Antiviral tablets 3 pieces in the package name. Antibiotics for colds, flu and coughs in adults and children. What antibiotics to take. Rules for taking antibacterial medicines

The most common time for colds and exacerbation of chronic infections is the off-season. At this time, the number of sick people increases significantly. But life in the dynamics of modern life does not make it possible to get sick for a long time. Therefore, 3 antibiotic tablets are gaining wide popularity. It is effective in combating inflammation of the upper respiratory tract, occurring in both mild and moderate severity.

Benefits of drugs

Belong to the subclass of azalides. They quickly and without complications cope with bacterial infections.

Effective impact is possible due to the cumulative property of drugs. Concentrating in tissues, they negatively affect pathogenic microorganisms, blocking the function of protein synthesis. As a result, this leads to their destruction.

Due to the strong effect of the substances included in the composition of the funds, three tablets are enough for treatment. Already after the second dose of the drug, the patient feels relief, his well-being improves. The final recovery is observed a few days after taking all the pills.

Complications without treatment

Antibiotics are used to treat infections caused by bacteria in the body, such as tonsillitis, bronchitis, pneumonia, tonsillitis, urethritis, and skin infections. In this case, medical therapy should be started immediately. Otherwise, the lack of properly prescribed drugs can lead to the following complications:

• meningitis;
• purulent infections of the pharynx;
• blood infections;
• rheumatic fever;
• toxic shock.

Some of these complications are treated only with the help of surgery. In addition, long-term therapy with medication is necessary.

The danger of such conditions lies in the fact that they often become chronic. Pathological processes can also lead to a threat to the life and health of patients.

List of antibiotics for three tablets

The main active ingredient of all medicines related to azalides is called azithromycin. Based on it, a large number of antibiotics 3 tablets have been released. Here is a list of some of them:

• Azithromycin;
• Sumamed;
• Zitrolide;
• Sumaclid;
• Azitral.

All medicines have a similar effect, and in order to understand which antibiotic is best for a cold, you need to consult a doctor. In any case, it does not hurt to know more about some antibiotics of this group.

Azithromycin

Azithromycin - a drug of semi-synthetic origin, 3 tablets per pack, belongs to broad-spectrum antibiotics. The agent is resistant to the influence of gastric juice and is completely absorbed into the gastrointestinal tract. It is active against many viruses and bacteria.

Antibiotics three tablets have a prolonged action, which allows you to drink medicines not 2 times a day for at least five days, as with other drugs, but 1 every 24 hours. After entering the body, the drug is concentrated in it, and the excretion of substances occurs for a long time. Due to this, the effect of the application lasts for a long time.

Important! During therapy with Azithromycin, it is forbidden to use additional types of antibiotics.

This can cause overdose and various kinds of complications.

Indications for use

Azithromycin is drunk in the following diseases:

• with inflammation of the hearing and respiratory organs of an infectious nature: tonsillitis of varying severity, including purulent, scarlet fever, sinusitis, tonsillitis, laryngitis, bronchitis;
• with infections of the urinary system, for example, urethritis;
• an antibiotic is also drunk for inflammation of the skin: dermatitis, dermatosis, erysipelas;
• as a combined treatment, the drug is prescribed in combination with other drugs for various ulcers of the digestive system.

Mode of application

The way the antibiotic is used depends on the disease.

When taking a cold medicine for an adult, three tablets with a dosage of 0.5 g per course are enough. Each is taken once a day at the same time.

Important! Tablets are taken later than an hour before a meal, and not earlier than 2 after a meal.

The same treatment regimen for sinusitis, laryngitis and mild pharyngitis.

If antibiotic tablets are used for tonsillitis, sinusitis, moderate otitis media, 3 days for treatment will not be enough. In this case, a five-day application is indicated. Here, the treatment should be carried out as follows: the first day, 1 tablet is taken, in the next - half.

For the treatment of urethritis, two tablets from the package should be taken at a time.

Borelliosis is treated for 5 days, 1 tablet every 24 hours.

To kill bacteria in adults, take 2 tablets per day with a dosage of half a gram. The therapy lasts for 3 days.

With inflammation of the lungs, therapy should begin with the form of the drug in the form of intravenous injections. After 3-5 days, tablets are already drunk. With residual mild disease, the usual course is sufficient: three tablets, 1 per day.

Azithromycin has a minimum number of side effects, and therefore it can also be used to treat children. In this case, the dosage is calculated depending on how much the child weighs. For 1 kg there should be 10 g of the main substance. This dosage is for a three day treatment. If therapy lasts for 5 days, it is halved.

Analogue of Azithromycin - Sumamed

Another name for the drug, 3 tablets per pack, the main active ingredient of which is azithromycin - Sumamed.
Indications for use

The remedy is prescribed for the following diseases:

• with inflammation of the upper and lower respiratory tract of an infectious nature;
• with diseases of the skin;
• urological diseases;
• in the presence of sexually transmitted infections.

Mode of application

As with any drug, the course of therapy and dosage depends on the disease.

For the treatment of problems with the organs of the respiratory system of an infectious nature, one tablet of half a gram per day is taken. The therapy lasts 3 days.

Chronic erythema is treated for 5 days according to the following scheme: on the first day, you should immediately drink a double dose, the next two, 1 tablet is taken.

In urology, in the acute stages of the disease, it is necessary to take 2 tablets at once, 0.5 g each.

Important! The antibiotic should be taken at the same time every day. If the pill is not drunk on time, you should take it as soon as possible. The next use of the drug is possible only after 24 hours.

Zitrolide

Zitrolide is a systemic antibiotic.

Indications for use

The tool is used for the following types of diseases:

• with infections of the upper respiratory tract;
• with ENT diseases, in frequency, tonsillitis, sinusitis, otitis media;
• with inflammation of the infectious nature of the lower respiratory tract;
• in the presence of scarlet fever;
• with infection of the skin and soft tissues;
• with urethritis and cervicitis;
• with problems with the gastrointestinal tract and duodenum.

Mode of application

The course of therapy depends on the disease. But in any case, you can use the remedy an hour before meals and 2 after. The medicine should be taken with a small amount of water.

With inflammation of the respiratory tract, which are infectious in nature, the course of therapy is 3 days, one tablet with a dosage of 0.5 g.

In the absence of complications of diseases of the urinary system of an acute nature, you should take 2 tablets at a time. Additional use of the tool is not required.

In case of infection of the skin and soft tissues, the therapeutic course is 5 days. In this case, for the first time, 2 tablets are drunk at once, then 1 every 24 hours.

For gastric ulcers caused by the bacterium Helicobacteri pylori, one tablet should be taken at a dosage of 1 g for 3 days.

With pneumonia, a three-day course of the drug is not enough. Here the treatment should last at least a week. It should be remembered that before using the tablets, it is necessary to put down intramuscular injections with a similar antibiotic. And only after that you can take 1 tablet with a dosage of 0.5 g per day.

If for some reason the medication was missed at the right time, it should be drunk as soon as possible. Further, you can drink the medication only after 24 hours.

Contraindications for azithromycin

All azithromycin-based products have similar contraindications:

1. Drugs are prohibited for admission to patients with an allergic reaction to the components of antibiotics.
2. Can not be used in renal and hepatic insufficiency.
3. A contraindication is the presence of arrhythmia.
4. Prohibited for use by children under six months. Up to 12 years it is better to use suspensions. Preference should be given to this form of the drug if the weight of the child is less than 45 kg.
5. There is no exact data on the effect of drugs on the fetus, and therefore they are prescribed to pregnant women with caution and only under the supervision of a doctor.
6. For nursing mothers, funds are prescribed subject to greater benefit for the woman than harm to the baby. But it is better to refuse feeding and express milk for the duration of therapy.

Side effects

Preparations with azithromycin have low toxicity, and therefore there are few or extremely rare side effects. Among the main ones are:

• dysbacteriosis and allergic reactions to components. These deviations occur infrequently, only in 5% of cases.
• 2% of patients may have problems with the nervous and genitourinary system, heart. It can be arrhythmia, dizziness, candidiasis.

If side effects occur, stop taking the medicine immediately and consult your doctor.

Use of antibiotics for influenza and ORS

With a severe cold, it is important not only to deal with the symptoms of the disease, but first of all, you should get rid of the cause. If it was not possible to cope with the disease within 5 days, there is no positive effect from the treatment or the state of health worsens - this means that there is a causative agent of a bacterial infection in the body. In this case, antibiotics are prescribed that are able to overcome the primary source of the disease and prevent complications in the form of purulent tonsillitis, acute bronchitis or pneumonia.

Important! Before you start taking an antibiotic that contains azithromycin, you need to be examined and consult a doctor.

This is due to the fact that these drugs are not an effective remedy for all diseases. They fight only with the bacterial nature of the infection. And, despite the convenience, it will not work to cure a cold at the first symptoms with Azithromycin. Since in this case the causative agent is a virus, and treatment simply will not bring results. It should be used only in case of complications of a bacterial nature.

In addition to the loss of time, even minor side effects will lead to a worsening of the patient's condition.

The same result will be if the cause of inflammation is a stamp that is resistant to the one indicated in the annotation of the drugs. In this case, the harm from taking the drug will be more than good.

Only a doctor can determine the nature of the inflammation and prescribe the correct treatment. He will be able to paint both the scheme and the dosage of therapy, depending on the age of the patient, contraindications.

Azithromycin and its analogues are modern drugs that can quickly rid the patient of many diseases. But do not self-medicate and start taking at the first sign of the disease. Only a doctor should prescribe treatment and, especially, antibiotics.

Often, as soon as we notice a cough or a slight increase in temperature, we begin to study all possible pills and potions. Undoubtedly, knowledge of good medicines will always come in handy. Therefore, searching for information about them on the Internet is a very useful pastime. However, any disease should be treated carefully, having thoroughly studied everything and, of course, consulting a doctor. Especially when it comes to antibiotics.

Antibiotics are a powerful and effective remedy for many diseases. These antibacterial substances of synthetic, semi-synthetic or natural origin can quickly stop the growth of harmful microorganisms or completely destroy them. Especially often they are used in the treatment of such common diseases as tonsillitis, bronchitis, sinusitis, intestinal infections, otitis, pneumonia.

Therefore, for review, we have compiled a rating of the best antibiotics against specific diseases, in particular, sore throats, coughs and some others. When choosing funds, we were guided by the recommendations of specialists, patient reviews and a description of the pharmacological action of drugs. However, antibiotics should be taken strictly according to the doctor's prescription!

There are contraindications. Check with your doctor.

The best antibiotics for sore throat, bronchitis and cough

Most antibiotics are designed to fight several different types of microbes at once and have a fairly wide spectrum of action. However, only a few of them are really effective for coughs and respiratory tract infections.

4 Sumamed

Fast acting and easy to take
Country: Croatia
Average price: 350 rubles.
Rating (2019): 4.6

A very effective broad spectrum bacteriostatic antibiotic based on azithromycin. It acts against a variety of microorganisms that can cause tonsillitis, bronchitis and other diseases of the upper respiratory tract. Sumamed easily copes even with advanced cases of purulent tonsillitis, otitis, with a moderate disease, it removes all the symptoms of acute respiratory infections in just a day. It acts very quickly, so only three tablets are usually enough for treatment. Ease of use is one of the main advantages of this drug.

There are contraindications and side effects, but they are fewer than most cheaper antibiotics. Doctors love this drug very much, give it high marks, noting high efficiency in most cases. Children from three years of age are allowed to attend. But it is better for children to give it in the form of a suspension, not tablets.

3 Azithromycin

Affordable price
Country Russia
Average price: 160 rubles.
Rating (2019): 4.0

A budget domestic broad-spectrum drug is the most common drug against colds. Despite the low price, it copes well with various respiratory infections, including bronchitis, laryngitis and pneumonia.

But in the instructions for use, you can see a large number of side effects and contraindications, alas, characteristic of most of these drugs. In addition, it is not recommended for children under 16 years of age, as well as for adults who have arrhythmias, kidney or liver failure.

2 Macrofoam

The best antibiotic tablets
Country: Slovenia
Average price: 262 rubles.
Rating (2019): 4.8

Coated Slovenian tablets are a good remedy for pathogenic intracellular microorganisms. This antibiotic is used mainly for bronchitis, stomatitis, pneumonia and other infections caused by certain pathogens. Also, the drug can be taken for the treatment and prevention of whooping cough and diphtheria.

