The drug Azithromycin for the treatment of urethritis allows you get rid of pain when urinating in a matter of days. Urethritis symptoms, causes and prevention. Zithromax properties which help to deal with urethritis. Choosing the proper course of Azithromycin therapy.
- What is urethritis and what are the causes of the disease?
- Non gonococcal urethritis treatment
- Urethritis treatment medicine. List of the best antibiotics
- Chlamydia trachomatis infection treatment. Best antibiotics
- Can urethritis be cured? How to get rid of urethritis? Urethritis antibiotics
- Azithromycin: the best drug for the treatment of chlamydia urethritis
- Zithromax (Azithromycin) – an effective drug to deal with urethritis
- The course of Azithromycin therapy
What is urethritis and what are the causes of the disease?
The fact that Azithromycin (Zithromax) successfully relieves genitourinary infections does not mean that the drug should be taken whenever you notice a stinging or burning sensation during urination. First, let's figure out what is urethritis, and what are the causes of the disease. In simple words, urethritis is an infectious disease of the urinary tract.
Its first and main symptoms are indeed burning and other unpleasant, painful sensations during urination. Most often they are accompanied by constant pain in the perineum, purulent and mucous discharge from the urethra, as well as frequent urge to urinate. In men, the disease usually proceeds more sharply, causing greater discomfort. In addition, male urethritis can finally lead to prostatitis and even impotence, if it is not cured in time.
Most commonly, urethritis is caused by sexual infections, including gonorrhea and chlamydia. Sometimes non-infectious urethritis can start being infectious, if a bacterium accompanies the usual inflammation. Fortunately, the potent antibiotic Azithromycin successfully fights almost all the infections of almost any kind and origin.
What can be done to avoid this extremely unpleasant disease? First of all, you need to protect yourself with modern contraception methods during sexual intercourse, because even a regular partner does not guarantee you absolute safety, including that from microbes. In addition, it is worth considering that the infection can be transmitted even through hygiene items, towels and clothing. Finally, no one has ever been harmed by a healthy lifestyle, you know. A strong immunity itself helps the body to deal with most of the unwanted intrusions.
Non gonococcal urethritis treatment
Non gonococcal urethritis is a type of inflammation of the urethra that can be caused by numerous infections in the human body. The most common disease of this group of diseases is chlamydial urethritis.
This disease most often affects men, and among women, non-gonococcal urethritis is quite rare and amounts to 30% for all recorded cases of urethritis.
Non-GI urethritis is a disease that affects the entire urinary canal. A person begins to feel burning and pain when urinating, as well as redness, purulent discharge, sometimes swelling in this area. All the above symptoms in women may not be, since the urethra in the female body is less than in men. In most women, the disease can occur without any apparent symptoms. Sometimes, of course, there are signs, but they are insignificant, for example, the selection of a transparent color.
Treatment of non-gonococcal urethritis
1. The first episode of non-gonococcal urethritis.
Drugs of choice:
Azithromycin, 1.0 g orally;
Doxycycline, 100 mg orally 2 times / day for 7 days.
Erythromycin, 500 mg orally 4 times / day for 7 days;
Ofloxacin, 300 mg orally 2 times / day for 7 days (prolonged Ofloxacin - once 800 mg 1 time / day);
Tetracycline, 500 mg orally 4 times / day for 7 days.
2. Persistent non-gonococcal urethritis.
If trichomoniasis is suspected, Metronidazole is taken, 2.0 g orally, once. If urethritis caused by HSV is suspected, antiviral drugs are indicated.
3. Recurrent non-gonococcal urethritis.
At the first recurrence of non-gonococcal urethritis (in the absence of re-infection) Doxycycline, 100 mg orally, 2 times / day for 7 days (if the first episode was treated with Azithromycin or Erythromycin) or Erythromycin, 500 mg orally 4 times / day for 7 days (if the first episode was treated with doxycycline or tetracycline).
In subsequent relapses, many authors recommend Ofloxacin, 300 mg orally 2 times / day (prolonged Ofloxacin - once 800 mg 1 time / day) or Ciprofloxacin, 500 mg orally 2 times / day for 2-3 weeks (prolonged ciprofloxacin - once 1000 mg 1 time / day).
If symptoms of the disease persist, further antimicrobial therapy is not appropriate.
