In the article, we consider a list of antibiotic drugs for angina.
Among the most common pathologies of the respiratory system, tonsillitis is especially severe. It begins suddenly, accompanied by a high fever, severe sore throat, a white coating on the tonsils and an unpleasant sensation when swallowing. In severe situations, tachycardia, hand tremor and diarrhea occur. Children are more prone to such a disease, but it is also observed in adults. Due to the severity of the disease, compulsory treatment is required. To increase its effectiveness, you need to know exactly which antibiotics against sore throats are allowed for both a child and an adult.
Angina: characteristic
In medicine, angina refers to the pathology of an infectious or allergic etiology, which is a pathogenic change in the pharyngeal lymphoid tissue. A characteristic feature of the disease is an acute manifestation of its symptoms. The disease affects the pharyngeal ring, mainly the tonsils.
The names of this pathology, such as amygdalitis and tonsillitis, are equivalent in medical practice.
There are various forms of the disease, depending on the source of onset and clinical symptoms.
According to the main classification, there are:
- Angina primary. It develops as an independent disease.
- Angina secondary. It is also called specific, it occurs in the form of complications with another pathology. Tonsillitis in this case is one of the signs.
Reasons for prescribing antibiotics
Why do I need antibiotics for angina?
With angina caused by streptococcus, antibiotics are prescribed to avoid complications, the occurrence of which is possible both in the early and late stages of the disease.
Numerous studies have shown that antibiotics against angina do not reduce the duration of the disease and do not affect its severity. However, they provide an opportunity to reduce pain symptoms on the third day of admission. Angina can last one day less, but this is the maximum.
If you refuse to take antibiotics against angina in adults and children, complications such as tonsil abscess within two months from the onset of the disease and otitis media in the first two weeks may appear.
Pus will accumulate in large quantities on the tonsils, it can penetrate into the lungs when inhaling. Infected fluid entering the organ can damage it, cause a pulmonary abscess and pneumonia.
Before starting drug therapy with antibiotics against angina, you need to improve the condition as a whole and restore the immune system. For this, the patient requires a plentiful drink, good sleep, a balanced diet. Antibiotics are not prescribed for any type of tonsillitis. Catarrhal is considered to be easy, therefore, it is indicated only for local therapy with rinses, as well as taking sulfonamides.
The use of antibiotics is justified:
- with a lacunar and follicular form with infectious purulent foci;
- with complicated types of bacterial infection;
- if beta-hemolytic streptococcus A is secreted in a smear
Consider the most effective antibiotics for angina.
List of drugs
For the treatment of bacterial tonsillitis , antibiotics from the penicillin group are mainly used.
“Benzylpenicillin” is a broad-spectrum antibiotic. It produces a bactericidal effect due to the inhibition of the synthesis of the cell wall of microorganisms. Quickly absorbed after intramuscular injection from the injection area. It is widely distributed in body fluids and tissues. Introduced intramuscularly: for adults and adolescents - from 1.5 to 4 million units per day; children - from 400,000 to 600,000 units. The course lasts ten days. Then they switch to the use of a prolonged form of the drug (benzathine, benzylpenicillin).
Another effective antibiotic for angina is Bicillin. It is injected deeply intramuscularly into the upper outer square of the buttock muscle (intravenous administration is prohibited). Adults are prescribed 300,000 and 600,000 units, or 1.2 million units, twice a month, for the treatment and prevention of infectious diseases. Adults in the treatment of rheumatism increase the dose to 2.4 million units twice a month. To prevent rheumatism, 600,000 units are administered once a week for six weeks simultaneously with acetylsalicylic acid and other NSAIDs.
What antibiotics for angina for an adult can be drunk, the doctor will tell.
"Flemoxin" is prescribed regardless of the meal. The tablet can be divided into parts and chewed or swallowed with a glass of water, can be diluted in water to get a syrup suspension, which has a very pleasant taste. Due to the variety of forms, compliance is greatly improved.
With moderate and mild severity of the infection, the drug is usually taken 5-7 days. In the treatment of chronic pathologies, severe infections, the dosage of the drug is determined in accordance with the clinical picture of the disease.