The advantages of this antibiotic include efficiency, few contraindications and minimal side effects. Plus, it's pretty easy to take. Usually it is prescribed 3 times a day, one tablet before meals. The standard form of release of the antibiotic is 16 tablets. However, the drug is also found in the form of a suspension, which is given even to the smallest children.

1 Fluimucil-antibiotic IT

The most effective antibiotic for cough
Country: Italy
Average price: 750 rubles.
Rating (2019): 4.9

Fluimucil is one of the few truly effective antibiotics suitable for both injection and inhalation. This antibiotic is used mainly for inhalation with a wet cough, bronchitis, tonsillitis, tracheitis and a number of other respiratory diseases. Also, this solution can be called one of the best means for washing or instillation for sinusitis, including sinusitis, and otitis media.

Due to the successful combination of antibiotic and mucolytic, Fluimucil not only eliminates pathogenic microflora, but also helps to cleanse the problem area. For example, with bronchitis, the drug accelerates the process of sputum excretion. Fluimucil-antibiotic IT is released in the form of a solution of 500 mg for inhalation and injection. It should not be confused with the effervescent tablets and granules of the same name for the preparation of a solution that is taken orally.

The best antibiotics for sinusitis

Treatment of sinusitis is carried out according to different schemes, but antibiotics are prescribed in most cases. These can be tablets, solutions for intramuscular injection and topical use. Sometimes a combination treatment regimen is used.

4 EcoClave

Large list of indications
Country Russia
Average price: 250 rubles.
Rating (2019): 4.7

In this preparation, the action of amoxicillin is enhanced by clavulanic acid. The antibiotic has a bactericidal effect, and the acid maintains it, providing greater effectiveness of the drug. The tool has a wide spectrum of action, so it helps with almost any sore throat and bronchitis, regardless of what microorganisms they are caused by. Due to its high efficiency, the drug is often prescribed for diseases of the upper and lower respiratory tract, skin infections, osteomyelitis and other serious diseases.

Contraindications for use are children under 12 years of age, renal failure, severe liver disease, intolerance to cephalosporins. The drug is allowed to be used during breastfeeding. There are side effects, but in a smaller amount compared to many other antibiotics.

3 Vilprafen® solutab

The safest drug during pregnancy
Country: Italy
Average price: 500 rubles.
Rating (2019): 4.8

Vilprofen Solutab is a rather large tablet with a sweet taste and a pleasant strawberry aroma. The main active ingredient is josamycin, which is effective against bacterial infections caused by a variety of pathogens. The drug is often prescribed for sore throat, bronchitis, otitis media, pneumonia, as well as dental infections, furunculosis and diseases of the genitourinary system.

The main feature of the antibiotic is that it can be taken during pregnancy and breastfeeding without fear of serious consequences for the child. This drug as a whole can be called one of the safest. Contraindications are reduced to intolerance to macrolide antibiotics and severe liver disease. Side effects are minimal. The only drawback of the remedy, doctors and patients call its high cost.

2 Polydex with phenylephrine

Antibacterial and vasoconstrictive action
Country: France
Average price: 320 rubles.
Rating (2019): 4.9

Polydex spray is a complex remedy that is prescribed for a protracted cold with purulent discharge from the nose. Thanks to the combination of two antibiotics and the vasoconstrictor phenylephrine, this antibiotic has a wide spectrum of action and is effective in the fight against sinusitis and other sinusitis, rhinitis and a number of different bacteria. These drops can be called the best drug that has an antibacterial and anti-inflammatory effect and improves breathing. The effect of their application, as a rule, is noticeable after 3-5 days. The full course of treatment takes no more than 10 days.

It is important to remember that this is not only a nasal spray, but also a strong antibiotic that has a number of contraindications. In addition to pregnant women and children under 2.5 years old, Polydex is not suitable for adults suffering from glaucoma, kidney failure and kidney disease. Therefore, it is often replaced with a more gentle analogue.

1 Isofra

Best topical antibiotic
Country: France
Average price: 300 rubles.
Rating (2019): 5.0

The first place among the best remedies for sinusitis goes to a fairly powerful local antibiotic in the form of a nasal spray. Although this French drug is quite inexpensive and does not have the widest spectrum of action, it is literally indispensable in the treatment of a protracted cold with rhinitis, sinusitis or nasopharyngitis. In addition, this antibiotic is used to treat both adults and children.

The drug is considered one of the most harmless antibiotics, goes well with other drugs, has virtually no contraindications. Possible side effects include only an allergy to individual components and some deterioration in the microflora of the nasopharynx with prolonged use. However, it is important to remember that this is still an antibiotic that must be used as prescribed by a doctor. In addition, it is categorically not recommended for use in allergic rhinitis or as a remedy for allergies.

Best Broad Spectrum Antibiotics

Although in most cases the use of narrowly targeted antibiotics is preferable because they have fewer side effects, recovery is often not possible without a broad-spectrum antibiotic. For example, some diseases can be caused by several types of bacteria at once. In addition, not all pathogenic microflora can be eliminated by taking a specialized antibiotic.

4 Clubax

Minimum contraindications and side effects
Country: India
Average price: 250 rubles.
Rating (2019): 4.6

An effective drug based on clarithromycin, which has high activity against a huge number of microorganisms. Klabaks is resistant to acids, so you can drink it at any time, regardless of the meal. Long-term post-antibiotic effect due to the maintenance of the substance in the body ensures the complete destruction of bacteria.

Doctors recommend taking this drug for various ENT diseases, infections of the gastrointestinal tract, genitourinary system, and skin. Provided that the dosage is correctly calculated, it is allowed to be taken by children from six months. The only contraindication is intolerance to macrolide antibiotics - clarithromycin, erythromycin and others. The safety of the drug has been proven by numerous tests - it causes the minimum number of side effects for antibiotics.

3 Tetracycline

The widest range of action
Country Russia
Average price: 76 rubles.
Rating (2019): 4.7

Probably almost every adult knows this frequently prescribed drug. Produced in various forms, the antibiotic is almost universal. In most cases, tetracycline is taken in the form of tablets, including bronchitis, tonsillitis, pharyngitis, prostatitis, eczema, and various infections of the gastrointestinal tract and soft tissues. Acting in a complex way, this antibiotic quickly copes with most infectious causes of cough, fever and other ailments. Also, the antibiotic is available in the form of an ointment for external use and eye ointment, which helps to eliminate some problems locally.

However, the antibiotic has many contraindications and is not suitable for children under 8 years of age, as well as for women during pregnancy or lactation. Also, like many strong drugs, it can cause serious side effects.

2 Avelox

Better efficacy in acute and chronic diseases
Country: Germany
Average price: 773 rubles.
Rating (2019): 4.8

Avelox tablets from the well-known German company Bayer are one of the most serious antibiotics used primarily to combat acute and chronic diseases that cannot be treated by most other means. Therefore, since 2012, it has been included by the Government of the Russian Federation in the List of Essential Medicines.

It is also one of the best drugs for adults due to its high efficiency and the fact that it is convenient and easy to take, so it does not depend on meals and does not require any additional actions. In addition, the antibiotic is well studied and, according to numerous studies, rarely causes side effects. Also, the antibiotic is found in the form of an injection solution, which is often used for exacerbation of chronic bronchitis. In some cases, the course of injections of Avelox precedes the course of the same antibiotic in tablets.

1 Amoxicillin

The most harmless universal antibiotic
Country: Slovenia
Average price: 44 rubles.
Rating (2019): 4.9

A broad-spectrum antibiotic, a time-tested popular drug, is quite inexpensive, but works quite effectively. It can be taken for a variety of diseases that occur both with and without fever - from tonsillitis and otitis media to Lyme disease, meningitis and sepsis.

Amoxicillin is perhaps one of the most popular antibiotics for adults and children. The presence of different forms of release, including tablets and suspensions, as well as a relatively small list of possible side effects, allow even pregnant women and babies aged 1 month to take the medicine.

Best antibiotics for kids

The illness of a child in itself is not an easy test. However, the situation is often complicated by the fact that children do not want to take an antibiotic, or it has many side effects that are extremely harmful to the child's body. Therefore, we have selected some of the most harmless and palatable effective drugs for sore throats, bronchitis and other common diseases.

4 Meronem

An effective antibiotic for severe diseases
Country: UK
Average price: 7000 rubles.
Rating (2019): 4.7

In cases where standard inexpensive antibiotics are powerless, it is not advisable to risk the health of the child, the use of a drug such as Meronem is considered. It has a powerful antibacterial effect against a variety of pathogens, it is prescribed for serious diseases - pneumonia, infections of the abdominal cavity, septicemia, meningitis.

The drug is officially approved for use in children from the age of three months, its effectiveness has been confirmed by numerous laboratory studies. But there are a number of contraindications. The drug is very serious, it is prescribed in extreme cases, it is usually used in a hospital, since it should not be drunk, but administered intravenously. The big minus of the antibiotic is the very high cost.

3 Ospamox

The most affordable price
Country: Germany
Average price: 50 rubles.
Rating (2019): 4.8

The drug based on amoxicillin is available in various dosage forms, but in pediatrics it is used mainly in the form of granules for the preparation of a suspension. In addition to time-tested efficiency, it has a low cost. Refers to broad-spectrum antibacterial drugs, effective for sore throat, bronchitis, as well as infectious diseases of the gastrointestinal tract, soft tissues and skin.

The drug is strong enough, when treating children with it, you need to strictly select the dosage, so you can not drink it without a doctor's prescription. There are also a number of side effects and incompatibility with some other drugs.

2 Augmentin

The best complex antibiotic
Country: UK
Average price: 150 rubles.
Rating (2019): 4.9

Augmentin is one of the few antibiotics safe enough to be given to young children, even infants. Despite the relatively small number of side effects, the drug, unlike some analogues, can still have a negative effect on the kidneys and intestines. Therefore, it should be taken with caution, especially at an early age.

In general, the antibiotic is effective and has a good composition. Especially often this antibacterial agent is prescribed in the treatment of bronchitis, tonsillitis, sinusitis, as well as various respiratory tract infections. In addition, due to the extended complex action, this antibiotic is also effective in the fight against various mixed infections. In addition to the suspension, Augmentin is also available in the form of tablets that school-age children and adults can take.

1 Amoxiclav

Maximum benefit - minimum contraindications
Country: Slovenia
Average price: 220 rubles.
Rating (2019): 5.0

The leader among the best children's antibiotics can be confidently called a universal broad-spectrum drug, suitable for both adults and children. The most popular form of Amoxiclav is tablets, but in pharmacies you can easily find a suspension, which is usually given to young children and even newborns with severe colds, coughs and fever caused by various infections.

In addition to the convenient form of release and versatility, the advantages of the drug include the minimum number of contraindications and side effects, affordable cost, and a quick effect from taking. It is easy for children to drink due to the pleasant taste. Despite the mild effect of the drug, you can take it, like other antibiotics, only as directed by a doctor. In addition, Amoxiclav cannot be combined with certain other medicines.

The best antibiotics for gynecological diseases

Women have to deal with gynecological diseases quite often, and the treatment is usually prescribed specific, different from the treatment of other inflammatory processes. Many drugs are quite expensive, but quickly cope with common "female" diseases - endometritis, adnexitis and other inflammatory processes.

4 Tsiprolet

Ease of use and fast relief
Country: India
Average price: 110 rubles.
Rating (2019): 4.7

A widespread drug not only in gynecology, but also in other areas of medicine. A broad-spectrum antibiotic, despite its very affordable cost, has a lot of advantages - you need to take it twice a day, the average duration of the course is 5 days, the effect of taking it is felt quite quickly. An additional plus of the drug is that it has almost no effect on the intestinal microflora.

An antibiotic is prescribed for infections of the pelvic organs, including adnexitis, as well as any inflammatory "female" diseases. There are few contraindications - this is childhood and adolescence, pregnancy and lactation, hypersensitivity to drugs of the quinolone group. The drug is usually well tolerated by patients, but the development of side effects indicated in the instructions is not excluded.

