Antibiotics for cystitis

Modern antibiotics for acute cystitis do not require identification of the pathogenic microorganism (through laboratory testing of urine) and determination of its sensitivity to a specific drug.

New generation pharmacological drugs are universal agents that suppress the activity of most pathogens (staphylococcal infection, E. coli, etc.).

In the chronic stage, on the contrary, a full examination is indicated to establish the underlying cause of the disease. Antibiotics for chronic cystitis are selected especially carefully, after urine analysis and detection of the sensitivity of viruses to a particular antibiotic.

Treatment tactics for bacterial cystitis (acute and chronic stages) include taking antibiotics. The fact is that an untreated acute process, stabilized for a time by following a special diet and regimen, can develop into a latent, sluggish pathology, which develops into a chronic form at the first irritating factor (stress, hypothermia, etc.).

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Treatment of cystitis with antibiotics

Inflammation of the bladder requires diagnosis to identify the form of the disease (acute, chronic and recurrent), as well as to build an individual therapeutic regimen based on the test data and the clinical course of the pathological process. Only a competent doctor can recommend antibiotics for cystitis, reducing pain, burning and stinging during urination. Self-medication with antibiotics can lead to a worsening of the condition.

Treatment of cystitis with antibiotics that create the required concentration in urine is carried out with the use of anti-inflammatory drugs. In addition, patients are often recommended to stimulate the body's immune forces.

The course of antibiotic therapy can be 1, 3 and 7 days. Groups of drugs for the treatment of cystitis:

1. penicillins - cephalexin, ampicillin, dicloxacillin, etc.;
2. containing tetracycline – tetracycline, minocycline, doxycycline;
3. sulfonamides - sulfisoxazole, sulfamethizole;
4. nitrofurantoin is an antiseptic used in the treatment of the urinary tract;
5. Erythromycin is active against staphylococci, gonococci, and streptococci.

A urologist should select the drug, duration of administration and dosage, as well as the possibility of using universal antibiotics that suppress the majority of pathogenic microorganisms.

It should be noted that over time, bacteria have developed resistance to a number of drugs. For this reason, a decrease in the therapeutic effect is observed for the following substances:

• Biseptol – activity against E. coli is 25-85%;
• ampicillin – does not help in 30% of cases when E. coli is detected;
• the nitrofuran group (furadonin, furagin) – are used strictly for prophylactic purposes;
• a group of non-fluorinated quinolones – characterized by a narrow spectrum of action compared to fluorinated agents;
• The first generation of cephalosporins (cephalexin, cephradine, cefadroxil, etc.) are inactive against gram-negative pathogens.

Treatment of chronic cystitis with antibiotics

If chronic bladder inflammation is suspected, the diagnosis should be confirmed and the cause of the disease should be determined through laboratory tests and additional diagnostic procedures.

Treatment of chronic cystitis with antibiotics is prescribed after identifying the microorganism that provokes the pathology and its sensitivity to a number of antibiotics. In the case of a chronic process, fluoroquinolone group drugs are recommended: ciprofloxacin, norfloxacin, ofloxacin. These drugs provide antimicrobial action against most known pathogens of the lower urinary tract. The advantage of these drugs is their pronounced activity in suppressing pathogenic flora, even in the case of detection of Pseudomonas aeruginosa.

The success of therapy largely depends on the correct dosage and duration of medication. The indicated antibiotics for cystitis are not used in the treatment of children under 15 years of age due to possible anomalies in the formation of skeletal muscles, pregnant and lactating women. The fluoroquinolone group should not be prescribed to people with individual intolerance to the components.

Treatment of acute cystitis with antibiotics

Medical tactics for acute inflammatory process do not require detection of microorganism and can be based on the use of broad-spectrum antibacterial agents. In order not to start the process and prevent chronic stage, acute cystitis must be treated in a timely manner.

The most popular remedy based on fosfomycin trometamol is the drug monural. The antibiotic has become widespread due to its ability to inhibit the reproduction of bacteria and resist their ability to penetrate the mucous membrane of the bladder. The unique antibacterial substance can relieve acute inflammation in one dose.

Treatment of acute cystitis with antibiotics is not carried out by chance. It is impossible to completely cope with a bacterial infection without relapses in the future and the absence of exacerbations (chronic process) without the use of antibiotics. With therapy with herbal preparations, the disease can retreat for a while, and then manifest itself with renewed vigor at the slightest irritant (hypothermia, stress, immune shifts, etc.).

