Treatment of throat with antibiotics

When should you take an antibiotic for a sore throat?

Sore throat is the most common complaint of patients when visiting an otolaryngologist, pediatrician or therapist.

Only a doctor should prescribe such medications

Table of contents:

Often doctors, without thoroughly understanding the problem, prescribe an antibiotic for a sore throat. Before treatment, the patient must be carefully examined, a medical history collected, tests taken and diagnostic measures carried out in full.

The cause of a sore throat is the presence of an inflammatory process that affects the tissues of the larynx, pharynx and surrounding organs. It should not be overlooked that inflammation can form not only when the mucous membrane is damaged by bacteria susceptible to the effects of the antibiotic.

Antibiotics for sore throat

The infection can develop due to the penetration of fungi or viruses into the body. Pain in the throat area may occur due to injury (“voice loss,” inhalation of hot steam or another substance that causes a burn). A foreign body can also cause pain.

The most common causes and their treatment

The most common causes of sore throat are pharyngitis (acute or chronic), tonsillitis and streptococcal infection.

Pharyngitis

Pharyngitis occurs in 90% of cases when a viral infection enters the human body. Symptoms of this disease include increased body temperature, pain in the back of the throat, sore throat, dry cough, sneezing and runny nose. An antibiotic in this case can only do harm. Treatment is symptomatic; recovery occurs once immunity to the virus is formed.

Angina

Sore throat develops when an infection, virus or fungus enters the body. Treatment is recommended only after identifying the causative agent of the disease. An antibiotic is prescribed for tonsillitis only when the cause is bacteria. The acute or chronic stage of the disease develops when viral particles and staphylococci multiply in the throat on the mucous membrane. An increase in their activity contributes to inflammation of the pharyngeal ring and palatine tonsils.

Among the symptoms characteristic of acute or chronic tonsillitis, the following symptoms can be noted:

  1. Increased body temperature;
  2. The appearance of discomfort and pain in the throat;
  3. The occurrence of swelling and redness of the mucous membrane;
  4. Formation of purulent follicles or plaque in the tonsil area.

For tonsillitis, it is recommended to take an antibiotic that contains substances such as penicillin, cephalosporin or macrolides. The doctor decides which antibiotic is needed for each individual case, guided by the results of the culture (microbiological test).

Along with taking antibiotics, patients are recommended to take concomitant therapeutic measures.

Review of antimicrobial drugs effective for angina

  • Penicillin series:
    • Amoxicillin is a semi-synthetic drug with a wide spectrum of effects. Effectively fights bacteria and causes virtually no side effects. The antibiotic has high absorption and does not disintegrate when exposed to gastric juice, continuing the fight against pathogenic microorganisms;
    • Bicillin-5 is a drug that inhibits the proliferation of bacteria, but gram-negative bacteria, fungi and viruses are resistant to it. Has a long-lasting effect on the pathogen and prevents complications;

    Bicillin-5 - a penicillin antibiotic

    Ceftriaxone is one of the drug options for severe forms of the disease

    Spiramycin is a representative of the macrolide series of drugs

    For angina, not only antibacterial therapy is prescribed. To more effectively suppress the causative agent of the disease, it is recommended to carry out concomitant therapy, which involves gargling with medicinal solutions, using compresses and inhalations.

    I prefer topical antibiotics. For a sore throat, Trakhisan was prescribed to me by an ENT specialist. It acts only locally and is not absorbed into the blood. Cope with throat infection and relieve inflammation. I have treated pharyngitis this way more than once. The result is obvious, so to speak.

    I recently had pharyngitis and managed without antibiotics. The doctor prescribed me to rinse with a decoction of chamomile and Isla-Moos lozenges. They relieved inflammation and discomfort in the throat.

    The doctor scolded me when I decided to take an antibiotic for a sore throat. She said that it couldn’t be more stupid to harm yourself like that. It was enough for Trachisan to dissolve without ruining the stomach. Now I use it to successfully treat red throat.

    The information is provided for informational purposes only. Do not self-medicate. At the first sign of disease, consult a doctor.

    Source: http://medlor.ru/zabolevaniya-gorla/kogda-sleduet-prinimat-antibiotik-pri-boli-v-gorle/

    What antibiotics are effective for sore throat?

    Sore throat is one of the most common symptoms with which patients usually come to the doctor. It is usually a key sign of microbial inflammation of the mucous membrane or tonsils. And many patients almost categorically demand the prescription of an effective antibiotic that would relieve them of this problem as quickly as possible.

    When to take antibiotics for a sore throat

    However, according to statistics, only in a third of cases of sore throat can the prescription of antibacterial agents be truly justified. The main reason is that most acute processes in the oropharynx are caused by viral pathogens, on which antibiotics have no effect.

    Frequent unjustified prescription of antibacterial agents has caused another problem - the growth of microflora resistance. This process has recently reached such proportions that some doctors have declared the end of the era of antibiotics. Of course, this moment has not yet arrived, but this situation requires a more rational prescription of this group of drugs.

    Since antibacterial agents are drugs with systemic action, they can only be prescribed by a qualified doctor.

    Self-use of antibiotics often does not give the expected results and brings numerous side effects.

    The doctor must conduct a thorough interview and examination of the patient. With bacterial pathology of the oropharynx, the most common is acute or chronic tonsillitis, in which damage to the tonsils is observed. They enlarge, swell, and purulent gray deposits can be seen on their surface or in the lacunae.

    This is accompanied by an increase in temperature to febrile levels (38.0 ° C), the development of symptoms of general intoxication (decreased performance, headache, dizziness, sleep disturbance, lack of appetite, rapid fatigue). The patient often feels a lump in the throat and may have difficulty swallowing due to pain.

