Tablets from sinusitis

Tablets from sinusitis

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

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

Indications for the use of tablets from sinusitis

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

Form of issue

Sinupret

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

Cinnabsin

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

Sinuphorte

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

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

Guafenizine

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

Fluimucil

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

Mukodin

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

Antibiotics for sinusitis in tablets

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

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

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

Amoxicillin

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

Macropen

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

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

Augmentin

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

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

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

Cephalexin

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

Azithromycin

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

Homeopathic tablets from sinusitis

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

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

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

Anti-inflammatory tablets with genyantritis

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

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

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

Ibuprofen

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

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

Paracetamol and Aspirin

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

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

Pharmacodynamics

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

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

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

Pharmacokinetics

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

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

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

Using tablets from sinusitis during pregnancy

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

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

Contraindications

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

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

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

The use of pain medication is prohibited in such cases:

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

Side effects of tablets from sinusitis

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

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

Dosing and Administration

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

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

Interactions with other drugs

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

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

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

Storage conditions

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

Shelf life

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

Pharmacological group

Means used for cough and colds

pharmachologic effect

Anti-inflammatory drugs

ATC code

R01 Nasal Medicine

ICD-10 code

J01 Acute sinusitis J32 Chronic sinusitis

ilive.com.ua

The medicine for sinusitis

An otolaryngologist should prescribe an effective remedy for sinusitis after examining and obtaining the results of the tests. In addition, for the appropriate therapeutic measures, the form of the disease and the type of pathogen is important.

Drugs for the treatment of sinusitis:

1. Antibiotics.
2. Sulfonamides.
3. Preparations for the reduction and removal of the inflammatory process.
4. Fluids for washing the nasal sinuses.
5. Drops and sprays to relieve swelling, drainage of maxillary sinuses.
6. Solutions for inhalation.

Let's consider in more detail each group of medicines.

What medicines from a number of antibiotics to treat a genyantritis:

1. Gramox.
2. Amoxyl.
3. Flemoxin solute.
4. Hiconcile.
5. Augmentin.
6. Rovamycin.
7. Tsifran.
8. Cephallexin.
9. Vampilox.
10. Macropean.
11. Sporroid.
12. Duracef.
13. Ampiox.
14. Cefotaxime.
15. Ceftriaxone.
16. Wertsef.
17. Cefazolin.

Antibiotic medicine against sinusitis should stop the development of the inflammatory process in the body and stop the growth and reproduction of bacteria or fungi in the sinuses of the nasal cavity. When choosing a medicine for the treatment of sinusitis, it is necessary to study the list of side effects of the medicine and the level of its toxicity.

What sulfonamide drugs to take with genyantritis:

1. Sulfadimethoxin.
2. Biseptol.
3. Ethazol.
4. Streptocide.
5. Norsulfazole.
6. Sulfalene.
7. Sulfopyridazine.
8. Sulphadimezin.

This group of drugs is prescribed for severe forms of the disease and a dangerous course of the inflammatory process in combination with an antibiotic. In addition, sulfonamide drugs can be used as substitution therapy in case of intolerance to antibiotic agents. When choosing which medicines to drink at a genyantritis from a number of sulfonamides, it is necessary to check up, how much they are compatible with the chosen antibiotic and whether the suitable preparation of allergic reactions causes.

Than to treat a genyantritis - anti-inflammatory medicines:

1. Coldie.
2. Flukold.
3. Coldrex.
4. Pharmacitron.
5. Cagedactivity.
6. Loratadin.
7. Fenkarol.
8. Bromhexine.
9. Ambroxol.
10. Sinupret.
11. Sinuforte.
12. Suprastin.
13. Cinnabsin.
14. Gaimorin.
15. Solpadein.
16. Nimid.
17. Oksalgin.
18. Bronhoklar.
19. Diazolin.
20. Tavegil.

Any of the above means is suitable as a cure for chronic sinusitis in the complex therapy of the disease in the acute stage. They also perform the following functions:

• intensify the action of antibiotics;
• reduce edema of the mucous membranes;
• relieve a headache;
• reduce inflammation in the sinuses;
• contribute to the liquefaction of purulent contents.

Drugs for washing the sinuses of the nose:

1. Tincture of calendula.
2. Elecasol.
3. Rekutan.
4. Saline solution.
5. Phytodent.
6. Rotokan.
7. Decoction of chamomile.
8. Decamethoxin.
9. A solution of manganese.
10. Furacil.
11. Broth of St. John's wort.
12. Iodine solution.

Medicine for sinusitis - spray:

1. Isophra.
2. Xylo-Mefa.
3. Sinuforte.
4. Akvalor.
5. Ximelin.
6. Humer.
7. Sanorin.
8. Marimer.
9. Otrivin.
10. NAZAVAL.

