Cystitis of a common bladder disease.Inflammation of the bladder mucosa is caused by pathogens.
More often, women are patients with cystitis in connection with the characteristics of the anatomical structure of the genius.Bubble inflammation is accompanied by acute pain to eliminate which antibiotics are used for cystitis in women - products that can quickly destroy germs and relieve pain during the exacerbation of the disease.
In order for the treatment process to be effective, you must strictly adhere to your doctor's recommendations.Independent can be ineffective and provoke unwanted consequences.
Symptoms
This disease is determined by the following signs:
- A frequent desire to urinate, despite the time of day while the fluid flows a little;
- The urination process is accompanied by diseases in the area of the bottom of the abdomen and genital organs (burning and rubber);
- Often urination calls are false in nature;
- In urine hematuria (blood discharge), urine with a bad odor can be observed;
- pain, at the lower abdomen, giving to the lower back;
- The acute form of cystitis continues with nausea, headache and fever.
Most often, cystitis begins after the penetration of pathogenic bacteria into the urethra, so antibiotic therapy is used to destroy the pathogenic flora.
What antibiotics are suitable for treatment?
The choice of antimicrobial agent is empirically made, 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 widest spectrum of action and cover the entire range of pathogens;
- Create high urine concentrations;
- have low resistance to pathogenic flora;
- Nephrotoxicity must be absent.
It is currently recommended to prescribe antibiotics from cystitis for women in short courses.Such a treatment regimen has established itself well and has a high level of efficiency.Long courses are assigned to severe chronic forms with frequent relapses.Three and seven days differ in duration.
One -time use of the drug is usually not effective and has a high risk of repeated inflammation or complete absence of clinical effect after administration.Such treatment is only possible in the case of mild acute cystitis that first occurred.
List of antibiotics for women's cystitis
The choice of the drug depends not only on the pathogen, but also on the shape of its course.In acute and chronic course, various antibiotics can be prescribed for the treatment of cystitis in women with individual treatment regimen.
The list of top 6 of the most popular antibiotics for cystitis is presented in the table:
| Phosphomycin | It is considered to be the most effective antibiotic on a wide range, used in an acute course.In suspension format, it is delivered faster than blood flow to the area of inflammation and begins to affect the focus of the infection.Two days are sufficient until a full recovery.It can be used in pregnancy. |
| Norfloxacin | II generation fluoroquinolones.When the pathogens of the disease are resistant to other antibacterial drugs, it shows good results and gets rid of pain.Format of release - tablets. |
| Roxithromycin | The macroline category is effective against gram -positive and gram -negative bacteria.The course of treatment is one week.Dose 150 mg per day. |
| Tubular acid | Refers to the cinolons.In accordance with the dose, it has bactericidal (large doses) or bacteriostatic effect (small doses).It is also produced in a tablet form, suppositories and capsules are also made.Contraindicated to pregnant and lactating.The duration of therapy is 6-10 days. |
| Furazidin | The Nitrofuran order, the peculiarity of this tool is a slowly developing stability of microorganisms, which means high therapeutic properties.The conditions of therapy are 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.Set the course - a week. |
The list requires antibiotics in cystic.Inflammation easily passes into chronic form or captures other parts of the geniopoline organs.Pyelonephritis becomes a common complication - inflammation of the kidneys.Therefore, you should drink the prescribed medicines until the end.
Important!If cystitis does not pass after taking antibiotics, it means that the dose is incorrectly selected, the course has not been carried out until the end or the pathogen is not determined.
Many microorganisms show high resistance to the agents used against them.Therefore, if the condition does not happen, it is necessary to change the product to another.In this case, medicines from 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 performance, which allows them to be used for therapy in children and pregnant women.
Amoxicillin with clavulanic acid is now prescribed.
Cephalosporins
Cephalosporins are beta-lactam antibiotics with a bactericidal effect.To date, 5 generations of these drugs are distinguished, but the first three are used in urology.Cephalosporins are considered only to be the most favorable drugs among antibacterial agents.
Such medicines are prescribed for the treatment of cystitis:
- Cofuroxime.
- First generation (Cephasolin and other) preparations 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 of adults.The dosage for children depends on their age and body weight.
Tetracyclines
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 to treat cystitis in case standard phosphomycin and nitrofuran therapy is ineffective.
Most often used:
- tetracycline;
- Doxycycline.
Take doxycycline at 0.1 g once or twice a day.It is recommended to further monitor the function of kidney 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, Putrus and other pathogens and is produced in the form of bags with dust.
Apply this tool once 2 hours after eating before going to bed.In this case, the contents of the bag must first be stirred in a small amount of water (about one third of the glass).A single dose for adults is 3.0 g of the drug.In some cases, after 24 hours, you should repeat the acceptance.
