Augmentin with genyantema

Antibiotics for sinusitis

Antibiotics for sinusitis sometimes become the only solution to the problem, because they help get rid of the infection or the virus and, thus, "clear" the maxillary sinuses from accumulated pus. Treatment should appoint a doctor who will choose the optimal drug depending on the course of the disease and the patient's condition.

Genyantritis (maxillitis) - a very common disease, which is of an infectious nature and is accompanied by an inflammatory process in the mucosa of the maxillary sinuses. This is a kind of sinusitis - inflammation of the mucous membranes of the paranasal sinuses. The main reasons for the development of maxillitis can be viral and bacterial infections that cause a prolonged runny nose, usual hypothermia, fungal infection, complication of the flu or ARVI, various allergic factors.

Common symptoms are headache, fever, facial hypersensitivity, soreness in the eye and forehead, and abundant discharge from the nose. Inflammation provokes a violation of the outflow of secretion, which is secreted by the mucosa of the maxillary sinus, which, in turn, leads to the development of the disease. Under the influence of pathogenic microbes, the mucus turns into pus. If the genyantritis is not treated, it will go into a chronic form.

Symptoms are smeared, but with pronounced sensations in the form of tension or pressure in the area of ​​the inflamed sinus, profuse secret secretion from the nose, difficult respiration, as well as headache, which is aggravated with head inclinations, or pain giving to the teeth, there is every reason to believe about the development of the inflammatory process in the maxillary sinuses.

As a rule, the cause of the disease is a pathogenic or conditionally pathogenic bacterial flora. To treat this disease, antibiotics are used in various forms - tablets, sprays, nasal drops, and also ampoules for injections. To determine the most suitable antibacterial agent, it is necessary to conduct a special study to determine the sensitivity of the causative agent of an infection to a particular antibiotic. Usually, the doctor sends the patient to the procedure for taking a bacterial swab of a nasal smear. Based on the result of the analysis, you can choose the drug to which the pathogen will be most sensitive.

Treatment of the disease is usually prescribed, if during the first 7-10 days the use of other methods (washes, inhalations, instillations of the nose) did not give the desired result. Modern antibiotics can save a patient from sinusitis in just a few days. They can be released in various medical forms: in the form of tablets, sprays, drops, solutions, injections. The doctor can prescribe the taking of several drugs at the same time to alleviate the patient's condition and accelerate the recovery process.

The choice of an antibiotic from a genyantritis is best entrusted to the skilled medical expert, - self-treatment can not give results. So, for example, if the development of maxillitis caused some fungal infection, taking the medicine may become ineffective. In this case, you need to "connect" antifungal drugs, as well as corticosteroids.

When treating a disease in chronic form, it is necessary to conduct a study to identify the true cause of the disease. It can be pathology in the adenoids, curvature of the nasal septum and even banal caries. Only by eliminating the main cause of pathology, you can continue to fight its consequences.

Antibacterial treatment of sinusitis in adults

Before starting medication, you should consult an experienced medical professional. It is he who will assess the severity of the disease and select the most appropriate drug.

Treatment in adults takes place when there is an acute course of the disease, or the chronic form has caused serious complications. In some cases, the patient is placed on inpatient treatment. He is prescribed bed rest and treatment with effective antibacterial agents. In most cases, intensive therapy produces positive results, and the patient quickly goes on to recover. In severe situations with complications, punctures of the maxillary sinuses are applied.

Usually, macrolides, penicillins and cephalosporins are used to treat adults. These include: Augmentin, Amoxiclav, Azithromycin, Amoxicillin, Ampiox, Cephazoline, Macropen, Ceftriaxone (often used to neutralize the acute phase), Cyphran, etc. The selection of an antibacterial agent depends on the general condition of the patient, the degree of complications associated with maxillitis, and other factors. Usually the course of treatment is no more than 7 days. If necessary, intramuscular injection should be a special test for sensitivity. The chronic phase is treated, as a rule, by penicillins, in particular, by Augmentin. From chronic forms get rid of longer - on average, such treatment is 2-3 weeks.

Any skin rashes may indicate an allergy. In this case, the medication should be discontinued and consult a doctor to decide on the choice of an alternative remedy. Often together with antibiotics, antihistamines and corticosteroids are prescribed, whose action is aimed at reducing edema, reducing inflammation and preventing allergies.

The most effective at treatment of a genyantritis at adults for today are considered cephalosporins. Already on the second day after their administration, a significant improvement in the patient's condition is observed, unpleasant symptoms disappear, breathing is facilitated.

The choice of antibacterial agents today is quite extensive, but the purpose of treatment should be done by an ENT doctor. So, he can attribute antibiotics in the form of tablets, powder for the preparation of injections, sprays, suspensions and drops. The most effective forms of release of antibacterial agents in medical practice are considered to be injectable solutions. Without a qualified consultation of a medical specialist, treatment will not produce the desired results and will practically be meaningless.

Antibacterial treatment of sinusitis in children

Antibiotics for sinusitis for children's treatment are used only in rare cases, with the advanced stages of the disease, which have passed into chronic forms when it comes to serious dangers for life of the child. The fact that drugs of this type can have a very negative impact on the health of the child in the future, because often affect the liver and disrupt the intestinal microflora. The optimal dosage form of an antibacterial drug is selected depending on the age of the child. It can be both tablets and injections.

How to recognize sinusitis in a child? The main symptoms of this disease in most cases are puffiness of the face, a headache that increases with corners or head inclinations, prolonged cold for more than 7 days, accompanied by severe nasal congestion and runny nose, reappearance temperature.

Antibiotic is selected taking into account the state of the baby, the course of the disease, as well as the complications that have appeared. Typically, doctors recommend modern topical antibacterial drugs. Their advantages are in the localization of active agents directly in the foci of infection. One of the most common and effective drugs of local action is Bioparox, as well as its analogues - Fusafungin and Hexoral. These are polypeptides that are available in the form of oral and nasal inhalers and only work in the field of application - on the mucous membranes of the oral and nasal cavities, suppressing the focus of infection. In addition, these drugs have a minimal amount of side effects. The course of treatment with Bioparox or its analogs usually does not exceed one week. But children up to, they are contraindicated.

Among the classic drugs used to treat children's maxillitis, we can mention sprays, nasal drops, suspensions and ointments. When diagnosing "catarrhal sinusitis therapy is most often performed with a single medicine that has a wide spectrum of action. In addition to taking antibiotics, in the complex treatment of the disease, other pharmaceutical preparations are used, as well as rinsing of the nasal passages on the basis of folk prescriptions, compresses and inhalations. Treatment with antibacterial and effective auxiliaries in most cases is positive.

Rates of antibiotic treatment for sinusitis

The course of treatment can take from 1-2 weeks and longer (up to 2 months), it all depends on the degree of infection. Antibacterial therapy is prescribed by a doctor with severe intoxication of the patient's body. If the situation so requires, the drugs are administered intramuscularly. At the same time to reduce the swelling of the mucous membrane in the nasal passages instilled modern vasoconstrictors (Sinuforte, Naftizin, Galazolin, Sinupret, Sanorin, Nazol). Aerosols inhalation have a special effect.

In case of emergency, apply a puncture of the maxillary sinus and its washing with antiseptic solutions with further administration of antibiotics. With prolonged form of the disease, antimicrobials are given in the form of tablets or injections. To this end, macrolides, azalides, beta-lactams (penicillins and cephalosporins), as well as fluoroquinolones, are used. Usually, after 2-3 days after the beginning of admission, the patient shows a significant improvement in the condition, but if this did not happen, the doctor must choose another antimicrobial drug that is more effective against the pathogen disease. The choice of the drug is mainly carried out after the laboratory determination of the sensitivity of the pathogen to the active substance.

Systemic antibiotic therapy is necessary for moderate and severe forms, as well as for determining the streptococcal nature of the inflammatory process. The course of treatment is strictly individual in each case.

New antibiotics for the treatment of sinusitis

Antibiotics for genyritis of a new generation - macrolides and cephalosporins of the 2nd generation - are considered in our time to be the most effective drugs that have found wide application in modern medicine in cases where penicillins do not give positive dynamics in treatment patients.

New antibiotics for the treatment of sinusitis from the group of so-called. "Cephalosporins" - Cefuroxin, Cefotaxime, Tsecefoksitin, Tsefahlor, Tsefeksim - in their structure resemble penicillins, however, unlike the latter, not only inhibit development, but also completely destroy pathogens bacteria.

