What antibiotic to take for tonsillitis

Posted on by admin

What antibiotics will help in the treatment of tonsillitis?

Modern therapeutic methods of combating the symptoms of chronic or acute tonsillitis cannot be imagined without the use of potent antimicrobial drugs.

Table of contents:

The use of medications in this category is completely justified and natural, because tonsillitis in most cases is of bacterial origin. Much less often, the disease develops due to the penetration of a virus or fungal microorganisms into the tissues of the glands. Therefore, the attending physician always has a choice of which antibiotic to use in the treatment of a particular patient. An important role in making the final decision on the formation of a therapeutic course is played by the result of a bacterial examination of the surface of the tonsils, obtained from the analysis of smears taken from the mucous membrane of this part of the patient’s throat. Let us consider in more detail the pharmacological properties of various types of antibiotics, which have proven themselves to be the most effective and are popular in the treatment of all forms of tonsillitis.

Indications: Should tonsillitis be treated with antibiotics?

The decision to prescribe antibacterial medications, or to limit yourself to external influence on the surface of the inflamed tonsils, is determined solely by the attending otolaryngologist or infectious disease specialist. There are clinical situations of the development of disease of the tonsils, when the infectious causative agent of the disease is represented in a very small quantitative population, and the use of an antibiotic in this case is not advisable. In such cases, the patient is really not recommended to treat early-stage tonsillitis with antibacterial therapy, so as not to harm the immune system and the health of the digestive organs.

The patient is prescribed rinsing and washing of the tonsils using antiseptic solutions of external action on the surface of the tonsils. The type of drug in this category is also selected individually, like tablet or injectable antibiotics, but most often doctors use Miramistin, Chlorhexidine, Furacilin. These are liquid antiseptic solutions that have proven their effectiveness for many years, and their regular use allows you to heal the tonsils from chronic or acute forms of tonsillitis that develop at the initial stage in a short period of time. This does not cause toxic harm to other internal organs.

Patients who seek medical help in the treatment of tonsillitis in the later stages of the development of this infectious disease are forced to undergo a course of antibacterial therapy with potent drugs. In their case, the question of the advisability of using antibiotics does not arise in principle, since tonsillitis of moderate severity and complicated forms of its course always and without exception require compliance with the complexity of treatment.

The patient simultaneously rinses the surface of the tonsils with antiseptic solutions and undergoes physiological procedures in the form of heating with electrophoresis, inhalation with essential oils and decoctions of anti-inflammatory medicinal herbs. The most important element in the therapeutic course aimed at curing the tonsils from tonsillitis are antibiotics, which are administered to the patient in the form of intramuscular injections or he takes them orally in tablet form. In any case, it is impossible to get rid of advanced stage infectious tonsillitis without the use of antibacterial therapy.

Names, prices and features of the use of antibiotics for chronic tonsillitis in adults?

The modern pharmacological industry offers patients with tonsillitis a huge list of drugs that simultaneously have antimicrobial, anti-inflammatory, immunomodulating properties, and also relieve the patient from swelling of the mucous membrane of the affected tonsils. The following types of antibacterial drugs have proven to be best in the treatment of chronic tonsillitis of varying severity:

Amoxicillin

It is an antibiotic of the penicillin series of the aminobenzyl group. The therapeutic effect of taking this medication occurs due to the fact that the active components of the medication block the synthesis of protein tissue in a bacterial infection, as a result of which the microbes lose their natural ability to divide. The quantitative population of pathogenic microorganisms begins to decrease, and the inflammatory process in the tonsils, in proportion to the effect of the antibiotic, gradually disappears.

The drug has proven itself in the treatment of chronic tonsillitis in adults caused by streptococcal infection. The medicine is produced in the form of tablets at a price of 90 - 100 rubles per package and in the form of a powder for preparing a suspension, which can later be used to rinse inflamed tonsils, or diluted with saline and administered intramuscularly (price 175 - 180 rubles).

Furacilin

This type of drug for the treatment of chronic tonsillitis in adults has broad-spectrum antimicrobial properties. It affects the bacterial microflora in the patient’s tonsils by introducing ribosomal changes into the cellular structure of the infectious microorganism. As a result of this pathological process, bacterial cells become weak and cannot provide the same resistance to the patient’s immune system. Furacilin is produced in the form of an antiseptic solution for gargling at a price of 35 - 45 rubles per bottle and in the form of tablets in yellow packaging, the cost of which is in the range of 125 - 130 rubles per package.

Sumamed

An antibiotic that is part of the group of macrolide medications of the azalide subtype. Once in the patient’s body, it is quickly absorbed into the blood and reaches the epithelial tissues of the tonsils. Suppresses the infection that provokes chronic tonsillitis by blocking protein biosynthesis in the outer cell wall of each bacterium that comes into contact with the active component of the drug. The higher the concentration of the drug in the tonsils, the better the therapeutic effect. Therefore, it is recommended to take the drug at the same time, so that there is no reduction in dosage. Produced by the manufacturer in tablet form at a price of 370 - 390 rubles per package and in the form of powder for the preparation of suspensions (cost 220 rubles).

Amoxilav

According to its pharmacological properties, Amoxilav can rightfully be classified as an analogue of Amoxicillin, since both drugs contain the same active component, which blocks the possibility of the infectious pathogen developing chronic tonsillitis from further cell division. Most often, the drug is prescribed in the form of tablets that have a yellowish tint. Their cost is within 375 rubles per package.

If the patient is indicated for treatment by administering the drug intramuscularly, then the medication can be purchased in ampoules at a price of 185 - 200 rubles per package.

Lysobacter

Belongs to the category of universal medicines intended for the treatment of chronic tonsillitis in adults, as well as other infectious and inflammatory processes in the throat and upper respiratory tract. It has proven its effectiveness in the treatment of chronic tonsillitis of viral etiology, when the patient’s tonsils are affected by herpetic infection with constant relapses. Takes an active part in regulating the protective function of the local immune system. Lizobact tablets can be purchased at almost every pharmacy for 320 - 330 rubles per package, which contains 30 tablets coated with a protective coating.

