Amoxicillin with genyantema

Amoxicillin for maxillary sinusitis dosage for adults | How to take Amoxicillin for genyantema

This drug for sinusitis at the present time is still as relevant. Amoxicillin is still prescribed in the acute stage of the disease. Although the production of such more modern drugs as Macropen and Sietrolide has already been established. They unlike Amoxicillin help to cope with sinusitis in less than five days. However, their frequent use reduces the body's immunity, and sinusitis can appear more often. That is why the best choice for many patients was this drug.

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Principles of dosage Amoxicillin in the treatment of sinusitis

Many doctors are inclined to believe that such drugs as Ampicillin and Amoxicillin cope with the disease is no worse than more modern and expensive drugs. It should also take into account the fact that the drug has been used for a long time, and its therapeutic properties have been repeatedly verified and approved by patients. When treating Amoxicillin all the symptoms of sinusitis, even the most complicated, can be removed in a week. Just remember that if you have pus accumulated in the maxillary sinuses, and you did not withdraw it, then the action of Amoxicillin will be weakened by this. And even a slight weakening of the action of the drug can cause an undeveloped swelling of the nasal sinuses.

The dosage is set individually, taking into account the severity of the infection and the sensitivity of the pathogen.

• Children aged 5-10 years are prescribed, 5 g of the drug 3 times a day.
• Dosage of the drug Amoxicillin for adults and children over 10 years old (with a body weight of more than 40 kg) - on, g 3 times a day.
• In severe forms of infection, the dosage of the drug can be increased up to, g 3 times a day.

Prior to the appointment of a patient to the drug, it is desirable to determine the sensitivity to it of the microflora that caused the disease in this patient.

It should be remembered that the effectiveness of treatment of sinusitis will depend very much on how well you drip drops and remove all the side symptoms of the disease. They are recommended to be removed with vasoconstrictive sprays or special drops containing antibiotics.

Remember that before you start to treat sinusitis with antibiotics, you need to check if you have a fever. You should also completely cure all cold symptoms.

How to take Amoxicillin in the treatment of sinusitis?

If you are still going to treat sinusitis with Amoxicillin, then remember that the bulk of the antibiotic will be injected into the sinuses. With a thorough treatment, many doctors prescribe in addition to Amoxicillin several other types of antibiotics. And they can affect the whole body, as well as a certain part of it.

Remember, that treatment of a genyantritis by Amoxicillin was effective and did not bring a special harm to an organism, constantly consult the doctor.

Possible side effects of Amoxicillin during treatment of sinusitis:

Taking the drug with genyantritis, beware of allergic reactions. They are:

1. hives,

2. erythema (limited redness of the skin),

3. angioedema,

4. rhinitis (inflammation of the nasal mucosa),

5. conjunctivitis (inflammation of the outer shell of the eye).

Less often amoxicillin treatment is accompanied by fever, joint pain, anaphylactic shock and development of superinfections. these reactions are usually observed in patients with chronic diseases and reduced resistance of the body.

© Author: Oksana Rabeeva

AstroMeridian.ru

Antibiotics for sinusitis in adults: names of tablets for treatment

Sinusitis is an inflammation of the paranasal sinuses, which in most cases is a consequence of acute sinusitis.

The name of the disease comes from the name of the maxillary sinuses of the nose, which are affected in the inflammatory process - the maxillary.

For the first time the symptoms of pathology were described several centuries ago by an English scientist named Gaymor, hence the name.

Among adults, about one in ten people suffer from acute or chronic sinusitis - these figures allow you to get understanding the extent of the prevalence of this pathology and to understand the importance of finding the optimal sinusitis.

More than 10% of cases of acute respiratory viral infection are diagnosed with acute sinusitis caused by the attachment of bacterial infection and corresponding complications.

Given that an adult is infected with ARVI about once a year, we can say that the sinusitis risks everyone. And the latest static data on sinusitis - this pathology is on the fifth place in the list of infectious diseases that need to be treated with antibiotics.

