Sinusitis is a serious ailment, with the appearance of the very first symptoms of which you need to start treatment as soon as possible. This will help to avoid dangerous consequences. If the ailment is started, then antibiotics are usually prescribed for sinusitis in adult patients.
Material Content:
Indications for use
It is important to prescribe the discussed drugs to the patient only if a bacterial infection has become the cause of the disease. Only a doctor (ENT) can prescribe antibiotics to the patient after the diagnosis is clarified. To do this, an analysis is necessarily carried out to determine the sensitivity of the microbes that provoked inflammation. This will allow you to choose the most suitable effective antibacterial drugs in each case. The dose and duration of treatment is also determined by a specialist.
Antibiotics will be completely useless, for example, with an allergic type of disease or with a chronic course of the disease.
In such conditions, the discussed medications can only worsen the patient's condition.
When antibiotics are needed for sinusitis?
With an unreleased mild form of sinusitis, doctors usually prescribe complex therapy to the patient, which includes only special nasal drops, inhalation with medications and nasal lavage. If you follow all the recommendations of a specialist and immediately begin treatment, this is enough to defeat the disease.
If the patient has already developed severe pain in the nose, body temperature has risen or purulent discharge has been noticed at all, then in this case the list of therapeutic procedures will necessarily include the intake of antibacterial medicines.
How to choose?
As already noted above, antimicrobials are always prescribed individually to the patient by the doctor. The most suitable laboratory tests are determined taken from the nose of the biological material of the patient. The sensitivity of the detected pathogens to certain medicines is taken into account. Thus, the most effective and efficient means are selected.
If the doctor offers the patient several antibacterial drugs of the same group at once, then when choosing it is worth stopping at one that has a minimal list of possible side effects. It happens that a specialist recommends an expensive remedy to a patient, as he receives an additional bonus for such an “advertisement”. Therefore, it is advisable to check the prescribed drug for the presence of budget, but no less effective analogues.
List of drugs by release form
Modern pharmacies offer customers a huge selection of antimicrobial drugs against sinusitis. It is especially convenient that they are all available in various forms - tablets, sprays, drops, injections. As a result, it is possible to choose exactly those that are suitable for the patient in all respects and will not harm the body. For example, injections are often given if the patient has serious gastrointestinal problems. When taking pills it is strictly contraindicated.
Antibiotics in tablets
Any antibiotics in tablets should be taken during the acute phase of the disease. Such medicines of the latest generation do not inhibit the natural intestinal microflora and have a minimal list of contraindications:
Sumamed.
Able to cope with a large number of pathogenic microorganisms. Antibacterial therapy with the use of this drug lasts only 5 days.
Flemoxin Solutab.
The medicine begins to act actively 2-3 hours after taking the first tablet. It has only a minimal effect on the functionality of the stomach and intestines.
Clarithromycin
Inexpensive and effective drug. It affects both extra- and intracellular bacteria.
Avelox.
Selected by a doctor if all other pills are ineffective. It is a broad-spectrum antibiotic.
This list of antibiotics with names will tell you which drug is more relevant to use in each case. But it is better to entrust this important choice to the doctor.
Drops and sprays
Antibiotics in drops and sprays are especially popular among patients. They are indicated for patients with diseases of the liver and kidneys, as well as those suffering from dysbiosis.
Among the most effective drops are the following:
Sofradex.
A comprehensive tool that includes three active components at once. Often it is prescribed for otitis media for instillation in the ears, but you can use the medicine as nasal drops.
Garazon.
Suitable for combating inflammation of the eyes, ears, as well as sinusitis.
In general, sprays and drops are prescribed for a mild degree of ailment. Of the sprays, the most effective can be called:
Polydex (with phenylephrine).
The drug is used for a week. He actively fights bacteria and constricts blood vessels. As a result, swelling of the mucous membrane in the nose quickly subsides, and the patient feels relief.
Isofra.
This drug is distinguished by its ability to easily penetrate even the most inaccessible places. The course of therapy with such a spray also lasts no more than a week.
Sinus injections
This form of antibiotic is usually chosen by a doctor only for severe inflammatory processes in the patient's body. The course of therapy with sinusitis injections will last no longer than a week.In the process, specialists carefully monitor the patient's condition. If he perfectly tolerates the introduction of the medication, then the course can be increased by a few more days.
For injections against sinusitis, the following medications are usually selected:
Cefazolin.
The concentration of the main active substance of the drug is stored in the blood for 12 hours. It has a pronounced antimicrobial effect.
Amoxiclav.
A drug with a bactericidal effect. Most often prescribed to patients in high doses.
Classification of antibiotics with names
Today you can meet the classification of antibiotics according to different characteristics. Their main separation is carried out by chemical structure. This helps determine what type of microbes a particular drug can handle. The correct selection of the medication does not allow bacteria to develop immunity to a certain type of medication.
Protected aminopenicillins
The first antimicrobial drugs that were created by humans were penicillins. Their reception allows you to stop the growth and development of the causative agent of the disease. As a result, pathogens quickly die.
Over time, bacteria have developed resistance to conventional penicillin antibiotics. To combat the improved organisms, scientists managed to create protected aminopenicillins.
Based on them, drugs with a wide spectrum of action are produced, which are prescribed for a variety of pathologies. This is not only severe sinusitis, but also gonorrhea, pneumonia, sinusitis, dysentery and others.
Amoxiclav and its analogues stand out among such preparations. For example, Suprax, Amoxicillin, Amosin.
Macrolides and Cephalosporins
Preparations of the macrolide group are most often prescribed for children and pregnant women, since they have low toxicity and only in rare cases cause allergic reactions. Such antibiotics have an effect on the focus of inflammation.
Macrolides are used in a short course - no longer than 3 days. Effective in the treatment of lungs, ENT organs and pelvic infections. Their list includes: Macropen, Ilozon, Azivok, Ekomed.
Fluoroquinolones
Medicines of this group are characterized by a powerful antibacterial effect. They disrupt the DNA synthesis of bacteria, than destroy them. Such drugs have many side effects. Therefore, they are prohibited for children and pregnant women.
Suitable for topical treatment of inflammation of the ears and eyes. Among these antibiotics: hemifloxacin, moxifloxacin and others.
Pregnancy Use
Antibiotic treatment of sinusitis with antibiotics "in an interesting position" can be dangerous for both the mother and the fetus. Therefore, you should try to start therapy as soon as possible in order to get by washing your nose and using safe sprays and drops.
If a pregnant woman still needs antibiotic therapy, then it should be carried out under the constant supervision of a doctor. Expectant mother is prescribed drugs that do not have a teratogenic effect. For example, you can use: Cefotaxime, Vilprafen and Suprax.