Imudon

These are lozenges, the cost of which ranges from 440 to 500 rubles. This price gap depends on the country of manufacture in which the tablets for chronic tonsillitis were produced. It is an immunostimulating drug that has a strengthening effect on the local immune system. The medication contains a complex of lysates - pathogenic bacteria that are not viable. The immune system detects the entry of additional foreign microorganisms into the oral cavity and is even more active in suppressing bacterial microflora.

Rotokan

A natural homeopathic medicine, which is produced by the manufacturer in the form of syrup. It perfectly relieves the inflammatory process in the tonsils that are affected by tonsillitis. Removes redness of the epithelial surface of the sore throat and relieves swelling. The cost of one bottle of Rotokan costs from 45 to 55 rubles. You need to take the drug in the morning and evening, 1 teaspoon. It is recommended to use this medicine as an adjuvant in the general treatment of chronic tonsillitis.

Tonsilotren

This is an antibacterial drug that can be found in pharmacies at a price of 550 rubles for 1 package, which contains at least 60 tablets. According to its chemical formula, Tonsilotren is a homeopathic medicine and is intended for the treatment of chronic tonsillitis. Its composition contains practically no synthetic components with the exception of the gelatin shell. Relieves inflammation of swollen tonsils, helps improve local immunity in the oral cavity and larynx.

Stimulates the processes of restoration of epithelial tissue damaged by infectious microorganisms.

Augmentin

A very potent drug that has proven its effectiveness in the treatment of chronic tonsillitis, which is in the most advanced stages of its development. The drug is available in tablet form. There are 14 of them in each package. The cost of the medicine is 320 - 330 rubles. Belongs to the group of semisynthetic antibiotics with a wide spectrum of action. Destroys gram-positive and gram-negative bacteria. Augmentin can be used in the treatment of chronic tonsillitis, which is caused by Staphylococcus aureus.

Vilprafen

Expensive, but no less effective, Vilprafen tablets produced in the Netherlands will cost the patient 540 - 550 rubles. The package contains 10 tablets, coated with a protective coating to minimize damage to the sensitive mucous surface of the intestines and stomach. Vilprafen is a macrolide antibiotic, so it is active against most microorganisms known to science. It is also capable of penetrating into the cellular structure of tissue, where the largest amount of bacterial infection is concentrated. This is a very useful property of the drug when chronic tonsillitis is caused by intracellular microbes.

Suprax

Antibacterial drug for the treatment of chronic tonsillitis in patients of the adult age group. Each package of the medicine contains 6 capsules of 200 mg each, coated with a yellowish-white protective coating. Capsules can be taken with water without breaking them, or you can open each tablet and pour its contents into water to prepare a suspension. The medication powder inside the capsule has a pleasant strawberry aroma. The medication is effective against most strains of bacterial infection, including streptococci. The cost of the drug is 745 rubles.

Bicillin

This is an injectable antibiotic for the treatment of chronic tonsillitis. It is a synthetic agent for suppressing the pathogenic activity of streptococcal infections, Staphylococcus aureus, Salmonella, Proteus, pneumococci, Pseudomonas aeruginosa. Sold in cardboard packages. Each contains 50 bottles of 10 ml (one intramuscular injection). The cost of the medicine is from 650 to 700 rubles.

Hexoral

Produced by the manufacturer in several pharmacological forms. Hexoral aerosol costs 180 rubles. A solution for rinsing the surface of inflamed tonsils will cost the patient 270 rubles for one bottle. Hexoral tablets cost 215 - 220 rubles. The main purpose of the antibacterial drug is to destroy the infection located in the tissues of the tonsils and relieve the inflammatory process.

IRS 19

The price of an antiseptic spray for chronic tonsillitis is 500 rubles per can. The drug is used to combat infectious microorganisms in the throat and tonsil tissues, such as streptococcus, Staphylococcus aureus, and Pseudomonas aeruginosa. It is recommended to use the medication not as an independent drug, but to include it in a course of complex therapy.

Malavit

Available in glass or plastic bottles with a capacity of 50 ml. The cost of such a bottle of medicine is in the range of 375 - 390 rubles. In the treatment of infectious lesions of the tonsils, Malavit is used as an effective antiseptic to cleanse the surface of the tonsils from pathogenic microflora, which speeds up the patient’s recovery process.

Tantum verde

The drug Tantum Verde contains the active substance benzydamine, which is a non-steroidal chemical compound that has an antimicrobial effect on the inflamed surface of the tonsils. This broad-spectrum antiseptic is available in the form of an aerosol, and it will cost a patient with chronic tonsillitis 250 rubles per can.

Biseptol

Available in the form of white tablets. Depending on the country or manufacturer, the tablets may be coated with a protective coating. Each red cardboard box contains 30 tablets. The cost of the antibacterial drug is in the range of 110 - 115 rubles. Effective when included in a complex course of therapy.

Sinupret

This is a natural homeopathic preparation, which contains only extracts of medicinal plants collected in ecologically clean regions. An antibacterial agent is produced for the treatment of chronic tonsillitis in the form of drops for oral administration and in the form of pills. The cost of the medicine, regardless of its pharmacological form of release, is in the range of 380 - 410 rubles.

Flemoklav

Available in tablet form. It contains the active substance amoxicillin. The cost of a broad-spectrum antibacterial drug is 320 rubles per package of tablets, which are presented in an amount of 20 pieces. Effective against gram-negative and gram-positive bacteria that provoke the development of chronic tonsillitis in the tissues of the tonsils.

Erythromycin

This is one of the very first tableted antibiotics that has the ability to destroy such a dangerous infection as Staphylococcus aureus. It is the latter type of infectious microorganism that most often provokes the occurrence of chronic tonsillitis. Erythromycin is distinguished by its affordability, because its cost is only 90 rubles per package, inside of which there are 20 tablets coated with a red or yellow protective coating.

