What antibiotics for colds are effective for adults, the child: the list and the names
Antibiotics for colds are prescribed by a doctor in the case when the human body can not independently cope with the infection.
Usually dangerous signals of attack by malignant bacteria is the body temperature rise to a mark more than 38 ° C, as well as a runny nose, reddened throat and other symptoms, often accompanying a cold: inflammation of the mucous eyes, perspiration in the throat, shortness of breath, dry cough, headache, etc. Antibacterial drugs will help cope with bacteria, but appoint their reception should be exclusively a medical specialist, because uncontrolled self-medication with antibiotics can adversely affect the health rights.
Treatment of colds with antibiotics
Antibiotics for colds are necessary in extreme cases, when immunity does not cope with the pathogens that attacked the human body. Many of us, at the first symptoms of a cold, are wondering what antibiotic to take, perceiving it as a miracle cure for all diseases. However, this is a profound misconception, since it is shown to use antiviral drugs to treat influenza and acute respiratory diseases drugs, and only in the case when the patient's condition worsened and the bacterial infection "connected the correctly selected antibiotic. Thus, it is unacceptable to drink an antibiotic at the first sign of a cold!
Treatment of the common cold with antibiotics should be rational, and for this it is necessary to consult an experienced doctor who will determine the severity of the patient's condition and prescribe the antibacterial drug that will be most effective in a particular the case.
Colds (ARVI) can be considered a rather insidious disease, which manifests itself regardless of age, state of human health, as well as weather conditions. Acute respiratory disease is one of the most common diseases worldwide and without complications lasts an average of a week. Usually adults suffer from a cold on average two or three times a year. To date, physicians have more than two hundred viruses that cause inflammation of the respiratory system. It should be noted that the common cold refers to infectious diseases - it can be transmitted by airborne droplets and often affects bronchi, trachea, lungs. The viral infection lives longer in mucus than in air or a dry place. In order to start treatment on time, one should objectively assess the patient's condition. The main symptoms of a cold are:
- inflammation of the lymph nodes, which manifests itself in the form of seals on the back of the neck, behind the ears, under the lower jaw, when pressed, the patient has painful sensations;
- abundant discharge of mucus from the nose (runny nose), stuffy nose, and unusual dryness of its mucosa;
- sore throat, dry cough, hoarse voice;
- redness of the eyes and lacrimation;
- increase in body temperature from 37 to 38.5 ° C;
- indigestion, nausea and vomiting (with rotavirus damage to the body).
The cold never runs asymptomatically, therefore at the first signs of its development it is necessary to consult a doctor to prevent possible complications in time.
For the treatment of a cold, an accurate diagnosis is needed, which will allow you to choose the optimal medicine, i.e. antibiotic. Each group of antibacterial drugs is designed to treat a particular type of bacteria, so an antibiotic is prescribed depending on the lesion. For example, with inflammation of the respiratory tract, it is necessary to choose a drug that effectively fights bacteria that cause inflammatory processes in the respiratory organs: for example, Amoxiclav, Amoxicillin, Augmentin (ie antibiotics of penicillin group). With various respiratory diseases, such as pneumonia, it is necessary to take into account that they are caused by bacteria, most of which are very resistant to penicillin. For this reason, it is best to use Levofloxacin or Avelox to treat this disease. Antibiotics group cephalosporins (Supraks, Zinnat, Zinatsef) will help cure bronchitis, pleurisy, pneumonia, and macrolides (Sumamed, Hemomycin) will cope with atypical pneumonia, which causes chlamydia and mycoplasma.
Treatment for a cold with antibiotics should depend on the category of the disease. In ARVI, first of all, it is necessary to use antiviral drugs, t. they purposefully influence the immunity, strengthening it and helping to cope with the virus attack. Antibiotics with this diagnosis are useless, and this is contraindicated by doctors. The earlier treatment of acute respiratory viral infection with an effective antiviral drug began, the more likely it is to finish it. However, if the cold is caused by a bacterial infection, antibiotics should not be neglected. In this case, it is very important to pay attention in time to the condition of your own organism and to find out the exact cause of the onset of the cold in order to choose the most optimal antibacterial drug. After all, antibiotics should be treated very seriously, because they can not only help, but also harm in case of wrong choice. So, it is necessary to clearly define the limits that determine when antibiotics can be prescribed, and in which cases it is impossible. In our time, indications for antibiotic therapy are:
- purulent tonsillitis (sore throat);
- laryngotracheitis;
- purulent otitis (inflammation of the middle ear);
- suppurative sinusitis (purulent frontitis or sinusitis);
- purulent lymphadenitis;
- pneumonia, pneumonia.
Antibiotics for pregnant women with colds
Antibiotics for colds, as effective medicines, suppressing the growth of pathogens microorganisms, occur only in cases of complications caused by the development in the body of bacterial infection. Their use makes it possible to suppress the growth of not only pathogenic bacteria, but also certain fungi, thereby facilitating the life of a patient with a cold. One should remember the danger of self-treatment with antibacterial agents, especially when it comes to children and pregnant women. In such cases, it is necessary to take antibiotics as responsibly as possible, following only the recommendations and competent appointments of an experienced doctor.
Antibiotics for pregnant women with colds should be chosen in view of their effect on the fetus and only in those extreme cases that do require the use of these drugs. To select the most suitable antibiotic for the treatment of a pregnant woman, you should first determine the causative agent of the disease, as well as to reveal its sensitivity to one or another drug. If it is impossible to conduct such a study, antibiotics of a broad spectrum of action are usually prescribed. The most harmless for the body of the mother and child are the antibiotics of the penicillin series (for example, Ampicillin, Oxacillin, etc.), as well as cephalosporins (eg, Cefazolin) and some macrolides (among them, Erythromycin and Azithromycin). It is these drugs that doctors give preference to when prescribing treatment for pregnant women.
The dosage of an antibiotic for a pregnant woman is determined by a doctor, usually it does not differ from the dosage of the drug for the rest. A future mother should carefully follow the recommendations of the doctor and in no case should not reduce the dose of the medicine, tk. this can provoke the opposite effect: in This situation, the antibiotic will not have such an effective action aimed at the destruction of microbes, and can not completely suppress the bacterial infection.
