To combat infectious diseases of the urinary tract, antimicrobials are currently actively used - narrow-profile and of a wide spectrum of effectiveness. Of course, it will not work for a woman or a man to independently choose antibiotics for himself in case of urethritis - there is too high probability of making a mistake and choosing an ineffective remedy. The course of treatment should be prescribed by a specialist, after taking the tests and taking into account the nuances of the pathological microflora inherent in a particular case.
General information about the disease
Before figuring out which antibiotics to drink with urethritis, you should pay attention to the features of the pathological condition, which is hidden under this name. As a rule, infection occurs through intimate contact without proper protection. Treatment is selected by assessing the general condition of the body. Often you have to combine several medications at once, otherwise you cannot succeed.
Urethritis is an inflammatory focus in the urinary system, a channel designed for urine flow. The disease can occur in a representative of any gender, but more often men suffer from it. Not every patient knows which antibiotics treat urethritis, since pathology can flow latently for a long time, without manifesting itself as symptoms. Such a person carries the pathogen, infecting all partners. Immediately after revealing the fact of infection, it is necessary to start a therapeutic course. If there is a permanent sexual partner, both will have to undergo treatment, otherwise the disease will start again.
Symptoms of the disease
You may suspect that the time has come to take antibiotics for cystitis and urethritis for a woman or a man, if soreness occurs when urinating, the crotch is red, the tissue burns. Peculiar discharge is possible. If symptoms appear, then in men it is more pronounced than in women.
What to do?
Immediately after a diagnosis is made, treatment should be initiated following the doctor's recommendations. The doctor evaluates individual characteristics. First, they determine why inflammation began, what is the infectious agent, and what strategy against it will be most effective. Relieving symptoms without treatment of the root cause will not give the desired result. Urethritis in most cases is provoked by candidiasis, infection with chlamydia or trichomoniasis. Sometimes the best antibiotic for urethritis is a drug that helps get rid of the microflora that provokes gonorrhea, since inflammation develops against the background of this particular disease.
What helps?
To defeat the root cause, they can prescribe broad-profile drugs. Modern doctors know a considerable amount of funds that show a worthy result in the treatment of both women and men urethritis. The list of antibiotics used most actively includes:
- Amoxilav
- Ciprofloxacin
- Norfloxacin.
These drugs rightly lead among all products of the pharmaceutical industry. Sometimes a doctor may recommend staying at Pefloxacin. The listed medicines fight the infectious focus and inhibit the reproduction, vital activity of pathological microflora.
Local processing
In addition to the funds from the above list of antibiotics for urethritis in women and men, it is customary to use drugs for local effect. In particular, it is recommended to make baths, rinse diseased areas with manganese permanganate and chamomile extract. Women can recommend a course of anti-inflammatory drugs for vaginal use. Tampons with a warming effect, the application of small compresses soaked in antimicrobial solutions will benefit.
Useful against the background of taking antibiotics for urethritis for both men and women antihistamines that alleviate the condition of the body and weaken unwanted reactions to the therapeutic course and vital activity of pathological microflora. Tavegil and Suprastin medicines are in demand. An anti-inflammatory course may also be prescribed. For him, usually choose "Chlorhexidine" or "Miramistin."
Chronic form
If the disease develops in a chronic form, potent antibiotics are prescribed. With urethritis, men and women who are ill without symptoms are prescribed a long treatment course. The most effective drugs that have proven themselves to be reliable:
For men, the course is usually supplemented with topical agents - Hydrocortisone, Furacilin. They may recommend the use of "Dioxidine", "Miramistin."
Features of antibacterial treatment
Any general practitioner knows which antibiotics for urethritis in men and women show the most pronounced effect: antibacterial fluoroquinolones. Quite often resort to the means of the first generation:
- "Ciprofloxacin."
- Norfloxacin.
- Ofloxacin.
The listed medicines show a strong effect when infected with gram-negative microflora. With atypical microorganisms, it is reasonable to use Ofloxacin. All early-release drugs, with the exception of Norfloxacin, quickly penetrate into organic tissues and are well distributed in them, providing a pronounced effect. The highest penetrating ability is inherent in the medicine "Lomefloxacin".
Features and Security
Antibiotics from the class of fluoroquinolones used in urethritis, although effective against pathological organisms, have a number of pronounced undesirable effects. The most significant is the depressing effect on the development of the cartilage system. For this reason, the above formulations are not used for patients under the age of sixteen. You can not use them while carrying a child.
Ceftriaxone
Gonococcal type of disease is almost most often diagnosed. It is known that the microflora that provokes it is resistant to the penicillin series, which makes the use of medicines of this group ineffective, and now Ceftriaxone is most often prescribed. This urethritis antibiotic shows a pronounced result, but its use has some limitations and weaknesses.
