Antibiotics for laryngitis

Laryngitis – this name covers a larynx disease that has an inflammatory basis, but the reasons that provoke its occurrence and development can be different. And no one has a question whether it is worth treating laryngitis – of course it is? Of course it is, but with what? Should you take antibiotics for laryngitis? This is the question we will try to answer in this article.

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Are antibiotics necessary for laryngitis?

Pharmacology does not stand still, offering more and more new drugs with higher therapeutic characteristics. Innovative antibacterial drugs easily cope with those tasks that until recently were solved only with the help of antibiotics. Therefore, a legitimate question arises: are antibiotics necessary for laryngitis? Moreover, not only pathogenic microflora can cause progressive laryngitis.

If a dilemma about the need to prescribe medications has arisen, it is first necessary to determine the root cause of the problem, because the use of antibiotics, in some cases, will not lead to any positive progress.

What are the primary causes that provoke this disease and are not treated with antibiotics:

• Pathology caused by allergies (allergic laryngitis).
• Professional predisposition:
  • Book dust of libraries.
  • Increased stress on the vocal cords of a singer or teacher.
• Burn from gastric juice due to periodic belching (problems with the gastrointestinal tract).
• Autoimmune causes of the disease, decreased body defenses. That is, laryngitis as a result of a violation of immune defense mechanisms.
• Pathology caused by a fungal infection. Mostly affected are people with a history of immunodeficiency or those who have undergone a long course of antibacterial therapy.

Based on the above, there is only one conclusion - only a specialist should prescribe antibiotics for laryngitis. Only a qualified doctor, based on the examination and the results of the examination, can correctly diagnose and find the cause of the pathology.

In order to correctly select therapy and schedule and dose the drug, it is necessary to initially examine a smear (the material of the study is mucus from the larynx). This will make it possible to determine the pathogen and check its sensitivity to one or another antibiotic.

Without this test, during the treatment process, you may not achieve the desired result, and even get complications, undergoing a course of treatment with a seemingly expensive and strong antibiotic, while a cheaper one shows an excellent result. And here the situation is not that the first drug is worse than the second. The reason for the different results is in the pathogen and its sensitivity to a particular active substance that forms the basis of the drug. Therefore, the results of a targeted examination are the key to adequate treatment and a quick positive result.

Treatment of laryngitis with antibiotics

If the cause of the disease has already been established and treatment of laryngitis with antibiotics is inevitable, it is necessary to follow some recommendations when prescribing this group of drugs:

• Take a throat swab and conduct a study to determine the disease agent. Determine its sensitivity to a particular group of drugs. An antibiogram is performed.
• If a specific antibiotic has been taken for three days and there is no positive dynamics (the fever persists and the patient's general condition does not improve, other symptoms are also observed), the doctor will most likely replace the drug with another drug with a similar effect, but with a different active substance in the composition. It is quite possible that the cause of the disease provocation itself will have to be reviewed.
• After prolonged antibiotic therapy, approximately after seven to ten days of taking it, it is necessary to take antifungal medications. This approach to treatment makes it possible to avoid many fungal diseases, including laryngitis of this genesis.

Mostly, when diagnosing this disease and identifying the pathogen, the patient is prescribed a broad-spectrum antibiotic that belongs to the b-lactam group. It includes drugs that are specifically related to penicillins, macrolides, cephalosporins or lincosamides. Medicines in this group have antibacterial properties, the mechanism of action of which is to stop the formation of the bacterial cell wall (cellular synthesis of the parasite), directly affecting the ribosome of the microorganism. The medicine in this group is characterized by high therapeutic effectiveness.

Standard regimen for taking the medication:

• The therapy is carried out for a week.
• The medication is used once or twice a day.
• The amount of the drug administered at one time is determined strictly individually.

Modern pharmacology has developed and produces drugs in a convenient form and concentration. Innovative drugs, such as extencillin and retarpen, are able to maintain clinical effectiveness for up to three to four weeks, but there is absolutely no need to take these drugs often.