Be sure to take into account the fact that antibiotics maximize their effectiveness only in the treatment of infectious diseases of bacterial origin. In other cases, they are not able to provide the desired action and can even harm the body. For example, antibacterial drugs will be powerless when:
- ARVI and influenza (in this case, the diseases are caused by viruses, for the destruction of which it is necessary to use antiviral drugs);
- inflammatory processes (antibiotics are not anti-inflammatory drugs);
- elevated temperature (do not confuse the effect of antibiotics with the action of antipyretic and analgesic drugs);
- coughing in pregnant women in those cases if it is caused by a viral infection, an allergic reaction, development of bronchial asthma, but not the action of microorganisms;
- intestinal disorders.
If we consider the impact of antibiotics on the fetus, then according to the results of numerous medical studies, that these drugs do not provoke the development of any birth defects in the child and do not affect his genetic apparatus. But at the same time, some groups of antibacterial drugs have so-called. embryotoxic effect, i.e. can lead to a violation of the function of the kidneys of the fetus, the bookmark of the teeth, affect the auditory nerve, and cause a number of other adverse changes.
Antibiotics for pregnant women with a cold have the most unfavorable effect on the fetus in I trimester of pregnancy, so if there is such a possibility, treatment is recommended to be transferred to II trimester. However, if there is an urgent need for such treatment, the physician should appoint a future mum antibiotics with the lowest degree of toxicity, as well as strictly monitor the condition of the pregnant women.
What antibiotics to drink for a cold?
Antibiotics for colds should be used according to the doctor's recommendations in those cases when the patient's condition indicates the development of complications, such as tonsillitis, purulent sinusitis, pneumonia. However, first of all, with a cold, you need to use proven folk remedies and drink antiviral drugs, the action of which is directed at the destruction of a viral infection. Do not resort to antibiotics if the cause of the disease is not established. It is necessary to weigh all the factors "for" and "against" the intake of antibacterial drugs, taking into account their side effects and possible complications.
What antibiotics to drink with a cold, only the doctor knows, who will determine the degree and type of complications caused by a cold, and then prescribe the antibiotic of the corresponding group:
- Penicillins (Augmentin, Ampicillin, etc.) have a pronounced bactericidal effect and are effective in treating bacterial infections and severe forms of ENT diseases (angina, purulent otitis, sinusitis, pneumonia and etc.). The action of these antibacterial drugs is aimed at destroying the walls of bacteria, which causes their death. A positive feature of penicillins is their low level of toxicity, so they have found wide application in pediatrics.
- Cephalosporins have an active bactericidal action aimed at destroying the bacterial cell membrane. Usually antibiotics of this group are prescribed for the treatment of pleurisy, bronchitis, pneumonia and are injected (intravenously or intramuscularly), only cephalexins are taken orally. They cause less allergic reactions than penicillins, but in rare cases, there are allergic manifestations, as well as disruption of the kidneys.
- Macrolides (azalides and ketolides) have an active bacteriostatic effect and are effective in treating atypical pneumonia. The first macrolide was Erythromycin, which was used by patients with an allergic reaction to penicillins.
- Fluoroquinolones (Levofloxacin, etc.) are used to kill gram-negative bacteria (mycoplasma, pneumococcus, chlamydia, E. coli). Quickly penetrating the cells, they hit the microbes that are there. Today they are the most nontoxic antibacterial drugs that do not cause allergies and are safe to use.
To find out what antibiotics to drink in case of a cold in this or that case, you should consult a medical specialist. For example, for the treatment of various infectious and inflammatory diseases in our time often prescribed drug Flemoxin Solutab, containing amoxicillin. In bronchitis, pharyngitis, acute tonsillitis and otitis, pneumonia and a number of other infectious and inflammatory diseases, a Suprapax preparation may be prescribed, the reception of which is necessary To conduct according to the recommendations of the doctor, tk. in the case of uncontrolled treatment of the common cold, this drug may cause adverse reactions in the form of a violation of microflora intestines. This can lead to the development of severe diarrhea or pseudomembranous colitis. An effective antimicrobial is Levomycetin, which is used for infectious diseases. Dosage of the drug and the duration of treatment, as in other cases, should be strictly established by the attending physician.
A good antibiotic for colds
Antibiotics for colds should be used if, after taking antiviral drugs in the early days of the disease, there was no improvement, especially when the patient's condition worsened: this means that, in addition to viruses, the body also attacked bacteria. Such medications are good "helpers" in ridding the human body of toxins and all sorts of pathogens microbes, but the choice of antibiotic in this or that case remains with the doctor, tk. should correspond to the indications and the flow of a specific disease. The fact is that an insufficiently strong antibacterial drug can not cope fully with complications caused by a cold or flu, and an antibiotic of "powerful" action can damage the immune system of the body.
The beginning of the use of antibiotics in medical practice dates back to 1928 and is associated with the name of the Englishman Fleming. It was he who discovered the substance "penicillin capable of leading to the death of many microbes and bacteria, and thereby made a real revolution in medicine, because since then, many previously deadly the diseases became curable: scarlet fever, pneumonia, tuberculosis, pneumonia, and the like. During the Second World War, thanks to antibiotics, doctors managed to save the lives of millions of wounded of people. To this day, these faithful "helpers" help doctors fight for the health of many patients.
A good antibiotic for a cold is a drug that is chosen in accordance with the type and course of the disease. Treatment with antibiotics should be done carefully, after consulting with a doctor who will choose the optimal drug from the four main classes of antibiotics of different action, which have proved to be effective agents in the treatment of various complications caused by bacterial infections. These classes include: penicillins (Ampicillin, Amoxicillin, Amoxiclav, Augmentin, etc.); macrolides (Azithromycin, etc.): fluoroquinolones (Levofloxacin, Moxifloxacin, etc.); cefalosporins (Cefixime, Cefuroxime, Supraks and others).
Before you start taking any medications, it is advisable to try to cope with a mild cold, using methods and recipes of traditional medicine. For example, make inhalations, foot baths, put a compress or mustard plasters. It is necessary to increase the volume of consumed liquid, and also to expand the diet with natural vitamins, i.e. fresh fruits and vegetables. At the first signs of worsening with a cold, you should immediately go to the hospital to prevent the development of complications. In the case when a bacterial infection attacks the body, it becomes necessary to urgently "connect" the antibiotic, because in this situation, in a literal sense, it is about saving a patient's life. The patient should understand that only the attending physician can prescribe an antibacterial drug, and at the same time it is necessary to strictly observe the indicated dosage, as well as the intervals of admission. Self-medication can lead to exposure to human health of significant danger.