What antibiotics are used - how to choose a medicine

There are general principles that guide the doctor, choosing the best antibiotics for sinusitis for adults.

It can not be said that this medicine is the best antibiotic for sinusitis, and it will certainly help everyone, like mucolytics. First of all, the symptoms of the disease, the degree of their severity, the characteristics of the patient are evaluated.

All antibiotics, which can treat sinusitis in adults, are divided into three large categories.

Preparations of the first line

These include those antibiotics for sinusitis, which are most effective at genyantritis and are the drugs of choice. They are appointed adults first. It:

1. Amoxicillin.
2. Clarithromycin.
3. Azithromycin.

All these tablets from sinusitis are usually well tolerated and give excellent results with timely and correct use, like mucolytics.

Preparations of the second line

Drugs from this group of antibiotics are prescribed if the patient lives in a region in which a high level of ENT diseases caused by resistant microorganisms is recorded. They are prescribed to adults, if the symptoms of sinusitis do not disappear after a course of therapy with antibiotics of the first line.

This group includes such tablets from sinusitis:

• Amoxicillin / Clavulanic acid;
• Fluoroquinolones;
• Cephalosporins of the 2nd and 3rd generation.

Such drugs can treat both chronic and acute sinusitis.

Injuries in genyantema

There is a separate category of patients with the so-called nosocomial sinusitis. In this case, tablets from antritis antimicrobial effect are not effective, antibiotics should be administered intravenously. Injection prescribe such drugs:

1. Meropenem.
2. Imipenem.
3. Cefuroxime.
4. Cefotoxime.
5. Ceftriaxone.
6. Gentamicin.
7. Tobramycin.

Each medicine from the above has its own peculiarities of the impact on the body with genyantritis, they need to be taken in different dosages and according to different schemes.

Therefore, it is worthwhile to consider in detail each of them, in order to understand when and what it is best to treat sinusitis.

Penicillins in the treatment of genyantritis

Treatment of maxillary sinusitis with antibiotics from the penicillin group is the most reliable and safe. Usually these tablets from a genyantritis are well transferred, they are appointed or nominated to patients of any age.

They can be taken during pregnancy and lactation, as well as mucolytics. Numerous official studies have confirmed that these drugs do not have a negative effect on the fetus.

Amoxicillin and its derivatives refer to first line drugs in sinusitis. But they do not always manage to treat atypical strains effectively. Some bacteria are able to produce beta-lactamases - substances that can destroy the beta-lactam ring of the antibiotic.

Antibiotics from the penicillin group are unprotected, and if the sinusitis is caused by pathogenic microorganisms capable of to produce beta-lactamase, to drink Amoxicillin in tablets is meaningless - the symptoms will not disappear, and the disease will be progress.

Antibiotics from the group of macrolides with genyantritis

Alternative drugs of choice, if unprotected penicillins could not eliminate the symptoms of sinusitis - macrolides. These medicines do not have a lactam ring. Consequently, they will be effective even against those strains whose microorganisms are capable of producing beta-lactamases.

Macrolides are more active than unprotected penicillins with respect to the Moraxella bacteria. They can be used in the treatment of acute sinusitis if the patient suffers penicillin intolerance. Most often from this group appoint Clarithromycin and Azithromycin.

Clarithromycin.

This is a second-generation macrolide. It is effective against virtually all microorganisms that can cause acute or chronic sinusitis. Take the drug in this dosage - 500-750 mg twice a day.

Clarithromycin is most effective if taken at regular intervals. The course of treatment lasts no less than 7 and not more than 10 days. Dosage and duration of treatment can be adjusted if necessary by a doctor.

Azithromycin.

This drug is a 15-member macrolide. It has a long half-life. Therefore, the treatment schedule and its duration are radically different from the use of other antibacterial medicines.

