Medication for cold and flu list

List of inexpensive drugs against influenza and colds

Almost every person, at least once a year, suffers from a cold. No matter how strong the human body, it can not be fully insured against viruses and infections, especially if there is an off-season or winter. Producers for disease control offer inexpensive medicine for colds and flu. You need to know which ones are not just cheap, but also effective.

Antiviral drugs are inexpensive but effective

All funds for influenza and cold are divided into three broad categories:

1. Antiviral. These drugs fight the virus, make the body cells more resistant to its effects.
2. Immunomodulators. Preparations to correct the body's defense reactions to the natural level.
3. For symptomatic treatment. Drugs of this group do not suppress the infection, but simply remove the symptoms of a cold or flu.

Antiviral tablets

The most famous drugs of this category:

1. Tamiflu, Oseltamivir. Adults and adolescents drink 1 tablet twice a day for five days. The medicine is not recommended for those who have diseased kidneys.
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2. «Amiksin». Adults drink on the first day of illness two tablets of 125 mg, and then - a piece every other day. The dosage of a child's drug is halved. The drug is not allowed for pregnant women.
3. "Ribavirin." The drug is a new generation, very effective. Adults take r, r four times a day. Course - 5 days.

Immunomodulators

Inexpensive good cures for cold and flu of this category:

1. "Cycloferon." The drug for adults and children, who are already four years old. The course is 20 days, take a pill every other day.
2. «Kagotsel». This medicine can be combined with antibiotics. Adults drink two tablets three times the first two days, and then one each. "Kagotsel" can not be taken for the first three months of pregnancy.
3. Anaferon. Homeopathic remedy. Adults drink one tablet 3-6 times a day.

For symptomatic treatment

List of drugs that can remove signs of illness:

1. "Koldakt Flyu Plus." Capsules with paracetamol and excipients. Drink them one by one every 12 hours. During treatment it is necessary to refuse categorically from alcoholic beverages.
2. "Coldrex". Helps with a cold with a wet cough. It is necessary to take one tablet 3-4 times a day. This drug can not be drunk if you have diabetes, liver or kidney failure.
3. "Rince". Tablets take a piece 4 times a day. They can not be drunk with pregnant women, children under 15, people with heart disease, blood vessels. Course - 5 days.
4. Fervex. The drug is released in the form of sachets of powder, which must be dissolved in warm water. Do not use "Fervex" for more than three days. A day can not drink more than 4 packages.

Cold remedies

In addition to pills, there are many other drugs that fight disease effectively. If you do not want to take antiviral medications for cold and flu, drink complex means of symptomatic action, then you can try another treatment tactic. The decision must be made based on the severity of the disease. There are many inexpensive drugs for cold and flu that will ease your condition.

From a sore throat

To remove inflammation and irritation you will benefit from such medications:

1. "Grammidine." Quick-acting tablets for resorption with anesthetic. Take them two times four times a day, observing a weekly course.
2. Strepsils. Relieve pain and have an antiseptic effect. Tablets must be dissolved one at a time every three hours. Children over five years of age are allowed to be treated with the drug. Completely remove the pain in the throat for three or four days.
3. Faryngosept. A powerful medicine that is forbidden to children under six. Tablets are recommended to dissolve after eating and then for a while not to drink liquids. For a day - no more than five pieces. The course of treatment is three days.

Nasal drops

Runny nose will help you remove these drugs:

1. "Sanorin". Have vasoconstrictive effect. Do not treat nasal congestion, and temporarily eliminate it. These drops can not be used for more than five days in a row. The composition of the reduced concentration of vasoconstrictor substances and eucalyptus oil.
2. "Pinosol". Medicinal drops that have a curative effect. They struggle slowly with the causes of the common cold, but they do not eliminate the stuffiness.
3. Aqua Maris. Means for moisturizing the nasal mucosa. It does not dry the blood vessels, it speeds up the healing process. Moisturizing drops are recommended to apply for any type of common cold.
4. "Vibrocil". Antiviral drug. Drops remove not only the common cold, but also its cause. They have vasoconstrictive, antihistamine action, kill bacteria, and reduce swelling.

Antipyretic

Rapidly reduce the temperature of such medicines:

1. "Paracetamol". A time-tested and inexpensive remedy that removes heat, relieves pain and inflammation. There are practically no side effects. Paracetamol is the main active ingredient of many other medicines: Panadol, Fervexa, Flukolda, Coldrex.
2. Ibuprofen. This medicine is rather anti-inflammatory, but it also lowers the temperature well. Do not take those with an ulcer, kidney or liver disease. It is part of the "Nurofen "Ibuklina".
3. "Aspirin" (acetylsalicylic acid). Antipyretic and analgesic. Do not take pregnant women, children under 12, those who have low blood coagulability. It is the main component of a huge number of other antipyretic drugs.

From herpes

This unpleasant symptom of cold will help to overcome such ointments:

1. Acyclovir. The most inexpensive means. It struggles with the virus, does not allow it to multiply. If you are pregnant or are breastfeeding, do not use the drug. If herpes you often appears, it is better to alternate "Acyclovir" with another antiseptic ointment or cream, so as not to cause addiction.
2. Zovirax. The composition of the cream includes propylene glycol, thanks to which the active substance penetrates into the cells faster and more efficiently. It is well absorbed into the skin. "Zovirax" should be used clearly according to the instructions.
3. Fenistil Pencivir. Very powerful medicine that eliminates herpes immediately. Does not allow the wound to become scarring. The drug can not be used by pregnant, lactating mothers, children under the age of 12.

From cough

Table of preparations:

From a dry cough	From a wet cough
"Lazolvan Ambrohexal; "Herbion "Libexin "Stoptussin."	"ACTS "Broncholitin "Acestad" (analogue of ATSTS); "Pertussin Mukaltin; Doctor MOM.

Inexpensive drugs analogues

If even the cheapest antiviral drugs are too expensive for you, use Paracetamol, Aspirin, or Ibuprofen. For symptomatic treatment, use local remedies: nasal drops "Naphthyzine" or "Farmazolin tablets for the treatment of sore throat "Septifril medicine "From coughing". It will also be effective to rinse your throat with "Chlorophyllipt".

Drugs for the prevention of influenza and colds

To protect yourself from the disease, and not to cope with its manifestations, it is best to use drugs with immunomodulating action. The rules of preventive reception are described in the instructions of each of them. You can try capsules "Broncho-munal which is allowed to combine with almost all drugs. A good prophylactic action is possessed by such drugs as Ribomunil, Immunal, Rimantadine, Arbidol, Amizon.

Video: home Coldreks for colds

Reviews

Olya, 27 years old: At the first symptoms of the flu, I always take some symptomatic medicine, for example, "Rinzu" or "Coldrex". This does not allow the infection to "play out". Immunomodulators did not drink at all because of the high price. And I try to treat the child with folk remedies, but I knock down the temperature with Paracetamol. I trust more domestic products.

Lena, 35 years old: Now the pharmacy offers so many names of medicines for colds that it's hard not to get lost. I try to use antipyretic drugs, for example, "Aspirin" or "Paracetamol." If the runny nose begins, then I use "Pinosol". He helps well, though he does not break his nose. If you start a sore throat, I use "Chlorophyllipt".

Tanya, 24 years old: I always have ORVI with fever and cough. I drink Fervex in powders, and I also buy ACTS. Thanks to this treatment, my illness lasts for three or four days. Last winter, saw for the prevention of "Arbidol but still sick, so I do not recognize any medications for correcting the immunity. I'm cured when the cold has already begun.