A popular antibiotic against sore throats in adults and children is Hikontsil. A single dosage for oral administration to children after ten years of age (weighing more than 40 kg) and adults varies from 250 to 500 milligrams, if the disease is severe, up to one gram. For children from five to ten years, the amount of the drug is 250 mg. From two to five years, the dosage is 125 mg; up to two years, daily dosage - 20 milligrams per kilogram of weight. For children and adult patients, the interval between use is eight hours. If a person has uncomplicated acute gonorrhea - once three grams (combining with probenecid). For patients with impaired renal function with CC from 10 to 40 milliliters per minute, the interval between doses should be increased to twelve hours. CC less than 10 milliliters requires a period between doses of 24 hours. If applied parenterally, adults are given one gram intramuscularly, from 2 to 12 grams intravenously (with normal kidney activity). Children intramuscularly - per kilogram of weight 50 mg, a single dosage - 500 mg with a frequency of administration twice a day. Intravenously - from 100 to 200 mg per kilogram. For patients with impaired renal activity, the interval and dosage should be adjusted depending on the clearance indicators.
What other antibiotics from angina for an adult and a child can be purchased at a pharmacy?
Amoxiclav patients 12 years old and weighing more than 40 kilograms and adults with moderate infections are prescribed 1.2 grams every eight hours. If the infections are severe, every six hours. From the age of three months to twelve years, the amount is determined in the proportion of 30 milligrams per kilogram of weight with breaks of eight hours. If the infection is severe, six hours. Babies up to three months of age - 30 mg per kilogram with an eight-hour interval. Newborns and premature babies - 30 mg per kilogram of weight with a twelve-hour break. This is a strong antibiotic against purulent sore throat.
Amoxil is taken orally, regardless of the meal, without chewing the drug, swallowing whole. Accepted with an interval of eight hours. Age groups of children according to the general scheme take: from a year to two - 30 mg per kilogram of patient weight, three doses; from two to five - 125 mg once. Five to ten - 250 mg once. From the age of twelve - once in one tablet (dose of 625 mg) with a 12-hour interval. Adult patients - from 250 to 500 mg once, with a severe nature of the course and eradication of Helicobacter pylori infection - up to one gram once. For a day, a maximum of six grams. How many antibiotics for angina take? The duration of therapy should be at least 5 days.
"Gramox" is dosed on average for children from ten years of age and adults most often one and a half to two grams per day. For mild illness or moderate severity, it is recommended to drink one capsule of the drug three times a day. If the infection is severe, the dosage of the drug doubles, but in this case it is taken three times a day.
If the patient’s intolerance to the medication of the penicillin group, the use of one of the antibiotics from the number of lincosamides or macrolides is indicated. How many antibiotics to drink with angina, many are interested.
"Erythromycin" is administered slowly intravenously (three to five minutes) or drip. For adolescents over 14 years of age and adults, a single dose varies from 0.25 to 0.5 grams, daily - one to two grams. The interval between doses is six hours.
An effective antibiotic for sore throats in adults in tablets is Clarithromycin. Children after 12 years of age and adults are prescribed orally from 250 to 500 milligrams twice a day. Treatment lasts from six days to two weeks.
“Roxithromycin” is taken orally by adults twice a day, 150 milligrams each morning and evening, before meals, or once 300 milligrams. The treatment course is from five to twelve days for diseases of the ENT organs and respiratory tract. In the form of a suspension for children - from 5 to 8 mg per 1 kg per day (depending on the type of pathogen, severity of infection and weight), not more than ten days.
"Azithromycin" is prescribed per day for 500 mg for three days (course dose - one and a half grams).
"Spiramycin" in the form of granules, tablets is taken: adults during the day from 6 to 9 million IU with a multiplicity of 2-3 times. Children weighing more than twenty kilograms - 10 kilograms of 1.5 million IU per day 2-3 times. If the weight of the child is from 10 to 20 kilograms, they are prescribed 2-4 bags, each - 0.75 million IU. Before use, dissolve the contents of the sachet in water.
