Ciprofloxacin for angina in adults dosage. Ciprofloxacin for angina is often a second-line drug. What is best to use in the treatment of sore throat



Is Ciprofloxacin effective for purulent sore throat in adults? How much and in what dosages should I take this drug?


Answer from Valentina Aleksandrovna Levchenko (doctor)


Hello! Ciprofloxacin is a very effective antibiotic that has established itself as one of the best remedies in the fight against quite serious diseases. But, unfortunately, this drug has a huge number of side effects, which casts doubt on the advisability of its use specifically for the treatment of sore throat, even purulent one. However, if the doctor has concluded that therapy with other drugs is impossible, he can prescribe Ciprofloxacin to the patient.

The amount of the drug and the duration of treatment are prescribed exclusively by the doctor! As a rule, at a dosage of 0.25 mg, it is recommended to take from 0.5 to 1.5 tablets three times a day, the amount depends on the severity of the disease. As for the treatment period, everything is also individual: if the doctor has not indicated the exact timing, then treatment should be continued for up to three days after the temperature has normalized. On average, the duration of treatment is from one to one and a half weeks.

Sore throats are not uncommon in our family, and I myself contract this unpleasant illness about twice a year, usually in winter.

I used to take pills Amoxicillin , but somehow, when I looked for it in my household supplies, I didn’t find it, and my throat hurt a lot.

But I found some pills Ciprofloxacin , I read in the annotation that the drug is also used to treat throat infections, and we decided to take it, especially since it is from a different group than Amoxicillin, to which I have probably already developed resistance.

So, Ciprofloxacin tablets, 500 mg, domestic manufacturer Ozon LLC:

In a cardboard box there is a blister with 10 tablets and instructions:


The cost of the drug in the pharmacy is more than acceptable - 32 rubles.

I note that the imported analogue Tsiprolet costs more than 100 rubles.


The medicine belongs to the antimicrobial group of broad-spectrum drugs, namely fluoroquinolones.


Indications for use are extensive:


Indications for use:

Infections and inflammatory diseases caused by microorganisms sensitive to ciprofloxacin:

  • respiratory tract;
  • ear, nose and throat;
  • kidneys and urinary tract;
  • genitals;
  • digestive system (including mouth, teeth, jaws), gallbladder and bile ducts;
  • skin, mucous membranes and soft tissues;
  • musculoskeletal system.

The tablets themselves are small, white, film-coated. There are no problems with swallowing.


As with all antimicrobial drugs, there are contraindications:


Contraindications:

  • hypersensitivity to ciprofloxacin or other drugs from the fluoroquinolone group;
  • simultaneous use of tizanidine (risk of a pronounced decrease in blood pressure, drowsiness);
  • pregnancy;
  • lactation period;
  • children and adolescents up to 18 years of age;
  • pseudomembranous colitis.


Directions for use and dosage:

For a sore throat, I usually take 1 tablet twice a day, morning and evening, after meals, with water.

I take the medicine for 5 days.

Although already on the second day the symptoms of sore throat disappear.

The manufacturer warns of side effects:


Please note that the drug changes the blood picture. This is important if you, like exemplary patients, are treated according to all the rules, under the control of blood and urine tests.

I did not notice any side effects.

In parallel with taking antibiotics, I always try to take Hilak forte , so my gut doesn't suffer (I hope).


Thus, I recommend taking the drug Ciprofloxacin!

There is an inscription on the package that it is available with a prescription.

The drug is sold freely in our pharmacies. But I think everyone understands that before using it, it is better to consult a doctor whom you trust.

Thank you all for your attention! Be healthy!

Instructions for use of the antibiotic Ciprofloxacin

Ciprofloxacin is a fluoroquinolone antibiotic with a broad spectrum of action, which is widely used to treat various infectious diseases of the respiratory system, otitis media, eye infections, and diseases of the pelvic organs. Available in easy-to-use forms.

Composition and release form

The composition of the drug Ciprofloxacin includes the active substance ciprofloxacin hydrochloride monohydrate and auxiliary components: milk sugar, corn starch, magnesium stearate, microcrystalline cellulose, povidone, talc, sodium chloride, disodium salt, ethylenediaminetetraacetic acid.