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Review of antiviral drugs in cases of influenza and influenza

Any disease, especially ARVI and the Flu is easier, cheaper and safer not to treat, but not to prevent, to prevent its occurrence. Recently, especially worried about the "point" - it's safer. Should I take antiviral pills at all? In today's complex world, how to understand the issues:

• Will the effect of using an expensive antiviral drug?
• Which drug is better for adults to take flu, children?
• Do not it cause harm to health?
• Is there the best cure for flu?
• Effective antiviral drugs - is it advertising, business, dummy or not?

Antiviral drugs for Orvy on the Russian pharmaceutical market are as follows:

Virtually all antiviral drugs for orvi and flu have no evidence base for their antiviral efficacy. Studies are very expensive, conducted by the manufacturers themselves and those interested in the positive conclusion of the parties. Today, most clinical trials of new drugs are regularly falsified in order to bring "miraculous" drugs to the market with a new price tag. Given the fabulous commercial benefits of selling expensive antiviral drugs during the epidemic, honesty and objectivity of research is not believed. As you know, pharmacological publications, even in medical journals today, are about 90 percent - these are custom-made articles of an advertising nature.

Today in the pharmacy chains an abundance of various medicines, some of which in fact "Medicines" are not, because there are a lot of fakes, frank dummies and inefficient means. Advocates of patients' rights in Ukraine, for example, argue that in 4 drugs registered as antiviral - the active substance was not found. However, a wide advertising company allows producers to earn millions of hryvnias on them per year.

Antiviral drugs for Orvi are conventionally divided into:

• Vaccines - stimulation of the production of antibodies before infection with the virus
• Immunostimulants - drugs that temporarily enhance nonspecific immunity, which promote the production of interferons
• Antiviral drugs are agents that affect neuraminidase (a viral enzyme) by suppressing the multiplication of the virus (Oseltamivir, Zanamivir) and blockers of M2-channels Amantadine, Remantadin - these drugs have proven clinical effectiveness, but as any means have a number of side effects effects.

Most antiviral drugs for orvi and influenza are developed and applied no more than 10-40 years. The drug should have a greater "trial period" in order to draw a conclusion about its effectiveness and side effects. As for immunostimulants, these funds can have delayed consequences (development risks autoimmune diseases, oncological diseases of the blood, etc.) and should be prescribed according to strict indications.

Immunity modulators and antiviral agents

The immunostimulants produced today show the activation of immune reactions at the biochemical level (what is called "In vitro"), but their real benefits and long-term consequences of use are rather complex, poorly understood region. Since information on many mechanisms of immunity has become known relatively recently, scientists are getting more and more information about its functioning every year. Therefore, there is no confidence in the safety and correctness of general stimulation of the "under-researched" immune system (see Fig. what is immunity and whether drugs are needed to improve it). Especially prudent should be the preventive use of immunostimulants and the treatment with antiviral medicines for children.

"Pharmacy immunostimulants can not only help the body, but also harm" - says Ph.D. Tatyana Tikhomirova, immunologist-allergist. Such a state as hyperactivation of the immune system, as well as immunodeficiency is extremely dangerous, the human body functions normally only with the balance of the immune system. And if a person each time stimulates ("to increase self-immunity"), then, in the presence of predisposing factors, this may result in pathological inflammation, launching of immune aggression on healthy tissues, hyperactivation of the immune system and theoretically (in extreme cases) to the development of autoimmune or oncological disease.

If the next of kin has any autoimmune disease (rheumatoid arthritis, insulin-dependent sugar diabetes, Sjogren's syndrome, multiple sclerosis, etc.), then under no circumstances should a person use any immunostimulants. Even if a person is healthy, there is already a violation of the immune system, and one can live with them all his life, but if he is rude and persistently try to stimulate their immune system, it can end with the debut of an autoimmune disease.

Fortunately, for most healthy people, without the presence of any predisposing factors, it is difficult to "achieve" your immunity so as to seriously damage your health. Since most of the known immunostimulants either do not work at all, or almost do not work. One part of the drugs - an ordinary deception, another - ineffective means. But it should be remembered that any drug has side effects.

Drug Groups	Act	Names of drugs
Interferon preparations	Blockade of viral mRNA translation, presentation of viral antigens	Recombinant alpha / gamma interferons
Etiotropic means	Neuraminidase inhibitors	Relenza Tamiflu Peramivir
Ion channel blockers	Rimantadine (Remantadin, Orvirem)
Antiviral drugs with varying degrees of evidence of action	Enabling synthesis endogenous interferons	Kagocel Cycloferon Lavomax (Amiksin, Tyloron) Cytovir 3
Specific HA chaperone	Arbidol
NP-Protein Inhibitors	Ingavirin

Alexander Khadzhidis, Chief Clinical Pharmacologist, St. Petersburg states the following: "Some doctors for some reason first appoint patients antipyretic drugs, and then immunomodulators, supposedly for the production of interferon - which is illogical and generally is absurd. That is, first, knocking down the temperature - "forbid" the body to fight the virus (at high temperature, antibodies are produced against the virus and infection), and then artificially "forced" do.

In developed countries, interferonogens (drugs that stimulate the production of interferon) are not at all. Interferons can work only with parenteral (intravenous) administration, and even then, their effectiveness is questionable. In Russia, these drugs are extremely popular, despite the fact that they are useless.

With regard to antipyretics with the virus - to knock down the temperature better with paracetamol and once with a rise in temperature, rather than 4 p / day - "just in case." Taking Aspirin (acetylsalicylic acid) in ARVI, especially in children under 12 years old, is contraindicated, it can become the cause of severe damage to the central nervous system and the liver, it is not recommended to apply it to those who suffered from peptic ulcer disease Gastrointestinal tract. "

Well-known in Russia doctor Alexander Myasnikov says that all immunomodulators widely advertised in our country are a waste of money. In the United States and Western Europe, it is already unequivocally recognized and proven that these remedies are ineffective, but most Russian doctors continue to believe in the power of immunomodulators in treating Orvi.

Cytovir 3

Pharmacological action: Integratedimmunostimulating, an antiviral drug,

has an interferonogenic effect. As part of the drug - Timogen sodium, ascorbic acid, bendazole. Timogen synthetically obtained dipeptide, it enhances the nonspecific resistance of the organism. Ascorbic acid normalizes the permeability of capillaries, reducing the activity of the inflammatory process. Bendazol stimulates the production of endogenous interferon in the body.

Side effects: in people suffering from vegetative-vascular dystonia, causes a decrease in blood pressure.

Contraindications: in pregnancy, children under 1 year, thrombophlebitis, severe hypotension, diabetes mellitus, stomach ulcer, urolithiasis.

Issued: since 2001 in capsules, for children since 2006 in syrup, in powder for the preparation of solution
Research: There is no reliable information about clinical trials confirming its efficacy and safety. Often, doctors and pharmacists recommend this tool for children, but use it to treat children should be used with caution or not used at all.

References: Quite a lot of reviews in patients who use Citovir, about the effectiveness and absence of side effects. Improvement of well-being is observed on the second-third day, in single cases the drug did not help.
Price: Cytovir 3 - average240-580rub.

Kagocel

Pharmacological action: inducer of interferon synthesis, antiviral,immunomodulatingeffect. Composition: the sodium salt of the copolymer, which causes the formation of late interferon, which has high antiviral activity. The greatest effect occurs if you start treatment within the first 24 hours of the disease, but not later than the 4th day after the onset of an acute infection. With a view to prevention, it is possible to take it at any time, preferably immediately after contact with a sick Orvy or a flu.

Side effects: the emergence of allergic reactions.
It is issued: It is registered in 2003, since 2005 it is made in tablets, since 2011 it is resolved to use for children over 3 years old for the treatment of influenza, as an prevention for children can be used for children older than 6 years.

Research efficiency and safety: There is conflicting information. The active ingredient is the sodium salt of the gossypol copolymer with carboxymethyl cellulose.