On the first day, 500 mg of the drug should be taken once. Then you should take 250 mg daily for four more days. The total duration of treatment is five days.

Treatment of sinusitis with second line antibiotics

If both penicillins and macrolides prove to be ineffective in the treatment of sinusitis, they pass to treatment with antibacterial drugs of the second line. To select the right medicine, the patient's material is first sown to establish sensitivity to various antibiotics.

How can it be determined with empirical prescription of drugs that strains of the microorganism are resistant to the drugs being taken, what are the symptoms indicating this? Infection with antibiotic resistance of the first line by microorganisms can be assumed if no improvement in the patient's state of health is noted after 2-3 days after the initiation of therapy.

Symptoms of an organism intoxication at an acute sinusitis:

• Heat;
• Headache;
• General weakness.

If they do not disappear, but are retained or become stronger, despite the administration of Amoxicillin or Clarithromycin, they proceed to treat pathology with second-line antibiotics. These are fluoroquinolones and cephalosporins.

Amoxicillin plus clavulanic acid

Above it was said about the main and essential shortage of Amoxicillin - due to the presence of the lactam ring it loses its activity in case of infection with microorganisms that are capable of producing beta-lactamase.

Therefore, it is best to select an alternative antibiotic, to sow the contents of the maxillary sinuses of the patient. This will allow one hundred percent to accurately determine whether the patient is sensitive to certain antibacterial drugs and which is better to choose. What is the difficulty?

In order to get the contents of the maxillary sinuses, it is necessary to make a puncture - puncture of the paranasal tissues with a special syringe and mucus from them. This is a rather complicated and serious procedure that requires strict adherence to sterility. Not all patients agree to it, because often it is necessary to immediately switch to the selection of second-line drugs.

There is an antibiotic that retains all the properties of Amoxicillin, but is immune to penicillinase. Such preparations are called protected penicillins, these are combinations of Amoxicillin and clavulanic acid.

This is Augmentin in tablets, Amoxiclav, Flemoclav. According to studies of physicians, the effectiveness of treatment of sinusitis with these medicines is more than 90%.

The dosage of amoxicillin protected by clavulanic acid is determined by the doctor, taking into account the nature of the disease and the degree of its manifestation. Adults are prescribed from 500 to 1000 mg once a day.

Cephalosporins in tablets as alternative drugs

Cephalosporins in the form of tablets from the common cold of the second and third generation are alternative second line drugs that are also effective in treating sinusitis. For oral administration, one of the following drugs is selected:

1. Cefuroxime.
2. Cefpodoxime.
3. Cefixime.

In pharmacies most often this antibiotic of the second line from the group of cephalosporins is offered from three different manufacturers - Ceforoxime Sandoz from the German pharmaceutical company, Zinnat from the manufacturer Glaxo and the drug Aksef from the company Medokemi, located on Cyprus.

Cefuroxime is active against most known strains of microorganisms that can cause acute sinusitis. He is also not prone to penicillinase. The standard dosage of the drug is 250 mg twice a day at regular intervals.

Cefpodoxime.

These tablets are a third generation antibiotic. The main difference between the preparations of this group of cephalosporins is their effectiveness against gram-negative pathogenic microflora. Ceppodoxime in liquid form for injection is distinguished by a very high level of bioavailability. But in tablets this same substance, on the contrary, is absorbed by the intestine badly.

In the pharmacy it can be found as tablets of various dosages of Cefodox from the Jordanian pharmaceutical company - 100 and 200 mg in one tablet. Less common drug Tsepodem of Indian origin. It is more affordable, but the effectiveness of doctors give preference to Cephodox.

The intestine absorbs Cefodox in tablets by little more than half. This is a fairly low rate, because in no case can you change the dosage and schedule of the drug prescribed by your doctor.

Usually 200 mg of the drug are indicated twice a day. Duration of treatment - up to 10 days.

Cefixime.

