Antibiotics for tonsillitis: the basics of proper treatment. Antibiotics for tonsillitis: what are needed and whether to take them Chronic tonsillitis than to treat antibiotics

Tonsillitis in acute or chronic form occurs frequently. The disease can be caused by the action of viruses, bacteria, weakening of the immune system, which means that the treatment must be comprehensive and extensive.

rinses

To get rid of some of the symptoms of tonsillitis, rinses are used.

This procedure has the following tasks:

  • removal of purulent foci, which contain a large number of viruses, fungi or bacteria;
  • elimination of the breeding ground for infection;
  • softening of the mucosa, reducing the pain symptom, moisturizing the throat and combating discomfort;
  • acceleration of healing of damaged areas of the throat.

Rinse acts more symptomatically, since it eliminates not the cause of the disease, but its individual manifestations. It is impossible to carry out only this method of therapy, refusing antibacterial or surgical treatment if it is shown.

The problem of angina is that bacteria can be located deep in the tonsils, from where they cannot be removed by rinsing, lubricating and other local influences. There they are, waiting for any weakening of the immune system, after which a new outbreak of the disease begins. Thus, one rinse cannot cure tonsillitis forever. Therefore, even if there is an allergy to some treatments (for example, to penicillins), it is necessary to look for other methods of complex therapy, and not use only one approach.

The most popular rinses are:

  1. Furacilin. This is an antibacterial agent from the group of nitrofurans, to which many bacteria are sensitive. It can be purchased both in the form of solutions and tablets that dissolve in warm water.
  2. Chlorophyllipt. This drug is made from eucalyptus leaves. It has a pronounced antibacterial effect on staphylococci.
  3. Miramistin. Antiseptic based on organic substances containing chlorine. It is able to destroy not only bacteria, but also viruses and fungal infections.
  4. Lugol solution. The simplest antiseptic, which also creates an increase in local temperature and thereby kills pathogenic bacteria.
  5. Chlorhexidine. Another chlorine-based antiseptic, which is often used for angina.
  6. Rivanol. The drug is a combination boric acid and ethacridine.
  7. Rotokan. herbal remedy based on chamomile. Not only relieves the symptoms of inflammation, but also initiates the restoration of the mucous membrane of the tonsils.

Irrigation

The throat is irrigated with medicines in the form of aerosols or sprays.

This is another symptomatic direction of therapy, eliminating the following symptoms:

  • dry throat,
  • pain,
  • perspiration,
  • swelling of the mucosa, etc.

Aerosols have practically no contraindications. They can be used in children from 3 or 6 years old, depending on the type of drugs. Some drugs are contraindicated for pregnant women. Unlike tablets, sprays are sprayed down the throat very frequently. After their application, half an hour refrain from eating and drinking, including water.

Aerosols have a number of advantages over other tonsillitis remedies:

  • high efficiency,
  • convenient use,
  • the ability to always have a bottle at hand.

Aerosols are convenient in that they have several actions at once - antimicrobial, analgesic, anti-inflammatory. But even this fact does not allow the use of this tool as a monotherapeutic.

The most effective aerosols are as follows:

  1. Bioparox. The drug has a complex effect against bacteria, fungi and viruses, and also eliminates the symptoms of inflammation. Designed to fight infection in the upper respiratory tract. Contraindicated in pregnant women and children under 3 years of age.
  2. Stopangin. Another anti-inflammatory agent in the form of a spray that eliminates the symptoms of inflammation. The drug is also available in liquid form for rinsing. Contraindications similar to Bioparox.
  3. Tantum Verde. The tool contains molecules of one of the anti-inflammatory substances of non-steroidal origin. It not only relieves signs of inflammation, but also stimulates the restoration of the mucous membrane of the tonsils. Unlike the previous ones, it can be used by pregnant women.
  4. Pharyngosept. This antiseptic has a high activity against streptococci, staphylococci and other pathogenic bacteria that affect the throat. Used from 3 years old.
  5. Falimint. In addition to anti-inflammatory, the drug has an anesthetic effect. Not recommended during pregnancy, lactation, children under 5 years.
  6. Tonsilgon. The spray contains herbal ingredients with antiseptic and anti-inflammatory action.

Lubrication of mucous tonsils

Some doctors prescribe lubrication for local effects on the mucous membrane of the tonsils. The easiest way is to use baking soda. To do this, a wet finger is smeared with this powder and with its help the soda is transferred to the throat. After that, refrain from eating and drinking for 2-3 hours.

Also, for lubrication, you can use propolis tincture, aloe juice, garlic, Lugol's solution, fir oil and other substances that the doctor prescribes. The method is not very popular due to the severe discomfort that the patient experiences when using it.

Inhalations

During tonsillitis, inhalations are prescribed. This physiotherapy procedure helps facilitate breathing, reduce pain symptom.

Before deciding to do it, you need to familiarize yourself with the contraindications:

  • heart diseases,
  • fever,
  • vascular problems,
  • hypertension,
  • cancer process,
  • increased risk of nosebleeds.

The most popular means for inhalation for tonsillitis are as follows:

  1. Water is heated to boiling water, after which 4 drops of anise oil and 8 drops of eucalyptus essential oil are transferred there. They cover their heads with a towel and breathe for a quarter of an hour with the steam that comes out through the spout of the kettle.
  2. Pour into a container "Essentuki No. 4" or "Borjomi", bring the water to boiling water and breathe it in pairs for a quarter of an hour. This is necessary to moisten the throat.
  3. Cut the onion, leave it in a warm place for several hours, then rub it on a grater. They breathe in the vapors of the phytoncides emitted by them for several minutes.

Inhalations are not the main treatment. Yes, they relieve some symptoms, moisturize the throat, and make the course of the disease milder. But without antibiotic therapy, the disease will go into a protracted chronic stage.

Tablets

All tablet forms that are used to treat any type of tonsillitis can be divided into several groups - lozenges, painkillers and antibiotics.

There are a lot of lozenges in pharmacies, some of them:

  1. Lollipops with Manuka honey. They have a direct antiseptic effect on agents of bacterial and viral infection, in particular, on streptococci and staphylococci.
  2. Tablets with zinc gluconate. Strengthen the immune system, increase the body's ability to fight tonsillitis. A few suctions a day are enough to alleviate the symptoms of the disease.
  3. Tablets with black elderberry extract. Taken if tonsillitis is caused by the Epstein-Barr virus.

As for antibiotics, they are taken if there are serious complications of the disease. They should be prescribed by a doctor, because you need to make sure that the disease is bacterial and not viral in nature, as well as pick up drugs that pathogens are sensitive to.

To eliminate the symptoms of bacterial sore throat, penicillin preparations are usually used. The exception is cases of allergy to this substance. Then it is replaced by erythromycin, azithromycin or cephalexin.

The course of antibiotic treatment should be exactly as prescribed by the doctor. Even if the symptoms of the disease are gone, the drug must be drunk, otherwise bacteria resistance to this drug may develop.

If patients experience severe pain and fever, the doctor may decide to prescribe paracetamol, ibuprofen, and other anti-inflammatory drugs.

Many cold medicines contain ibuprofen and paracetamol. If you are taking them, it is important to make sure that the total dosage of these substances does not exceed the maximum allowable daily intake.