Extencillin is administered to the patient only intramuscularly (intravenous injections are strictly prohibited). If the doctor prescribes two injections during the day, the injections are distributed into two different buttocks. For children under 12 years of age, the dosage of the drug is 0.6 million units. The medicine is administered every day or once every three days. The schedule of administration is prescribed depending on the severity of the disease. The attending physician may decide to administer 1.2 million units, but with an interval of two to four weeks.

The adult dose is twice as high and is 1.2 million units, one to two times a day. The medicine is injected once a week.

It is not recommended to prescribe Extencillin if the patient's body is hypersensitive to its components, or if the patient has a history of bronchial asthma or hay fever.

Semi-synthetic chemical compounds cephalosporins are perfectly distributed among cells and work well in tandem with penicillins. Cephalosporins have high penetrating ability, allowing them to easily overcome the blood-brain barrier. Medicines of this group are administered to the patient's body both intramuscularly and intravenously, dividing the prescribed daily dosage into two doses. Cephalosporins include cefepime, cefoperazone, ceftriaxone, medocef, ceftazidime, cefotaxime.

If the patient does not tolerate drugs belonging to the ß-lactam group of antibiotics, then he will be prescribed a drug belonging to the macrolides. These drugs are a product of the production of various types of special bacteria or lower fungi, which are united by one name actinomycetes. As a result, we get antimicrobial drugs with an expanded spectrum of action.

The most familiar drug in this group is erythromycin.

The antibiotic erythromycin is administered orally in the form of tablets or capsules. For an adult, a dosage of 0.25 g is prescribed for one dose; in severe cases of the disease, the dosage can be doubled. The drug is administered at intervals of four to six hours, preferably an hour and a half before the expected meal. The maximum single dose of the drug is 0.5 g, the daily dosage is 2 g.

For children under 14 years of age, the daily dosage is calculated based on 20–40 mg per kilogram of the child’s weight, divided into four daily doses.

The human body is individual and has different sensitivities to various substances and chemical compounds. There are those who do not tolerate antimicrobial drugs of the b-lactam and macrolide groups. If this is the case, the patient is prescribed second-level drugs related to lincosamides (natural products) or their semi-synthetic analogues – clindamycins.

Streptococci and staphylococci respond well to lincosamides. This group includes: lincomycin, vagicin, dalacin, dalacin C, clindamycin, clindacin.

Lincomycin is recommended to be taken half an hour to an hour before a meal or two hours after finishing it. Capsules or tablets are not divided, but swallowed whole with a significant amount of water.

For children aged six to 14 years, and whose body weight exceeds 25 kg, the daily dosage is prescribed at the rate of 30 mg per kilogram of the little patient's weight. The result obtained is divided into several doses, maintaining the same interval. In case of severe pathology, the dosage of the drug can be doubled.

The starting dose for an adult patient is 0.5 g three times a day. If a severe degree of pathology is diagnosed, the treatment regimen changes slightly: 0.5 g four times a day at equal intervals. The duration of treatment is from one week to three.

If the patient suffers from renal failure, quantitative correction of lincomycin is mandatory.

The drug is contraindicated for use in cases of hypersensitivity to the components of the drug, as well as in cases of severe liver and/or kidney dysfunction, and in children under 6 years of age.

Clindamycin is quickly and completely absorbed by the gastric mucosa, and the drug intake does not depend on meal time. A single dose for an adult patient is 0.15 g, taken every six hours, in case of a severe stage of the disease, the dosage is increased to figures from 0.3 to 0.45 g. The daily amount of clindamycin for small patients is from 8 to 25 mg calculated per kilogram of the baby's weight, divided into three to four doses.

It is not recommended to use in case of hypersensitivity to the components of the drug, newborns up to one month. It is administered with special caution during pregnancy and breastfeeding, if there is a history of ulcerative colitis, myasthenia, liver and/or kidney dysfunction, bronchial asthma.

There is no single panacea for drug therapy of laryngitis. In each individual case, it is necessary to select the drug that will be most optimal. The correct dosage, the schedule of taking the drug, and the method of administration are of great importance for the final result. Only a qualified specialist can effectively combine all these factors. After all, the "wrong" drug can not only reduce the quality of the expected result, but can also cause significant harm to the patient's health. Long-term self-medication can lead to persistent non-perception of certain antibiotics by pathogens, which can significantly complicate subsequent therapy, as well as provoke the development of dysbacteriosis in the intestine.