The drug refers to antibacterial third generation drugs on a semi-synthetic basis. Has a significant disadvantage - low activity in relation to gram-positive microorganisms. For example, Staphylococcus aureus, which is often the causative agent of acute and chronic sinusitis, is resistant to Cefixima.

The drug is poorly absorbed by the intestine, its bioavailability is even lower than that of Cefpodoxim - only 40-50%. As an alternative medicament, an antibiotic, Suprax, can be considered, which has the same efficacy, but is absorbed better by the dispersible form of release.

Less common, but also can be used as an analogue of the Indian drug Ixim and tablets from the Macedonian company Panzef.

Antibacterial injections for sinusitis

Do you really need antibiotics pricks in sinusitis - this issue still remains controversial for domestic otolaryngologists. Of course, getting immediately into the blood, the antibiotic several times faster than the pill, starts to act, eliminating the symptoms of sinusitis. But is there a need for this?

On the one hand, it is easier for a doctor to immediately prescribe an antibiotic for parenteral administration, which will definitely work than pick up pills whose effectiveness is only hypothetical. On the other hand, the patient is only too glad to get rid of the impassive nasal congestion, purulent secretions, headache and finally breathe normally, in this case, often a puncture sinusitis.

Therefore, when the otolaryngologist writes out a prescription of antibiotics in a liquid form for injections, assuring that this the only way to combat the exhausted disease, the patient agrees without hesitation, takes the prescription and obediently goes to pharmacy.

The duration of treatment with the help of injections is the same as treatment with antibiotics in tablets - from 7 to 10 days. And the result is usually noticeable. But the side effects in most cases are so great and serious that after treatment sinusitis has to move to the treatment of other internal organs and the restoration of a completely destroyed immunity.

So are injections of antibiotics necessary for sinusitis? Yes, there are situations when one can not do without them. Parenteral administration of antibacterial drugs is indicated for nosocomial maxillary sinusitis. The causative agents of the inflammatory process are mainly gram-negative microorganisms with high resistance to antibiotics.

Aminoglycoside antimicrobial agents are active in bacteria of this type. In this case, empirical appointments are inexpedient, it is mandatory to make culture sowing to detect the sensitivity of bacteria, and then, according to the results, select an antibiotic.

In conclusion, we offer a cognitive video about antibiotics for sinusitis.

stopgripp.ru

Who had sinusitis, than treated? The picture showed sinusitis on both sides, prescribed Amoxicillin and Rinoflumucil spray.

Answers:

Irina Mayboroda

was a genyantritis. plainly and has not cured, antibiotics it was impossible, was in position. I think the best way is antibiotics. spray rinofluimutsil discharged, honestly did not help at all., just a muck (you can call it coarser), only money to the wind. and the first helps a little, my elder daughter was discharged. happily cured!

Irina

That's exactly what I do not advise, it's to pierce.

Igor komusak

If there are no pathologies with the head, then ask for a quartz nasal warm-up. In a week he (gayorita) will not be. I earned it twice on fishing trips and cleaned it with quartz.

Happy

Have you already been struck by it? togyl inhalation by Bioparox

Ludmila Zaitseva

sinupret (tab), polydex-spray, amoxiclav or tsifran, cetrine at night, nazivin

Irina Kravtsova

Augmentin, sinupret, bioparox, washing solians. iodine nose

Alenka

There is such a flower, "Kalanchoe" is called. You take a sheet, grind it, squeeze out the juice and dig it. The more often, the better! You will often sneeze, be patient. At me in due time the terrible genyantritis has developed, in a faint fell. Three days of swallowing, everything turned out, no operations! Do not delay.