And Gossipol itself is a natural polyphenol, it has been banned in the world since 1998 due to its toxicity. Gossypol for a long time and actively studied by some countries as a contraceptive, with its continued intake completely stops spermatogenesis. Chinese and Brazilian scientists say that host gossypol boys and men may suffer infertility in the future. However, Kagocel is not pure gossypol, it is the sodium salt of the copolymer, which has other properties that differ from the properties of the chemical itself.

The manufacturer actively advertises the drug and claims that the salt in Kagocel is negligible, 4 times lower than the concentration from the international standards allowed. Multiple stages of purification of the product ensure the absence of free Gossypol in the final drug, which is checked by monitoring the quality of each series of Kagocel tablets. The method used to check the availability of free gossypol is very accurate, it can reveal its content higher, 036%. In early 2013, data were published on tests performed on rats - no changes in reproductive function were detected in animals.

That is, research on primates was not done? It is known that gossypol for different animal species has its maximum dose of toxicity, according to the EFSA (European Food Safety Authority) for rats the limiting toxic dose is 2200-3300 mg / kg.,for pigs 550, for guinea pigs up to 300 mg / kg. The research carried out by the manufacturer consisted in the administration of therapeutic doses to male rats, and doses 25 times higher than therapeutic doses250 mg / kg). Can you trust the rest of the statements and "studies"?

Neither in Western Europe nor in the United States Kagocel is not used, there are no WHO medicines on the list. The effectiveness of the drug is not proven according to the representatives of the Formulary Committee of the RAMS and SDMX. There were no statistical studies on the development of side effects as of autumn 2013.

The drug is actively recommended for use by adults and children, but evidence of the safety of this medicines for children 3-6 years old no, clinical studies for this age group are not was produced.

Reviews: Many help, some children and adults are allergic reactions in the form of rashes, swelling, itching.
Price: Kagocel - average180-280rub. In 2012, the volume of sales amounted to - 2.64 billion. rubles

Tyloron (Amiksin, Lavomax)

Pharmacological action: active ingredient Tiloron, possesses antiviral andimmunomodulatingaction, it is a synthetic inducer of interferon that stimulates the formation of interferons alpha, beta, gamma.

Side effects: short-term chills, allergic reactions, contraindicated in breastfeeding and pregnancy.

Issued: almost 40 years ago, children under 7 years of age are strictly prohibited.

Research: The benefits of the drug are unquestionable for both treatment and prevention of viral diseases, but this can overlap with potential harm to the body. In the 80's in the US, after tests on mice, the drug was banned, as it had a highly toxic effect,in experimental animals, retinal bundle, liver lipidosis and other side effects were observed. It does not apply in the US and the European Union. In our country, continue to produce antiviral Amiksin and doctors appoint it to patients.
A small study involved 14 patients who received tilorone in a dose of 152 and 189 g, in 2 the drug caused keratopathy and retinopathy (while the visual acuity did not decrease), these effects were reversible. The authors of the study concluded about the potential danger of the drug for health.
Reviews: The occurrence of allergic reactions, the high cost of medicine.
Price: Amiksin - on average500-560rub. Sales volume in 2012 amounted to 7 billion. rub.

Additionally! Medicines, the so-called immunomodulators - Lycopid, Polyoxidonium, Cycloferon, Proteflazide, Timogen, Panavir, Isoprinosine, Neovir, Groprinosin and others. - should not be used to treat children (for various diseases) without immunograms and serious indications as they do not have the proper clinical trials of efficacy and safety in the treatment children.

Antiviral drugs

Below are just some of the antiviral medications from Orvi, reviews about them, a brief description, comments on known studies of their effectiveness, the average price in pharmacies.

Ingavirin

Pharmacological action: active substance imidazolylethanamide pentandioic acid. It is active against adenovirus infection, influenza A, B, respiratory syncytial infection, parainfluenza. It is an immunomodulator that affects the functional activity of the interferon system.

Side effects: allergic reactions

Contraindicated: children under 18 years.

Produced: as a drug for the treatment of influenza and orgi from 2008, before that, according to prof. Vlasova Vasilia Vitaglutam (imidazolylethanamide pentane diacid) was used in Russia before 2008 as a stimulant for hematopoiesis in cancer patients receiving an anticancer therapy.

Research: According to the manufacturers, the idea of ​​producing Ingavirin arose in the 1980s, but Only after many years of research into its safety and efficacy was the drug submitted for registration by 2008 year. When Vitaglutam was used in patients with oncological diseases, there was no convincing evidence of its effectiveness. And when in 2008 Ingavirin appeared on the pharmaceutical market without full-fledged studies, the "epidemic of swine flu" began in the country, therefore Ingavirin was actively sold. The drug was recommended by the Ministry of Health and Social Development, even despite the absence of placebo-controlled studies, reasonable evidence of its effectiveness.

One study conducted at 105!!! of patients with confirmed influenza showed the following results:

• Receiving ingavirin reduced the duration of fever to 3 hours (if used in the first 1 days after the onset of the disease)
• In the placebo group, this is 72 hours
• In the group taking Arbidol - 48 hours

Analyzing the duration and intensity of flu symptoms - weakness, headache, dizziness in patients with ingavirin was confirmed to reduce the severity of the disease, side effects are not revealed.

In May 2009, Alexander Chuchalin, chief therapist of the Russian Federation, (he led a team of drug developers) gave an interview to the magazine Ogonek: "The new antiviral agent Ingavirin efficiency is much higher than that of the AmericanTamiflu. The Russian drug is quickly and easily integrated into the genome of the A / H1N1 virus, immediately destroying it. It is also effective with other dangerous viruses. "

Reviews: Most drug does not help, isolated cases confirm the reduction in the timing of the disease.

Price:380-460rub. From January to June 2010, the sales volume of Ingavirin was 220 million. rubles, 467 thousand packages were sold.

Arbidol

Pharmacological action: Antiviral, has the ability to suppress viruses of influenza A and B, SARS - severe acute respiratory syndrome, associated coronavirus. Arbidol is also used in the complex therapy of acute rotavirus intestinal infections.
Active substance: Methylphenylthiomethyl-dimethylaminomethyl-hydroxybromoindole carboxylic acid ethyl ester.

Side effects: use of children under 3 years is prohibited, individual

allergic reactions.
Produced: invented in 1974, in 1992, it began its industrial production.

Research: Until 2013 there was no convincing evidence in its effectiveness and safety. Studies conducted in the USSR have not been published. In Russia in 2008, a study of 300 people showed that Viferon was more effective than Arbidol. In 2004, in China, tests for 230 patients with symptoms of Orvi showed it was not effective, in contrast to Tamiflu and Ingaverin. In 2009, in the journal of the UK "Antiviral Research the authors of the research stated that strains resistant to Arbidol are formed less frequently than those of Remantadine and Amantadine.

The Office of Quality Control of US Medicines denied registration of Arbidol in the United States, and WHO has never considered this drug as an effective antiviral drug.

Update on the drug: At the end of 2013, the World Health Organization Arbidol (umifenovir) as an antiviral drug with a direct effect, assigning it an individual code J05AX13. Thus, Pharmstandard received a nominal permission for widespread use of the drug on the territory of the Russian Federation, where Arbidol is included in the standards of treatment and prevention of influenza and ARVI in children and adults.

Nevertheless, the multicenter test of the effectiveness of Arbidol, which was planned to be completed in 2013, has not been completed to this day, and its terms have been postponed to 2015. The results of this test, which has serious sponsors and does not suffer from a shortage of patients, could put a dot over I in the arbidol epic, but for unknown reasons this is not occurs. I.eevidence of effectiveness is not present until now, it remains to wait ...

Reviews: The same number of positive reviews and opinions about the ineffectiveness of its use. There are isolated cases of allergic reactions in the form of dermatitis, angioedema, pain in the epigastric region.
Price: Arbidol - on average130-710rub. In 2012, the volume of sales - more than 5 billion. rub.