Today, antibiotics of local action in the form of aerosols have appeared, which are effective, easy to use, and, due to the local effect, do not lead to negative changes in other organs and systems of the patient's body. One of such drugs is bioparox.

The Bioparox inhaler nozzle is inserted into the oral cavity and the cap is pressed four times (four doses) – this is the amount of the drug that is usually prescribed to adult patients and adolescents who have already reached the age of 12. For children over 2.5 years old but not yet 14, one or two doses are sprayed for laryngitis. To achieve the maximum effect, it is advisable not to eat or drink anything for 20 minutes after administering the drug. The duration of the course of treatment is seven days.

Bioparox is contraindicated for use if the patient has increased individual sensitivity to the components of the drug, if he/she has a tendency to allergic reactions. If the drug accidentally gets into the eye when spraying, it is necessary to immediately rinse the organ of vision with a large amount of clean water, and then come for an examination by an ophthalmologist.

Treatment of chronic laryngitis with antibiotics

Only complex therapy can cope with sluggish, long-term laryngitis, including not only drug treatment, but also physiotherapy procedures aimed at eliminating the cause of the disease, restoring and activating the body's defenses. Complex therapy also includes treatment of chronic laryngitis with antibiotics, which are represented on the modern pharmacological market by a wide range, in various forms of release. During the treatment, irrigation of the laryngeal mucosa with anti-inflammatory, antiviral and antibacterial solutions is also used. Oil- and alcohol-based antibiotics are used, which, by lubricating, disinfect the throat mucosa. Inhalations have proven themselves to be excellent as a supportive therapy.

Aerosol forms of steroid-based drugs in combination with antibiotics have proven to be very effective in cases of chronic hypertrophic type of disease. Against the background of such treatment, well-proven physiotherapeutic procedures will not be superfluous: ultrasound method of treating throat diseases and ultraphonophoresis, which is carried out using corticosteroid chemical compounds. Only after the inflammation has been eliminated, further care for the patient, after the otolaryngologist, is taken over by a phonologist - a speech and vocal teacher, since after a long illness, it will not be superfluous for patients to undergo a course of gymnastics for the ligaments.

Laryngitis therapy is aimed at eliminating inflammation, which is what the antibiotic does. At the same time, blood flow in the problem area is activated, and metabolic processes in the larynx tissues are normalized. For this purpose, UHF inductothermy and a method of therapy with pulsed currents, or as doctors call it - darsonvalization, can be prescribed. Mud applications of the throat area (at a temperature of 40 ° C) have also proven themselves well. The therapeutic course of mud therapy includes at least ten sessions, each lasting ten minutes.

When diagnosing the diffuse form of chronic laryngitis, treatment is carried out in a hospital setting. With a certain picture of the disease, there is a need for surgical intervention, with excision of the hyperplasia area. Surgery is performed under a special microscope. Such a patient must undergo a complete examination twice a year, since this form of the disease is a precancerous condition.

Antibiotics for tracheitis and laryngitis

Antibiotics for tracheitis and laryngitis are prescribed by a doctor only if the cause of the pathological lesion is pathogenic microorganisms - pathogenic strains of bacteria. Mostly, local action drugs are prescribed. Such a drug can be called a new generation drug, produced in the form of an aerosol - bioparox. The bottle is easy to use and does not require any additional knowledge. Irrigation is carried out both in the oral cavity and, if necessary, in the nasal passages.

The attending physician may prescribe antibiotics in the case of a long-term pathology, when an exacerbation is observed or other diseases are added, for example, sinusitis, tonsillitis or otitis. In such a situation, azithromycin, which is approved for use even in infants, as well as other drugs of the macrolide group, will do.

Azithromycin is administered orally once a day one to one and a half hours before meals or two hours after meals. The starting dosage for an adult is 0.5 g, the next four days - 0.25 g. The course dose is 1.5 g.

