Briefly about angina
Angina is acute inflammation of the tonsils and / or other parts of the pharyngeal ring provoked by infections. In most cases, this disease is Staphylococcus aureus, β-hemolytic streptococcus, chlamydia, pale treponema (Azithromycin is effective against them), at least - the fungi Candida. If not properly treated, it can be complicated by peritonsillar abscess, cellulitis, purulent otitis, lymphadenitis, heart disease, an autoimmune disorder.
The therapeutic properties Azimitrotsina angina
Azithromycin belongs to antibiotics of the azalide, macrolides. Its recommended for the bacterial infections in case of intolerance to penicillins cephalosporins.
The active component of the antibiotic is azithromycin (for ATC J01FA10 cipher). This antimicrobial agent broad spectrum inhibits protein synthesis and impairs growth, reproduction of bacteria. When assigning "shock" dose of drug immediately begins to destroy the infection.
The main advantage of azithromycin to other groups of antibiotics is considered to be substances that azithromycin rapidly accumulates in the tissues of the throat ring and removed slowly from infection hearth. The medicine acts more 5-6 days in the tonsils after completion of treatment than
prevents recurrence or complications of tonsillitis.Azithromycin is effective against:
- Staphylococcus aureus;
- drug-sensitive strains of Streptococcus;
- chlamydia;
- Toxoplasma gondii;
- unstable erythromycin gram positive bacteria;
- pneumococci, mycobacteria, mycoplasma, other lung infections;
- Treponema pallidum (spirochetes);
- anaerobic bacteria.
The medicine does not treat viral and fungal infections. Azithromycin helps only with bacterial tonsillitis or other illnesses caused by pathogens susceptible to azithromycin. So do not give up the microbiological testing and antibiogram. Their results allow LORu timely correct treatment regimen.
Recommendations on receiving an antibiotic for sore throat
Treatment of sore throat azithromycin is recommended when flegmoznoy, follicular or lacunar form of bacterial disease and its complications in the ENT organs. Doctor calculates the dose based on patient weight, age, severity of clinical and related heart abnormalities, kidney and liver.
When antibiotic treatment should also drink pro- and prebiotics to prevent diarrhea or constipation due to dysbiosis. At temperatures above 38º C must take antipyretics.
Azithromycin treatment of angina should be combined with inhaled up to 3 times a dayWith frequent rinses with a solution of manganese, and other Furacilinum aseptic preparations, herbal broths. Little child is given every half hour to drink fruit juice, tea with lemon juice, and in the daytime on the neck wear, dry bandage.
How to take Azithromycin angina:
- You can not both drink with anatsidami, during or shortly before a meal;
- children weighing up to 44 kg the daily dosage doctor expects 5-20 mg / kg;
- Adults may take a day to 1 g Azithromycin;
- therapy scheme can not violate or exceed the daily dosage - is lost therapeutic effect manifested side effects or signs of poisoning;
- remedy for angina consumed orally once / day, with obligatory 24-hour intervals, abundantly not cold drinking water without gas;
- Capsule impossible to pour or drink powder uncoated and tablets to chew or crush too rapid absorption adversely affects the liver;
- Azithromycin drink after 120 minutes after a meal or one hour before eating food, taking it on an empty stomach is not recommended;
- Accidental use pass a medicine in compliance with the time slot before / after a meal, and the next time - even after 24 hours;
- at the appearance of side effects or signs of an overdose of the drug is stopped to drink and consult a physician.
Only a doctor should prescribe, how many days to take azithromycin. According to the medical forecast with adequate treatment of angina lasts up to 8 days. The manual states that the antibiotic is necessary to use three to five days, plus azithromycin substance still works for almost a week. In total, the therapeutic effect lasts 9-12 days: it is not necessary to extend treatment to or greater than the daily norm - may be a drug overdose or poisoning.
When one of angina used regimens:
- first prescribed day 10-20 mg / kg (but not more than azithromycin age norm), then for four days at a dose of 5 mg / kg;
- administered three days at the rate of 10-20 mg / kg;
- three days of use 10 mg / kg, followed by two days of 5 mg / kg.