"Josamycin" is necessary for children after 14 years of age and adults to take 2-3 times a day, one or two grams. Children up to fourteen years of age - from 30 to 50 mg per 1 kg per day in three divided doses. Treatment continues as long as necessary according to the patient.
"Midecamycin" is dosed individually. Adults inside about 400 milligrams three times a day, the maximum amount per day is 1.6 grams. Children - from 30 to 50 mg per 1 kg per day in two divided doses. If the infection is severe, the ratio can increase to three. The duration of antibiotic treatment against angina in children and adults is one to two weeks.
"Midecamycin acetate" is prescribed for children weighing more than 30 kilograms and adults, one tablet three times a day (400 mg). The maximum dose per day ranges from 20 to 40 milligrams per kilogram of weight, divided by three times, or 50 mg per kilogram in two divided doses. In severe infections, the daily dose is three doses of 50 mg per kilogram. The course is from a week to two.
What is the strongest antibiotic for angina in children?
"Lincomycin" is administered intravenously and intramuscularly. A single amount for adults when administered parenterally is 0.6 grams, a daily dose is 1.8 grams. If the infection is severe, up to 2.4 grams per day can be taken. The drug is administered three times a day with eight-hour breaks. For children, the daily dose is prescribed in an amount of 10 to 20 milligrams per kilogram, regardless of their age.
Amoxicillin is taken orally. Children after ten years of age and adults - from 500 to 750 milligrams twice a day or from 375 to 500 milligrams (with severe infections up to one gram) three times a day (with a maximum dosage of 6 grams in 24 hours). Children from three to ten - two times 375 mg or three times 250 mg, up to a year - two times 125 mg or three times 100 mg. The daily amount for a child is 30 mg per kilogram (up to 60 mg), taken 2-3 times. If a person has acute gonorrhea, then three grams once along with one gram of probenecid (it is recommended for women to re-enter). For patients with creatinine clearance less than 10 milliliters per minute, the dosage is reduced by about 15-50%, the dose for anuria can not be higher than two grams in 24 hours. On average, the course lasts from five days to a week (with streptococcal infections - at least ten days).
"Phenoxymethylpenicillin" is prescribed for moderate infections in children after ten years and adults - 3 million units per day. If the infection is severe, the dosage rises to 6–9 million units per day. Up to ten years for patients - from 50,000 to 100,000 units per kilogram per day. Multiplicity - 3-6 times in 24 hours. The course of treatment lasts an average of 5-7 days, if infections are caused by beta-hemolytic streptococcus - from a week to ten days.
Augmentin is available in the form of a suspension and tablets. With a divided triple dose, the daily dose is calculated based on the formula - 40 milligrams per kilogram. When doubled - 45 mg. The course lasts ten days.
Sumamed is in the form of a suspension, tablets and capsules. For patients younger than three years, it is advisable to use a powder for the manufacture of a suspension - 100 mg per five milliliters.
Chemomycin must be used one hour before a meal or two hours after. The drug is taken once a day. For infections of the lower and upper respiratory tract, infections of soft tissues and skin, 500 mg per day is prescribed for three days (one and a half grams - course dose).
The most effective antibiotics in this case: "Penicillin"; "Cephalexin"; "Benzylpenicillin"; "Cephalexin"; "Bicillin"; Amoxicillin; "Erythromycin"; Amotsiklav; "Sumamed"; "Augmentin."
Antibiotics for angina in children
Doctors say that for the treatment of tonsillitis in children you do not need to rush using antibacterial drugs.
Which antibiotic is more effective? A similar question is especially relevant for purulent sore throat - the disease can not be overcome without such drugs. Regarding viral sore throat, it should be noted once again that medication should only be started when symptoms of complications, inflammation of the ENT organs and respiratory system occur.
- Amoxicillin-based penicillins: Gramox-D, Ospamox, Hiconcil, Amoxicillin, Amosin, Flemoxin Solutab from the first day.
- Penicillins, based on ampicillin: “Ampioks”, “Ampicillin” from the age of three.
- Penicillins based on benzylpenicillin: "Bicillin", "Benzylpenicillin" from birth.
