One of the most common ENT diseases is tonsillitis. It is found in both adults and children. The disease is complex, has several types and stages of development. May cause serious health complications. In the acute stage of development, antibiotics for tonsillitis are prescribed. The chronic stage of the disease is no less dangerous than the acute. After all, tonsils are teeming with staphylococci and streptococci, which constantly poison the body. Despite this, with a chronic form of pathology, antibiotics are rarely prescribed.
What is tonsillitis?
Tonsillitis is an inflammation of the tonsils. It is acute and chronic. Acute inflammation of the tonsils is called tonsillitis. Prolonged and improper treatment of inflammation of the tonsils (palatine tonsils) causes chronic tonsillitis. With this disease, the tonsils are mottled with crypts that open with gaps in the throat.
This paired organ affects the body's immunity. The glands are located near the respiratory and digestive systems, affect the heart. If the tonsils are constantly inflamed, then an infection enters the body. This causes permanent intoxication.
The chronic form of tonsillitis is compensated and decompensated. In the first case, tonsillitis rarely occurs. The only thing that bothers a person is traffic jams on tonsils. With a decompensated form, a person is prone to frequent tonsillitis, which provokes serious health complications.
Symptoms of tonsillitis are bad breath and sore throat. With tonsillitis, pain can be given to the ear. With the disease, the lymph nodes are enlarged, with palpation, at their location, pain occurs.
Acute tonsillitis can cause rheumatism, vasculitis and dermatomyositis. The disease provokes diseases of the cardiovascular and pulmonary system. It can cause an upset gastrointestinal system, damage to the visual organ, impaired functioning of the kidneys, liver and endocrine system. In chronic tonsillitis, malfunctioning of the subcutaneous tissue, adipose tissue and epidermis is often observed.
Antibiotics for tonsillitis are prescribed for acute illness. Sometimes these drugs are used to treat a chronic form of pathology.
Types of antibiotics for tonsillitis
The modern market offers a huge selection of drugs. Treatment of tonsillitis with antibiotics in adults should be carried out under the supervision of an ENT doctor. Modern antibacterial drugs quickly remove unpleasant symptoms and relieve exacerbation. The most popular medications are:
- Penicillins. This category of antibiotics is most often used for chronic tonsillitis. They are rapidly absorbed into the intestines and are well tolerated by patients. Effective. They are used both for the treatment of the adult population and in the treatment of children. The dosage is determined by the doctor, after diagnosing the patient and determining the severity of the disease.
- Persistent penicillins. Eliminate negative symptoms in a short time. They give a good result in the fight against pathogenic bacteria. Help get rid of relapses.
- Macrolides. No less effective than penicillins. Act fast. Improvement occurs after the first pill taken. Medicines of this group are slowly excreted from the body. Therefore, antibiotics for tonsillitis in this category drink one tablet per day.
- Aminoglycosides. Apply when staphylococcus aureus became the cause of chronic tonsillitis. Drugs in this group successfully fight the disease and rarely cause side effects. Patients note their effectiveness in treating the disease.
Treatment of tonsillitis with antibiotics positively affects the course of the pathology. The result occurs on 2-3 days of therapy.
Penicillins
Antibiotics for tonsillitis in adults are often used. The most popular drugs are penicillin group medicines. They are used both during exacerbation, and to prevent complications of tonsillitis caused by hemolytic streptococcus. The following drugs are most popular:
- Amoxicillin. Its action is based on the blocking of protein synthesis of infected microorganisms. Because of what, microbes cease to divide. Their number decreases, and the inflammatory process in the tonsils passes. The medicine is used for streptococcal tonsillitis. The medication is released in the form of tablets and in powder form for the preparation of a suspension. The drug can be administered intramuscularly. The cost varies between 170-200 rubles.
- "Oxacillin." The medication has a bactericidal effect. It is used for infections caused by staphylococci. Absorbed by the intestines quickly and completely. It is displayed within two hours. Used for mixed bacterial infections. Available as a powder for injection. One bottle costs about 10 rubles.
- Ampicillin. Broad-spectrum antibiotic. Resistant to the acidic environment of the stomach. Available in the form of capsules and tablets. They treat pathologies caused by bacteria with sensitivity to ampicillin. With tonsillitis, tablets are taken up to 4 times a day, every six hours. Ten tablets cost between 8-15 rubles.
What antibiotics for tonsillitis are especially effective? In the treatment of this disease, inhibitor-protected penicillins have gained particular popularity. These medicines contain clavulanic acid, which makes them resistant to various microbial enzymes. The most famous drugs in this group are:
- "Flemoklav". The drug is released in tablets. The medicine is absorbed into the intestinal wall in a short time and excreted within an hour. The medicine is drunk twice a day. The course of treatment is fourteen days. Twenty pills cost 450 rubles.