Azithromycin should not be taken if you are hypersensitive macrolides, women during pregnancy and for children 0-6 months, with a weight of less than 5 kg. This antibiotic does not combine treatment with ergotamine or its derivatives. Breastfeeding is stopped for a period of therapy plus 8 days after the course.
Antibiotics for sore throat in adults
When angina adult use Azithromycin capsules of 500 mg or 500 mg tablets. When the complicated form of the disease the physician to the patient over 16 years may designate antibiotic solution for intravenous administration.
Instructions for Use of azithromycin in angina:
- Intravenous antibiotics do only in hospitals. When complicated by angina adult put a drip once daily at 500 mg for 2 days. Lyophilisate g / medication infusion preparation may be diluted with sterile water g / injection. The finished solution is administered once / drip (bolus impossible!) For 1-3 hours (depending on the concentration of the substance). On the third day of treatment the patient is transferred to pills of 250 mg / day;
- Adults Azithromycin 500 angina prescribed 1 time / day. Momentary drink 500 mg-1 g (1-2 tablets), while the rest of the day 2-4 - Table 1 * 250 mg or 500 mg..
For patients with low body mass index (less than 45 kg), or severe visceral functions required daily dosage of the drug correction or replacement.
The use of antibiotics in the treatment of sore throat in children
Azithromycin angina in children from 6 months only used in powder form d / suspension. When the child is older than 3 years to learn how to swallow, doctors allow the use of tablets of 125 mg, if it weighs more than 12 kg. When a body weight between 18-44 kg pediatricians allowed to use a dosage of 250 mg of the antibiotic. But manufacturers have provided only in the treatment of children receiving the suspension, so that the child choked on a solid form of the drug. Posle12 adolescents age with a weight of 45 kg tablets or capsules administered 500 mg.
Dosage Azithromycin angina:
- streptococcal form at 20 mg / kg / 24 hours for three consecutive days, maximum - 500 mg / day;
- angina in children from six months to 3 years prescribed slurry "Azithromycin 100 mg / 5ml" once 10-20 mg / kg, or 2-3 then 2-5 day - 5 mg / kg;
- angina in children with a weight of 12 kg are given syrup "Azithromycin 200 mg / 5ml" in a volume of 0.5 ml per 2 kg of the actual weight of the child;
- Treatment of 125 mg tablets is carried out 3 days: children with a weight of 18-30 kg give 250 mg / day (2 tablets.) and from 31 to 44 - 375 mg (3 tablets.);
- angina adolescents with a body weight above 45 kg adult dosage applied: 1 tablet / capsule 500 mg / 24 hours for three consecutive days.
Tonsillitis refers to infectious diseases, therefore it is necessary to monitor the purity of the drug, and measuring spoons boiled dishes sick child.
Antibiotic treatment of purulent tonsillitis
When purulent tonsillitis can not be carried out warming procedure, inhalation, to self-medicate. Autopsy abscess without subsequent readjustment may end sepsis and death. With this form of the disease are treated in a hospital, antibiotic therapy lasts 3-5 days, depending on the dose regimen. Complex patient can be administered NSAIDs, steroids, antiallergic agents and probiotics.
When purulent tonsillitis Azithromycin is prescribed, if a person is allergic to the antibiotics penicillin or cephalosporin. The first day patients older than 16 years of drug administered dropwise in / 500 mg / day. In a complex used during the infusion at 2 and 3 days, and then transferred to antibiotic oral intake of 250-1000 mg.
When purulent angina in patients weighing less than 45 kg administered azithromycin tablet, capsule or suspension. Children may register the first three days of antibiotic loading dose (10-20 mg / kg), but without exceeding the age daily norm.
the reader
When tonsillitis Azithromycin can be replaced by its structural analogue ATC code J01FA10. It Sumamed, Azimitsin, Azitrus, Sumamoks, other single component with antibiotics azithromycin.
regimens are set forth for the purpose of review. Dosage selects the physician on an individual basis: it will quickly cure a sore throat and avoid drug poisoning.
sources:
Vidal: https://www.vidal.ru/drugs/azithromycin__24064
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = 464b69bc-52b8-420f-a2fd-5160efbe8523 & t =
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