Streptocide

Acts as an auxiliary antiseptic to relieve the chronic inflammatory process in infected tonsils. Streptocid tablets are taken orally by dissolving in the mouth. The medicine is produced in paper packages, each of which contains 10 tablets. The cost of this medicine is 40 - 50 rubles. Streptocide has effective antiseptic properties, but cannot be used as an exclusively independent remedy for the treatment of chronic tonsillitis.

Bioparox

An aerosol-type antibacterial drug, which is available in a convenient aluminum bottle with a capacity of 10 ml. On average, one bottle is enough for 400 inhalations. To achieve the maximum therapeutic effect in the treatment of chronic tonsillitis, it is recommended to regularly irrigate the tonsils with this drug. The cost of one can of Bioparox is 320 rubles.

Betadine

This is a 10% antiseptic solution designed to disinfect the mouth and throat area. The drug copes well with the function of suppressing bacterial microflora, cleanses the surface of the tonsils from purulent plaque and washes out formed plugs from the lacunae of the tonsils. Available in a 30 ml plastic bottle. The cost of the antibacterial drug is 165 - 180 rubles.

Tsiprolet

It is an antibiotic from the fluoroquinolone group. The drug is produced in India, and its pharmacological group is tablets coated with a protective coating. The therapeutic effect of use lies in the fact that the active components of the drug penetrate the DNA gyrase of the bacterial infection and disrupt the intracellular connections responsible for the division of microbes and the transfer of genetic information. Due to this, the process of reproduction of pathogenic microbes is suppressed. The cost of tablets is 122 rubles per pack.

Each of the antibacterial drugs listed in the list is good in its own way and has a beneficial effect on the healing process from chronic tonsillitis, which was diagnosed in a patient of the adult age group.

Which of this list is also good for treating children?

For an overly sensitive child’s body, it is recommended to use only those antiseptics that will help rid the child’s tonsil tissue of a pathogenic infection and will not cause side effects. The best medications for treating children are:

Depending on the severity of the clinical picture of chronic tonsillitis in a child, the attending pediatrician may prescribe stronger antibiotics if the child’s serious health condition requires it.

Precautions and contraindications

All antibacterial drugs, without exception, are harmful to the health of a person who takes them orally in the form of tablets or in the form of intramuscular injections. Therefore, precautions and contraindications in the treatment of chronic tonsillitis with antibiotics include the following recommendations:

  • Take antibiotics with caution for people who are prone to allergic reactions to this type of medication;
  • it is contraindicated to use antibacterial agents for patients with liver and kidney diseases, which are expressed in their insufficient functionality;
  • People with peptic ulcers and inflammation of the mucous membrane of the stomach or intestines should not take tableted antibiotics;
  • During pregnancy and lactation of a baby, antibacterial agents are also strictly contraindicated.

Depending on the individual characteristics of the patient’s body suffering from chronic tonsillitis, the attending otolaryngologist may recommend that the patient refrain from taking antibiotics, justifying the prohibition by other medical contraindications.

Side effects of antibiotics for tonsillitis

Like most antibacterial drugs, this group of medications has its own side effects, which may appear in the patient during the treatment of chronic tonsillitis. The following side effects may develop:

  • nausea, lack of appetite, vomiting, diarrhea;
  • convulsions and tremors, both upper and lower extremities;
  • headaches and dizziness, insomnia at night and drowsiness during waking hours;
  • dry mouth and partial or complete loss of taste;
  • feeling of pain in the right hypochondrium and in the stomach area;
  • bitterness in the mouth, which does not occur spontaneously during eating;
  • allergic reactions in the form of a red rash on the skin, urticaria-type spots, swelling and bronchial spasms.

If you notice similar symptoms, which by their nature are a consequence of taking antibacterial drugs, you should immediately stop treatment and consult the doctor who prescribed these medications so that he can formulate a different therapeutic course.

We recommend reading

Miramistin for cough for children

How to do inhalations for tonsillitis and is it possible?

Treatment of tonsillitis in a child using the method of Dr. Komarovsky

Comments

Helpful advice

Citrus fruits help strengthen the immune system, but they are not always allowed to be consumed if you have lung diseases. Consult your healthcare provider for clarification.

Online lung health tests

Didn't find an answer

Ask your question to our expert.

© 2017– All rights reserved

All about lung and respiratory health

The information on the site is provided for informational purposes only. At the first sign of disease, consult a doctor!

Source: http://yadishu.com/drugie-zabolevaniya/tonzillit/antibiotiki-pri.html

Review of the best antibiotics for the treatment of tonsillitis in adults and children

Acute tonsillitis is one of the most common community-acquired infectious and inflammatory diseases. The main symptoms of the disease are a sore throat that gets worse when talking and swallowing, a general feeling of poor health (weakness, malaise), as well as an increase in temperature (the severity of the fever depends on the severity of the disease).

Tonsillitis can be either an independent disease, usually caused by group A beta-hemolytic streptococcus, or a manifestation of another infection (adenovirus, infectious mononucleosis, etc.).

Antibiotics for tonsillitis

The most significant causative agent of bacterial tonsillitis is group A beta-hemolytic streptococcus. Less common are tonsillitis caused by C and G streptococcus, pneumococcus, anaerobes, chlamydia and mycoplasmas.

Antibiotics for the treatment of bacterial tonsillitis are selected taking into account the spectrum of the main pathogens. Typically, beta-lactam antibiotics (penicillins and cephalosporins) are used. If there are contraindications to the use of beta-lactams, macrolides are prescribed.

For tonsillitis of a bacterial nature, the drugs of choice will be:

What antibiotics can be used to treat tonsillitis if you are allergic to beta-lactams?

