Pyelonephritis is a pathology that is characterized by the development of inflammation in the kidneys of an infectious nature. A person has severe pain, body temperature rises, and his health worsens. The doctor makes the diagnosis based on the results of a study of urine. The therapy is antibacterial, the drug "Monural" is often used for pyelonephritis.
Characterization and description of the drug
The use of "Monural" in pyelonephritis is advisable, since it is a broad-spectrum antibacterial drug. Its bactericidal effect extends to a large number of pathogenic bacteria: cytrobacter, Escherichia coli and Pseudomonas aeruginosa, Klebsiella, streptococcus, enterobacter, staphylococcus and others. The medicine helps to stop the growth and reproduction of microbes, reduces their adhesion to the mucous epithelium of the urinary tract.
"Monural" treats pyelonephritis, since it contains such an active component as phosphomycin trometamol. Additional components are sucrose, flavorings, saccharin and others.
The drug is available in the form of white granules with a pleasant aroma, they are packaged in packages of 2 or 3 grams. One packet must be taken at a time.
"Monural" with pyelonephritis is prescribed for the development of the first unpleasant signs of the disease. The medication is also prescribed for other pathologies and conditions:
- Bacterial cystitis in acute form.
- Urethritis, pyelitis.
- Chronic inflammation of the bladder in the acute phase.
- Bacteriuria while carrying a child.
- Before surgery on the urinary system.
- As a prophylaxis of infectious pathologies of the urinary tract.
Thus, Monural is prescribed by doctors for diseases of the urinary system.
How does the drug work?
"Monural" with pyelonephritis is prescribed quite often. This drug is antimicrobial, has a wide spectrum of action. Such an effect develops as a result of the influence of the active substance on the synthesis of bacterial cell walls; due to this, their growth and development stops.
After taking the drug, it enters the bloodstream and spreads throughout the body. After two hours, its maximum concentration is observed, bactericidal activity is manifested by 99%.
The drug with urine and feces is excreted. The therapeutic effect lasts for twenty-four hours.
Treatment of pyelonephritis with Monural helps to eliminate the symptoms and causes of pathology. The medicine helps to stop the reproduction of pathogenic microorganisms, reduce the severity of negative symptoms, relieve pain in a short time, normalize body temperature. The effectiveness of the drug appears two days after the start of therapy.
Treatment of the disease with this medication is carried out in a hospital environment to prevent the pathology from transitioning into a chronic form. In chronic pyelonephritis, Monural is used to prevent the development of a relapse of the disease. This is stated in the annotation to the medicine.
"Monural" with pyelonephritis: instructions for use
The drug is intended for children aged five to eighteen years and adults. Adults need to take medicine in an amount of 3 grams once a day, children - in an amount of 2 grams once a day.
The course of therapy is one day. In severe cases, re-administration of the drug is allowed once a day, 24 hours after the first use.
In the presence of severe renal pathology, a twice-reduced dosage is used to reduce the likelihood of complications.
According to the instructions, "Monural" with pyelonephritis is pre-diluted in half a glass of clean still water. Take the drug on an empty stomach or two hours after a meal. In this case, the bladder must be empty, since the active substance accumulates in urine. Some doctors recommend taking the medicine before bedtime.
If surgery is expected, it is necessary to take the drug three hours before it, and then a day after it.
Most often, the cure occurs after the first antibiotic.
Usage restrictions
Undoubtedly, Monural will help with pyelonephritis. But the drug does not suit everyone, since there are the following contraindications:
- High susceptibility to the components of the drug.
- Children's age up to five years.
- Senile age is more than seventy-five years.
- Severe kidney disease with insufficient creatine levels.
- Hemodialysis patients.
- Lactation period.
- Fructose intolerance.
During the period of gestation, the medication can be used, but only with the permission of a specialist. According to numerous studies, the active component does not have teratogenic and toxic effects on the fetus.
People who take Monural for pyelonephritis and have diabetes mellitus, it must be borne in mind that the drug contains 2.2 grams of sucrose in one sachet.
Adverse Reactions
According to the instructions and reviews, "Monural" with pyelonephritis can cause the development of adverse reactions only in case of its improper or prolonged use. It is usually well tolerated by patients. Sometimes such negative symptoms may appear:
- nausea, vomiting;
- diarrhea or, conversely, constipation;
- abdominal pain;
- hepatitis;
- yellowing of the skin;
- headache and dizziness;
- sleep disturbance;
- depression;
- allergic reactions;
- dyspnea;
- rapid breathing;
- tachycardia;
- chest pain;
- vulvovaginitis;
- increase in blood pressure;
- asthma;
- bradycardia.