Antibiotics for colds can have a number of negative consequences, especially when self-medication is chosen incorrectly. Among such side effects, allergy, GI disorders, dysbacteriosis, and depression of the immune system are most common.
It should also be remembered that it is not recommended to take an antibiotic for more than 5 consecutive days, but also a reduction in the period of antibiotic treatment can lead to the fact that the infection will not be eliminated from the body, and this, in turn, will cause complications in the form of failures in the heart and kidney. If after three days the patient does not feel relief of his condition, it is necessary to ask the doctor about changing the drug to another, more effective. It should also be cautious about combining other drugs with antibiotics, in such cases it is necessary to follow the recommendations of the doctor. In no case should you take an antibiotic, the expiration date of which has expired!
A good antibiotic for colds must give positive results within three days: the patient will feel better, he will have an appetite, and unpleasant symptoms will disappear.
When treating antibiotics, it is important to take care of reducing their negative effects on the body. To this end, the doctor must assign probiotics to the patient - drugs that normalize the intestinal microflora and thereby prevent the development dysbiosis, strengthen immunity, favorably affect the work of internal organs, reducing the possibility of side effects and complications.
Antibiotics for colds for children
Antibiotics for colds should be given with extreme caution to children. Such treatment should be appointed by the attending physician, to which you need to seek advice immediately after the first signs of the disease - the occurrence of a cold in the child, cough, fever. Usually, the temperature above 3 ° C indicates that the immunity of the child tries to get rid of the virus by itself, in this case the doctor prescribes antipyretic agents. If, after 3-5 days, the baby's health does not improve, and the temperature is still high, it is recommended to start reception of the corresponding antibiotic, but only strictly according to the appointment of the pediatrician and with confirmation of the bacterial nature disease.
Antibiotics for colds for children are a serious test for a growing organism, so they should not be used immediately after the onset of symptoms of the disease. If parents believe that taking a "powerful" antibiotic is the only effective method for treating ARVI or ARI is a deep delusion! The effect of antibacterial drugs on the children's body without a special reason can be very negative, and sometimes even devastating. Not to mention the use of antibiotics to treat babies, which in itself is blasphemous. Colds should be treated with antiviral drugs, the result of which usually appears not immediately, but after a 3-5-day period. However, the febrile process in children, which is most often caused by infections of the respiratory tract of the viral type, can fluctuate within 3-7 days, and sometimes even more. It should not be mistaken to believe that antibiotics are an alternative to antitussive drugs, because cough for colds is the protective reaction of the child's organism, which usually occurs last, after the disappearance of the remaining symptoms disease. The question of prescribing the treatment of a child with antibiotics is decided by an experienced pediatrician who will assess the condition of the baby and only in case of emergency will choose the optimal drug. Parents should carefully follow all the recommendations of the doctor, including about the method of taking and dosing an antibacterial drug. It is also important not to discontinue the treatment of the child before the due date.
Some antibiotics for colds for children are strictly prohibited. First and foremost, these drugs are so called. tetracycline group (Tetracyclin, Doxycycline, Minocycline, etc.), which can disrupt the process of formation of a baby tooth enamel, as well as antibacterial drugs fluorinated quinolones, having in their names the ending floxacin" (for example, Ofloxacin, Pefloxacin), which adversely affect the formation of joints in the child cartilage. In pediatrics, also taking Levomycetin, whose action is directed to the development of aplastic anemia (the process of oppression of hematopoiesis), and can lead to a fatal outcome.
Among antibacterial drugs used in pediatrics, you can note Amoxicillin, Ampicillin, Levofloxacin, Flemoxin Solutab, Moximak, Zinnat, Avelox, Amoxiclav, etc. The choice of this or that medicine depends entirely on the experience and professionalism of the child a doctor who must determine which antibiotic will be the best assistant and will benefit in treating complications after a cold in each specific case.
So, antibiotics for colds should be used to treat children only in cases of acute need. This will not lead to the desired recovery, but only exacerbate the situation, because the effect of an antibacterial drug can become destructive to the immunity of the baby, which will increase the risk of infection return.
Names of antibiotics for colds
Antibiotics for colds should be selected especially carefully, without resorting to self-medication, and having consulted a doctor who will determine the degree of complications and prescribe the most effective means. In addition, when taking antibiotics should follow these recommendations:
- in the treatment should be used only one, the most effective drug from a certain group;
- if after the first reception of the antibiotic after two days the patient's condition has not improved and the temperature has not decreased, there may be a need to change the drug;
- It is impossible to combine the antibiotic with antipyretic drugs, because they "lubricate" its effect;
- the period of antibiotic treatment should be at least 5 days, or even more. It is this length of treatment that allows the drug to fully cope with the causative agent of the infection;
- In severe cold and complications, the patient should immediately be hospitalized, and antibiotic therapy should be carried out under the supervision of the attending physician.
The names of antibiotics for colds (at least a few of them) are useful to everyone, because, in this way, a person will have at least some idea of the drug that the doctor will appoint. Antibiotics have traditionally been divided into several classes:
- penicillins,
- macrolides,
- fluoroquinolones,
- cephalosporins.
The penicillin class includes such names of antibiotics as Ampicillinum, Augmentin, Amoxicillinum, Amoxiclav, and others.
The most common names for the class of macrolides are Erythromycin, Azithromycin, etc. (such drugs are considered to be the most potent in the treatment of bacterial infection). The antibiotics of the fluoroquinolone class include levofloxacin and moxifloxacin, and to the class of cephalosporins - Aksetil, Cefixim (Supraks), Cefuroxime axetil and others.
The main goal in the treatment of various infectious complications caused by a cold is to assist the body effective assistance aimed at the fastest disposal of pathogens and toxic substances. For treatment to give a quick positive result, you need to make the right choice of antibiotic, and this can only be done by an experienced doctor.
It should be remembered that antibiotics for colds are not so harmless as it may seem, they can cause a number of side effects, especially if they are not used in those cases. For example, many do not understand or simply do not know that only the antiviral can cope with a viral infection of the respiratory tract drug, and begin to use antibiotics immediately when cold symptoms such as a runny nose, cough, increased temperature. This is a great misconception, because improper intake of antibiotics can cause great harm to the already weakened immunity of a person. Such drugs are needed only to treat bacterial infections, the development of which can be caused by complications of the common cold. Usually, antibiotics are prescribed if, after 4-5 days after the onset of the disease, the patient does not experience an improvement in condition or, on the contrary, it becomes worse.