Solutions and medicines for inhalation with sinusitis:

1. Herbal anti-inflammatory decoctions:

• chamomile;
• succession;
• St. John's wort;
• Oak bark;
• celandine;
• currant leaves.

2. Inhalation solutions with essential oils:

2. Brine.
3. Dioxydin with saline in equal proportions.
4. Berodual.
5. Salgim.
6. Berotek.
7. Atrovent.
8. Ventolin Nebula.
9. Gedelix.
10. Tonzillon N.
11. Cromohexal.
12. Pulmicort.

WomanAdvice.ru

Antibiotics for sinusitis in adults: names of tablets for treatment

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

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

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

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

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

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

What antibiotics are used - how to choose a medicine

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

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

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

Preparations of the first line

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

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

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

Preparations of the second line

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

This group includes such tablets from sinusitis:

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

Such drugs can treat both chronic and acute sinusitis.

Injuries in genyantema

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

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

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

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

Penicillins in the treatment of genyantritis

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

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

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

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

Antibiotics from the group of macrolides with genyantritis

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

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

Clarithromycin.

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

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

Azithromycin.

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

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

Treatment of sinusitis with second line antibiotics

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

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

Symptoms of an organism intoxication at an acute sinusitis:

• Heat;
• Headache;
• General weakness.

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

Amoxicillin plus clavulanic acid

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

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

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

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

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

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

Cephalosporins in tablets as alternative drugs

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

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

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

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

Cefpodoxime.

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

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

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

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

Cefixime.

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

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

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

Antibacterial injections for sinusitis

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

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

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

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

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

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

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

stopgripp.ru

Tablets from sinusitis: effect and contraindications

Treatment of sinusitis consists in the fight against infection, which develops in the maxillary sinuses.

Restoring, thus, drainage, the outflow of mucus and pus will pass faster.

How and what to treat sinusitis depends on the degree and form of the course of the disease.

As a rule, tablets from sinusitis together with procedures for local administration - drops, nose wash, inhalation.

Tablets from sinusitis can be divided into groups:

• antibiotics;
• antiviral tablets;
• mucolytics;
• analgesics;
• decongestants.

Antibiotics are prescribed in almost all cases of sinusitis. They effectively fight with the focus of infection, which makes them irreplaceable in treatment. Usually, one course of admission, and this is 7-10 days, is enough to eliminate the infection in order to protect yourself from the puncture. The name of antibiotics for treatment of a genyantritis can tell or say only the doctor. Do not self-medicate.

The best antibiotics for sinusitis are the penicillin group, macrolides, cephalosporins. Among them the most popular are:

• Amoxicillin(Flemoxin Solutab).
• Macropen(has an antimicrobial effect).
• Augmentin(destroys pathogenic bacteria).
• Cephalexin and Azithromycin(prescribed in case of intolerance to penicillin).

It is also possible to use Flemoxin in angina.

As a rule, in the list of prescribed antibiotics penicillins are leading, proven to be particularly effective in fighting infections associated with diseases of the ENT organs. But there are cases of penicillin intolerance, then macrolides or cephalosporins of the I-III generation come to the rescue. Which antibiotics should be taken by the doctor.

It must be remembered that the effectiveness of antibiotics until the time when the pus came out of the maxillary sinuses is always weak. And do not be afraid if the doctor prescribes several different antibiotics at once - this is dictated by the need for treatment of sinusitis not only locally but also at the level of the whole organism.

Antibiotics for sinusitis, like any other remedy, have contraindications. You can not take antibacterial therapy for violations of the liver and kidneys, a tendency to manifest allergies. You can not take antibiotics for pregnant women and nursing mothers.

It is important to know

To avoid consequences, before using antibiotics, you need to read the instructions, as each group of the above has its contraindications.

Using as a treatment of a tablet from a genyantritis in the form of antibiotics, it is necessary to know the following:

• What antibiotics from a genyantritis to accept and how long depends on neglect of a genyantritis and the antibiotic (how much or as far as he is effective in struggle against an infection).
• Very often the prescription of a particular type of antibiotic depends on which antibiotic you took in the past and whether it helped. If you helped, do not experiment, stop on it.
• If the improvement does not occur on the 5th day of treatment, you need to change the antibiotic.
• Remember, antibiotics treat the focus of the disease, other drugs - decongestants, inhalation solutions, mucolytics - only relieve symptoms and help to clear sinuses.

Tablets from sinusitis with antiviral effect.In genyantritis, antibiotics are not always effective. If the cause of genyantritis in a viral infection, you need to be treated with antiviral therapy. In viral sinusitis, one of the most popular means of fighting the virus is Sinupret tablets.