Urethritis treatment medicine. List of the best antibiotics
List of popular anti-urethritis drugs
The modern pharmaceutical industry offers a wide selection of a wide variety of drugs designed to quickly and successfully get rid of urethritis of varying severity. Before forming a treatment regimen, the doctor conducts a comprehensive examination of the patient and, on the basis of the obtained laboratory findings, as well as diagnostic results, forms a treatment regimen for the patient, which includes the most effective medicines belonging to different groups according to their pharmacological properties.
In this article we consider in detail what urethritis drugs are best for both female and male organisms, as well as study the characteristics of the most popular antibacterial, antiviral and antifungal drugs that eliminate the inflammatory process in the urethra.
Instructions for use of drugs and antibiotics for urethritis.
The order of taking each medication, which is designed to suppress the pathogenic activity of a bacterial infection, depends on the dosage, the properties and the type of chemical substances that make up the tablets, intravenous or intramuscular injections.
In most cases, if an antibiotic for treatment of urethritis was prescribed to be taken in tablet form, then on average it is enough to drink 1-2 tablets daily 3 times a day for 10-12 days. Intramuscular injections can be injected into the patient’s body 1-2 times a day for a shorter course of treatment that lasts 5-7 days.
Most antibiotics for effective treatment of urethritis, occurring in acute or chronic form, come in the form of tablets, coated with a protective coating. In practice, the following types of medications have proven their worth in the fight against infectious microorganisms that provoke inflammation of the urethra.
Azithromycin (Zithromax, Z-Pak) is a semisynthetic antibacterial agent with a broad spectrum of activity. It is effective against microbial urethritis, when inflammation in the urinary canal is caused by microorganisms such as Staphylococcus aureus, streptococcal infection, Pseudomonas bacillus. Azithromycin is taken 2 tablets a day, morning and evening for 10-14 days.
The drug is contraindicated in pregnancy and the tendency to various kinds of allergic reactions. The average cost of packing data tablets 250 mg in the amount of 30 pieces - $50.
Amoxiclav falls into the category of Azithromycin analogues. The drug is used to treat complicated forms of urethritis, when weaker antibiotics do not bring the desired result. Amoxiclav is taken daily 1 tablet 3 times a day. The estimated duration of treatment is 10-15 days, and then you need to undergo a second course of treatment to eliminate the risk of recurrence.
The price of Amoxiclav package (30 tablets of 375 mg each) will cost $ 55 to the buyer.
This drug contains in its composition semisynthetic penicillin. Amoxicillin tablets have been developed to combat bacteria that have natural immunity to traditional penicillin. In most cases, Amoxicillin is used to eliminate foci of inflammation in the urethra, which are caused by Proteus, nosocomial strains of staphylococcus and other severe forms of infections.
Amoxicillin is not indicated for children under the age of 6 years, pregnant women and allergies. The drug is taken as prescribed by a doctor, depending on the severity of the disease. Amoxicillin price in online pharmacies (30 tablets of 500 mg) - $35 per pack.
Doxycycline is a semisynthetic antibiotic from the tetracycline group that is successfully used to treat mixed-type urethritis when, according to laboratory analysis, it has been determined that a bacterial and fungal infection is parasitic in the patient's urinary channel.
Doxycycline is taken 2-3 tablets 3 times a day. The cost of the drug (30 tablets of 100 mg) - $ 35 per pack.
Flagyl ER (Metronidazole)
One of the few remedies that helps men and women to fully recover from Trichomonas urethritis. This antibacterial drug wilts in the cellular fluid structure of the epithelium and destroys the causative agent of Trichomonas. One course of treatment is 10-15 days.
Flagyl ER (Metronidazole) is taken 1-2 tablets 3 times a day. During the period of therapy, it is strictly forbidden to drink alcohol, since there will be no positive result. A pack of Metronidazole (60 tablets of 400 mg) costs $40.
Erythromycin is a broad-spectrum antibacterial agent that has the appearance of small round white tablets. Erythromycin is effective against almost all types of bacteria. It is not used to treat viral and fungal urethritis.
Erythromycin is administered 1-2 tablets 3-4 times a day 1 hour before or after meals. You cannot combine the reception of Erythromycin and alcohol, otherwise the effect of the drug will be exactly the opposite. Using this antibiotic, you can completely get rid of urethritis in 10-15 days.
All described types of tablet antibiotics are actively used in practical medicine by doctors, urologists, gynecologists, dermatologists and venereologists, in order to save the patient from signs of bacterial inflammation of the walls of the mucous membrane of the urinary canal.