Washing the lacunae of the tonsils

This procedure differs from ordinary rinses in that the recesses in the tonsils are washed, which are inaccessible during other procedures. If the foci of infection are washed out from there, further development of the disease can be avoided.

The method has the following advantages:

  • Safety. During washing, the mucous membrane of the pharynx and tonsils are not injured.
  • Efficiency. The procedure gives concrete results and on long time eliminates the likelihood of recurrence of chronic tonsillitis.
  • No allergic reaction. The procedure is easier to tolerate, in contrast to the systemic use of antibiotics.
  • Minimum side effects.
  • Public access to treatment. By washing the tonsils, the treatment of chronic tonsillitis becomes cheaper, since the number of relapses decreases.
  • Reducing the likelihood of surgery.
  • There are no age restrictions, it can be used during pregnancy.

Washes can be carried out in several ways.

Flushing with a syringe

This is the easiest method.

The procedure is carried out manually, due to which it has some advantages:

  • the possibility of use in pregnant women;
  • the possibility of carrying out the procedure at home;
  • syringes are used disposable, so the antiseptic conditions are observed in the best possible way.

At the same time, there are also disadvantages:

  • the syringe does not get into the most inaccessible places, so it is necessary to use devices to remove plaque;
  • home use of the method is ineffective - special skills are needed for the high-quality implementation of the procedure.

vacuum washing

To carry out this procedure, a special device "Tonsillor" is used. He can simultaneously inject an antiseptic solution into the tonsils and suck out its remnants from them along with the pathological contents.

The method has the following advantages:

  • tonsils are cleared of plaque even in the deepest lacunae;
  • all necessary actions are carried out using one device;
  • after treatment, a long-term remission occurs;
  • use at 3-7 months of pregnancy is possible.

Among the shortcomings, the impossibility of using the technique in the first 3 months of pregnancy is noted.

Deep rinsing with ultrasound

This procedure combines the technology of phonophoresis and ultrasound therapy. In combination, this not only removes purulent contents from the lacunae, but also causes the death of bacteria. This is achieved through phonophoresis, that is, the introduction of drugs using ultrasound.

The method has the following advantages:

  • tonsils are cleansed at the deepest levels;
  • in parallel, drugs are introduced that have an antiseptic and reparative effect;
  • the procedure is carried out with one device.

But this method is completely contraindicated for pregnant women.

If you want to get rid of chronic tonsillitis without removing the tonsils, you must not only take drugs, but also go to physiotherapy. These are treatment with ultrasound, ultraviolet radiation, microwaves, magnetotherapy, electrophoresis and other types of exposure.

All options for physiotherapy treatment can be divided into several groups.

Exposure to dry heat. This includes electrical and optical methods, namely, electrophoresis, laser therapy. When exposed to light, the microbial harmful environment dies, which leads to the elimination of the symptoms of inflammation. Of these methods, only electrophoresis can be used by pregnant women and cancer patients. Other methods are contraindicated for them.

Wave impact. To these medical methods include ultrasound treatment. These waves destroy purulent areas in the inflamed tonsils, cause the death of bacteria, and also remove their waste products from the lacunae.

steam impact. Classical inhalation therapy, which was discussed above.

For physiotherapy, one session is not enough. As a rule, patients attend 10-12 procedures to achieve the desired effect. The main goal of all these methods is to eliminate the focus of the disease, restore the normal blood supply to the organ (that is, the tonsils), its functioning, and relieve the symptoms of inflammation.

The most extreme measure in the treatment of chronic tonsillitis is the removal of the tonsils.

Although patients do not always agree to such a step, sometimes it is extremely indicated:

  • chronic tonsillitis, exacerbations of which occur more often 4-5 times a year;
  • abundant accumulation of pus in the tonsils, which is not removed by anything;
  • persistent SARS caused by dysfunction of painful tonsils;
  • a significant deterioration in the state of immunity due to neglected infectious disease;
  • the risk of systemic complications in the form of sciatica, myocarditis, kidney disease, etc.;
  • the onset of extensive pathological processes in the entire nasopharynx and oral cavity;
  • lack of an adequate response of the body to treatment;
  • significant respiratory depression, etc.


In any case, the decision to remove is made by the doctor after multiple examinations and communication with the patient. Tonsils can be removed either partially (tonsillotomy) or completely (tonsillectomy), depending on the extent of their damage.

Below are the most popular ways to remove tonsils.

Traditional surgical removal. Today it is the least popular method due to its pain and trauma. A wire loop is inserted into the affected area, which compresses part of the organ and removes it with a scalpel or scissors. The operation is performed under general anesthesia. Often there are complications in the form of bleeding.

Cryodestruction. The method involves the use of liquid nitrogen. It freezes the affected tissues, after which they are easy to remove, since they are already dead. With this method, bleeding occurs extremely rarely, but removal cannot be done in one session.

laser removal. The advantage of the laser is that, in parallel with the removal of tissue, it seals the vessels so that there is no bleeding. The method is characterized by minimal trauma and the absence of a long period of rehabilitation.

Electrocoagulation. Due to the action of high-frequency current, the tissue simultaneously dies and the vessels that feed it are cauterized. Among the disadvantages: several sessions are required, severe burns may appear.

The use of ultrasound. The tonsils are removed using a special scalpel that generates ultrasonic waves.

Before performing the operation, it is necessary to fully examine the patient in order to find out the full picture of the disease, determine contraindications and prevent possible complications. Preparation involves taking blood tests, various diagnostic methods, and so on.

The operation involves several stages:

  1. Introduction of anesthesia. Usually in ENT surgery, general anesthesia is practiced for this operation.
  2. The actual removal of the tonsils using the chosen method. The procedure takes about an hour.
  3. Recovery after surgery.

The duration of the rehabilitation period depends on the patient's condition and the choice of treatment method. If the tonsils were removed in the classical way, they remain in the hospital for 1-1.5 weeks after the operation. If less traumatic methods are chosen, inpatient treatment is reduced to 3-5 days.

Full recovery after surgery lasts 1-3 weeks. At this time, you should not take hot drinks, spicy foods and other foods that can damage the wounded mucous membrane of the throat. They also talk to a minimum and exclude physical exercise.

The operation has a number of contraindications:

  • tuberculosis,
  • infectious diseases in the acute phase,
  • pregnancy,
  • some heart diseases
  • diabetes,
  • blood diseases,
  • severe mental illness.

Usually tonsillectomy goes without complications, but sometimes they are possible:

  • negative effect of anesthesia on the body,
  • frequent bleeding
  • sepsis.

If a doctor prescribes the removal of the tonsils, this usually means that it is irrational to use other methods to treat chronic tonsillitis. Sometimes surgery is the only way out.

Video about tonsillitis

In this video, one of the country's leading otolaryngologists talks about the main methods of treating acute and chronic tonsillitis.

Forecast

Any form of tonsillitis can be cured if the complex treatment methods prescribed by the doctor are performed. In the case of one-sided therapy, self-treatment and the use of untested methods, the disease can give complications and turn into a protracted chronic form.

Tonsillitis is a disease in which the palatine tonsils are affected. The disease is often diagnosed in both children and adults. The onset of the disease contributes to a weak immune system. A decrease in the protective functions of the body, as a rule, occurs due to hypothermia, after a sore throat, scarlet fever or measles.