- Penicillins based on oxacillin and ampicillin: Oxamsar, Oxampicin, Oxamp from birth.
- Penicillins based on clavulanic acid and amoxicillin. “Flemoklav Solutab”, “Ecoclave”, “Amovikomb”, “Fibell”, “Augmentin”, “Amoksiklav”, “Verklav” from birth or after three months.
- Oxacillin-based penicillins: Ospen, Oxacillen, from three months to one year old.
What else is included in the list of antibiotic drugs for angina?
- Cephalexin-based cephalosporins: "Ecocephron", "Cephalexin" from six months.
- Ceftriaxone-based cephalosporins: Cefson, Ceftriabol, Cefaxon, Ceftriaxone, Tercef, Azaran, Oframax, Betasporin, Movigip, Ifsef, Medaxon, "Chizon", "Lendacin" from birth or the fifteenth day of life (if the babies were born prematurely).
- Cephalosporins based on ceftazidime: Ceftidid, Ceftazidime, Fortoferin, Wicef, Fortum, Orzid, Bestum, Lorazidim, Fortazim, Tizim from birth.
- Cephalosporins based on cefoperazone: “Zeperon”, “Dardum”, “Operaz”, “Cefoperazone”, “Movoperiz”, “Cefpar”, “Cefoperabol”, “Medocef” from the eighth day.
- Cephalosporins based on cefotaxime: Cefotaxime, Intrataxim, Cetax, Kefotex, Tarcefoxim, Oritaxim, Liforan from the first days.
- Erythromycin-based macrolides: Erythromycin, Eomycin, from the first days.
- Macrolides based on azithromycin: AzitRus, Sumamed in injection ampoules, Sumamed, Ekcomed, Hemomycin, Zitrocin in the form of a suspension, if the body weight is more than ten kilograms, from six months.
- Spirocomycin-based macrolides: Spiramycin-Vero, Spiramisar weighing more than twenty kilograms.
- Macrolides based on roxithromycin: Roxolith, Romik, Rulitsin, Xitrocin, Rulid, Elroks, Remora, Roxithromycin, Esparoxy from the age of four.
The most commonly used drugs for tonsillitis for children are listed above . Too many parents say that Sumamed and Flemoxin-Solutab help best.
What antibiotics to take with angina in each case, only a doctor can decide. First of all, the indicators of bacteriological inoculation from the throat are taken into account, that is, the sensitivity of the pathogenic microflora to a specific antibiotic, as well as individual susceptibility.
Penicillin drugs can be combined with caution with other drugs, their simultaneous use with macrolides, fluoroquinolones, tetracyclines and cephalosporins is unacceptable.
The best antibiotic against sore throat can only be selected empirically.
Possible side effects of antibiotics for angina
The use of antibiotics in the treatment of tonsillitis can cause vomiting, skin rash, diarrhea, or even anaphylactic shock. Such side effects can not be ignored, you must seek the help of a doctor. The doctor may review the appointment and choose other drugs.
There are some criteria that can affect the choice of a tool:
- The high cost of antibiotics.
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If you do not take antibiotics: consequences
With a sore throat provoked by a virus, there are no side effects from antibiotics or risks.
If angina is caused by bacteria, the following is noted:
- the disease will last one day longer;
- there is a high probability of spreading the infection to other organs, for example, to the nose or ears, also possible: rheumatism, glomerulonephritis and pyelonephritis;
- pus can invade the lungs and harm them;
- a person can infect others.
During pregnancy
What antibiotics are possible for pregnant sore throats?
During pregnancy, tonsillitis can seriously harm the baby's health. That is why all infectious diseases in women require a serious approach to treatment. If the medicine is chosen incorrectly, it can adversely affect the development of the child inside the womb. It is especially undesirable to take antibiotics in the early stages. But it is important to understand that with the serious nature of tonsillitis, it is not so much an antibiotic as its absence that can aggravate the condition of the woman and harm the child. In case of acute need, pregnant women can take drugs from the penicillin group (Oxamp, Amoxicillin, Amoxiclav). They are used in injection and tablet form. In the absence of the necessary therapeutic effect, more effective drugs are prescribed by penicillins. Cephalosporins are prescribed for pregnant women with angina (Cefazolin, Ceftriaxone). It should be borne in mind that these drugs are able to penetrate the baby through the placenta.
