Cystitis of the disease frequently encountered of the bladder.The inflammation of the mucous membrane of the bladder is caused by pathogens.
More often, women are sick of cystitis in relation to the characteristics of the anatomical structure of the parental system.The inflammation of the bladder is accompanied by acute pain, to eliminate which antibiotics are used for cystitis in women - products that can quickly destroy microbes and relieve pain during the period of exacerbation of the disease.
In order for the processing process to be effective, it is necessary to strictly adhere to the doctor's recommendations.An independent remedy can be ineffective and cause unwanted consequences.
Symptoms
This disease is determined by the following signs:
- Frequently spent on urination, despite the time of the day, while the liquid flows little;
- The urination process is accompanied by diseases in the area of the bottom of the abdomen and genital organs (burning and rubber);
- Calls often are false in nature;
- In the urine, hematuria can be observed (blood exhaust), urine with a bad smell;
- Pain, in the lower abdomen, giving the lower back;
- The acute form of cystitis proceeds with nausea, headache and temperature.
Very often, cystitis begins after the penetration of pathogenic bacteria in the urethra, therefore antibiotic therapy is used to destroy the pathogenic flora.
Which antibiotics are suitable for treatment?
The choice of an antimicrobial agent is made empirically, this is due to the predictable spectrum of pathogens that cause inflammation.
However, a number of requirements are presented to the drug:
- Antibiotics for cystitis and urethritis in women should have the largest range of actions and cover the entire range of pathogens;
- create high concentrations in the urine;
- have low resistance in the pathogenic flora;
- Nefrotoxicity should be absent.
At the moment, it is advisable to prescribe antibiotics from cystitis for women in short courses.This treatment regime has established itself well and has a high level of effectiveness.Long courses are assigned to chronic heavy forms with frequent recurrences.Three and seven days courses are distinguished by duration.
A use of a time of the drug is usually not effective and has a high risk of repeated inflammation or a complete absence of a clinical effect after taking.This treatment is possible only in case of light acute cystitis that presented itself for the first time.
List of antibiotics for cystitis in women
The choice of the drug depends not only on the pathogen, but also on the shape of its course.In an acute and chronic path, several antibiotics can be prescribed for the treatment of cystitis in women with an individual treatment regime.
The list of the top 6 of the most popular antibiotics for cystitis is presented in the table:
| Phosphomycin | It is considered the most effective antibiotic of a wide range, it is used on acute course.In suspension format, it is faster disbursed by a blood flow in the inflammation area and begins to influence the focus of the infection.Two days are sufficient up to a complete recovery.You can use during pregnancy. |
| Norfloxacin | II Fluorochinoloni of generation.When the disease agents of the disease are resistant to other antibacterial drugs, it shows good results and get rid of pain.Release format - tablets. |
| Roxytromicin | The Macrolina category is effective against Gram -posititive and Gram -negative bacteria.The course of treatment is a week.Dosage 150 mg per day. |
| Pipemidic acid | It refers to Chinolons.In compliance with the dosage, it has bactericides (large doses) or a bacteriostatic effect (small doses).It is produced in the form of tablet, suppositories and capsules are also made.Countertop and stirring.The duration of the therapy is 6-10 days. |
| Furazidin | The nitrofuranary row, the peculiarity of this tool is slowly being developed by microorganisms, which means high therapeutic properties.The terms of the therapy is 10 days, it all depends on the course of the disease. |
| Navidix acid | It has a negative effect on all categories of bacteria that cause changes in the urinary system.Assigns the course - a week. |
Antibiotics in cystitis are needed in the list.Inflammation goes easily in a chronic form or capture other parts of the parental organs.Pieelonefrite becomes a frequent complication - renal inflammation.Therefore, it is necessary to drink the prescribed drugs until the end.
Important!If cystitis does not pass after taking antibiotics, it means that the dosage is selected incorrectly, the course has not been carried out until the end or the pathogen is not determined.
Many microorganisms show high resistance to the means used against them.Therefore, if the state does not occur, it is necessary to change the product in another.In this case, drugs of another group are usually used.
Penicillins
Penicillin preparations have limited use for cystitis.This is due to a decrease in efficiency due to the development of resistance in microorganisms.However, penicillins have high safety indicators, which allow them to be used for therapy in children and pregnant women.
The amoxicillin preparations with clavulanic acid are now prescribed.
Cephalosporins
Cephalosporins are beta-lactam antibiotics with a bactericidal effect.To date, 5 generations of these drugs are distinguished, but only the first three are used in urology.Cephalosporins are considered only with the safest drugs among the antibacterial agents.
For the treatment of cystitis, these drugs are prescribed:
- Cofuroxim.
- The first generation preparations (Cefasolina and others) are rarely used due to the resistance of microorganisms.
Cofuroxim is prescribed 0.4 g 1 time or 0.2 g 2 times a day for adults.The dosage for children depends on their age and body weight.
Tetracycline
This group of therapeutic agents refers to synthetic antibiotics.Tetracycline has a bacteriostatic effect, that is, they inhibit the reproduction of microorganisms.They are used today for the treatment of cystitis in the event that standard therapy with phosphomycin and nitrofurns has been ineffective.
The most commonly used:
- tetracyclin;
- Doxicicline.
Take a doxicicline at 0.1 g one or twice a day.It is also recommended to monitor the function of renal and liver function every 3 days of taking the drug.
Phosphomycin Trometamol
The drug has a strong bactericidal effect against the intestinal stick, enterococci, staphylococci, klebsell, dirt and other pathogenic agents and are produced in the form of dust bags.