3 Cefotaxime

The best combination of price and efficiency
Country Russia
Average price: 40 rubles.
Rating (2019): 4.8

Third-generation cephalosporin antibiotic in gynecology is prescribed for inflammatory and infectious diseases. Since the drug has a wide spectrum of action, it shows effectiveness in the fight against a variety of pathogens. In addition to treatment, it is used after obstetric and gynecological operations to prevent infection.

The drug is not intended for independent use - it is administered intravenously or intramuscularly. It is usually prescribed in severe cases where antibiotic tablets may not be effective enough. The main contraindication is hypersensitivity to penicillins, you also need to be careful in case of serious diseases of the liver and kidneys. Despite the low cost, the drug is popular among gynecologists, they often use it in their medical practice.

2 Unidox Solutab

One of the most common antibiotics in gynecology
Country: Netherlands
Average price: 320 rubles.
Rating (2019): 4.9

Bacteriostatic, antibacterial agent based on doxycycline. The antibiotic has a wide spectrum of action, affects the most common pathogens of the pelvic organs in women. In gynecology, the drug is prescribed for endometritis, endocervitis, chlamydia, mycoplasmosis. It is also used for diseases of a different nature, occurring with inflammatory processes.

There are few contraindications, they come down to porphyria, hypersensitivity to tetracyclines, serious diseases of the liver and kidneys. But there are enough options for side effects, therefore, like all antibiotics, you need to take the drug with caution and only on the advice of a doctor. The duration of treatment is usually 5 to 10 days, depending on the nature and severity of the disease.

1 Rulid

The best antibiotic for serious inflammatory processes
Country: France
Average price: 950 rubles.
Rating (2019): 5.0

The semi-synthetic antibiotic of the macrolide group is more stable in the acidic environment of the stomach compared to other antibiotics of the same type, therefore it has a more pronounced effect. It is often used in gynecology in the treatment of various inflammatory processes caused by bacteria and infections. The drug is strong enough - self-medication is unacceptable to them. There are a number of contraindications, side effects. You can not use it during pregnancy and lactation.

The antibiotic comes in the form of tablets that need to be taken twice a day. According to gynecologists, this is one of the most effective drugs - it gives a quick and stable improvement even with serious inflammatory processes. Some patients are dissatisfied with the high cost, but in fact this antibiotic is much more effective than analogues.

General characteristics. Compound:
International and chemical names: Azithromycin; 9-dioxy-9a-aza-9a-methyl-9a-homoerythromycin A dihydrate; basic physical and chemical properties: blue hard gelatin capsules No. 00 (for a dosage of 500 mg), No. 0 with a red cap and a red body (for dosage 250 mg), No. 2 yellow (for a dosage of 125 mg), containing a powder of white or almost white color; composition: 1 capsule contains azithromycin in terms of 100% substance 125 mg, 250 mg or 500 mg; excipients: lactose monohydrate , sodium lauryl sulfate, magnesium stearate.

Pharmacological properties:
Pharmacodynamics. A broad-spectrum antibiotic, belongs to a subgroup of macrolide antibiotics - azalides. At high concentrations, a bactericidal effect is possible.
Azithromycin is active against aerobic gram-positive bacteria: Streptococcus pneumoniae, Streptococcus pyogenes, Streptococcus agalactiae, Streptococcus spp. groups C, F and G, Streptococcus viridans, Staphylococcus aureus; aerobic gram-negative bacteria: Haemophilus ducreyi, Haemophilus influenzae, Moraxella catarrhalis, Bordetella pertussis, Bordetella parapertussis, Legionella pneumophila, Campylobacter jejuni, Helicobacter pylori, Neisseria gonorrhoea, Gardnerella vaginalis; anaerobic bacteria: Bacteroides bivius, Clostridium perfringens, Peptostreptococcus spp.
The drug is also active against Chlamydia pneumoniae, Chlamydia trachomatis, Mycroplasma pneumoniae, Ureaplasma urealyticum, Borellia burgdorferi.
Pharmacokinetics. Absorption: Azithromycin is rapidly absorbed from the gastrointestinal tract. After taking the drug orally at a dose of 500 mg, the maximum concentration of azithromycin in the blood plasma is reached after 2.5-2.96 hours and is 0.4 mg / l. Bioavailability is 37%.
Distribution: azithromycin penetrates well into the respiratory tract, organs and tissues of the urogenital tract (in particular, the prostate gland), into the skin and soft tissues. High concentration in tissues and a long half-life are due to the low binding of azithromycin to plasma proteins.
Azithromycin remains in bactericidal concentrations in the foci of inflammation for 5-7 days after the last dose.
Metabolism: metabolized in the liver, losing activity. The use of food significantly changes the pharmacokinetics.
Vision: 50% is excreted unchanged in the bile, 6% in the urine.

Indications for use:
Infectious and inflammatory diseases caused by pathogens sensitive to the drug:
infections of ENT organs (tonsillitis, sinusitis, tonsillitis, otitis media);
scarlet fever;
respiratory tract infections (bacterial and atypical pneumonia, bronchitis);
infections of the skin and soft tissues (erysipelas, impetigo, secondary infected
dermatoses);
infections of the urogenital tract (uncomplicated urethritis and / or cervicitis);
Lyme disease (borreliosis) in the treatment of the initial stage (erythema migrans);
diseases of the stomach and duodenum associated with Helicobacter
pylori.

Dosage and administration:
Inside 1 hour before or 2 hours after a meal.
Adults with infections of the upper and lower respiratory tract, infections of the skin and soft tissues are prescribed 500 mg / day for 3 days (course dose - 1.5 g). Children weighing over 15 kg are prescribed at the rate of 10 mg / kg of body weight 1 time per day for 3 days. Heading dose - 30 mg / kg.
With uncomplicated urethritis and / or cervicitis, adults are prescribed a single dose of 1 g.
In Lyme disease (borreliosis), adults for the treatment of the initial stage (erythema migrans) are prescribed 1 g on the 1st day and 500 mg every day from the 2nd to the 5th day (course dose - 3 g). Children weighing over 15 kg - on the first day at a dose of 20 mg / kg of body weight, from the 2nd to the 5th day - 10 mg / kg of body weight 1 time per day for 5 days.
In diseases of the stomach and duodenum associated with Helicobacter pylori, adults are prescribed 1 g per day for 3 days as part of combination therapy.
Children weighing more than 15 kg are prescribed at the rate of 10 mg / kg of body weight 1 time per day for 3 days. Heading dose - 30 mg / kg. Children over 12 years of age are prescribed the drug in adult doses.
If you miss 1 dose of the drug, the missed dose should be taken as soon as possible. And the next - with a break of 24 hours.

Application Features:
With caution, the drug is prescribed to patients with impaired liver and / or kidney function.
During pregnancy and lactation, the drug is prescribed only if the expected benefit to the mother outweighs the potential risk to the fetus or child.
This dosage form (capsules) is not indicated for use in children under the age of 5 years.

Side effects:
From the digestive system: nausea, diarrhea, abdominal pain are possible; rarely - vomiting, flatulence, transient increase in liver enzymes.
Possible skin rash, cholestatic jaundice, headache, drowsiness, nephritis, vaginitis, neutropenia or neutrophilia, photosensitivity, eosinophilia. In children - agitation, insomnia, conjunctivitis, hyperkinesia.

Interaction with other drugs:
Antacids containing magnesium or aluminum hydroxide reduce the absorption of Azithromycin-Health. Therefore, it is recommended to adhere to a break of at least 2 hours between taking azithromycin and antacids.
Azithromycin does not bind to enzymes of the cytochrome P450 complex, therefore it does not interact with oral anticoagulants, carbamazepine, diphenin, digoxin, cyclosporine, ergotamine, but caution should be exercised when they are used simultaneously.

Contraindications:
Hypersensitivity to macrolide antibiotics.

Overdose:
Nausea, vomiting, diarrhea, temporary hearing loss. Therapy is symptomatic.

Storage conditions:
Store in a dry, dark place at a temperature of 15°C to 25°C. Keep out of the reach of children.
Shelf life - 2 years.

Leave conditions:
On prescription

Is a medicinal product. A doctor's consultation is required.

The off-season is the time of epidemic outbreaks of colds and exacerbation of chronic infections. The modern dynamic rhythm of life does not allow you to get sick for a long time, so an antibiotic for three days, effective against inflammation of the upper respiratory tract, has gained popularity.

Patients, according to reviews, notice a noticeable relief of the condition already on the second day of admission, and due to the prolonged action of a three-day course, it is enough to treat diseases of mild and moderate severity.

However, at the first sign of a cold, you should not rush to the pharmacy for a miracle remedy. First you need to figure out what kind of drug it is, how it works and what its purpose is. In addition, a visit to the therapist is required, who will prescribe the appropriate medicine.

Azithromycin

This is the name of the drug that allows you to quickly get rid of respiratory diseases. .

It is an antibiotic, three tablets of which make up the full course of treatment.

Belongs to the class of macrolides, active against a greater number of pathogens than penicillins or fluoroquinolones. The first generations of these antibacterial agents were designed for long-term use, and at least 2 doses should be taken per day. The formula of Azithromycin, allocated to a separate subclass of azalides, due to some structural differences, provides a prolonged action. Due to this, only three times the application is enough, since the therapeutic concentration of the antibiotic in the blood lasts up to 5-7 days.

Operating principle

The drug has a bacteriostatic effect, that is, it stops the development of pathogens. This happens due to the introduction of the active substance into the cell, attaching to its ribosomes and blocking the synthesis of the protein necessary for growth. With an increase in concentration, the drug acquires bactericidal properties, killing the pathogen. The therapeutic effect develops within the first 2 hours after ingestion and lasts about a day.

An antibiotic course of 3 tablets is active against the following intra- and extracellular pathogenic bacteria:

• gram-positive streptococci that cause pneumonia, scarlet fever, endocarditis, rheumatism, postpartum blood poisoning, nephritis, inflammation of the larynx, epidermis and soft tissues;
• pneumococci, which inflame the lungs, middle ear, paranasal sinuses and meninges;
• Staphylococcus aureus - the causes of a wide variety of diseases (from aesthetically unpleasant acne to deadly sepsis and meningitis) and persistent nosocomial infections;
• gram-negative legionella, gardnerella, gonococci, haemophilus influenzae and whooping cough, chlamydia, mycoplasmas and pale treponema.

Microorganisms resistant to erythromycin are also resistant to azithromycin.

At the moment, macrolides in general and azalides in particular occupy one of the leading places in the treatment of infectious diseases in adults and children. This is explained by their high efficiency and at the same time very low toxicity. In addition, most strains of pathogenic bacteria have acquired resistance to penicillins, which were widely used in the past.

See also: All about resistance and methods for determining the sensitivity of bacteria to antibiotics

A bit of history

The "fastest" three-day antibiotic - three tablets for three days - was first synthesized in the 80s of the last century by employees of the pharmaceutical laboratory of the Croatian company Pliva. It was obtained by modifying the 14-membered structure of erythromycin and became a representative of the third generation of macrolides. At the same time, the features of the chemical structure made it possible to attribute it to a separate subgroup - azalides.

The prerequisite for the emergence of such a powerful and effective remedy was the invention by American researchers back in 1952 of erythromycin. The drug, which became the founder of the macrolide group, was obtained from an actinomycete living in the soil. A drug similar in spectrum of antimicrobial action to penicillins has become their alternative for patients with allergies.

The promise of a new class of ABP inspired scientists to further develop and create more effective medicines. The latest achievement in this direction was Azithromycin, which surpasses erythromycin in acid resistance by almost 300 times.

The American pharmaceutical company Pfizer introduced it in the US and Western Europe under the trade name Zithromax. In Eastern Europe, the drug is known as Sumamed. Currently, there are more than 20 medicines based on Azithromycin.

Antibiotic three tablets per pack: name, analogues, application

The active ingredient of all medications belonging to the azalide subclass is azithromycin. This name is also registered as a trademark, but different manufacturers produce analogues under other names. The complete list includes the following medicines:

As a confirmation of the reliability of the list, we attach a photo gallery with these medicines.

All drugs included in the list have a similar effect and general rules for taking.