    If the patient has an acute viral infection, then there is no point in prescribing antibiotics for a sore throat. However, after the fourth day of illness, there is a risk of secondary bacterial pathology due to weakened immunity.

    A general blood test is required. In it, the bacterial etiology of the process is indicated by an increase in the number of leukocytes, neutrophils, the appearance of their immature “young” forms, as well as an increase in the erythrocyte sedimentation rate (ESR).

    Bacteriological examination remains the most accurate method for determining the type of pathogen. It requires taking a smear from the back wall of the oropharynx and tonsils.

    This material is sent to the laboratory and after a few days they receive a response indicating the microorganism that caused the disease. The sensitivity of microflora to antibacterial drugs is also being studied.

    Antibiotics prescribed for sore throat

    Azithromycin

    If you have a sore throat, many doctors use macrolide antibiotics, in particular azithromycin. The drug has a bacteriostatic effect - its molecules pass into bacterial cells and block the 50S ribosomal subunit. This leads to the impossibility of further protein synthesis and reproduction of microorganisms.

    There is also an increase in the sensitivity of microbes to the action of specific defense mechanisms of the immune system. When taken orally, the drug also increases its concentration at the site of inflammation for up to 72 hours. The ability to accumulate in tissues makes the antibiotic as convenient as possible for use.

    This antibiotic for the throat is effective against most pathogens that can cause the development of bacterial pathology of the oropharynx - staphylococci, streptococci, legionella, neisseria, mycoplasma.

    This antibiotic should not be prescribed for the following conditions:

    • the patient has hypersensitivity to macrolide drugs;
    • chronic pathologies of the liver or kidneys with dysfunction of these organs;
    • congenital anomalies of the development of the cardiac conduction system (with a tendency to develop tachyarrhythmias).

    The following side effects are possible during azithromycin therapy:

    • dyspeptic disorders (feeling of heaviness in the abdomen, nausea, vomiting, flatulence, diarrhea);
    • allergic reactions of varying severity;
    • transient increase in the concentration of liver enzymes and bilirubin;
    • prolongation of the QT segment on the ECG, development of supraventricular tachyarrhythmias;
    • headache, dizziness, tinnitus;
    • decrease in blood pressure.

    Adults are usually prescribed azithromycin once daily in the form of 500 mg tablets. For children under 6 years of age, the antibiotic is released in syrup with a special measuring spoon or syringe (the dose must be calculated based on the age and body weight of the child).

    The minimum duration of antibiotic treatment for a throat is 3 days.

    Amoxicillin with clavulanic acid

    The combination of amoxicillin with clavulanic acid is often optimal for the treatment of bacterial pathologies of the oropharynx. The original drug is Augmentin. Amoxicillin is a penicillin antibiotic with a broad spectrum of action.

    Its molecules disrupt the integrity of the cell membranes of pathogenic pathogens, which leads to their lysis and death. Therapeutic concentrations of the drug are observed in most tissues of the body, including the respiratory epithelium. Azithromycin shows good effectiveness against most strains of staphylococci, streptococci, meningococci, and Haemophilus influenzae.

    Clavulanic acid is a specific inhibitor of penicillinases, enzymes that bacteria produce to break down antibiotic molecules. Its presence significantly expands the spectrum of action of the drug.

    "Augmentin", like other representatives of penicillins, is one of the safest drugs.

    It is allowed to be used during pregnancy and from the first weeks of a child’s life. But it also has one drawback - quite often there is hypersensitivity to it and allergic reactions develop.

    Moreover, if this side effect has already been observed in the patient previously when taking an antibiotic from the group of beta-lactam drugs (cephalosporins, monobactams, carbapenems and penicillins), then prescribing Augmentin is strictly prohibited.

    "Augmentin" is produced both in the form of tablets (825/125 mg and 500/125 mg) and syrup for children. The dose for a child should be calculated based on the weight of 25 or 45 mg of the drug per 1 kg of body weight, depending on the severity of the pathology. The antibiotic is taken two or three times a day. The course of drug therapy lasts 5-14 days.

    Ceftriaxone

    In inpatient settings, ceftriaxone, a third-generation cephalosporin drug, is often chosen for the treatment of bacterial tonsillitis. It penetrates well through all barriers in the human body and has a pronounced bactericidal effect.

    Like penicillins, ceftriaxone destroys the cell membranes of microbes.

    The antibiotic is characterized by low bioavailability when administered orally, so it is administered only intramuscularly or intravenously. The drug is excreted from the body primarily by the kidneys, but some is also excreted in the bile. The antibiotic acts on most pathogens of bacterial pharyngitis - staphylococci, streptococci, meningococci, pneumococci.

    The following side effects are possible when using ceftriaxone:

    • allergic reactions of varying severity (the appearance of a rash with severe itching, swelling at the injection site, the development of anaphylactic shock);
    • inhibition of hematopoiesis (increased risk of bleeding, severe anaplastic anemia, decreased body resistance to infections);
    • functional disorders of the digestive tract;
    • addition of a secondary infection;
    • interstitial nephritis with increased concentrations of urea and createnine in the blood;
    • pseudomembranous colitis;
    • transient increase in liver enzymes;
    • headaches, dizziness, feeling of general weakness.

    Ceftriaxone is available in powder form in vials. Before administering it, it is necessary to dilute the contents in physiological solution (water for injection). The drug for bacterial pathologies of the oropharynx is administered mainly intramuscularly 2 times a day, 1 g.