Apply this tool once 2 hours after eating before bedtime.In this case, the contents of the bag must first be mixed in a small amount of water (about a third of a glass).A single dose for adults is 3.0 g of the drug.In some cases, after 24 hours, it is necessary to repeat the reception.
Phosphomycin is practically not metabolized in the patient's body and most are excreted by the kidneys.At the same time, in the urine, 4-6 hours after taking, the therapeutic concentration of the drug is reached, which remains for more than two days.In addition, the drug has several advantages:
- convenience of a use of the past;
- low side effects when using;
- limited contraindications (severe renal failure, age of the child under 5 years);
- The drug can use during pregnancy.
Antibiotics in chronic cystitis
In the transition of the infection to the chronic stage, empirical therapy with antibiotics is unacceptable.Without foul, before the prescription of antibacterial drugs, it is necessary to conduct a microbiological examination of the urine.With it, they also study the resistance of the stump of bacteria to specific therapeutic agents.This allows the attending physician to choose antibiotics in chronic cystitis, which will be more effective for a particular patient.
There is an opinion that this form of pathology is rarely an independent disease.Therefore, this patient should be fully examined not only not only the parent -urinary organs, but also other body systems.Particular attention is paid to possible immune disorders and outbreaks of chronic infection in the body.
Formorchinoloni (ciprofloxacin, offloxacin, norfloxacin) or other reserve drugs are mainly prescribed: Tetracycline, third generation cephalosporins, macrolids.The course of their reception lasts at least 7 days.At the same time, it should be integrated with various non -drug treatment methods:
- surgery with anatomical defects and/or presence of chronic infection outbreaks;
- Careful hygiene;
- selection of comfortable underwear;
- treatment of immune disorders;
- Temporary deduction from sexual contacts.
Contraindications
Antibiotics for cystitis in women should be used after studying the clinical picture of the disease, diagnostic studies and deciphering tests on the susceptibility of pathology as a specific group of substances.The car -mediation with antibiotic therapy is unacceptable.
Most antibiotics for women have the following contraindications:
- serious compromised liver function;
- Renal inflammation;
- pregnancy;
- the presence of allergic reactions;
- Problems with the functioning of the heart muscle.
How to correctly take antibiotics
In the treatment of antibiotics of the inflammation of the bladder, it is necessary to observe a series of rules for the use of antibacterial drugs that will help to undergo a therapy course without prejudice to the body and maintain health:
- Only those drugs prescribed by the attending physician should be prescribed;
- For high effectiveness of the treatment, it is better pre -sow microflora for resistance to groups of antimicrobial drugs;
- Strictly observe the time intervals established by the doctor among the techniques of the tablets.If the weather has passed, time should not increase the quantity of the drug next time.It is better to take medicine simultaneously, as they remembered and continue to continue in accordance with the doctor's recommendations;
- Do not take antimicrobial drugs on an empty stomach to avoid the intensive contact of the active substance of the drug with the mucous membrane of the stomach.This will help avoid unwanted phenomena from the organs of the gastrointestinal tract.Before using antibiotics, you should organize a light snack for yourself;
- Antibiotics from cystitis must be hired at least three days and no more than two weeks, which is on average 1 week.The intake of long -term drugs is justified in the cases of the patient's elderly, the presence of diabetes in a patient, with a recurring course, as well as in the treatment of men.Do not stop taking the drug prescribed by the doctor, even if all the pathological signs of the disease have disappeared;
- Before starting the treatment, you should definitely read the leaf plan.Education usually indicates the most optimal fluid option to drink the drug;
- During the entire course of therapy, antimicrobials should take probiotics recommended by the doctor.This will help maintain the normal microflora balance;
- During the use of antibiotics, alcoholic beverages, fat, fried, smoked and acid products should be excluded from use.This diet should begin to be observed immediately, as soon as the first tablet has been accepted.
The correct use of antibiotic agents will help to carry out the treatment as efficiently as possible and without the appearance of unwanted reactions from the body.In addition to antibacterial drugs, the doctor in a complex treatment also includes anti -inflammatory, pain relievers, antispasmodic and, if necessary, other groups of drugs.
Additional treatment
We recommend a heavy regime with the exclusion of alcohol, soda, strong tea and sweet and coffee.Respect for the basic principles of the fifth diet on Pevzner is shown.
The anti -inflammatory non -stericoidal is used to limit the damage area and the blocking of inflammation mediators.In acute cystitis, an anti -systemic anti -inflammatory treatment is prescribed (nimesulide, diclofenac).These drugs also have pronounced analgesic and antipyretic effects.
In the framework of chronic cystitis therapy, washing and instillation of the bladder with antibacterial and anti -inflammatory drugs are used.Use Furatsillin solutions, boric acid, protargol, collargol.
- With a pronounced pain syndrome (or delay in urination in men), the purpose of pain relievers and antispasmodic (drotaverine hydrochloride, hydrocarbic, papaverine hydrochloride) is also shown.
- To eliminate the edema, the use of antihistamine (Furnithyderin Napazhelate, Loratadine, Difenidracin hydrochloride) is shown).
- Effective immunomodulating therapy is effective.
- From the means of traditional medicine, the use of Yarrow infusions and tea, chamomile, lemon balm, Motherwort, Thyme, San Giovanni and Mint are shown.
It is important to remember that many herbs are contraindicated during pregnancy and breastfeeding, even herbal medicine is not used in the presence of allergic reactions to this plant.