulating drugs. Doctors assign a significant role to means local application: decoctions for rinsing, aerosols and sprays.

Antibacterial therapy for angina

In most cases, antibiotics are prescribed for the disease. However, it is worth remembering that these drugs are effective only in the elimination of bacteria and fungi, but are powerless against viruses. For angina, culture or PCR (polymerase chain reaction) to determine the pathogen are rarely carried out, only in the case severe course, atypical symptoms, complications. By prescribing antibiotics a priori, the doctor most often “plays it safe”, because even with angina of viral etiology, general and local immunity decreases, which makes it possible for autoinfection by representatives of the microflora of the pharyngeal mucosa (,).

General principles antibiotic therapy are as follows:

Reception of drugs begins with the manifestation of the first symptoms of the disease.
The course of treatment of angina with antibiotics lasts an average of a week, but it can be extended on the recommendation of a doctor.

Important! The duration of admission is calculated as follows - after the main symptoms stop (reducing the temperature, eliminating sore throat, plaque on the tonsils), it is necessary to drink antibiotics for another 2-3 days.

Antibiotics to achieve optimal concentration in the affected tissues must be taken at regular intervals (usually 5-8 hours).
Additionally, it can be assigned drug nystatin with antifungal activity. Since both pathogenic and symbiotic, “beneficial” bacteria living on different mucous membranes of a person suffer from antibiotics, their ecological niche may be occupied by fungi of the genus Candida. They cause a harmless but unpleasant disease called candidiasis or thrush.
Children's antibiotics for angina should be the least toxic and allergenic.

When choosing drugs, it is necessary to proceed from the characteristics of the pathogen characteristic of the area. For example, in some regions of Russia, according to local scientists, certain strains of streptococci and staphylococci have developed resistance (insensitivity) to erythromycin.
cure angina with correct selection the drug succeeds in 7-10 days. In the absence of improvements on the 3-4th day of therapy, it is necessary to prescribe another more effective antibiotic.

Antibiotics of the penicillin series

It is the data medications recommended for the treatment of angina in the first place. As the professor writes T.V. Palchun: “Preference [in the treatment of tonsillitis] is given to penicillin and its semi-synthetic derivatives, sinceβ -hemolytic streptococcus is most sensitive to penicillin”. However, Western colleagues are very skeptical about the appointment of this antibiotic as a primary measure. So C. Zwatr in an article on penicillin, states: “ Due to the fact that in Western countries... antibiotic resistance is growing, with acute tonsillopharyngitis it is recommended to prescribe treatment with penicillin only in severe cases(impossibility of swallowing, threatening paratonsillar abscess)” .

Note. In the Russian medical practice it is customary to distinguish between tonsillitis and, while Western doctors combine them into one disease - tonsillopharyngitis.

As seen from the above , the feasibility of taking penicillin preparations at - debatable issue. The same Zwatr recommends abandoning them in countries where complications such as rheumatoid fever, etc., are rare, believing that it is possible to cure tonsillitis without antibiotics if it is mild.

The principle of action of penicillins

Antibiotics of this series penetrate into the bacterial cell through channels in the membrane. They affect the systems of murein peptidoglycan synthesis, disrupting its individual bonds and making the substance unstable, sensitive to external influences. It is the main component of the cell wall of Gram-positive bacteria. Gram-negative bacteria have very little murein, usually less than 10%. This is due to the selectivity of the antibiotic action.

Bacteria not protected by a cell wall external influence, quickly dies. Those species that have additional substances in its composition (proteins, lipids, special polysaccharides) may be resistant to penicillins. These antibiotics are prescribed for phlegmonous, and.

Used drugs

Depending on the severity of the disease, the condition and age of the patient, one of the following antibiotics is chosen:

Cephalosporins

They are prescribed for intolerance to antibiotics of the previous row, with some acute tonsillitis- for example, phlegmonous. They act on bacterial and mycotic cells in a manner similar to penicilli. Some drugs in this class have positive reviews practitioners, due to its valuable properties:

The most active against cocci is ceftriaxone. A big plus of the drug is the long period of its excretion from the body, which allows you to take it only once a day. It is only available as a powder for solution for injection. Adults and children weighing more than 50 kg are prescribed up to 4 g per day. For younger children, the dose is 20-80 mg/kg. For newborns, it should not exceed 50 mg / kg. From the class of cephalosporides for the treatment of angina, it is considered the best antibiotic.