Indications

The drug Azithromycin is produced in different dosage forms: there are granules from which a suspension is prepared, special powders for injection solutions, a lyophilisate. However, the most popular type of antibiotic is three capsules or tablets that make up a complete course of treatment for respiratory infections of the respiratory system.

To cure a mild form of sinusitis, pharyngitis and laryngitis, you need to take 1 tablet of 0.5 g every 24 hours for three days (1 hour before or 2 after a meal). With otitis media, moderate sinusitis, tonsillitis and scarlet fever, a five-day course is indicated. The duration of therapy for NDP infections depends on the severity of the disease and the sensitivity of the pathogen.

Inflammation of the epidermis and soft tissues, organs of the genitourinary system and small pelvis, as well as stomach ulcers are treated according to a different scheme. For example, with urethritis, a single dose of 1 gram of the drug is sufficient, with borreliosis, a five-day course is required, and as part of the complex eradication of Helicobacter Azithromycin, three days are taken, but 1 gram each. With antibiotic therapy of pneumonia, intravenous administration is first recommended, with a further transition to tablets. The duration of treatment depends on the sensitivity of the pathogen, the severity of the condition and the rate of resorption of the inflammatory focus.

The dosages given indicate how adults should take azithromycin. For children, the required amount of medicine is calculated based on their weight. So, for every kilogram of body weight of a child, there should be 10 -5 mg of the active substance, depending on the duration of the course (3 or 5 days). Most often, in this case, powders or granules are prescribed, from which a suspension is prepared. In addition, there are a number of age restrictions for certain dosage forms.

Contraindications

Azithromycin should not be taken by persons with hypersensitivity to macrolides, as well as liver and kidney failure, arrhythmia. Strict contraindications include the age of children under 6 months. After six months, and up to 12 years, the drug is used only in the form of a suspension, since the effect of other dosage forms on children has not been reliably studied.

With caution, 3 tablets of an antibiotic called Azithromycin or another brand name are prescribed during pregnancy. Despite the low toxicity, there is no complete information about the safety of macrolides for a developing fetus. In this regard, the drug can be used by pregnant women only when the undoubted health benefits of the expectant mother are higher than the potential harm to the child. With antibiotic therapy during lactation, treatment is carried out strictly under the supervision of the attending physician, if necessary (long course), it is recommended to stop breastfeeding for a while, expressing milk.

Side effect

The low toxicity of Azithromycin and analogues determines the incidence of side effects.
Dysbacteriosis and allergy characteristic of taking antibiotics are observed in less than 5% of cases.
Even less often there are violations of the activity of the heart, nervous and genitourinary systems. For example, dizziness, tachycardia and candidiasis develop in only 1% of patients.

Antibiotic therapy for influenza and respiratory diseases

Will the magic three cold pills help or is the antibiotic not effective in this case? Of course, it is very convenient to recover from a cough and runny nose in just a couple of days, and not drink medicine for a week without noticing significant improvements. But before taking Azithromycin or its analogues, you must definitely go to the doctor.

Main article: When to use antibiotics for influenza in adults and children

Self-medication is unacceptable for several reasons:

• All antibacterial drugs are designed to fight infections caused solely by bacteria, as the name suggests. That is, with a cold or flu caused by a virus, ABPs simply will not help. Moreover, side effects worsen the general condition and often provoke complications.
• Despite a very wide range of antimicrobial action, an antibiotic for 3 days called Azithromycin or its analogues is not at all a panacea for infectious diseases. It is likely that the inflammation was caused by a strain resistant to this agent. In this case, as in the previous one, treatment will only bring harm.
• Only a doctor can reliably determine the pathogen and prescribe adequate therapy. This is done on the basis of the results of a laboratory study that provides information about the specific bacterium that caused the disease.
• Again, only a specialist is able to choose the optimal antibiotic therapy regimen, taking into account contraindications, the age of the patient and his individual characteristics.

Influenza and colds are treated with antiviral medicines, bed rest and symptomatic remedies (antipyretic tablets, cough syrups and drops for the common cold).

It is advisable to use antibiotics for ARVI in the presence of bacterial complications. However, here, too, an appeal to a medical facility is mandatory, since only a doctor can choose the right antibacterial drug, its dosage and duration of treatment.

Find a doctor near you

• Pain in the abdomen - in 3% of cases;
• Nausea - in 3% of cases;
• Inflammation of the kidneys - in 1% of cases;
• Chest pain - in 1% of cases;
• Dizziness, headache, drowsiness - in 1% of cases;
• In children, sleep disorders, neuroses - in 1% of cases;
• Allergic reactions - in 1% of cases.

Find out also:

• How to choose the right antibiotic for angina?
• What antibiotics are prescribed for follicular angina?

Read also:

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To date, Sumamed with purulent sore throat is among the first-line drugs of choice. It is very effective, quite safe, releases …

An antibiotic that is sometimes mistaken for flu and colds, 3 tablets per pack, is azithromycin. It can be sold under different trade names…

When there are signs of acute tonsillitis, doctors immediately prescribe antibiotics - with angina, this is a vital remedy that can destroy the infection. Sore throat, fever, unpleasant pain when swallowing are characteristic symptoms of the disease. The cause of the disease is often pathogenic bacteria - streptococci and staphylococci.

Even 150-200 years ago, tonsillitis could have been fatal. Nowadays, humanity is saving a lot of antibacterial drugs released to combat infectious agents. What antibiotics to take for angina in adults in order to quickly return to good health and performance, and how to cure the disease without antibiotics? Consider the possible options used by doctors when prescribing therapy.

Acute tonsillitis is an insidious disease. Usually it is characterized by elevated body temperature up to 38-39 degrees. At the same time, there are no symptoms of a cold in the form of a cough or runny nose. There is a characteristic pain when swallowing, lymph nodes increase, health worsens. However, the most characteristic sign for streptococcal or staphylococcal angina is the defeat of the tonsils, the degree of which may be different:

• with the catarrhal form of tonsillitis - swelling and redness (often without fever);
• with follicular - the so-called picture of the starry sky, formed from white-yellow purulent nodules formed under the mucosa;
• with lacunar - fibrinous-purulent plaque;
• with ulcerative membranous - a grayish-yellow coating, under which superficial ulcers form.

Doctors, as a rule, accurately diagnose acute tonsillitis. To prescribe the necessary antibiotics for purulent sore throat in adults, it is advisable to take a smear of mucus or pus from the surface of the tonsils. This will allow you to identify the specific causative agent of the disease. The realities of our reality are such that not every clinic conducts such an analysis. Often, the state institution does not have the funds for this. In addition, it will take 3-4 days to sow microflora with a standard procedure, and you need to act immediately. How to treat angina in this case? In order not to delay, doctors prescribe an antibiotic for purulent tonsillitis of a wide spectrum of action.

The total number of antibacterial drugs is large, they are conditionally divided into several groups:

• penicillins;
• macrolides;
• fluoroquinolones;
• cephalosporins;
• tetracyclines.

Treatment of acute tonsillitis involves the use of penicillins or macrolides. Any medicine from each group has its own indications for use, daily dosage and contraindications. Therapy with this or that drug should take place with the consent of the doctor, otherwise an incorrectly chosen remedy (on the advice of friends or a pharmacist) can provoke serious complications.

In acute tonsillitis, antibacterial agents are usually prescribed in tablets. Treatment of angina with antibiotics in adults by injection is practiced only in hospitals. Now injections for angina are rarely used, because modern drugs are almost completely absorbed from the gastrointestinal tract into the systemic circulation.
Note! In order to avoid resistance (resistance) of infectious agents to antibiotics, tonsillitis cannot be treated with the same drug if less than 2 months have passed since the last application. In addition, when the sore throat does not go away and there is no improvement in the patient's well-being after 3 days from the start of therapy, the prescribed antibiotic should be replaced with another one, having agreed with the doctor.

Most often, antibiotics are prescribed for angina of the penicillin series. This is due to the small number of side effects and sufficient sensitivity of pathogenic bacteria to the active substance. Medicines of the penicillin series against angina make up a large group. Consider the most effective antibiotics for the treatment of the disease.

This inexpensive preparation is effective against gram-positive and gram-negative cocci. It is prescribed for tonsillitis, infections of the respiratory tract, ENT organs and the oral cavity. These antibiotics for angina in adults are used at a dosage of 2-4 tablets 3-4 times a day. For children, the daily dose is calculated according to the age and body weight of the child.

There are analogues of phenoxymethylpenicillin for the active substance:

• Cliacil;
• smallpox;
• Penicillin Fau;
• Fau-cillin;
• V-penicillin.

The medicine is safe for pregnant and lactating women, but can cause redness of the skin, urticaria, rhinitis, conjunctivitis, dry mouth, diarrhea, loss of appetite.

Antibiotics for angina, containing amoxicillin as the active substance, are prescribed most often. This is due to the effectiveness of the drug and a wide spectrum of action. The drug is available in capsules or tablets containing 250, 500 or 1000 mg of amoxicillin. The pharmacy can offer analogues for the active substance, the list of which is quite large:

• Gramox-A;
• Amoxicar;
• Ospamox;
• Amoxil;
• Hyconcil;
• Flemoxin Solutab;
• Ecoball.

With angina, an adult is recommended to drink 2 tablets of 500-1000 mg per day, between which 12 hours should pass. The exact dosage and course of therapy is determined by the attending physician, depending on the clinical picture of the disease. Amoxicillin taken orally is rapidly absorbed, regardless of food intake. Of the contraindications noted hypersensitivity to penicillin, pregnancy and lactation.

This drug is a combination of two active substances - amoxicillin and clavulanic acid. The combination of these components enhances the antibacterial effect of the drug, but also has various side effects on the digestive and nervous system, provokes allergic reactions. Doctors consider Augmentin a good remedy against strains of staphylococcus, streptococcus, echinococcus and other pathogenic bacteria. Known analogues of Augmentin:

• Amoxiclav;
• Medoklav;
• Flemoklav Solutab;
• Ecoclave.

Please note: Medicines in this group are expensive, so let the doctor tell you which antibiotic to drink for angina. Perhaps, in your particular case, cheaper medicines will be effective.

Macrolide antibiotics are not as toxic compared to penicillin drugs, do not have serious side effects and are well tolerated by patients. It is safe to drink these antibiotics with angina not only for adults, but also for children.

Erythromycin laid the foundation for the entire group of macrolides about 70 years ago. But to this day it is used as an antibacterial agent for purulent tonsillitis, pneumonia, bronchitis, diphtheria, otitis media, sinusitis and other infections caused by pathogens sensitive to the active substance.

From angina, adults are prescribed 250-500 mg of erythromycin 4 times a day with an interval between doses of 6 hours. How long you need to take these antibiotics for angina in an adult in tablets, the attending physician will accurately determine, taking into account the clinical picture.

Azithromycin has a wide spectrum of action against pathogenic microflora. Indications for use: purulent tonsillitis, bronchitis, pneumonia, scarlet fever and infections of the upper respiratory tract. Some patients believe that this is the best antibiotic for angina. Indeed, with a moderate severity of the disease, it is enough to buy a package in which there are only 3 tablets of 500 mg of azithromycin. The instructions for the drug describe how to take antibiotics for follicular tonsillitis and other pathologies. There are 2 reception schemes:

1. 500 mg of azithromycin for 3 days.
2. 500 mg on the first day of treatment, 250 mg on the next 4 days.

Azithromycin is also sold under other names:

• Azitrox;
• AzitRus;
• Zitrolide;
• Summed;
• Ecomed.

Please note: Is it possible to treat angina with Azithromycin in a particular case, the doctor will accurately determine. If so, take the medicine at the same time of day. At the same time, drink it 1 hour before a meal or 2 hours after a meal.

Another antibiotic for the treatment of angina. It has many analogues containing the same active ingredient:

• Aziklar;
• Clubax;
• Clarkt;
• Clarithromycin;
• Clarilide;
• Clarimed;
• Clarimycin;
• Klacid;
• Lecoclar;
• Flomilide.

These antibiotics are prescribed for adults at 250-500 mg every 12 hours. The course of therapy is 1-2 weeks.

Many patients are not sure if antibiotics are needed for acute tonsillitis. Their doubts are understandable, because the drug harms the body. To the question "is it possible to cure a sore throat without antibiotics?" there is no single answer - it all depends on what caused the infection.