Timely treatment of tonsillitis with antibiotics does not allow acute form diseases to be transformed into chronic (it is much more difficult to treat). When should antibiotics be used for tonsillitis, and is it possible to avoid antibiotic therapy?

Acute and chronic form of tonsillitis

In the chronic form of the disease, antibiotics are prescribed by a doctor only after the type of pathogen has been determined and its resistance has been analyzed (sensitivity to the components antibacterial drugs). For this, mucus from the tonsils is cultured for pathogenic microflora and an antibiogram. Bacterial tonsillitis is always treated with antibiotics alone. In this case, you can't do without them.

If the acute form of the disease is not too severe, then usually the patient's body can overcome the disease on its own. That is, you can not take antibiotics. Moreover, the uncontrolled use of antibacterial drugs leads to a decrease in the protective functions of the body, contributes to the appearance of candidiasis and dysbacteriosis. Self-medication for all forms of tonsillitis is unacceptable.

Only a specialist can accurately determine the root cause of inflammation of the palatine tonsils, make a safe and effective rehabilitation course.

Properly selected therapy will protect against possible complications:

  • arthritis
  • pyelonephritis;
  • rheumatism;
  • pericarditis;
  • myocarditis and some other diseases.

Antibiotic treatment

It should immediately be noted that the active substances of the drug should freely and quite easily penetrate into the soft tissues. Their gradual accumulation will, if not destroy the pathogenic focus, then significantly weaken the microbes and stop their growth. When tonsillitis is diagnosed, an antibiotic - a drug that meets the above requirements - will come to the rescue.

So, what antibacterial agents can effectively treat tonsillitis?

  1. "Amoxicillin" is a drug that belongs to the group of penicillins and helps to cure tonsillitis caused by staphylococci and streptococci. Such an antibiotic is available in three types - capsules (200 and 500 mg each), tablets (500 mg each), as well as powders for suspensions. In addition, other drugs from the penicillin group, Oxacillin and Benzylpenicillin, can be used to get rid of tonsillitis. They have a wide impact and quickly cope with salmonella, cocci and bacilli. However, in some cases, bacteria may be immune to penicillin, then the next type of antibiotic is prescribed.
  2. "Cefadroxil" belongs to the group of cephalosporins and is available in the form of capsules of 500 mg. It kills gram-positive and gram-negative bacteria well. But Cefadroxil is not suitable for eliminating enterococci. Such a drug can be used by adolescents from the age of twelve, as well as adults.
  3. It is actively used as a priority treatment for tonsillitis "Lincomycin" (available in the form of capsules of 250 mg), which is included in the group of lincosamides. This medicine has proven itself in the fight against streptococci and staphylococci. It can only be used from the age of six. Against enteroviruses "Lincomycin" is powerless.
  4. The last group of antibiotics for the treatment of tonsillitis are macrolides. Of these, the following agents are usually used: "Erythromycin", "Azithromycin", "Clarithromycin". These drugs quickly destroy Haemophilus influenzae, mycoplasmas, chlamydia, staphylococci and streptococci.

If one or another type of antibiotic does not have any positive effect on the body (does not relieve swelling or prevent the release of pus), it is replaced with another antibacterial drug.

When to Use Antibiotics

The main indication for taking antibacterial agents is an infectious inflammatory process, which is caused by a certain strain of microbes. If the body is able to destroy the bacterial focus on its own, antibiotics can be dispensed with. According to experts, antibiotic therapy is in demand if:

In all these cases, the likelihood of the occurrence of dangerous complications that can affect the internal organs and systems of the patient. Therefore, the use of antibacterial agents becomes justified, because the benefits greatly outweigh all the risks.

If the patient has a unilateral lesion of the palatine tonsils, and there are no attacks of coughing and runny nose, the cause of tonsillitis is streptococcus. However, with an atypical clinical picture, it is still recommended to carry out a bacterial culture - to determine the specific type of pathogen (and only after that prescribe treatment).

As a rule, after examining the patient, it is impossible to say exactly which type of microbes caused the onset of tonsillitis (this requires laboratory research). Therefore, doctors often prescribe drugs broad action capable of simultaneously resisting various pathogens.

If the patient has previously suffered rheumatism, it is better to play it safe and immediately prescribe an antibiotic (without it, there is a high probability of a recurrence of rheumatism). Angina can recur more than 5 times a year. This is a good reason to remove the tonsils.

But not always antibiotic therapy will be appropriate. Antibiotics should not be used if:

  • the child is less than three years old;
  • inflammation of the tonsils - the result of the activity of viruses / fungi in mononucleosis;
  • the woman is pregnant or breastfeeding;
  • the patient is allergic to one or another medicinal component.

Is it possible to do without antibiotics?

The vast majority of these drugs have a number of side effects. Antibiotics lead to a violation of the microflora of the intestine and oral cavity, reduce immunity. Therefore, antibiotics should not be taken "just in case", for safety net.

Antibacterial therapy is not at all a prerequisite for the treatment of tonsillitis. Antibiotics are needed only when the symptoms become pronounced and there is a great danger of transformation of tonsillitis into a sore throat with the subsequent appearance of purulent foci.

According to doctors, in the chronic form of tonsillitis, antibiotic therapy is ineffective. In this case, all efforts should be aimed at local effects and increasing the body's resistance through the intake of vitamins.

It should be noted that antibacterial agents for pharyngitis and tonsillitis are used less frequently than in the elimination of tonsillitis. If in the latter case antibiotics cannot be dispensed with, then tonsillitis can be successfully cured with antiseptics and vitamin therapy.

Are you often diagnosed with tonsillitis and tonsillitis? Do you have to deal with a cold with a certain regularity? Then pay attention to the following recommendations that will help you quickly overcome the disease:

Tonsillitis is an insidious disease that often develops into a sore throat and can be complicated by other diseases. In addition, with improper therapy, it quickly becomes chronic.

It is much more difficult to treat chronic tonsillitis, so at the first symptoms of the disease, seek professional help. Only a doctor can make an optimal rehabilitation course. Be healthy, live happily ever after!

Modern therapeutic methods for dealing with the manifestation of symptoms of chronic or acute tonsillitis cannot be imagined without the use of potent antimicrobial drugs. The use of medicines in this category is quite justified and natural, because tonsillitis in most cases has a bacterial nature of origin. Much less often, the disease develops due to the penetration of a virus or fungal microorganisms into the tissues of the tonsils. Therefore, the attending physician always has a choice of which antibiotic to use in the treatment of a particular patient. Not the last role in making the final decision on the formation of a therapeutic course is the result of a bacterial examination of the surface of the tonsils, obtained from the analysis of smears taken from the mucous membrane of this part of the patient's throat. Let us consider in more detail the pharmacological properties of antibiotics of various types, which have proven to be the most effective and are popular in the treatment of all forms of tonsillitis.

The decision to prescribe antibacterial medications, or to limit the external influence on the surface of the inflamed tonsils, is determined solely by the attending otolaryngologist or infectious disease specialist. There are clinical situations in the development of tonsil disease, when the infectious agent of the disease is present in a very small quantitative population, and the use of an antibiotic in this case is not advisable. In such cases, the patient is really not recommended to treat early stage tonsillitis with antibiotic therapy, so as not to harm the immune system and the health of the digestive organs.