Amoxiclav for colds
Antibiotics for colds should be used purposefully, depending on the condition of the patient and the features of the course of the disease. Among the common drugs used in modern medicine, a separate place is occupied by an effective antibacterial drug Amoxiclav. It has established itself as a reliable tool for treating various complications caused by colds and other adverse factors, in particular, such as the occurrence of infections after surgical operations.
Amoksiklav for colds is successfully used in modern medicine to treat so-called. "Mixed" infections, as well as to prevent possible infection of the patient during surgical intervention. Mixed type of infection is most often caused by gram-positive and gram-negative microorganisms, as well as by anaerobes (including strains), manifested in chronic forms of otitis, sinusitis and osteomyelitis, cholecystitis, odontogenic infections, aspiration pneumonia, various infections of the abdominal cavity, and the like.
Amoksiklav - a combination of two substances: aminopenicillin, amoxicillin and clavulanic acid, which has a pronounced bactericidal effect. A detailed medical study of the microbiological properties of this preparation gives grounds to state that Amoxiclav due to the combination of the above-mentioned active substances has a depressing effect on the synthesis of bacterial walls and has a stable antibacterial effect on a host of pathogenic microorganisms: Neisseria spp., Streptococcus spp. (different groups), Staphylococcus spp., Proteus spp., Klebsiella spp., Helicobacter pylori, Moraxella catarrhalis, Acinetobacter spp., Haemophilus influenzae and many others. other
Pharmacokinetic properties of Amoxiclav indicate its pronounced advantages in comparison with other penicillins. So, after taking the drug, rapid absorption of components from the digestive tract, regardless of food intake, is observed. The maximum level of drug concentration is reached approximately 45 minutes after admission. The main way to remove the drug from the body is its release together with urine, calves, and exhaled air.
Amoxiclav for colds, due to the pronounced antimicrobial activity and unique pharmacokinetic properties, is used to treat a number of infectious diseases accompanied by inflammatory processes:
- infections of the respiratory system (in particular, acute and chronic sinusitis, bronchitis, zagrug abscess, pneumonia, etc.);
- otitis (both acute and chronic);
- infections of the skin, joints, soft tissues and bones;
- infections of the genitourinary system;
- various kinds of gynecological infections.
As for the side effects that occur when taking Amoxiclav, the drug is generally tolerated by patients normally, without any adverse reactions from the body. As a percentage, only 8-14% of the total number of patients had side effects in the form of abnormal gastrointestinal function (diarrhea, abdominal pain, nausea, vomiting). To avoid such side effects, it is recommended to reduce the dosage of the drug and take it during meals.
Antibiotics for colds are invaluable when there is an urgent need to resist the development of pathogenic microbes and bacterial infections. However, summing up, it is necessary to note again that the reception of antibiotics must be coordinated with a competent medical specialist. This is the only way to achieve high results in the treatment of post-cold complications and to minimize the risk of negative effects of antibacterial agents on human immunity.
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Whether to drink antibiotics at cold at children or adults?
Everyone who received a diploma from any medical institute is firmly aware and remember that antibiotics for colds, ARVI and flu do not help. This is remembered by doctors in polyclinics, practicing doctors in hospitals. However, antibiotics are prescribed and not infrequently simply prophylactically. Because when you go to a doctor at the hospital, the patient needs treatment.
And in cases with colds, acute respiratory viral infection, in addition to all known rules - abundant drinking, bed rest, vitaminized, limited (diet) meals, medicines and folk methods for gargling, nasal washing, inhalations, rubbing with warming ointments - nothing else is needed, that's all the treatment for colds and is limited. But no, a person expects medicines from the doctor, often just begging for an antibiotic.
Worse, the patient can independently start taking any antibiotic according to his experience or someone's advice. Appealing to a doctor today takes a long time, and medicines are very easy to acquire. No civilized country has such open access to medicines, as in Russia. Fortunately, today most antibiotics dispense prescription antibiotics, but there is always a chance get the drug without a prescription (having mercilessly dispensed a pharmacist or by choosing a pharmacy that values its turnover).
As for the treatment of a cold in a child, here the situation is most often overshadowed by the fact that the pediatrician is simply reinsured, prescribes an effective, good, "child" antibiotic for colds for prevention, in order to avoid possible complications. If the child begins to drink abundantly, moisturize, ventilate the room, at high temperature give antipyretics for children, apply all known means for colds and folk methods - the body must cope with the majority of respiratory viral infections.
And why, then, did the pediatrician prescribe antibiotics?
Because complications are possible. Yes, the risk of complications in preschool children is very high. Today, not every mother can boast of strong immunity and the general good health of her child. And the doctor in this case is guilty, did not notice, did not check, did not appoint. Fear of accusations of incompetence, inattention, danger of prosecution pushes pediatricians to prescribe an antibiotic for children with colds as prevention.It should be remembered that a cold in 90% of cases is of viral origin, and viruses do not cure antibiotics.
Only in cases when the body failed to cope with the virus and complications arose, bacterial infection, localized in the oral cavity, nose, bronchi or lungs - only in this case are shown antibiotics.
Can I understand by analysis that antibiotics are needed?
Laboratory tests that confirm the bacterial nature of the infection are not always performed:
- Since sputum cultures, urine for today is quite expensive for polyclinics and they are trying to save on them.
- Exceptions are smears from the pharynx and nose with angina to the stick of Lefler (causative agent of diphtheria) and selective crops of detachable tonsils with chronic tonsillitis or urine in pathologies of urinary tract ways.
- More chances to get bacteriological confirmation of microbial infection in hospital patients.
- Indirect signs of bacterial inflammation will be changes in the clinical blood test. Here the physician can orient on the rise of ESR, the increase in the number of leukocytes and the shift of the leukocyte formula to the left (increase of stab and segmented leukocytes).
How to understand by feeling that there were complications?
By eye, the attachment of bacteria can be determined by:
- Changing the color of the separated nose, pharynx, ear, eyes, bronchi - from transparent it becomes cloudy, yellow or green.
- Against the background of bacterial infection, as a rule, there is a repeated rise in temperature (for example, with pneumonia, which complicated ARVI).
- With bacterial inflammation in the urinary system, urine will most likely become turbid and a visible sediment will appear in it.
- When lesions of the intestinal microbes in the feces appear mucus, pus or blood.
