- Antibiotics for sinusitis is better to entrust their choice of doctor
- For children
Antibiotics for sinusitis appointed to destroy microorganisms that cause inflammation of the paranasal sinuses pneumatic. These drugs prevent the development of complications and reduce the duration of illness. Antibiotic treatment may be local and systemic.
Local antibiotics for sinusitis
For the treatment of sinusitis
Sinusitis - the treatment may only be carried out under the supervision of a physician
there are forms of antibiotics which are administered as a spray into the nose. Such drugs can penetrate into the sinuses and act directly on the bacteria. But if these pneumatic cavities are filled with mucus and pus, drugs prove ineffective. Therefore, topical antibiotics do not always apply their own, in some cases they are assigned, together with systemic drugs.
Nasal Spray contains izofra framycetin - an antibiotic of the aminoglycoside. The drug is bactericidal (kills) many of the bacteria that cause inflammation of the upper respiratory tract.
The active substance spray is not absorbed into the blood, so the allergic reaction - only rarely experience side effects izofry. If a week after the start of treatment of sinusitis symptoms
Symptoms of sinusitis: What should I look for
stored, you must stop using this tool.
Spray Polydex - combined preparation, and it includes the following components:
- Neomycin and polymyxin B - antibiotics of different groups. They work on all possible pathogens nasal cavity and paranasal sinuses;
- Dexamethasone - a glucocorticoid, which has anti-inflammatory effect;
- Phenylephrine - a substance that narrows blood vessels of the nasal mucosa and reduce its swelling.
Pregnant and lactating women should not use this medication. Polydex also contraindicated in suspected closure glaucoma
Angle-closure glaucoma - possibly severe course of the disease
, Hypersensitivity thereto and renal diseases that are accompanied by urinary protein excretion. Spray can be used in children older than two and a half years. Side effects are very rare and occur in the form of allergic skin reactions.
Bioparox - spray for inhalation that contains fusafungine. This antibiotic of fungal origin - the only representative of the group.
Besides antimicrobial action of the drug has anti-inflammatory effect: it reduces the formation of free radicals, tumor necrosis factor (a protein that participates in the development of inflammation). When using an aerosol fusafungine penetrates the blood plasma in very small concentrations, but, despite this, bioparoks safe.
Side effects are rare. The drug is contraindicated in children under two and a half years, and people who have an idiosyncrasy of this tool.
Systemic antibiotic therapy
Systemic medications are appointed interior in the form of tablets, administered intramuscularly or intravenously. These antibiotics are used only in moderate and severe forms of sinusitis. Only a doctor can determine whether a patient antibacterial agents, for he assesses the state of human rights and especially the disease.
Microbiological examination of the contents of the maxillary sinuses helps to identify the bacteria that cause inflammation, and to determine their susceptibility to drugs. But this process will take a few days, so until the results of a person is prescribed antibiotics, which affect the most common causative agents of sinusitis.
Amoxicillin - one of these drugs. It belongs to the group of semisynthetic penicillins. But some bacteria produce penicillinase - an enzyme that breaks down the antibiotic.
If within three days after the start of amoxicillin patient's condition does not change, then prescribe medication that contains amoxicillin and clavulanic acid. The latter prevents the destruction of penicillin. These assets include amoksiklav
Amoxiclav - an effective tool against infections
, Augmentin, femoklav soljutab. Amoxicillin may be used instead of the cephalosporin antibiotics, such as cefuroxime.
If a person is due to the individual characteristics can not tolerate penicillins and cephalosporins can not be assigned (development of cross-allergy medications), then use the macrolides. These funds have a bacteriostatic effect, ie stop bacterial growth. In high doses, they begin to act bactericidal (causing the death of microorganisms). Also, the drug reduces the severity of inflammatory reactions and regulate immune processes.
Erythromycin, clarithromycin and azithromycin (sumamed) - the most common drugs of macrolides. Most often they are administered as tablets or powder for suspension which is taken orally.
Macrolides in the stomach by the action of hydrochloric acid and then partially destroyed well absorbed in the intestine. When you receive the blood they bind to proteins and is distributed in all organs and tissues. These antibiotics penetrate into macrophages - cells that capture and digest bacteria. Thus drugs penetrate directly in the inflammation.
Fluoroquinolones - another group of antimicrobial agents that are assigned to patients if penicillin does not help. These tools include levofloxacin, moxifloxacin and sparfloxacin. Their use leads to the death of the bacteria that cause inflammation of the sinuses.
Fluoroquinolones are only conditionally to antibiotics, although the mechanism of action and indications are close to him. This is due to the fact that there is no natural counterpart fluoroquinolones and antibiotics are products of natural origin or structurally related substances.
Antibiotics - one of the main drugs used to treat sinusitis. Only a doctor can decide whether the patient to these drugs. The expert not only choose the most appropriate antibiotic, and will observe the condition of the patient and monitor the success of the treatment.