HealthPreparations

How to take antibiotics correctly: doctor's advice

Sooner or later, every person is prescribed antibiotic treatment. Still some ten years ago, doctors prescribing them about and without. And even now such "professionals" are often reinsured and prescribe serious medications without special evidence for this and in order to relieve themselves of the responsibility for the treatment. After all, if the antibiotic was not prescribed on time, and the patient became worse, or serious complications arose, the doctor is to blame. And if the antibiotic was prescribed (as is known, any of them works against a large number of bacteria), then it either helped or did not help, because it did not fit, and maybe it was just wrongly accepted. And this is a completely different story.

How to take antibiotics, know not all. This is not taught in school, it is not always clearly prescribed in the instructions to the drug. And even the doctors at the reception rarely talk about these simple but important rules in detail.

What is an antibiotic

An antibiotic is a substance of plant, microbial, animal or semi-synthetic origin, which in medicine is used to control certain types of microorganisms.

In fact, the discovery of penicillin (a natural antibiotic) in medicine produced a real revolution. Mankind has been able to cure gangrene, streptococcal sepsis, purulent meningitis, furunculosis, diphtheria, gonorrhea, syphilis, pneumonia, purulent pleurisy, cholera, plague, tuberculosis and many other diseases that previously often led to death.

It is thanks to this invention that it has been possible to increase the average life expectancy of people by about 30 years. Further, with the development of medicine, a huge number of new, even more powerful and important drugs were developed, and all these discoveries were based on the invention of penicillin.

Groups of antibiotics

To understand how to properly take antibiotics and whether they were correctly prescribed by a doctor, you need to determine to which group of drugs they belong:

1. Macrolides. This type of medicine is the least toxic for the human body. Preparations of this group have bacteriostatic, antimicrobial, anti-inflammatory and immunomodulating action. They are appointed at:

  • Bronchitis;
  • Sinusitis;
  • Pneumonia;
  • Diphtheria;
  • Periodonitis;
  • Toxoplasmosis;
  • Mycobacterial infections.

2. Penicillins. They differ in the ability to resist not only the emergence of bacteria, but also to prevent their growth and reproduction. This group includes antibiotics from Helicobacter pylori (how to correctly take them, discuss later). Antibiotics of the penicillin group are used to treat such diseases:

  • sinusitis;
  • otitis;
  • Tonsillitis;
  • pneumonia;
  • bronchitis;
  • gastritis.

3. Cephalosporins. They are able to cope with microbes that are resistant to the penicillin group of antibiotics. Are capable to consult:

  • With intestinal infections;
  • Infections of the genitourinary system;
  • Diseases of the respiratory tract.

4. Tetracyclines. Used to fight against bacteria and large viruses. With prolonged use may cause a number of serious complications (hepatitis, allergies, dental lesions). Nevertheless, they are effective in the treatment of such diseases:

  • furunculosis;
  • bronchitis;
  • angina;
  • pneumonia;
  • syphilis;
  • pleurisy;
  • Burns;
  • sepsis;
  • meningitis;
  • mastitis;
  • Endocarditis / myocarditis;
  • cholecystitis;
  • barley;
  • cholera;
  • Salmonellosis;
  • gonorrhea.

5. Fluoroquinols. Antibiotics of a wide spectrum of action. Effective in treatment:

  • Sinusitis;
  • Otitis media;
  • Pharyngitis;
  • Laryngitis;
  • Pyelonephritis;
  • Endometritis;
  • Cystitis;
  • Urethritis;
  • Prostatitis;
  • Colpitis;
  • Cervicitis.

6. Aminoglycosides. Very toxic form of antibiotics, it is used only in severe cases, when other therapy does not help:

  • Enterococcal infections;
  • Pseudomonas aeruginosa ;
  • tuberculosis;
  • plague;
  • brucellosis;
  • Tularemia.