A group of macrolides - for example, Azithromycin, Macropen, and tetracyclines, are highly effective in treating even the most severe forms. The course of treatment is usually 5 days, and Macroben is able to suppress a bacterial infection in just three days. Unfortunately, along with the powerful effect of drugs of macrolide group on pathogens, their negative impact on the human body is observed. For this reason, these antibacterial drugs are contraindicated in pregnancy, as well as small children. With special care are assigned to patients who suffer from acute or chronic gastritis, because of the negative effect of drugs on the gastric mucosa. In such situations, patients are prescribed local drugs with less pronounced side effects.

Of the modern antibacterial agents of local effects, Isofro and Bioparox can be noted. They have a powerful bactericidal action against bacteria that cause infection of the upper respiratory tract, and are able in just a few days to remove symptoms - stuffiness in the maxillary sinuses, debilitating rhinitis and obstruction respiration.

Antibiotics for genyantritis penicillin series are considered the most sparing in relation to the human body. These drugs, for example, include Augmentin, Amoxiclav, Amoxicillin and Augurmentin, which have proven effective in the treatment of acute disease.

Tablet forms

Antibiotics for sinusitis are available in different forms, but most often in tablets that have a general effect. To date, both powerful and modern medicines are used, as well as the old generation, which have been trusted and tested by time. Tablet forms not only actively fight the causative agent of infection or the virus, but also prevent the development of dangerous complications, such as meningitis, middle ear inflammation or otitis media. Only 3-5 days of antibiotic therapy will bring relief and eliminate the cause of the disease.

Tablets that are used to treat acute forms are Macropen, Flemoxin Solutab, Sietrolide, Augmentin, and others. If the penicillin group is intolerant, tetracyclines or macrolides are prescribed to the patient: Ampicillin, Azithromycin, Amoxicillin and others. When choosing the most suitable antibiotic, the doctor must take into account the features of the disease course, the patient's condition, as well as the results of the tests (sowing from the nose). It is important to choose the right and effective remedy, since a weak antibiotic may not have the desired effect. Since the study to determine the sensitivity of the pathogen to an antibacterial agent is sometimes a long period of time (up to 2 weeks), in the treatment of possible empirical (selective) administration of antibiotics.

Often, the tablet antibiotic is given to the patient in combination with topical preparations - drops and sprays for the nose. Usually, vasoconstrictors are instilled, and then spray or drops are used. It is important to entrust the treatment to an experienced doctor, since self-medication with selected tablets at random will not give an effective result. Sometimes the use of just drops and sprays also does not have a positive effect. Compulsory is the combination of antibiotics with antihistamines, the action of which is aimed at removing allergies and reducing edema of the nasopharyngeal mucosa. Among these are Suprastin, Dimedrol, Tavegil.

Antibiotics for genyantritis in pregnancy

Antibiotics for sinusitis (rhinosinusitis) are prescribed in cases of acute disease, or when the disease has passed into a chronic form and has caused complications in the form of purulent discharge. To diagnose this disease in pregnant women, methods such as classical ultrasound, diaphanoscopy, and thermal imaging are used, since X-rays to prospective mothers are prohibited.

Antibiotics for sinusitis during pregnancy are used only in cases of the development of an acute form of the disease. The most common are Azithromycin, Agumentin, as well as cephalosprosins of the 3rd generation. Doctors can prescribe to future mothers Spiramycin - is considered the safest in pregnancy, but only in extreme cases, when other methods of treatment do not give the desired results.

It should be noted that pregnant women are not very desirable to take antibiotics in the form of tablets, especially in the first months of bearing a baby. Therefore, the alternative to the tablets are other procedures, in particular, the introduction of antibacterial agents of local action (Isofra, Bioparox) directly into the maxillary sinuses. In combination with antibiotics, modern antihistamines are often prescribed, the action of which is aimed at reducing the swelling of the mucosa.

Often doctors prescribe vasoconstrictive nasal preparations for pregnant women (Pharmazoline, Otilin, ForNos, Nazivin, etc.), which reduce the mucosal edema and well clear the apertures of the maxillary sinuses. However, their appointment is carried out only in case of emergency.

A pregnant woman should never be engaged in self-treatment maxillitis, tk. this can lead to unpleasant consequences and even dangerous conditions. After all, any medicine in pregnancy, and especially antibiotic, is used in extreme cases, when potential use of its use exceeds all possible dangers and risks for the future mother and her child.

Local antibiotics

Antibiotic therapy in the treatment of sinusitis can be systemic and local. Local antibiotics are available in the form of a spray, which allows the drug to penetrate into the paranasal sinuses and act directly on pathogens. Most often, in combination with local, systemic drugs are prescribed, the action of which is aimed at purifying air cavities from pus and mucus. Only under such conditions, local drugs will have an effective effect.

Of the nasal sprays of antibacterial action that are used in modern medical practice, we can note the following:

• Isophra. Nasal spray, which contains framicetin from the group of aminoglycosides. Spray effectively destroys the bacteria that cause inflammation of the upper respiratory tract. It has virtually no side effects, except for a possible allergic reaction. The active substance - framicetin sulfate - is not absorbed into the blood. However, if after a week of treatment the illness does not pass, it is necessary to cancel this antibacterial agent.
• Bioparox. The active substance is fusafungin. Produced in the form of an aerosol for inhalation and has a pronounced anti-inflammatory and antimicrobial effect. Fusafungin penetrates into the blood in minimal amounts, so the use of this drug does not cause any danger. In addition, Bioparox virtually no side effects, but it is not recommended for children up to 3 years.

Sprays with antibiotics

Antibiotics for sinusitis in the form of sprays usually occur in a complex combination with other ENT-drugs (in particularly, corticosteroids) and are used both in the treatment of acute forms, and in chronic course disease.

A distinctive feature of a spray based on an antibiotic is that it does not enter the bloodstream system, does not have a negative effect on the microflora of the intestine, but fights directly with the focus of inflammation. Of drugs that perfectly match and have an effective effect on microorganisms and bacteria that cause maxillitis, you can identify Phenylephrine and Polidex. In addition to the rapid liquefaction of mucus, these drugs relieve swelling, and also actively suppress the inflammatory process in the maxillary sinuses.

Polidex contains three main medicinal substances - polymyxin, neomycin and dexamethasone. Thus, it can be called combined, because he has several pharmacological effects. According to the instructions for use, Polidex has a pronounced bactericidal, antimicrobial, anti-inflammatory effect and is widely used in the treatment of various ENT complications.

The spray should be effective and promote rapid suppression of the inflammatory process. In this regard, Bioparox and Isofra are well established. Both sprays cope well with the main causes of the disease, eliminating foci of inflammation in the nasal passages, and have a non-aggressive effect. It should be noted that the use of such drugs should not be too long and frequent. This can cause addiction to the action of active substances. In addition, the thinning of the walls of the vessels of the nose is observed under the influence of antibiotics. This can lead to hemorrhages at sharp jumps of arterial pressure.

Often together with sprays, spray mucolytics are used that dilute mucus in the maxillary sinuses, increasing the access of oxygen to the affected areas, and also effectively cleans the nasopharyngeal cavity from pus. Of these sprays, mention may be made of Rinoflumucil, which has a mild vasoconstrictor effect. Another popular spray - Sinuforte - provides accurate drainage of the maxillary sinuses. It is not absorbed into the blood, while ensuring the integrity of the epithelium of the mucosa.

From sprays based on corticosteroids, which are used in complex therapy along with antibiotics, it is possible to isolate Nosonex, Nasobek and Baconase. They actively remove the swelling of the mucous membranes by affecting certain cells of the immune system. After irrigation with such sprays, burning in the nasal cavity is usually observed, but other negative manifestations (dry nose, nosebleeds, etc.) are extremely rare. It is not recommended to take sprai-corticosteroids for small children and pregnant women.

Antibiotics in the form of a spray should be prescribed by a doctor, since the effectiveness of the drug consists both in the correct selection and the competent use of the drug. The attending physician should take into account the individual condition of the patient, the course of the disease, its severity and other factors. As a result, a set of therapeutic measures, appointed by an experienced skilled physician, will lead to a rapid recovery. Uncontrolled use of any means to treat maxillitis, including antibiotic-based sprays, can cause various negative consequences.

Nasal antibiotics

Antibiotics for sinusitis can take the form of tablets, sprays, and also nasal drops. Most often the doctor prescribes drops with antibiotics, it helps to overcome the infection in record time.

Nasal potassium is prescribed for local action, which consists in the destruction of pathogenic microflora and suppression of the inflammatory process. In addition to Bioparox, Isofra, nowadays Polydex and Dioxydin are in great demand.