The main active substance by name coincides with the trade name of the drug. On sale, the drug is presented in powder, from which a solution for injection into a vein or muscle is made. Between the procedures required daily intervals. A single dose is 250 mg. In case of kidney failure, expressed liver pathologies, the medication is used very carefully.
Advantages and disadvantages
"Ceftriaxone" leads to leaching of vitamin K, so often the drug course has to be supplemented with a vitamin program. It is forbidden to administer Ceftriaxone and other antibacterial substances at the same time. An allergic response to the medication is not only possible, but also varies in severity from a mild rash or discomfort to anaphylactic shock.
Nolitsin
This urethritis antibiotic is effective due to the main component - norfloxacin. On sale, the drug is presented in tablet form. Widely used in the treatment of gonococcal urethritis , which is not accompanied by complications. 800 mg are shown per day, divided into two portions. Until adulthood, tablets are not consumed.
Suprax
This effective antibiotic for urethritis shows the desired effect due to the presence of cefixime. The medication belongs to the group of cephalosporins, is available in capsules. The daily dosage is 0.4 g, the duration of the program is from ten days or more. Against the background of the use of the medication, an imbalance in the intestinal microflora is possible, provoking colitis, abundant liquid stools. The agent has a poisonous effect on the kidneys, liver. There is a risk of an allergic response.
"Azithromycin"
This antibiotic can be used both in the case of the gonorrheal nature of the disease, and in other forms. The drug belongs to the class of macrolides, received the name of the main active compound. On sale, "Azithromycin" is presented in tablets. The daily dose varies between 250-500 mg. Duration of admission is five days. Avoid simultaneous ingestion of the drug in question and cyclosporins. It is forbidden to use "Azithromycin" on the background of hepatic impairment. In case of kidney failure, use the drug with caution, regularly monitoring the patient’s health.
"Metronidazole"
The drug is indicated for the trichomonas form of the disease. On sale represented by tablets. The optimal dosage is 0.25 g twice a day. The duration of the program is a week. It is allowed to repeat the course after a month's break, if the condition of the patient requires it. In renal, hepatic impairment, it is reasonable to reduce the dose. Against the background of taking pills, there is a risk of stool disorders, nausea. You can not use an antibiotic if a person suffers from epilepsy or other disorders of the central nervous system.
"Secnidazole"
The tool belongs to the group of drugs obtained on the basis of 5-nitroimidazole. Up to 2 g of medication must be used per day. It is allowed to divide the volume into several portions. The duration of the treatment program is from a couple of days to six days. It is forbidden to use the medicine against epilepsy, other disorders of the nervous system. The course of use may be accompanied by the appearance of a metallic taste in the oral cavity. The negative effect is considered insignificant and does not require discontinuation of admission.
It must be remembered that the tool increases the sensitivity of the body to the poisoning effect of alcoholic beverages, so it is strictly forbidden to use ethanol products for the entire period of use. It is believed that the most severe and unpleasant consequence of the use of the composition is candidiasis. Due to the use of antibacterial drugs, the body's own protective forces are reduced, against which the activity of the conditionally pathogenic microflora can increase.
Wilprafen
This medication belongs to the macrolide class, based on josamycin. The daily dosage varies from a gram to twice as much. It is recommended to divide the daily portion into three doses, between which maintain equal intervals. The duration of the therapeutic program varies from a week to three - depends on how severe the disease is.
It is forbidden to use the drug if necessary to use lincosamides, since medicines inactivate each other. You can not use the remedy for liver failure. With renal failure, it is used, but very carefully, tracking vital indicators of the patient's condition.
Ofloxacin
The tool is based on the active compound of the same name, belongs to the class of fluoroquinolones, shows a pronounced effect when infected with chlamydia, against the background of gonorrhea. On sale represented by tablets. “Ofloxacin” should not be used at a minor age, with a low threshold for seizure readiness, against the background of epilepsy. Due to urethritis, provoked by a sexually transmitted infection, the drug is used once in an amount of 0.4 g.
Monural
This tool has proven itself when necessary to combat a non-specific form of the disease. On sale is presented in granular form. The main component is trometalol fosfomycin. The medication is chosen if it is necessary to treat an infectious lesion in the urine excretion system, nonspecific urethral inflammation. It is shown to use 3 g once. With a high probability of relapse after a day, the reception is repeated. You can not use a remedy for kidney failure. The simultaneous penetration of trometalol fosfomycin and metoclopramide into the body should be avoided.
Amoxiclav
The medicine contains two active ingredients at once - clavulanic acid, amoxicillin. Available in tablets, powder for suspension or dilution for injection. It can be used with a non-specific form of infection, in the treatment of gonorrheal type of disease. With gonorrhea, the best option is injections. The duration of the therapeutic program varies from five days to 14 days. A single dosage is 0.25 g, pauses between doses - 8 hours. It is forbidden to use the drug for mononucleosis due to infection. There is a risk of hypersensitivity, individual intolerance to the composition.