Patients with contraindications to the prescription of penicillins and cephalosporins are prescribed macrolides:

Antibiotics for tonsillitis in children

There is no fundamental difference between what antibiotics to take for tonsillitis in children and adults. The list of antibiotics is similar - these are beta-lactams and macrolides (for intolerance to penicillins and cephalosporins).

The main difference lies in the dosages (in children, the daily dose of antibiotics is calculated based on the child’s weight) and the form of the drug (up to ten, and some drugs up to fourteen years, it is recommended to take it in the form of a suspension).

Antibiotics for tonsillitis in adults and children

Ceftriaxone

It can be used both for the treatment of acute diseases with antibiotics and for exacerbation of chronic tonsillitis.

Ceftriaxone is a third-generation cephalosporin antibacterial drug. The mechanism of bactericidal action on pathogenic microorganisms is realized by inhibiting the synthesis of components of the pathogen's cell membrane.

Ceftriaxone has a broad spectrum of antimicrobial action and resistance to the vast majority of beta-lactamases produced by gram- and gram+ pathogens.

The antibiotic is highly active against the main pathogens of tonsillitis, but has no effect on methicillin-resistant staphylococcus, enterococci and group D streptococci.

The drug is used exclusively parenterally, that is, intravenously or intramuscularly. The bioavailability of the product is one hundred percent. Disposal of the drug from the body is carried out with urine and bile.

Contraindications to the use of Ceftriaxone are:

  • individual hypersensitivity to B-lactam agents;
  • combined renal and hepatic failure;
  • prematurity;
  • first trimester of pregnancy.

The antibiotic should be prescribed with caution to pregnant women (in the 2nd and 3rd trimester), breastfeeding women, and for kidney and liver diseases accompanied by impaired function. It is also undesirable to prescribe Ceftriaxone to newborns, since the antibiotic can cause the development of hyperbilirubinemia and kernicterus in the baby.

For adults and patients over the age of twelve years, the solution is administered 1 g twice a day. If necessary, the dosage can be increased to 4 g twice a day.

Children from two weeks to 12 years are prescribed from 50 to 80 mg/kg per day, divided into two doses. The maximum dose for severe infections (bacterial meningitis) is 100 mg/kg per day.

Children up to two weeks are prescribed from 20 to 50 mg/kg per day once a day. Considering the risk of hyperbilirubinemia, this category of patients is prescribed the drug when absolutely necessary.

Ceftriaxone is generally well tolerated by patients. Side effects from use can include allergic reactions, gastrointestinal disorders, jaundice, thrush and disturbances of the intestinal microflora. Other side effects are rare.

Amoxicillin

Amoxicillin for acute and chronic tonsillitis (in the acute stage) is used for children and adults who have not received penicillin treatment for at least a year.

This is an antibacterial drug from the class of semi-synthetic penicillins, which has a wide spectrum of action, including the main pathogens of tonsillitis. The bactericidal effect of the antibiotic is realized by inhibiting the synthesis of the main supporting components of the cell wall, the bacterial cell. The drug is not resistant to the action of bacterial beta-lactams and therefore is not prescribed for the treatment of infections caused by strains that produce these enzymes.

The drug has pronounced resistance to the acidic environment of the stomach and high bioavailability when taken orally. The speed and completeness of absorption of the product does not depend on food consumption. The maximum therapeutic concentration in blood plasma is achieved within two hours after oral administration, and within an hour after intramuscular administration.

Contraindications to the prescription of an antibiotic are individual intolerance to beta-lactam drugs, the patient having infectious mononucleosis, acute lymphoblastic leukemia, or colitis caused by a history of taking antibiotics.

With caution, the drug can be used to treat patients with diseases of the gastrointestinal tract, patients with renal failure, pregnant and breastfeeding women.

Amoxicillin has no embryotoxic or teratogenic effects. However, it must be remembered that all antibiotics during pregnancy should be prescribed only by a doctor, after carefully comparing possible risks and expected benefits. When prescribing to breastfeeding women, it is necessary to take into account that amoxicillin passes into breast milk and is excreted with it. This can lead to sensitization of the baby, and also cause the development of diarrhea (against the background of intestinal dysbiosis) and oral thrush.

For adults with acute tonsillitis, this antibiotic is prescribed 0.5 grams every eight hours. In severe cases of the disease, 1000 mg of antibiotic can be prescribed three times a day. Children over ten years of age (if the child's body weight is more than forty kilograms) are prescribed similar dosages.

Up to ten years, it is preferable to use the antibiotic in the form of a suspension. For streptococcal tonsillitis, children are prescribed 50 mg/kg per day, dividing the daily dose into two or three doses. In case of severe infection with a high risk of complications, the dose can be increased to 90 mg/kg per day, divided into three doses (no more than 3 grams per day).

Typically, for mild pharyngitis, children from five to ten years old are prescribed two hundred and fifty milligrams every eight hours. From two to five years - 125 milligrams three times a day.

Children under two years of age are recommended to take the drug in a daily dose of 20 mg/kg. The daily dose is divided into three doses.

The most common adverse reactions to amoxicillin are allergic reactions of various origins (rash, skin redness, arthralgia, increased eosinophils, angioedema, etc.). Also, amoxicillin often causes bloating, intestinal dysbiosis and thrush. Rare side effects include liver dysfunction, anxiety, insomnia, a decrease in the number of leukocytes, neutrophils, platelets, and limb tremors.

Amoxiclav (amoxicillin + clavulanic acid)

Amoxiclav can be used for both acute and chronic (in the acute stage) tonsillitis.

The drug is an inhibitor-protected version of amoxicillin. The addition of clavulanic acid (a B-lactamase inhibitor) makes it possible to ensure the resistance of amoxicillin to the action of bacterial enzymes, increase the effectiveness and expand the spectrum of activity of the drug.

It should be taken into account that Amoxiclav is not effective against methicillin-resistant strains of staphylococcus.