    If the patient’s condition is serious, the drug is switched to intravenous administration. For a child, the calculation is based on a dose of 50 mg per 1 kg of body weight for 2 separate administrations. The course of treatment with ceftriaxone is at least 5 days.

    Ampicillin with sulfbactam

    Another antibiotic that is often used in hospitals to treat bacterial pharyngitis or tonsillitis is Trifamox. It contains the penicillin antibacterial agent ampicillin and the bacterial enzyme inhibitor sulfbactam. Ampicillin is a classic bactericidal antibiotic.

    After intravenous or intramuscular administration, high concentrations in the respiratory system are recorded within minutes. Sulfbactam is similar in chemical structure to beta-lactam drugs and irreversibly inhibits a number of bacterial enzymes that break down antibiotic molecules.

    This allows you to overcome the resistance of the pathogen.

    Contraindications to the use of Trifamox are as follows:

    • the presence of hypersensitivity to beta-lactam drugs;
    • suspicion of infectious mononucleosis;
    • hematological pathologies (leukemia);
    • chronic inflammatory processes of the digestive system;
    • violation of the filtration function of the kidneys.

    Among the side effects, it is necessary to highlight allergic reactions, digestive disorders, the addition of secondary bacterial or fungal pathology, transient jaundice and interstitial nephritis.

    Cases of toxic effects on the central nervous system have been described, in which hyperkinesis, reactive agitation and headache were observed.

    Episodes of discoloration of the tongue and surface of the teeth have also been noted.

    Trifamox is available in powder form for intravenous or intramuscular administration, 500/250 mg or 1000/250 mg of ampicillin with sulfbactam. For adult patients, 1 g of the drug is administered 2 or 3 times a day. For children (depending on their age), 250 or 500 mg of ampicillin can be used. The course of treatment lasts 5-14 days.

    4 Antibiotics for pharyngitis in adults: review, names of drugs. . pain in the throat area of ​​varying intensity (acute, constant, sharp, etc. accumulation of mucus in the throat. It depends on the nature of the manifestation of symptoms.

    2 Are antibiotics prescribed for sore throat? 3 Classification of medications. . Catarrhal type, lasting 1–2 days. Its symptoms are chills, sore throat and a slight increase in temperature.

    This disease often manifests itself as a sore throat, difficulty swallowing, increased body temperature, etc. Therefore, antibiotics for angina in children are prescribed in the vast majority of cases on an outpatient basis.

    Antibiotics for tonsillitis are used in therapeutic regimens only if the bacterial origin of the disease is identified. . Then the general symptoms include: sore throat

    Determination of signs of sore throat in children. A sore throat and fever may be the first symptoms. . Infants are less susceptible to bacterial throat infections, so pediatricians are in no hurry to prescribe antibiotics to a child under one year old.

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    Similar articles

    4 Antibiotics for pharyngitis in adults: review, names of drugs. . pain in the throat area of ​​varying intensity (acute, constant, sharp, etc. accumulation of mucus in the throat. It depends on the nature of the manifestation of symptoms.

    2 Are antibiotics prescribed for sore throat? 3 Classification of medications. . Catarrhal type, lasting 1–2 days. Its symptoms are chills, sore throat and a slight increase in temperature.

    Source: http://med-antibiotiki.ru/lechenie/kakie-antibiotiki-effektivny-pri-boli-v-gorle/

    Antibiotic for sore throat

    Causes of sore throat

    In addition to bacterial and viral infections, sore throat occurs as a result of:

    • overstrain (failure) of the vocal cords in singers and actors, announcers and speakers, teachers, trainers, children after screaming;
    • staying in a smoky or dusty place for a long time or in a room with too dry air or caustic chemical fumes;
    • injury to the mucous membrane of the throat from fish bones, random foreign bodies, and hot food.

    When are antibiotics prescribed for a sore throat?

    It is useless to treat a viral infection with antibiotics. Antibiotics are prescribed to treat bacterial infections that cause sore throat. But first, you need to find out by culturing throat swabs about the sensitivity of the bacterial flora to certain antibiotics.

    Inflammation in the throat causes pain. Antibiotics are prescribed: injections, tablets, as well as lozenges, spray for inflammation of the tonsils in the throat - for tonsillitis or bacterial sore throat and cough. If the inflammatory process develops around the tonsils - on the mucous membrane of the pharynx and the throat hurts, then viral pharyngitis is diagnosed. Antibiotics will not help in this case.

    Antibiotics are prescribed if the following symptoms occur:

    • rapid rise in body temperature (above 38.5-39°C);
    • immediate development of sore throat (tonsils) and the appearance of pus;
    • enlarged submandibular and cervical lymph nodes;
    • deterioration of the patient’s general condition: spread of infection, which led to intoxication of the body, concomitant ear disease - recurrent otitis media, pneumonia or bronchitis, sinusitis or sinusitis.

    Rules for the use of antibiotics

    Each antibiotic should be taken as recommended by a doctor, maintaining the dosage.

    You can adhere to the general rules of admission:

    • if an antibiotic is used for 3 days and there is no effect, consult a doctor to adjust the therapeutic course;
    • if side effects appear in an adult patient or child: nausea, vomiting, diarrhea or dizziness, adjustment of therapy is also required or other antibiotics are prescribed;
    • You cannot independently adjust the therapeutic course: exclude, replace antibiotics, increase or decrease their dose;
    • during antibiotic therapy, it is necessary to restore the intestinal microflora with probiotics - lactobacilli and bifidobacteria;
    • tablets should be taken before or after meals, as prescribed by the doctor, with plenty of water;
    • A diet without fried, fatty, sour, smoked foods and alcoholic beverages is recommended.