Alternative antibiotics for acute cystitis:

• co-trimoxazole;
• fosfomycin;
• norfloxacin.

The duration of the course and the dosage of the drug are prescribed by the doctor according to the individual characteristics of the course of the disease.

Name of antibiotics for cystitis

In the treatment of the inflammatory process of the bladder the following are used:

• antibiotics – necessary in the fight against bacterial, fungal microorganisms and parasitic infections;
• herbal preparations are an integral part of complex therapy in parallel with antibiotics or as independent drugs in the early stages of the disease;
• probiotics – combined with antiviral treatment to normalize intestinal and vaginal microflora;
• antispasmodics – as pain relievers.

Antibiotics for cystitis are an integral part of the treatment process in cases of acute and chronic course of the disease. The effectiveness of therapy is monitored by the attending physician, who can replace the drug if necessary.

The names of antibiotics for cystitis that are most widely used:

• monural - the popularity of a modern drug in the treatment of acute cystitis is due to the possibility of taking it without laboratory testing of urine;
• nitroxoline (5NOK) – belongs to the group of oxyquinolines, used for cystitis, urethritis, pyelonephritis, epididymitis;
• furadonin (nitrofuran base) is an effective remedy in case of bacterial inflammation;
• furagin - used in case of infectious and inflammatory process;
• rulid - a group of macrolides, is a broad-spectrum substance, used only as prescribed by a doctor;
• palin is a group of quinolones, effective against gram-negative and gram-positive microorganisms;
• Nolitsin is a fluoroquinolone group, a modern antibiotic with a wide range of applications in antimicrobial treatment;
• Nevigramon - based on nalidixic acid with pronounced antibacterial properties.

Antibiotics for cystitis in women

Cystitis is more common in women due to the anatomical features of the structure of the genitourinary system (for example, the urethra is located in close proximity to the anus and vagina).

Inflammation of the bladder in women requires careful diagnostics with a visit to the gynecologist, urine analysis/culture, DNA testing, and ultrasound of the genital area. The duration of treatment and antibiotics for cystitis in women are prescribed based on the type and severity of the inflammatory process. The course of therapy is 2-3 weeks. Modern antibacterial agents do not have a toxic effect on the body and have a minimal list of side effects. Women are recommended the following antibiotics for cystitis: sulfonamides, amoxicillin, fluorochlorinols, fosfomycin. Often, simultaneous administration of drugs from different groups is required.

During treatment, it is important for a woman not to get too cold, drink more water, follow a diet (do not eat fried, spicy, salty foods), exclude tobacco and alcohol, and have sex using a condom. After recovery, it is recommended to undergo preventive examinations and maintain the body's defenses. Fluoroquinolones and nitrofurans are suitable for preventive use.

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Antibiotics for cystitis in men

A rare occurrence - cystitis in men occurs against the background of prostatitis/urethritis due to a violation of the function of urine outflow and its stagnation in the bladder.

Inflammation of the bladder mucosa can be detected at any age due to non-compliance with hygiene rules, the presence of a sexually transmitted infection (gonorrhea, mycoplasma, etc.), inflammation of the testicles, frequent illnesses (flu, sinusitis, etc.), renal tuberculosis, hypothermia. When the first symptoms of the disease appear - burning and pain during urination - it is better to visit a urologist.

The choice of treatment regimen will depend on the diagnostic results:

• urine culture to identify pathogenic microflora;
• quantitative content of erythrocytes, leukocytes, mucus according to a general urine analysis;
• urogenital examination for the presence of latent infections;
• ultrasound examination of the kidneys and prostate;
• cystoscopy and biopsy to determine the presence of stones and neoplasms.

Antibiotics for cystitis in men are prescribed according to the identified pathogen:

• fluoroquinolone group – nolitsin, ciprolet, normax, tsifran;
• nitrofurans – furadonin;
• cephalosporin group.

No-shpa, nimesil, diclofenac, papaverine will help to eliminate painful sensations. The average duration of therapy is a week.

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Antibiotics for cystitis in children

According to statistics, the cause of cystitis in children is most often E. coli, but before starting treatment, it is recommended to determine the sensitivity of the pathogenic flora to the pharmacological drug.