According to medical statistics, side effects were observed in 10% of patients. If any negative symptoms occur, you need to stop taking the medicine, and also consult a doctor.
Excess doses
In medical practice, there were no cases of overdose of the drug. Theoretically, if the medicine is not taken correctly, adverse reactions occur. In this case, gastric lavage is performed, the victim is given a sorbent, symptomatic therapy is performed. If necessary, use forced diuresis.
Additional Information
With the simultaneous use of metoclopramide, the activity of Monural decreases, which can cause complications. When taking the medicine with food, it is slowly absorbed, as a result of which the effectiveness of the drug decreases.
The medication does not affect the speed of psychomotor reactions.
The drug should be prescribed only by a doctor based on the results of a bacteriological study of urine. Such an analysis is carried out for five days, then the pathogen and its sensitivity to the drug are determined.
The medication should be stored in a dry place where the air temperature does not exceed thirty degrees. Shelf life is three years from the date of issue.
Cost and purchase of a medicine
The drug can be purchased at some pharmacy chains in the country. To do this, you must present a prescription from a doctor. Since therapy should take place in a hospital setting, prescribing a medicine for yourself is prohibited. The cost of the medicine is 505 rubles for one bag with 3 grams of the drug. For a package of two bags will have to pay about 810 rubles. For one bag with 2 grams of funds you need to give three hundred and fifty rubles.
Analogs
Infectious pathologies of the urinary system are a fairly common occurrence. Pharmacologists are constantly developing new drugs that have high therapeutic efficacy, few side effects, and also contribute to recovery in a short period of time. These drugs include Monural. If for some reason it is not possible to take it, the doctor may prescribe a medication with a similar therapeutic effect. The analogues of the drug include:
- "Fosfomycin" - has maximum therapeutic efficacy. Its cost is five hundred and twelve rubles per bag.
- "Phosphoral" - has a cost of about four hundred rubles for a package of one bag.
- Uronormin-F - can be purchased at a price of six hundred and ninety rubles for two bags.
- Eco Formular costs three hundred and sixty-five rubles for one bag.
Only the attending physician can prescribe the drug, self-medication is unacceptable.
Reviews of doctors
Does Monural help with pyelonephritis? All doctors answer this question positively. But he does not always help the first time. Relapse occurs in half the cases, so patients are re-treated with this drug. In the absence of repeated therapy, the disease becomes chronic.
After taking the medication again for two days, the negative symptoms were eliminated, the pain went away, the body temperature returned to normal.
When the urinary tract was infected with Escherichia coli, an improvement was observed on the second day after taking Monural.
According to doctors, the drug helped in 70% of cases in the absence of a preliminary bacteriological examination of urine.
In medicine, the drug is often used in the treatment of pathologies of the urinary system. With proper use of the medicine, following the recommendations of the doctor, recovery occurs in a short period of time.
Patient Reviews
"Monural" with pyelonephritis received positive reviews from patients. All patients who took the drug got rid of urinary tract infections. People note the following positive properties of the drug:
- A wide range of effects on microbes.
- The duration of the therapeutic effect.
- The ability to use the medication in conjunction with other antibiotics.
- Exclusion of the ability of pathogenic bacteria to fix on the mucous membrane of the urinary tract epithelium.
Pregnant women especially praise the drug. It does not have a toxic effect on the fetus and helps eliminate the disease in just a few days.
In isolated cases, there are negative reviews about the medication, but this usually happens when the drug is prescribed by patients on their own. Therefore, it is important to correctly diagnose pathology, and this can only be done by a specialist.
Some people note that after taking the medicine, the negative signs of the disease disappeared after twenty hours.
Conclusion
"Monural" is often used in urology and nephrology. It relieves patients of different age groups from pathologies of the urinary system, showing high therapeutic efficacy.
Some doctors argue that the treatment of acute pyelonephritis should be comprehensive. So, "Monural" eliminates the negative symptoms of pathology, and other drugs should remove its cause.
The drug has a bactericidal property, it destroys pathogenic bacteria. It is effective against gram-negative and gram-positive microorganisms. This antibiotic cleanses the entire urinary system from pathogenic microflora.
It must be borne in mind that, like any antibiotic, Monural can affect the digestive tract, suppress the beneficial intestinal microflora. Therefore, patients may experience nausea and diarrhea. If such symptoms appear, consult a doctor.
Thus, this antibacterial drug is an excellent choice in the treatment of many diseases of the urinary system. Doctors often prescribe it to their patients, as he has proven his effectiveness over the years.