wais

Sinusitis - inflammation of the mucous membrane of the maxillary sinus. Acute inflammation of the maxillary sinus often occurs during the common cold, flu, measles, scarlet fever and other infectious diseases.
Symptoms: Unilateral nasal lining, mucous or purulent discharge, decrease or loss of smell. Feeling of raspiraniya in the cheek and forehead. Pain when pressing in the frontal sinus. Sometimes they worry about toothaches. There may be swelling in the area of ​​the affected sinus. The temperature rises.
Traditional methods of treatment: Bed rest, at the temperature of taking aspirin, drops in the nose. In order for the drops to enter the middle nasal passage (where the sinuses open), the patient's head should be thrown back and turned toward the diseased sinus. In addition, heat is applied to the cheek and forehead.
Unconventional and folk methods of treatment:
1) Grind a small onion bulb with hot honey water (mix a glass of water with, a teaspoon of honey), insist, wrapped, 3-4 hours and strain. The resulting infusion wash the nose several times a day.
2) Peel the bulb, cut into several pieces, put on a bandage, then fold the bandage, attaching it to the nose so that a part of the onion is under both nostrils, and tie it to the back of the head. It is especially good to breathe onions while sleeping.
3) Twice a day, in the morning and in the evening, dig into each nostril 5 drops of tincture of the prickly throat (sold in pharmacies). Inulin, in large quantities contained in the plant, perfectly helps in the treatment of sinusitis.
4) Rinse the nasal cavity with warm water with the addition of a small amount of iodine tincture or manganese.
5) If you have pain in the nose, ears, head, bury the black radish juice in your nose or insert a tampon with radish juice into your nose.
6) Wash the sinuses of the nose with 5% infusion of calendula flowers.
7) Inhale fir vapors (sold in pharmacies).
8) Before going to bed take, a glass of decoction of herb Leonurus (1 teaspoon per 1 glass of water).
9) For sinusitis it is recommended to use the juice of celandine and chamomile taken in equal amounts. Bury or inject into the nasal cavity 2-3 times a day.
10) Brew in, l. boiling water 2 tablespoons herb tea (sold at the pharmacy). Bring to a boil and leave for 30 minutes. Take a glass 2-3 times a day for 30 minutes before eating.
11) In case of polyposis inflammation of the sinuses, the juice of celandine and chamomile are taken in equal proportions. Bury in the nose.
12) Wash the sinuses of the nose with a 5% infusion of calendula flowers.
13) Before going to bed take on, a glass of decoction of grass motherwort (1 teaspoon per 1 glass of water).
14) Bring to a boil of 200 gr. powder of spruce resin, 1 crushed bulb, 15 gr. powder of vitriol and 50ml. olive oil, mix thoroughly. Ointment is used for compresses on the area of ​​the inflamed sinus.
15) Take in equal quantities the fruit of the dog rose, the grass of the horsetail, the roots or the roots of the grass grass (sold in the pharmacy). 1 teaspoon of collection pour 1 cup of boiling water and insist in a thermos for 8 hours. Dilute with boiled water and drink like tea 1 glass 3-4 times a day in a warm form.
16) Chew pieces of honeycomb, then spit them out.

Lana

Draw your nose with a warm broth of St. John's wort, it will be a bit sick but bear it, spilling everything through your mouth, so the sinuses will be cleared from the pus.

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

In what cases are antibiotics prescribed for sinusitis

Antibiotics kill or prevent the growth of bacteria that cause some sinus infections (in particular, the use of antibiotics for sinusitis is topical).

Antibiotics for sinusitis are usually safe and very effective.

With their use, most people recover completely.

Antibiotics of a narrow spectrum of application work against several types of bacteria.

On the other hand, broad-spectrum antibiotics are more effective, since they attack numerous species of bacteria, but some bacteria develop resistance to these drugs. For this reason, an ENT specialist can first prescribe a narrow-spectrum antibiotic to the patient. If the treatment does not bring the desired results, antibiotics of a broad spectrum of action enter the "battle".

Such medications are usually required only when symptoms of the frontitis, sinusitis and other types sinusitis lasts longer than a week, begins to improve, but then worsen again or become very heavy.