At the pharmaceutical market in Belarus, an analog of Arbidol, producer of JV "Lekpharm" appeared. It is a generic drug, in the Belarusian import-substituting packaging - Arpetol. The instructions to him indicate that the active substance is: arbidol hydrochloride? Once again, the commercialization of today's pharma market and the lack of proper control is proved!

Tamiflu

Pharmacological action: an antiviral drug, which includes oseltamivir carboxylate (active metabolite), suppresses influenza A and B viruses. When Orvi is not effective.

Side effects: Nausea, insomnia, diarrhea, dizziness, lethargy, cough, headaches, with caution to pregnant women and lactation. Contraindicated for children under 1 year.

Produced: since 1996, the pharmaceutical company "F. Hoffmann-La Roche "registered the right to develop

preparations containing oseltamivir.

Research: Tamiflu has a disadvantage - it complicates the diagnosis, because side effects are similar to the symptoms of influenza. It is dangerous in the epidemic period with long-term admission. Optimum effective only short-term use - a few days at the beginning of the flu. Independent researchers demanded a standard report from the Swiss manufacturer of 4-5 research modules. To which the pharmaceutical company provided only the first modules, repeated requests for full information were never satisfied.

Since 2004, cases of neuropsychic disorders began to be registered, more often in children and adolescents, who took Tamiflu during influenza - hallucinations, nightmares, confusion, convulsions, anxiety, etc.

Japanese postmarketing studies of this drug in 2006 have indicated a risk of developing impaired consciousness in humans - psychosis, depression, suicidal tendencies, especially in children. And there were also 54 deaths after Tamiflu, 16 of which were in adolescents 10-19 years (15 killed suicide, 1 died, hitting a car), the rest died of kidney failure (it is possible that due to severe flu).

The latest information about this drug:Back in April 2014, the Cochrane Society (an independent health research network) represented by Tom Jefferson and the British Medical the journal published data from the Cochrane review of studies that did not confirm the efficacy of Tamiflu and Relenza in the treatment and prevention influenza. Also, the efficacy of reducing influenza complications with these drugs has also been questioned. The firm attempts of Roche firm to fight back with a firm promise to provide undeniable evidence in the form of results of randomized trials have so far not been successful. Evidence is expected to present.

April 10, 2014, the Cochrane Collaboration website published the results of these 26 clinical trials Relenza and 20 clinical trials of Tamiflu, in which 2, 00 people participated.

As a result of the research it was found that:

• Oseltamivir as a preventive agent slightly reduces the risk of developing influenza in families, without reducing the ability of the influenza virus to be transmitted from person to person.
• The duration of symptoms is reduced by 16 hours (from 7 to, days), in children this effect is absent altogether.
• The drug has no effect on the risk of serious complications (sinusitis, otitis media, pneumonia, bronchitis), that is, does not reduce the likelihood of complications.
• The medicine is recognized as sufficiently toxic, increasing the risk of nausea, vomiting in both children and adults.
• When used for preventive purposes, the drug was dangerous to health, because it leads to mental disorders, impaired renal function, in some cases found that it helps to reduce the production of their own antibodies to the virus.

Based on these studies, health officials of the world's leading countries should decide to stop mass procurement of antiviral drugs with the current substance Oseltamivir due to the high risk of side effects and low effectiveness as a medicine for the therapy and prevention of influenza virus in the period epidemic.

reference: only on the basis of the claims of the manufacturer Tamiflu that the drug significantly reduces the risk of serious complications and hospitalization of patients during the epidemic, countries such as the United Kingdom and the United States in 2009 in connection with the epidemic of swine flu, these drugs were purchased at 40 million doses (The USA, bln. dollars, Great Britain 424 million. f.St.).

Based on recent data on the low efficacy and non-safety of this antiviral agent, an international group experts in evidence-based medicine called on the governments of the world's leading countries to stop mass purchases of Tamiflu and Relenza.

Reviews: There are enough reviews about side effects in the form of vomiting, dizziness, psychosis, headache. The effectiveness of influenza is confirmed by many.

Price: Tamiflu-on average1200-1300rub.

Remantadine (Rimantadine)

Pharmacological action: antiviral drug, an adamantane derivative, suppresses various strains of the influenza A virus (swine flu including).

Side effects: contraindicated in pregnant women, children under 1 year. Reduces concentration of attention, causes dizziness, nervousness, headache, increased fatigue, nausea, vomiting, dryness in

mouth.

Produced: information on the first uses of the drug are known since 1968.

Research: The tests were conducted from 1981 to 2006, mainly they showed a lower toxicity of Remantadine in comparison with Amantadine. One study showed the effectiveness of preventing Amantadine influenza infection by 61% in compared with the placebo group and in the event that a person fell ill, then for 1 day reduced febrile syndrome. In the same study, he was compared to Tamiflu, he gave an efficacy of 73% of the placebo group. Rimantadine (Remantadine) is currently considered a drug with proven clinical efficacy, but the possible resistance to it of some strains of the influenza virus.

Reviews: There are reviews that Remantadin causes side effects - dizziness, tachycardia, bitterness in the mouth. In general, the reviews are positive.
Price: Remantadine - average50-150rub.

It is during the flu (including swine) with the first symptoms of therapists and pediatricians recommend: adults - Remantadin, Tamiflu. Children over 1 year old are shown by Orvir (rimantadine syrup), Viferon. Children older than 8 years can - Remantadin (in the table), Tamiflu.

Interferon preparations

Interferons are informant proteins, which are excreted by cells infected with viruses. They seem to inform other cells about the infection and the required inactivation of the virus. Alpha interferons produce lymphocytes, beta - fibroblasts. In addition to Viferon, the alpha group includes Intron, Reaferon, Kipferon.

Viferon

The creation of the drug was scientifically justified in the period 1990-1995. group of scientists of the Research Institute of Epidemiology and Microbiology. N.F. Gamaleia under the guidance of prof. Malinovskaya V.V.
Since December 1996 on the basis of the same SRI, serial production of recombinant interferon alfa-2b in suppositories begins. Viferon - a candle with a different content of the active substance.

Application:

• Viferon-1 (150000 IU) is designed for babies from birth to 7 years. It is used in ARVI, herpetic infection, as an additional remedy for prolonged pneumonia or sepsis, including in preterm infants with intrauterine infections. The drug is given a course for 5 days. Children under 7 years are recommended 1 candle 2 times a day. Preterm, born on a period of more than 34 weeks - as children under 7 years. With a shorter gestation period - 1 candle three times a day. If necessary, after a five-day break, the course can be repeated for another 5 days.
• In children older than seven years, an adult drug in candles for 50, 00 IU is used twice a day for five days. Possible use of viferon in pregnant women.
• Candles with viferon content of , 0, 00 and , 0, 00 IU are used in the treatment of viral hepatitis and herpetic infections.
• The preparation in the form of ointment is intended for the therapy of herpes on the skin and mucous membranes in adults and children older than a year.

Side effects: the main side effect of drugs viferon may be an allergic reaction, which happens infrequently.

Research: As for the effectiveness of the drug, it is not included in list A of evidence-based pharmacology. I.e,wide randomized trials in humans consistent with international standards were not performed. However, a positive practical experience of treatment with viferon in pediatric practice is available. (By the way, nitroglycerin also does not have randomized studies that prove its effectiveness, which does not make it an ineffective first-line drug for stenocardia). Publications of these clinical trials of the drug are available only in Russian and were conducted only in domestic clinics. Value for money allows pediatricians to recommend a drug for ARVI treatment in children younger than seven years. For adults in the treatment of acute respiratory viral infections, the drug is of limited use because of rectal administration and the availability of alternative drugs.

