Antibiotics for cystitis
Cystitis is an inflammation of the bladder that develops as a result of infection, parasites, exposure to chemicals, drugs, allergies, diseases of the nervous system, radiation, and some other factors. Antibiotics are indicated only for infectious forms of cystitis; in other cases, they can be administered prophylactically to reduce the likelihood of attaching a secondary infection. Treatment of inflammation of the bladder, frisky due to pyelonephritis, diabetes and other chronic diseases includes the treatment of the underlying disease.
Rules for prescribing antibiotics for cystitis
- Antibiotics should be prescribed only by a doctor. Self-medication can lead to chronization of the process and increase the resistance of the infectious agent, which will make medication use less effective.
- In parallel with antibiotics, anti-inflammatory, antispasmodic, antipyretic and immunomodulating drugs are prescribed.
- Antibiotics must be taken at the same time.
- Even after the symptoms of inflammation have disappeared, you need to continue taking the medication recommended by your doctor. If you independently interrupt a course of antibiotic therapy, then cystitis may recur or become chronic.
- In order to prevent candidiasis, in most cases of antibiotic therapy, appropriate antifungal agents and probiotics are prescribed, normalizing the intestinal flora.
The most common antibiotic groups prescribed for cystitis
The duration of antibiotic treatment for cystitis can be from 1 to 7 days or more. As a rule, during the first visit to the doctor, the doctor will prescribe a broad-spectrum antimicrobial agent, and then, if necessary, replace it taking into account the results of urinalysis, detection of the pathogen and determining its sensitivity to antibiotics.
Broad spectrum antibiotics prescribed for cystitis:
- drugs of other groups.
Currently, the following types of antibiotics and sulfa drugs, which were previously widely used to treat cystitis, have relatively low activity:
- unprotected penicillins (penicillin, amoxicillin ),
- first-generation cephalosporins (cephradin, cefalexin, cefadroxil),
- sulfonamides (biseptol).
In most cases with cystitis, urologists prescribe:
- nitroxoline (5NOK),
For the treatment of chronic inflammation of the bladder, the most frequently used drugs of the fluoroquinolone series are ofloxacin, norfloxacin, ciprofloxacin.
Children and pregnant
Not all drugs due to the presence of contraindications may be prescribed to children or pregnant women. For this reason, the following antibiotics are most often prescribed for cystitis:
- protected penicillins (augmentin, amoksmklav),
- cephalosporins (cefixime, cefuroxime),
- alternatives are nalidixic acid, co-trimazole, nitrofurantoin.
2. Pregnant women:
Single dose preparations
Acute cystitis responds well to treatment with just one tablet of a prolonged broad-spectrum antibiotic of a new generation. Currently, two such drugs are known, as well as their analogues, digran and monural (fosfomycin). These drugs are used for uncomplicated acute cystitis, but are not suitable for the treatment of chronic inflammation of the bladder.
In addition to antibiotics that are taken once, there are antibacterial agents that can be taken in a short course, for example, 3-5 days. These are protected penicillins (amoxiclav, augmentin), co-trimazole, second and third-generation oral cephalosporins (cefaclor, ceftibuten, cefixime, cefuroxime).
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