The patient is prescribed rinsing and washing the tonsils with antiseptic solutions of external influence on the surface of the tonsils. The type of drug in this category is also selected individually, as well as tableted or injectable antibiotics, but most often doctors use Miramistin, Chlorhexidine, Furacilin. These are liquid antiseptic solutions that have proven their effectiveness for many years, and their regular use allows you to cure the tonsils in a short period of time from a chronic or acute form of tonsillitis that develops on initial stage. It does not cause toxic harm to other internal organs.

Patients who apply for medical care in the treatment of tonsillitis in the later stages of the development of this infectious disease, they are forced to undergo a course of antibacterial therapy with potent drugs. In their case, the question of the advisability of using antibiotics is not in principle, since moderate tonsillitis and complicated forms of its course always and without exception require compliance with the complexity of treatment.

The patient simultaneously rinses the surface of the tonsils with antiseptic solutions, visits physiological procedures in the form of heating by electrophoresis, inhalation essential oils and decoctions of anti-inflammatory medicinal herbs. The most important element in the therapeutic course aimed at curing the tonsils from tonsillitis is antibiotics, which are administered to the patient in the form of intramuscular injections or he takes them orally in tablet form. In any case, it is impossible to get rid of infectious tonsillitis of an advanced stage without the use of antibiotic therapy.

Names, prices and features of the use of antibiotics for chronic tonsillitis in adults?

The modern pharmacological industry offers a patient with tonsillitis a huge list of drugs that simultaneously have antimicrobial, anti-inflammatory, immunomodulating properties, and also relieve the patient from swelling of the mucous membrane of the affected tonsils. Best of all in the treatment of chronic tonsillitis of varying severity, the following types of antibacterial drugs showed themselves:

Amoxicillin

It is an antibiotic of the penicillin series of the aminobenzyl group. Therapeutic effect from taking this medication occurs due to the fact that the active components of the drug block the synthesis of protein tissue in bacterial infection, resulting in microbes losing their natural ability to divide. The quantitative population of pathogenic microorganisms begins to decrease, and the inflammatory process in the tonsils, in proportion to the action of the antibiotic, gradually disappears.

The drug has proven itself in the treatment of chronic tonsillitis in adults, provoked by streptococcal infection. A medication is produced in the form of tablets at a price of 90 - 100 rubles per 1 package and in the form of a powder for preparing a suspension, which can later be used to rinse inflamed tonsils, or diluted with saline and administered intramuscularly (price 175 - 180 rubles).

Furacilin

This type of drug for the treatment of chronic tonsillitis in adults has broad-spectrum antimicrobial properties. It affects the bacterial microflora in the patient's tonsils by introducing ribosomal changes into the cellular structure of the infectious microorganism. As a result pathological process bacterial cells become weak and cannot provide the same resistance to the patient's immune system. Furacilin is produced in the form of an antiseptic solution for gargling at a price of 35 - 45 rubles per bottle and in the form of tablets in yellow packaging, the cost of which is in the range of 125 - 130 rubles per package.

Sumamed

An antibiotic belonging to the macrolide group of medicines of the azalide subtype. Once in the patient's body, it is quickly absorbed into the blood and reaches the epithelial tissues of the tonsils. It suppresses the infection that provoked chronic tonsillitis by blocking protein biosynthesis in the outer cell wall of each bacterium that comes into contact with the active ingredient of the drug. The higher the concentration of the drug in the tonsils, the better the therapeutic effect. Therefore, it is recommended to take the drug at the same time, so that there is no reduction in dosage. Produced by the manufacturer in tablet form at a price of 370 - 390 rubles per package and in the form of a powder for the preparation of suspensions (cost 220 rubles).

Amoxil

By their own pharmacological properties Amoxil can rightfully be attributed to the analogue of Amoxicillin, since both medications have in their composition the same active ingredient, which blocks the possibility of an infectious agent for the development of chronic tonsillitis to further cell division. Most often, the drug is prescribed in the form of tablets that have a yellowish tint. Their cost is within 375 rubles per pack.

If the patient is shown treatment by administering the drug intramuscularly, then the medication can be purchased in ampoules at a price of 185 - 200 rubles per pack.

Lizobakt

It belongs to the category of universal medicines intended for the treatment of chronic tonsillitis in adults, as well as other infectious and inflammatory processes in the throat and upper respiratory tract. It proved its effectiveness in the treatment of chronic tonsillitis of viral etiology, when the patient's tonsils were affected by a herpes infection with constant relapses. Takes an active part in the regulation of the protective function of the local immune system. Lizobakt tablets can be purchased in almost every pharmacy for 320 - 330 rubles per pack, which contains 30 coated tablets.

Imudon

These are lozenges, the cost of which is from 440 to 500 rubles. Such a price gap depends on the country of the manufacturer in which the tablets for chronic tonsillitis were produced. It is an immunostimulating drug that has a strengthening effect on the local immune system. The composition of the drug includes a complex of lysates - pathogenic bacteria that are not viable. Immunity captures the entry into the oral cavity of an additional number of foreign microorganisms and even more strongly shows its activity in suppressing bacterial microflora.

Rotokan

natural homeopathic medicine, which is produced by the manufacturer in the form of a syrup. It perfectly relieves the inflammatory process in the tonsils, which are affected by tonsillitis. Removes redness of the epithelial surface of the sore throat and relieves swelling. The cost of one bottle of Rotokan costs from 45 to 55 rubles. Take the drug in the morning and evening, 1 teaspoon. It is recommended to use this medicine as aid in the general therapy of chronic tonsillitis.

Tonsilotren

This is an antibacterial drug that can be found in a pharmacy at a price of 550 rubles for 1 package, which contains at least 60 tablets. According to its chemical formula, Tonsilotren belongs to homeopathic medicines and is intended for the treatment of chronic tonsillitis. It contains practically no synthetic components in its composition, with the exception of the gelatin shell. Relieves inflammation of swollen tonsils, improves local immunity in the oral cavity and in the larynx.

Stimulates recovery processes epithelial tissue damaged by infectious microorganisms.

Augmentin

A very potent drug that has proven effective in the treatment of chronic tonsillitis, which is at the most advanced stages of its development. The drug is produced in the form of tablets. Each package contains 14 pieces. The cost of the medication is 320 - 330 rubles. It belongs to the group of semi-synthetic antibiotics with a wide spectrum of action. Kills gram-positive and gram-negative bacteria. Augmentin can be used in the treatment of chronic tonsillitis, which is provoked by Staphylococcus aureus.

Wilprafen

Expensive but no less effective pills Vilprafen produced in the Netherlands will cost the patient 540 - 550 rubles. The package contains 10 coated tablets to minimize trauma to the sensitive mucous surface of the intestines and stomach. Vilprafen is a macrolide antibiotic, so it is active against most microorganisms known to science. It is also able to penetrate into the cellular structure of the tissue, where the greatest amount of bacterial infection is concentrated. This is very useful property drug when chronic tonsillitis is caused by intracellular microbes.