• Polydex is an effective spray or a drop for the nose. One of the active ingredients - phenylephrine - facilitates nasal breathing due to vasodilating action. Local effects limit the number of side effects - they are very rare in the form of nausea, dizziness, headache. Another substance that is part of Polideksa - dexamethasone - has a pronounced anti-allergenic effect. The combination of such antibacterial substances as polymyxin and neomycin, expands the range of its use and increases its effectiveness.
• Dioxydin - contains, in addition to the antibiotic, adrenaline and hydrocortisone hormones. It is used both for washing the maxillary cavities, and for instilling the nose. It has narrow therapeutic indications; therefore, when taking it, it is necessary to observe the recommended dosages and not to exceed them in order to avoid the appearance of toxicological properties.

In maxillites in combination with antibiotics, oil-based drops containing extracts of herbs are often used, such as Sinuforte and Sunipret. These drops gently envelop the nasal mucosa and have not only antibacterial, but also anti-edematous and anti-inflammatory effects. Plant components, which are present in the composition of such droplets, have an immunomodulatory effect.

Any nasal drops in case of their frequent or prolonged use can cause:

• allergy;
• addictive;
• bleeding at pressure surges;
• thinning of the walls of the nasal passages and other negative consequences.

With extreme caution, drops should be taken by hypertensive patients, as well as people with thyroid dysfunction. In pregnancy and lactation, the use of such medicines is prohibited.

Modern drops with an antibiotic are characterized by abundance and the possibility of choosing the optimal medication. Among the most common can be identified isofru, Polidex with phenylephrine, Bioparox (fusafungin), Dioxydin. Before use, it is necessary to rinse the nose well. To this end, you can use brine. For its preparation should be dissolved 1 hour. a spoonful of large rock salt in a glass of slightly cooled boiled water.

The course of treatment with antibacterial drugs in drops should be brought to an end, even despite the first signs of improvement. Typically, this course of therapy is 5-7-10 days, depending on the severity of the disease. Long-term administration of drops can lead to the development of drug resistance to the drug, as well as cause various unpleasant symptoms, including allergies.

Drip drops should be in the prone position on the side. In this case, you need to dig in the nostril, which is located below. After instillation it is recommended to remain in the same position for several minutes, so that the drops penetrate well into the maxillary sinuses. After 2-3 minutes, you can instill a second nostril.

Names of antibiotics for sinusitis

Antibiotics for sinusitis are used to suppress the inflammatory process and destroy the source of the disease. Among the pathogens may be streptococcus, fungus, hemophilus rod, staphylococcus and various types of bacteria. Accordingly, in such cases, drugs of the penicillin series are used.

The most popular names are:

• Ampicillin. An effective medicine with a wide spectrum of action and a pronounced bactericidal effect. Quickly stops the reproduction of bacteria. The greatest effectiveness of Ampicillin in the treatment of infections of the ENT organs, respiratory system diseases, as well as gastrointestinal and urinary tract infections.
• Amoxicillin - a modern derivative of Ampicillin, possesses the best absorption in the intestine and is capable in large concentrations accumulate directly in the maxillary sinuses, thereby providing an even greater efficiency.
• Flemoxin soluteba - another effective derivative of Ampicillin, has a pronounced activity against pathogens and is widely used in the treatment of diseases of the ENT organs.
• Augmentin and Amoxiclav - combine Amoxicillin and clavulonic acid. They have increased effectiveness and are alternative, which are used to treat infections that are resistant to Ampicillin.

In addition to drugs of the penicillin series, it is necessary to note the ani-biotics, belonging to the class of macrolides. They are non-toxic and widely used in cases where penicillins are not effective: •

• Clarithromycin,
• Zitrolide,
• Azithromycin,
• Sumamed,
• Macropean.

They also have a wide spectrum of action and are capable of slowing down the multiplication of pathogenic bacteria, expressing activity in relation to anaerobes, mycoplasmas, intracellular microorganisms, ureoplasmas, chlamydia, gram-positive and gram-negative bacteria, spirochetes. They differ in the ability to penetrate directly into the cells, thereby showing increased activity relative to the intracellular pathogens of the disease. The highest concentration of macrolides is observed in the focus of inflammation, which greatly increases the effectiveness of such drugs.

In cases of bacterial infections of a severe degree, including maxillitis, cephalosporins - a group of antibacterial drugs that have a low toxicity and have a high efficiency:

• Cefuroxime,
• Cefotaxime,
• Ceftriaxone.

All of them have an excellent antibacterial effect, they have proven themselves in the treatment of infections of the ENT organs, respiratory tract, peritonitis, as well as sepsis, bacteremia.

Another group - fluoroquinolones - also provide a pronounced bactericidal and antimicrobial effect. These include:

• Ofloxacin,
• Ciprofloxacin,

which are highly active, are capable of destroying the DNA of bacterial cells and inhibiting the multiplication of pathogens. These drugs are used in diseases of ENT organs, various infections of the respiratory tract, abdominal cavity, pelvic organs, etc.

Of the local medicines can be noted Polidexu, Bioparox, Isofro. They are available in the form of drops and sprays. They have a pronounced anti-inflammatory effect and have an effective effect on the pathogenic flora. It must be remembered that the appointment of antibacterial drugs must come from a doctor who will do this on the basis of the results of the analysis, as well as subjective and objective research.

Macropen

Macroben today takes the leading place among other antibacterial drugs. It belongs to macrolides and is able to exert an active influence on many different bacteria, including those that show resistance to other antibiotics, for example, penicillin series. Thus, Macropen can be considered a new generation drug.

Effective in the treatment of chronic forms and is able to overcome the disease in the shortest possible time. The dosage form is tablets or granules for the preparation of a suspension. Enough intake of 1-2 capsules per day, and after 3-4 days the patient will feel considerable relief, the disease will begin to recede.

With prolonged therapy with Macropen, there is a need to monitor the activity of liver enzymes, especially if the patient has pronounced violations of the liver.

Certainly, Macropean has contraindications. Among the main ones are children's age up to 3 years, the period of pregnancy and lactation. Before treatment it is necessary to consult a doctor-otolaryngologist. He will select the optimal scheme for taking the medicine and warn the patient about possible side effects. Timely antibacterial treatment will help prevent the development of chronic form.

Clacid

Clatid with sinusitis gives very good results. Its main action is the inhibition of microbial cells, the suppression of their growth and reproduction. However, it must be taken strictly under the supervision of a doctor. The main active substance of this antibacterial drug is clarithromycin, which belongs to the semisynthetic group of so-called. "Macrolides". Klacid is very effective in the treatment of respiratory diseases and ENT organs, as well as skin lesions.

This drug has different forms of release: granules or tablets for the preparation of therapeutic suspensions, as well as powder for injection solutions. In general, patients are prescribed prolonged-action tablets, called Clacidum SR. The dosage is 1-2 tablets taken per day. The course of treatment depends on the degree of severity and varies from 6 to 14 days. However, in special cases, the therapeutic course can be extended up to 6 months and even more.

It should be emphasized that Clacid is immediately absorbed into the bloodstream, which contributes to the rapid reduction of clinical symptoms of the disease, such as nasal congestion, headache, unpleasant sensations of compression in the forehead and maxillary sinuses, as well as mucopurulent discharge from the nasal moves.

A particular advantage of Clacid over other antibacterial drugs that are used to treat maxillitis is the absence of any allergic reactions. According to the results of many clinical trials, it is practically safe for a patient of any age, including children. The effectiveness of this drug is proven by time and medical practice.

Antibiotics for chronic sinusitis

Antibiotics for sinusitis, occurring in chronic form, are used in the case of a prolonged, persistent runny nose, fever, an increase temperature, general malaise and pain in various parts of the face that may be permanent, or appear episodically. In such cases, the treatment of chronic form requires a special approach, according to the specific symptoms of the disease.

Basically, with chronic course, doctors prescribe to patients Amoxicillin, Augmentin, Ampiox, Doxycycline, Trimethoprim-sulfamethoxazole, Cyphran, Macropen, Gramox (Flemoxin Solutab), Ceftriaxone, Cefazolin.

Before taking an antibacterial drug, you should make sure that there is no allergic reaction to the active ingredient. So, with intramuscular injection, a test for sensitivity is made. It must be canceled if the patient has skin rashes that indicate an allergy.

If the treatment is ineffective, another medication is prescribed to the patient.

When treating chronic maxillitis it is very important to undergo a full course of treatment, strictly according to the scheme outlined by the doctor. Basically, this course is 10 to 14 days and more, all depends on the improvement of the patient's condition.

Antibiotics for acute sinusitis

Acute antritis is accompanied by inflammatory processes in the maxillary sinus. Its main symptoms are unpleasant, constantly increasing sensations in the near-nasal region, nasal passages, above the eyes, severe stuffiness nose, difficulty in nasal breathing, persistent runny nose, fever to 38 ° and even more, malaise and weakness, decrease appetite.