Treatment of angina without antibiotics passes if the culprits of the disease are viruses or fungi:

• Viral tonsillitis.

The disease is provoked by Coxsackie, influenza and adenoviruses. With this pathology, angina is treated without antibiotics, but with the use of antiviral and anti-inflammatory drugs.

• Fungal form of tonsillitis.

It develops against the background of active reproduction of fungi of the genus Candida. Treatment with antibiotics is not prescribed, but antifungal drugs of local and systemic action are used.
Please note: An illness without antibiotics is not treated if it is caused by a bacterial infection! And what antibiotics to treat the disease and how many days to take the prescribed medicine, only a therapist or an otolaryngologist will say. With all the richness of the choice of medicines, self-medication is fraught with serious consequences.

It is necessary to treat angina in a complex way - with antibiotics and topical preparations. Treatment of acute tonsillitis in adults at home involves frequent gargling (at least 5-8 times a day) with antibacterial compounds:

• a warm solution of table salt (1 teaspoon per 1 glass of water);
• a solution of baking soda (1 teaspoon per 1 glass of water) with the addition of 2-3 drops of iodine.

Rather, lozenges and sore throat tablets for resorption help to cure tonsillitis:

• Grammidin;
• Lizobakt;
• Dorithricin;
• Septolete;
• Trachisan;
• Strepsils;
• Streptocid;
• Pharyngosept.

In addition to tablets and lozenges, a sore throat spray with an antibiotic is prescribed. Medicines in the form of aerosols are widely represented in the pharmacy network:

• Angilex;
• Hexoral;
• Ingalipt;
• Stopangin;
• Tantum Verde.

If it is not possible to buy an expensive throat spray, you can lubricate the tonsils with Lugol solution 2-3 times a day, which costs a penny.
Please note: Some sources recommend Bioparox spray. This drug has been banned from sale and use since 2016 due to an increase in serious side effects, including life-threatening anaphylactic reactions.

Drinking antibiotics for sore throat is vital if the cause of the disease is a bacterial infection. After antibiotics or in parallel with them, it is desirable to drink a course of probiotics to restore the normal microflora of the gastrointestinal tract. If you treat angina in adults in a complex way, then the disease will pass in a week.

Article rating:

Advantages:
effect, short course

Flaws:
side effects, contraindications

Year of manufacture/purchase:

General impression.

Side effects of Flemoxin:

• allergic reaction;
• diarrhea;
• pseudomembranous colitis;
• hemolytic anemia;
• angioedema.

• disruption of the liver.

• angioedema;
• rash;
• constipation or diarrhea;
• physical weakness;
• bloating,
• insomnia;
• exhaustion.

• allergy to penicillins;
• pregnancy;
• jaundice.

• eosinophilia;
• skin rash;
• anaphylactic shock;
• fever
• serum sickness;
• dizziness;
• nausea;
• flatulence;
• stomatitis.

Adverse reactions of Sumamed:

• diseases of the liver and kidneys;
• lactation.

• intestinal disorders;
• nausea;
• headache;
• weakness.

The antibiotic azithromycin is used in 3 tablets for angina, and therefore all preparations based on it: Azitrox, Sumamed, Azimed, Hemomycin, Azivok and others.

Perhaps this is the only antibiotic that is used for angina with a course less than the standard 10-12 days. Perhaps that is why most of the patients prefer to use it. At the same time, there is no noticeable difference between the efficacy and safety of azithromycin and other antibiotics (the same erythromycin, penicillin group drugs).

Like all other macrolides, azithromycin with a high frequency of disturbances in the gastrointestinal tract due to the suppression of active bacteria in the intestine and the development of dysbacteriosis. This manifests itself in the form of diarrhea, changes in stool consistency, nausea, and rarely vomiting.

Despite the convenient scheme of application, azithromycin has its drawbacks - for example, its effect on the gastrointestinal tract

This is partly why azithromycin is prescribed for angina in situations where the patient has expressed intolerance to safer β-lactam antibiotics, in particular, amoxicillin, benzathine-penicillin, phenoxymethylpenicillin. If there is no such intolerance, doctors prefer to prescribe traditional penicillins or cephalosporins, which are less likely to cause side effects from the digestive system.

On the other hand, if a doctor has to choose among macrolide antibiotics, he prefers azithromycin, since the famous erythromycin causes digestive disorders even more often, and josamycin is much more expensive.

3 antibiotic tablets for angina are prescribed only for adult patients. The fact is that for children, azithromycin is available in the form of a powder for the preparation of a suspension and it is irrational to prescribe tablets to them.

Each tablet of the remedy is taken once a day either one hour before or 2 hours after a meal. It can be drunk with clean water. Accordingly, three antibiotic tablets are drunk in three days, after which the sore throat is treated only symptomatically. Attempts to supplement the use of azithromycin for angina with other antibiotics are dangerous because they can cause the development of fungal diseases.

Possible schemes for taking azithromycin (the second - for 5 days - is preferable and more effective)

Another treatment regimen is that 3 tablets of azithromycin for angina are taken for 5 days. To do this, the first tablet is drunk on the first day as a whole, the remaining two are divided into two parts each and half is drunk per day. As a result, they are enough for another 4 days of admission.

Practice shows that the regimen of taking azithromycin for three days is less effective than using it for 5 days or using other macrolides for longer courses. With it, the development of complications of angina occurs more often, from which the medicine should protect. Therefore, if possible, this medicine should be drunk for exactly 5 days, and the three-day regimen should be switched only with the obvious development of side effects and the need to end the treatment as soon as possible.

Today, statistics on the incidence of various side effects when using azithromycin are collected and well known:

• Diarrhea - in 5% of cases (especially often with a three-tablet scheme);
• Pain in the abdomen - in 3% of cases;
• Nausea - in 3% of cases;
• Flatulence, vomiting - in 1% of cases;
• In children, constipation, gastritis - in 1% of cases;
• Fungal lesions of the oral cavity (including fungal tonsillitis) - in 1%; cases;

Oral and throat candidiasis is a common side effect of heavy antibiotic use.

Depending on the severity of these side effects, the doctor may prescribe additional drugs to eliminate them, or change the antibiotic. It is likely that when taking the same Vilprafen, no side effects will appear, although the remedy itself is intended to be taken for at least 10 days.

It is because of the possibility of side effects that azithromycin is not recommended for pregnant women and breastfeeding mothers. It is forbidden to be taken by patients with impaired liver and kidney function. Children under 16 years of age are not prescribed azithromycin tablets. For them, there are preparations of this agent on sale in the form of powders for the preparation of oral suspensions.

When treating a nursing mother with azithromycin, breastfeeding may have to be stopped for a while

1. Three tablets per course for angina, only the antibiotic azithromycin is used;
2. If possible, it is desirable to replace azithromycin with penicillin preparations;
3. If possible, three tablets of the remedy are taken for 5 days, not three. In this case, the effectiveness of treatment increases.

Sources: />

Each person at least once in his life, but had to take antibiotics, because there comes a moment when folk remedies or simple antiviral drugs cannot be cured, complications begin. One of the most famous broad-spectrum antibiotics is Azithromycin (500 mg).

"Azithromycin" (500 mg of the active ingredient in each tablet) can be purchased at any pharmacy, however, you need to get a prescription from a doctor.

As mentioned above, this is a broad-spectrum antibiotic, thanks to its components it has a positive effect, namely, it kills gram-positive and gram-negative bacteria, which most often cause all ailments. The main active ingredient in it is azithromycin.

It is effective against staphylococcus, streptococcus, legionella, gardnerella, ureaplasma, treponema and many others. That is why antibiotics are prescribed for various diseases, when there is an exact certainty that the pathogen belongs to the list of the above.

A very convenient release form for the drug "Azithromycin-500". 3 tablets are contained in a package. It is this amount that is enough for a full course of treatment, since it is considered a very strong drug. It is recommended to take it only after the appointment of the attending physician.

Separately, it must be said that "Azithromycin" (500 mg, 3 tablets) is very well absorbed in the gastrointestinal tract, and that is why it is quickly distributed throughout the body. Because of what such a positive effect is achieved, and the improvement occurs within three days.

If we talk about the withdrawal of the drug, then approximately 60 percent is excreted in the bile (unchanged) and about 40 percent in the urine.

Separately, it must be said about when it would be appropriate to purchase exactly "Azithromycin-500" (3 tablets). According to the International Classification of Diseases, an antibiotic can be used if the following diseases are present:

• otitis of varying degrees, when the risk of developing complications increases, as a result of which a person may lose hearing;
• sinusitis, and it is the acute stage of the disease;
• acute laryngitis, when there is a possibility of the disease moving into a chronic stage; and as you know, chronic laryngitis is dangerous by the degeneration of cells into cancer cells;
• pharyngitis and tonsillitis, which have developed due to the negative effects of streptococcus;
• pneumonia, especially when the pathogen is unknown;
• bronchitis, both in the acute and chronic stages;
• skin diseases, when pustular formations appear on it;
• urinary tract infections in both men and women.

Due to the fact that the effect of the drug "Azithromycin" (500 mg) extends to almost all pathogens, it is prescribed by doctors to treat diseases such as:

• infectious and inflammatory diseases of the nasopharynx, including tonsillitis, tonsillitis, laryngitis;
• infectious and inflammatory diseases of the ears, such as otitis media;
• respiratory infections that provoke diseases such as bronchitis and pneumonia;
• damage to soft tissues and skin in humans, such as dermatitis, erysipelas;
• diseases of the genitourinary system (urethritis);
• diseases of the stomach, in particular ulcers and gastritis, which are caused by the negative and destructive effect of such bacteria as Helicobacter pylori.

Most often, the doctor prescribes Azithromycin for adults - 500 mg tablets (3 pieces per pack), because the effect comes much faster, and you only need to drink them for three days.

It should be remembered that you need to take only one tablet once a day and in no case should you drink everything at once, hoping that the effect will be instantaneous. This will only aggravate the condition.

Despite the fact that Azithromycin tablets (500 mg) are considered a universal drug to fight various infections and bacteria, not everyone can use them.

There are a number of restrictions when a person is strictly forbidden to be treated with this particular antibiotic:

• hypersensitivity to the components of the drug, both auxiliary and basic;
• kidney failure, because the drug must be stably excreted from the body, and 40 percent is in the urine;
• liver failure;
• age up to 12 years.

In addition to the fact that the drug is strictly forbidden to take in the presence of the above diseases, it is not recommended to use the following categories of people:

• pregnant women;
• children over 12 years of age who have kidney problems;
• people with arrhythmias.

In these cases, it should be used with caution and only when the effect of the antibiotic is much higher than the possible side effects.

"Azithromycin", 500 mg (3 tablets) can provoke a number of side effects, which include the following:

• problems with the gastrointestinal tract, namely nausea, upset stool, pain in the abdomen;
• allergies, namely skin itching and rashes;
• headache, less often dizziness and weakness;
• problems from the genitourinary system, namely vaginitis, nephritis.

Very rarely, patients taking Azithromycin (500 mg) may develop side effects such as bleeding disorders, hyperglycemia.

Separately, we need to talk about the fact that Azithromycin does not always interact well with other drugs:

• enhances the effect of "Warfarin";
• when using "Digoxin" there is a risk of developing glycoside intoxication;
• when used with "Disopyramide" there are cases when ventricular fibrillation began;
• when using "Rifabutin" there is a risk of developing leukopenia.

Also, with the simultaneous use of "Cyclosporine" and "Azithromycin", the risk of side effects increases, namely from "Cyclosporine".

Due to the fact that immunity in pregnant women is significantly weakened, the likelihood of bacteria and microbes entering the body increases, which must be fought with antibiotics.

"Azithromycin" (500 mg) is allowed to be used by pregnant women and breastfeeding women only if the benefit to the mother is greater than the possible harm to the child. Otherwise, a safer antimicrobial agent must be selected.

Some people who take the drug without a doctor's prescription often do not comply with the dosage. And so they begin to develop all the relevant symptoms, which include severe nausea, sometimes even vomiting (it all depends on how the person perceives the discomfort), hearing loss (both partial and complete), diarrhea.

When such symptoms appear, it is urgent to carry out a gastric lavage and stop the symptoms, because otherwise the antibiotic will cause great harm to almost all organs.