    Pathogenic bacteria cause intoxication of the body in children and adults with weak immunity, and the antibiotics themselves also have a toxic load on the body. The situation is aggravated by eating heavy foods and drinking alcohol.

    Antibiotics for throat diseases

    The penicillin group includes antibiotics that are most effective in treating bacterial sore throat and getting rid of staphylococci and streptococci that cause inflammation and sore throat.

    The best penicillin antibiotic

    These can be injections and tablets of Amoxicillin, Augmentin, Penicillin, Amoxiclav, Bicillin-5, Ampicillin. These drugs have a minimal number of side effects on the body and have the best effect on bacterial microflora, especially the modern drug Amoxiclav.

    Antibiotics of the macrolide group

    Macrolides, for example, Spiramycin, Azithromycin, Erythromycin are considered effective in the treatment of sore throat in case of allergy to antibiotics from the penicillin group.

    Cephalosporins: pros and cons

    Severe conditions due to purulent sore throat, fever and sore throat can be alleviated by using tablets or injections of Ceftriaxone or Cephabol from the cephalosporin group. The rapid and effective effects of cephalosporins can be considered among the positive properties of the drugs.

    It is not recommended to immediately begin treatment for a sore throat if your throat hurts severely, with strong fluoroquinol and cephalosporin antibiotics. Bacteria quickly develop an addiction to them, so it will be difficult to treat severe forms of the disease with persistent fever. This is considered a disadvantage when using cephalosporins.

    How to choose a drug

    The medications are selected and prescribed by the attending physician. The use of fluoroquinols: Ofloxacin or Tsiprolet (tablets, injections) can be combined with the low effectiveness of penicillins and macrolides.

    When bacteria develop resistance to penicillin drugs and allergic reactions, treatment of a sore throat is carried out with an antibiotic with a wide spectrum of effects: Sumammed (macrolide), Siflox, Cefazolin, Cephalexin, Lendacin or Klacid.

    If a child or adult is allergic to penicillin, the broad-spectrum antibiotic Erythromycin (tablets and injections) is well suited for the treatment of bacterial sore throat. It aggravates the activity of bacteria, relieves fever and inflammation of the mucous membrane and is designed for longer treatment - up to 10 days.

    If a child or adult has a sore throat, especially when coughing, in addition to antibacterial therapy, the pathogen is suppressed with concomitant therapy: gargling with medicinal and herbal solutions, compresses, inhalations. Use spray and tablets (lozenges) for resorption.

    Local antibacterial drugs

    The local drug Trachisan has antimicrobial properties. It is used if there is pain in the throat, pharynx and in the oral cavity with tonsillitis, pharyngitis, gingivitis, stomatitis and swallowing disorders in a child or adult.

    Local antibacterial drugs with antimicrobial action include:

    • Gramicidin S, Gramicidin Neo (Valenta and with antiseptic) - lozenges. Active ingredient with additional ingredients: Cetylpyridinium chloride and Oxybuprocaine are not addictive to microorganisms. When absorbed, the secretion of saliva increases, so the throat, oral cavity and pharynx are cleared of bacteria. The tablets are contraindicated for lactating women;
    • Bioparox (spray) with the active ingredient Fusafungin. The spray is a local antibiotic to provide a pronounced anti-inflammatory effect. Cannot be used by nursing mothers and children under 2.5 years of age;
    • Stopangin 2A forte with the active ingredients Benzocaine and Tyrothricin. Refers to an antibiotic and anesthetic. Contraindicated for children, pregnant, lactating women and when conceiving a child.

    For coughs and sore throats, Strepsils, lozenges, is suitable for a child. After 3 years, the child’s throat is treated with the analgesic, anti-inflammatory and antiseptic drug Tuntum Verde (spray).

    For sore throats of a bacterial nature, antibiotics are prescribed by the attending physician. Sick people should follow the treatment regimen for the underlying disease and the rules for using medications. Changing antibiotics on your own, especially for a child, is contraindicated, as well as changing their dosage and course of treatment.

    Author: Anosova Nadezhda Mikhailovna,

    Source: http://moylor.ru/gorlo/antibiotik-pri-boli/

    Antibiotic for sore throat: review of the best drugs

    Many are confident that antibacterial drugs are the only way to quickly and safely treat. Such medications are sold in pharmacies without a doctor's prescription, but this does not mean that they can be taken for any disease.

    The most common complaint of patients when visiting a specialist is a sore throat, which can occur for various reasons. To prescribe effective treatment, the doctor conducts a thorough examination of the patient and, if necessary, selects drug therapy. In what cases is an antibiotic indicated for sore throat in adults and children, and when is it best to refuse treatment with it?

    Indications for prescribing antibacterial drugs

    Antibiotics are prescribed if the sore throat is caused by a bacterial infection

    In fact, a sore throat does not always require taking an antibiotic, especially without consulting a specialist. Such pain in the mouth may be one of the symptoms of a cold or a viral disease, for which such medicine is completely useless. In this regard, it is first necessary to find out the cause that provoked the appearance of sore throat and only then begin treatment.

    If the patient suffers from a sore throat, but the body temperature remains normal, then topical medications, for example, lozenges, can be used. If you have painful sensations in the throat that persist for a long time and are not replaced by other symptoms, you should definitely seek advice from a specialist. Often the cause of throat discomfort is infections of viral or fungal origin, for which antibiotics are considered a completely useless medicine.

    Antibiotics are antibacterial substances of predominantly natural origin, which have an inhibitory effect on the growth and development of pathogenic microorganisms, and also cause their death.