Suprax

Antibacterial drug for the treatment of chronic tonsillitis in patients of the adult age group. Each package of the drug contains 6 capsules of 200 mg each, covered with a yellowish-white protective shell. Capsules can be taken by drinking them with water without cracking, or you can open each tablet and pour its contents into water to prepare a suspension. The drug powder inside the capsule has a pleasant strawberry flavor. The drug is effective against most strains of bacterial infection, including streptococci. The cost of the drug is 745 rubles.

Bicillin

It is an injectable antibiotic for the treatment of chronic tonsillitis. It is a synthetic agent for suppressing the pathogenic activity of streptococcal infection, Staphylococcus aureus, Salmonella, Proteus, Pneumococcus, Pseudomonas aeruginosa. Sold in cardboard boxes. Each contains 50 vials of 10 ml (one intramuscular injection). The cost of the medicine is from 650 to 700 rubles.

Hexoral

It is produced by the manufacturer in several pharmacological forms at once. Hexoral aerosol costs 180 rubles. A solution for rinsing the surface of inflamed tonsils will cost the patient 270 rubles per bottle. Geksoral tablets cost 215 - 220 rubles. The main purpose of the antibacterial drug is the destruction of the infection located in the tissues of the tonsils and the removal of the inflammatory process.

IRS 19

The price of an antiseptic spray for chronic tonsillitis is 500 rubles per can. The drug is used to combat such infectious microorganisms in the throat and tissues of the tonsils as streptococcus, Staphylococcus aureus, Pseudomonas aeruginosa. It is recommended to use the medication not as an independent drug, but to include it in the course of complex therapy.

Malavit

Produced in glass or plastic bottles with a capacity of 50 ml. The cost of such a vial of medicine is in the range of 375 - 390 rubles. In the treatment of infectious lesions of the tonsils, Malavit is used as an effective antiseptic to cleanse the surface of the tonsils from pathogenic microflora, which speeds up the patient's recovery process.

tantum verde

Tantum Verde contains: active substance benzydamine, which is a non-steroidal chemical compound that has an antimicrobial effect on the inflamed surface of the tonsils. This broad-spectrum antiseptic is available in the form of an aerosol, and it will cost a patient with chronic tonsillitis 250 rubles per can.

Biseptol

Available in the form of white tablets. Depending on the country or manufacturer, the tablets may be coated with a protective shell. Each red carton contains 30 tablets. The cost of an antibacterial drug is in the range of 110 - 115 rubles. It is effective if it is included in a complex course of therapy.

Sinupret

This is a natural homeopathic preparation, which contains only extracts medicinal plants collected in ecologically clean regions. An antibacterial agent is produced for the treatment of chronic tonsillitis in the form of drops for oral administration and in the form of dragees. The cost of the drug, regardless of its pharmacological form of release, is in the range of 380 - 410 rubles.

Flemoklav

Produced in the form of tablets. It contains the active substance amoxicillin. The cost of a broad-spectrum antibacterial drug is 320 rubles per pack of tablets, which are presented in an amount of 20 pieces. Effective against gram-negative and gram-positive bacteria, which provoked the development of chronic tonsillitis in the tissues of the tonsils.

Erythromycin

This is one of the very first tablet antibiotics with the ability to destroy such dangerous infection like Staphylococcus aureus. It is the latter type of infectious microorganism that most often provokes the occurrence of chronic tonsillitis. Erythromycin is distinguished by its availability, because its cost is only 90 rubles per package, inside which there are 20 tablets coated with a protective coating of red or yellow.

streptocide

Acts as an auxiliary antiseptic to relieve chronic inflammation in infected tonsils. Streptocid tablets are taken orally by resorption in the oral cavity. The medicine is produced in paper packages, each of which contains 10 tablets. Price this medicine is 40 - 50 rubles. Streptocid has effective antiseptic properties, but cannot be used exclusively independent remedy for the treatment of chronic tonsillitis.

Bioparox

An aerosol-type antibacterial drug, which is available in a convenient 10 ml aluminum can. On average, one bottle is enough for 400 inhalations. To achieve the maximum therapeutic effect in the treatment of chronic tonsillitis, it is recommended to regularly irrigate the tonsils with this drug. The cost of one can of Bioparox is 320 rubles.

Betadine

This is a 10% antiseptic solution designed to disinfect the oral cavity and throat area. The drug perfectly copes with the function of suppressing bacterial microflora, cleanses the surface of the tonsils from purulent plaque and washes out the formed plugs from the lacunae of the glands. Available in a 30 ml plastic bottle. The cost of an antibacterial drug is 165 - 180 rubles.

Tsiprolet

It is an antibiotic from the group of fluoroquinolones. The drug is produced in India, and its pharmacological group- These are film-coated tablets. The therapeutic effect of the application lies in the fact that the active components of the drug penetrate the DNA gyrase of a bacterial infection and disrupt the intracellular communications responsible for the division of microbes and the transmission of genetic information. Due to this, the process of reproduction of pathogenic microbes is suppressed. The cost of tablets is 122 rubles per pack.

Each of the antibacterial drugs listed in the list is good in its own way and has a beneficial effect on the process of healing from the chronic form of tonsillitis, which was diagnosed in a patient of the adult age group.

Which of the following is also good for treating children?

For a too sensitive child's body, it is recommended to use only those antiseptics that will help rid the child's tonsil tissues of a pathogenic infection and at the same time will not cause side effects. For the treatment of children, drugs such as:

  • Streptocid;
  • Malavit;
  • Tantum Verde;
  • Rotokan;
  • Furacilin.

Depending on the severity of the current clinical picture chronic tonsillitis in a child, the attending pediatrician may prescribe stronger antibiotics if the child's serious health condition requires it.

Precautions and contraindications

All antibacterial drugs without exception, harm the health of a person who takes them orally in the form of tablets, or in the form of intramuscular injections. Therefore, precautions and contraindications in the treatment of chronic tonsillitis with antibiotics are as follows:

  • use antibiotics with caution in people who are prone to allergic reactions for this type of medicine;
  • it is contraindicated to use antibacterial agents for patients with liver and kidney diseases, which are expressed in their insufficient functionality;
  • Antibiotic tablets should not be taken by people with peptic ulcer and inflammation of the mucous membrane of the stomach or intestines;
  • during pregnancy and breastfeeding, antibacterial agents are also categorically contraindicated.

Depending on the individual features the body of a patient suffering from a chronic form of tonsillitis, the attending otolaryngologist may recommend that the patient refrain from taking antibiotics, justifying the ban with other medical contraindications.

Side effects of antibiotics for tonsillitis

Like most antibiotics, this group medication has its own side effects that may occur in the patient during the treatment of chronic tonsillitis. The following side effects may develop:

  • nausea, lack of appetite, vomiting, diarrhea;
  • convulsions and tremors, both upper and lower extremities;
  • headaches and dizziness, insomnia at night and drowsiness during waking hours;
  • dry mouth and partial or complete loss of taste;
  • feeling of pain in the right hypochondrium and in the stomach;
  • bitterness in the mouth, which occurs spontaneously not in the process of eating;
  • allergic reactions in the form of a red rash on the skin, spots like urticaria, edema and bronchial spasms.

If you find yourself with similar symptoms, which by their nature are a consequence of taking antibacterial drugs, you should immediately stop treatment and contact the doctor who prescribed these medications so that he can form another therapeutic course.