Understand that there are complications of acute respiratory viral infection is possible on the following grounds:
- If after the onset of acute respiratory infections or cold after the improvement on day 5-6, the temperature rises again to 38-39C, deterioration of well-being, cough increases, dyspnea or chest pain occurs during breathing and coughing - high risk pneumonia.
- Increases in sore throat at high temperature or there are raids on tonsils, cervical lymph nodes increase - it is necessary to exclude angina or diphtheria.
- There is pain in the ear, which increases with pressure on the tragus, or from the ear flowed - the average otitis is likely.
- Against the backdrop of a cold there was a pronounced nasal voice, headaches in the forehead or face that intensify when leaning forward or lying down, completely lost the sense of smell - there are signs of inflammation of the paranasal sinuses.
Many ask the question what antibiotics to drink with a cold, what antibiotic is better for a cold? If complications arise, the choice of antibiotic depends on:
- localization of complications
- age of the child or adult
- anamnesis of the patient
- drug tolerance
- and of course, resistance to antibiotics in the country where the disease occurred.
The appointment should be made only by the attending physician.
When antibiotics are not indicated for colds or uncomplicated ARVI
- Muco-purulent rhinitis (rhinitis), lasting less than 10-14 days
- Nasopharyngitis
- Viral conjunctivitis
- Viral tonsillitis
- Tracheitis, bronchitis (in some cases at high temperature and acute bronchitis antibacterial drugs are necessary)
- Attachment of herpetic infection (herpes on the lips)
- Laryngitis in children (treatment)
When it is possible to use antibiotics for uncomplicated cases
- At the expressed signs of the lowered immunity - constant subfebrile temperature, more than 5 r / year catarrhal and viral diseases, chronic fungal and inflammatory diseases, HIV, any oncological diseases or congenital disorders immunity
- In a child under 6 months of age - rickets in infants (symptoms, treatment), various malformations, with a lack of weight
- Against the background of some blood diseases (agranulocytosis, aplastic anemia).
Indications for prescribing antibiotics are
- Bacterial angina (with simultaneous exclusion of diphtheria by taking swabs from the throat and nose) requires treatment with penicillins or macrolides.
- Purulent lymphadenitis requires broad-spectrum antibiotics, consultation of a surgeon, sometimes a hematologist.
- Laryngotracheitis or acute bronchitis or exacerbation of chronic bronchitis or bronchiectasis will require macrolides (Macropen), in a number of cases, an x-ray of the chest to exclude pneumonia.
- Acute otitis media - the choice between macrolides and cephalosporins is performed by an ENT doctor after otoscopy.
- Pneumonia (see p. the first signs of pneumonia, treatment of pneumonia in a child) - treatment with semisynthetic penicillins after radiologic confirmation of the diagnosis with mandatory control of the effectiveness of the drug and ray-controlled.
- Inflammation of the paranasal sinuses (sinusitis, sinusitis, etmoiditis) - the diagnosis is established by X-ray and characteristic clinical signs. Treatment is conducted by an otolaryngologist (see p. signs of sinusitis in adults).
Here is an example of a study conducted on the basis of data from a single pediatric clinic, when analyzing medical history data and outpatient cards 420 children 1-3 years old. In 89% of cases, children were registered with ORVI and ARI, 16% with acute bronchitis, 3% with otitis and only 1% with pneumonia and other infections.
And in80% of casesOnly with inflammation of the upper respiratory tract with acute respiratory illness and Orvi antibiotics were prescribed, with pneumonia and bronchitis in 100% of cases. Most doctors theoretically know about the inadmissibility of using antibacterial drugs for a cold or a viral infection, but for a number of reasons:
- administrative settings
- early age of children
- preventive measures to reduce complications
- reluctance to go for assets
they are still prescribed, sometimes in short 5-day courses and with a decrease in dose, which is highly undesirable. Also, the spectrum of pathogens in children was not considered. In 85-90% of cases it is viruses, and among bacterial agents it is 40% pneumococcus, in 15% hemophilic rod, 10% fungi and staphylococcus, less often atypical pathogens - chlamydia and mycoplasma.
With the development of complications against the background of the virus, only according to the doctor's prescription, according to the severity of the disease, the age, the patient's anamnesis, such antibiotics are prescribed:
- Penicillin series - in the absence of allergic reactions to penicillins, semi-synthetic penicillins can be used (Flemoxin solutab, Amoxicillin). In severe resistant infections among penicillin preparations, doctors prefer "Protected penicillins" (amoxicillin + clavulanic acid), Amoxiclav, Ecoclave, Augmentin, Flemoclav Solutab. This is the first-line drugs in angina.
- Cephalosporin series - Cefixim (Suprax, Pansef, Iksim Lupine), Cefuroxime aksetil (Zinacef, Supero, Aksetin, Zinnat), etc.
- Macrolides - are usually prescribed for chlamydial, mycoplasmal pneumonia or infections of the ENT organs - Azithromycin (Sumamed, Zetamax, Zitrolide, Chemomycin, Z-factor, Azitrox), Macropen is the drug of choice for bronchitis.
- Fluoroquinolones - are prescribed in cases of intolerance to other antibiotics, as well as with the resistance of bacteria to drugs penicillin series - Levofloxacin (Tavanic, Floracid, Haileflox, Glevo, Flexi), Moxifloxacin (Avelox, Plevilox, Moximak). The fluoroquinolones are completely banned for use in children, since the skeleton is not yet formed, and also because it is preparations "of a reserve that can be useful to a person when he grows up, in the treatment of infections with a drug stability.
In general, the problem of choosing an antibiotic for today is a task for the doctor, which he must decide in such a way as to maximally help the patient in the present and not harm in the future. The problem is complicated by the fact that in the pursuit of today's profits, farmkampanii absolutely do not take into account the seriousness of the increasing stability causative agents of diseases to antibiotics and throw out in a wide network those antibacterial novelties that could be for the time being in reserve.
If your doctor has prescribed an antibacterial drug, you should read 11 rules. How to drink antibiotics correctly.
Main conclusions:
- Antibiotics are indicated for bacterial infections, and the common cold in 80-90% has a viral origin, therefore their reception is not only senseless, but also harmful.
- Antibiotics have serious side effects, such as inhibition of liver and kidney function, allergic reactions, they reduce immunity, cause imbalance of intestinal microflora and mucous membranes in organism.
- The use of antibiotics as a prophylaxis for complications of viral-bacterial infections is unacceptable. The task of the child's parents in time to see a doctor, and the therapist or pediatrician in time to discover the possible deterioration of well-being of the child or adult and only in this case to accept "heavy artillery" in the form of antibiotics.