The cost of the drug is very democratic, depending on which pharmacy it is purchased from, it can vary from 100 to 200 rubles.

To date, there are no cheaper analogues of Azithromycin. One can only say that there is a more expensive drug, such as Sumamed, which has exactly the same composition, but the price is no longer 100 or 200 rubles, but about 600.

Turning to the pharmacy, many patients are faced with the fact that pharmacists are trying to sell Sumamed, even if they ask for Azithromycin, justifying this with the best effect. In fact, these are two absolutely identical drugs produced in different countries.

Among the positive aspects regarding the antibiotic "Azithromycin", according to consumers, we can distinguish:

• affordable price;
• ease of use, since the number of capsules in the package is just designed for a full course of treatment;
• fast action: already on the second day after the start of administration, patients notice an improvement in their condition.

Not all patients agree that Azithromycin (500 mg) is an almost universal drug, since in some cases it did not help.

But one thing should be noted: all doctors say that if a course of antibiotic treatment has been started, they must be drunk to the end. And in the event that the course was interrupted, then the next time after the appointment of the same drug, there will be no effect, because the bacteria have already become resistant to it.

Before starting treatment with the drug, you need to consult with your doctor so that he issues a prescription. Because today, most pharmacies do not sell it without a prescription due to the fact that some patients take the drug off-label.

Acute tonsillitis is an infectious and inflammatory disease characterized by damage to the lymphatic pharyngeal ring and is accompanied by fever, general intoxication, sore throat and the presence of purulent effusion on the tonsils.

The high risk of rheumatic complications in the heart and joints explains the fact that antibiotics for angina are the main treatment.

The peak incidence occurs in the autumn-winter period. Children get sick more often than adults. After fifty years, there is a decrease in the body's susceptibility to the main pathogens of tonsillitis.

The disease has airborne droplets (transmission of the pathogen by coughing, sneezing) and contact-household (common utensils) transmission mechanisms. For herpetic infection (enterovirus infection caused by Coxsackie viruses), the fecal-oral route of infection is characteristic.

The most common sources of infection are:

• patients with tonsillitis in the acute period;
• chronic carriers of staphylo- and streptococci;
• patients with streptococcal impetigo;
• patients with bacterial infection of the respiratory tract;

Fungal tonsillitis, as a rule, occurs in people with immunodeficiencies. They can occur due to the activation of opportunistic flora or after using household items after infected patients.

The main causative agents of the disease are:

• group A beta-hemolytic streptococci;
• pneumococci;
• golden staphylococci;
• adenoviruses;
• coxsackie viruses;
• candida albicans;
• spirochetes;

The gold standard for the treatment of streptococcal tonsillitis are aminopenicillins and cephalosporins.

In the presence of purulent complications, lincosamides are prescribed.

For parenteral administration, the following are preferred:

• Ceftriaxone;
• Cefoperazone;
• Ceftazidime;
• Cefepime;
• Ampicillin/sulbactam.

In the acute period, it is advisable to prescribe penicillins with an extended spectrum of activity (Ampicillin, Amoxicillin) and inhibitor-protected drugs (Amoxicillin / clavulanate, Ampicillin / sulbactam). In moderate disease, oral cephalosporins (Cefixime and Cefuroxima-axetil) are also highly effective.

In severe or moderate tonsillitis with severe symptoms of intoxication and high fever, third and fourth generation cephalosporins are prescribed for parenteral administration.

To prevent complications after the end of the main treatment, bicillin prophylaxis is carried out. Bicillin-3 is administered intramuscularly, with an interval of seven days, three times.

Bicillin-5 is prescribed intramuscularly once (not used in young children).

It is a second-generation cephalosporin drug. The active ingredient is Cefuroxime.
It has a wide spectrum of antimicrobial activity, including gram-positive microorganisms resistant to penicillins (excluding methicillin-resistant strains). Effective against beta-hemolytic streptococci. Active against gram-negative flora with resistance to ampicillin.

Main article: Instructions, analogues and reviews about Zinnat

It is contraindicated in the period up to three months of life, it is not prescribed for premature babies and weakened, emaciated patients. It is also not recommended for pregnant women (may be prescribed only if the benefit to the mother outweighs the possible risk to the fetus) and breastfeeding.

Not used in patients with a history of allergic reactions to cephalosporins and penicillins. In the presence of renal failure, ulcerative colitis, Crohn's disease.
It is important to remember that cefuroxime is not administered simultaneously with aminoglycosides and loop diuretics, due to the high risk of nephrotoxicity.
Side effects include allergic reactions, dyspeptic disorders, dysbiosis, thrush.

For infections of moderate severity, adults are prescribed 250 mg twice a day. In severe disease, it is possible to increase the dose to 500 mg twice a day.

For children from three to six months, use 40-60 mg / kg 2 times a day. Older than 6 months but younger than 2 years 60 to 120 mg every 12 hours. After two years, 25 mg of the drug with an interval of twelve hours.

Duration of admission depends on the severity of the disease.

The standard course of antimicrobial therapy is seven days.

If necessary, antibiotics for purulent sore throat are used for up to ten days. A three-day appointment of azithromycin is advisable only as a prophylaxis for rheumatism, in case of an allergy to natural penicillins.

We present the trade names of the best antibiotics for angina in adults in the list:

Erythromycin

Main article: Erythromycin instructions for use

Belongs to the class of fourteen-membered macrolides. It has a pronounced bacteriostatic effect on pathogens, due to a violation of the formation of peptide bonds and blocking the synthesis of proteins. In the case of high dosages, the drug may exhibit a bactericidal effect.

These antibiotics are prescribed only in the presence of individual intolerance or other contraindications to the appointment of penicillins and cephalosporins.

The spectrum of activity includes most representatives of Gram+ and Gram-flora. Shigella, Salmonella, Enterobacter and Bacteroides are resistant to erythromycin.

Trade names of antibiotics with erythromycin used for purulent tonsillitis in adults:

• Erythromycin;
• Ermiced;
• Eomycin;
• Ilozon;
• Grunamycin.

are fairly cheap antibiotics for sore throats.

Grunamycin

It has release forms for oral and parenteral use, it is also used in the form of rectal suppositories. It is effective not only for the treatment of acute diseases of the upper respiratory tract, but also for the prevention of rheumatic complications caused by streptococcal infection.

The drug is contraindicated:

• patients taking terfenadine or astemizole (antihistamines);
• in the presence of hypersensitivity and individual intolerance;
• patients with severe cardiac arrhythmias, severe hearing impairment, renal or hepatic insufficiency;
• during lactation.

It is also important to remember that antibiotics for purulent tonsillitis containing erythromycin estolate are not prescribed for pregnant women and are not recommended for newborns, due to the high risk of pyloric stenosis.

For children over fourteen years of age and adult patients, a single dose is from 250 to 500 mg. Grunamycin is applied four times a day, at intervals of six hours. The recommended daily dose is 1-2 grams. The maximum allowable dose is four grams per day.

Intravenously, the agent must be administered in a stream, slowly over five minutes or drip.

Patients from four months to eighteen years of age are prescribed 30-50 mg / kg per day, divided into 2-3 injections (receptions). Babies, up to three months of life, are prescribed 20-40 mg / kg per day.

For rectal use (suppositories), appoint 400 mg per day at the age of one to three years, 500-750 mg from 3 to six years and per gram from six to eight years. The daily dosage is divided into 4-6 times.

Erythromycin reduces the effectiveness of the use of beta-lactams. Enhances toxic effects on the kidneys during cyclosporine therapy. Reduces the effectiveness of hormonal contraceptives.

It is categorically incompatible with terfenadine and astemizole due to the high risk of severe cardiac arrhythmias. It also exhibits antagonistic interaction with clindamycin and chloramphenicol preparations.

Azithromycin is a semi-synthetic fifteen-membered macrolide from the azalide group.
Has a lower risk of side effects and unwanted drug interactions, good tolerance. In short courses of 3 tablets, this antibiotic for angina is used only after the end of the main treatment in order to prevent rheumatic complications in case of intolerance to penicillins (bicillin-3 and -5).

For the treatment of an acute disease, it is used in courses lasting 7-10 days.

Trade names:

• Azithromycin
• Sumamed;
• Azitrus.

Effective as an additional method of treatment against the background of systemic antimicrobial therapy. Not prescribed as monotherapy.

A throat spray with an antibiotic for sore throats can only be used after the age of three years, because, due to the essential oils included in the aerosols and sprays, there is a high risk of laryngospasm in young children.

The active active ingredient of the drug are soluble sulfonamides and essential oils of mint and eucalyptus.

It has anti-inflammatory, antibacterial and antifungal effects. It also has a mild analgesic effect. The spectrum of activity covers gram-positive and gram-negative flora, fungi of the genus Candida.

Spray from a sore throat with an antibiotic is not used in the presence of individual intolerance to the components of the drug.

Side effects include burning in the throat, perspiration, allergic reactions.

Ingalipt is used up to four times a day, spraying the spray in the mouth for 1-2 seconds, after rinsing the mouth with warm boiled water.

Main article: Instructions for use of Ingalipt

With antiseptic action. Cameton

It is a combined medicine that has a pronounced antiseptic and anti-inflammatory effect due to the content of chlorobutanol. It also has a moderate analgesic effect due to the action of camphor, menthol and eucalyptus oil.

Contraindications to the appointment of Kameton include children under five years of age and individual intolerance.

The agent is sprayed into the oral cavity, followed by inhalation for two seconds. Such inhalations are used up to four times a day.

It has a pronounced anti-inflammatory and analgesic effect, relieves swelling of the mucosa, stabilizes the permeability of the capillary vascular wall, due to the content of benzydamine (non-steroidal anti-inflammatory).

It is not prescribed for patients with individual intolerance to the components. Lozenges are used with caution in women during pregnancy and lactation.

Tablets dissolve one by one 3-4 times a day.

Spray for adults is used every 2-3 hours, making 4-8 clicks on the sprayer. For children from six to twelve years old, four sprays are prescribed. Up to 6 years, 1 spray is prescribed for every 4 kilograms of weight, not exceeding the total dose of 4 sprays.

The use of antihistamines helps to reduce the risk of allergic reactions to the drugs used, and also helps to reduce swelling of the mucous membrane and reduce the permeability of the capillary wall (Cetrin, Loratadin, Zodak, Zirtek, Tavegil).

• To speed up recovery, increased dosages of vitamin C are used (for adults, up to 2 grams per day, the first three days, with a gradual decrease to 500 mg). After recovery, a course of multivitamins is indicated.
• For patients with cardiopathies, rhythm disturbances, etc. it is advisable to add cardiotrophic therapy (Riboxin, Elkar).
• The use of physiotherapeutic agents (UVI, UHF, ultrasound) is effective.

With frequent tonsillitis, it is necessary to carry out bicillin prophylaxis twice a year: in spring and autumn.

Surgical treatment is indicated in the presence of purulent complications (abscess, lymphadenitis) and consists in opening and draining the focus, followed by washing with solutions of antiseptics and antimicrobials. Systemic treatment with lincosamides is also prescribed.

Tonsillectomy is used for chronic decompensated tonsillitis.

To answer the question: « How to cure a sore throat without antibiotics in an adult? - it is necessary to analyze the etiology of non-streptococcal tonsillitis.

Herpetic a. begins with a flu-like syndrome (weakness, fatigue, fever, chills). Then there are sore throats, profuse salivation, symptoms of rhinitis. On examination, a bright hyperemia of the arches, posterior pharyngeal wall, tonsils and uvula, abundant blisters filled with serous contents are visualized. Small punctate hemorrhages on the mucosa are possible. Depending on the course of the disease, the elements of the rash either suppurate or open, forming shallow ulcers and erosion.

Antibiotic treatment of angina caused by enterovirus infection is necessary only in severe cases with a high risk of activation of the secondary bacterial flora.

Basic therapy for mild and moderate forms includes:

• antihistamines;
• oroseptics, and further means that accelerate epithelialization;
• immunomodulators;
• antiviral drugs;
• antipyretic;
• measures to relieve symptoms of intoxication;
• bed rest;
• a sparing diet to exclude additional trauma to the mucosa;
• multivitamins;
• probiotics.