The drug has good bioavailability. The maximum therapeutic concentration in blood plasma is achieved one to two hours after eating.

The drug is contraindicated in the presence of individual hypersensitivity to beta-lactam agents, infectious mononucleosis, lymphoproliferative diseases, a history of pseudomembranous colitis, combined liver and kidney failure, liver dysfunction associated with taking antibacterial agents.

With caution, under the supervision of the attending physician, the drug can be prescribed during pregnancy, pathologies of the gastrointestinal tract, lactation, and kidney diseases accompanied by impaired kidney function. It is also not recommended to prescribe Amoxiclav suspension to babies under two months of age (parenteral administration of the drug is allowed).

The drug can be prescribed to pregnant women according to strict indications, in a situation where the expected benefit is higher than the expected risk. When prescribing the drug to women during lactation, the issue of temporarily suspending natural feeding is considered.

Antibiotics for chronic (in the acute stage) and acute tonsillitis in adults and children weighing more than forty kilograms are prescribed in a dose of 500+125 milligrams three times a day, or 875+125 milligrams every 12 hours.

For children under 12 years of age, it is recommended to prescribe the antibiotic in the form of a suspension. Depending on the severity of the disease, the drug can be prescribed from 20+5 milligrams per kilogram to 60+15 milligrams per kilogram per day. The daily dose is divided into three equal parts and taken every eight hours.

Undesirable effects from taking the drug may include allergic reactions, dyspeptic disorders, liver dysfunction, cholestatic jaundice, anxiety, insomnia, intestinal dysbiosis and thrush.

Infectious disease doctor A. L. Chernenko

Trust your health to professionals! Make an appointment with the best doctor in your city right now!

A good doctor is a general specialist who, based on your symptoms, will make the correct diagnosis and prescribe effective treatment. On our portal you can choose a doctor from the best clinics in Moscow, St. Petersburg, Kazan and other Russian cities and receive a discount of up to 65% on your appointment.

* Clicking on the button will take you to a special page on the site with a search form and an appointment with a specialist of the profile you are interested in.

* Available cities: Moscow and region, St. Petersburg, Ekaterinburg, Novosibirsk, Kazan, Samara, Perm, Nizhny Novgorod, Ufa, Krasnodar, Rostov-on-Don, Chelyabinsk, Voronezh, Izhevsk

You may also like

You may also like

Herpetic sore throat in a child: symptoms and treatment, photo

We look at the best antibiotics for sinusitis in adults and children

The best throat sprays with antibiotics + prices + short review

Add a comment Cancel reply

Popular articles

List of over-the-counter antibiotics + reasons for banning their free circulation

In the forties of the last century, humanity received powerful weapons against many deadly infections. Antibiotics were sold without prescriptions and allowed

Source:

Antibiotics for tonsillitis

Antibiotics are used for tonsillitis as an alternative to surgery. This article describes which antibacterial agents are effective for inflammation of the tonsils and how to use them.

What are antibiotics for?

As a rule, sore throat is a bacterial disease, therefore, it occurs in a severe form. The main thing is to deal with the pathology in a timely manner. Antibiotics effectively treat tonsillitis due to their powerful bactericidal and anti-inflammatory effect. With the help of such drugs, the risk of developing complications after illness is prevented and the recovery process is accelerated.

Antibiotics for tonsillitis are used both local and general. Curing pathology only with local drugs can aggravate the course of the disease. Long-term use of such drugs is dangerous due to a decrease in their effectiveness, since the causative agent of the pathology develops resistance to the active components of the drug. The attending physician will tell you which antibiotic is best to use for tonsillitis. Before this, the doctor examines the patient, clearly establishes a diagnosis, and takes into account the patient’s complaints.

You cannot prescribe antibacterial drugs yourself, as there is a risk of side effects, or the medicine will not have any effect. For example, viral tonsillitis cannot be treated with these medications; antiviral agents are needed. Untreated streptococcal infections can cause heart complications. To eliminate bacterial inflammation, such drugs are required. They are prescribed to both children and adults. It is recommended to combine these drugs with painkillers and antipyretics. To treat tonsillitis, antibiotics for adults are prescribed taking into account the patient's initial health condition.

Antibiotic for sore throat in adults

Streptococcal bacteria, which cause the development of tonsillitis, are sensitive to penicillin. Most often, doctors prescribe the following groups of antibacterial agents.

If the patient is intolerant to penicillins, macrolide antibacterial agents are prescribed. They have a powerful effect and low toxicity. The most popular drug in this group is Erythromycin. Sumamed, Zitrolide, Hemomycin are also often prescribed.

The inflammatory process in the oropharynx of an advanced form is caused by periodic exacerbations of the disease. Both tonsils contain infectious agents. The drug to extinguish the infection must freely penetrate the tissues of the tonsils, accumulate in them, and create destructive flora for the proliferation of pathogenic microorganisms.

Antibiotics for chronic tonsillitis are prescribed for relapses of the disease. They are able to extinguish the source of inflammation in a short period of time - from five to 7 days. In some cases, the course of treatment is extended. Treatment of chronic tonsillitis with antibiotics is not always indicated. In the absence of relapses of the disease, antibacterial agents can only harm the human body.

In addition, there is a risk of addiction to the drug. The question of the advisability of taking such medications is decided by the doctor. Treatment with antibacterial agents for this disease in any stage and form must be strictly under the supervision of a doctor.

When acute tonsillitis is diagnosed, treatment with antibiotics is mandatory. These remedies will help reduce clinical signs and eliminate the root cause of the disease. It should be noted that such medications are quite aggressive for the body and can cause a number of complications.

Antibiotics for sore throat in children

Antibacterial agents are prescribed to young children and adolescents with caution so as not to harm the body. Children's immunity is quite weak, therefore, infections often penetrate it and develop quickly. An antibiotic can treat tonsillitis in a short period of time; the main thing is to clearly select the necessary drug.

When is treatment with antibacterial agents indicated in children?