The drug cefazolin has a bactericidal effect against staphylococci. Used for intramuscular and intravenous administration. Adult dose - up to 6 g per day (possible increase according to indications), children - 25-50 mg / kg. Newborns (up to 1 month) the drug is contraindicated.
Cefuroxime-axetil used against cocci resistant to ampicillin. It can be used for internal administration or through injections, droppers. In the first case, the maximum one-time adult dose- 500 mg, children's - 250 mg. It is administered at regular intervals twice a day.

macrolides

Macrolides are characterized by low toxicity and allergenicity. Their action is mainly bacteriostatic, ie. they inhibit the growth and reproduction of bacteria, preventing protein synthesis, but do not cause their death.

The drugs are active against cocci, which makes their use possible with the corresponding tonsillitis. Some experts highly appreciate the role of macrolides in the treatment of respiratory diseases. So doctor medical sciences Yu.L. soldier notes: "A major advantage of macrolides is their non-antibiotic effects - anti-inflammatory and immunomodulatory."

The following drugs are indicated for use in angina:

Clarithromycin. When administered internally, food can slow absorption, so optimal time reception - shortly before meals. Maximum daily dose for adults - 1 g, for children - 500 mg.
Klacid. The drug is complex. In addition to clarithromycin, it contains a number of excipients. They define a high degree of penetration of the antibiotic into the affected tissue. In the internal environment of the body, it is able to attach a hydroxyl group to itself. The resulting metabolite and clarithromycin effectively suppress even resistant coccal flora, mutually complementing each other. For mild sore throats adult dosage is 250 mg twice a day. At severe forms inflammation, its increase to 500 mg is possible.

Preparations for the treatment of angina of viral etiology

Antivirals

With angina, the following drugs are prescribed:

Immunomodulators

In respiratory diseases and, in particular, in angina, the following groups of drugs have shown themselves to be effective medicines:

Amiksin. It causes the formation of interferons in human immunity cells, which trigger a cascade of reactions aimed at removing the virus from the body. In addition, amixin prevents the synthesis of viral subunits and reproduction (multiplication) of the pathogen. The drug is suitable for the treatment of acute respiratory viral infections in children from 7 years. The regimen for adults is the introduction of 1 tablet per day in the first 2 days of illness and the subsequent administration of 4 more with an interval of 48 hours. For children, the drug is prescribed 1 tablet for 1, 2, 4 days of treatment.
Kagazel. Stimulates the synthesis of "late" interferon, especially active against viruses. The course of treatment lasts 4 days, the drug is taken three times a day. For the first two days, adults need to drink 3 tablets at a time, children from 6 years old - one at a time. Next days 1 tablet is taken per dose. Children from 3 to 6 years old should drink the drug twice for the first 2 days, 1 time for the second.
Viferon. Is complex drug, which contains human interferon. Additionally (depending on the form), vitamins C, E may be present. The drug has no age restrictions. Dosage and treatment regimen is calculated individually depending on the body weight, the patient's condition, the type of pathogen and the severity of the infection. Side effects of the drug are rare and are expressed in allergic reactions.

Isoprinosine. The drug is recommended for use in treatment of acute respiratory viral infections in children older than 3 years. It enhances the activity of lymphocytes (immunity cells) and stimulates the synthesis of antibodies. Isoprinosine has good performance absorption in the gastrointestinal tract, is available in the form of tablets for oral administration. The dosage is 50 mg / kg of weight per day, the medicine is taken in 3-4 doses.

Often, immunomodulators are prescribed as preventive measure, to warn viral sore throats both in autumn and spring periods. However, some modern doctors are negative about this practice. The fact is that the immune system after taking these drugs enters a state increased activity, which can provoke the development of allergies, aggravate its course, complicate the course of autoimmune diseases.

Topical preparations

Local therapy is sometimes preferable to general therapy and in any case complements it well. With a point effect on the affected tonsils, there is no risk of complications for the whole organism, side effects, and the likelihood of allergic reactions is lower.

Important! A significant disadvantage of local therapy is its low efficiency, which in the case of angina allows it to be evaluated only as a secondary measure.

As a means of treatment, it is customary to separate chemically synthesized and natural drugs.