Antibiotics in acute maxillary sinusitis should be used if it is proven to be bacterial in nature and the causative agent of the disease was revealed, and the likelihood of developing a purulent form was increased, or there were chronic disease. From modern medicines it is possible to note:

• Amoxiclav. It is intended mainly for older patients for oral administration. Before use, dissolve in water.
• Augmentin. Effective for the treatment of adults and children (strictly under the supervision of a pediatrician). Adults are recommended to drink 1 tablet of Augmentin three times a day.
• Flemoxin Solutab. You can eat regardless of food, swallowing the pill entirely. Typically, patients are prescribed a double intake in a dosage of 500-2000 mg (for adults).
• Macropean. Produced in the form of tablets and granules - respectively, for adults and children. Daily intake is usually 2-3 times. Patients in excess of 20 kg are recommended a dose of 2 ml. Granules Macrofen should be taken after meals, previously dissolved in water.
• Hiconcile. Effectively inhibits the activity of pathogenic bacteria, and also destroys at the cellular level their structural walls. There are different forms of release - suspension, powder and capsules. The daily dosage is 1-2 capsules three times a day.
• Zitrolide. It should be taken orally 1 hour before meals or 2 hours after eating.

Polypeptides of local action can also be noted, which proved to be highly effective. It should be noted Bioparox, as well as its analogues - Fusafungin and Geksoral. The action of the active substance is directed to the affected area, the drug does not enter the systemic circulation, and also has no side effects. The course of treatment with Bioparox is usually 5-7 days.

It should be noted that if at the end of 3-4 days after the start of taking the medicine the temperature does not drop, it should be replaced with another one. Often together with antibiotics, antihistamine tablets are taken, which reduce swelling and relieve allergies. In severe cases, the patient is punctured at a site of inflamed sinuses to purify them from pathological mucus, and then antiseptic solutions are administered. Usually after such procedure the patient becomes much easier, unpleasant symptoms pass, in particular headaches, breathing is facilitated, the general condition improves.

The best antibiotic for genyantritis

How to choose the right antibiotic? The solution of this question is the prerogative of the doctor. Determine the choice of the optimal drug will help him the results of X-ray and laboratory tests.

The best antibiotic for sinusitis is the one to which the pathogen is the most sensitive to the results of the smear. Usually, if after 48 hours after taking the antibacterial drug the patient did not feel any special relief, then the pathogen resistance to this drug has been formed, or the main cause of the pathology is not a bacterial infection, but a virus, a fungal lesion, or allergic factor.

When choosing a medicine, the doctor should take into account the patient's age, the features of the course of the disease, and the likelihood of developing various complications. The acute form usually requires taking one antibacterial drug, but the most effective one. In severe disease, there is a need for intramuscular or intravenous injections. The course of antibiotic therapy should last at least one week (7 days). Even with the observation of improvement, the patient is not recommended to stop treatment.

In chronic form, a combination of topical drugs with broad-spectrum antibiotics is usually used. The best result is achieved with the use of antibacterial agents of the new generation - Augmetin, Cephalosprosin of the third generation, Azithromycin, Bioparox, etc.

Antibiotics for sinusitis are selected taking into account individual sensitivity and mandatory allocation infectious agent by smear microscopy, otherwise the treatment may be ineffective and only aggravate the condition patient. In medical practice for effective therapy, such groups of antibacterial drugs are used:

• Penicillins (Ampicillin, Amoxiclav, Amoxicillin, Flemoclav solutab, Augmentin, etc.). Consider the most effective. Their main advantages are good tolerability and limited side effects. However, in the inflammatory process, which is caused by a pathogen that is resistant to penicillins, such drugs are ineffective.
• Cephalosporins (Cefotaxime, Cefuroxime, Ceftriaxone). They are used in severe and lack of desired results when using lighter drugs.
• Macrolides (Sumamed, Clarithromycin, Zitrolide, Macropen). Often prescribed for treatment in children. Alternative for intolerance to penicillin drugs.
• Fluoroquinolones (Ofloxacin, Levofloxacin, Ciprofloxacin, Moxifloxacin). These are modern medicines, to which the main pathogens did not have time to develop immunity.
• Local (sprays, solutions, nasal drops). Used to avoid many side effects due to intramuscular or oral administration. Local include Bioparox (Fusofungin), Isofra, Polidexa and others.

Pharmacological group

Antibacterial agents for systemic use

ATC code

R07AX Other preparations for the treatment of respiratory diseases

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Tablets from sinusitis

To successfully cure sinusitis, you must first get rid of the infection that covers the area of ​​the maxillary sinuses. When the drainage is restored, the outflow of purulent and mucous discharges will become faster, thereby speeding up the healing process.

The choice of treatment for this disease depends on its shape, as well as the severity. Usually, tablets are used against sinusitis, which are combined with methods of local treatment - washing the nasal cavity, using drops, as well as inhalation.

Indications for the use of tablets from sinusitis

Tablets are prescribed for acute, subacute and chronic forms of sinusitis (right-sided, left-sided or bilateral type) of various types: viral, fungal, bacterial.

Form of issue

Sinupret

The Sinupret tablets contain plant elements that allow the medicine to have a complex effect on the patient's body. The drug contributes to the elimination of bronchospasm, and also dilutes sputum. In addition, the drug has anti-inflammatory, antiviral, as well as immunostimulating properties.

Cinnabsin

Cinnabsin is a homeopathic remedy with immunostimulating and anti-inflammatory properties. This drug reduces the swelling of mucous membranes in the paranasal sinuses and nasal cavity, thereby facilitating the process of breathing through the nose.

Sinuphorte

The drug Sinuforte is prescribed for inflammatory processes in the paranasal sinuses. It is made from vegetable components - juice, as well as an extract of European cyclamen.

The medicine has anti-edema properties - stimulating glandular goblet cells in the nasal cavity, it contributes to significant dehydration of the mucosa. Has a combined effect (also causes reflex hypersecretion), thereby expanding the natural connections between the sinuses and the nasal cavity - this allows you to clear the way for the removal of pus and mucous secretions from the sinuses into the nasopharynx.

Guafenizine

Mucolytic drug Guafenizin stimulates the secretory cells of bronchial mucosa, which secrete neutral polysaccharides. In addition, it dilutes sputum and increases its volume, leads to depolymerization of acidic mucopolysaccharides, activates the work of the ciliary apparatus. All these effects help to simplify the process of sputum production, as well as the transition of cough into a productive form.

Fluimucil

Flumucil - tablets with mucolytic properties. This drug helps to dilute sputum accumulated in the nasal cavity, increases its volume, and also simplifies the process of its departure. Assign this mucolytic to facilitate the process of deducing secretion in sinusitis.

Mukodin

Mukodin has expectorant and mucolytic properties. It is included in the category of stimulants of respiratory function and secretolitics. The drug activates enzymes located in the goblet cells of the bronchial mucosa, as well as stabilizes the quantitative proportion of neutral and acidic sialomucins contained in the bronchial secret. In addition, Mucodin helps restore the elasticity and viscosity of mucus.

Antibiotics for sinusitis in tablets

Most often with prolonged sinusitis, doctors prescribe antibiotics. Often, one treatment course is enough to completely kill the infection - this avoids the procedure of nasal sinus puncture.

The most effective antibiotics in tablets in the treatment of sinusitis are new-generation drugs (such as Cephalosporin, Augmentin, and Azithromycin). If the patient is intolerant of drugs from the penicillin category, macrolides or tetracyclines can be prescribed.

Basically, with genyantritis appointed Macropenus or Augmentin. Since these drugs are multicomponent, they have a very wide range of antibacterial effects. This allows to completely destroy the bacteria, and not just prevent their reproduction, as often happens in the case of less effective drugs.

Amoxicillin

Amoxicillin is a semisynthetic antibacterial drug from the penicillin group. The drug effectively eliminates bacteria that contribute to the development of the inflammatory process in the nasal sinuses, and in addition prevents them from multiplying and growing, has bactericidal and bacteriostatic impact.

Macropen

Macroben - an antibacterial drug from the category of macrolides. He actively opposes the majority of gram-negative, as well as Gram-positive bacteria, and in addition to This is destroyed by various intracellular microorganisms (such as mycoplasma, chlamydia and legionella).

For sinusitis, this medicine is prescribed for adults and children who are allergic to drugs from the penicillin group, or in cases when it is revealed that the pathogens are sensitive to Macroben.

Augmentin

Often in the case of purulent maxillary sinusitis due to the multiplication of bacteria, the drug Augmentin is prescribed - an antibiotic from the group of semisynthetic penicillins of the 3rd generation (amoxicillin). It also contains clavulanic acid.

Augmentin is very effective in sinusitis, as its composition implies a wide range of effects, allowing apply the drug for a variety of types of flora (aerobic, as well as anaerobic) with Gram-positive and Gram-negative bacteria.