  • if the disease is not caused by a virus;
  • when body temperature rises to 40 degrees;
  • if, during a visual examination of the baby, the doctor discovers very reddened tonsils, abundantly covered with pus;
  • when the baby complains of pain when swallowing, of pain in the throat itself;
  • with complaints of “ache” in the joints.

What antibiotics should I take for tonsillitis? As a rule, doctors prescribe penicillins, cephalosporins and macrolides for children, depending on the child’s health condition and the presence/absence of contraindications. Doctors rarely prescribe fluoroquinol to infants, mainly if the child is allergic to antibacterial agents of other groups, or if they are ineffective. These drugs are called "artificial" antibacterial agents, which are produced in a laboratory. They should not be given to children under 12 years of age.

Chronic tonsillitis and antibiotics in children are often synonymous. Such remedies are indicated for relapses of the disease. Penicillins have a mild therapeutic effect, macrolides are a little more powerful, but they take longer to evacuate from the body. Cephalosporins are more toxic, but quite effective. Prices for antibiotics for angina vary depending on the manufacturer of the drug and its composition.

Antibacterial therapy

Rational antibiotic therapy is one of the mandatory steps in the treatment of tonsillitis. The drug is prescribed strictly in accordance with the sensitivity of the pathogen to the active substance of the drug. The ability of the drug to penetrate into organs affected by inflammation should also be taken into account. The patient’s age, background pathology, and epidemiological situation must be taken into account. A properly chosen remedy will help reduce the risk of side effects. Antibiotics for the treatment of tonsillitis are selected after a general blood test and a pharyngeal smear.

Amoxicillin

This drug is prescribed to patients quite often. Amoxicillin has a wide spectrum of antimicrobial action, is well tolerated by patients, and is approved for use in newborns. The average cost of the drug is 60 rubles. This antibacterial agent belongs to the group of penicillins, has a strong bactericidal effect, suppresses pathogens. The drug is semi-synthetic and is taken in low doses. The medicine is quickly absorbed into the blood from the stomach and destroys bacteria. Amoxicillin effectively kills streptococci, staphylococci and a number of other microorganisms that cause a purulent inflammatory process. Already on the 3rd day of use, the patient will feel relief, body temperature will drop, pain in the throat will ease, and it will become easier to breathe.

Azithromycin

The antibacterial drug Azithromycin is widely popular for tonsillitis of bacterial etiology. It is prescribed for both children and adults.

  1. This antibacterial agent contains azithromycin as an active ingredient, lactose monohydrate and a number of other auxiliary components.
  2. Available in capsule form, it belongs to the macrolide group of antimicrobial drugs.
  3. The medication is indicated for infections of the ENT organs.
  4. The medicine is prescribed to children and adults who weigh more than 45 kilograms.
  5. On the first day, take 500 mg of the drug, from the second to the fifth - 250 mg per day.
  6. Side effects include nausea, vomiting, stool upset, and abdominal pain. Occasionally, allergic reactions appear in the form of skin rashes.
  7. During pregnancy and breastfeeding, the drug is allowed to be taken only after consulting a doctor.
  8. For diseases of the liver and stomach, this remedy is rarely prescribed, only in case of urgent need.

Azithromycin should be stored for 2 years at a temperature not exceeding 25 degrees. Available in pharmacies with a prescription.

Ciprofloxacin

The antibacterial medication is available in the form of tablets containing 250 or 500 mg of active and auxiliary substances. The active ingredient is ciprofloxacin. The product belongs to the group of fluoroquinols, artificially produced antibiotics.

General description of the drug Ciprofloxacin.

  1. The medicine is indicated for respiratory tract infections that are caused by pathogens sensitive to ciprofloxacin.
  2. The drug can be given to children from 1 year of age.
  3. The dosage is determined by the attending physician.
  4. If the patient has problems with the liver or kidneys, the drug should be taken with extreme caution. The medicine is contraindicated for children with such problems.
  5. Pregnant and lactating women should not use the drug.

You can store the medicine for 3 years, at a temperature of 25 degrees, no more. Each package contains 25 tablets.

Cephalexin

The antibacterial agent is available in the form of granules for oral suspension. The antibiotic belongs to the group of cephalosporins. The active ingredient is cephalexin and excipients in the form of sodium saccharin, citric acid, etc.

  1. The medicine is taken orally, the dosage is determined by the doctor.
  2. Prescribed to children weighing more than 20 kilograms.
  3. The course of treatment is 7-10 days.

If you follow the instructions, side effects can be avoided. They manifest themselves in the form of allergic reactions, headaches, and nausea. During pregnancy, an antibiotic is prescribed only if more gentle drugs are not effective. The same applies to breastfeeding women; the medicine can only be used after a doctor’s prescription and a series of tests.

Sumamed

The drug belongs to the macrolide group of antibacterial agents. The active ingredient is azithromycin. Available in capsule form, one granule contains 250 milligrams of the active ingredient. This is an antibacterial agent for systemic use.

  1. Sumamed should be taken 1 hour before meals, or 2 hours after meals. Swallow the capsules whole. Take 1 time per day.
  2. Allowed for use by children weighing more than 45 kilograms.

On average, the course of treatment lasts 5 days. The antibiotic is quickly absorbed into the blood and remains in the body for a long time. With advanced forms of angina, the period of use may last longer.

Erythromycin

This antibacterial medication is available in the form of film-coated tablets. The active ingredient is erythromycin. The drug belongs to the group of macrolides.

  1. Contraindications include allergies to the components of the drug, liver failure.
  2. It is taken orally 1 hour before meals; adults should take it four times a day, and for children the dosage is determined by the doctor. Elderly people (over 60 years old) are shown the same norm as for adults.
  3. The course of treatment lasts 1-2 weeks. After completion of therapy, take another 2 days.
  4. Allowed for use by children over 3 years old.

Each package contains 25 tablets. The shelf life is 3 years.