Phosphomycin is practically not metabolized in the patient's body and the greater part of it is separated from the kidneys.At the same time, in the urine, 4-6 hours after administration, the therapeutic concentration of the drug is achieved, which remains for more than two days.In addition, the drug has several advantages:
- disposable convenience;
- low side effects of use;
- limited contraindications (severe renal failure, age of the child under 5 years);
- The drug is allowed to be used during pregnancy.
Antibiotics in chronic cystitis
In the transition of infection to the chronic stage, empirical therapy with antibiotics is unacceptable.Without failure, before prescribing antibacterial drugs, a microbiological examination of the urine should be performed.With it, they also study the resistance of bacteria strain to specific therapeutic agents.This allows the attending physician to choose antibiotics in chronic cystitis, which will be most effective for a particular patient.
There is an opinion that this form of pathology is rarely an independent disease.Therefore, such a patient should be exhaustively examined not only by the genological organs but also other bodily systems.Particular attention is paid to possible immune disorders and outbreaks of chronic infection in the body.
Formochinolones (ciprofloxacin, offloxacin, norfloxacin) or other reserve drugs on the list are mainly prescribed - tetracycline, third -generation cephalosporins, macrolides.The course of their acceptance lasts for at least 7 days.At the same time, it should be supplemented with various treatments that are not treatment:
- surgery with anatomical defects and/or the presence of foci of chronic infection;
- Careful hygiene;
- choice of comfortable underwear;
- treatment of immune disorders;
- Temporary deduction from sexual intercourse.
Contraindications
Antibiotics for cystitis in women should be used after a study of the clinical picture of the disease, diagnostic studies and deciphering tests for the sensitivity of pathology as a particular group of substances.Suicide with antibiotic therapy is unacceptable.
Most antibiotics for women have the following contraindications:
- Severe impaired hepatic function;
- Renal inflammation;
- pregnancy;
- the presence of allergic reactions;
- Problems with the functioning of the heart muscle.
How to take antibiotics properly
In the treatment of antibiotics of bladder inflammation, it is necessary to observe a number of rules for the use of antibacterial drugs that will help to undergo therapy without prejudice to the body and maintain its health:
- Only those medicines prescribed by the attending physician should be taken;
- For high effectiveness of treatment, it is better to transmit microflora for resistance to drug groups antimicrobial agents;
- Strictly monitor the time intervals established by the doctor between tablets techniques.If the weather has passed, you should not increase the amount of medicine next time.It is better to take the medicine at one time, 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 intense contact with the active substance of the drug with the mucous membrane of the stomach.This will help to avoid unwanted phenomena from the organs of the gastrointestinal tract.Before using antibiotics, you must arrange a snack for yourself;
- Cystitis antibiotics should be taken at least three days and no more than two weeks, which is an average of 1 week.Long -term medication is justified in the cases of the elderly people of the patient, the presence of diabetes in a patient, with a recurrent course, and in the treatment of men.Do not stop taking the medicine prescribed by your doctor, even if all the pathological signs of the disease have disappeared;
- Before you start treatment, you should definitely read the leaves.The instruction usually shows the most optimal option for drinking the drug;
- Throughout the course of therapy, antimicrobial agents should take probiotics recommended by the doctor.This will help maintain the normal balance of the microflora;
- During the use of antibiotics, alcoholic beverages, fat, fried, smoked and delayed products should be excluded from use.Such a diet should begin to be monitored immediately as soon as the first tablet was taken.
Proper use of antibiotic agents will help to treat the treatment as effectively as possible without the occurrence of side effects from the body.In addition to antibacterial drugs, the doctor with complex treatment also includes anti -inflammatory, painkillers, antispasmodic and, if necessary, other drug groups.
Additional treatment
A heavy drinking regimen is recommended with alcohol, baking soda, strong and sweet tea and coffee.It is shown to adhere to the basic principles of the 5th Diet of Pevzner.
Non -steroidal anti -inflammatory drugs are used to limit the area of damage and blocking mediators of inflammation.In acute cystitis, systemic anti -inflammatory treatment (nimesulide, diclofenac) is prescribed.These drugs also have pronounced analgesic and antipyretic effects.
During chronic cystitis therapy, bladder washes and installing with antibacterial and anti -inflammatory drugs is used.Use solutions of Furatsillin, Boric Acid, Protargol, Collargol.
- Pain syndrome (or delayed urination in men) also shows the purpose of painkillers and antispasmodic (Drootaverin hydrochloride, Hydrocarrabate, Papaverine Hydrochloride).
- The use of antihistamines (Furnithydroin napazheilate, Loratadine, Difhenhydracin Hydrochloride) is shown to eliminate edema.
- Effective immunomodulatory therapy is effective.
- The means of traditional medicine are shown the use of infusions and teas of Yarrow, chamomile, lemon balm, matrix, thyme, wort and mint of Saint John.
It is important to remember that many herbs are contraindicated during pregnancy and lactation, and herbal medicine is not used in the presence of allergic reactions to this plant.