The positive quality of this medicine is the vegetable origin of the active substance, so these tablets from sinusitis can be taken absolutely by all patients. Limitations in taking medication are the intolerance of the active substances of the drug.

The mechanism of the drug is the following - the active substance removes the inflammatory process, affecting the outflow of pus and mucus in the maxillary sinuses, which accelerates the process of their release. As a result, the maxillary sinuses are free and their puffiness subsides.

Tablets from sinusitis with mucolytic effect. Mucolytics are medications that do not directly affect the inflammation focus, their effectiveness is manifested in the fact that they change the physical qualities of mucus, which is released from maxillary sinuses. Mucolytics are safe in application, they are often combined with folk methods of treating sinusitis.

This group of tablets from sinusitis is represented by drugs with the following names: Guafenizin, Fluimutsil, Mukodin. They dissolve pus and mucus in the maxillary sinuses, which helps to accelerate their outflow.

Do not take mucolytics if there is intolerance or hypersensitivity to the main components of the drug.

In addition, contra-indications of mucolytic tablets from sinusitis are:

• Diseases of the digestive tract (peptic ulcer of the stomach and duodenum);
• bronchial asthma;
• renal and hepatic insufficiency.

Mucolytics are not prescribed for children under 18 years of age. Pregnant and lactating women Guafenizin and other mucolytic tablets from sinusitis appoint with caution, eliminating the risk for the baby.

Medication for sinusitis with decongestion effect. Antipyretic tablets from sinusitis fight with swelling of the nasal mucosa or maxillary sinuses. The swelling is removed due to the influence on the work of the blood vessels of the mucosa. Reduction of blood supply in the maxillary sinuses leads to a decrease in nasal congestion.

Antidiarrheals are not used as the main treatment, but are prescribed for antibiotics. Their sharing with home therapy will help to effectively combat the infection and remove the symptoms of the disease. The active substances in the tablets are alpha-adrenomimetics with hydrochloride - oxymetazoline, phenylephrine and pseudoephedrine. If there is intolerance or hypersensitivity to active substances, decongestants should not be taken.

Antidiarrheal drugs have their contraindications. They can not be taken by people with diabetes, with cardiovascular disorders, with ulcers of the stomach and duodenum.

It is important to know

Children under 12 years of age, pregnant and lactating women do not prescribe decongestants.

Analgesics.They are also used not for the treatment of sinusitis, but for the removal of such symptoms as the elimination of pain and lowering of temperature.

Among the analgesics the most common:

• Ibuprofen.
• Paracetamol.
• Aspirin.

With genyantritis, analgesics are taken at the doctor's prescription and their duration should not exceed 7 days.

Contraindications when using analgesics:

• allergic reactions;
• ulcer of the stomach and duodenum.

Like antiedemics, analgesics are contraindicated for children under 12 years old. To relieve pain and temperature, children have their own medications, for example the same Ibuprofen, but with a child's dosage is more known to us as Nurofen.

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What to choose tablets from a genyantritis?

Tablets from sinusitis doctors appoint to eliminate the infection that occurs and develops on the maxillary sinuses of the nose. Which drug to choose, the doctor decides, depending on the form and severity of the course of this ailment. Tablets from sinusitis serve to restore drainage - unimpeded removal of mucous and purulent discharge from the sinuses of the nose. Usually, pills that treat sinusitis or sinusitis symptoms are used in conjunction with other methods of treatment of the patient: by drops, inhalation, washing the nasal cavity with therapeutic solutions.

Kinds of tablets from a genyantritis

Medicinal products that doctors prescribe for sinusitis can be divided into the following subgroups:

• means for fighting against viruses;
• analgesics;
• drugs that relieve swelling;
• mucolytic drugs;
• antibiotics.

The latter type of medication is used especially often, since it can effectively treat foci of infection. The usual treatment course with antibiotics lasts no more than ten days, which is enough to cure the infection. As a rule, this allows the patient to avoid puncture of the sinuses of the nose.

The most popular antibiotics

Doctors treating sinusitis often write out the following antibiotics:

• penicillins;
• cephalosporins;
• macrolides.

The above groups include such drugs as Flemoxin, Amoxicillin, Solutab. To eliminate the infection, Macroben is used. To destroy different types of bacteria that cause the appearance of sinusitis, doctors treat the patient with Augmentin. If the patient does not tolerate drugs from a number of penicillins, then medications such as Azithromycin or Cephalexin are prescribed.