Ceftriaxone

This product is intended for injection use. Available in powder form for making solutions. The active substance is ceftriaxone and auxiliary components. It is advisable to have a nurse administer the injections. Injections for tonsillitis using this antibiotic are allowed for infants from 14 days.

  1. Contraindications include liver failure, individual intolerance to the components of the drug.
  2. Before use, a skin test is performed to determine the sensitivity of the antibiotic to lidocaine.
  3. During pregnancy, it is not advisable to be treated with Ceftriaxone.
  4. Available in pharmacies with a prescription.

The antibacterial drug Ceftriaxone is usually prescribed to patients undergoing treatment in a medical facility. Every day for 5-7 days you need to take injections with this substance intramuscularly.

Amoxiclav

This is an antibacterial drug with combined action. The active substance is amoxicillin, an antibiotic of the penicillin group with broad effects. It also contains clavulanic acid, which enhances the bactericidal effect.

  1. The medicine is available in the form of tablets and powder for suspensions. Before use, the tablet is dissolved in water (at least 100 ml). Afterwards, mix the mixture thoroughly. You can also simply chew the pills.
  2. The drug is approved for use by children from the first days of life. The dosage is determined by the doctor.
  3. Amoxiclav is not prescribed to patients suffering from allergies to cephalosporins.
  4. During treatment with this remedy, you need to drink a lot of water.

Amoxiclav for chronic tonsillitis is sometimes prescribed as a therapeutic measure, especially with frequent relapses of the disease. The dosage and course of administration are determined by the doctor, depending on the form of the pathology.

Is it possible to do without antibiotics?

Many doctors claim that tonsillitis cannot be defeated without the use of antibacterial agents. This judgment is not correct, since everything depends on the degree of complexity of the disease. If the pathology proceeds without complications, the temperature does not rise much, there is no plaque on the tonsils - it is quite possible to do without antibacterial drugs.

What types of sore throat can be treated without antibiotics?

  1. Necrotizing ulcerative tonsillitis can be eliminated without antibacterial drugs. The disease is usually mild, there is no fever, chills, only an ulcerative necrotic plaque appears on the tonsils of the palate. This form of pathology is treated with local remedies - rinses, anti-inflammatory drugs. If there is pain in the throat, you should take antispasmodics.
  2. Sore throat of fungal etiology is also treated without the use of antibacterial agents. Most often, the doctor prescribes antifungal and antiseptic medications with local effects.
  3. Viral tonsillitis does not require antibiotic treatment. This type of pathology of the palatine tonsils is eliminated with the help of local drugs - anti-inflammatory, analgesic, antispasmodic medications. In addition, gargling is useful.
Tonsillitis caused by bacteria cannot be cured without antibiotics. These forms include follicular, lacunar, fibrous, catarrhal, syphilitic tonsillitis.

Special instructions for choosing and taking an antibiotic

It is strictly prohibited to choose antibacterial drugs on your own. Many people neglect this rule, buy medications based on the advice of friends, and are influenced by advertising. In this case, there is a risk of the disease progressing to an advanced form, and complications develop.

  1. The course of treatment with antibacterial agents should last from 1 week to 10 days.
  2. Therapy using macrolides lasts no longer than 5 days on average.
  3. After starting antibiotics, your health will improve after 2-3 days.
  4. Such drugs have a detrimental effect on the functioning of the gastrointestinal tract. To avoid problems with the gastrointestinal tract, pribiotics are prescribed simultaneously with antibacterial therapy.
  5. You cannot arbitrarily shorten the course of antibiotic treatment.

If the doctor prescribed antibacterial medications, but the patient did not feel any improvement, it is necessary to consult a doctor again. The specialist will select another remedy. In parallel with antibiotics, it is recommended to take medications with bifidobacteria.

You need to be extremely careful with antibiotics. They are not nearly as harmless as they might seem.

Source: http://yhogorlonos.com/antibiotiki-pri-tonzillite/

Treatment of chronic tonsillitis with antibiotics

Chronic tonsillitis is one of the most common pathologies of the ENT organs. This disease is common among children and adults living in a wide variety of climates. During chronic tonsillitis there are periods of remission and exacerbations. Both of them contain infectious agents in the tonsils. Most often these are streptococci or Staphylococcus aureus. Their long-term survival is facilitated by the special structure of the tonsils, their crypts and lacunae, which are difficult to access by the same hygienic rinses that could wash away the infection located on the surface.

Briefly about symptoms and manifestations

There are practically no obvious manifestations of the disease during the period of remission. The only thing that attracts attention is the larger size of the tonsils due to hyperplasia (proliferation) of lymphoid tissue, which tries to retain bacteria and prevent them from penetrating other organs and tissues.

During an exacerbation, microbes come out of the shadows, multiplying vigorously, capturing new spaces and causing all the signs of inflammation: swelling, redness, pain and heat.

The clinical picture at this time is very similar to acute purulent tonsillitis. The tonsils are not just enlarged, but swollen and covered with purulent deposits, which are often located in the area of ​​the lacunae. Redness occupies the area of ​​the tonsils, soft palate and arches.

Intoxication appears (pain in muscles, joints, head). Body temperature rises. The lymph nodes under the jaw and on the neck become enlarged and painful, as the infection, having broken through the barrier ring of the tonsils, encounters the next barrier of regional lymph nodes on its way.

If this barrier is broken, then with the flow of lymph the microbes will enter other tissues and organs: kidneys, joints, heart. Blood poisoning (sepsis) can also develop if the immune system is weakened or depleted (with AIDS, cancer, protein starvation, previous chronic or frequent acute infections).

Criteria for choosing drugs

The agent to suppress infection must easily penetrate into soft tissues, accumulate there in the concentration necessary to destroy microbes, or stop their growth, and maintain this concentration for a sufficient time so that the drug can be taken a reasonable number of times a day. Today, among the known means that satisfy these conditions, we can only talk about antibiotics.