- The main criterion for the effectiveness of antibiotic therapy is a decrease in body temperature to 37-38 ° C, relief of the general condition, in the absence of this antibiotic should be replaced by another. The effectiveness of the antibiotic is estimated within 72 hours and only after this the preparation changes.
- Frequent and uncontrolled use of antibiotics leads to the development of resistance of microorganisms, and each time a person will require more aggressive drugs, often the simultaneous use of immediately 2 or more antibacterial means.
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Antibiotics and other drugs for influenza
Each of us at least once had a cold and was treated with folk remedies or independently chose antibiotics for the flu, that is, was engaged in self-medication. But do not practice this method: medicines should be prescribed by a physician to prevent complications. When and with what manifestations of the disease, and most importantly, how to properly drink antibiotics for influenza - these points should be considered in more detail.
As usual, the first signal of an infectious disease is an increase in temperature from 38 and above, plus a runny nose, reddening of the mucous throat. These symptoms can accompany other characteristic signs of the disease: reddening of the mucosa, headache, cough. Antibiotics against influenza can overcome the infection, but they are prescribed only by physicians, given their characteristics and the course of the disease. Do not self-medicate, thereby exposing your own health to danger.
Treatment of influenza with antibiotics
If the cold is caused by the action of the bacterium, then it is worthwhile to turn to antibiotics. The main thing with this variant of the development of the disease is to take into account the general condition of the patient and determine the very fact of the onset of the disease, and also to choose the most effective medication. This is due to the fact that the antibiotics themselves require a serious attitude. An incorrect appointment will only lead to the fact that the disease starts, causing harm to your body in parallel.
But this is an erroneous approach, because during the treatment of influenza, colds and acute respiratory infections, most doctors prescribe antiviral medications. But if the patient's condition does not improve, when a bacterial infection is diagnosed, then it is wise to use a correctly selected antibiotic.Treatment of catarrhal diseases with antibiotics should go through rationalization, and therefore the consultation of a doctor, taking into account the degree and severity of the course of the disease, is simply obligatory. It is he who prescribes that antibiotic, which will be the most effective and optimal. Catarrhal diseases are quite dangerous and insidious diseases that manifest themselves regardless of the age, weather and general health of the patient. It is ORL is one of the most common diseases on the planet and can last no longer than 6-7 days without manifestations of complications.
Treatment of influenza with antibiotics in both adults and children should be done only when the body itself does not cope with the infection. Many patients at the first signs of a cold and fever ask themselves which antibiotic medicine to take, perceiving it as a panacea for many diseases and infections.
As statistics show, people suffer from colds 2-3 times a year, and at the moment virologists count about 200 kinds of viruses that provoke ARD. Suffice it to say that the common cold is a very contagious infection, transmitted by airborne droplets, while fighting the trachea and lungs, and therefore medication is mandatory.
Symptomatic of colds
If we talk about the treatment of colds and acute respiratory infections, then before taking an antibiotic, it is necessary to determine the specific signs that characterize them. In particular, among these are the following:- increase due to the inflammatory process of the lymph nodes, which manifest themselves in the form of compaction in the neck and occiput, behind the ear and under the jaw and when pressed cause pain;
- discharge from the nose and its obstruction plus excessive dryness of the nasal mucosa;
- pain and sore throat, cough;
- increase in body temperature from 37 degrees and above, plus nausea and vomiting.
To properly treat the flu, at the very beginning it is necessary to diagnose the disease correctly and proceed from this to choose an effective drug.
To use antibiotics for inflammation of the respiratory tract, it is worth choosing those drugs that can overcome the bacteria that cause the disease. Such honey. drugs can be antibiotics related to the penicillin group: "Amoxiclav "Amoxicillin or "Augmentin."
When developing ARI, in particular pneumonia, it is worth considering that it is provoked by bacteria that are quite immune to penicillin. Therefore, the best option in this case are such honey. drugs like "Levofloxacin" or "Avelox."
To overcome the flu, it is also necessary to use antibiotics classified as a group of cephalosporins ("Supraks "Zinnat" or "Zinatsef"), which effectively treat bronchi and pleurisy, pneumonia. It is also worth noting that honey. drugs classified as macrolides are prescribed for complications after the flu and for the successful treatment of atypical pneumonia, triggered by the action of chlamydia or mycoplasma.Effective treatment of colds with antibiotics is directly defined and the category of the disease itself. So, in ARVI it is worth using antiviral honey. drugs, because they have a direct effect on the immune system, helping it to strengthen and overcome the disease. The use of antibiotics in this respect is simply useless and even contraindicated by the doctors themselves; the sooner you start treatment with antiviral honey. drugs, the higher the chance to overcome the cold more quickly, without allowing negative consequences in the form of complications.
What antibiotics should I take with the flu?
The antibiotic itself for colds should be prescribed only by a doctor, and only if the general condition of the patient indicates the existing complications: angina, purulent sinusitis and so on. But at the very beginning it is worth taking the means tested by time and practice from the people's arsenal and antiviral honey. a drug aimed at combating the virus itself and the infection caused by it. If the cause of the disease is not established, it is not recommended to take a specific antibiotic, even if you previously used it effectively to fight a cold. To successfully cure a cold, it is worth knowing all the properties of honey. drug, take into account its side effect and possible complications.
.By appointing a certain drug, the doctor takes into account the degree and severity of the course of the disease, complications, caused by it, and due to these indicators, antibiotics can be prescribed to them, referred to the following groups:
- Penicillins, in particular "Augmentin" or "Ampicillin which are characterized by pronounced bactericidal properties and are sufficiently effective in diseases caused by the action of bacteria, and in severe forms of flow ENT diseases. These drugs in their action destroy the walls of pathogenic bacteria, leading to their death. Still it is necessary to allocate such positive property, as a low level of toxic influence on an organism, as a result of it they are widely applied in children's pediatrics.
- Cephalosporins, which are characterized by the fact that in the fight against bacteria destroy the membrane of disease cells and so destroy them. This group of honey. drugs is practiced in the fight against diseases such as pleurisy, bronchitis and pneumonia. They are injected with a prick and orally. The presented group of honey. drugs is different in that it causes less allergy in comparison with similar drugs from the penicillin group, but it can negatively affect the functioning of the liver and kidneys.