The drug is produced in the form of enteric-coated tablets, a concentrate for the preparation of a solution for infusion and a solution for intramuscular injection.

Effect of the drug

The active substance included in the drug is active against pathogenic microorganisms. Unlike other antibiotics, Ciprofloxacin does not inhibit the development of pathogenic microflora, but causes its death. Antibiotic changes the DNA structure of bacteria and disrupts the production of protein, without which microorganisms cannot reproduce and develop.

Ciprofloxacin is active against staphylococci, Shigella, Proteus, Escherichia coli and Pseudomonas aeruginosa, gonococcus, and salmonella.

The drug causes the death of mycobacteria tuberculosis, chlamydia, mycoplasma, and ureaplasma.

After entering the body, the active substance enters the systemic bloodstream within a short period of time and is distributed in the affected tissues and organs.

Indications for use

Information about what Ciprofloxacin helps with can be found in the instructions for use. The medicine is used to treat the following diseases and pathological conditions: caused by antibiotic-sensitive bacteria:

Instructions for use

Ciprofloxacin tablets are taken before meals with plenty of liquid. The usual dosage regimen is two tablets twice daily.

In severe cases of the disease, the dose is prescribed by the attending physician. How many days to take the medicine depends on the severity of the patient’s condition. Usually the course of treatment does not exceed 10 days.

According to the instructions for use of Ciprofloxacin, it is recommended to administer intramuscular injections with a short thin needle. For injection, a ready-made solution of the drug is used., which can be used in conjunction with sodium chloride or saline. Before using the Ciprofloxacin ampoule, according to the instructions for use, it should be warmed to room temperature.

The dosage of the drug is determined by the attending physician depending on the severity of the patient’s condition and the presence of complications.

For intravenous infusions, a concentrated solution is used to prepare an infusion agent. The antibiotic Ciprofloxacin instructions for use recommend diluting it with Ringer's solution or glucose. The dropper is introduced slowly over 30-60 minutes. A single dose is 200 ml. The duration of treatment is 7−14 days. In case of complicated course of the disease, the treatment period may be extended.

In order to prevent postoperative infection, the drug is administered intravenously one hour before the planned surgical intervention.

Cycloprofloccin eye drops are used for the treatment and prevention of infectious diseases. The drug is instilled one drop every four hours. For severe forms of infectious diseases, medications are instilled once every two hours.

Contraindications and side effects

The use of Cycloprofloxacin is contraindicated if the patient has the following diseases:

The drug is contraindicated during pregnancy and breastfeeding. Ciprofloxacin is not used to treat patients under 15 years of age.

Take special care with antibiotics prescribed to elderly patients.

Taking the medication may be accompanied by side effects in the form of nausea, stool disturbances, pain in the epigastric region, decreased appetite, headache, tinnitus, decreased blood pressure, dizziness, trembling of the limbs, sleep disturbances, anxiety, increased sweating, and decreased visual acuity.

Additional Information

Use of the drug should be discontinued if prolonged diarrhea occurs. The drug is not used for exacerbation of tendovaginitis and pain in joints and tendons. During therapy, avoid exposure to direct sunlight for extended periods of time.

Ciprofloxacin is incompatible with alcohol, as the likelihood of liver toxicity increases. Not used in the treatment of diseases in conjunction with Metronidazole.

Analogues and price of the drug

If it is impossible to use the medicine, it should be replaced with active analogues. Ciprfloxacin-Promed, Tsipromed, Aquacipro, Tsiprolet, Nircip have a similar effect.

You can purchase the drug at a pharmacy with a doctor's prescription. The average price for a pack of tablets is from 20 rubles.

Patient reviews

Ciprofloxacin is the most commonly prescribed drug. The medicine is highly effective, has a small list of contraindications, and is low in price. Side effects are extremely rare.

The drug Cifloproxacin has a wide spectrum of action, a convenient dosage regimen and a short course of treatment, which usually does not exceed a week. The medicine is inexpensive, so patients always buy it.