The main arguments of the opponents of the drug:

• high molecular weight of protein molecules that can not be absorbed in the gut
• lack of clinical trials that meet international standards.

Kipferon

In candle light a little expensive for the treatment of common colds. Therefore, it is replaced by viferon. But, with severe forms of intestinal dysbiosis in children of the first two years of life, the drug shows good clinical results.

Studies: Randomized trials were not conducted, that is, the drugrefers to the list of drugs with unproven effects. The main claims:

• High molecular weight, which prevents normal absorption
• Adding to the drug components of the donor blood, which can cause fever and allergies.

Cycloferon

Cycloferon was originally registered as a veterinary drug in 1993 for the treatment of animals with viral infections, in 1995 it was already honey. a drug.

The drug Cycloferon is approved for use in adults and children older than four years. Produced in solution for injection, tablets, liniment. Refers to immunomodulating drugs, is an inducer of interferon, enhancing its production and exhibiting antiviral, anti-inflammatory and immunostimulating properties.

Application: on the territory of the Russian Federation is used in the treatment of acute respiratory viral infections, influenza, viral hepatitis, herpes infection, human papillomaviruses and other urological and gynecological pathologies (eg, candidiasis, chlamydia).
Contraindications: The drug is not recommended for pregnant and lactating. May cause an allergic reaction.
Research: Cycloferon is an immunostimulant that stimulates the immune system and the production of interferons. To date, allclinical trialsthis drug, published in the medical literature,were conducted only in the territory of the Russian Federation and do not meet international standards.

There are no serious clinical trials for cycloferon that would prove its effectiveness or refuted the absence of long-term adverse effects of this drug (development of autoimmune diseases). It is not superfluous to recall that all drugs that are on the pharma market for less than five years are still at the fifth level pharmacological tests and it is quite possible to identify previously unknown undesirable effects from drugs such series. In the presence of newly identified harmful effects, the drug will be withdrawn from the pharmacy networks and discontinued, and most of those who have been treated with this remedy and have earned some disruptions in health are unlikely to receive at least some compensation.

Conclusions:

Ineffectiveness of antiviral agents due to the stability of strains of the virus

The lack of a positive effect with the use of certain antiviral drugs for influenza is possible, and because there are drug-resistant viruses and a specific influenza strain may already be resistant to a particular drug (eg, Remantadin).

Other treatments and placebo effect

It is also possible that patients whose reviews indicate the efficacy of such remedies were quickly recovered by other methods of symptomatic treatment, and the placebo effect is not excluded (cf. amazing facts about placebo).

Strong immunity

In a healthy organism, after 2-3 days, the immune system produces enough protective antibodies against the virus, it does not need additional medicines. It is enough to comply with all the known rules - bed rest, plentiful hot drink, vitaminized foods and drinks, clean air in the patient's room, gargling, etc.

Rapid recovery with antiviral drugs

In various life situations, reducing the duration of the disease even for one day can be very important, for example - wedding day, urgent business trip, important business deal, exam, interview and etc. It is in such cases that the use of antiviral drugs, which reduce the duration of the illness by 2-3 days, may make sense.

There are no adequate studies

Absence of benign studies on the study of effectiveness and side effects (on a large group of people, different ages, during long time), most antiviral agents from Orvi and influenza suggest the caution of their use or even the rejection of them.

Do not spend money on pacifiers

Spending money, in some cases, considerable, on drugs with unproved efficacy, side effects, questionable safety, perhaps, is not advisable. Any medicine, even useless or empty, can damage the body.

Video transmission: How the placebo effect works

• sec: 4 min. - about what means are usually prescribed by doctors
• with 2: 0 - about the effect of placebo on the work of the immune system
• with 3: 7 - about the high effect of placebo in children
• with 3: 5 - about preparations-pustachki, appointed or nominated at ORVI
• with 3: 0 - about homeopathy and antiviral drugs in ARVI
• with 4: 7 - on how modern research is conducted

zdravotvet.ru

Flu pills

With the onset of cold weather, the number of people with flu is increasing dramatically. If this disease does not bypass you, it is worth to get acquainted with information about medicines that can be used. Otherwise, you can get lost in the whole variety of antiviral, immunomodulating, antibacterial drugs.

Why is an antiviral agent prescribed for influenza?

The causative agents of the disease are different types of viruses. Because of them, the defenses of the body are reduced, the upper respiratory tract, the walls of the vessels are affected, the diseases of the heart, kidneys, nervous system and other organs, inflammation can develop. One should not rely on immunity, the defenses of the body. It is extremely important to start taking antiviral tablets that suppress the activity of viruses in time. Medications effectively disrupt their structure and promote the formation of interferon.

Great benefit of tablets from the flu in the first day of the onset of symptoms. If you start drinking them later, the probability of complications decreases. In the infection season, doctors recommend taking antiviral medications for colds and flu for preventive purposes. To not get sick, it is desirable additionally:

• wear a mask;
• wash hands often;
• use oxolin ointment.

Do antibiotics help with colds and flu?

A group of drugs does not pose a threat to viruses, but it is still often prescribed for viral diseases. The fact is that their use is advisable in case of suspected complications. Painful people may experience angina, bronchitis, otitis and other diseases, the causative agents of which are pathogens. Before the beginning of their treatment, one must drink antiviral tablets against influenza, ARVI, and then start taking antibiotics of a wide spectrum of action.

Effective cure for flu and colds

Fighting diseases can be different drugs, but do not buy them yourself, relying on advice from friends or your own experience. Doctors after consultation will write out anti-virus pills from the flu, funds for strengthening, restoration of immunity. There are a lot of drugs that combine both actions. When complications occur, antibiotics may be taken. Read more about the list of drugs and their taxes.

Effective antiviral drugs

For the treatment of influenza can be used:

1. Remantadine. A well-known inexpensive drug that suppresses influenza A viruses. After taking the patient, the pathological inflammatory processes stop, the symptoms decrease, the risk of complications is prevented.
2. Kagocel. Another known drug for influenza, belonging to the group of antiviral drugs. Has a positive effect as a result of stimulating the production of interferon at the physiological level.
3. Cycloferon. It affects the cells of the immune system, stimulates the production of interferons. Maximum activity is achieved 2 hours after taking Tsikfloferona.
4. Ingavirin. Tablets quickly suppress the reproduction of the virus, stop development. Particularly well, the remedy is fighting the disease at the initial stage - the multiplication of cells.

Symptomatic anti-influenza drugs

These drugs are prescribed to reduce, eliminate certain symptoms of the disease. For example, to relieve the common cold, appropriate means are used, to lower the temperature - antipyretic and so on. Review of some medicines:

1. Decaturene. Effectively eliminates the infection of the oral cavity, pharynx, removes the pain syndrome in the throat. It has bactericidal and fungistatic action. Tablets for colds and flu should be resorbed every 2 hours. Suitable for children and adults.
2. Fervex. A safe remedy that quickly removes the symptoms of colds: sore throat, fever, nasal congestion, swelling of the nose. It is recommended to take 4 times a day.
3. Sinuforte. Symptomatic drug for restoring nasal breathing, eliminating obstruction. When used, the nasal mucosa irritates, the sinuses are cleaned of pus and mucus on their own.

Influenza preparations for children

Before consultation with a doctor, children can be treated with symptomatic means, however, antiviral drugs can only be given after appointment by a specialist. Names of popular medicines:

1. Arbidol. Children's version is available in tablets. The agent has the ability to block influenza viruses, trigger enhanced production of interferon in affected cells. Arbidol reduces the "infectiousness" of the disease for others, alleviates the symptoms, is the prevention of complications.
2. Tamiflu. It is used only for treatment and prevention of influenza. There are many disputes about the appropriateness of use, so doctors are prescribed only with complicated and progressive course of the disease. Contraindicated in children up to 12 months.
3. Aspirin. Tablets effervescent from influenza dissolve in water, are symptomatic. Suitable only for the treatment of children older than 14 years. Reception helps reduce fever, joint pain, eliminate weakness, lethargy.