Contraindications to azithromycin include hypersensitivity to macrolide antibiotics. This drug should be prescribed with particular caution in cases of severe liver and kidney dysfunction, a tendency to allergic reactions, during pregnancy and lactation.

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Antibiotics for acute laryngitis

Often, ARVI, with inadequate treatment, can develop into an acute form of laryngitis. This course of the disease requires emergency medication and bed rest for the patient. Therapeutic therapy includes antibiotics for acute laryngitis, minimization of speech activity: it is advisable to remain silent, and if there is an obvious need, speak quietly, without straining, while exhaling.

During the illness, exclude spicy foods from your diet, do not take very hot or extremely cold dishes and drinks. You should not consume alcoholic beverages and nicotine.

Highly effective treatment for acute laryngitis can only be achieved through complex treatment:

• To thin very thick phlegm, the doctor usually prescribes such drugs as tussin, ACC-long, mucaltin, solvin, stoptussin, flumucil, bromhexine. The starting schedule is one tablet per day.
• To soften and remove dryness of the mucous membrane of the larynx, it will be very good to drink alkaline mineral waters, for example, Borjomi. Drink the water at room temperature, you can dilute it with milk 1:1.
• Alcohol applications to the larynx area will also help (dilute the alcohol with water 1:1 to avoid burning the skin surface).
• Mustard plasters placed on the chest and calf muscles will also be effective.
• Inhalations with aromatic oils.
• Hot foot baths with added mustard.

In such a picture of the disease, antibiotics are also necessary. In this situation, medications are prescribed for both local and systemic action.

Local action drugs are mainly prescribed in the form of aerosols, for example, bioparox. The advantage of this form of application: the drug, sprayed, in fine drops evenly covers the entire affected surface, there is direct contact between the active substance and the pathogen, deep penetration into the tissue is observed. Local application of modern antibiotics allows to avoid the emergence of resistance of pathogenic microflora to the drug, as well as the development of intestinal dysbacteriosis.

Systemic drugs are prescribed in various forms: these can be tablets administered orally, as well as solutions for intramuscular and intravenous injections. Medicines used are mainly penicillin and cephalosporin groups.

If systemic antibiotics were used in the treatment protocol for acute laryngitis, after completion of treatment, it is necessary to take medications that allow you to restore the balance of intestinal microflora, which was disrupted by the active substance of the drug. Against this background, local antibiotics are significantly better. But only a specialist can, having received an overall picture of the pathology, prescribe the "right" drug and decide on the need for its local or systemic use.

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What antibiotic for laryngitis?

The causes of laryngitis are varied, but only if the cause of the disease is an infectious lesion of the body (for example, diphtheria, syphilis, tuberculosis), the attending physician includes antibiotics in the treatment protocol. These drugs are the basis of treatment. So what antibiotic for laryngitis? After all, the introduction of such drugs should be treated with special caution, especially since only knowing the causative agent of the disease can an adequate drug be prescribed.

Patients are often perplexed as to why, after taking an expensive strong antibiotic, the desired result was not achieved, while the adjusted inexpensive drug turned out to be effective. So what is the reason? Ineffectiveness in the first case is not due to the expensive drug being “bad”, but rather it is most likely designed to “fight” another pathogen. The wrong choice of drug is evident.

Bioparox or Imudon are widely used today. These medications can also be used together with other antibiotics (for example, systemic ones).

Imudon is a lozenge prescribed to patients over three years of age. Up to eight tablets per day are allowed at intervals of two to three hours. The duration of treatment is ten days.

To relieve pain symptoms, the otolaryngologist may prescribe Hexoral rinses to the patient. Other antibiotics may also be used in combination therapy:

• Penicillin group drugs: ampicillin, oxacillin, ticarcillin, piperacillin, carbenicillin, amoxicillin, azlocillin.
• Cephalosporin drugs: ceftriaxone, cefpirome, axetine, cefotaxime, cefpodoxime, cefepime, cefixime, zinacef, cefoperazone, ceftibuten, ceftazidime, cefodizime, cefetamet.
• Fluoroquinolone drugs: levofloxacin, sparfloxacin, ofloxacin, ciprofloxacin, moxifloxacin.
• Macrolide group drugs: sumamed, erythromycin, azithromycin, clarithromycin.