I used the tablets to treat prolonged bronchitis. The medicine is very effective. The effect is noticeable on 2-3 days of use. I am pleased with the low price and the absence of side effects.

Instructions for the use of Ciprofloxacin for angina in adults and children, analogues

For sore throat, many doctors recommend using the antibiotic Ciprofloxacin. Since it has contraindications, you should not self-medicate, as there is a risk of complications. On the Internet you can find enough feedback that this drug, if taken incorrectly and overdosed, provoked deviations much more serious than the sore throat itself.

Composition and description

Ciprofloxacin is not only an effective way to combat the causative agent of sore throat, but also the ability to have a bactericidal effect on the microbe in order to prevent further proliferation of pathogenic microflora in the larynx and tonsil tissue. The drug affects bacteria at the cellular level, destroying their DNA. Almost all patients agree that the medicine helps to quickly get rid of the disease.

It is also worth considering here that some infections are not affected by the active component.

Indications for use

Each of the antibacterial drugs is an integral part of conservative treatment for the pathogen that provoked the sore throat. If the patient applies on time, from the first days he will be prescribed an antibiotic to quickly get rid of the symptoms of the disease.

Speaking about the streptococcal form of sore throat, it is more often diagnosed in children starting from the age of three. But for them this remedy is contraindicated.

The disease in question is almost always severe, and if measures are not taken on time, there is a chance of severe complications. If the pathology is accompanied by acute pain when swallowing, as well as high fever, the doctor will definitely prescribe Ciprofloxacin.

What are the contraindications

Due to the presence of contraindications, Ciprofloxacin is not recommended for self-medication. The use of the medicine is strictly prohibited in the following cases:

  • treatment of patients in childhood up to 18 years of age;
  • individual intolerance to one of the components;
  • diseases that can cause complications;
  • the entire period of pregnancy and lactation.

Possible side effects

  1. Thrombosis.
  2. Arthritis.
  3. Jaundice and hepatitis.
  4. Partial loss of vision.
  5. Allergic reactions manifested through hives or skin rash.
  6. Pain in the chest.
  7. Tremor of the limbs.
  8. The occurrence of hallucinations and depression.
  9. Pressure surges.

How to take Ciprofloxacin correctly for angina

If an adult has a sore throat, before taking this drug, it is necessary to study the instructions for use in detail. The doctor determines the dosage depending on the intensity of the symptoms. If they are pronounced, the dosage may exceed one tablet; in other cases, half will be enough.

The course of treatment does not last more than two weeks. If there is a suspicion that the person has not been cured, the doctor may extend therapy for up to 1 month. To achieve the first positive results, the medicine must be taken for at least three days.

Danger of overdose

To ensure that the patient does not suffer from an overdose, he should consult a doctor before taking Ciprofloxacin. The dose of the medicine is determined only on the basis of the information received about the severity of symptoms.

If you do not take this rule into account and decide on the frequency of taking and the number of tablets yourself, there is every chance of the side effects listed above.

Compatibility with other drugs

If treatment with Ciprofloxacin is accompanied by simultaneous administration with Didanosine, the effectiveness will be reduced due to the interference with the action of the active component of the antibiotic on the pathogenic microflora.

When talking about using this drug in combination with Warfarin, there is a risk of bleeding. Because of these features, before using this drug for treatment, you should consult a doctor and provide him with complete information about the medications you are already taking.

Conditions of storage and purchase

This antibiotic should be stored in a dry place where the air temperature does not exceed 25 degrees. Since the drug is contraindicated for patients under 18 years of age, children should not have access to the first aid kit where it is stored.

Popular analogues

If doctors have to select substitutes for patients, the following drugs are often used:

Medicines > Ciprofloxacin (tablets)

Ciprofloxacin is a powerful antimicrobial agent that successfully destroys a wide variety of bacteria. One tablet may contain 10 or 20 mg of the active substance of the same name, which is a second generation fluoroquinolone. Due to its high effectiveness and relative cheapness, the drug became part of the “List of Vital and Essential Medicines.”