The antibiotic helps to destroy the cells of bacterial agents by integrating into their structure. The combination of two active substances in one preparation allows to achieve an effective result, affecting also the resistant strains of bacteria.

Cephalexin

Cefalexin is a medicine from the category of cephalosporins, which has powerful bactericidal properties. The drug is resistant to penicillinases of gram-positive bacteria, but it is destructively affected by lactamases of gram-negative microorganisms.

Azithromycin

Azithromycin is a semisynthetic antibiotic that has a chemical bond with substances such as clarithromycin and erythromycin. The use of the drug in sinusitis helps to stop the growth of bacteria, as it interferes with the production of proteins necessary for them.

Homeopathic tablets from sinusitis

The most popular homeopathic tablets for the treatment of chronic sinusitis are Mercurius Solubilis, Silicea, Kalium Bichromicum, and Kalium Yodatium. In cases where the inflammation of the paranasal sinuses is accompanied by bloody discharge of viscous viscous consistency, The preparation Hydrastis is applied, and when there is a strong pain in the sinuses of the nose and an abundant discharge of pus, use Gepar Sulfur.

Homeopathic remedies include only natural substances, so they almost never cause adverse reactions and do not have contraindications. But there are a few recommendations on how to use it. Since officinal drugs neutralize the effect of homeopathic medicines, when using them, one should observe such rules:

• to refuse reception of antibiotics and physiotherapeutic procedures;
• do not drink strong black tea, coffee and soda water, and do not eat bitter chocolate.

Anti-inflammatory tablets with genyantritis

NVPs usually have antipyretic and analgesic properties, and therefore help reduce the manifestations of certain symptoms.

Analgesics commonly used to eliminate symptoms of inflammation in the maxillary sinuses are Ibuprofen, Aspirin, and Acetaminophen. The daily dosage of such drugs depends on how intense the pain is. But under any circumstances, you should not take them for more than 7 days in a row, without consulting in advance with a doctor.

The main principle when taking pain medication is the use of small doses. First you should drink, table, and only if the desired effect has not been obtained, it is allowed to use the second part. This rule should be followed by all, and especially the elderly, children and those who have a low weight.

Ibuprofen

Tablets Ibuprofen in the case of sinusitis is used as a symptomatic anti-inflammatory drug in addition to the main treatment course. The medicine is used to eliminate pain, and also as an antipyretic.

With the disease of the paranasal sinuses and the nasal cavity, the drug helps to remove puffiness, thus freeing airway through the respiratory organs. As a result, breathing through the nose becomes easier, mucus is released more freely, incl. and from clogged nasal sinuses. In addition, the drug allows you to relieve the pain and bursting sensation that arise when neglected sinusitis (while a filled nasal cavity presses on the nearby tissue, irritating the nervous endings).

Paracetamol and Aspirin

Paracetamol, analgin and aspirin contribute to the elimination of moderate and mild pain, and in addition act as an antipyretic and anti-inflammatory agent. These drugs will quickly get rid of discomfort and pain until the main methods of treatment have begun to work.

The main properties of tablets from sinusitis are examined using the example of preparations Ibuprofen and Augmentin.

Pharmacodynamics

Ibuprofen achieves an anesthetic effect by inhibiting the synthesis of PG, which act as conductors of the inflammatory process and uncomfortable sensations. The use of the medicine makes it possible to change the sensitivity of painful ends, as a result of which the pain recedes.

Anti-inflammatory properties of the drug are caused by a decrease in the level of vascular permeability and elimination of the pathogen of inflammation, a reduction in the total swelling of the tissues.

The antipyretic effect of ibuprofen, which is a derivative of phenylpropionic acid, is less pronounced. The high temperature is lowered due to a decrease in the excitability of the centers located in the brain, which are responsible for the process of heat regulation.

Pharmacokinetics

After oral administration, both active components of the drug are rapidly absorbed from the digestive tract. When using Augmentin in a dosage of 375 mg, the maximum saturation in the blood plasma of amoxyslicin will be equal to, mg / liter, and clavulanic acid mg / liter; at a dosage of 625 mg amoxicillin will reach a concentration, mg / liter, and clavulanic acid mg / liter.

The drug is excreted mainly through the kidneys. With a single oral intake of 1 table. volume of 375 mg (of which 125 mg of clavulanic acid, as well as 250 mg of amoxithillin) or 625 mg (in this case part of the amoxyslicin increases to 500 mg), about 60-70% of amoxicillin, and also 40-60% of clavulanic acid, during the first 6 hours after ingestion, remain unchanged together with urine.

On average, the half-life of these substances after taking a single tablet of Augmentin at a dosage of 375 mg will be 1 hour for amoxyllicin and 72 minutes for clavulanic acid. At a dose of 625 mg, this period will be 78 and 48 minutes, respectively.

Using tablets from sinusitis during pregnancy

In case of genyantritis during pregnancy, only a doctor can prescribe medicines. It is absolutely necessary that the benefits of the medicine will exceed the possible health risks. Usually, antibiotics are not prescribed in such cases, doctors try to use gentle methods of therapy. But nevertheless there are some medicines which are authorized to appoint or nominate in case of a genyantritis at pregnancy: it Augmentin, Azithromycin and Cephalosporins of III generation. In severe cases, Spiramycin may also be prescribed.

Also, pregnant women are allowed to use Sinupret - this remedy is safe and effective a medicine that liquefies the pus and mucus secretions accumulated in the sinuses and simplifies the process of it excretion.

Contraindications

Antiguyritis antibiotics have some contraindications. They are forbidden to be taken if the patient has a tendency to allergic reactions, as well as violations in the work of the kidneys or liver. During pregnancy and lactation, antibiotics are also mostly banned.

Mucus is contraindicated when the patient has a hypersensitivity to the main elements of the drug. Also, they can not be used by children under the age of 18. In addition, such tablets from sinusitis are prohibited in the following cases:

• Bronchial asthma;
• Diseases of the gastrointestinal tract (stomach ulcer or duodenal ulcer);
• Renal or hepatic insufficiency.

The use of pain medication is prohibited in such cases:

• With ulcers of 12 duodenum or stomach;
• With allergies;
• Children under 12 years of age.

Side effects of tablets from sinusitis

Most often when using tablets from sinusitis can occur such adverse reactions:

• Sneezing with a cough;
• Problems with the functioning of the digestive system;
• Unpleasant aftertaste and drying in the mouth;
• Edema and redness of the organs of vision;
• Rashes on the skin;
• Allergy;
• Vomiting with nausea;
• Loss of appetite.

Dosing and Administration

Tablets Sinupret should be swallowed whole, without chewing, washing them with water. Dosage for adults - 2 tablets. three times a day; for children of school age - 1 tab. three times a day. The course lasts approximately 7-14 days. If the symptoms persist after 7-14 days or periodically worsen later, you should consult your doctor.

Macrofen is taken before meals. For adults, dosage is 400 mg three times a day. In a day, you can consume no more than r medicines. For children in the event of severe or moderate infections, the daily dose is 30-50 mg / kg for 3 uses. If the infection occurs in an easy form, this dosage can be twofold. The course lasts approximately 7-10 days.

Interactions with other drugs

Azithromycin should not be used in combination with magnesium or aluminum-containing antacids (this preparations Maalox or Milanta), since the latter can interfere with the absorption of Azithromycin in GIT.

Combined use of Macrofen with carbamazepine or ergot alkaloids reduces the process of metabolism of these substances in the liver, and also increases serum saturation. Therefore, it is necessary to take these drugs with caution in combination. Macropen does not affect the pharmacokinetics of theophylline. If you take this medicine at the same time with anticoagulants (such as warfarin) or cyclosporine, the process of excretion of the latter will be slow.

Patients taking Augmentin had an increase in prothrombin time, as well as a bleeding period. Use of Augmentin in combination with anticoagulants should be done with caution. The combination of this drug with oral hormonal contraceptives can reduce the effectiveness of the latter.

Storage conditions

Keep anti-haemorrhoid drugs in standard conditions - a temperature of no more than 25 degrees Celsius, in a place that is closed from sunlight.

Shelf life

Tablets from sinusitis can be used for 2-3 years from the time of manufacture.

Pharmacological group

Means used for cough and colds

pharmachologic effect

Anti-inflammatory drugs

ATC code

R01 Nasal Medicine

ICD-10 code

J01 Acute sinusitis J32 Chronic sinusitis

ilive.com.ua

Antibiotics for sinusitis - which are the most effective?