Stability of infections to antibiotics

It so happened that since the advent of penicillin antibiotics have been used everywhere (even in livestock) and uncontrolled. This led to the fact that many bacteria mutated, learned to adapt, became more tenacious and stopped responding to conventional methods of treatment.

Causes of infection resistance

Specialists identify the following reasons for resistance to antibiotics:

  • Reception of medicines without prescription of a doctor (on the advice of a friend, a nurse, a pharmacist). How to correctly take antibiotics, should explain only the attending physician.
  • Incomplete therapy (interruption of the course, repeated treatment).
  • Uncontrolled use of drugs in livestock.
  • Change of the drug with ineffective treatment without performing the necessary tests.

Harm of antibiotics and side reactions

The first generation of the described drugs was unique. They had an amazing ability to work only on foreign bacteria. But their time has passed, and practically all strains have developed resistance.

Today in medicine I use new synthesized preparations, the feature of which is not selective destruction of the flora harmful to the body, but total. Therefore, antibiotics can cause side effects:

  1. Allergic reactions.
  2. Violations of the microflora of the gastrointestinal tract (exacerbation of ulcers, dysbiosis, problems with stools). It is because of them that the question often arises as to how Linex interacts with antibiotics. How to take the right probiotic, the doctor will tell you at the reception.
  3. Irritation of the mucous membranes of the digestive tract (glossitis, proctitis, stomatitis).
  4. Violations in the work of the nervous system (visual and auditory hallucinations, disturbances in the work of the vestibular apparatus).
  5. Irritation of the membranes of the brain (convulsions).
  6. Inhibition of hemopoiesis (anemia, leukopenia).
  7. The general weakening of immunity and the development against this background of fungal infections (thrush).
  8. Disturbances in the liver and kidneys.
  9. In the treatment of certain diseases, temporary enhancement of symptoms (fever, rash, fever) is possible. This is due to the fact that the mass death of bacteria causes toxic poisoning of the body.

Scientists in the US claim to have shown a strong increase in the risk of breast cancer in women due to frequent antibiotic use.

Antibiotics are better in tablets or injections?

Effects on the gastrointestinal tract

Antibiotics in tablets

Antibiotics in pricks

May interfere with the microflora of the gastrointestinal tract

Contrary to popular belief, can disrupt the microflora of the gastrointestinal tract

Effects on the liver and kidneys

May cause disorders in the liver and kidneys

May cause disorders in the liver and kidneys

Irritation of the mucous membranes of the digestive tract

May cause irritation of mucous membranes

Has no effect on the mucosa of the digestive tract

Method of administration

If there are no problems with swallowing, no complications arise

Often after painful management there are abscesses and infiltrates

Allergic reactions

Risks are present (rash, itching)

Risks are greater than when taking the drug in the form of tablets, the risks of anaphylactic shock increase

Bioavailability

At intravenous introduction of a preparation in a systemic circulation 100% of a dose gets. For drugs that are taken orally, bioavailability is often lower, due to differences in the rate and degree of dissolution of the drug in the digestive tract and in the amount of the drug that reaches the systemic blood flow after absorption. Bioavailability of dosage forms for ingestion of some modern antibiotics is almost 100% ("Ofloxacin") or equal to 100% ("Levofloxacin").

Efficacy in the treatment of chronic diseases

High efficiency (operates gradually)

Low efficiency (Output too fast)

Thus, we understood how to correctly take antibiotics, because there are no special advantages to the drug in the form of injections. It can also be concluded that this method of administration of an antibiotic is desirable only in hospital settings and with acute indications (severe condition of the patient, inability to swallow).

Antibiotics and candidiasis

Very often doctors have to prescribe other medications together with antibiotics. The main reason for their use is the accelerated development of opportunistic microorganisms - fungi.

We already know that the described medicine does not kill selectively only harmful microbes, it practically destroys all good microflora of the gastrointestinal tract. In this situation, the rapid multiplication of the fungus often begins (for example, the genus Candida).