This antimicrobial agent is used to combat many bacterial infections of various body systems: respiratory tract, abdominal and pelvic organs, musculoskeletal system, skin. It is also used in the treatment of sepsis and septicemia, as well as in ENT pathology. In addition, ciprofloxacin can be taken to prevent infections in patients with weakened immunity for any reason.

The drug is used in the dose indicated exclusively by the doctor twice a day. It should be washed down with plenty of water or fruit juice. Do not drink alcohol while being treated with this medicine.

Unfortunately, the high effectiveness of the drug is combined with a fairly wide range of side effects, including nausea, vomiting, prolonged diarrhea, impaired intestinal microflora, and pseudomembranous colitis. Dizziness, headache, fatigue, sleep disturbances, nightmares and even hallucinations are manifestations of intolerance to the drug on the part of the nervous system. Also, this medication can affect the kidneys (glomerulonephritis, the appearance of protein and even blood in the urine), the liver (increased activity of certain enzymes and the content of bilirubin in the blood), the hematopoietic system, and cause allergic reactions - itching, rash, urticaria, Quincke's edema. If any deviations from the norm occur, you should immediately report them to your doctor for possible dose adjustment or replacement of the antibiotic.

Due to the fact that the drug penetrates the placental barrier, it should not be taken during pregnancy. It is also contraindicated during breastfeeding and in childhood (under 15 years).

It should be noted that this medicine may change the effectiveness of other medications (or its own effect may be reduced) when taken at the same time, so the doctor should be sure to tell the doctor if the patient is taking warfarin, aminophylline, iron, zinc, magnesium and aluminum preparations.

Ciprofloxacin /

Composition and release form: Film-coated tablets 1 tablet ciprofloxacin hydrochloride 250 mg Excipients: MCC; povidone; purified talc; magnesium stearate; sodium starch glycolate; colloidal silicon anhydride shell components: hydroxypropyl methylcellulose; methylene chloride; isopropyl alcohol; titanium dioxide

10 pcs in blister or strip; in a cardboard pack 1 blister or strip.

Directions for use and dosage:

Inside. The dose depends on the severity of the disease, type of infection, body condition, age, weight and kidney function of the patient.

Ciprofloxacin - 250 mg tablets for oral administration:

  • uncomplicated diseases of the kidneys and urinary tract - 250 mg, and in complicated cases - 500 mg, 2 times a day;
  • diseases of the lower respiratory tract of moderate severity - 250 mg, and in more severe cases - 500 mg, 2 times a day;
  • gonorrhea - a single dose of 250–500 mg is recommended;
  • gynecological diseases, enteritis and colitis with severe course and high temperature, prostatitis, osteomyelitis - 500 mg 2 times a day (for the treatment of banal diarrhea, you can use a dose of 250 mg 2 times a day).

The drug should be taken on an empty stomach with sufficient liquid. Patients with severe renal impairment should be prescribed half the dose of the drug.

The duration of treatment depends on the severity of the disease, but treatment should always continue for at least another 2 days after the symptoms of the disease have disappeared. Typically the duration of treatment is 7–10 days.

Creatinine Cl, ml/minDose>50Usual dosage regimen30–50–500 mg once every 12 hours5–29250–500 mg once every 18 hoursPatients on hemodialysis or peritoneal dialysisAfter dialysis 250–500 mg once every 24 hours

Ciprofloxacin for angina is often a second-line drug

Ciprofloxacin for angina is used when antibiotics from the penicillins and cephalosporins are ineffective. This situation occurs if infectious agents begin to produce enzymes that destroy antibiotics of this series. In this case, Ciprofloxacin will come to the rescue.

Why does angina begin and how does it proceed?

Sore throat is an acute infectious disease with pronounced local inflammatory changes in the palatine tonsils. Sore throat is mainly of bacterial origin. The causative agent of the infection is most often pathogenic bacteria, for example, beta-hemolytic streptococcus, various types of streptococci, E. coli. Sore throat of streptococcal origin is the most dangerous sore throat. Sore throat - is it worth carrying it “on your feet”? , since it often gives complications in the form of infectious and allergic diseases (for example, glomerulonephritis).

Sore throat can be catarrhal (inflammation without pus), lacunar (pus in the lacunae of the tonsils) and follicular (the follicles of the tonsils are affected). The disease is accompanied by high body temperature, intoxication and sore throat.