Chlamydia trachomatis infection treatment. Best antibiotics
What is chlamydia trachomatis?
Chlamydia trachomatis is an obligate parasite that dwells within the urinary system epithelial cells and feeds on their energy. Chlamydia trachomatis is the causative agent of one of the most dangerous sexually transmitted diseases - urogenital chlamydia. This is a fairly common sexually transmitted disease, occurring in many countries more often than gonorrhea.
The risk of infection with chlamydial infection is increased in individuals who have multiple sexual partners and do not use condoms during sexual intercourse. Possible infection of the fetus from a sick pregnant mother. Infection is rarely spread in everyday life through kisses, touches and common household items.
Chlamydia trachomatis in women leads to the development of genital inflammation, infertility, and in men - to prostatitis and a decrease in potency. Urogenital chlamydia often is asymptomatic or has a blurred clinical picture. At the same time, the infection continues to spread mainly through sexual contact.
Chlamydia trachomatis symptoms
Men infected with chlamydia trachomatis complain of urethral discharge, pollakiuria, itching and burning, pain in the scrotum, testicles and urethra. They worsen the general condition, there is a weakness, subfebrile, hematuria. Pain in the groin quickly spread to the lower back and perineum. Outside, the urethra looks red, swollen, painful.
In women, vaginal discharge becomes abundant, acquire an unpleasant odor and unusual color with an admixture of pus. They complain of itching and burning in the vagina, intermenstrual bleeding, discomfort in the lower abdomen, pulling sensations in the lower back, pain after intercourse and urination, pain during critical days, general signs of intoxication and asthenia.
Chlamydia trachomatis treatment. List of Antibiotics
The treatment of urogenital chlamydia is performed by a gynecologist, urologist, venereologist. Both sexual partners must be treated.
Patients are given a complex therapy consisting in the elimination of pathogenic microbes, elimination of the symptoms of pathology, correction of immunity, vitamin therapy, protection of the liver from the toxic effects of drugs, rehabilitation of the foci of chronic infection in the body, and physiotherapy.
- Antibacterial treatment - drugs from the group of tetracyclines, fluoroquinolones and macrolides: "Azithromycin", "Doxycycline", "Levofloxacin". Usually, two antibiotics are prescribed at once.
- Anti-protozoaire drug - Metronidazole.
- Immunostimulation - "Polyoxidonium", "Amixin", "Likopid", "Immunomax".
- To prevent candidiasis, antimycotic drugs are prescribed - Fluconazole, Itraconazole, Nystatin.
- Normalization of the microflora of the human body - multivitamins, probiotics, enzymes, adaptogens.
- Spa treatment, balneotherapy, mud therapy, and physiotherapy are carried out after the removal of the acute effects of the infection.
- Topical treatment in women - the use of tampons with antibacterial creams and ointments, vaginal suppositories, douching.
- Topical treatment in men consists of exposure to ultrasound or iontophoresis, the use of rectal suppositories, enemas, baths, and prostate massage.
Treatment of chlamydia trachomatis should be carried out under the supervision of a specialist. Self-medication with strong antibiotics can lead to worn out symptoms and complications.
Preventive measures of chlamydial infection are in compliance with the rules of personal hygiene and hygiene standards. Experts recommend avoiding casual sexual intercourse, practice only protected sex, timely detect and treat diseases of the urogenital area, undergo regular medical examinations, strengthen the immune system, and lead a healthy sexual lifestyle.
Can urethritis be cured? How to get rid of urethritis? Urethritis antibiotics
Urethritis in men symptoms
Urethritis is called inflammation of the urethra. The cause of the disease is ingestion of pathogens of bacterial, viral or fungal nature inside the urethra.
The patient experiences pain not only in the urethra, but also in the scrotum, lower abdomen and even in the lower back. Unpleasant sensations are aggravated when going to the toilet, the patient often feels urge to urinate, not bringing relief.
A characteristic feature of urethritis is discharge from the urethra. They can be abundant or very insignificant, have a light yellow, milky white, brownish or bloody shade. With a protracted form of the disease, the urethra is glued together, and crusts appear on the head of the penis, causing irritation and itching.
Home urethritis treatment: is it possible?
The main tasks in the treatment of urethritis is to eliminate the causative agent of the disease and restore the tissues of the urethra. To cope with a venereal or tuberculosis infection can only a doctor of appropriate qualification. The question of hospitalization is discussed individually, it all depends on the condition of the patients, the stage of the disease and a number of other reasons.