Urinary tract infections are a fairly common bacterial problem in childhood. In 1-5% of cases, the disease occurs without pronounced symptoms. Moreover, inflammation is more often detected in boys under one year old, which is due to congenital anomalies of the urinary system. In the age range from 2 to 15 years, the greatest number of cystitis occurs in female patients.

Antibiotics for cystitis in children in the acute process:

• clavulanate or amoxicillin in tablets/suspension three times a day, 40-60 mg per kg of weight, over 12 years old, 375 mg;
• cefixime – 8 mg per kg of weight once a day, over 12 years old – 400 mg;
• cefuroxime – twice a day: 30-60 mg per kg of weight for newborns, 30-100 mg per kg of weight for children under 12 years old; over 12 years old - 250 mg.
• Alternative choices include: co-trimoxazole, nitrofurantoin, nalidixic acid.

Antibiotics for acute cystitis are prescribed in a seven-day course. A single dose gives a large number of relapses. For prophylactic purposes, nitrofurantoin is recommended in a six-month/yearly course in the amount of 1-2 mg per kg of weight per day.

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How to treat cystitis with antibiotics?

Antibiotics for cystitis are recommended depending on the microorganism causing the infection. Non-steroidal anti-inflammatory drugs will help to cope with pain: Nurofen, Diclofenac, Indomethacin, the intake of which continues from 10 to 21 days. No-shpa, Ketorol and Baralgin are widely used as antispasmodics.

In antibiotic therapy, the duration of administration and dosage are very important, which are determined by the urologist according to individual indications. The doctor monitors the recovery process, the combination of the main drug with herbal components.

How to treat cystitis with fluoroquinolone antibiotics? Levofloxacin and norfloxacin are taken orally in the following dosage: 250 mg once a day and 400 mg twice a day, respectively. These drugs have high bactericidal activity, have a wide spectrum of antimicrobial action, are characterized by good tissue penetration and a long half-life.

Alternative treatments for acute inflammation of the bladder include:

• fosfomycin – single dose 3g;
• amoxicillin and clavulanate - three times a day, 375 mg;
• nitrofurantoin – 100 mg three times a day.

Antibiotics for cystitis are taken once or in courses of 3 to 7 days. The duration of therapy increases with:

• the patient is over 65 years old;
• relapse of the disease;
• diabetes mellitus;
• disease in men;
• pregnancy;
• certain types of contraception (diaphragm, spermicide).

Antibiotic for cystitis monural

Monural is a universal remedy based on phosphonic acid for the treatment of infectious processes of the lower urinary tract. Advantages of the drug: active action against most known microorganisms (E. coli, staphylococcus, etc.).

For acute pathological process antibiotic for cystitis monural is taken orally once, except for particularly severe cases (hematogenous cystitis), when repeated administration of the drug is required. The drug is characterized by rapid penetrating ability into the blood and kidneys. The maximum concentration of the drug in urine is maintained for a day or more, which allows you to completely cope with pathogenic microflora.

The activity of monural is to inhibit enzyme activity, which is the building material for the walls of infectious cells. The antibiotic for cystitis monural does not cause toxic reactions, so the drug can be taken by pregnant women.

The medicine is not prescribed: in cases of individual sensitivity, serious kidney pathologies, in the treatment of children under 5 years of age, during breastfeeding (it gets to the baby with milk).

Monural is rarely used in cases of chronic processes, since it is impossible to cope with an advanced form of cystitis with a single dose of the drug.

In order to control the quality of the treatment course, a urine test is performed.

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Antibiotic for cystitis nolicin

Nolitsin belongs to the second generation of fluoroquinolones and is a drug with a broad spectrum of action. The tablets are indicated for the treatment of cystitis in patients of any gender. They are not prescribed to children under 18 years of age, as well as to women during pregnancy and breastfeeding.

Based on the specifics of the inflammation, the antibiotic for cystitis Nolitsin is recommended in the following dosages:

• for prophylactic purposes – 200 mg/2 times a day for 10 days for three months;
• uncomplicated acute cystitis – 400 mg/2 times a day for 7 to 10 days;
• chronic process – 400 mg/2 times a day for 2 to 4 weeks;
• complicated conditions - at the discretion of the doctor.