Antifungal drugs

There are several groups of drugs to control the reproduction of fungi:

  • Polyelenes - which are used primarily for the treatment of candidiasis of the mucous membranes, gastrointestinal tract and skin. This group includes: "Nystatin", "Levorin", "Amphotericin B", "Nitamycin".
  • Azoles - effective in the treatment of various types of lichen, fungus nails, scalp, candidiasis mucous. To this group belong: "ketoconazole", "introconazole", "fluconazole".
  • Alylamines - are effective for the treatment of dermatomycosis (fungal diseases of hair, nails, skin, lichen). This group includes "Terbinafine".

Very often a doctor, together with antibiotics, prescribes antifungal drugs. This is especially true for those patients who have a tendency to develop fungal infections. And also this neighborhood is completely justified, if it is necessary to prescribe an antibiotic of a wide spectrum of action, after all it is always better to prevent the development of new diseases than to treat later.

Most often you can find such a combination as "Fluconazole" and antibiotics. How to take it right? During the entire course of taking the drug, one capsule inside after a meal (preferably overnight).

But nystatin today as prevention doctors try not to use, and the question of how to properly take "Nystatin" with antibiotics, you no one will answer. First, it is also an antibiotic, and secondly, this drug is simply obsolete.

How correctly to take "Acipol" with antibiotics

There is an opinion that without maintenance therapy with drugs to normalize the intestinal microflora when taking antibiotics can not do. For example, doctors often prescribe the drug "Lineks" and antibiotics. How to take this combination of medicines correctly and for what, truth, no one usually explains.

Advertising slogans say that without useful bifidobacteria, the body can never recover after taking such serious medications. But doctors all over the world have long known that most of these medicines are pacifiers and placebo. Unfortunately, however much you ask how correctly to take probiotics with antibiotics, the effect will no longer be.

The fact of the matter is that most of these dietary supplements do not even contain the necessary amount of beneficial bacteria for colonization in the intestinal environment. But most importantly, even if these magic capsules contained the right number of bifidobacteria, they would still not be able to pass through the acidic environment of the stomach and normalize the microflora.

Therefore, the correct answer to the question, for example, how correctly to take "Bifiform" with antibiotics, simply does not exist. These are non-working drugs that manufacturers are trying hard to impose on us.

Doctor's recommendations and rules for taking antibiotics

Antibiotics can be taken only according to the prescribing physician. The doctor should, on the basis of blood and urine tests, find out what caused the disease (virus or bacterium) and prescribe the appropriate treatment. Wherein:

  1. Strictly observe the dosage.
  2. Take the drug at the same time. This principle is the main answer to the question, how correctly to take antibiotics in tablets.
  3. Carefully read the instructions. Most drugs are taken after meals, but there are exceptions.
  4. Take medicine only with clean water. Tea, coffee, juices, fruit drinks, milk can significantly reduce the effectiveness of the drug.
  5. Under no circumstances should you stop taking the medication before the end of the treatment period.
  6. Record throughout the life of all information about each intake of antibiotics (cause, timing, dosage, allergic and other adverse reactions). This is especially true for toddlers, because the doctor, before explaining how to correctly take antibiotics to children, it is necessary to find out what the patient has already treated. This approach helps to choose the right therapy as much as possible.
  7. Ask the doctor to give a referral to the bacterial culture. This method of investigation allows you to identify a drug that is most likely to kill all pathogens.
  8. Do not persuade a doctor without a reason to prescribe an antibiotic. Many people think that taking strong drugs will speed recovery, but this is not the case.
  9. Instead of thinking about how to properly take "Linex" when taking antibiotics, support your body yourself. Kefir and yogurt are real friends of your body.
  10. Follow the diet. Antibiotics strongly undermine the body's defenses. Therefore, to enable it to recover quickly, discard salty, oily, sweet, smoked, fried, canned food. Eat often and in small portions, add to your diet additional servings of fruits and vegetables, sour-milk products.

Do not change the drug on the advice of a pharmacist or friend!

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