- Macrolides, which are characterized by bacteriostatic properties and are used in the treatment of edematous pneumonia.
- Fluoroquinolones, which are useful for combating the action of gram-negative bacteria. Getting inside the structure of the cell, hit the micro, located in it. At the moment it is the most non-toxic group of antibiotics, it does not cause allergies and is quite harmless in the process of use.
An effective antibiotic used for colds is considered to be honey. a drug that was prescribed, given the type of infection and the course of the illness itself. Thus treatment by antibiotics should be conducted cautiously, having taken into account consultation and the recommendation of the doctor. It is he who will choose the optimal honey. a preparation from 4 main groups of antibiotics.
Before starting treatment and taking a certain antibiotic, it is worth resorting to folk recipes for treating colds. For example, make inhalation and breathe over vapors with essential oils, soak your feet, make a compress or put mustard plasters. It is worth taking into account the amount of liquid consumed, enrich your menu with vitamins in the form of fresh vegetables and fruits or a complex of vitamins in tablets.
If this does not help and there is a deterioration in health, then it is worth immediately contacting a doctor to avoid complications. There will have to "put into battle" antibiotic, because it is about the health and saving the life of the patient.
A small conclusion
It is necessary to understand that it is the doctor who prescribes the antibiotic for colds, it is important to strictly follow his instructions regarding the dosage and the regimen of the medication.
.But self-medication can eventually lead to health problems, when the patient himself puts himself in danger. Be healthy!
respiratoria.ru
Antibiotics used for influenza for children
Antibiotics for influenza for children are practically useless drugs. They not only will not bring the desired result, but they can significantly harm the child's immature organism.
If you ask a specialist if you need antibiotics for a flu, then you can hear a definitive "no". In case of colds, ARVI and flu, it is absolutely inadvisable to take antibiotics for children and adults alike. After all, their action is not directed at combating viral infections. It is for this reason that you should not make hasty decisions about the choice of medication. First and foremost, you need to seek medical help.
For the treatment of influenza in children, anti-cold medicines should be used most often, and they are significantly different from antibiotics. To my great regret, the flu can not always flow smoothly. As a result of the disease, bacterial complications can develop. Such ailments are dangerous for young children, in neglected cases they can endanger the life of the child. When there are such cases, doctors strongly recommend that the use of antibiotics be included in the treatment, because otherwise it will be impossible to cope with the complications that have arisen.
How does antibiotics work?
To date, antibiotics are widely used to treat various infections.In particular, they can have a positive effect in the treatment of fungus and tumors. These drugs can be of natural origin or artificially synthesized.
In 1929, the world first learned what penicillin is. Due to its properties, it effectively destroyed pathogenic bacteria. Since that time, antibiotics have been actively used.
Thanks to the medicinal properties of such products, the lives of many children and adults have been saved. In particular, antibiotics very well relieved of gangrene and purulent complications, which were the result of severe injuries.
After the end of hostilities, the study of drugs continued at full speed. Thanks to the efforts of scientists, antibiotics have been improved. They could be used to treat pneumonia, various purulent and inflammatory infections.Any kind of antibiotic actively fights against microorganisms, which consist of certain cells. Its use is advisable to apply in the following cases:
- Fungal viruses.
- Bacterial infections.
- Tumors of a different nature. These include even those that consist of malignant formations.
Since influenza is not a pathogenic cell that penetrates the child's body, the use of antibiotics in its treatment will not be an effective and competent method. But when complications occur in the course of the common cold, flu or SARS, the child can not do without using these drugs. If you combine all the drugs properly, then the underlying disease and its consequences can be fairly easy to manage.
Diagnosis of complications resulting from influenza in a child
To protect the child from possible infections that can occur as a result of the flu, you need to follow all the recommendations and prescriptions of the doctor. First of all, a sick child needs to be in bed (usually this period can last about a week). It is necessary to limit the baby from impellent activity, because his body is still very weak and needs to be restored.When observing bed rest, the following recommendations should be followed:
- Give children antiviral drugs.
- To remove from the baby's body as soon as possible harmful toxins, you need to monitor its water regime.
The more a child drinks during illness, the better. To do this, you can brew tea on the basis of rose hips, mint, chamomile. Very useful is a decoction of dried fruits and tea with lemon.
- When the body temperature rises, it is necessary to use medicines to lower the heat. In the presence of pain, anesthetics can be used.
Most often the flu shows itself unexpectedly.
However, after a couple of weeks, the child starts to have a sore throat, a runny nose and cough appear. If you follow the above recommendations, the development of complications can be avoided. And you can cope with unpleasant symptoms for a week.If the disease is neglected, it is possible to develop complications that affect all the internal organs of the child:
- As a result of the flu, pneumonia and bronchitis can develop.
- Hearing organs will also suffer (inflammation of the middle ear - otitis).
- There will be problems with breathing due to congestion of the nose (sinusitis, frontalitis).
- Increased risk of inflammation in the heart tissue (myocarditis, pericarditis).
- Increased risk of kidney disease (pyelonephritis).
- The most dangerous complication of the flu is meningitis (the brain envelope inflames). This disease is deadly.
Since the children's organism is rather weak, after the flu, such diseases as pneumonia, bronchitis or otitis can often develop. It is for this reason that parents should closely monitor how the child feels.
When the complications are identified and the diagnosis is made, you do not need to prescribe antibiotics yourself. This question should be dealt with only by a doctor. Before assigning a specific drug, the child should take blood and urine tests. Only on the basis of the received data the doctor will be able to appoint competent treatment, which will be necessary to adhere to recovery.
To protect the stomach, the child must also use probiotics. This nuance should provide for any experienced specialist.
.How to properly treat the flu in a child?
Despite the fact that the use of antibiotics during the flu and cold is useless, special drugs have been developed that help to overcome viral infections in a short period of time. Such medications can be used both for cold and flu, and for ARVI. Thanks to their active action, they are capable of destroying pathogenic viruses and increasing production special component - interferon, which helps the human body to fight with various viruses.
On the best side, those medicines that contain interferon have proved themselves. He does not do any harm to children and helps to strengthen the protection of their weakened organism.
.Use antiviral drugs in advance. If the disease has already begun to develop, then their application will not bring positive results. The pharmaceutical group of antiviral medicines is excellent for children, adolescents and the elderly. Experts recommend using such drugs to people who suffer from chronic diseases. This will strengthen their immune system and protect against the development of influenza and colds.