Anxiety symptoms that may serve as a basis for immediate antibiotic treatment include:

• fever;
• severe pain and soreness over the sinus;
• signs of a skin infection, such as a red rash that spreads quickly.

When you need to take antibiotics with sinusitis, one of the best choices in many cases is "Amoxicillin which costs about 100 rubles and is as effective as more expensive drugs, such as "Augmentin". However, each antibiotic has its own side effects, so always consult with your doctor before the reception.

Antibiotics do not work against viruses. They are effective only in the fight against bacterial infections. In addition, antibiotics do not help with allergic rhinitis and sinusitis.

Treatment of sinusitis with antibiotics. Memo for patients

When using antibiotics for the treatment of acute sinusitis, it is useful to remember that:

• The number of days you take antibiotics depends on your overall health, the severity of the disease and the type of antibiotic that you are taking.
• Another antibiotic may be needed if your condition does not begin to improve within 3-5 days.
• Treatment of sinusitis with antibiotics should be combined with the use of other medications, such as decongestants, inhaled corticosteroids, mucolytics (diluting mucus).

When using antibiotics to treat chronic sinusitis, it is useful to remember that:

• The course of taking antibiotics depends on your overall health, the severity of the disease and the type of antibiotic that you are taking.
• The choice of an antibiotic often depends on what preparations have worked well for you in the past. The antibiotic, which once helped you cure sinusitis, is usually used to re-treat the disease. If it does not have the proper effect, your doctor may prescribe you another medication for treating sinusitis in adults.
• Other medications, such as decongestants, inhaled corticosteroids and medications that help liquefy mucus, may be prescribed to improve the drainage of mucus or pus from the sinuses.

The drug "Amoxicillin" (active substance amoxicillin) is often the first choice in the treatment of sinusitis antibiotics, because it, as a rule, copes effectively with the disease and has few side effects effects. It should not be used if you are allergic to amoxicillin or have been diagnosed with mononucleosis. The substance amoxicillin, as well as azlocillin and ampicillin, belongs to the group of semisynthetic penicillins.

For the treatment of sinusitis, antimicrobial agents such as Biseptol, Bactrim (the active ingredient trimethoprim-sulfamethoxazole) can also be used. They are prescribed to people who are allergic to amoxicillin.

Other antibiotics, such as "Cefazolin "Levomycetin" and "Cephalexin" (named for the "name" of the active substance) can be prescribed for the treatment of bacterial infections that are resistant to amoxicillin and trimethoprim-sulfamethoxazole.

Side Effects of Antibiotics for the Treatment of Sinusitis

All medicines have side effects. But many people do not feel the undesirable consequences of using antibiotics to treat sinusitis or they easily tolerate them.

Side effects are listed in the instructions that go to each drug that you buy at the pharmacy.

Here are some important things that each patient should know:

• Usually, the benefits of medication are more important than any minor side effects.
• Side effects may disappear after several days of taking the drug.
• If side effects still bother you, consult your doctor. He either reduces the dose to be taken, or appoints another drug. You can not self-abandon the antibiotic without the consent of the doctor.
• Call an ambulance if, after taking the medication, you experience the following conditions: shortness of breath, swelling of the face, lips, tongue, or throat.
• Call your doctor if you feel dizzy or faint after using an antibiotic.

Common side effects of antibiotics for the treatment of sinusitis include:

• nausea and vomiting;
• diarrhea;
• rash on the skin.

It is important to properly treat the frontitis or other form of sinusitis that your doctor prescribed. Admission should not be discontinued, even if you feel better. This is especially important in the treatment of sinusitis, because antibiotics are not so easy to penetrate through the mucus inside the sinuses.

If you are pregnant, breastfeeding, or plan to become pregnant, do not use medication and dietary supplements not approved by your doctor to treat sinusitis. Otherwise, you can cause harm to the baby. And make sure that all your doctors know that you are pregnant, breastfeeding, or plan to become pregnant.

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