- "Panklav." The medicine is characterized by a wide spectrum of antibacterial action. It is produced in the form of tablets. With tonsillitis, they are drunk three times a day. The therapeutic course is determined by the doctor, but cannot last more than two weeks. The cost of 14 tablets is 300 rubles.
- Amoxiclav. The medication is active against many gram-negative and gram-positive microorganisms. Available in tablets and powder for suspension. The drug is taken every eight hours, three times a day. The course can last from five to fourteen days. The cost of an antibiotic varies between 200-450 rubles.
- Ampixid. It is produced in the form of tablets and in the form of a powder for the preparation of a suspension. The drug has a bactericidal property. It treats not only ENT diseases, but also respiratory tract infections. Pathology of the genital organs and biliary tract. Take the medicine twice a day. The duration of therapy is 14 days.
These are the best antibiotics for tonsillitis. They have repeatedly proved their effectiveness in the treatment of this disease.
Other antibiotic groups
Antibiotics for chronic tonsillitis in adults are also used from the category of second-generation macrolides. Medicines from this group are no less effective than penicillins. Quickly give results in the treatment of the disease. The best drugs are:
- "Sumamed";
- Clarithromycin;
- Azitral
- Hemomycin;
- "Josamycin."
What antibiotics for tonsillitis can be used yet? In addition to the described drugs, cephalosporins are often used in the treatment of tonsillitis. The most popular are: “Cefuroxime”, “Cefazidime”, “Cefepim”, “Cefoperazone”, “Cefixime”, “Ceftriaxone”, “Ceftibuten”.
If tonsillitis appeared due to Staphylococcus aureus, then antimicrobial drugs, aminoglycosides, are prescribed. They do not give side effects and are well tolerated by patients. The best antibiotic of this group is Amikacin.
In the treatment of tonsillitis, fluoroquinolones can be prescribed by a doctor. Among them stand out:
- Ofloxacin;
- Norfloxacin;
- Lefloxacin;
- Levofloxacin;
- Gatifloxacin;
- "Ciprofloxacin";
- "Sparfloxacin";
- "Lomefloxacin";
- Moxifloxacin;
- Sparflo.
What antibiotics for chronic tonsillitis help to cope with the disease has been described above. These drugs are prescribed by doctors and with angina. You should not drink antibiotics without a doctor's prescription, since these drugs have contraindications and can cause side effects.
Local preparations
Acute tonsillitis antibiotics treat quite successfully. But for the best result, local drugs are added to them. These can be sprays, lozenges, gargles, and inhalants.
A popular procedure is washing the tonsils with a solution containing penicillin or sulfonamide. The duration of treatment is 7-10 days. Wash the lacunae daily with a medical syringe. For rinsing, "Furacilin" can be used.
An alternative to washing can be the paratonsillar injection of the drug into the tonsils. The procedure is performed if the abscesses are located deep in the tonsils. To perform this manipulation, penicillin group antibiotics are used.
In both acute and chronic tonsillitis, inhalation has a beneficial effect on the body. The procedure is carried out with “Miramistin”, “Dioxidine”, “Tolsigon”, “Chlorophyllipt”. Drugs are diluted with saline. Procedures are done using a nebulizer. With tonsillitis, inhalation with hot steam is prohibited.
Irrigation of the throat with the sprays “Tantum Verde”, “Hexoral”, “Ingalipt”, “Lugol” gives a good result with angina.
Resorption tablets play an important role in the treatment of the disease. The best drugs are: “Faringosept”, “Grammidin”, “Lizobakt”, “Imudon”, “Tonsilotren”.
Local remedies in combination with antibiotics for tonsillitis accelerate the healing process. Improve the result of treatment. They can be used both in the chronic form of the disease, and during exacerbations.
Treating children
What antibiotics are used for tonsillitis in children? Babies are also often often prescribed antibacterial drugs. Doctors try to choose the safest and most sparing medicines. In therapy, drugs are used not only from the penicillin group, but also from the cephalosporin and macrolide categories. The most popular funds include:
- "Oxacillin." Penicillin synthetic drug. Its maximum concentration in the blood is observed after 30 minutes. A medication can cause side effects. A single dosage is 0.25-0.5 g. Newborns are prescribed 90-150 mg per day. For infants up to three months, the daily dosage is 200 mg. For children from three months to three years, the daily dose is increased to 1 g. Patients 2-6 years old are prescribed a daily amount of the drug equal to 2 g. The course is 7-10 days.
- "Phenoxymethylpenicillin." This is another antibiotic of the penicillin group, which doctors often prescribe for children. For children under 10 years of age, it is prescribed in a dosage of 0.5-1.5 million units. In children over 10 years of age, the drug is prescribed in a daily dose of 3 million units. The daily amount is divided into three doses.
