Medical expert of the article
New publications
Preparations
Antibiotics for tonsillitis
Last reviewed: 23.04.2024
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
Antibiotics for tonsillitis are used when it is not possible to stop inflammation by other methods, high temperature rises, and the phenomenon of intoxication of the body increases.
In these cases, the risk of complications to internal organs sharply increases, and the appointment of antibiotics becomes a justified measure - the benefit from them exceeds all risks. The appointment of antibiotics can prevent the development of rheumatism associated with the transferred angina. Just examining the patient, you can not make an assumption about which microorganism caused tonsillitis. Most often, the doctor prescribes an antibiotic that acts on all common pathogens. Strong pains with unilateral defeat of the tonsils, while the patient does not have a cold and coughing - it means "strep" for streptococcus. But if the picture is atypical, it's better to be safe and ask the doctor to send you to a bacterial planting, then prescribe an antibiotic. If the patient has previously suffered from rheumatism, it is better to immediately prescribe an antibiotic. If the angina repeats about 4-5 times a year, it is better to think about the removal of tonsils. In itself, the large size of the tonsils, especially in children, does not serve as an indication for their removal.
[Treatment of tonsillitis without antibiotics
Angina are primary and secondary. Secondary - the outcome of measles, diphtheria or defeat of the herpes virus. If you are overcooled or live in a city where the air is polluted, or if your nasal breathing is disturbed, you risk getting acute tonsillitis more than others. The products of the vital activity of bacteria disrupt the thermoregulation and the work of the heart, which is why, in case of a throat, the temperature can rise to very high figures.
When catarrhal form of angina, the damage to the tonsils is superficial, the temperature can be subfebrile. There is discomfort and pain when swallowing and a strong chill. A person recovers even without antibiotics - enough compresses, irrigation and rinses, frequent acidic drinking.
General weakness and pain in the heart is characteristic for a more severe form of angina - lacunar. In the indentations of the tonsils, when viewed, you can see the white content in the form of a film that is easily removed and does not cover.
In follicular angina, the follicles rise above the surface of the mucous membrane. The course of the disease is severe.
If the sore throat is not treated, it is possible to develop purulent lymphadenitis, otitis, sinusitis, rheumatism.
Patients with acute tonsillitis shows a diet with an increase in the number of foods containing vitamin C, you need a lot to drink, wear a cotton-gauze bandage on your throat. When the process is abated, the temperature is lowered, it is possible to visit the physiotherapy department of the polyclinic for warming up and UHF.
The tonsils in the body have a very important role. They perform immune, hematopoietic and receptor functions. With tonsillitis, the tonsillocardial reflex is always disturbed and, as a result, the cardiovascular system works.
Acute tonsillitis is catarrhal, lacunar, follicular and ulcerative. Tonsillitis can also occur against a background of diphtheria and typhoid, leukemia. Most often, the cause of tonsillitis is a virus (70%): rhinovirus, adenovirus, influenza virus. Among the bacteria - Streptococcus, Staphylococcus and Candida fungi. Trigger hook disease becomes intoxication and hypothermia.
For rinsing, furacilin, boric acid, salt, and sage broth are well suited. In the afternoon, be sure to wear a bandage on your throat.
Antibiotics are prescribed antiallergic agents and bifidobacteria to prevent dysbacteriosis.
Antibiotics for tonsillitis and acute angina are necessary for severe symptoms of intoxication and damage to other organs and systems, but they should be prescribed only by a doctor.
What antibiotics to use for tonsillitis?
Antibiotics for tonsillitis is prescribed by a doctor, taking into account the sensitivity of microorganisms to a particular drug, and not all prescribes the same, as is often the case with us. Important: if the causative agent of tonsillitis is a viral infection, antibiotics are ineffective!
Most often, in the treatment of tonsillitis, Amoxicillin is prescribed.
Amoxicillin is a bactericidal penicillin antibiotic. Amoxicillin is rapidly and completely absorbed in the intestine. The dose is selected taking into account the severity of the course of tonsillitis, a smear is first taken to determine the type of pathogen. Adults and children over 10 years are usually prescribed a dosage of 0.5 g three times a day.
Precautiously prescribed during pregnancy.
Antibiotics for acute tonsillitis
We caution you against the unreasonable, without consulting a doctor, self-medication of tonsillitis with antibiotics. It can end up for you with severe reactions of the body to these drugs. Antibiotics for tonsillitis should you appoint only a doctor!
Consider the effect of the drug Cefadroxil on the patient with acute tonsillitis.
Cefadroxil is a cephalosporin antibiotic in the form of tablets. The maximum concentration in the blood is reached in an hour and a half after administration. Cefadroxil is slowly excreted, it is enough to take it once a day. The daily dose of Cefadroxil is 1-2 g. The duration of treatment is 10-12 days. Possible unpleasant side effects such as rashes, dizziness, insomnia, vaginal candidiasis.