Synthetic drugs for the local treatment of angina

The most effective and harmless include the following antiseptic drugs:

natural medicines

From preparations made from natural raw materials (shoots and roots of plants, beekeeping products, etc.), for the treatment of angina, the following can be prescribed:

The use of H1-histamine blockers for angina

Antihistamines are used to relieve symptoms of the disease. They reduce the severity clinical manifestations inflammation - swelling, sputum formation, itching and burning in the throat. With angina prescribe:

Dimedrol. Produced in the form of tablets, it has a hyposensitizing, analgesic effect. May cause drowsiness, lethargy. Used even for treatment infants. The dosage depends on the age of the patient, the purpose of administration and the route of administration of the drug.
Suprastin. Fast acting drug, the effect occurs within 15-30 minutes after its administration. Maximum dose should not exceed 20 mg/kg per day. When taking, you must be guided by the recommendations of your doctor, because. the instructions usually indicate schemes for the treatment of allergies.
Tavegil. The drug is different lasting effect: Its action lasts up to 12 hours. Reception is carried out before meals, twice a day. Children under 12 years of age are prescribed 0.5 tablets at a time, at an older age - a whole one.

Complex therapy, combined with the control of the main body systems, will allow you to cope with a sore throat quickly and without unnecessary complications. It is important to take the treatment of the disease seriously and follow all the instructions of the attending physician.

Video: angina, “School of Dr. Komarovsky”

Angina (tonsillitis) is a rather complicated disease, moreover, it is not easy to distinguish it from other inflammations of the larynx on your own. For staging accurate diagnosis need to see a doctor necessary tests, including a throat swab for bacterial flora. When the diagnosis of tonsillitis is confirmed, therapy will continue for at least 7-10 days.

Only such terms will help to get rid of the manifestations of the disease. How to treat angina - the doctor will recommend, based on the form and severity of the disease, and also taking into account general state patient and laboratory test results.

In order to quickly and effectively cure a sore throat, it is not enough to take drugs orally or receive injections. Therapy should be comprehensive, because even the slightest complication of tonsillitis can cause serious consequences- education, pathologies of the cardiac and renal systems, and even impaired brain function.

reception antibacterial agents it is made strictly according to the doctor's prescription, they must be taken or pricked in the indicated dosage, observing the frequency of administration;
compliance drinking regime- the patient must replenish the fluid lost during intoxication by drinking plenty of fruit and berry juices, fruit drinks, herbal tea, clean water;
providing the patient with complete rest and bed rest, in isolation from other family members, because tonsillitis is a contagious disease transmitted by airborne droplets;
gargling to remove necrotic and purulent plaque from the surface of the tonsils and local treatment in the form of lubrication of the larynx;
restriction of physical and motor loads both during illness and after recovery, for at least two weeks;
avoiding hypothermia, drafts and contact with sick people, to prevent relapse;
control over the state of the joints, kidney and cardiovascular systems, at least six months after the treatment of angina - if you suspect the pathology of these organs, you should consult a doctor and undergo an examination.

General rules for the treatment of angina imply an integrated approach

Medicines for angina should continue to drink or inject even after the main symptoms of the disease have disappeared. Only full course therapy can guarantee getting rid of the bacterial infection.

Some patients adhere strictly drug regimen only in the first days of treatment, and feeling relieved, they begin to skip taking medications or even worse, go to work. It is absolutely impossible to do this.

Not fully cured bacterial infection and abandoning antibiotic treatment, the patient creates favorable conditions for the resistance of the pathogen to the drug. And if the symptoms of the disease reappear, it will be much harder to cope with it.

Medical therapy

What to take with angina - main question any patient. Indeed, many people, suspecting tonsillitis, do not go to the doctor, but run to the pharmacy for drugs, purchasing expensive antibiotics, without even knowing the instructions for their use. Self-medication in this case will not only not help, but also harm.

Tonsillitis can be caused not only by streptococcus, although in most cases it is this pathogen that provokes the development of the disease. Angina can also be of viral origin.

It is almost impossible to distinguish on your own what nature the disease is. Viral infection accompanied by a runny nose, swelling and redness of the eyes, hoarseness, often coughing. A bacterial infection can be diagnosed only by passing sputum for analysis of the flora from the pharynx.

Fence analysis for flora

Bacterial culture is done in any polyclinic equipped with a bacteriological laboratory, but the results of such culture must be expected for at least 3 days. Therefore, doctors have developed a number of criteria by which to assess the likelihood of having streptococcal infection in the patient:

temperature exceeds 38 o C + 1 point;
no cough + 1 point;
enlargement and soreness of neighboring lymph nodes + 1 point;
tonsils are enlarged, hyperemic, edematous and covered with plaque + 1 point;
age under 15 + 1 point;
age over 45 + 1 point.