Antibacterial treatment of sore throat - first-line antibiotics

Purulent sore throats of bacterial origin are treated with antibiotics. It is especially important to prescribe antibiotics in a timely manner and carry out their full course for sore throats of streptococcal origin. This prevents both early complications (for example, otitis media, peritonsillar abscesses) and late complications (glomerulonephritis, rheumatism).

The main antibiotics, which are primarily prescribed for purulent tonsillitis, are penicillin antibiotics (Amoxicillin, Amoxiclav) and cephalosporins (Suprax, Ceftriaxone). The period for which treatment is prescribed is determined by the doctor, but usually it is at least 10 days, even if all inflammation in the throat has already passed. This is necessary in order to suppress the vital activity of all infectious agents and prevent the long-term consequences of sore throats. Some modern drugs are prescribed for a shorter period.

Second line antibiotics

Sometimes treatment with first-line drugs fails. This happens especially often with follicular tonsillitis caused by various types of staphylococci that produce enzymes that destroy penicillins. In this case, an antibiotic Antibiotics - will they help you in the foreseeable future? change. Most infectious agents that cause sore throats are sensitive to Ciprofloxacin, an antibacterial drug from the fluoroquinolone group. Ciprofloxacin is almost always effective for angina.

The doctor selects the dose of Ciprofloxacin individually - it depends on the severity of the disease, general condition, age, body weight and kidney function of the patient. The average dosage is 500-750 mg every 12 hours. The course of treatment is at least 7-10 days. Patients with impaired renal function are most often prescribed half the usual dose. For infections caused by streptococcus pyogenes or pneumococcus, a maximum dose of 750 mg twice daily may be required for treatment.

Ciprofloxacin for angina is prescribed in tablets. The tablets are taken regardless of food intake, but to achieve the best therapeutic effect, it is better to take them on an empty stomach, two hours after a meal, without chewing. You should not simultaneously take medications that reduce the acidity of gastric juice (antacids). In addition, you should drink more fluids.

Unfortunately, many people do not consult a doctor when treating a sore throat and treat themselves. The antibiotics chosen are different and not all are suitable for the treatment of this particular disease. In addition, treatment (including as prescribed by a doctor) is often interrupted as soon as the patient’s condition improves. As a result of such “treatment”, after a month or a month and a half, a person develops rheumatism Rheumatism - heart complications are possible or glomerulonephritis Glomerulonephritis is a severe kidney infection .

Who is Ciprofloxacin contraindicated for?

Ciprofloxacin is contraindicated in pregnant women and nursing mothers, children and adolescents under 18 years of age, as well as in case of individual intolerance to the components of the drug.

The drug is prescribed with caution and in a specially selected dosage to elderly people and patients suffering from kidney diseases with impaired kidney function.

What side effects can Ciprofloxacin have?

Ciprofloxacin is usually well tolerated by patients, but side effects, sometimes serious, also occur. These are digestive disorders, toxic effects on the central nervous system, liver and kidneys, disorders of the urinary and biliary systems, changes in blood composition, allergic reactions, and so on.

Ciprofloxacin is used successfully for angina, but this is a “backup” option for antibacterial therapy.

If you are going to purchase Ciprofloxacin, then you need to read the instructions for use in advance, which indicate the composition, release form, indications and contraindications.

The antibiotic Ciprofloxacin comes in several different forms. The manufacturer took care of every customer and released Ciprofloxacin tablets, solution, and ointment.

Pills

What is included in one tablet:

  1. Active ingredient: broad-spectrum antimicrobial agent of the fluoroquinolone group, ciprofloxacin, 250 mg, 500 or 750 mg.
  2. Additionally: starch 1500, carbohydrate of the disaccharide group (found in milk and dairy products), magnesium stearate, insoluble form of low molecular weight polyvinylpyrrolidone with cross-links, talc, hypromellose, croscarmellose sodium, colloidal silicon dioxide, macrogol 6000, additive E171, polysorbate 80.

The shell includes components, the number of which depends on the manufacturer.