Video: How to choose a remedy for flu

Reviews

Elena, 34 years: The most successful remedy for flu for me - Remantadin. Tablets are cheap, but even expensive drugs do not help the way they do. As a rule, I am ill during the winter season during the epidemic season and start drinking them when there is a sore throat. Packing is enough for several seasons. But for a child I always keep in stock a child Arbidol - it is easier to tolerate.

Vera, 22 years old: For several years at the first symptoms of influenza I use lemon powder Anvimax. The active substance of the remedy is remantadine, it also contains loratadine, ascorbic acid. If Anvimax is bought up in pharmacies, I can take any express remedy for the flu. It can be Ferex, Coldrex. Also help, but inferior to your beloved Animax.

Eugene, 42 years old: The son has grown up, and everyone does not like taking pills, even if he is very ill. The last time I got sick with intestinal flu, I decided to give him Aspirin in tablets. Surprisingly, he liked it! More importantly, the temperature dropped rapidly. After this time, if necessary, I give a magic remedy to the younger one, my husband - they drink with pleasure.

sovets.net

Antiviral drugs for colds

Antiviral drugs for colds - the main tool in the fight against this category of ailments.

As is known, during the period of activation of catarrhal diseases it is better to be engaged in their prevention, and not to bring them to conditions when treatment is already needed. Activating immunity in the cold season is the most effective measure to protect yourself against colds. Then the disease will not develop or, at least, the situation will not take on a serious form.

If the disease has a viral nature - acute respiratory viral disease (ARVI) - then there can not be no treatment without treatment. And it is best in this case to cope with the problem of antiviral drugs. The essence of their action is in the impact on the virus itself, which is an etiological factor.

Antiviral drugs are used to treat ARVI and influenza. These drugs affect the replication of the virus in such a way as to stop its reproduction. Antiviral drugs are synthetic or natural. They are used both in the fight against the disease, and for its prevention. Different stages of the common cold can be exposed to antiviral drugs. To date, modern science knows about five hundred pathogens of different kinds of colds. Antiviral drugs to fight them quite a bit.

In general, viral diseases are treated with three types of drugs:

• drugs for a wide spectrum of influenza;
• drugs for the treatment of herpes infections.
• means for controlling cytomegalovirus.

In the case of severe disease, antiviral drugs are taken, with the use of interferons is easy. Within a day and a half after the appearance of the first symptoms, it is urgent to begin taking an antiviral drug. If we allow the multiplication of the virus to such a scale that it will occupy the entire body, then it can be brought to the conclusion that taking medications will not have any effect.

Effects of antiviral drugs for colds

With the help of antiviral drugs, the causes of the onset and development of acute respiratory disease are eliminated. The results of this action are:

• reduction of risks of exacerbations of chronic diseases (chronic bronchitis, bronchial asthma, etc.);
• shortening the course of the cold for several days, alleviating its symptoms;
• a reduction in the risk that severe complications will appear after acute respiratory illness.

Antiviral drugs for colds are also used as an emergency prophylaxis in the event that one of the family members becomes ill and needs to reduce the risk of infection of healthy people.

Antiviral tablets for colds

In a class where there are synthetic antiviral drugs that cope well with the influenza virus, there are two groups of effective remedies. The essence of the action of M-channel blockers in the blocking of the virus so that it can not penetrate into cells and multiply. One of the tested preparations against viruses of this category is Amantadine (Midantan), and also Rimantadine (Remantadin). For the desired effect, they should be taken as soon as the disease begins to manifest itself. Another of their drawbacks is that it is not always possible to understand what kind of virus a person has become. And these antiviral drugs are shown in the epidemic from the influenza A virus. In addition, avian and swine flu are resistant to them. It is important to remember that taking an antiviral drug for a cold should be done not only by the sick person himself, but by all members of his family.

Effective antiviral agent for colds

But neuraminidase inhibitors act on influenza A and B viruses. The essence of their action in suppressing the enzyme, which is responsible for the multiplication of the virus. Representatives of this group of drugs are "Oseltamivir" ("Tamiflu") and "Zanamivir" (Relenza). You can start taking them within two days from the initial manifestations of the disease.

List of antiviral drugs for colds

• Tamiflu;
• "Relenza
• "Grippferon
• Anaferon;
• "Amiksin
• Kagocel;
• Remantadin;
• "Viferon
• Arbidol;
• "Ribavirin
• "Amizon
• "Cycloferon."

Antiviral drug for cold "Zanamivir"

"Zanamivir" is prescribed for influenza in adults and children over 5 years of age for 5 mg of inhalation twice a day for 5 days. The total daily dose reaches 10 mg. The drug is not combined with other inhaled medications (including bronchodilators), because of that exacerbations are possible in patients with bronchial asthma and other nonspecific diseases lungs. In a number of people without pulmonary pathology, there may be signs of nasopharyngeal irritation, reaching in rare cases before the appearance of bronchospasm.

Antiviral drug for cold "Oseltamivir"

For influenza for adults and children over 12 years, the recommended dose of "Oseltamivir" is 75 mg 2 times a day for at least 5 days. "Oseltamivir" is prescribed for children older than 1 year - with a body weight of less than 15 kg of 30 mg, 15 to 23 kg of 45 mg, 23 to 40 kg of 60 mg, more than 40 kg - 75 mg twice daily for five days.

The drug is administered with caution in renal failure, it can cause nausea and vomiting during admission.

Antiviral drugs for a cold of a wider spectrum of action - "Ribavirin" ("Ribarin") and "Inosin Pranobeks" ("Grosprinozin").

Antiviral drug for cold "Ribavirin"

"Ribavirin" acts on influenza A and B-viruses, parainfluenza, respiratory syncytial virus, coronaviruses, rhinoviruses. The specificity of the drug is its high toxicity, therefore it is used only if a respiratory syncytial infection is confirmed that often leads to bronchiolitis in children.

"Ribavirin" is used to treat influenza in adults over 18 years (200 mg 3-4 times a day in meal time for 5-7 days) in the absence of pregnancy, kidney failure and hemolytic anemia.

Antiviral drug for cold "Inosin pranobeks"

"Inosin pranobeks" fights against viruses of influenza, parainfluenza, rhinoviruses, adenoviruses. This antiviral drug for cold stimulates the defenses of the human body. To treat influenza and other acute respiratory viral infections it is recommended to take: adults 2 tablets 3-4 once a day at regular intervals for 5-7 days; children a daily dose of 50 mg per kilogram of weight body.

The daily dose should be taken at 3-4 times at regular intervals. The duration of treatment is 5-7 days.

Interferons and interferon inducers

Another large group of antiviral drugs for colds are interferons and interferon inducers. Interferons are protein substances that synthesize the body as a response to infection, due to them the body is more resistant to viruses. They have a wide spectrum of action, which favorably differ from many other synthetic drugs. But some experts say that they are not very effective in ARVI. In the case of colds, they are prescribed as drops in the nose and rectal suppositories. The native leukocyte interferon is digested four or six times a day, Reaferon (interferon alfa-2a) two drops twice-four times a day. Viferon (alpha-2b interferon) usually goes like a candle, adults usually use Viferon 3 and 4.

There are also inducers of interferon. These are drugs that stimulate the body to produce its own interferons. Catarrhal diseases are treated with "Tyloron" ("Amiksin"), "Meglumina acridonacetate" ("Cycloferon") and a number of other antiviral drugs for colds.

Antiviral drug for cold "Amiksin"

For treatment of influenza and acute respiratory disease, "Amiksin" is prescribed inside after eating two tablets, 25 g for adults and 6 g for children over 7 years on the first day of illness and then 1 tablet every other day.