    When diagnosing a streptococcal infection, such medications are mandatory, since the lack of effective treatment can cause the development of serious complications.

    Antibacterial drugs are necessarily prescribed for acute tonsillitis, and in other cases their use depends on the type of throat pathology and the general condition of the patient. In what situations is taking antibacterial drugs absolutely necessary:

    • sore throat of bacterial origin
    • severe intoxication of the body
    • development of purulent complications
    • diagnosing pathologies such as sinusitis and sinusitis
    • presence in the patient's history of recurrent otitis media
    • sore throat combined with high body temperature for several days
    • chronic diseases of inflammatory origin
    • concomitant bronchitis and pneumonia

    In any case, only a specialist can prescribe antibacterial drugs, taking into account the possible risk of such treatment and its expected effectiveness.

    Antibiotics for the treatment of throat

    There are many types of antibiotics for treating the throat; the doctor can choose the right one after examination.

    Most often, antibacterial drugs for pain in the throat are prescribed for acute tonsillitis and these should be broad-spectrum drugs. Taking them does not reduce the duration of the disease, but allows you to get rid of unpleasant symptoms already on the third day after starting to take them. In addition, the prescription of broad-spectrum antibiotics helps to avoid the development of various diseases that often occur with sore throat.

    When a sore throat occurs, specialists most often prescribe antibiotics such as penicillins and cephalosporins. This is due to the fact that streptococcal infections experience increased sensitivity to these particular groups of drugs. Both natural and synthetic penicillins can be used for treatment. They have a destructive effect on many microorganisms, and are also characterized by good bioavailability and low toxicity.

    A good effect in the treatment of acute tonsillitis is provided by those antibacterial drugs that are administered intramuscularly.

    Taking into account the type of disease and the degree of the pathological process, penicillin can be prescribed for oral administration.

    Treatment of throat disease in adults is most often carried out with the help of:

    If a bacterial throat disease is identified in childhood, the following is usually prescribed for treatment:

    Useful video - Antibiotics for sore throat:

    It should be remembered that sore throat must be treated, because in the absence of effective therapy, the risk of it becoming chronic increases. If this does happen, the treatment is supplemented with antibacterial drugs that contain penicillic acid or its semi-synthetic analogues in a higher dosage. The most effective drug is Ampicillin, which has an inhibitory effect on bacterial growth.

    If a patient is diagnosed with a sore throat without a rise in body temperature, then treatment is carried out using:

    Antibacterial therapy often causes the development of side effects from the digestive tract. It is for this reason that experts prescribe special medications that help restore normal intestinal microflora and ensure normal liver function.

    Antibiotics during pregnancy

    Antibiotics are prescribed to pregnant women if other treatment methods are not effective.

    Taking any medications during pregnancy is carried out only under the supervision of a specialist, and this is especially true for antibiotics. Usually they are prescribed only when the real benefit of taking them for the expectant mother outweighs the possible harm to the fetus.

    In most cases, antibacterial therapy is resorted to during pregnancy if a high body temperature persists for several days, which cannot be brought down by any means.

    Expectant mothers are prescribed gentle antibacterial drugs with a minimum concentration, which are absorbed into the blood in small quantities and have a local effect. These include:

    • Doctor Mom lollipops containing phytocomponents
    • lollipops with sage or chamomile, which can be purchased at any pharmacy
    • Inhalipt spray, which helps reduce tissue swelling and speed up the healing process
    • Bronchicum containing herbal components is suitable for the treatment of young children
    • Orasept spray with phenol has an antimicrobial effect and quickly eliminates tissue inflammation
    • Faringosept is an antiseptic drug and helps not only eliminate unpleasant symptoms, but also relieve inflammation

    It is important to remember that during pregnancy it is prohibited to use an antibacterial agent such as Bioparox. Despite its high effectiveness, this drug is considered a local antibiotic and can have a negative effect on the woman’s body and the developing fetus. Only a specialist can prescribe medications to expectant mothers to treat the throat, so any self-medication should be avoided.

    Rules for taking antibiotics

    Antibiotics are only effective and beneficial medicines when taken correctly!

    For any throat disease, the prescription of antibacterial drugs is carried out taking into account the sensitivity of the pathogen to it. One type of medicine can have a detrimental effect on cocci, others on bacilli, and still others have a broad spectrum of antimicrobial activity. Penicillin is considered an active antibiotic against streptococci, so it is most often prescribed for sore throats.

    This antibiotic does not have a negative effect on the intestinal microflora and does not cause any disorders of the gastrointestinal tract, as often happens when treated with other drugs.

    There are some rules for taking antibacterial drugs, the observance of which is mandatory when treating sore throat:

    1. Any medicine may cause side effects, and if they occur, you should stop taking them and consult your doctor
    2. You cannot stop taking an antibiotic at your own request, even if the patient’s condition has noticeably improved
    3. if it is possible to carry out treatment with drugs of a narrower group, they should be given preference for throat diseases
    4. you cannot use the same antibacterial agent to treat a disease several times in a row, since the risk of developing severe allergic reactions is too high
    5. It is necessary to take antibiotics in a strictly specified dosage and you cannot reduce or increase it yourself
    6. Before starting antibacterial therapy, it is necessary to study the instructions that come with any medicine
    7. any local or systemic antibacterial drug should be prescribed only by a specialist

    In fact, not everyone can take antibiotics to treat throat diseases, and there are contraindications for some categories of people to undergo such treatment. The following patients should not take antibiotics:

    • women during pregnancy or breastfeeding
    • patients suffering from allergic reactions to various medications
    • patients diagnosed with renal or liver failure, as well as chronic diseases of such organs

    Treatment of sore throat is carried out not only with antibacterial drugs, but also with the help of concomitant therapy. To speed up recovery, the patient is recommended to gargle with medicinal solutions, use compresses and do inhalations.