The medicine is taken on an empty stomach with a large volume of water.

Nolitsin is not used in cases of individual intolerance, in cases of liver/renal failure, in a state of enzyme deficiency of glucose-6-phosphate dehydrogenase.

The drug rarely causes side effects, which in addition to allergies include: digestive problems, dizziness, fatigue, convulsions and headaches.

The antibiotic is incompatible with alcohol and the nitrofuran group.

Single-use antibiotic for cystitis

It has become possible to quickly return to your normal lifestyle, forgetting about the unpleasant symptoms of cystitis, thanks to new-generation drugs. Such fast-acting drugs include monural and tsifran - antibiotics with a wide spectrum of action. The therapeutic effect is achieved through prolonged action, based on the ability of the drug to create maximum concentration in the infectious focus.

Fosfomycin trometamol (analog of monural) - a single-use antibiotic for cystitis - is also effective in suppressing most known microorganisms. Treatment is achieved by maximizing the accumulation of the active substance in the urine.

The advantages of single-dose therapy are:

• quick recovery with minimal effort;
• low financial costs;
• minor side effects;
• absence of the possibility of the development of resistance on the part of microorganisms.

A single dose is typical in the treatment of acute uncomplicated inflammatory process of the bladder. Antibiotics for cystitis, used in short courses:

• amoxicillin/clavulanate – penicillin-protected β-lactam antibiotics;
• cefixime, ceftibuten, cefuroxime, cefaclor – oral cephalosporins of the II-III generation;
• co-trimoxazole.

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Antibiotics for cystitis during pregnancy

Treatment of diseases while expecting a child should be gentle, agreed upon with a doctor, and the appropriateness of its appointment confirmed by test results.

During pregnancy, cystitis often manifests itself in the early stages, when the immune system is at its weakest. The choice of therapy, both traditional and folk, should be approached with special caution. No doctor can predict the reaction of a pregnant body to a familiar herbal collection. It is also known that common antibiotics for cystitis have a detrimental effect on the embryo.

In the treatment of cystitis in pregnant women, it is necessary for the drug to act directly at the site of infection, i.e. in the bladder. Fortunately, the pharmaceutical market is actively developing and today there are approved antibiotics for cystitis during pregnancy:

• monural - a powder with a broad spectrum of action, recommended in case of acute inflammation. Most often, the therapeutic course consists of one dose of 3 g of the substance dissolved in water. The medicine is used according to medical indications, sometimes a second dose is required, and in case of a more severe clinical picture - systematic maintenance of the drug concentration for seven days;
• Kanefron - based on plant materials, helps to get rid of spasms in acute and chronic inflammation, has antimicrobial and diuretic effects. The daily dose of the drug is 2 tablets / 3 times a day;
• Cyston - is characterized by anti-inflammatory and diuretic action. The selected complex of plant components not only copes with the symptoms of cystitis, but also helps remove sand/stones and kidneys. The recommended dose for adults is 2 tablets/2-3 times a day;
• Amoxiclav - this drug is used less frequently due to possible negative effects on the fetus.

Often, women expecting a baby undergo bladder instillation, during which medicinal substances (boric acid, rivanol, oils, etc.) are injected directly into the pathogenic focus via a catheter. Such therapy is possible only in the early stages of pregnancy and for special indications.

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Cystitis after antibiotics

The use of pharmacological drugs at one's own discretion or therapy with folk methods can harm health and cause an exacerbation of the pathological process. The condition of acute cystitis after antibacterial treatment is a common occurrence in clinical practice. In women, bacterial vaginosis and vaginal candidiasis ("thrush") are added to the pathology of the bladder.

As it turns out, cystitis after antibiotics is a completely natural consequence of self-medication or poorly constructed medical tactics. The culprit of the disease is considered to be opportunistic microorganisms present in the vagina, on the head of the penis and perineum. In a healthy body, the microflora is restrained by the immune system.

In cases of cystitis with candidiasis, the use of antimicrobial agents is strictly prohibited. Therapy is based on the use of flucostat with external treatment of the genitals with nystatin ointment or candida cream.