The course of treatment - up to 6 tablets. Contraindicated in pregnant women and children younger than 7 years.

Antiviral drug for cold "Cycloferon"

"Cycloferon" is used to treat influenza and ARI in the form of intramuscular injections at a dose of 250 mg (1% 2 ml) for two consecutive days, then every other day or 1 tablet, 5 g every other day for 20 days.

Antiviral drug for cold "Kagocel"

"Kagocel" is an inducer of interferon with direct antiviral and immunomodulating action.

Usually it is prescribed for influenza and ARI adults 2 tablets 3 times a day for the first two days (daily dose is 72 mg), then 1 tablet 3 times a day (daily dose of 36 mg). A total of 18 tablets per 4-day course.

Antiviral drug for cold "Arbidol"

Effective in treating the common cold is an antiviral drug, like Arbidol. It acts against viruses A, B, it also treats parainfluenza, syncytial infections, adenoviruses. The essence of the drug in stimulating the production of endogenous interferon, it has an antioxidant effect, strengthens the immune system.

Arbidol for colds without complications appoint: children from 3 to 6 years - 50 mg, from 6 to 12 years - 100 mg, over 12 years and adults - 200 mg 4 times a day (every 6 hours) for 5 days. With the development of complications (bronchitis, pneumonia, etc.) children from 3 to 6 years take Arbidol 50 mg each, from 6 to 12 years - 100 mg, over 12 years, adults - 200 mg 4 times a day (every 6 hours) for 5 days, then a single dose once a week for month.

Antiviral drug for cold "Amizon"

Antiviral drug for cold "Amizon" is an inducer of endogenous interferon, has antiviral, immunomodulating and anti-inflammatory action.

Adults take "Amizon" 2-4 times a day after a meal with an average flow of influenza and acute respiratory disease, 5 g, with a heavy - on, g for 5-7 days; the course dose of treatment is 3 Children aged 6-12 years drink on, 25 g 2-3 times a day for 5-7 days.

Antiviral drug for cold "Anaferon"

"Anaferon" refers to homeopathic remedies with antiviral and immunomodulating effect. It is also used to treat colds and flu. Usage for adults: 1 tablet, sublingually from three times a day to six, depending on the severity of the disease.

Treatment begins with the first respiratory symptoms. After improving the condition, it is recommended to switch to taking the drug once a day, for 8-10 days. Children from six months to three years, one tablet dissolved in 15 ml of water and give a drink. For prevention, Anaferon is prescribed one tablet once a day, for one to three months.

Antiviral drug for colds "Grippferon"

"Grippferon" is an immunomodulatory, antiviral and anti-inflammatory drug for intranasal use. The duration of the course of application and dose of the drug "Grippferon" is usually determined by the doctor in charge.

The recommended dose for children younger than 1 year is 500 IU (1 drop of the drug) 5 times a day; for children from 1 year to 3 years is 1000 IU (2 drops of "Grippferon") 3-4 times a day; from 3 to 14 years is 1000 IU (2 drops of the drug "Grippferon") 4-5 times in a day. The recommended adult dose is 1500 IU (3 drops) 5-6 times a day. The course duration is 5 days.

Herbal antiviral drugs for colds

Some herbs also have an antiviral effect. The effect of many herbal medicines is directed against viruses belonging to the herpes family. Catarrhal diseases are often accompanied by herpes rash, in addition, the course of cytomegalovirus infection also often occurs with the same symptoms as ARVI. This category of drugs includes "Alpizarin". The active substance in it is an extract of such plants as an alpine penny, a yellow penny, mango leaves. The antiviral preparation "Flacoside" has in its composition an active substance, which is obtained from velvet Amur and velvet Laval. For external use, the ointments "Megozin" (cottonseed oil), "Helepin" (ground part of the cheesecake), "Gossipol" (are obtained when processing the cotton seeds or the roots of cotton).

Antiviral drugs that are used for colds also include Altabor. It is based on an extract of stems of gray and black (sticky) alder.

The pendulous shank and ground reed give life to the drug "Proteflazidu it is also used in the treatment of colds, influenza and for their prevention. Antiviral and immunomodulating action is possessed by the German preparation "Imupret". It consists of field horsetail, walnut leaves and oak bark.

The price of antiviral drugs for colds

The run-up of prices for antiviral drugs for colds is quite wide - from 20 to 200 hryvnia (of course, it still depends on the packaging and the number of tablets). In any case, it is better to consult with the attending physician who will prescribe the drug, which in the particular case will prove to be the most effective.

If you call the approximate prices for the main antiviral drugs used to treat colds, in pharmacies in Ukraine they are: "Amizon" - from 20 UAH, "Arbidol" - from 50 UAH, "Amiksin" - from 30 UAH, "Anaferon" - from 40 UAH, "Remantadin" - from 11 UAH, "Kagocel" from 70 UAH, "Viferon" - from 70 UAH - from 110 UAH.

Inexpensive antiviral drugs for colds

Inexpensive antiviral drugs for colds, often prescribed by doctors and commonly used - Amizon, Amiksin, Anaferon. For 20-40 hryvnia you can buy 10 tablets. But once again pay attention: before making a decision to purchase an antiviral drug for a cold, it is worth consulting with the treating doctor.

With the help of antiviral drugs, it is not the consequence, but the cause of the catarrhal disease that is eliminated. This is the great advantage of antiviral drugs in the treatment of colds, which also explains their effectiveness. Antiviral drugs shorten the cold for two to three days, ease its course. Due to the use of antiviral drugs for colds, the risk of other chronic diseases worsening (exacerbation bronchial asthma, chronic bronchitis and other diseases), also there will be no various complications, as often happens with other preparations. In addition, antiviral drugs for colds give excellent effect in the prevention of acute respiratory viral infections, influenza, including among healthy family members when the patient is at home.

ilive.com.ua

Antibiotics for colds and flu: what's better for adults

People with medical education know for certain that antibiotics for colds and flu are ineffective, and they are not cheap and harmful.

And doctors in polyclinics and those who have just finished medical high school know it.

Nevertheless, antibiotics are prescribed for colds, and some patients recommend these medications for the prevention of infections.

With a common cold without antibiotics, it's best to get by. The patient must ensure:

1. bed rest;
2. abundant drinking;
3. balanced nutrition with a high content of vitamins and minerals in food;
4. if necessary, effective antipyretic tablets or injections;
5. gargling;
6. inhalation and rinsing of the nose;
7. rubbing and compresses (only in the absence of temperature).

Perhaps, these procedures can treat cold treatment and limit it. But some patients persistently ask their doctor for a good antibiotic or a cheaper analogue.

It happens even worse, a sick person, in view of the fact that he does not have time to visit a polyclinic, begins self-treatment. The benefits of pharmacies in large cities today are every 200 meters. Such open access to medicines, as in Russia, is not found in any civilized state.

But for the sake of justice it should be noted that many pharmacies began to dispense antibiotics of a wide range of actions only on the prescription of a doctor. However, if you wish, you can always pity the pharmacist, referring to a severe illness or find a drugstore, which is much more important than the health of people.

Therefore, antibiotics for colds can be purchased without a prescription.

When should you take antibiotics for ARI and the flu?

In most cases, the common cold has a viral etiology, and viral infections are not treated with antibiotics. Tablets and injections of a wide spectrum of action are prescribed only in those cases when an attenuated organism has an infection that can not be defeated without antibacterial drugs. Such an infection can develop:

• in the nasal cavity;
• in the mouth;
• in bronchi and trachea;
• in the lungs.

In this situation, antibiotics for flu and cold are needed.

Laboratory methods of research, according to which you can judge the need to take antibacterial drugs, are not always appointed. Often polyclinics save sputum and urine on crops, explaining their policy by the fact that it is too expensive.