Sinusitis - inflammation of the mucous membrane of the accessory maxillary sinuses of the nose. The emergence of this common disease is associated with human-borne viral, infectious diseases, such as influenza, measles (see. symptoms of measles in adults), scarlet fever, as a complication after angina, otitis and other diseases of the ENT organs, as well as in diseases of the roots of the upper molars.

In recent times, cases of allergic sinusitis have begun to increase, as well as after oncological diseases after treatment, with helminthiases (see Fig. signs of worms in humans) and other chronic diseases that reduce the defenses of the body. Treatment of maxillary sinusitis with antibiotics should be only on indications, in complex treatment and is prescribed only by a doctor.

In most cases, self-treatment is not safe, can worsen the condition and slow the recovery process. First of all, you should undergo a checkup with a doctor who will establish an accurate diagnosis, the cause of the disease and prescribe a comprehensive treatment.

Signs of genyantritis

If, after some improvement after the flu or cold, a re-rise in body temperature occurred, the overall condition, there were shooting pains with the tilt of the head down, with a slight tapping in the area of ​​the maxillary sinuses, you can suspect the onset sinusitis. The following symptoms of maxillary sinusitis serve as a cause for referral to a doctor:

• Stuffy noseconstantly or periodically, the sense of smell is reduced.
• Discharge from the nosecan be both abundant, purulent, yellow-green in color, and transparent, in rare cases they may be absent, this occurs if the sinuses are already filled with pus and the discharge is very thick.
• Sense of pressure, raspiraniya, stress in the sinuses of the nose.
• HeadacheIncreased when the body tilts forward, upside down.
• Severe painin the forehead, in the maxillary sinuses, cheekbones, cheeks, localizing only in one half of the face, or in a bilateral process - on the entire face. In acute process, pain can be pronounced, and in chronic sinusitis, not so intense, sometimes a person simply experiences pain in the eye area or headaches.
• Temperature,in acute maxillary sinusitis, it can be quite high, above 38C, with chronic often subfebrile or normal.
• The general state of weakness,increased fatigue. Due to congestion of the nose, headaches, the person is disturbed by a sound sleep, appetite decreases, a feeling of apathy, lethargy, depression develops.

Diagnosis of genyantritis

Anamnesis of the patient.Before the diagnosis is established, the doctor analyzes the patient's anamnesis, finds out the diseases that preceded the genyantritis (influenza, SARS, otitis, tonsillitis, inflammation of the teeth of the upper jaw), a tendency to allergic manifestations (pollinosis, urticaria, bronchial asthma, etc.), food intolerance, medicines. The factors that provoke the development of sinusitis include:

• Decreased immunity due to any chronic diseases, allergic reactions, helminthiases, metabolic disorders.
• Curvature of the nasal septum obstructing normal nasal breathing, congenital anomalies of anatomical structures in the nasal cavity.
• Vasomotor, hypertrophic, allergic rhinitis, adenoids in children.
• Inadequate treatment of influenza, colds, SARS, rhinitis.
• Diseases and removal of teeth of the upper jaw.

X-ray diagnostics. To date, the most reliable method of diagnosis of maxillary sinusitis is still X-ray, and with modern contrast tomography, the accuracy of diagnosis has increased at times. A snapshot can give information about the size, the volume of the sinuses, their fullness with pus, air. Sometimes the doctor recommends an X-ray in several projections - lateral, nasal-chin or frontal-nasal. With genyantritis, the images show different types of darkening, this is explained by the delay in the rays of the medium, which is denser than air. However, one should remember about the dangers of X-rays and CT (the risk of thyroid cancer increases, etc.), fluorography of the paranasal sinuses is sufficient, and the radiation load is minimal.

Puncture of maxillary sinuses- this is an informative method of diagnosis, but an outdated method of treating sinusitis. In view of possible complications (emphysema of the cheek, abscess of the orbit, embolism of the blood vessels), morbidity of the procedure and the transition of sinusitis to a chronic inflammatory process, it is carried out Rarely enough.

In connection with the application of the newest technologies for the treatment of sinusitis - the use of the sinus catheter "Yamik laser therapy, the plant medicine Sinuforte (increasing local immunity and excellent cleansing of the sinus), the frequency of using the nose puncture method for sinusitis for its treatment and diagnostics.

Bacteriological culture of a smear from the nose- as an independent diagnostic method for determining sinusitis or not - it does not matter. Carrying out of this diagnosis is expedient only for the choice of an antibiotic for sinusitis, to which the pathogenic microorganisms were sensitive.

When is antimicrobial therapy not recommended?

To begin with, you should determine the true cause of the genyantritis, its pathogen. Since with some provoking factors that cause sinusitis, antibiotic therapy can not only ineffective, but also capable of exacerbating inflammation, delaying the process recovery.

• If sinusitis occurs as a consequence of allergic manifestations, then in this case, the intake of antibiotics is not justified.
• With chronic rhinosinusitis, antritis associated with fungal infection, also taking broad-spectrum antibiotics only aggravates the process.
• In viral infections, when mild sinusitis can be helped by lavage, inhalation and immunotherapy, it is also not worth taking antibiotics.

When you can not do without antibiotics?

But with an acute bright process, with a high temperature, expressed by a general intoxication of an organism not of a viral origin, strong pains in the sinuses of the nose, purulent discharge from the nose - intake of oral antimicrobial agents or intramuscular injection of an antibiotic are needed.

Which antibiotics are most effective?

The best antibiotic for sinusitis is the one to which the inflammation agent is sensitive according to the smear analysis. If within 72 hours after taking the antibiotic, there is no apparent relief, then either the drug of the pathogen was stable, or the cause of maxillary sinusitis is not bacterial, but fungal or allergic.

If the genyantritis is caused by banal streptococcus, staphylococcus, hemophilia, then the following groups of antibiotics are used:

• Penicillins- Most preferred, because they have less side effects, are easily tolerated, but in cases severe inflammatory process caused by penicillin-resistant infections may ineffective. Amoxicillin - (Amosin, Flemoxin solutab), Ampicillin, amoxicillin with clavulanic acid (trade names: Augmentin, Amoxiclav, Flemoklave solutab, Ecoclav, etc.) are distinguished among them.
• Macrolides- their use is justified with intolerance of penicillin drugs. Trade names of the drugs are Zitrolide, Sumamed, Macropen, Clarithromycin.
• Cephalosporins- this group of antibiotics is prescribed in cases of severe inflammation and with the inefficiency of other antimicrobial agents. These include - Ceftriaxone, Cefotaxime, Cefuroxime, etc.
• Fluoroquinolones- most bacteria have not yet managed to form resistance to these synthetic drugs, so they are also used to treat sinusitis (contraindicated to children). Antibiotics of this series - Ofloxacin, Lomefloxacin, Ciprofloxacin (1 generation), Levofloxacin (2 generations), Moxifloxacin (3 generations).
• Local treatment- drops in the nose with an antibiotic. The use of local local antimicrobial sprays, drops at the onset of the disease can help avoid oral or intramuscular systemic use of broad-spectrum antibacterials with their inherent adverse effects on the whole organism. Such drops include Isofra, Polidex.

When choosing an antibiotic should be guided by the individual characteristics of the patient, concomitant diseases, possible allergic reactions to it. And most importantly, the selection is best done taking into account the data of the smear microscopy and rapid assessment of the pathogen for staining by Gram stain, otherwise the treatment of sinusitis with antibacterial agents may not be effective, with wasted time and means.

zdravotvet.ru

What is better for sinusitis: Augmentin or Sumamed?

Question:

Hello! My name is Nikolay, I am 39 years old. The second time in my life I fell ill with sinusitis (the first was 2 years ago). Have appointed or nominated treatment by antibiotics, in particular have written out Augmentin, and last time, I remember, appointed Sumamed. Prompt, what is better at a genyantritis: Augmentin or Sumamed?

Answer:

Hello, Nikolay! In fact, both these antibiotic drugs are well suited in this case, so it is better to determine what is better, Augmentin or Sumamed for the treatment of sinusitis in each case should the attending physician depending on the clinical picture and course disease. In general, each of the above drugs can find its pros and cons.

For example, Augmentin refers to antibiotics of the third generation of a semisynthetic penicillin group. It is capable of exerting the strongest bactericidal and antimicrobial effects in a wide range. Thanks to the clavulanic acid included in the preparation, which helps to increase the effect of the antibiotic, it is possible to achieve the desired result quickly and efficiently.

As for the minuses of this drug, here it is mainly about side effects. In some cases, headache, nausea, vomiting, diarrhea, urticaria, and other allergic reactions may occur.

Sumamed also refers to modern antibiotic agents with a wide range of effects, is available in several forms and dosages depending on the age of the patient and the complexity of the disease.

If we talk about the drawbacks of this drug, then first of all we should pay attention to contraindications, but there are practically no side effects at Sumamed. In isolated cases, meteorisms and disorders of the gastrointestinal tract can be observed.

