The Antibiotics for angina, which antibiotics are prescribed to treat angina
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Antibiotics for angina


In the people there is an opinion that the harm from taking antibiotics far exceeds their useful effect. Is it so? Clinical observations led to the conclusion that taking antibiotics during a sore throat can not only reduce the duration of the disease, but also (most importantly!) Avoid complications that often occur after a sore throat.

Usually, the doctor prescribes a course of antibiotics after receiving the results of the tests. Their goal is to determine the causative agent of the disease, to establish its sensitivity to this or that kind of antibiotic. But there are cases where these drugs the doctor appoints, without waiting for the test results.

  • The temperature exceeds 38 °.
  • On the tonsils, sky, larynx there is plaque.
  • Lymph nodes are enlarged.
  • With these symptoms, there is no cough and runny nose.

These symptoms are sufficient indicators for prescribing antibiotics. Usually therapist appoints the first days of illness:

  • или его производные. Penicillin or its derivatives. These broad-spectrum drugs have bacteriostatic and bactericidal properties. Usually appointed intramuscularly. Excellent absorbed, facilitate the flow of angina.
  • . Amoxicillin . This semisynthetic antibiotic from the penicillin group copes well with most aerobic gram-negative bacteria.

If the patient has an allergy to these medications or the results of smear tests showed that the causative agent of angina is not sensitive to them, the following drugs are prescribed.

  • . Clacid (Clarithromycin) . Refers to a group of macrolides, not antibiotics. The drug is well absorbed, accumulating, mainly in tissues, and not blood serum.
  • . Cefalexin . Representative cephalosporin series is a broad-spectrum antibiotic. It is bactericidal.
  • . Sumamed . Azalid from the group of macrolides. The advantage of the drug is that it should not be taken several times a day, but only once a day.
  • . Cephazamine .
  • The drug from the group of cephalosporins is usually prescribed in the form of injections, has a bactericidal effect.

Depending on the condition of the patient and the peculiarities of his angina, the doctor may prescribe Rulid, Erythromycin, Lendacin or other antibiotics.

What are the side effects of antibiotics?

Without the appointment of a doctor, you can not take antibiotics.

  • If their dosage is insufficient, the bacteria will become more resistant to the drug: it will be more difficult to defeat the disease.
  • Excess dosage threatens intoxication, poisoning.
  • An improperly selected antibiotic simply will not have any effect on the causative agent of the disease.

But even properly selected antibiotics can cause unpleasant side effects. Patients may have:

  • Indigestion (constipation, diarrhea, nausea): antibiotics disrupt the intestinal flora.
  • Allergic reactions.
  • Dizziness.
  • Disorders of the internal organs.

It should be noted that the most low-toxic, and, therefore, harmless drugs are drugs from the penicillin group.

Cephalosporins of the last generation are much less toxic than the same medicines of the first generations.

Side effects after taking antibiotics will not occur if:

  • The doctor selects the drug, focusing on the characteristics of the patient.
  • At appointment the type of an angina, sensitivity of its or her pathogen to a concrete preparation is considered.
  • Together with antibiotics, drugs are prescribed that restore intestinal flora and prevent allergic reactions.

It is important to remember: angina is different, and antibiotics, which the doctor prescribes for their treatment, should act on their pathogen.

How correctly to drink antibiotics at an angina?

  1. The most important rule: antibiotics for angina, as with any other ailments can be drunk only after the recommendation of a specialist, in the dosages prescribed by him.
  2. To choose the most effective antibiotic, it is necessary to undergo a number of tests, including the determination of the sensitivity of the causative agent to specific drugs.
  3. Take medication at regular intervals, swallowing the tablets with plenty of water.
  4. The course of treatment should last as many days as the doctor indicated, without interruption.
  5. In parallel with antibiotics, it is recommended to take drugs that restore intestinal flora: Bifiform, Acipol, etc.
  6. During the course of treatment should completely abandon the alcohol and carefully follow the diet.

Antibiotics for the treatment of catarrhal angina

  • . Phenoxymethylpenicillin . A natural antibiotic of the penicillin group, developed on the basis of the activity of microorganisms. Used for the treatment of angina, which occurs in mild or moderate form. Has a narrow-minded effect, but can cause side effects that are very undesirable: nausea, vomiting, skin rashes.
  • . Oxacilin . Semisynthetic penicillin, which kills staphylococcal infections that do not yield to Phenoxymethylpenicillin. May cause allergic reactions of various types, especially in hypersensitive people. Therefore, it should be prescribed only by a doctor in strictly selected doses.
  • . Ampicillin . Like all previous drugs belongs to the antibiotics of a broad-spectrum penicillin group. Semisynthetic ampicillin destroys the cell walls of bacteria that caused infection. Not recommended for asthma, kidney disease.