Exceptions are swabs taken from the nose and throat with sore throat on Lefler's wand (causative agent of diphtheria), selective crops urine in diseases of the urinary tract and selective seeding of the detachable tonsils, which are taken for chronic tonsillitis.

Patients undergoing treatment in the hospital are much more likely to obtain laboratory confirmation of microbial infection. Changes in the clinical blood test are indirect signs of bacterial inflammation. Having received the results of the analysis, the doctor can proceed from the following indicators:

1. ESR;
2. number of leukocytes;
3. an increase in segmented and stab-shaped leukocytes (a shift of the leukocyte formula to the left).

And yet antibiotics for colds doctors appoint very often. Here is an example of this, which is taken from the results of testing one child's medical institution. 420 outpatient cards of small patients from 1 to 3 years were analyzed. In 80% of cases, doctors diagnosed children with ARI, ARVI; acute bronchitis - 16%; otitis - 3%; pneumonia and other infections - 1%.

With pneumonia and bronchitis antibacterial therapy was prescribed in 100% of cases, but in 80% it was prescribed for both acute respiratory infections and inflammation of the upper respiratory tract.

And this despite the fact that the vast majority of doctors understand perfectly well that it is unacceptable to use antibiotics without infectious complications.

Why do doctors still prescribe antibiotics against influenza and colds? This happens for a number of reasons:

• reinsurance due to the early age of children;
• administrative settings;
• preventive measures to reduce complications;
• lack of desire to visit assets.

How can complications be determined without tests?

A doctor can determine by eye that an infection has become a cold:

1. the color of the discharge from the nose, ears, eyes, bronchi and pharynx from transparent changes to dull yellow or poisonous-green;
2. when a bacterial infection is attached, a second rise in temperature is usually observed, this is typical for pneumonia;
3. the urine of the patient becomes cloudy, a sediment can be observed in it;
4. in fecal masses there is pus, mucus or blood.

Complications that may occur after ARI are determined by the signs below.

• The situation is this: a person had an acute respiratory viral infection or a cold and was already recovering, when suddenly the temperature jumped to 39, increased cough, there was pain in the chest and shortness of breath - all these signs signal that there is a high probability of development pneumonia.
• If you suspect a sore throat and diphtheria, the temperature rises, throat pains intensify, tonsils appear on the tonsils, and lymph nodes increase on the neck.
• With an average otitis fluid is released from the ear, when pressing on the tragus in the ear there is a strong pain.
• Symptoms of sinusitis are manifested in this way: the patient has completely lost his sense of smell; In the forehead area there are severe pains that are worse when the head is tilted; the voice becomes nasal.

What antibiotics to drink for a cold?

Many patients ask the therapist this question. Antibiotics for colds should be selected, based on the following factors:

1. localization of infection;
2. the patient's age (for adults and children, his list of drugs);
3. anamnesis;
4. individual drug tolerance;
5. the state of the immune system.

But in any situation, only a doctor prescribes antibiotics for a cold.

Sometimes broad-spectrum antibiotics are recommended for use against uncomplicated acute respiratory diseases.

Against some diseases of the blood: aplastic anemia, agranulocytosis.

With obvious signs of weakened immunity:

• a subfebrile condition;
• catarrhal and viral diseases more than five times a year;
• chronic inflammatory and fungal infections;
• HIV;
• congenital pathologies of the immune system;
• oncological diseases.

Children up to 6 months:

1. against vaginal rickets;
2. against lack of weight;
3. against various malformations.

Taking antibiotics for colds is recommended for the following indications:

• Bacterial angina requires treatment with macrolides or penicillins.
• Purulent lymphadenitis is treated with a wide spectrum of action.
• Acute bronchitis, exacerbation of its chronic form, and laryngotracheitis bronchoectatic disease will require the appointment of macrolides. But it's better to do a chest X-ray, which will exclude pneumonia.
• With an acute average otitis, the doctor after the otoscopy makes a choice between cephalosporins and macrolides.

Azithromycin is an antibiotic for colds and flu

Azithromycin (another name Azimed) is an antibacterial preparation with a wide spectrum of action. The active substance of the drug is directed against protein synthesis of sensitive microorganisms. Azithromycin is rapidly absorbed in the gastrointestinal tract. Peak action of the drug occurs two to three hours after admission.

Azithromycin is rapidly distributed in biological fluids and tissues. Before you start taking pills it is better to test for the sensitivity of the microflora that provoked the disease. Adult Azithromycin should be taken once a day for an hour before meals or three hours after it.

1. In case of infections of the respiratory tract, skin and soft tissues, a single dose of 500 mg is given on the first day of admission, and for three days the patient takes Azithromycin 250 mg per day.
2. Against acute urinary tract infections, the patient should once take three tablets of Azithromycin once.
3. Against the initial stage of Lyme disease, one tablet is also administered once.
4. With gastric infections caused by Helicobacter pylori, for three days the patient should take a single dose of three to four tablets.

The form of the drug - tablets (capsules) of 6 pieces per package (blister).

Other antimicrobial agents

If the patient does not have an allergic reaction to penicillin, antibiotics for influenza can be prescribed from a semi-synthetic penicillin series (Amoxicillin, Solutab, Flemoxin). In the presence of severe resistant infections, doctors prefer "protected penicillins that is, those that consist of Amoxicillin and Clavulanic acid, here is their list:

• Solutab.
• Flemoclav.
• Augmentin.
• Ecoclave.
• Amoxiclav.

With angina this treatment is best.

Names of preparations cephalosporin series:

1. Cefixime.
2. Ixim Lupine.
3. Panzef.
4. Supraks.
5. Zinatsef.
6. Cefuroxime axetil.
7. Zinnat.
8. Aksetin.
9. Super.

In mycoplasmal, chlamydial pneumonia or infectious diseases of ENT organs, the following medicines are prescribed:

• Azithromycin.
• Macropean.
• Azitrox.
• Z-factor.
• Hemomycin.
• Zitrolide.
• Zetamax.
• Sumamed.

Do I need to prescribe antibiotics? Influenza and ARVI them to treat is useless, therefore the given problem entirely lies on the shoulders of the doctor. Only a doctor who keeps a medical history and the results of a patient's analyzes can give a full account of the expediency of prescribing a particular antibacterial drug.

In addition, it is possible to use antiviral drugs that are inexpensive but effective in treatment, which suggests an integrated approach to influenza therapy.

The problem is that most pharmaceutical companies in the pursuit of profit now and then throw out into the wide sales network more and more new antibacterial agents. But most of these drugs for the time being could be in stock.

Antibiotics, influenza, cold - what conclusions can be drawn?

So, from all that has been said above, we can conclude that antibiotics should be prescribed only for bacterial infection. Influenza and the common cold are 90% viral, so with these diseases, taking medications antibacterial group not only will not bring benefits, but can provoke a number of side effects, eg:

1. decreased immune response;
2. oppression of kidney and liver function;
3. imbalance of intestinal microflora;
4. allergic reactions.

The administration of these drugs for the prevention of viral-bacterial infections is unacceptable. To take aggressive medications, which are antibiotics, is possible only in extreme cases, when there are all the indications.

The main criteria for the effectiveness of treatment with antibacterial drugs include the following changes:

• relief of the general condition of the patient;
• decreased body temperature;
• disappearance of symptoms of the disease.

If this does not happen, then the medicine needs to be replaced by another one. To determine the effectiveness of the drug from the beginning of treatment should take three days. Uncontrolled use of antibacterial medicines leads to a disruption of the resistance of microorganisms.

In other words, the human body begins to get used to antibiotics and each time demand more aggressive medications. In this case, the patient will have to prescribe not one drug, but two or even three.

All you need to know about antibiotics is in the video in this article.

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