If the examination results score 4-5, the symptoms indicate a bacterial infection and the patient is recommended to take antibiotics from the first day of illness. results bacterial culture will be obtained and studied by the doctor, for possible subsequent correction of antibacterial treatment.

Antibacterial therapy

Since tonsillitis in most cases is caused by the causative agent of the streptococcal group, an effective remedy for sore throat should be selected according to the bacterial agent. In some cases, the disease occurs due to the activation of Staphylococcus aureus.

Bacterial sowing on the basis of a throat swab should identify the pathogen, and the doctor is repelled from it, prescribing the appropriate drug.

AT given time There are a number of the most commonly prescribed:

Amoxil is an antibiotic of the penicillin series, in combination with clavulanic acid. Possesses active action against a wide range of pathogens, including streptococcal and staphylococcal groups. It is prescribed for diseases of the ENT organs and upper respiratory tract. With a mild and moderate form of the disease, the drug is prescribed orally (by mouth), with a severe degree of symptoms, intravenous administration is indicated.
Klacid is an antibiotic of the macrolide group, the action is aimed at Staphylococcus aureus, streptococcal group, Haemophilus influenzae and many other strains of bacteria. Effective for sore throats, taken in the form of tablets. The recommended dose and frequency of administration is selected by the doctor.
Macropen - as well as Klacid, belongs to the group of macrolides, has similar properties, but a suspension form has been developed for use by young children, for ease of use.
Cephalexin is an antibiotic of the 1st generation cephalosporin group. It is taken orally, has a wide spectrum of action. It is produced in the form of a powder for the subsequent preparation of a suspension, in which 5 ml ready solution contain 125 mg of active ingredient.
Cifran is a drug of the fluoroquinolone group, active substance- ciprofloxacin. It has a powerful antimicrobial effect, is available in tablets, so it is more indicated for adult patients. It should not be taken by breastfeeding mothers because active ingredient penetrates into breast milk and can cause problems with the hematopoietic system in a child.
Doxycycline is an antibiotic a wide range actions from the tetracycline series. Produced in the form of capsules for oral administration, it is effective for diseases of the ENT organs and upper respiratory tract, including tonsillitis. Just like fluoroquinolones, tetracycline drugs are contraindicated for nursing mothers.
Metronidazole is an antimicrobial drug for systemic use. It is used mainly for the treatment of complications of angina, when involved in infectious process membranes of the brain, joints, as well as comorbidities such as syphilis.

A doctor will help to understand the wealth of drugs for tonsillitis

These sore throat remedies should be taken under strict medical supervision to avoid complications and side effects. Severe sore throat is treated by combining drugs and monitoring the course of the disease.

Means for external processing

What to drink with angina - now it has become clear these are antibacterial drugs. But for successful treatment, an integrated approach is needed. Particles of torn tissue accumulating on the surface of the tonsils must be removed, as well as purulent plaque.

It can be removed by gargling pharmaceutical preparations, as well as by means of their own preparation. For those who do not know how to smear the throat with sore throat and how best to treat it, there are a number of special-purpose drugs.

Ingalipt

The drug is in the form of a spray, which includes sulfanilamide. For the successful treatment of tonsillitis, doctors often combine the appointment of antibiotics and sulfonamides, so the local treatment of the throat with Ingalipt spray helps not only speed up the healing process, but also clear the tonsils of plaque. And mint, which is part of it, will help relieve pain and provide an anti-inflammatory effect.

Pharyngosept

An effective cure for sore throats. Available in the form of lozenges with a lemon flavor. The drug is active against groups of streptococci and staphylococci, which helps to successfully fight the bacterial agent locally - right in the throat. The resorption of tablets complements the effect of oral antibiotics.

Pro-ambassador

Anti-inflammatory and antimicrobial spray. The basis of the drug is propolis, which has long been known for its anti-inflammatory properties. Except antimicrobial action, the drug increases local immunity, has an anesthetic effect on sore throat and promotes hydration.

Malavit

A natural-based product that, when applied externally, helps to reduce pain in the throat, reduce hyperemia and swelling of tissues, relieve itching and perspiration. Produced in the form of a means for external processing of the pharynx.

It is used in combination with other drugs for sore throats, applied to the surface of the tonsils with a cotton swab. It is advisable to clear the throat of necrotic plaque before use by rinsing.

Lugol's solution

The best remedy for sore throat, according to doctors, has been for a long time. The composition of the solution includes molecular iodine. It has an antiseptic, disinfectant effect, destroying the shell of even resistant pathogenic microorganisms.