Summarizing all of the above, I want to note that it is unequivocal to answer the question which of the preparations are better at a genyantritis, Augmentin or Sumamed, it is complex or difficult, therefore it is necessary to trust in this case the doctor.

gajmorit.com

Augmentin. How many days to take with genyantritis (front)? The instructions are not written.

Answers:

Mhlu

DETERRING FROM HAIMORIT, FRONTITIS, ETMOIDITE, RINITA (TAMPER) ONCE AND FOREVER
1. First of all, we strengthen the antimicrobial immunity of everyday grinding of the feet (foot, shin) to the knee, hands (rear of the hand, forearm) up to the elbow 2-3 times a day for 3-5 minutes of exposure to all limbs from day to day, until the pain and burning sensation disappears completely. extremities.
2. Mass the painful areas in the area of ​​the malar bone (cheeks) 3-5 times a day and more every day with increasing effort until the soreness disappears completely.
3. Mass the painful fate of the periosteum of the bones of the nose day after day until complete relief from soreness.
4. To get rid of rhinitis, sinusitis, frontalitis, etmoiditis, it is also necessary to strengthen the antiviral immunity: a) Tapping the head with fists or, l. plastic bottle with water without air bubbles 2-3 times a day for 2-3 minutes a day, until the soreness in the head disappears completely when tapping. Tapping also helps to get rid of the headache if it bothers you.
b) Stimulation of sneeze. The number of sneezes can be increased from 10 to 20 times a day. Direct the air flow by sneezing preferably through the nose. To irritate the nasal mucosa is convenient for sneezing, with ear sticks or bury in the nose 4-5 drops of fresh aloe juice or calanchoe 3-4 times a day; the juices of these plants irritate the nasal mucosa and cause multiple sneezing. Some may experience irritation of the nasal mucosa with pepper or snuff.
c) Stimulate antiviral immunity can, it turns out, and the reception of certain products with a strong immunostimulating effect, it is mustard and horseradish. When using these spices, we must ensure that the molecules of essential oil of these spices fall into the nasal cavity and into the paranasal sinuses, into the bronchi and lungs and would cause a specific effect the brain missed). When these recommendations are implemented, recovery begins within two to three days. Good luck to all.

Svetlana

Ask a doctor!

Shin Sh

all antibiotics are taken 7-10 days

barabas karabas

A minimum of about 10 days.

Recommendations: antibiotics in adults with genyantritis

Antibiotics for genyantritis adults must be taken necessarily, because without these medications there will be no positive result. If the doctor is fully confident that the problem has arisen as a result of the influence of bacteria and because of them the inflammatory process has begun, then there is only one thing: choose which of the many antibiotics is suitable in this or that case for an adult patients.

For the treatment of acute sinusitis it is better to choose penicillins

Specialists for a long time studied how exactly different antibiotics work on the treatment of sinusitis. Do not independently conduct numerous experiments and choose antibiotics for treatment problems, because doctors have long determined which means are suitable for one form or another sinusitis.

To treat the acute form of sinusitis in adults, it is necessary to use drugs from the penicillin group.

Amoxicillin is considered to be the most effective remedy that helps to get rid of the disease. After a week of using the medicine in tablets, a significant improvement in the well-being of the sick person begins.

Amoxicillin is effective because it kills microorganisms, because in acute form they secrete beta-lactamase. It is a unique enzyme that breaks down under the influence of penicillins.

Recently, specialists have begun to conduct additional studies and have come up with quite a few other drugs that help with acute sinusitis. At the heart of these drugs are still protected penicillins.

In order for bacteria to die even better, this agent can be mixed with clavulanic acid.

Penicillins without clavulanates and with them

If the antibiotic contains clavulanic acid in its composition, then it completely kills all the microorganisms that cause the acute form of sinusitis. At the same time, antibiotics of this type can also be used to treat the chronic form of the disease. Amoxicillin (an unprotected antibiotic) has recently been less and less used to treat sinusitis in adults. Most often it is prescribed to children whose body is not yet familiar with many bacteria.

For the treatment of chronic sinusitis, this antibiotic is generally not applied. This is due to the fact that recently the resistance of bacteria to Amoxicillin increased several times.

Unprotected antibiotics have lost their popularity and are rarely used, because a protected version of the drug is more effective in several times and helps to treat sinusitis not only in adults, but also in children, has fewer contraindications, and the process of recovery is going on faster.

Antibiotic Amoxicillin

The drugs, which contain amoxicillin, are completely safe for the human body, they are well tolerated. This antibiotic works on almost all bacteria that can provoke the development of sinusitis. It does not affect only those strains that produce penicillinase.

The great advantage of Amoxicillin is its availability in various forms: tablets, suspensions, drops and so on.For the treatment of an adult, 1 tablet is prescribed 3 times a day. The course of treatment of acute sinusitis is 2 weeks.

To date, there are quite a lot of drugs based on amoxicillin. The most popular are the following:

1. Austrian Ospamox.
2. Flemoxin Solutab is a tablet that dissolves in the mouth or liquid, producer Astellas.
3. Hiconcil, Slovak drug.
4. Protected Amoxicillin with the addition of clavulanic acid.

Recently, due to the fact that the resistance of bacteria to the effects of antibiotics has increased significantly, protected types of medication have become more popular. Amoxicillin with clavulanic acid is capable of killing all sorts of bacteria that have both a gram-positive and a gram-negative flora. At the same time, the human body tolerates this antibiotic very well. You can use the medicine even during pregnancy, regardless of the time, which is done in obstetric practice to date.

The dosage of the drug in the nose will depend on how severe the infection is in humans. If there is an easy form of the problem, then to treat acute or chronic sinusitis it is necessary to drink 1 tablet every 12 hours. An alternative option is to take the antibiotic in pure form 3 times a day, but the dosage will be slightly less. If there is an average or severe degree of sinusitis, the dose of the medicine will be large enough and take it 3 times a day.

If doctors determined that the cause of sinusitis steel pnevmoniynye streptococci, it is necessary to increase the dose of the antibiotic protected by 2 times.

To cure the acute form of sinusitis in this way, you can literally in 2 weeks, but the chronic form needs treatment for several months, so you need to start timely treatment and not run the problem.

Analogues of protected Amoxicillin with clavulanic acid are quite numerous.

The most effective among them are: Augmentin, Amoxiclav, Flemoclav Solutab.

Alternative drugs against sinusitis in adults - macrolides.

Macrolides can be drunk with genyantritis in the same way as antibiotics, because drugs of this type are considered no less effective. They are often used in those situations in which a patient with maxillary sinusitis has an allergic reaction and penicillin intolerance. It is worth noting that macrolides in most cases are prescribed for the treatment of sinusitis, when on For the past 3 months, a person has already treated the problem with drugs from the penicillin group. The most effective options for these drugs are Azithromycin and Clarithromycin. They are often prescribed for the treatment of the inflammatory process in the maxillary sinuses.

Antibiotic Azithromycin

This drug - an incredibly popular antibiotic that consists of 3 tablets and is used not only for the treatment of sinusitis, but also very many other diseases of an infectious nature. The drug is removed from the human body long enough, and therefore it is enough to take it once a day. A huge plus is that the drug can kill a wide variety of bacteria and infections. This means that all microorganisms sensitive to Azithromycin, which can provoke the development of sinusitis, are sensitive. In this case, Azithromycin is considered a relatively safe antibiotic with a minimum of side effects.

Azithromycin specialists are among the most reliable drugs of category B. It can be used to treat sinusitis in pregnant women, but only if the risk to the mother's life is greater than for her child. To this antibiotic, in only a few cases, habituation can arise. As shown by numerous practices, even if you take the medicine for several months, there are very few chances that some new resistant strains of malicious bacteria.

If a patient with a sinusitis has an acute form of the disease, then in this case, take 1 tablet of the drug per day for 5-7 days. If the inflammatory process has a chronic form, then the dosage is the same, but the doctor will prescribe a longer course of treatment. Its duration will be different in each individual case.

To date, there are several fairly effective analogues of the drug Azithromycin. Most often can be used to treat sinusitis Sumamed Croatian production from the company "Pliva Serbian Hemomycin and many preparations under the trade name Azithromycin, produced by domestic and foreign producers.

Antibiotic Clarithromycin

A distinctive feature of the effective antibiotic Clarithromycin from Azithromycin is that it belongs to the category C. This means that it has an extremely negative impact on the child and for this reason the medicine can not be used to treat sinusitis during pregnancy. At the same time, the medicine is several times more rapidly excreted from the human body. You can not take Clarithromycin for children who have not turned six months old. In other respects, the characteristics of both drugs are the same.