Usually treatment is carried out by analogues of penicillin, which most effectively eliminate the causes of development sinusitis and other ailments arising from infection of the respiratory organs with pathogenic microorganisms. In some people, this group of antibiotics causes allergic reactions, so doctors use macrolides or a group of cephalosporins to treat such patients. Based on the characteristics and type of the disease, the specialist selects the drugs for each case.

It is necessary to know that the effectiveness of antibiotics is very low until the moment when all the pus has been removed from the maxillary sinuses. In order to accelerate the healing process, doctors recommend the patient several types of antibiotics at once to fight the disease at the level of the body as a whole.

What you need to know about antibiotics

They have a number of contraindications. For example, you can not use this group of drugs for people suffering from various diseases of the liver and kidneys or when allergies to certain substances. It is forbidden to take antibiotics for pregnant and lactating women. To eliminate negative phenomena, the patient must read the attached their instructions and consult a doctor who will prescribe the exact dose required in each case. It must be remembered that every group of antibiotics is characterized by its spectrum of contraindications. When using these tools, the following should be considered:

1. What kind of antibiotic to use for sinusitis, the doctor decides, depending on the severity of the manifestation of the disease.
2. In most cases, the choice of a drug depends on which antibiotic the patient used earlier.
3. If there is no effect of taking the drug on the fifth day of the disease, then you need to change the antibiotic to another.
4. It must be remembered that inhalations, mucolytics, although they relieve swelling, but do not cure sinusitis completely, and antibiotics eliminate the disease itself.

Antiviral and mucolytic agents

Since in certain cases the effectiveness of antibiotics is low due to viruses, then antiviral therapy should be used. During a viral sinusitis, doctors usually recommend to patients such a remedy as Sinupret.

One of the positive qualities of this drug is its natural origin, since it is made on the basis of plant components. Therefore, he does not have such contraindications as in antibiotics. Restrictions in this case are associated with individual intolerance to the components of the drug. These pills relieve inflammation, which allows pus and mucus to freely exit from the maxillary sinuses. At the same time, swelling decays rapidly.

Mucolytic tablets do not fight the inflammatory process directly. They facilitate the patient's position by acting on the density of mucus accumulated in the sinuses, dilute it and facilitate the withdrawal. They are safe to use for any group of patients. During the treatment of the disease, they are often used in conjunction with recipes of traditional medicine. Of the mucolytics, the most popular are such tablets as Fluimucil, Gwayfenezin, Mukodin. These drugs reduce the density of purulent discharge and mucus, which leads to the flow of fluid from the nasal canals and brings relief to the patient.

Mucolytics, like all medicines, have certain contraindications:

1. They should not be given to the patient if the components of the drug are intolerant.
2. If a person has problems in the gastrointestinal tract, for example: a stomach ulcer or a duodenal lesion.
3. It is forbidden to use mucolytics for bronchial asthma, liver and kidney disease.
4. Do not take drugs under the age of 18.

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Women during pregnancy and lactation mucolytics appoint in exceptional cases, in order to avoid a negative impact on the child.

Drugs that relieve swelling, and analgesics

These pills relieve swelling in the nasal sinuses and mucous membranes. They narrow the blood vessels passing in these places, this drastically lowers the stuffiness of the nasal canals. Drugs are not used as an independent tool for fighting the disease, but are used together with antibiotics.

The active element in these tablets is alpha-adrenomimetic together with hydrochlorides. These tablets are sold under the names Oxymetazoline, Pseudoephedrine and Phenylephrine. They can not be used if they are too sensitive to the components of the drug or intolerance. Contraindications for them are:

1. The patient has diabetes.
2. Various dysfunctions of the cardiovascular system.
3. Peptic ulcer of the duodenum and stomach.

These tablets are not allowed to be used in therapeutic therapy for children under 12 years old, pregnant women and mothers during lactation.

Analgesics do not fight with the sinusitis itself, but only relieve symptoms, for example: eliminate pain or lower the temperature of the patient's body. The most popular medicines recommended by doctors are the following analgesics: Aspirin, Ibuprofen, Paracetamol. During the treatment of sinusitis, this type of medication should be taken by the patient only according to the doctor's prescription and not more than 10 days.

Analgesics have the following contraindications:

1. Presence of a peptic ulcer or stomach ulcer in a patient.
2. Allergic reaction to the use of these pills.

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This kind of medicinal products is forbidden to be used in the treatment of sinusitis for children under 12 years. For them, there are specially created medicines, for example, based on Ibuprofen with a dosage for babies, Nurofen.

In any case, with inflammation of the maxillary sinuses, one should not engage in self-medication.

It is better to consult a doctor and apply in a complex way those pills that he will write out. Together with medications recommended by medics, you can also use traditional medicine recipes, having previously received appropriate advice from a doctor, this will speed up the recovery process.

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