To soften the effect of iodine, glycerin is present in Lugol's solution. Previously, mothers were reluctant to treat the throat of young children with this remedy, but recently a solution has appeared in the form of a spray, which greatly simplifies the way it is used.

Medicines for complex therapy tonsillitis

It is difficult to say which drugs for angina will be more effective. It depends on the age of the patient, the severity of the symptoms of the disease and the causative agent of the infection. Only a doctor who treats tonsillitis in this patient can recommend.

Some patients say "I smear the throat with Lugol's solution, and the sore throat immediately recedes." Others are shown more complex and long-term treatment, with a combination of drugs for internal reception and outdoor processing. The main thing is to follow the doctor's recommendations for successful therapy.

Physiotherapy for tonsillitis

Physiotherapy helps to quickly cure angina no less effectively. There are several indicated physiotherapy techniques for complex treatment tonsillitis:

Inhalations - are carried out using a suspension of Hydrocortisone, Dioxidin antibiotic, Imanin aerosol, Interferon, Lysozyme and other drugs. Inhalation course medications is usually 4-5 days.
Irradiation with UV rays- allows you to effectively kill pathogens on the surface of the tonsils. The number and duration of procedures is determined by the doctor, but usually the course is at least 5 days.
Ultraphonophoresis on the tonsil area- carried out with the use of antibacterial and anti-inflammatory drugs.

You can start physiotherapy 2-3 days after the decrease in body temperature and the subsidence of the main symptoms of the disease.

Folk remedies for tonsillitis

Herbs for angina can become indispensable assistants in treatment. In combination with antibacterial drugs herbal decoctions and gargling with them will have a significant anti-inflammatory and antiseptic effect.

Rinsing with herbal decoctions:

two tablespoons of dry calendula leaves are poured with 250 ml of boiling water, and after infusion, you can gargle with the composition;
black elderberry - a few tablespoons of flowers are poured into a glass of water, the composition is brought to a boil and boiled for several minutes. After cooling and straining, it is used for rinsing;
Chamomile is an herb long known for its antimicrobial properties. You can prepare a decoction for rinsing by adding two parts of lime blossom to chamomile flowers;
blueberries - for rinsing use fruits cooked in an amount of 100 grams. The resulting tincture perfectly clears the throat and relieves pain.

It is necessary to rinse at least 6-8 times a day, to achieve best effect, anesthesia and removal of necrotic deposits from the surface of the tonsils.

Lemon is an effective remedy used not only for tonsillitis, but also for other respiratory diseases. This fruit contains vitamin C, which stimulates the immune system, fights infection and has healing properties. Lemons also contain vitamins A,E, essential oils, magnesium, potassium and many more useful and strengthening substances.

Recipes for using lemon for angina:

Slices of fresh lemon dissolve in the mouth every 2-3 hours, after resorption, rinse the mouth with water.
Gargling with lemon juice diluted with water. For a glass of water you need to take 2 tablespoons of juice. Rinsing is carried out 4-6 times a day.
Throat smearing medicinal composition- to the spoon lemon juice honey is added in the amount of two tablespoons. Lubricate three times a day inflamed tonsils composition applied to a cotton pad or cotton swab. The same mixture can simply be dissolved in the mouth several times a day.

According to reviews, at least effective tool is a gargle with beetroot juice. To prepare the composition, you need to grate one beet fruit, add a tablespoon of wine vinegar there and gargle with this mixture several times a day. The second recipe - add a spoonful to a glass of warm water beetroot juice, vinegar and honey.

Honey, garlic and lemon are the most effective and popular products for the treatment of tonsillitis.

Black cumin is used to treat chronic tonsillitis. Here are recipes for gargling with this plant:

Boil 2 tablespoons of cumin seeds in 1.5 liters of water, then cool and strain. You need to gargle twice a day.
In a warm glass boiled water dissolve the spoon caraway oil and a small amount of wine vinegar. Gargle with the composition, as well as prepare oral baths.

For external lubrication, cumin oil is used, which is sold in a pharmacy.

Before applying folk ways treatment of tonsillitis, it is recommended to consult a doctor about possible contraindications. At integrated approach treatment of angina, even in difficult cases, can be done quickly and effectively.

Combination medical methods with recipes of traditional medicine will help not only eliminate the symptoms of the disease, but also strengthen the immune system, to avoid relapses. The patient should, after the end of therapy, avoid contact with sick people, limit physical exercise and level up defensive forces organism.