Today, the answer to the question of whether tonsillitis in adults or children can be cured without antibiotics is no. Antibiotics for tonsillitis in adults and children are prescribed without fail. In the chronic form of the disease, a spray is used mainly, which has only a local effect. In an acute process, antibiotics are shown in various forms: in tablets, aerosol, spray. The list of drugs used for tonsillitis is extensive. Which of them will be the most effective and best in a particular case, the doctor knows. It is up to you to decide which antibiotics to fight tonsillitis with, and you can’t take them. Home therapy will only worsen the patient's condition and make the bacteria resistant to the medicine.

The doctor, before starting the treatment of tonsillitis, directs the patient to a smear to determine the causative agent of the disease and its sensitivity to antibiotics.

Tonsillitis is the common name for several inflammatory diseases tonsils, which have an acute or chronic course. In the acute form of the disease, we are talking about angina. In most cases, angina is not an independent primary disease, but occurs during an exacerbation of chronic tonsillitis.

The disease affects children and adults equally. Inflammation develops due to the presence of pathogenic bacteria in the tonsils. They do not disappear even during the remission period. The main provocateurs of pathology are streptococci and Staphylococcus aureus.

The preservation of bacteria in the tonsils is due to the structural features of the organ. It has gaps and crypts in which the pathogens of tonsillitis are inaccessible to the action of local preparations. Rinses and sprays are not effective against them.

In remission, the symptoms of the disease are practically absent. Enlarged tonsils testify to the presence of tonsillitis. Their size grows as the volume of lymphoid tissue increases to contain bacteria.

With exacerbations of the disease, active reproduction of bacteria occurs, due to which general intoxication of the body develops. With an exacerbation of tonsillitis, the symptoms are similar to purulent tonsillitis. The presence of purulent plaque and purulent plugs is noted on the tonsils. With the disease, the submandibular lymph nodes increase and become painful. If you do not treat tonsillitis, then there is a high risk of infection from lymph nodes and its distribution with the flow of lymph throughout the body, which threatens sepsis (blood poisoning).

How antibiotics are chosen for therapy

The main requirements for antibiotics that are used in the treatment of tonsillitis in a chronic or purulent form are their effectiveness against the causative agent of the disease and the ability, easily penetrating into tissues, to create a maximum concentration in the focus of inflammation. Drugs that meet these requirements are most effective for the treatment of tonsillitis in adults and children. The main drugs used in the treatment of the disease are:

  • Penicillins - use the funds of this group when treating chronic tonsillitis. Preferably amoxicillin and flemoxin are prescribed. Less commonly, ticarcillin is prescribed. The drugs are qualitatively absorbed in the gastrointestinal tract and quickly reach the maximum concentration in the tissues. Drugs cost up to 200 rubles, which adds to their demand. Dosages for both children and adults are determined by the attending physician. Unauthorized change in the volume of the medicinal product is strictly prohibited.
  • Persistent penicillins are prescribed when treating chronic tonsillitis and acute, if you want to eliminate the disease as quickly as possible. The risk of recurrence of the disease after taking them over the next 5-7 years is minimal. The main antibiotics for chronic tonsillitis from this group are amoxiclav and sultamicillin.
  • Macrolides are fast-acting, long-acting antibiotics that are taken once. Prescribed mainly azitram and sumamed.
  • Aminoglycosides - are used to treat purulent tonsillitis and when it is necessary to cope with chronic acute tonsillitis, if the disease is caused by Staphylococcus aureus. Patients are prescribed amikacin, which does not have side effects and well tolerated by the body. The drug does not affect the kidneys and cannot plant them. If the use of the drug is not possible, then it is replaced with zanoacin or lomacin.

Improvement in the patient's condition when using antibiotic drugs for therapy is noted on day 2 or 3, depending on the condition. If after 3 days after antibiotics there is no improvement, or even progression of the disease is observed, it is necessary not only to stop drinking them, but to immediately notify the attending physician. Such a phenomenon is an alarming signal that the wrong remedy has been selected to get rid of tonsillitis. Perhaps the causative agent of the disease or the sensitivity of bacteria to antibiotics is incorrectly identified.

Local impact

A local effect on the inflamed tonsils helps to significantly reduce the period of sore throat. When tonsillitis is diagnosed, oral and topical antibiotic treatment is combined. Individually, they will not be enough to quickly get rid of the problem. In addition to rinsing and sprays, rinsing and administering the drug directly into the tonsils are also used for the disease. Methods of therapy are determined by the attending physician.

  1. Washing is the most effective method in the treatment of tonsillitis. With it, certain antibiotic agents are used to wash the lacunae with antibiotic solutions using a special device. Usually used penicillins and sulfonamides. The course of treatment is from 1 week to 10 days. The procedure is carried out daily, since the amount of pus released during inflammation will not decrease in 1 day.
  2. The introduction of the drug into the tonsils - the method is an alternative to washing in the event that the foci of inflammation are deep and cannot be reached when washing. The purulent form of the disease can also be treated by administering a drug without first removing the contents from the gland ducts.
  3. Irrigation - is prescribed for the chronic form of the disease to prevent exacerbations and a quick complete cure. Irrigation spray is carried out according to the instructions. Common formulations with antibiotics are bioparox and stopangin.

All medications and procedures, depending on the condition of the patient, are prescribed by the doctor who treats him. It is unacceptable to use even topical antibiotics without permission, as this can provoke the appearance of bacteria resistant to them, which will be extremely difficult to get rid of in the future.

Therapy during pregnancy

When carrying a child, a woman's immunity falls naturally so that rejection does not occur foreign body(fetus) and the pregnancy persisted. As a result of such changes, tonsillitis begins to actively remind of itself and its exacerbation may begin. It is strictly forbidden to use antibiotics for chronic tonsillitis, acute or purulent, including tonsillitis, in the first trimester.

In the 2nd trimester, a number of the best antibiotic drugs can be used, which are equally well absorbed and excreted from the body. They, not lingering in the blood for a long time, do not penetrate the placental barrier and do not harm the development of the fetus. Pregnant women, for the treatment of tonsillitis with antibiotics, are prescribed a number of effective drugs:

  • flemoxin,
  • honeyclave,
  • amoxicar,
  • danemox,
  • amoxon.

Reception schedules are made by a doctor. The course of treatment is at least 2 weeks. It must be completed in its entirety. If you stop it earlier, then the result of therapy will be weak and purulent tonsillitis or tonsillitis will return in a few days. Bacteria not completely destroyed will develop the ability to resist the action of the antibiotic, which has not cured the disease, and it will become useless against them.

To check how effective the treatment was, a woman after a course of antibiotics should take a throat swab for the presence of pathogenic bacteria. If their presence is detected, then an additional course of antibiotics is indicated.