Antibiotics for chronic tonsillitis
Antibiotics for tonsillitis in a chronic form depend on the microflora that caused the disease. Antibiotics prescribe during an exacerbation.
For example, consider the antibiotic Cephalexin.
Adults Cephalexin is prescribed in a dosage of 1-4 g every 6 hours for a week. Side effect manifests itself in dyspepsia, the phenomena of colitis, tremor, convulsions, allergies. Possible allergic shock. During pregnancy, the doctor carefully assesses the risks before prescribing the drug. The drug penetrates into breast milk, for the duration of treatment it is worth stopping GW.
Antibiotics for tonsillitis in children
Tonsillitis is an inflammation of the tonsils. They are located in the oropharynx and are permeated with small pores - lacunae. Viruses and bacteria accumulate in the lacunae, and they begin to become inflamed and fester. The kid becomes irritable and tearful, can not fall asleep, he is sluggish. The illness begins sharply - in the morning the child was vigorous, played, and by the evening a very high fever rose, regional lymph nodes were inflamed. Chronic tonsillitis often gives complications to the maxillary sinuses, children suffer from sinusitis, prolonged debilitating rhinitis and otitis. More often, the causative agent of angina in children is beta-hemolytic streptococcus.
What antibiotics are usually prescribed for children in tonsillitis? Penicillin, macrolide and cephalosporin.
Oxacillin is an antibacterial preparation of the penicillin series, which causes the lysis of bacterial cells. The maximum concentration of the drug in the blood is observed in half an hour after the injection. Half-life time is also half an hour. The drug is taken after 4-6 hours in equal doses. Possible skin itching and development of anaphylactic shock, nausea, diarrhea, candidiasis of the mouth, yellowing of sclera and skin, neutropenia. Oxycillin is prescribed for 0.25 g-0.5 g an hour before meals. The daily dose for infections of medium severity is 3g, for severe infections - 6g. Newborns - 90-150 mg / kg / day, at the age of 3 months - 200 mg / kg / day, up to 2 years - 1 g / kg / day , from 2 to 6 years - 2 g / kg / day; The daily dose is divided into 4-6 receptions. The duration of treatment with the drug is 7-10 days.
Macrolides include the drug Erythromycin - an effective antibiotic against staphylococcal and streptococcal angina. It does not affect viruses and fungi, so it is important to clarify the pathogen. Erythromycin is suitable for a child with an allergy to penicillins. When the drug is combined with sulfonamides, the effect is enhanced. Single dose for a child - 0.25 g. Reception - 4 hours, one hour before a meal. For children under 7, the dose is calculated based on the formula 20 mg / kg. Possible side effect is manifested by nausea, diarrhea, jaundice.
Tantum Verde is a non-steroidal anti-inflammatory drug. Has a pronounced anesthetic effect. Tantum Verde in the form of tablets dissolve in the oral cavity one piece three times a day. Tantum Verde spray is injected 4 times (4 strokes) every 2 hours.
It is very important to properly treat acute tonsillitis - if the doctor prescribed a "harmful" antibiotic, then it is justified! Vitamins and hardening play a big role in the prevention - wipe the child with cold water, let it sleep in the open air in the summer.
Names of antibiotics for tonsillitis
For the treatment of tonsillitis the antibiotics of the penicillin group are most often used: Benzylpenicillin, Phenoxymethylpenicillin.
Benzylpenicillin - has a bactericidal effect on the multiplying microorganisms. The drug is administered intramuscularly or intravenously. When an infection of the upper respiratory tract is administered to 4-6 million units per day for 4 injections. Possible reaction in the form of urticaria and rashes on mucous membranes, angioedema, bronchospasm, arrhythmia, hyperkalemia, vomiting, convulsions.
Phenoxymethylpenicillin is an antibacterial drug for the treatment of acute and chronic tonsillitis of the penicillin group. At a state of moderate severity, children over 10 years of age and adults are prescribed at a dosage of 3 million units. The dose is broken up into three times. Children under 10 years of age are prescribed 0.5 - 1.5 million units in three divided doses. Possible stomatitis, pharyngitis.
Antibiotics for tonsillitis should be administered cautiously, first finding out which pathogen it is caused.
Attention!
To simplify the perception of information, this instruction for use of the drug "Antibiotics for tonsillitis" translated and presented in a special form on the basis of the official instructions for medical use of the drug. Before use read the annotation that came directly to medicines.
Description provided for informational purposes and is not a guide to self-healing. The need for this drug, the purpose of the treatment regimen, methods and dose of the drug is determined solely by the attending physician. Self-medication is dangerous for your health.