Question of feasibility

In most cases, chronic tonsillitis does not require the use of antibacterial agents. Moreover, the antibiotic, in the absence of exacerbations, harms the body by promoting addiction to the drug!

However, this issue must be resolved individually with the attending physician, who must determine the benefit or harm of the medicine in a particular case.

When to start antibiotic treatment

Ideally, the infection should be treated at the moment when it has only caused inflammation and the body itself cannot cope with it. That is, it is advisable to carry out treatment during the period of exacerbation of chronic tonsillitis. Antibacterial therapy during the period of remission is not justified, since it does not achieve its goals and objectives (complete eradication of the infection even at the stage of its dormant state).

Why it is impossible to destroy the infection once and for all

  • Microbes live everywhere. They constantly enter the body from the outside. The cause of chronic tonsillitis is not so much in contact with infection, but in the insufficiency of the immune response of the person himself. Therefore, it is more advisable to strengthen the immune system during remission, encouraging the body to fight bacteria on its own.
  • Microbes, having encountered antibiotics for several decades, have acquired the ability to defend themselves against them by producing enzymes that destroy the drug. Therefore, each new contact with an antibiotic can lead to the fact that microbes of this group will survive and become insensitive not only to this drug, but will not cross-react in the future to drugs of a similar chemical structure.
  • There are also antibiotics that are positioned as bactericidal (killing microbes), but in practice they only suppress the growth of microorganisms, reducing their population, but not completely eliminating it in a given patient.
  • Staphylococcus aureus lives in colonies, which form wall multilayer films in cavities. When the top layer dies under the influence of the drug, the underlying layers of the colony continue to live excellently.
  • Treatment is often started with a broad-spectrum antibiotic, without prior testing for the sensitivity of the microbe to the drug. The result in most cases is failure and a repeat course of therapy.
  • Often laboratory tests (cultures of tonsil secretions) for the sensitivity of the microbe to antibiotics show that the bacterium dies under the influence of a group of drugs. However, in practice, the administration of this antibiotic does not lead to the complete destruction of the microbe, which adapts.

Which drug to choose

  • First-line drugs are penicillins. They not only treat exacerbation of chronic tonsillitis, but also prevent diseases such as rheumatism and glomerulonephritis caused by hemolytic streptococci. If natural penicillins are becoming a thing of the past due to an inconvenient dosing regimen, then semi-synthetic tablet drugs (amoxicillin, flemoxin, oxacillin, ampicillin, ticarcillin, carbenicillin) retain their position. However, the recognized leaders today are considered to be inhibitor-protected penicillins, resistant to microbial enzymes due to the addition of clavulanic acid (amoxicillin clavulonate: flemoklav, panclave, amoxiclav, augmentin; ampicillin sulbactam: ampixid, sultamicillin, unasin) and combination drugs (ampiox).
  • Second-line drugs today are macrolides (clarithromycin, josamycin), the most popular of which is azithromycin (azitral, sumamed, hemomycin). This also includes cephalosporins of the second (cefuroqsim), third (ceftriaxone, cefoperazone, ceftibuten, cefixime, cefazidime) and fourth (cefepime) generations.
  • In cases where Staphylococcus aureus is involved, aminoglycosides are used, mainly third generation with fewer renal side effects (amikacin) or fluoroquinolones; ofloxacin (Zanocin, Glaufos, Quiroll), norfloxacin (Quinolox, Loxon, Negaflox,), lomefloxacin (Xenaquin, Lomacin), lefloxacin, ciprofloxacin (Officipro, Quintor), moxifloxacin, sparfloxacin (Sparflo), levofloxacin, gatifloxacin.

A popular fluoroquinolone is levofloxacin.

Is there an alternative?

Is there a way that will avoid the regular use of antibiotics and will be equally effective in exacerbations of chronic tonsillitis? An option for such treatment is washing the tonsils with antiseptic solutions or solutions of bacteriophages, to which pathogens are sensitive. Drugs such as Tonsilgon, Bioparox are rather auxiliary means that do not radically solve the problem of exacerbation of infection. In cases of frequent recurrences of exacerbations, laser excision of the tonsils may be considered as an option.

Popular about antibiotics from Dr. Komarovsky (video):

If chronic tonsillitis is diagnosed, a doctor should prescribe and treat with antibiotics. Uncontrolled use of medications or arbitrary replacement of them with alternative methods of treatment is unacceptable in order to avoid serious consequences: loss of ability to work and decreased quality of life, including disability.

Share this article with your friends:

Tatyana, I have had chronic tonsillitis since childhood, so I’ve tried a lot of things. Of course, rinsing is good, and hydrogen peroxide helps, and propolis infusion, and tea tree oil can be used, but for a long time! Doctors prescribe antibiotics, and sometimes they have to be used. I noticed the greatest and best effect from Azitral capsules. And it helped quickly and I didn’t notice any negative effects. So I recommend combining this drug with rinsing!

If you are so terribly afraid of antibiotics, then you can resort to the help of eco-analogues - they have an improved composition that blocks the occurrence of side effects and allows you to maintain normal intestinal microflora. An analogue of amoxicillin is Ecobol. The doctor prescribed it for me for tonsillitis, I was cured in 7 days, I didn’t notice any complications in terms of side effects, so there’s nothing to be afraid of.

It’s strange that nothing is said about grammidin. I came across an article and thought my favorite pills would definitely be covered here. I have been using it for 2 years, if necessary, and there is always a good outcome. there is a local antibiotic as far as I know

Add a comment Cancel reply

© 2018 Tonsillit.ru · Copying of materials is permitted only with an active link to the source.

ATTENTION! The information published on the site does not constitute a recommendation for use and is intended for informational purposes only. Any practical use is possible only after consultation with a doctor!

Source: http://tonsillit.ru/antibiotiki-pri-xronicheskom-tonzillite-prinimat-ili-net.html