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    Comments (6)

    Arina

    01.02.2017 at 13:34 | #

    I don’t like heavy antibiotics, so I treat a sore throat with Trachisan, which is a topical antibiotic. After these absorbable tablets, the throat becomes easier, the pain subsides and the swelling goes away.

    03/27/2017 at 22:12 | #

    I am also treated with Trachisan, I like the menthol taste and the fact that it quickly soothes my throat. This is important for my work. Usually everything goes away in a few days.

    Natasha

    02/10/2017 at 14:06 | #

    I don't support antibiotics at all. Therefore, at the first symptoms of soreness and discomfort in the throat, I dissolve Isla-Moos lozenges. They relieve inflammation and moisturize the throat mucosa. Symptoms causing discomfort in the throat disappear.

    03/29/2017 at 21:33 | #

    Come on, the antibiotic, I’m not delaying it. I immediately start gargling my throat; if you start on time and are not lazy, you can get rid of a red throat in a few days. I’ve also been drinking since the first day, when I feel like I’m getting Esberitox. There, echinacea in the composition perfectly helps fight colds.

    Amalia

    09.09.2017 at 11:23 | #

    I also don’t welcome antibiotics, but I rarely go without them. It’s good that eco-antibiotics have now appeared, such as ecoclave, which do not disturb the intestinal microflora, thanks to lactulose in the composition. The doctor prescribes it for me and of course I always have Tantum Verde on hand, I can’t live without it either)

    09.11.2017 at 18:11 | #

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    List of topical antibiotics for treating throat

    Unpleasant sensations in the throat, pain, discomfort, dryness - all these sensations are well known to people who have at least once had a sore throat, laryngitis or tonsillitis. Only antibacterial therapy will help get rid of pain, but provided that the disease is caused by the active reproduction of pathogenic microorganisms.

    Sprays

    This form of release is considered the most convenient; the use of sprays helps:

    1. Deliver the substances directly to the site of inflammation.
    2. Reduce the likelihood of side effects.
    3. Minimize the risks associated with antibiotic use.

    The spray allows you to deliver the antibacterial component directly to the site of inflammation. This is its undoubted advantage; in addition, the drug contains not only antibiotics, but also local anesthetics. They help reduce the severity of pain and significantly improve the patient’s well-being.

    Antibiotics stop the growth and reproduction of pathogenic microorganisms. Since the substances do not enter the bloodstream, their use is not associated with serious risks.

    The local antibiotic is good because it does not enter the bloodstream, which means it does not have a strong toxic effect on the body as a whole.

    Among the sprays, the Bioparox spray was popular, but its production was discontinued because the component Fusafungin, which was part of the composition, affected the functioning of the respiratory system and could cause a spasm, leading to the development of asphyxia.

    For obvious reasons, the drug Bioparox was discontinued in April 2016. It is worth noting that the spray does not have exact pharmacological analogues (for the active substance).

    There are several medicines that contain antibiotics and are used to treat sore throat, sore throat, laryngitis and other diseases:

    An excellent remedy for treating laryngitis at the first symptoms

    All these drugs contain antibacterial components and can be used as prescribed by a doctor.

    You should not prescribe such sprays yourself, since they are effective only in the event of a bacterial infection.

    These drugs are considered safe, they should be used according to the instructions, and can be combined with gargles or other procedures aimed at eliminating the main signs of sore throat.

    Many sprays contain not only antibiotics and antiseptics, they also contain extracts of beneficial plants, they soften an irritated throat and help get rid of pain faster.

    Lozenges and lozenges

    Antibiotics in the form of lollipops and lozenges are no less popular than various sprays; they are used to treat:

    Medicines may be part of a combination therapy or be the main component of treatment. Such medications are highly effective, have a local effect and are not highly toxic.

    Names of sore throat lozenges that contain antibiotics:

    • Grammidin is a combination drug that contains antibacterial components, stops the inflammatory process and effectively affects the proliferation of pathogenic microorganisms. The drug is used to treat diseases of the mouth and throat. Gramicidin C is considered the main active ingredient of the drug; it increases the permeability of bacterial membranes.

    Excellent for removing bacteria from the throat cavity

    Complex tool. but it is best to use as prescribed by a doctor to determine the dosage

    Should only be used as directed and should not be given to young children

    These are 3 drugs that contain a topical antibiotic. It is advisable to use them under the supervision of a doctor. If it is not possible to see a doctor, then it is best to give preference to antiseptics.

    The list of these drugs may include:

    Can be purchased with or without fruit flavor

    Antiseptics stop inflammatory processes in tissues and reduce their swelling, but such drugs cannot stop the proliferation of pathogenic microorganisms.

    What remedies can be used to treat children?

    Not all medications are used in pediatrics; preference is given to medications that have minimal toxic effects on the body. As a rule, drugs for children:

    • have a minimum of contraindications;
    • do not cause severe side effects;
    • well tolerated;
    • contain plant components.

    When treating children, preference is given to natural drugs. Homeopathic medicines will help if you have a sore throat. But such drugs are unable to stop the development of a bacterial infection.

    Indications for prescribing an antibiotic:

    1. Significant increase in body temperature in a child.
    2. Severe pain when swallowing, breathing, talking.
    3. Increased size of lymph nodes.
    4. Signs of body intoxication.
    5. Dry throat, plaque on the tonsils.

    If such signs appear, it is advisable to show the child to a doctor, undergo the appropriate tests, and only then resort to antibiotics.