The urethritis of the infectious group is treated on an outpatient basis, the patient receives a course of antibiotics in pills or injections. Drugs can destroy pathogenic bacteria, eliminate inflammation and prevent the recurrence of the disease. Do not self-medicate.
With the wrong selection of drugs, the acute phase can become chronic, which requires a longer and more complex treatment.
For a successful recovery, a complex of remedies is needed, including oral medications and external remedies. Therefore, before treatment of urethritis at home, consultation with a specialist is obligatory!
You can use them at home, it is important to be in time for check-ups to the doctor and strictly follow the doctor's instructions. If necessary, the specialist will complement the therapeutic regimen, replace an ineffective drug or medicine that gives negative side effects.
The choice of medication for urethritis: the right therapeutic complex
The selection of drugs for the treatment of urethritis depends on the nature of the disease. Acute urethritis of a non-infectious nature and any variants of bacterial infections are treated with antibiotics, selecting them according to the type of pathogen. Chronic non-infectious urethritis requires a combination of immunostimulants and antibacterial agents, homeopathic preparations give a good effect.
Antibacterial drugs for urethritis
The choice of antibiotics depends on the type of infection. Before prescribing the medication, it is recommended to conduct a sensitivity test, this will minimize side effects.
- For gonorrheal urethritis doctors prescribed the drugs of Tetracycline, cephalosporin, erythromycin groups.
- For complicated urethritis in the acute form, 2 drugs can be applied at once, for example, Gentamicin and Azithromycin.
- Mycoplasmic or gardener urethritis requires the use of macrolides (for example, Clarithromycin) and tetracyclines (Doxycycline).
- For chlamydia urethritis: Azithromycin, which is complemented by immunostimulants and vitamin complexes.
- Viral urethritis is not treated with antibiotics. It is advisable to use a complex of specialized antiviral drugs: Ribavirin, Acyclovir, Famciclovir.
- For external treatment of the affected areas used antibacterial aqueous solutions: Miramistin, Chlorhexidine and their analogues. The preparations are suitable for washing, lotions, douching.
Strong antibiotics suppress not only the pathogenic microflora, but also beneficial bacteria. Complex immune modulators will help restore the body's defenses. They are taken after a course of antibiotics along with vitamins. The task of immunostimulants is to accelerate tissue regeneration, improve blood flow, stimulate the production of red blood cells, and speed up lymph outflow.
The choice of drug depends on the doctor. Among the most popular means - Betaleykin, Roncoleukinum, various interferons. The drugs are available in the form of capsules, tablets, solutions for injection.
Homeopathic medicines (Cystone)
In the chronic form of the disease, hormonal preparations can be prescribed to patients. Tablets, pills and granules based on medicinal plants are well tolerated by the body, have a minimum of contraindications and are combined with other drugs.
Homeopathic medicines can relieve swelling and inflammation, soothe pain and burning, and ease urine excretion. Among the popular remedies marked drug Cystone.
Azithromycin: the best drug for the treatment of chlamydia urethritis
Antibiotics are often used to treat infectious or neglected urethritis. They vary depending on the nature of the disease, the course and dosage depend on its stage and the condition of the patient. One of the commonly used drugs is Azithromycin, which is indispensable for the treatment of non-gonococcal urethritis.
Azithromycin for urethritis: what are its benefits?
The best drug for the treatment of common chlamydial urethritis is Azithromycin. This is a semisynthetic antibiotic from the azalide subclass.
Compared with erythromycin, it has many advantages:
- the drug is rapidly absorbed into the blood;
- it has a prolonged action (up to 68 hours);
- well penetrates cell membranes;
- resistant to acids and not destroyed in the gastric environment.
It is worth considering that Azithromycin is not a universal medicine. It is suitable for the treatment of chlamydial and mycoplasma urethritis, copes well with ureaplasma, treponema, and spirochete Borrelia, but has little effect on enterococci.
It is less effective for the destruction of staphylococci and streptococci, for the treatment of urethritis of a similar nature it is better to use Erythromycin.
The main purpose of the drug Azithromycin is the suppression of protein synthesis. In moderate concentrations, it slows the growth of bacteria and stops their reproduction. With increasing dosage, the drug completely destroys the pathogenic flora, preventing the development of a secondary infection. The drug retains an antibacterial effect for several days.