Only a doctor can select the correct treatment, since antibiotics are prescribed strictly individually, depending on the “provocateur” of the disease and the severity of the pathology.

Antibiotics for laryngitis in children

Children get colds quite often and a correct diagnosis, along with adequate treatment, is the key not only to a quick recovery of the little patient, but also to his health in the future. It is no secret that, often, when treating one disease, an attack is observed on all systems and organs of the baby's body. Strong systemic antibiotics "hit" the liver, pancreas, and so on. Therefore, having cured a cold, it is necessary to introduce supportive therapy, for example, of the liver. Therefore, it is worth being especially careful when taking any medications, including antibiotics.

You should not put the life and health of a small person at risk by prescribing such drugs yourself. Antibiotics for laryngitis in children should be prescribed only by a pediatrician, and only after examining and testing the baby. When prescribing drugs, the following is taken into account: urine testing, the degree of intoxication of the body, the duration of the disease and the presence of other diseases in the child's medical history.

If the pathogen is a virus, antibiotics are not used in treatment therapy - they are not effective, antiviral drugs are suitable here. If the aggressor is a pathogenic bacterium - this is work for antibiotics.

The following antibiotics are mainly used for laryngitis in children: augmentin, amoxiclav (penicillins), syrups and tablet form - cefadox and cefix, injections - fortum, ceftriaxone, cefotaxime (cephalosporins), as well as clarithromycin, sumamed, macropen, azithro sandoz (macrolides).

Correctly prescribed treatment will bring relief to the baby the next day, and noticeable results can be observed in two to three days.

You should not ignore a "cold" and wait for the body to cope on its own. This can be dangerous for the baby. There is a real threat of suffocation, which can actually lead to the death of the little person.

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Antibiotics for laryngitis in adults

The period of dampness and cold – it is quite difficult to “slip through” such a time without catching a disease. And often, ARVI, “transferred on the feet”, degenerates into other diseases of the upper respiratory tract, laryngitis is often diagnosed. Initially, it occurs in an acute form, and gradually, if the disease was not fully treated or the patient did not receive quite the right therapy, the pathology turns into a chronic disease.

Antibiotics for laryngitis in adults are prescribed by an otolaryngologist on the same principle as for small patients. First, it is necessary to diagnose the pathology and find out the root cause of its occurrence. Only after establishing the source, we can talk about treatment: to prescribe or not to prescribe antibiotics. If the cause of the disease is a virus, a course of antibiotics will not do anything, here antiviral therapy can provide real help. If the culprit of the disease is one of the bacterial strains, antibiotics are the number one medicine in therapy.

Modern pharmacology has a fairly extensive arsenal of drugs that can effectively cope with pathogenic flora. At the same time, acting locally, their use allows for uniform coverage of the entire affected area, penetrating into the deep layers of the larynx, directly affecting the "aggressor". Such a mechanism of action of new generation drugs not only gives an excellent therapeutic result, but also allows not to have a significant impact on other systems of the patient's body, makes it possible to avoid dysbacteriosis and the emergence of bacterial resistance to antibiotics.

Some medications related to antibiotics that effectively work to stop laryngitis have already been discussed above. Let's recall some of the most popular ones: Bioparox spray (active substance fusafugine), Sumamed (azithromycin), Amoxiclav, Ceftriaxone, Fluimucil-antibiotic, etc.

It can all start with a slight cold and many people believe that it is enough to steam your feet, drink hot tea and everything will pass. In the case of wet feet and slight hypothermia - this is really enough. But if we are talking about a disease caused by bacterial strains, then everything is much more complicated. Do not delay in contacting a qualified specialist. Swelling of the larynx can lead to suffocation and oxygen starvation of brain cells. Without emergency medical care, the patient may die. Do not tempt fate. Only a specialist, having prescribed the "right" antibiotics for laryngitis, will help preserve health, and sometimes even life.

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