    Sprays that can be used to treat children:

    Can also be used for children. but you should watch the dosage

    All of the above drugs can be used to treat children, but they have their pros and cons. If the child is not satisfied with the taste of the medicine, then you can replace it with another one.

    Sprays often contain a component such as ethanol. In pediatrics, the use of ethanol is not recommended; for this reason, some topical antibiotic preparations have age restrictions. Often they are associated not with the toxic effect of the drug, but with its base. For this reason, before starting to use the drug, you should consult a doctor or at least carefully study the instructions.

    Lozenges are not used to treat children under 6 years of age. Because there is a high risk that the baby will swallow a lollipop or tablet and choke on it.

    From the age of 6, you can give your child lollipops or lozenges, having first explained to him the principle of action of the medication and that he is required not to chew the tablet, but to slowly dissolve it.

    List of drugs used in pediatrics

    1. Koldakt Lorpils (for children over 12 years old).

    This product should only be used by adults or teenagers, but monitor the dosage when using

    These tablets do not contain sugar and are not addictive.

    Lizobakt and Strepsils have nothing to do with antibiotics - they are antiseptic drugs.

    Local antibiotics are highly effective drugs, but they will not help if the cause of the disease is not bacteria, but viruses. Therefore, it is advisable that a doctor prescribe antibacterial therapy, and the treatment is carried out under his supervision.

    Source: http://prolor.ru/g/lechenie/mestnyj-antibiotik-dlya-gorla.html

    Treating a sore throat with antibiotics

    If you have a sore throat, should you pay attention to it and start treatment immediately? Of course it's worth it. But how to treat it? Are antibiotics always needed for a sore throat?

    Why does my throat hurt and how can I cure it?

    The throat can hurt for various reasons, and different medications are needed to eliminate them. It’s good if you can see a doctor (preferably an ENT specialist), but you can also see a therapist, who will make a diagnosis after an examination.

    If for some reason this is not possible, you can try to independently determine the cause of the disease. To do this, look at the throat (or ask someone to look), paying attention to the back wall, tonsils (otherwise known as tonsils) and the arches of the pharynx, behind which the tonsils are hidden.

    • If the mucous membrane is red, purulent plaque and plugs on the tonsils are visible, then this is a bantybacterial infection, or sore throat. It is for its treatment that antibacterial drugs are used.
    • If the mucous membrane is red and a fine blistering rash is visible, it is most likely a viral infection. Antiviral drugs are suitable for its treatment.
    • If the mucous membrane is red and a white thread-like coating is noticeable, this may be a fungal infection; it must be combated with antifungal drugs.
    • If your throat hurts, there is redness or is not clearly visible, and it is difficult to open your mouth, then you should urgently consult an ENT doctor. It could be an abscess, another complication, or even a tumor. In this case, qualified medical assistance is needed, and self-medication is contraindicated.

    Cases when taking antibacterial drugs is mandatory:

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    • Sore throat of bacterial origin
    • Pneumonia
    • Bronchitis
    • Severe and prolonged intoxication of the body
    • Advanced disease causing purulent complications
    • Detection of sinusitis and sinusitis, recurrent otitis media
    • A persistently high temperature that causes discomfort in the throat
    • Other chronic inflammatory diseases

    For throat diseases, antibiotics are quite effective, but we must not forget that they fight not only pathogens, but also native human microorganisms, killing beneficial flora of the oral cavity, weakening local immunity, disrupting intestinal flora, which can cause dysbiosis.

    Why go to the doctor if your throat hurts?

    Despite the fact that the pharmacy will sell you drugs of this group without a prescription, it is still worth seeing a doctor for several reasons.

    • A specialist will assess your condition and make the correct diagnosis. He will determine exactly what drugs should be treated, whether the use of antibiotics is justified in this case, whether the use of one drug will be enough or whether a combination of drugs is needed.
    • The doctor will clarify what medications you were treated with before, how your body reacts to certain medications, and prescribe the optimal therapy specifically for you. This is important because an incorrectly selected medication may simply be ineffective or may cause severe allergies.
    • Your doctor will recommend the most effective medications for sore throat based on your condition. The specialist has extensive experience in treating diseases and, based on the statistics available to him, he will prescribe a drug that helps more often and more people.

    Please note: if you want to choose antibacterial agents to treat a child’s throat, then you should definitely contact a pediatric ENT doctor. Firstly, dosages and treatment regimens designed for adults may not help the baby and may even cause harm. Secondly, a combination of several drugs is usually used to treat childhood sore throats; the specialist will probably know which drugs will interact better and speed up recovery.

    What type of antibiotics is suitable for the throat?

    The first will begin to act directly on the diseased mucosa, and the second will reach the source of infection along with the bloodstream when it is absorbed into the intestinal mucosa.

    You need to choose based on how severely the disease has developed:

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    • If the sore throat is not too severe (there is not a large amount of plaque and purulent plugs), you can limit yourself to topical medications for the throat. This will speed up the treatment process and reduce the harmful effects of this type of medication on the intestinal mucosa.
    • If the sore throat is severe (with a lot of purulent plugs and plaque), then antibiotics should be taken both locally and orally. In this case, consulting a doctor is strictly necessary.

    Topical medications come in mainly two types: lozenges and aerosol or throat spray. You can choose the form of medication that seems most convenient to you.

    You can also use both types of medications, alternating them, but in this case you must strictly adhere to the dosage and number of doses. To do this, you need to either carefully study the instructions for use or consult a doctor for advice.