The package contains from 10 to 100 tablets.

Shelf life - 5 years.

Ophthalmic ointment

The main component is the same, but the concentration is already 3 mg/ml.

Solution

The main component has a concentration of 2 mg per 1 ml of liquid.

Additional elements: Na chloride, disodium salt, hydroxypropionic acid, hydrochloric acid (diluted), water for injection.

One bottle contains 100 ml of the drug.

Indications

Ciprofloxacin for sore throat will help get rid of bacteria, the proliferation of which is caused by susceptibility to ciprofloxacin. Many buyers have questions about Ciprofloxacin, because not everyone knows what the drug helps with. Eliminates infections:

  • associated with the oral cavity;
  • ear, nose and throat;
  • kidneys and urinary tract;
  • musculoskeletal system;
  • skin;
  • arising after the birth of the baby;
  • genitals;
  • systemic inflammatory reaction in response to a local infectious process;
  • inflammation of the parietal and visceral layers of the peritoneum, which is accompanied by a severe general condition of the body;
  • prevention and treatment of infections in patients with reduced immunity (during therapy with immunosuppressants).

Read also: Instructions for use of Imudon for sore throat

If the patient applies the medicine on the surface of the skin, then subsequently he will not be bothered by:

  • marginal blepharitis;
  • bacterial ulcerative keratitis;
  • an inflammatory ophthalmological disease that affects the conjunctiva and cornea of ​​the eye;
  • inflammation of the lacrimal sac of the eye, usually chronic;
  • an infection that got into the eye after injury.

Instructions for use

Antibiotic from the group of fluoroquinolones of the 2nd generation. Acts against bacteria that do not stain with crystal violet on a Gram stain, Gram-positive aerobic bacteria.

The drug is slightly toxic and well tolerated by the body, but it is better to use Ciprofloxacin for a sore throat only after consulting a doctor and diagnostic results to determine the type of pathogenic microflora.

How to use Ciprofloxacin: The tablets should be taken orally on an empty stomach. There is no need to chew them; it is advisable to wash them down with water.

When should you not use the drug?

There are the following contraindications when it is necessary to stop taking the medication:

  • during pregnancy;
  • during breastfeeding;
  • Ciprofloxacin is not recommended for children under 18 years of age.

Before writing a prescription, the doctor must make sure that Ciprofloxacin will not harm the patient's body. Before using Ciprofloxacin, the patient must study the instructions for use.

Dosage

The drug is dosed depending on the individual characteristics of the body, and the nature of the severity of the infectious process is also taken into account.

When the disease is at the initial stage, then it will be enough to take 250 mg several times a day (in the morning and before bed). If the patient has noticeable complications and the disease is rapidly developing, then it is suggested to use Ciprofloxacin 500 mg 2 times a day.

If the patient is elderly, then, in order not to harm the liver, you need to reduce the dosage of Ciprofloxacin to 200 mg.

Basically, the course of treatment lasts about a week or up to 10 days. If the disease is severe, then the dosage must be increased (after discussing this point with your doctor).

Read also: Instructions for use of Paracetamol for sore throat

Side effects

Let's consider what side effects the drug can cause.

Regarding the digestive system:

  • nausea will appear, a pathological condition in which the patient experiences frequent (more than 3 times a day) bowel movements and vomiting;
  • pain in the abdomen and pelvis;
  • increased content of gases in the intestines and associated clinical disorders;
  • diarrhea;
  • development of pseudomembranous colitis.

The nervous system can also experience problems:

  • fatigue;
  • nightmares;
  • headaches and dizziness;
  • frequent anxiety;
  • rapid rhythmic movements of the limbs or torso caused by muscle contractions;
  • a sleep disorder characterized by insufficient duration or poor quality;
  • peripheral paralysis.

In addition, there may be an increase in heart contractions with rhythm disturbances, a decrease in the level of pressure that blood exerts on the walls of arterial vessels.

Side effects may also be noticeable in the urinary system:

  • urinary disturbance;
  • crystalluria;
  • appearance of blood;
  • inflammatory process in the kidneys.

