What antibiotics to take with cystitis in women

Cystitis of the frequently encountered disease of the bladder.Inflammation of the bladder mucosa is caused by pathogens.

More often, women are sick with cystitis in connection with the features of the anatomical structure of the genitourinary apparatus.Inflammation of the bladder is accompanied by acute pain, to eliminate which antibiotics are used for cystitis in women - products that can quickly destroy microbes and relieve pain during the period of exacerbation of the disease.

In order for the treatment process to be effective, you should strictly adhere to the doctor's recommendations.An independent remedy can be ineffective and provoke undesirable consequences.

Symptoms

This disease is determined by the following signs:

• frequent urge to urination, despite the time of the day, while the liquid flows little;
• The process of urination is accompanied by illnesses in the area of the bottom of the abdomen and genital organs (burning and rubber);
• Often, the calls to urination are false in nature;
• In the urine, hematuria (blood discharge), urine with a bad smell can be observed;
• pain, in the lower abdomen, giving to the lower back;
• The acute form of cystitis proceeds with nausea, headache and temperature.

Most often, cystitis begins after the penetration of pathogenic bacteria into the urethra, so antibiotic therapy is used to destroy the pathogenic flora.

What antibiotics are suitable for treatment?

The choice of an antimicrobial agent is carried out empirically, this is due to the predictable spectrum of pathogens that cause inflammation.

However, a number of requirements are presented to the drug:

• antibiotics for cystitis and urethritis in women should have the most wide range of action and cover the entire range of pathogens;
• create high concentrations in the urine;
• have a low resistance in pathogenic flora;
• Nephrotoxicity should be absent.

At the moment, it is recommended to prescribe antibiotics from cystitis for women in short courses.Such a treatment regimen has established itself well and has a high level of effectiveness.Long courses are assigned to heavy chronic forms with frequent relapses.Three and seven -day courses are distinguished by duration.

A one -time use of the drug is usually not effective and has a high risk of repeated inflammation or a complete absence of a clinical effect after taking.Such treatment is possible only in the case of light acute cystitis that arose for the first time.

List of antibiotics for cystitis in women

The choice of the drug depends not only on the pathogen, but also on the form of its course.In an acute and chronic course, different antibiotics can be prescribed for the treatment of cystitis in women with an individual treatment regimen.

The list of top 6 of the most popular antibiotics for cystitis is presented in the table:

Phosphomicin	It is considered the most effective antibiotic of a wide range, it is used in acute course.In a suspension format, it is faster delivered by a blood flow to the area of inflammation and begins to affect the focus of infection.Two days are enough until a complete recovery.It is possible to use in pregnancy.
Norfloxacin	II generation fluoroquinolones.When the pathogens of the disease are resistant to other antibacterial drugs, it shows good results and getting rid of pain.Release format - tablets.
Roxytromycin	The macroline category is effective against gram -positive and gram -negative bacteria.The course of treatment is one week.Dosage 150 mg per day.
Pipemidic acid	Refers to chinolons.In accordance with the dosage, it has bactericidal (large doses) or a bacteriostatic effect (small doses).It is produced in tablet form, suppositories and capsules are also made.Contraindicated to pregnant and lactating.The duration of therapy is 6-10 days.
Furazidin	The nitrophuranary row, the peculiarity of this tool is a slowly developing stability of microorganisms, which means high therapeutic properties.The terms of therapy are 10 days, it all depends on the course of the disease.
Navidix acid	It has a negative effect on all categories of bacteria that cause changes in the urinary system.Assign the course - a week.

Antibiotics in cystitis are required in the list.Inflammation easily goes into a chronic form or captures other parts of the genitourinary organs.Pyelonephritis becomes a frequent complication - kidney inflammation.Therefore, you need to drink the prescribed drugs to the end.

Important!If cystitis does not pass after taking antibiotics, it means that the dosage is incorrectly selected, the course was not carried out to the end or the pathogen is not determined.

Many microorganisms show high resistance to means used against them.Therefore, if the status does not occur, it is necessary to change the product to another.In this case, drugs of another group are usually used.

Penicillins

Penicillin preparations have limited use for cystitis.This is due to a decrease in efficiency due to the development of resistance in microorganisms.However, penicillins have high safety indicators, which allows them to be used for therapy in children and pregnant women.

Now amoxicillin preparations with clavulanic acid are prescribed.

Cephalosporins

Cephalosporins are beta-lactam antibiotics with a bactericidal effect.To date, 5 generations of these drugs are distinguished, but only the first three are used in urology.Cephalosporins are considered only with the safest drugs among antibacterial agents.

For the treatment of cystitis, such drugs are prescribed:

• Cofuroxim.
• First generation (cephasolin and others) preparations are rarely used due to the resistance of microorganisms.

Cofuroxim is prescribed 0.4 g 1 time or 0.2 g 2 times a day to adults.The dosage for children depends on their age and body weight.

Tetracyclines

This group of therapeutic agents refers to synthetic antibiotics.Tetracycline possess a bacteriostatic effect, that is, they inhibit the reproduction of microorganisms.They are used today for the treatment of cystitis in the event that standard therapy with phosphomicin and nitrofurans was ineffective.

The most commonly used:

• tetracycline;
• doxycycline.

Take a doxycycline at 0.1 g one or twice a day.It is advised to additionally monitor the function of kidney and liver function every 3 days of taking the drug.

Phosfomicin Trometamol

The drug owns a strong bactericidal effect against the intestinal stick, enterococci, staphylococci, Klebsell, protrus and other pathogens, and are produced in the form of bags of powder.