    If you do not want to take two drugs from the same group, then you can combine throat tablets with an antibiotic and an aerosol with antibacterial substances, for example, sulfonamides (Ingalipt). In addition to using certain medications, you can gargle and gargle with special solutions with antiseptic and anti-inflammatory effects.

    Treatment will proceed faster if you follow a few simple rules:

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    • Use a spray (for example, Bioparox) or throat tablets containing an antibiotic (for example, Grammidin), and also regularly gargle, for example, with a solution of soda, salt and iodine;
    • After the next procedure, it is extremely undesirable to eat or drink for half an hour, because at this time the effect of the components of the drug takes place;
    • It is advisable to treat the throat and oral cavity with an antibiotic every 3 hours; rinsing with other means is allowed more often, but with an interval of at least 1.5 hours;
    • Even if noticeable symptoms have passed and the sore throat does not bother you, you should complete the course of treatment to the end in order to completely get rid of harmful bacteria and prevent the disease from reoccurring.

    What antibiotics to take for a sore throat

    The following groups of drugs are mainly used:

    Penicillins

    • Amoxicillin is a semi-synthetic drug with a broad spectrum of action. This is the most popular antibiotic prescribed for sore throat in adults and children.
    • Panclave
    • Amoxiclav

    Cephalosporins

    Many doctors try to avoid prescribing this group of drugs because they have fairly low bioavailability. But if penicillin is contraindicated, the following drugs are prescribed:

    • Cefixime is a 3rd generation semisynthetic antibiotic
    • Unidox Solutab. This is an antibacterial agent belonging to the tetracycline group.
    • Aksef
    • Pantsef. A broad-spectrum drug with a pronounced antimicrobial effect. Release form: granules for self-production of suspension or tablets. Moreover, the suspension is widely used in pediatrics as an antibiotic for a sore throat in a child, which can be used from 6 months.
    • Zinnat
    • Ceforal solutab. The drug is an antibacterial and bactericidal agent.

    Fluoroquinolones

    • Ciprofloxacin
    • Moxifloxacin
    • Ofloxacin

    Macrolides

    The most popular include:

    These medications are very strong, so they are taken no more than once a day.

    Lincosamides

    Tablets for the treatment of throat with an antibiotic of this group are notable for the fact that they have virtually no disadvantages in the treatment of bacterial sore throat compared to drugs from other groups.

    Most often prescribed:

    Lincosamides are taken 4 times a day, which is due to their rapid half-life from the body.

    How to take antibacterial agents correctly for a sore throat

    Despite the specific features of taking medications, the general rules include the following:

    • Only a doctor should prescribe treatment and dosage, taking into account the existing indications, stage of the disease and medications that the patient has previously used.
    • Independent increase or decrease in dosage is prohibited
    • To assess the effectiveness of treating a throat with antibiotics, 3-4 days are usually sufficient. After this period, if the condition improves, the previous course of therapy continues, and if the disease progresses, it is adjusted.
    • If side effects are detected (diarrhea, dizziness or nausea), you should consult your doctor to decide whether to adjust or discontinue the prescribed drug.
    • If you have a sore throat, it is recommended to combine the antibiotics used to treat it with taking probiotic medications, which will help maintain the intestinal microflora at the proper level.
    • You should strictly adhere to the instructions included with the drug. If it says that the medicine should be taken before meals, that’s exactly what you should do.

    Contraindications

    The following categories of patients are prohibited from taking this type of medicine or therapy should be carried out only with the permission of a doctor and under his strict supervision:

    • Pregnant women. Any antibacterial drugs during this period are contraindicated, except in cases where the body temperature is high and cannot be reduced by other methods, or the use of this group of drugs is necessary to treat a disease that threatens the life of the expectant mother or fetus.
    • When feeding a baby with breast milk.
    • Patients with renal or liver failure, as well as chronic diseases of these organs.
    • Allergic reactions

    Why does my throat continue to hurt?

    Unfortunately, the appearance of fungi is natural; they develop because the microflora of the oral mucosa was disrupted under the influence of the above agents. In this case, it is necessary to take antifungal drugs, for the prescription of which it is again advisable to consult with an ENT doctor.

    You will be offered several local treatment options:

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    • Rinse (for example, with the drug Miramistin)
    • Throat spray (eg Hexoral)
    • Lozenges (for example, Nystatin).

    If you do not notice a white coating, or your throat continues to hurt even after antifungal treatment, then you should consult a doctor urgently. Only a doctor can find out the cause of persistent inflammation, exclude or confirm the presence of an abscess, tumor, complications and prescribe appropriate treatment.

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    5. 1

    (3 votes, average: 5 out of 5)

    Thank you for the publication, everything is written very correctly!

    The antimicrobial tablet Trachisan always helps me well. The topical antibiotic contained in the composition acts only locally. At the same time, it heals the throat with a bang. In a few days, inflammation and other unpleasant symptoms of a sore throat disappear.

    I try not to use antibiotics when treating my throat. For laryngitis, my ENT doctor prescribed me inhalations with soda and Isla-Mint lozenges. The throat recovered within a few days. The discomfort has passed.

    I do not take these drugs just like that, only as prescribed by a doctor and under his supervision. And local treatment helps me a lot for my throat. I just dissolve Trachisan 4 times a day, I can also rinse with calendula. Everything goes away in a few days.

    With the arrival of autumn, my daughter begins to have a sore throat and a cough. This time she became seriously ill in October. We went to the doctor - he heard wheezing in the lungs. Prescribed me to take Azitral. From the first day the condition improved: the cough decreased.

    Source: http://medspravochnaja.ru/bol-v-gorle/lechenie-boli-v-gorle-antibiotikami.html