Antibiotics for cystitis act as provocateurs of exacerbation of candidiasis, therefore their use requires mandatory maintenance of the body's defenses. In order to increase immunity for 1.5-2 months, it is necessary daily:

• drink a glass of kefir with lactobacilli before going to bed. It is even better if you make the kefir yourself from a purchased starter or take probiotics with live strains of lactic acid bacteria;
• take two tablets of Complivit;
• drink echinacea tincture twice a day (25 drops per half a glass of water);
• At lunch, before the main meal, drink a tablespoon of paste-like phytolysin, dissolved in half a glass of warm water.

The described preventive measures will help prevent cystitis after antibiotics and maintain the normal state of the intestinal microflora without the manifestation of consequences in the form of dysbacteriosis.

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The best antibiotic for cystitis

Patient reviews and clinical practice data indicate that the best antibiotic for cystitis today is monural, which suppresses the proliferation of microorganisms and improves the bactericidal properties of urine. Patients note an improvement in their condition within a couple of hours after taking the drug.

It should be remembered that monural is effective in acute inflammation of the bladder, so only a urologist can prescribe treatment based on the diagnosis and the established type of cystitis. No less effective antibiotics for cystitis, used only on the recommendation of the attending physician:

• nevigramon;
• nitroxoline;
• normax;
• nolitsin;
• norbactin.

If symptoms of an ascending infection are detected, in addition to antibacterial drugs, sulfonamides (biseptol, 5NOK) should be taken.

According to doctors, the best antibiotic for cystitis is an individually selected remedy in accordance with the characteristics of the disease (pathogenic microorganism, severity of the process, concomitant pathologies, etc.).

Natural antibiotic for cystitis

Modern medical science develops products based only on plant materials, which are not inferior in effectiveness to conventional antibacterial drugs. The advantages of innovative drugs are:

• no side effects;
• no effect on the beneficial bacteria of the body;
• possibility of use in the treatment of children, pregnant and lactating women.

Cetrazine is a natural antibiotic for cystitis that not only has good antiviral and antibacterial properties, but also has a pronounced anti-inflammatory effect, strengthens the body's defenses without causing dysbacteriosis. The main component of the medicine is Icelandic moss with usnic acid, which is active against streptococci, staphylococci, mycobacteria, etc.

An extract from the andrographis plant helps fight viruses by stimulating immune cells. The antibiotic for cystitis, cetrazine, contains propolis and St. John's wort, known for their anti-inflammatory, antimicrobial and antispasmodic effects. Pancreatin enhances the effect and assimilation of the drug.

The multi-component preparation is recommended for use in urology and gynecology. The course of treatment for adults is 10 days at a dosage of 1 tablet/3 times a day with meals.

How to cure cystitis without antibiotics?

Antibiotics for cystitis are prescribed in the acute and chronic stages of the inflammatory process, as well as in cases of relapse of the disease. Conditions not accompanied by severe pain syndrome and temperature can be treated with herbal preparations:

• Monurel - tablets with cranberry extract and ascorbic acid (vitamin C), preventing bacteria from attaching to the bladder mucosa. Used as a preventive measure and for long-term use;
• Cystone is an Ayurvedic remedy that contains over a dozen herbal components. It has a pronounced diuretic, anti-inflammatory, antimicrobial effect. Long-term use of the drug relieves inflammation, increases the activity of antibiotics, and causes the removal of kidney stones;
• Phytolysin paste is a herbal mixture of nine plants with the addition of pine, orange and sage oils. The water-alcohol extract is an antispasmodic, has an anti-inflammatory and diuretic effect, and causes the removal of sand from the kidneys;
• lingonberry leaf - is extremely active against Staphylococcus aureus, in addition to its antimicrobial action, it helps to increase immunity;
• Kanefron is a herbal preparation (rosemary, centaury, lovage root) sold in tablet form, dragee and solution. Reduces pain, burning during urination. Prevents complications of cystitis in the chronic stage.

The above natural remedies answer the question of how to cure cystitis without antibiotics. In order to speed up the healing process and avoid relapses, you should follow the rules:

• bed rest;
• warming the lower abdomen with a heating pad;
• foot baths;
• drinking anti-inflammatory decoctions of chamomile, dill, calendula, etc.;
• eliminating salty, smoked, spicy and fried foods from the diet;
• stop smoking and drinking alcoholic beverages;
• drink more liquids (compotes, decoctions, fruit drinks, green tea).

If no effect is observed within one or two weeks, you should consult a specialist who will prescribe antibiotics for cystitis.