Laboratory indicators - an increase in the concentration of the final product of the creatine-phosphate reaction, urea in the blood, and the activity of liver transaminase enzymes (ALT, AST).

The skin may begin to perceive bright light poorly.

It is especially important to pay attention to allergic reactions that may appear after using the drug Ciprofloxacin:

  • redness on the skin;
  • nettle fever;
  • the appearance of blisters that fill with blood;
  • fever that occurs due to taking antibiotics;
  • multiple hemorrhages in the mucous membranes;
  • severe shortness of breath;
  • a condition in which there is an absolute or relative increase in the number of eosinophils;
  • increased sensitivity to light;
  • vasculitis;
  • a life-threatening form of toxic epidermal necrolysis, in which dying epidermal cells separate from the dermis;
  • severe allergic pathology, the result of which is detachment of the upper layer of the skin.

If you notice at least one of the above signs, immediately seek help from a doctor.

To avoid such problems, we advise you to consider the indications for use in advance.

Ciprofloxacin for angina is used when antibiotics from the penicillins and cephalosporins are ineffective. This situation occurs if infectious agents begin to produce enzymes that destroy antibiotics of this series. In this case, Ciprofloxacin will come to the rescue.

Why does angina begin and how does it proceed?

Sore throat is an acute infectious disease with pronounced local inflammatory changes in the palatine tonsils. Sore throat is mainly of bacterial origin. The causative agent of the infection is most often pathogenic bacteria, for example, beta-hemolytic streptococcus, various types of streptococci, E. coli. Sore throat of streptococcal origin is the most dangerous sore throat , since it often gives complications in the form of infectious and allergic diseases (for example, glomerulonephritis).

Sore throat can be catarrhal (inflammation without pus), lacunar (pus in the lacunae of the tonsils) and follicular (the follicles of the tonsils are affected). The disease is accompanied by high body temperature, intoxication and sore throat.

Antibacterial treatment of sore throat - first-line antibiotics

Purulent sore throats of bacterial origin are treated with antibiotics. It is especially important to prescribe antibiotics in a timely manner and carry out their full course for sore throats of streptococcal origin. This prevents both early complications (for example, otitis media, peritonsillar abscesses) and late complications (glomerulonephritis, rheumatism).

The main antibiotics, which are primarily prescribed for purulent tonsillitis, are penicillin antibiotics (Amoxicillin, Amoxiclav) and cephalosporins (Suprax, Ceftriaxone). The period for which treatment is prescribed is determined by the doctor, but usually it is at least 10 days, even if all inflammation in the throat has already passed. This is necessary in order to suppress the vital activity of all infectious agents and prevent the long-term consequences of sore throats. Some modern drugs are prescribed for a shorter period.

Second line antibiotics

Sometimes treatment with first-line drugs fails. This happens especially often with follicular tonsillitis caused by various types of staphylococci that produce enzymes that destroy penicillins. In this case, the antibiotic change. Most infectious agents that cause sore throats are sensitive to Ciprofloxacin, an antibacterial drug from the fluoroquinolone group. Ciprofloxacin is almost always effective for angina.

The doctor selects the dose of Ciprofloxacin individually - it depends on the severity of the disease, general condition, age, body weight and kidney function of the patient. The average dosage is 500-750 mg every 12 hours. The course of treatment is at least 7-10 days. Patients with impaired renal function are most often prescribed half the usual dose. For infections caused by streptococcus pyogenes or pneumococcus, a maximum dose of 750 mg twice daily may be required for treatment.

Ciprofloxacin for angina is prescribed in tablets. The tablets are taken regardless of food intake, but to achieve the best therapeutic effect, it is better to take them on an empty stomach, two hours after a meal, without chewing. You should not simultaneously take medications that reduce the acidity of gastric juice (antacids). In addition, you should drink more fluids.

Unfortunately, many people do not consult a doctor when treating a sore throat and treat themselves. The antibiotics chosen are different and not all are suitable for the treatment of this particular disease. In addition, treatment (including as prescribed by a doctor) is often interrupted as soon as the patient’s condition improves. As a result of this “treatment”, after a month or a month and a half, a person develops rheumatism or glomerulonephritis .