For pharyngomycosis, yellowish-white multiple plaques are indicative, spreading to the tongue, arches and buccal mucosa. There is an unpleasant smell from the mouth, a perversion of taste.

As a rule, they develop:

• against the background of immunodeficiency states;
• in smokers;
• patients receiving long-term therapy with hormonal inhalation drugs (asthmatics);
• in persons using dentures.

Antibiotics for angina caused by fungi are not prescribed.

Therapy consists in prescribing systemic antifungal drugs, using oroseptics, gargling with antiseptic solutions, treating affected areas, prescribing immunostimulants, multivitamins, and probiotics. Drinking plenty of fluids and bed rest are also recommended.

Main symptoms

Classical streptococcal tonsillitis is characterized by a common onset with an increase in temperature up to 39-40 degrees, the severity of general intoxication symptoms (weakness, lethargy, muscle and joint pain, nausea). Patients complain of sore throat, aggravated by swallowing, talking. On examination, a bright hyperemia of the arches, uvula and posterior pharyngeal wall is revealed. The tonsils are enlarged. The abundance of purulent effusion depends on the severity of the disease.

The condition of the tonsils with angina: an increase in size, purulent plaque.

The submandibular and cervical lymph nodes are enlarged (1-1.5 cm), densely elastic, mobile, not soldered into conglomerates. As a rule, painless or moderately sensitive to palpation.

Antibiotics for purulent sore throat should be used from the first days of treatment, this will avoid early and late complications.

• An increase in lymph nodes up to two or more centimeters, redness of the skin above them and severe pain indicate the addition of lymphadenitis. Palpable softening of the node is an indicator of its purulent fusion and requires surgical treatment.
• Increasing pain in the throat, spasm of the masticatory muscles, unbearable temperature and unilateral sharp protrusion of the tonsil indicate the development of a paratonsillar abscess. Treatment of purulent tonsillitis complicated by an abscess is carried out with antibiotics of the lincosamide group (Clindamycin), after opening and draining the septic focus.

Depends on the state of immunity and the severity of the disease.

Usually, with moderate forms against the background of a normally functioning immune system, a periodic increase in temperature can be observed up to 3-4 days.

In the general analysis of blood, signs of a bacterial infection are characteristic. Leukocytosis appears with a shift of the formula to the left, a significant acceleration of the erythrocyte sedimentation rate, the appearance of C-reactive protein.

To clarify the pathogen, a microbiological examination of a throat swab is carried out with the determination of sensitivity to antimicrobial agents.

1. Purulent:

• otitis;
• sinusitis;
• mastoiditis;
• mediastinitis;
• meningitis;
• endocarditis;
• sepsis;
• pneumonia.

2. Non-purulent:

• glomerulonephritis
• toxic shock
• rheumatism.

Article prepared by:
Chernenko A.L., infectious disease specialist.

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Review: Antibiotic Alembic "Azithromycin" - How did three tablets cure a sore throat?

Attention! Before using medicines, consult a specialist!

Advantages:
effect, short course

Flaws:
side effects, contraindications

About half a year ago, for no reason at all, I had a high body temperature and terrible pains in the eagle began. At first I thought I had caught a common viral infection at work, but the next day I got even worse. So I decided not to put off going to the doctor any longer, took time off from work and went to the clinic.

The doctor examined me, listened to my complaints and diagnosed me with angina. Naturally, angina is not treated with ordinary throat swabs, which is why the doctor prescribed me a three-day course of treatment with an antibacterial drug called Alembic "Azithromycin", which I want to tell you about today, my dear friends.

This drug is sold in a cardboard box, which contains the medicine itself and detailed instructions for its use. There were only three tablets in the package, which were my course of treatment. Every day I had to take one tablet at the same time and drink it with water.

It is not worth taking such an antibiotic only with food, it is better before a meal or a couple of hours after a meal. So the effectiveness of the drug will be much higher. The dosage for my Azithromycin was 500mg.

After taking the first pill, I felt much better. The temperature dropped, the pain in the throat became less painful. Every day I felt better and better. As a result, for three with the help of this drug, I managed to completely get rid of a sore throat, which I was incredibly happy about.

Of course, like any antibiotic, Azithromycin has side effects and contraindications, but they did not manifest themselves in me. Of course, antibiotics are not better treated, but in some situations they simply cannot be dispensed with.

So, given my positive experience with the antibiotic Alembic "Azithromycin", I can recommend this drug to you, provided that it is prescribed to you by a qualified doctor.

Thank you for your attention to my review.

Year of manufacture/purchase:

General impression. How did three pills cure a sore throat?

Antibiotics for angina in adults and children. List of effective antibiotics for the treatment of angina and how to take

What antibiotics to take for angina

An infectious acute disease, manifested by inflammation of the tonsils, requires serious treatment. Antibiotics for angina can only be prescribed by a doctor. As a rule, the appointment depends on the form of the course of the disease and the individual characteristics of the patient. Also, drugs are prescribed based on the type of disease:

• lacunar form requires cephalosporins;
• with purulent sore throat, drugs of the penicillin group are prescribed;
• with catarrhal angina, macrolides are effective;
• the follicular type of the disease should be treated with penicillin preparations;
• the streptococcal form will require penicillin drugs and cephalosporins.

Flemoxin Solutab with angina

Antibiotic Flemoxin has proven itself in the treatment of acute tonsillitis. The drug is rapidly absorbed from the stomach, so the maximum concentration is reached quickly. If the patient's condition requires urgent treatment, then doctors prescribe Flemoxin for angina. The drug is produced in yellow or white tablets (dosage 1000, 500, 250, 125 mg.) The course of therapy depends on the severity of the disease. With a moderate or mild degree, you should take the medicine for a whole week, 2 g per day, morning and evening.

Side effects of Flemoxin:

• allergic reaction;
• diarrhea;
• pseudomembranous colitis;
• hemolytic anemia;
• angioedema.

• intolerance to penicillin drugs;
• disruption of the liver.

Azithromycin for angina

A drug such as Azithromycin is suitable for the treatment of children and adults. It effectively fights against frequent pathogens of tonsillitis: streptococcus and staphylococcus aureus. The drug is absorbed quickly from the gastrointestinal tract, perfectly penetrates the skin, soft tissues, respiratory tract. Use it only once a day for five days. After the end of the medication, the medicine continues to work for another week.

Side effects of Azithromycin for angina:

Augmentin for angina

The drug Augmentin fights a variety of bacterial infections that occur due to the penetration of bacteria into the body. Release form: syrups, tablets, suspensions, composition for injections. For children of twelve years and older, and for adults, tablets are used according to the instructions: 125 mg or 500 mg 3 times a day. It is recommended to use Augmentin from a sore throat for at least seven days, but if the form of the disease is complex, then two weeks.

• angioedema;
• rash;
• constipation or diarrhea;
• physical weakness;
• bloating,
• insomnia;
• exhaustion.

• chronic kidney disease;
• allergy to penicillins;
• pregnancy;
• jaundice.

Ceftriaxone for angina

In the purulent form of the disease, Ceftriaxone preparations are administered intramuscularly. The antibiotic itself helps fight bacteria that are resistant to substances from the penicillin group. Children under 12 years of age are prescribed 20 or 80 mg per kg of body weight per day. Adults are prescribed 2 g once a day, rarely the doctor breaks the dose into two injections. In one buttock, you can enter no more than one gram of the drug per day. Treatment lasts at least a week.

Ceftriaxone with angina can cause the following side effects:

• eosinophilia;
• skin rash;
• anaphylactic shock;
• fever
• serum sickness;
• dizziness;
• nausea;
• flatulence;
• stomatitis.

Sumamed with angina

The broad-spectrum antibacterial drug Sumamed for angina should be used only under the supervision of an ENT specialist. It is not recommended for use in the treatment of acute respiratory infections, acute respiratory viral infections. With caution, the drug should be drunk to children, because the child's body is sensitive to the influence of the components of the drug. The result from the use of the drug will be noticeable at the end of the second day. Drink the drug should be only once a day (500 mg) for 5 days.

Adverse reactions of Sumamed:

Contraindications for use:

• diseases of the liver and kidneys;
• high sensitivity to the composition of Sumamed;
• lactation.

Macropen with angina

The instructions for the drug Macropen noted that it should be taken before meals with clean water. The remedy will begin to act two hours after ingestion. The peculiarity of this drug is that it is effective in angina against microorganisms that are resistant to penicillin. As a rule, Macropen with angina is prescribed for a period of not more than 10 days, but not less than 5. For adults, the dosage per day is 1.6 g (3 doses). Children's angina is treated with a suspension based on the child's body weight. The dose can only be determined by a doctor.

• intestinal disorders;
• nausea;
• heart and kidney failure;
• headache;
• weakness.

Learn more about the drug amoxicillin - dosage for adults and children, instructions for use and contraindications.

Antibiotic sore throat spray

The choice of drug is often based on the characteristics of the course of the disease and the individual wishes of the patient. A sore throat spray with an antibiotic cannot replace the drug and completely cure the disease. Its main task is only to eliminate or muffle local symptoms: dryness, pain, burning, sore throat. Possessing antifungal and antiseptic components, sprays are able to disinfect the mucous membrane of the tonsils and cope with pathogenic bacteria and fungi. The most popular throat sprays are:

How many days to drink antibiotics for angina

Many patients and especially parents of young patients are often interested in the question of how many days to drink antibiotics for angina? The exact period of taking the drug may depend on the form of the disease and the individual characteristics of the patient. Only a doctor can prescribe the amount of medicine. As a rule, antibiotics are taken for 7 to 15 days. An exception is Azithromycin, some of its drugs are used for angina for 3 days, rarely 5 days. If within three days the state of health has improved, you should not stop drinking antibiotics, because complications may arise.

The price of antibiotics for angina

You can buy antibacterial drugs today at any pharmacy. In addition, such medicines can be inexpensively bought and ordered at an online pharmacy. List of the most popular antibiotics:

The child had a fever for 5 days, tried to get by with folk remedies and antipyretic pills. After examination, the doctor diagnosed me with angina. He prescribed us a strong antibiotic for tonsillitis Sumamed. I liked the fact that you have to drink it once a day. Improvement came by the end of the second day. We drank, as expected - 5 days.

I suffer from chronic tonsillitis. There are occasional exacerbations. I drink a course of Tonsilgon N, but it does not always help. With a strong chill and temperature, I begin to drink antibacterial drugs. The best antibiotics for sore throats are Flemoxin and Bioparox spray.

What antibiotic is taken for angina 3 tablets?

The antibiotic azithromycin is used in 3 tablets for angina, and therefore all preparations based on it: Azitrox, Sumamed, Azimed, Hemomycin, Azivok and others.

Perhaps this is the only antibiotic that is used for angina with a course less than the standard 10-12 days. Perhaps that is why most of the patients prefer to use it. At the same time, there is no noticeable difference between the efficacy and safety of azithromycin and other antibiotics (the same erythromycin, penicillin group drugs).

It is somewhat naive to believe that if azithromycin is used for only three days, one tablet a day, then it is safer and easier to tolerate. In fact, it causes no less side effects than other macrolides, and it also often leads to digestive disorders. However, in some cases, this drug does turn out to be more preferable than other known antibiotics for sore throats.

When is azithromycin prescribed for angina

Like all other macrolides, azithromycin with a high frequency of disturbances in the gastrointestinal tract due to the suppression of active bacteria in the intestine and the development of dysbacteriosis. This manifests itself in the form of diarrhea, changes in stool consistency, nausea, and rarely vomiting.

Despite the convenient scheme of application, azithromycin has its drawbacks - for example, its effect on the gastrointestinal tract

This is partly why azithromycin is prescribed for angina in situations where the patient has expressed intolerance to safer β-lactam antibiotics, in particular, amoxicillin, benzathine-penicillin, phenoxymethylpenicillin. If there is no such intolerance, doctors prefer to prescribe traditional penicillins or cephalosporins, which are less likely to cause side effects from the digestive system.

Even in situations where the sore throat pathogen is resistant to pure penicillins, doctors prefer not to prescribe azithromycin, but protected amoxicillin or ampicillin in the form of Augmentin, Amoxiclav or Sultamicillin. At the same time, there is no particular difference between the safety of these drugs and macrolides.