Most doctors believe that the children's body can independently cope with a cold or SARS. But in order to be fully confident that the child is safe, it is necessary to carry out vaccinations in a timely manner, and also include as many vitamins as possible in the baby's diet. And if you have the first anxious symptoms, you should always consult a doctor.
respiratoria.ru
Antibiotics for influenza and colds: what you need to know
Antibiotics are a very popular remedy for bacterial infections in the present time. And since the last century nothing special has changed in the minds of ordinary people. As they were considered a panacea for all ills, this is how it is now. But is it really so? Can I cure, for example, a cold with antibiotics? And the flu? In this article we will try to understand this topic.
What is an antibiotic?
If you look at the name of this kind of medicine, then immediately becomes clear their purpose. The prefix "anti" indicates that antibiotics are struggling with something. And if you look at the second part of the word, it turns out that these are medicines that fight with living organisms.
But this is very generalized. After all, not every living organism becomes a target of such drugs. In this regard, antibiotics against influenza and colds - this is a very controversial topic. After all, everyone knows that the main pathogens of these diseases are viruses. And antibiotics are directed primarily at bacteria. So you can safely say that this group of drugs is fighting bacteria.
Types of antibiotics
In total, two types of antibiotics are distinguished according to the spectrum of action:
- In a broad sense, this is the most common group of antibacterial drugs that can kill a host of enemy microorganisms. When we go to the doctor, and he assigns to us what we perceive as antibiotics against the flu and colds.
- In a narrow sense, they are designed to treat bacterial infections in which the pathogen is clearly defined. This category of antibiotics is not so dangerous to health and it does not have as many side effects. But at the same time, for treatment, for example, complications of ARVI, they are badly suited. After all, the latter can be caused by a number of microorganisms.
This is actually information for general education. You need to understand that when antibiotics are selected from influenza and colds, they are inherently more dangerous. And the fault is the attack, which falls on a number of your native bacteria that provide immunity.
Can I treat colds with antibiotics?
Proceeding from the foregoing, the answer becomes very simple and understandable: antibiotics can not be treated with a cold. After all, the latter is caused by viruses. The effectiveness of such treatment necessarily acquires a negative sign in the long term. And it turns out that mummies who give their children antibiotics at the slightest sneeze, in fact, maim them without understanding it.
In what cases do you really need to apply them?
Despite this, in some cases, the use of antibiotics is not only shown, but also necessary for the preservation of human life. When should this be done? Antibiotics against influenza and cold can not be used, but during complications it is necessary that they do not flow into much more life-threatening conditions. In general, there are many possible complications of acute respiratory viral infection. Here are just a few of them:
- Bronchitis. It seems just an innocuous illness. But in the long term, it can become chronic, and then move into a much more dangerous form. First it will be an asthmatic bronchitis, and then it will become a bronchial asthma. To prevent this, you need to take antibiotics.
- Pneumonia. It is also not formed by itself, but often becomes a consequence of bronchitis. To prevent it, not only need to heal with antibiotics, but also provide a large number of walking tours on the street, naturally, if there is no temperature. A recumbent lifestyle can aggravate the course of any ARVI due to congestive phenomena in the lungs.
- Bronchial asthma. It can occur not only on the background of bronchitis, but also because of the simple frequent ARVI. That's why they need to be cured to the end. Frequent relapses are a direct way to allergic processes in the airways.
These are only three diseases. Still there are such unpleasant conditions, as a sinusitis or a genyantritis, an otitis, a rheumatoid arthritis which also are complications of illnesses of the top respiratory ways. In general, a whole range of possible diseases. So it is better not to bring complications to the situation. Moreover, nobody canceled the harm from antibiotics.
What are the effects of taking antibiotics during ARVI?
What will happen with the body if antibiotics are treated during ARVI? In general, if this happens once, then it's okay. You may even feel that the patient's condition has improved significantly. But this is only a placebo on his part or a natural recovery, which comes with ARVI always. And so, if you constantly use antibiotics for colds and flu, then there may be such consequences.
- Low immunity. In our body is a huge number of bacteria that become victims of broad-spectrum antibiotics. And since most of the microorganisms are in the intestine, if you use antibiotics for colds and flu, this can lead to a significant decrease in immunity.
- Deterioration of the effectiveness of antibiotic treatment in this group. Everything in our world is able to adapt, and microbes are no exception. So if you want to ask yourself which antibiotic to drink from flu and cold, then do not even think about it. After all, in time bacteria will get used to shock doses of a medicine, and it will cease to act on them, it is necessary to pass to heavier antibiotics which lead to the following consequence.
- Liver. Naturally, all people know that antibiotics primarily harm the liver, especially the old ones. Naturally, the same macrolides, which are used in the treatment of the simplest complications of acute respiratory infections, can not so much harm to this body, but if they treat any cold, you will have to use heavier preparations. But then a blow on the liver will go noble.
So you need to understand: the common cold, flu and antibiotics are simply incompatible. And do not even try to refute it.
And how to treat viral infections?
Well, there is another question, how to treat a cold then, because it is not necessary to lead to complications. It all depends on how often you are sick. If this happens all the time, then you need to do more sports and walk in the street at healthy intervals, everything will go away.
But if you rarely get sick, then support some of the non-steroidal anti-inflammatory drugs, in particular, mefenamic acid, to support immunity during ARVI. It is cheap and very effective in treating ARVI. Even often a sick person under her influence starts to catch a cold less often. But it can not be taken for long, no more than one course. Because any NSAIDs have a negative effect on the digestive system. And in conjunction with alcohol - this, in general, lethal force.
What antibiotics are better for taking?
What are antibiotics for a cold? Colds, flu, ARVI are all diseases that can lead to complications. And if they have already happened, it is best to start drinking antibiotics such as macrolides. They are relatively harmless and at the same time effective. A very good drug is "Azithromycin is also not bad" Erythromycin. "
These drugs are productive in the treatment of complications. But in no case do not self-medicate. You can not even imagine how serious a danger can be to your body. It is better if you feel unwell after you seem to have recovered, then contact your doctor. He will help. But the best antibiotics for cold and flu, or rather for their complications, are listed above.
conclusions
So, we figured out a lot of things. In particular, we realized that it is generally not necessary to ask which antibiotic is better for drinking colds. But if there are already exacerbations, then at times it can save lives or prevent disability. But still need to communicate more with the doctor and become an active participant in the healing process. Only in this case you can guarantee health. Do self-medication is never worth it.
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