- "Erythromycin." The medicine belongs to the macrolide group. They treat tonsillitis caused by staphylococcal and streptococcal infections. The drug does not affect fungus and viral infection. The medication is prescribed for children who are allergic to penicillins. For patients from seven years of age, the drug is prescribed to take 0.25 g four times a day. For babies up to seven years, 20 mg of the drug is taken for each kilogram of weight.
- "Benzylpenicillin." The tool has a bactericidal property. It can be administered intramuscularly and intravenously. Dosage depends on the severity of the disease and the age of the patient. 4 to 6 million units fluctuate. per day.
It is necessary to treat tonsillitis with antibiotics. Especially if the disease is in an acute stage of development. With improper therapy, the pathology passes into the chronic stage and then it is more difficult to treat the disease.
Treatment of tonsillitis during pregnancy
Antibiotics for tonsillitis in adult women during pregnancy are rarely used. In the first trimester of pregnancy, antimicrobials are strictly contraindicated. However, even in this position, acute tonsillitis cannot be treated. The penetration of infection into the body is dangerous not only for the expectant mother, but also for the baby. During this period, the fetus forms internal organs and the ingress of microbes causes the development of various pathologies.
An exacerbation of tonsillitis during pregnancy is treated with Flemoxin. This antibiotic is considered the safest. It is rapidly absorbed into the walls of the gastrointestinal tract and is also rapidly excreted from the body. Since the medication quickly leaves the body, not having time to harm the body. This feature of the drug does not affect its effectiveness.
In the second and third trimester, pregnant women are prescribed the following antimicrobial agents:
- Amoksikar;
- Amoxon;
- "Danemox";
- "Clavunate";
- "Medoklav".
Treatment of tonsillitis with antibiotics during pregnancy lasts at least two weeks. Medications are taken orally from one to three times a day. The dosage is regulated by the doctor. In addition to oral medications, topical medications can be used. They speed up the healing process. At the end of therapy, they pass an appropriate analysis confirming the effectiveness of the treatment.
Treatment for tonsillitis without antibiotics
Chronic tonsillitis (which antibiotics treat this disease described above) does not require the continuous use of antibiotics. To avoid relapse in a chronic disease, you need to lead a healthy lifestyle and constantly strengthen the body's immune system. Rinses the inflammatory process in the tonsils well. For the procedure, traditional medicine advises using the following solutions:
- freshly squeezed lemon juice diluted with boiled water;
- squeezed horseradish juice;
- a decoction of burdock;
- weak solution of potassium permanganate with the addition of iodine;
- tincture of a golden mustache;
- solution of green tea and garlic.
In addition to these funds, it is recommended to increase immunity with herbal decoctions. The following recipes have proven themselves well:
- Immortelle in an amount of 100 g, mixed with St. John's wort, chamomile and birch buds, taken in the same amount as the immortelle. Herbal mixture is poured with boiling water and let it brew for about four hours.
- In a beet juice (50 g) add a tablespoon of kefir, the same amount of rosehip syrup and lemon juice.
A good addition to the treatment of tonsillitis without antibiotics is herbal tea. It may include chamomile, yarrow, dogrose, nettle and other plants that strengthen the immune system.
The effectiveness of antibiotics
Does tonsillitis always go after antibiotics? Unfortunately not. Treatment with these drugs does not give a result when the body is resistant to a particular group of drugs. As a rule, this situation often occurs with penicillin group drugs.
If viral or fungal tonsillitis is treated with antibiotics , then therapy will also not give a result, since antimicrobial medicines do not act on viruses and fungi.
The effectiveness of treatment may be zero if the patient did not comply with the doctor's prescription. I did not drink the full course and stopped taking the medicine for 2-3 days, after improvement.
In all other cases, antibiotic treatment gives a good effect. People feel better after the first medication.
Reviews
It is difficult to say what are the best antibiotics for tonsillitis. Each case is individual. Patients note that washing the gaps, lubricating the throat with Lugol, Chlorophyllipt, diluted alcohol propolis, and treating tonsils with ultrasound gives a good result. People speak positively about the drug Tonsilor. They say that it helps to forget about tonsillitis for a long time.
Of antibiotics, reviews give out injections of "Bicillin." To improve the condition, three injections are enough. Such patients as Avelox, Augmentin, Flemoxin Solutab, Ciprofloxacin, Erythromycin, Zinnat, Sumamed, Azithromycin deserved a good opinion of patients.
In addition to antibiotics, people treated tonsillitis with resorption tablets “Trachisan”, “Lizobakt”, “Faringosept”, “Tonsilotren”. Sponges “Lugol”, “Tantum Verde” and “Hexoral” showed themselves well in the treatment of angina.
Strengthening the immune system plays an important role in the treatment of tonsillitis. Therefore, after using antibiotics, doctors often prescribe Immunal, vitamin complexes, Imupret.
In the treatment of the disease, the correct lifestyle plays a huge role. During therapy should refrain from smoking and alcohol. Do regular exercises and normalize your diet.