Admission rules

In order for the results of treatment to be effective, taking antibiotics for tonsillitis must be competent and correct. Independently change the dosage or duration of treatment is prohibited. The rules for taking antibiotics for tonsillitis are as follows:

  • dosage compliance;
  • compliance with the time intervals between taking the medicine - if they deviate from them, there is a high risk of developing side effects or losing the effectiveness of therapy;
  • compliance with the combination of the drug with food - if the instructions say that you need to drink the drug before meals, then it is strictly forbidden to transfer it to the meal or after it;
  • drinking only clean water - it is unacceptable to drink a tablet or capsule with tea, coffee, sweet drinks. Milk and sour-milk products will also violate the action of the remedy;
  • taking probiotics - antibiotics are detrimental not only to pathogenic bacteria, but also to beneficial microflora in the intestines. To protect it and prevent the appearance of dysbacteriosis, it is necessary to take additional probiotics;
  • the inadmissibility of unauthorized use of the drug and self-replacement of the remedy prescribed by the doctor if it is ineffective by another.

The doctor also prescribes a medication regimen, and it must be followed. When something in the scheme is not clear, you need to consult with a doctor additionally.

Why Antibiotics Can't Protect Against Tonsillitis Forever

After a course of therapy, tonsillitis or purulent sore throat may return, since only those bacteria that were in the tonsils were destroyed by the medicine, and not those that come from outside all the time. If immunity gives slack, pathology develops.

Not always treatment with not the most modern antibiotics gives a result, because of the ability of pathogenic bacteria to adapt to the effects of medicines. As a result, they become resistant to them. The more often patients prescribe themselves antibiotics arbitrarily, the greater the number of microorganisms resistant to a particular drug and a number of other drugs becomes.

It is necessary to treat tonsillitis under the supervision of a doctor and strictly according to his recommendations.

One of the most common ENT diseases is tonsillitis. It occurs in both adults and children. The disease is complex, has several types and stages of development. May cause serious health complications. In the acute stage of development, antibiotics are prescribed for tonsillitis. The chronic stage of the disease is no less dangerous than the acute one. After all, the tonsils are teeming with staphylococci and streptococci, which constantly poison the body. Despite this, in the chronic form of pathology, antibiotics are rarely prescribed.

What is tonsillitis?

Tonsillitis is an inflammation of the tonsils. It happens acute and chronic. Acute inflammation of the tonsils is called angina. Prolonged and improper treatment of inflammation of the tonsils (palatine tonsils) causes chronic tonsillitis. With this disease, the tonsils are dotted with crypts that open on the pharynx with lacunae.

This paired organ affects the body's immunity. The tonsils are located near the respiratory and digestive system, affect the heart. If the palatine tonsils are constantly inflamed, then an infection enters the body. This causes permanent intoxication.

The chronic form of tonsillitis is compensated and decompensated. In the first case, angina rarely occurs. The only thing that worries a person is the plugs on the tonsils. With a decompensated form, a person is prone to frequent tonsillitis, which provokes serious health complications.

Symptoms of tonsillitis are bad breath and sore throat. With tonsillitis, pain can radiate to the ear. With the disease, the lymph nodes are enlarged, with palpation, at their location, pain occurs.

Tonsillitis in an acute form of development can also cause dermatomyositis. The disease provokes diseases of the cardiovascular and pulmonary systems. It can cause an upset of the gastrointestinal apparatus, damage to the visual organ, disruption of the kidneys, liver and endocrine system. In chronic tonsillitis, abnormal work is often observed subcutaneous tissue, adipose tissue and epidermis.

Antibiotics for tonsillitis are prescribed in the acute course of the disease. Sometimes these drugs are used to treat a chronic form of pathology.

Types of antibiotics for tonsillitis

The modern market offers a huge selection of drugs. should be carried out under the supervision of an ENT doctor. Modern antibacterial drugs quickly remove unpleasant symptoms and relieve exacerbation. most popular medicines are:

  • Penicillins. This category of antibiotics is most often used for chronic tonsillitis. They are rapidly absorbed into the intestine and are well tolerated by patients. Effective. They are used both for the treatment of the adult population and in the treatment of children. The dosage is determined by the doctor, after diagnosing the patient and determining the severity of the disease.
  • Persistent penicillins. Eliminate negative symptoms in a short time. They give good results in the fight against pathogenic bacteria. Help to get rid of relapses.
  • Macrolides. No less effective than penicillins. They act quickly. Improvement occurs after the first pill drunk. Medicines in this group are slowly excreted from the body. Therefore, antibiotics for tonsillitis of this category are drunk one tablet a day.
  • Aminoglycosides. It is used when Staphylococcus aureus has become the cause of chronic tonsillitis. The drugs of this group successfully fight the disease and rarely cause side effects. Patients note their effectiveness in the treatment of the disease.

Treatment of tonsillitis with antibiotics has a positive effect on the course of the pathology. The result comes on 2-3 days of therapy.

Penicillins

Antibiotics for tonsillitis in adults are often used. The most popular drugs are drugs of the penicillin group. They are used both during the period of exacerbation and to prevent complications in tonsillitis caused by hemolytic streptococcus. The following medicines are most popular:

  • "Amoxicillin". Its action is based on blocking the protein synthesis of infected microorganisms. Because of what microbes stop dividing. Their number decreases, and the inflammatory process in the tonsils passes. The drug is used for the medication is released in the form of tablets and in the form of a powder for the preparation of a suspension. The drug can be administered intramuscularly. The cost varies between 170-200 rubles.
  • "Oxacillin". The drug has a bactericidal effect. It is used for infections caused by staphylococci. Absorbed by the intestine quickly and completely. Released within two hours. Used for mixed bacterial infections. Available as a powder for injection. One bottle costs about 10 rubles.
  • "Ampicillin". Broad spectrum antibiotic. Resistant to the acidic environment of the stomach. Available in the form of capsules and tablets. They treat pathologies caused by bacteria with sensitivity to ampicillin. With tonsillitis, tablets are taken up to 4 times a day, every six hours. Ten tablets cost between 8-15 rubles.

What antibiotics are most effective for tonsillitis? In the treatment of this disease, inhibitor-protected penicillins have gained particular popularity. These medicines contain clavulanic acid, which makes them resistant to various microbial enzymes. The most famous drugs of this group are:

  • "Flemoklav". The drug is released in tablets. The drug is absorbed into the intestinal wall in a short time and is excreted within an hour. The medication is drunk twice a day. The course of treatment is fourteen days. Twenty tablets cost 450 rubles.
  • "Panklav". The drug is characterized by a wide spectrum of antibacterial action. Produced in the form of tablets. With tonsillitis, they are drunk three times a day. The therapeutic course is determined by the doctor, but cannot last more than two weeks. The cost of 14 tablets is 300 rubles.
  • "Amoxiclav". The drug is active against many gram-negative and gram-positive microorganisms. Available in tablets and powder for suspension. The drug is taken every eight hours, three times a day. The course can last from five to fourteen days. The cost of an antibiotic varies between 200-450 rubles.
  • "Ampixid". Produced in the form of tablets and powder for suspension. The drug has bactericidal properties. Treats not only ENT diseases, but respiratory tract infections. Pathology of the genital organs and biliary tract. Take the medicine twice a day. The duration of therapy is 14 days.

These are the best antibiotics for tonsillitis. They have repeatedly proven their effectiveness in the treatment of this disease.

Other groups of antibiotics

Antibiotics for chronic tonsillitis in adults are also used from the category of second-generation macrolides. Medicines from this group are no less effective than penicillins. Quickly give results in the treatment of the disease. The best drugs are considered:

  • "Sumamed";
  • "Clarithromycin";
  • "Azitral";
  • "Hemomycin";
  • "Josamycin".