To take an antibiotic Clarithromycin is necessary 2 times a day for 500 mg, the course of treatment and its duration will depend entirely on the degree of severity of acute maxillary sinusitis observed in rights. As a rule, in order to get rid of this unpleasant problem, it usually takes 2 weeks, or even 10 days.

Most often, doctors prescribe to patients the reception of the original Klacid medicine, which is of excellent quality. The French company Abbott is making the antibiotic. If we talk about cheaper counterparts, which also have a good quality, then you can choose your own from the Lemilide of Slovak production. In addition, they often use drugs such as Clarithromycin Zentiva.

.

Sinusitis - this is a very serious disease, which must be started on time to treat. Since the development of the problem is caused by bacteria, treatment without the use of antibiotics will be ineffective. It is not recommended to select a preparation on your own. The doctor should prescribe the medicine, dosage and duration of the administration after a thorough examination and establishing the severity of the disease.

respiratoria.ru

Antibiotic in adults genyantritis. Drops with genyantritis with antibiotic

With the onset of colds, few people manage to avoid colds. And such a simple symptom, at first glance, as a runny nose, can testify to the inflammation of the maxillary sinuses. If you do not consult a doctor in a timely manner, pus will appear in the nasal cavity. This situation is dangerous not only for health, but for life. Treatment of sinusitis can rarely do without the use of antibiotics. But not all of them know what medicines are needed and how to take them correctly.

When should I apply antibiotics?

The cause of sinusitis can be a bacterial or viral infection. Antibiotics only affect bacteria. Therefore, you do not need to take medicines from this group if the cause of the disease is the virus. Often, sinusitis can cause a golden streptococcus. In this case, in-patient treatment will be required, where complex antibacterial therapy will be carried out. You may need surgery.

It should be remembered that any medicines have side effects. Antibiotic in genyantritis adults and children should appoint only a doctor. First of all, tests are performed to determine the type of bacterial infection. The same medicine can not affect equally effectively on various microorganisms. The form of the disease is also taken into account. Chronic sinusitis involves systematic treatment. Lightweight medications are taken to prevent the development of a strong inflammatory process. Disease in the acute phase can be treated with stronger antibiotics.

Macrolides with genyantritis

Preparations of this group block the growth of bacteria, and also contribute to the inhibition of their reproduction. Macrolides can be used in both systemic treatment and acute stages of the disease. Drugs of this group can be prescribed to people of any age. Antibiotic in adipositis adults is prescribed in an increased dosage. Treatment is always in the hospital.

Macrolides in a higher concentration affect such pathogenic bacteria as staphylococci, streptococci, as well as the causative agents of diphtheria and pertussis. Preparations of this group are low-toxic and resistant to acidic environment. Antibiotic in adipositis adults can be selected in the form of tablets or solutions for injection. Children up to three years are most often prescribed a drug in the form of a suspension.

Semisynthetic antibiotic "Azitromcin"

The drug is an antibacterial agent of a wide spectrum of action. Accumulating in the center of inflammation, the medicine "Azithromycin" blocks the activity of pathogenic bacteria. Microorganisms stop multiplying and soon die. The drug is quickly absorbed into the blood. Thanks to this, the positive effect of the reception can be observed already in the first few hours.

The drug "Azithromycin" is released in the form of tablets and suspensions. The doctor can also prescribe drops at a genyantritis with an antibiotic. Applying the drug even in this form is not recommended without consulting a doctor. Most often, the drug "Azithromycin" is taken only once a day. The course of treatment of acute sinusitis can last up to 10 days. In combination with antibiotic therapy should be prescribed drugs that restore the intestinal microflora. The facilitated form of a genyantritis by means of a tool "Azithromycin" can be cured at home.

The drug "Erythromycin"

This antibiotic is most often prescribed for inflammatory processes in the respiratory tract. The drug "Erythromycin" has an average spectrum of effectiveness. It can be prescribed only if the primary disease is sinusitis. The problem is that in pathogens, immunity to this drug is rapidly developed. At the subsequent application for medical care, the patient is prescribed a more potent remedy.

Before you prescribe an antibiotic for sinusitis in adults and children, the doctor must determine whether the patient's microflora is sensitive to the individual components of the drug. Assign the product more often in the form of tablets. Adults take on, 5 g every 4 hours. If the sinusitis proceeds in a complicated form, the dosage of the drug can be increased. Good results show drops with sinusitis with antibiotic. The agent "Erythromycin" in this case acts directly at the site of inflammation. In this form, the drug is also prescribed for children.

Penicillins

These are the first antibacterial drugs that have been developed on the basis of the products of microbial activity. It is the drugs based on penicillins that currently occupy a leading place in the treatment of various bacterial infections. They are also used in chemotherapy for serious diseases. The best antibiotic for sinusitis also belongs to this group.

Penicillins have been used in medical practice since the 1940s. During the Second World War, antibiotics managed to save more than one life. All penicillins are divided into natural and semi-synthetic. They act primarily on the walls of bacterial cells. Initially, pathogenic microorganisms stop multiplying, and then completely die.

Antibiotic "Amoxicillin"

Semisynthetic penicillin of a wide spectrum of action quickly enough will help to cure genyantritis. How to treat antibiotics disease, the doctor will tell. Depending on the form of the disease, as well as individual characteristics of the body, the dosage of the drug will be determined. "Amoxicillin" is released in the form of tablets, suspensions, as well as powder for injections. For children, the drug is usually administered in the form of a suspension. Heavy maxillary sinusitis is treated in a hospital.

Before starting treatment, the doctor must determine which bacteria caused the disease. Staphylococci and streptococci in most cases cause sinusitis. How to treat antibiotics such a disease, every specialist knows. But the drugs are selected to patients strictly individually. The antibiotic "Amoxicillin" perfectly copes with various pathogens. But if the disease is in remission, the doctor should choose another drug for treatment.

The drug "Augmentin"

This drug is based on the drug "Amoxicillin". It is intensified by clavulanic acid, which considerably expands the spectrum of action of the drug. Those who do not know what antibiotics to take with sinusitis again, it is worth paying attention to the agent "Augmentin". The drug acts even on those microorganisms that have developed immunity to the drug "Amoxicillin".

Before prescribing the drug, the doctor must determine the sensitivity of the microflora to its individual components. Antibiotic "Augmentin" is a low-toxic and quickly excreted from the body. The drug is produced in various forms. These are tablets, suspensions, drops, powder for injections. What antibiotics to take at a genyantritis at children, the doctor will prompt. Babies under 5 years are most often prescribed "Augmenting" in the form of drops. The drug is approved for use during pregnancy and lactation.

Cephalosporins

Another group of antibacterial agents that are used to treat sinusitis. There are four classes of these drugs. The first two of these are primarily used to treat diseases of the respiratory system. Due to its low toxicity and high efficiency, cephalosporins have gained immense popularity.

Antibiotics of this group are well absorbed into the gastrointestinal tract. Due to this, the effect of the drug can be noticed after 20 minutes after its administration. Most often in the hospital there is treatment of genyantritis with antibiotics. The name of the drug that will be needed in a particular case, the doctor will tell.

Antibiotic "Ceftriaxone"

The drug belongs to the third generation of cephalosporins. With its help it is easy to overcome sinusitis. Symptoms and treatment with antibiotics will be described by a specialist when seeking medical help. Do not use the drug "Ceftriaxone" on your own. Initially, the doctor will determine which pathogen caused the disease.

The agent "Ceftriaxone" in pharmacies is offered as a solution for injections. After intramuscular injection, the drug is rapidly absorbed. In just a few days, the sinusitis recedes. Symptoms and treatment with antibiotics are no longer of interest to the patient. But even if you feel better, stop using the drug. The genyantritis is treated with the antibiotic "Ceftriaxone" for at least five days. Interruption of the course will lead to rapid remission of the disease.

Conclusion

At the first symptoms of the disease it is worth immediately contacting a specialist who will tell you which antibiotic is better for maxillary sinusitis. Probably, in general it will be possible to avoid antibacterial treatment. But in the worst case, you can not do without surgical intervention. Sinusitis is a serious health threat.

In no case can you choose yourself an antibiotic for the treatment of ailment. It is worth remembering that such drugs affect not only pathogenic, but also beneficial microorganisms. Self-medication will lead to such troubles as dysbiosis and constipation. Complex treatment of maxillary sinusitis with antibiotics. The name of the drug for restoring the intestinal microflora will also be able to tell the doctor.

Treatment of maxillary sinusitis in children should not be performed with the same drugs as in adults. Less toxic drugs are prescribed or the dosage is reduced. Children under five years of bacterial diseases of the respiratory tract are most often treated with droplets and suspensions.

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