Apply this tool once 2 hours after eating before bedtime.In this case, the contents of the bag must first be stirred in a small amount of water (about a third of a glass).A single dose for adults is 3.0 g of the drug.In some cases, after 24 hours, you need to repeat the reception.

Phosfomycin is practically not metabolized in the patient’s body and most of it is excreted by the kidneys.At the same time, in the urine, 4-6 hours after taking, the therapeutic concentration of the drug is achieved, which remains for more than two days.In addition, the drug has several advantages:

• convenience of one -time use;
• low side effects when using;
• limited contraindications (severe renal failure, child's age under 5 years);
• The drug is allowed to use during pregnancy.

Antibiotics in chronic cystitis

In the transition of infection to the chronic stage, empirical therapy with antibiotics is unacceptable.Without fail, before the prescription of antibacterial drugs, it is necessary to conduct a microbiological examination of urine.With it, they also study the resistance of the strain of bacteria to specific therapeutic agents.This allows the attending physician to choose antibiotics in chronic cystitis, which will be most effective for a particular patient.

There is an opinion that this form of pathology is rarely an independent disease.Therefore, such a patient should be comprehensively examined not only the genitourinary organs, but also other body systems.Particular attention is paid to possible immune disorders and foci of chronic infection in the body.

Formorchinolones (ciprofloxacin, offloxacin, norfloxacin) or other reserve drugs from the list are mainly prescribed - tetracycline, third -generation cephalosporins, macrolides.The course of their reception lasts at least 7 days.At the same time, it should be supplemented with various non -drug methods of treatment:

• surgical intervention with anatomical defects and/or the presence of foci of chronic infection;
• careful hygiene;
• selection of comfortable underwear;
• treatment of immune disorders;
• temporary deduction from sexual contacts.

Contraindications

Antibiotics for cystitis in women should be used after studying the clinical picture of the disease, diagnostic studies and deciphering tests on the susceptibility of pathology as a certain group of substances.Self -medication with antibiotic therapy is unacceptable.

Most antibiotics for women have the following contraindications:

• severe impaired liver function;
• kidney inflammation;
• pregnancy;
• the presence of allergic reactions;
• Problems with the functioning of the heart muscle.

How to take antibiotics correctly

In the treatment of antibiotics of inflammation of the bladder, it is necessary to observe a number of rules for the use of antibacterial drugs that will help to undergo a course of therapy without prejudice to the body and maintain your health:

1. Only those drugs that the attending physician prescribed should be taken;
2. For high effectiveness of treatment, it is better to pre -sow microflora for resistance to drug groups of antimicrobials;
3. Strictly observe the time intervals established by the doctor between the techniques of the tablets.If the time has passed the time, you should not increase the amount of the drug next time.It is better to take the medicine at once, as they remembered about it, and continue to continue in accordance with the recommendations of the doctor;
4. Do not take antimicrobial drugs on an empty stomach in order to avoid intensive contact of the active substance of the drug with the mucous membrane of the stomach.This will help to avoid undesirable phenomena from the organs of the gastrointestinal tract.Before using antibiotics, you should arrange a light snack for yourself;
5. Antibiotics from cystitis should be taken at least three days and no longer than two weeks, which is an average of 1 week.Long -term intake of drugs is justified in cases of the elderly of the patient, the presence of diabetes in a patient, with a recurrent course, as well as in the treatment of men.Do not stop taking the drug prescribed by the doctor, even if all pathological signs of the disease have disappeared;
6. Before starting treatment, you should definitely read the leaf-plane.The instruction usually indicates the most optimal fluid option to drink the drug;
7. During the entire course of therapy, antimicrobials should take probiotics recommended by the doctor.This will help maintain the normal balance of microflora;
8. During the use of antibiotics, alcoholic beverages, fatty, fried, smoked and sour products should be excluded from use.Such a diet should begin to be observed immediately, as soon as the first tablet was accepted.

The correct use of antibiotic agents will help to carry out treatment as efficiently as possible and without the appearance of undesirable reactions from the body.In addition to antibacterial drugs, the doctor in complex treatment also includes anti -inflammatory, painkillers, antispasmodic and, if necessary, other groups of drugs.

Additional treatment

A heavy drinking regime with the exclusion of alcohol, soda, strong and sweet tea, and coffee is recommended.Compliance with the basic principles of the 5th diet on Pevzner is shown.

Non -steroidal anti -inflammatory are used to limit the zone of damage and blocking of inflammation mediators.In acute cystitis, systemic anti -inflammatory treatment (nimesulide, diclofenac) is prescribed.These drugs also have a pronounced analgesic and antipyretic effects.

In the framework of chronic cystitis therapy, washing and instillation of the bladder with antibacterial and anti -inflammatory drugs is used.Use solutions of furatsillin, boric acid, protargol, collargol.

1. With a pronounced pain syndrome (or delay in urination in men), the purpose of painkillers and antispasmodics (drootaverin hydrochloride, hydrocarbrate, papaverine hydrochloride) is also shown.
2. To eliminate the edema, the use of antihistamines (furnithydroin Napazheilate, Loratadine, Diphenhydracin hydrochloride) is shown.
3. Effective immunomodulating therapy is effective.
4. From the means of traditional medicine, the use of infusions and teas from yarrow, chamomile, lemon balm, motherwort, thyme, St. John's wort, and mint is shown.

It is important to remember that many herbs are contraindicated during pregnancy and lactation, also herbal medicine is not used in the presence of allergic reactions to this plant.