On the other hand, if a doctor has to choose among macrolide antibiotics, he prefers azithromycin, since the famous erythromycin causes digestive disorders even more often, and josamycin is much more expensive.

The price of 3 tablets of azithromycin is approximately 190 rubles.

Rules for the use of azithromycin

3 antibiotic tablets for angina are prescribed only for adult patients. The fact is that for children, azithromycin is available in the form of a powder for the preparation of a suspension and it is irrational to prescribe tablets to them.

Each tablet of the remedy is taken once a day either one hour before or 2 hours after a meal. It can be drunk with clean water. Accordingly, three antibiotic tablets are drunk in three days, after which the sore throat is treated only symptomatically. Attempts to supplement the use of azithromycin for angina with other antibiotics are dangerous because they can cause the development of fungal diseases.

Possible schemes for taking azithromycin (the second - for 5 days - is preferable and more effective)

Another treatment regimen is that 3 tablets of azithromycin for angina are taken for 5 days. To do this, the first tablet is drunk on the first day as a whole, the remaining two are divided into two parts each and half is drunk per day. As a result, they are enough for another 4 days of admission.

Practice shows that the regimen of taking azithromycin for three days is less effective than using it for 5 days or using other macrolides for longer courses. With it, the development of complications of angina occurs more often, from which the medicine should protect. Therefore, if possible, this medicine should be drunk for exactly 5 days, and the three-day regimen should be switched only with the obvious development of side effects and the need to end the treatment as soon as possible.

Side effects and safety of use

Today, statistics on the incidence of various side effects when using azithromycin are collected and well known:

• Diarrhea - in 5% of cases (especially often with a three-tablet scheme);
• Pain in the abdomen - in 3% of cases;
• Nausea - in 3% of cases;
• Flatulence, vomiting - in 1% of cases;
• In children, constipation, gastritis - in 1% of cases;
• Fungal lesions of the oral cavity (including fungal tonsillitis) - in 1%; cases;

Oral and throat candidiasis is a common side effect of heavy antibiotic use.

Inflammation of the kidneys - in 1% of cases; Chest pain - in 1% of cases; Dizziness, headache, drowsiness - in 1% of cases; In children, sleep disturbances, neuroses - in 1% of cases; Allergic reactions - in 1% of cases.

Depending on the severity of these side effects, the doctor may prescribe additional drugs to eliminate them, or change the antibiotic. It is likely that when taking the same Vilprafen, no side effects will appear, although the remedy itself is intended to be taken for at least 10 days.

It is because of the possibility of side effects that azithromycin is not recommended for pregnant women and breastfeeding mothers. It is forbidden to be taken by patients with impaired liver and kidney function. Children under 16 years of age are not prescribed azithromycin tablets. For them, there are preparations of this agent on sale in the form of powders for the preparation of oral suspensions.

When treating a nursing mother with azithromycin, breastfeeding may have to be stopped for a while

1. Three tablets per course for angina, only the antibiotic azithromycin is used;
2. If possible, it is desirable to replace azithromycin with penicillin preparations;
3. If possible, three tablets of the remedy are taken for 5 days, not three. In this case, the effectiveness of treatment increases.

With the appearance in medical practice of antibiotics of the “macrolides and azolides” group, the treatment of many infectious diseases has become much simpler and fits into the intake of only 3 tablets in three days.

Antibiotics in tablets, the course of treatment of which is limited to only three doses, contain azithromycin.

Azithromycin belongs to the subgroup of azalides from the macrolides and azalides group. Azolides are low toxic and have a wide spectrum of antimicrobial activity.

The most common azalide antibiotic is the antimicrobial drug azithromycin.

Action of azithromycin:

• in high concentration - bactericidal, the drug kills bacteria;
• in small concentrations - bacteriostatic, i.e., inhibiting the growth of pathogens.

The ability of an antibiotic to cure an infection in three days is explained by its ability to accumulate in a bactericidal concentration in the focus of inflammation in 1-3 hours and remain at a high level after taking the medicine.

Antibiotics that are drunk for only 3 days in the treatment of a bacterial infection include drugs with trade names:

• Sumamed;
• Hemomycin;
• Zitrolide;
• Azivok;
• Azitrus forte;
• Azitral;
• Z-factor;
• Sumamox;
• Ecomed;
• Azithromycin Zentiva.

Most often, antibiotics with the trade names Sumamed, Hemomycin, Azithromycin are prescribed, which are sold in an economical package of 3 tablets, which is enough for a course of treatment lasting three days.

Azithromycin is characterized by:

• long half-life;
• the ability to accumulate in the lesion in a higher concentration than in blood plasma;
• post-antibiotic action.

Post-antibiotic effect

The phenomenon of the post-antibiotic effect is that after the antibiotic is discontinued, the ability of bacteria to reproduce is not restored, but remains reduced.

The post-antibiotic effect is observed in many antibiotics, but most often it is only a few hours.

In azithromycin, the duration of the post-antibiotic action reaches 5-7 days.

This means that even a week after the pills are discontinued, the medicine continues to act and effectively destroy the pathogenic microflora.

The drug is not exposed to the action of gastric juice and is well absorbed in the stomach. Azithromycin does not cause severe side effects. And a short course of antibiotic treatment, limited to 3 tablets, further reduces the risk of an undesirable effect of the drug.

Due to these properties, one tablet per day can be used in the treatment of antibiotics with the names Sumamed, Azitorks, Hemomycin for the treatment of infections, limited to 3 doses during the entire time of illness.

Indications

Drugs accumulate in high concentrations in the tissues of the palatine tonsils, adenoids, bronchi, penetrate into the prostate, other organs of the genitourinary system, human skin. Due to this, macrolides and azalides are used in the treatment of:

• ENT - organs - tonsillitis, sinusitis, pharyngitis, laryngitis, otitis media, chronic tonsillitis;
• respiratory diseases - tracheitis, bronchitis, pneumonia;
• genitourinary system - prostatitis, inflammation of the cervix, chlamydial urethritis, cervicitis;
• the initial stage of borreliosis;
• scarlet fever;
• skin infections - erysipelas, impetigo, dermatitis;
• diseases of the stomach associated with the presence of Helicobacter pylori bacteria.

Medicines containing azithromycin are used in the treatment of diseases of the digestive system that are caused by the bacterium Helicobacter pylori. An antibiotic in tablets is prescribed for a course of 3 days in combination with other means of complex therapy.

Read about the use of macrolides and antibiotics of other groups for bacterial infections of the respiratory tract and colds on the page.

The spectrum of action of azithromycin

Azithromycin, like other macrolides, is used in the treatment of infections as second-line drugs for allergies to beta-lactam antibiotics, which include penicillins, cephalosporins.

Rules for taking azithromycin

Azithromycin is taken 1 r./day. If the tablet is missed, then it is taken on the same day at any other time. The next tablet is drunk exactly 24 hours later.

The drug is washed down with clean water. Neither juice, nor coffee or alcohol can be washed down with an antibiotic.

The medicine is drunk between meals on an empty stomach. After eating, at least 2 hours must pass for the drug to be completely absorbed.

Schemes for the use of antimicrobial agents in diseases of different organs differ. Azitormycin is taken once at a dosage of 1000 mg in the treatment of chlamydial infections with urethritis and cervicitis.

For the treatment of adults from bacterial infections of the respiratory tract, complications of the common cold, three 500 mg antibiotic tablets will be required.

Children are prescribed a dosage depending on weight. When treating children under 12 years of age or weighing less than 45 kg, it is more convenient to use granules for the preparation of a suspension.

Otherwise, the treatment regimen for pharyngitis, sinusitis, tonsillitis, laryngitis, bronchitis in children is the same:

• reception once a day;
• after eating after 2 hours or one hour before meals.

Azithromycin in the treatment of stomach

Antibiotic tablets are taken for 3 days in the treatment of stomach diseases caused by the bacterium Helicobacter pylori. For adults, the dosage is 1000 mg at a time.

Azithromycin, when used against Helicobacter pylori, is prescribed in combination with other drugs; it is not used as monotherapy.

Like any other antibiotics, drugs containing azithromycin can provoke a violation of the composition of the normal intestinal microflora.

And about ways to restore microflora after a course of treatment - on the page.

Azithromycin contraindications

Like any medicine, azithromycin has contraindications. A dangerous feature of azithromycin is the possibility of its negative effect on the electrochemical conduction of the cardiac impulse.

Taking azithromycin for even a short course can lengthen the QT interval on the electrocardiogram, resulting in arrhythmia.

Other contraindications include:

• children's age up to six months;
• kidney failure;
• liver disease;
• lactation period.

In infections of the respiratory system, ENT diseases during pregnancy, preference is given to safer beta-lactam antibiotics of the penicillin or cephalosporin series in terms of side effects.

However, in case of allergy to penicillins, the doctor may prescribe an antibiotic from the group of macrolides and azalides if the expected benefit to the mother is higher than the possible harm to the fetus.

Side effects of azithromycin

Side effects occur in 1% of cases and are manifested:

• flatulence;
• violation of the stool - diarrhea, constipation;
• cholestatic jaundice;
• dizziness;
• chest pain;
• tachycardia;
• headache;
• allergies - urticaria, conjunctivitis, pruritus.

Although no dose adjustment is required in the treatment of the elderly and normal adult dosages are used, the risk of ventricular cardiac arrhythmia must be considered.

The appearance of unpleasant symptoms is possible with an overdose of the antibiotic. If nausea, vomiting, hearing loss, stool disorders occur, the medication should be stopped immediately and consult a doctor.

Sumamed

The antibiotic in tablets and capsules called Sumamed contains azithromycin and is used in a short course, consisting of three doses for 3 to 5 days. The drug is sold as:

• dispersible tablets with a dosage of 1000, 500, 250, 125 mg;
• capsules of 250 mg and film-coated tablets containing 125 and 500 mg of azithromycin.

Be sure to pay attention to what dosage is indicated on the package with the name of the drug. Although the antibiotic has low toxicity, there is a risk of overdose, especially for children and the elderly.

The drug is widely used in the treatment of respiratory organs, it is effective against bacterial complications caused by SARS.

Directly against influenza and SARS, the drug is useless, but when a cold is prolonged and complicated by bronchopneumonia, tonsillitis, purulent sinusitis, the doctor may prescribe Sumamed.

For the treatment of bacterial complications of the common cold, one pack of 3 tablets of this strong antibiotic is enough to suppress the infection in the bronchi, throat, and sinuses.

One tablet of the drug is prescribed to children daily for 3 days in a row for infections of the respiratory system. The dosage is calculated by body weight:

• from 18 kg to 31 - 250 mg each;
• from 31 kg to 45 kg - 375 mg;
• more than 45 kg, as for adults - 500 mg.

For children under 3 years of age, Sumamed is prescribed in the form of a powder for the preparation of solutions. Proceed from the proportion of 20 mg per kg of weight.

Hemomycin

Hemomycin 500 film-coated tablets are packaged in packs of 3, dispensed by prescription. The name of the active substance and the dosage of azithromycin are indicated on the package.

Hemomycin, like other azithromycins, is used in stepwise therapy for pneumonia. Scheme for the treatment of pneumonia:

• the first two days - intravenous administration of a solution for infusion at a dosage of 500 mg;
• a single daily dose of medication for 7 to 10 days.

The solution should be administered drip for an hour or more. Treatment should only be carried out in a hospital, since when using Hemomycin, complications from the heart and blood vessels are possible.

Treatment of bacterial diseases of the upper respiratory tract and complications of a cold lasts 3 days, and for a complete recovery it is enough to take 3 tablets at a dosage of 500 mg for adults, and for children at a dose prescribed by a doctor.

Z-factor

The domestic drug Zi-factor is available in 250 mg capsules and 500 mg tablets of azithromycin. Like other antimicrobials containing azithromycin, Zi-factor is prescribed for bacterial diseases of the respiratory system, urogenital infections, and skin diseases.

Good Z-factor helps with angina and sinusitis. Sore throat caused by angina is eliminated in a day. Quickly passes headache, nasal congestion with sinusitis.

The advantages of azithromycin include its inexpensive cost in comparison with other antibacterial agents. Domestic drugs containing azithromycin are no less effective than the patented drug Sumamed, and cost almost 3 times less.