We also provide a list of antibiotics for purulent tonsillitis.
Purulent tonsillitis: what antibiotics are needed?
With purulent sore throat, antibiotics should be prescribed exclusively by a doctor after a thorough examination of a person and diagnosis. With angina caused by bacteria prone to too active reproduction, if there is purulent plaque, the appointment of antibiotics is required. They greatly facilitate the well-being of the patient, successfully fight infection, protect joints, heart and kidneys from complications.
In many respects, the usefulness of antibiotics depends on the person’s age, the frequency of the appearance of tonsillitis and related factors (allergy to drugs, complications, somatic pathologies).
If purulent tonsillitis is diagnosed, then what antibiotics are most often used? Penicillins are still the drugs of choice, despite the increasing resistance of bacteria to them. The most effective drugs are those that contain sulbactam or clavulanic acid (Unazin, Augmentin, Amoxiclav). Also, with severe angina, cephalosporins can be used, which replace penicillins in case of an allergic reaction to them ("Cephalexin", "Suprax"). However, situations of cross-allergy to cephalosporins and penicillins are known, and then medications from macrolides are used, for example, such as Vilprofen, Klacid, Sumamed.
Which drug is better from angina is rather difficult to solve.
Drugs are taken under the supervision of the attending physician, two hours after a meal or an hour before it. This helps to increase the effectiveness of the drug and reduces the likelihood of side and negative effects. Drugs need to be washed down only with a sufficient amount of water. It is forbidden to take juices with antibiotics, since the ascorbic acid contained in them can partially destroy the medication, which will decrease the effectiveness.
Antibiotics should not be taken with milk drinks or milk for the same reasons: the active substances are neutralized to some extent. Before taking the medicine, you need to carefully read the instructions, analyze if there are any individual contraindications to a specific remedy. It is also necessary to read in advance about side effects, often they appear in the form of temporary digestive disorders.
Rules for choosing pills for angina
What antibiotic against sore throat to choose?
Self-medication is unacceptable. Tonsillitis is a serious disease that, if untreated, can cause complications. Only a doctor can correctly choose an antibiotic. Combined therapy with gargling with furacilin tablets is supplemented. This tool is inexpensive, but effective. You can also use Rotokan and Chlorophyllipt for this. Medications in general are selected on the basis of symptoms, side effects and contraindications of specific drugs.
Reviews about antibiotics for angina
And of course, it’s interesting to know what people think about these drugs. Many people think that tonsillitis is not treated without antibiotics. Therefore, often funds are purchased in pharmacies on their own. Patients are advised not to use antibacterial drugs immediately, especially without medical advice, since intestinal microflora can be disturbed. However, if the symptoms are aggravated, a high temperature is kept, while the angina is purulent, you can not do without these drugs.
According to reviews, Amoxiclav is effective for angina. For most patients, it is suitable, well tolerated. According to people, the improvement of well-being comes already on the second day of using the product. But there are also negative opinions about Amoxiclav. For some, he caused an allergic reaction in the form of severe itching, urticaria. It was possible to relieve symptoms with the help of antihistamines and sorbents. According to antibiotic reviews, with angina, the risk of developing an allergy increases when the required dosage of the drug is exceeded.
The drug "Flemoxin Solutab" is also popular. This medication is suitable for children. A decrease in temperature in babies mothers noted on the second day of admission. Effective with purulent sore throat, but it should be given to the child at least 5-7 days. Adverse reactions rarely cause antibiotic. Most often, a skin rash appears, which disappears after drug withdrawal.
"Klacid", "Sumamed" is also often prescribed for angina, usually in cases of intolerance to antibiotics from the penicillin group. Patients note that these drugs help pretty quickly. Negative reactions of the body are possible, most often it is nausea and abdominal pain.
People consider the prices of these antibiotics to be quite reasonable. Conveniently, you can purchase them at any pharmacy.