All these antibiotics have a pronounced antibacterial (killing bacteria) effect, are low in toxicity, but selectively affect different types of staphylococcus aureus and streptococci. They penetrate into the foci of inflammation. The task of a specialist is to accurately determine the strain that caused the disease and choose the most effective medicine.

Unlike the penicillin group, cephalosporins quickly and accurately enter the inflammatory focus, so today they are used most often. The main disadvantage of this group is the growing allergic reactions with frequent use. With catarrhal sinus, which proceeds in severe form, the doctor can prescribe:

  • , воздействующий на грамположительные и грамотрицательные кокки. Cephaloridine , which affects gram-positive and gram-negative cocci. It is poorly absorbed, so most often it is prescribed not in the form of tablets, but injectively.
  • . Cefazolin . It is absorbed very quickly, therefore it is prescribed by specialists often, usually in the form of tablets.

It should be remembered: taking antibiotics of any kind follows a strict food regime.

Antibiotics for lacunar angina

As in the case of catarrhalic angina, if the disease is caused by staphylococci or streptococci, the patient is prescribed antibiotics of a broad profile from the group of cephalosporins or penicillins. In addition (or instead), the doctor may prescribe an antibiotic from the macrolide group. Their distinctive feature is bacteriostatic action. They inhibit protein synthesis, occurring in microorganisms, deprive them of the ability to reproduce. Especially often today are appointed:

  • . Clarithromycin . Semisynthetic macrolide antibiotic disrupts protein synthesis in microorganisms that settle inside cells and on cell membranes. It is active against most strepto- and staphylococcus strains. Easily digested, effectively fights bacterial infections. Contraindicated in pregnancy and kidney disease.
  • . Clarcat . Prevents the reproduction of bacteria. Among the side effects of Clarbaca - insomnia, nightmares, dizziness, discomfort in the food tract.

Adenovirus as the cause of lacunar angina

The cause of lacunar angina can be an adenovirus. This is the name of the DNA-containing virus, which can refer to different serotypes. Most often adenoviruses cause a disease known as ARVI, but sometimes they can become a causative agent of lacunar angina. In this case, as with staphylococcal or streptococcal infection, patients with antibiotics of a wide range of cephalosporins are prescribed. Macrolides or penicillins.

Antibiotics for follicular angina

To treat follicular sore throat antibiotics are prescribed without fail. Their goal:

  • Reduction and complete removal of symptoms of sore throat.
  • Destruction or stopping the propagation of pathogens that caused the disease.
  • Prophylaxis of possible complications.
  • Reduction of the duration of the disease.

In order to choose the most effective antibiotic, conduct smear tests from the throat, and then prescribe the right drug. If the patient's condition is severe, then in those 2-3 days, while the analysis is being prepared, the doctor can prescribe an antibiotic for a broader spectrum of action.

As with other types of vulgar angina, patients are prescribed Ciprofloxacin, Amoxiclav, Doxycycline or other drugs from the group of penicillins, macrolides, cephalosporins.

Antibiotics for fungal angina

The disease does not bring complete weakening of the body. No temperature, no sore throat. Only in the sky and tonsils is a white, cottage cheese-like, fragile plaque. After its removal, bright red is exposed, as if lacquered in mucous. Enlargement of the lymph nodes is barely noticeable and painless.

Since mushrooms are indifferent to antibiotics, they are not used in the treatment of fungal angina. The main treatment is to eliminate the cause of the disease (for example, quitting smoking, antibiotics, etc.), normalizing the way of life. In the first place in the treatment of antifungal drugs, sprays that relieve inflammation: Nystatin, Geksoral, etc.

Antibiotics for phlegmonous tonsillitis

Phlegmonous angina occurs in three stages. Initially, there is swelling of the oral mucosa, then a painful, well-marked infiltrate (accumulation of dead cells mixed with blood and lymph) is formed. Later, an abscess develops. If after mandatory treatment with antibiotics, rinses, etc. The abscess is not opened by itself, surgical intervention is indicated. In any case, a noticeable fistula remains on the site of the abscess, but the condition is sharply normalized. However, sometimes, after forced opening, due to the adhesion of tissues, the patient's condition may deteriorate again. In any case, the patient needs a course of antibiotics. Together with macrolides or cephalosporins, doctors often appoint:

  • Anti-inflammatory drugs: Nimesil, Ibuprofen, etc.
  • Antiallergic drugs: Loratadine, etc.

All forms of angina are curable, but only if the treatment is selected correctly and started in a timely manner.

| 6 November 2014 | | 4 490 | ENT diseases