What antibiotics for tonsillitis can still be used? In addition to the drugs described, cephalosporins are often used in the treatment of tonsillitis. The most popular are: "Cefuroxime", "Cefazidime", "Cefepim", "Cefoperazone", "Cefixime", "Ceftriaxone", "Ceftibuten".

If tonsillitis appeared due to Staphylococcus aureus, then antimicrobial medications, aminoglycosides, are prescribed. They do not give side effects and are well tolerated by patients. Amikacin is considered the best antibiotic in this group.

In the treatment of tonsillitis, a doctor may prescribe fluoroquinolones. Among them stand out:

  • "Ofloxacin";
  • "Norfloxacin";
  • "Lefloxacin";
  • "Levofloxacin";
  • "Gatifloxacin";
  • "Ciprofloxacin";
  • "Sparfloxacin";
  • "Lomefloxacin";
  • "Moxifloxacin";
  • "Sparflo".

About what antibiotics for chronic tonsillitis help to cope with the disease, it was described above. These drugs are prescribed by doctors for angina. You should not take antibiotics without a doctor's prescription, as these drugs have contraindications and can cause side effects.

Local preparations

Acute tonsillitis is treated with antibiotics quite successfully. But for the best result, local preparations are added to them. These may include sprays, lozenges, gargles, and inhalers.

A popular procedure is to wash the tonsils with a solution containing penicillin or sulfanilamide. The duration of treatment is 7-10 days. Lacunas are washed daily, using a medical syringe. Furacilin can be used for rinsing.

An alternative to washing can be the paratonsillar injection of the drug into the tonsils. The procedure is carried out if the abscesses are located deep in the tonsils. To perform this manipulation, antibiotics of the penicillin group are used.

Both in acute and chronic tonsillitis, inhalation has a beneficial effect on the body. The procedure is carried out with Miramistin, Dioxidin, Tolzigon, Chlorophyllipt. The drugs are diluted with saline. Procedures are done using a nebulizer. With tonsillitis, it is forbidden to do inhalations with hot steam.

A good result with sore throat is irrigation of the throat with sprays "Tantum Verde", "Gexoral", "Ingalipt", "Lugol".

Lozenges for resorption play an important role in the treatment of the disease. The best drugs are: Faringosept, Grammidin, Lizobakt, Imudon, Tonsilotren.

Local remedies in combination with antibiotics for tonsillitis speed up the healing process. Improve the result of treatment. They can be used both in the chronic form of the disease, and during exacerbations.

Treatment of children

What antibiotics are used for tonsillitis in children? Babies are also frequently prescribed antibiotics. Doctors try to choose the safest and most gentle medicines. In therapy, drugs are used not only from the penicillin group, but also from the cephalosporin and macrolide categories. The most requested tools include:

  • "Oxacillin". Penicillin synthetic drug. Its maximum concentration in the blood is observed after 30 minutes. The medication can cause side effects. A single dosage is 0.25-0.5 g. Newborns are prescribed 90-150 mg per day. For infants up to three months, the daily dosage is 200 mg. For children from three months to three years, the daily dose is increased to 1 g. Patients aged 2-6 years are prescribed a daily amount of the drug equal to 2 g. The course is 7-10 days.
  • "Phenoxymethylpenicillin". This is another antibiotic of the penicillin group that doctors often prescribe to children. Babies under 10 years old are prescribed it at a dosage of 0.5-1.5 million units. AT childhood from 10 years, the drug is prescribed in a daily dose of 3 million units. Daily amount divided into three doses.
  • "Erythromycin". The drug belongs to the macrolide group. They treat tonsillitis caused by staphylococcal and streptococcal infections. The drug does not act on the fungus and viral infection. The drug is prescribed for children who are allergic to penicillins. For patients from seven years old, the drug is prescribed to take 0.25 g four times a day. For babies under seven years old, 20 mg of medication is taken for each kilogram of weight.
  • "Benzylpenicillin". The tool has a bactericidal property. Can be administered intramuscularly and intravenously. The dosage depends on the severity of the disease and the age of the patient. It ranges from 4 to 6 million units. per day.

Treat tonsillitis with antibiotics. Especially if the disease is in an acute stage of development. With improper therapy, the pathology passes into the chronic stage and then it is more difficult to treat the disease.

Treatment of tonsillitis during pregnancy

Antibiotics for tonsillitis in adult women during pregnancy are rarely used. In the first trimester of pregnancy, antimicrobial drugs are strictly contraindicated. However, even in this position, acute tonsillitis cannot be treated. The penetration of infection into the body is dangerous not only for the expectant mother, but also for the baby. During this period, the internal organs are formed in the fetus and the ingress of microbes causes the development of various pathologies.

During pregnancy, they are treated with Flemoxin. This antibiotic is considered the safest. It is quickly absorbed into the walls gastrointestinal tract and also quickly excreted from the body. Since the drug quickly leaves the body, not having time to harm the body. This feature of the drug does not affect its effectiveness.

In the second and third trimester, pregnant women are prescribed the following antimicrobials:

  • "Amoxicar";
  • "Amoxon";
  • "Danemox";
  • "Klavunat";
  • "Medoklav".

Treatment of tonsillitis with antibiotics during pregnancy lasts at least two weeks. Medicines are taken orally from one to three times a day. The dosage is regulated by the doctor. In addition to oral medications, topical medications may be used. They speed up the healing process. At the end of therapy, an appropriate analysis is taken to confirm the effectiveness of the treatment.

Treatment of tonsillitis without antibiotics

Chronic tonsillitis (which antibiotics treat this disease is described above) does not require the constant use of antibiotics. To avoid relapses in chronic disease need to lead healthy lifestyle life and constantly strengthen the body's immune system. Well removes the inflammatory process in the tonsils rinse. For the procedure ethnoscience recommends using the following solutions:

  • freshly squeezed lemon juice diluted with boiled water;
  • squeezed horseradish juice;
  • decoction of burdock;
  • a weak solution of potassium permanganate with the addition of iodine;
  • tincture of a golden mustache;
  • solution of green tea and garlic.
  • Immortelle in the amount of 100 g, mixed with St. John's wort, chamomile and birch buds, taken in the same amount as immortelle. The herbal mixture is poured with boiling water and allowed to brew for about four hours.
  • In beet juice (50 g) add a tablespoon of kefir, the same amount of rosehip syrup and lemon juice.

A good addition to the treatment will be herbal tea. It may include chamomile, yarrow, wild rose, nettle and other plants that strengthen the immune system.

The effectiveness of antibiotics

Does tonsillitis always go away after antibiotics? Unfortunately no. Treatment with these drugs does not work when the body is resistant to one or another group of drugs. As a rule, this situation often occurs with drugs of the penicillin group.

If you treat a viral infection with antibiotics, or then the therapy will not work either, since antimicrobial drugs do not work on viruses and fungi.

The effectiveness of treatment can be zero if the patient did not follow the doctor's instructions. I did not drink the full course and stopped taking the medicine for 2-3 days after improvement.

In all other cases, antibiotic treatment gives a good effect. People feel better after the first dose of the medicine.