The drug Azithromycin is available in the form of coated tablets or capsules, packaged in blisters. The main active substance is azithromycin dehydrate. The same component is included in other pharmaceutical preparations. The most popular is Zithromax, as well as Sumamed, which is a powder for the preparation of an aqueous suspension.
Azithromycin single dose. How effective is Azithromycin?
Azithromycin belongs to the first-line antibiotics; it is appointed at the very beginning of the disease. Before treatment, it is recommended to test the sensitivity of microflora, it will help minimize side effects.
- Azithromycin for urethritis in men - the dosage and time of admission is prescribed by a doctor, self-treatment is excluded. The most commonly prescribed single dose of 500 mg (1 standard tablet or capsule) within 2-3 days. The drug should be washed down with plenty of clean non-carbonated water (at least 1 cup).
- Sometimes urologists recommend another treatment option - 2 tablets of 500 mg taken once, followed by a break. The best way to take the drug is 1 hour before meals or 2 hours after meals.
However, in some diseases of the stomach, the doctor may recommend taking pills with food. It slightly reduces the rate of absorption of active substances, but practically does not affect the effectiveness of the drug.
In the treatment of Azithromycin cannot eat citrus fruits, especially grapefruit. Substances in their composition, in combination, and the active ingredients of the drug inhibit cardiac muscle.
Patients taking Azithromycin are not recommended to get behind the wheel of a car or work with various mechanisms. The drug can slow down the reaction and affect concentration.
The treatment is recommended to strictly follow the dosage prescribed by the doctor. Excess dose may cause headache, dizziness, nausea, vomiting, stomach pain, diarrhea or constipation. In some cases, there is a temporary decrease in visual acuity or skin rash, drowsiness, anorexia, increased anxiety. After discontinuation of the drug, all unpleasant symptoms disappear.
Zithromax (Azithromycin) – an effective drug to deal with urethritis
Inflammation of the walls of the urethra, which causes pain when urinating and a hideous type of discharge, can be caused by both bacteria and viruses. However, most often urethritis takes an infectious form. It is in this case that Zithromax (Azithromycin) is an effective drug to deal with urethritis.
Depending on whether you suffer from a chronic form of the disease, or have experienced all the horrors of the acute form of the disease for the first time, you will need different time for treatment. If you carefully listen to your body and quickly notice the symptoms of infection, you will need just one course of treatment with Azithromycin. And this course is only one gram of medicine, taken once with a lot of clean water. Thus, in most cases it is enough to take four 250 mg Zithromax tablets or two 500 mg Zithromax tablets, and then just wait for the positive results patiently.
As a rule, for most patients, the time from the moment of taking the medicine to the moment of disappearance of the symptoms is only a few days. If the desired result was not achieved on the first try, the same course can be repeated in the same dosage, but only a week after the first administration of the medication. In case of failure, experts recommend limiting to a maximum of three courses of the antibiotic Azithromycin (Zithromax), and then, in case of failure, to make an appointment with the doctor.
According to the recommendations of American and European associations, Azithromycin should be considered as the first and the main method of treatment of urethritis in both men and women. In comparison with other similar antibiotics, this drug penetrates into the blood faster, reaches the highest concentration in the body, and most easily overcomes the membranes of cells of pathogenic microbes. In addition, Zithromax is quickly (as studies have shown, within 5 days, a maximum of a week) and easily excreted from the body.
Most of the active ingredient Azithromycin is excreted by the digestive system, a small percentage is removed by the kidneys, and some more is completely processed by the liver. By the way, due to the burden on the kidneys and liver, this remedy is not recommended for people with chronic or acute diseases of these organs. And for those who suffer from renal or hepatic insufficiency, Zithromax (Azithromycin) is completely contraindicated. In this case, treatment is possible only under the supervision of a doctor.
The course of Azithromycin therapy
In most cases, the course of antibiotic treatment depends solely on what kind of infection you have to fight. This also applies to the highly effective Zithromax (Azithromycin), which helps with sexual infections, respiratory diseases and a number of other infections. Surely, the course of Azithromycin therapy will differ for gonorrhea and acne.
For sexually transmitted infections and inflammation of the urinary tract, it is sufficient to take a large dose of the drug once to achieve a noticeable effect.
For the treatment of sinusitis, tonsillitis, bronchitis, pneumonia and other similar diseases, one of two recommended courses should be selected. The first is 500 mg doses of Azithromycin taken once a day for three days in a row. The second involves taking 500 mg on the first day of treatment, and 250 mg daily for the next four days.
The approach to treatment of acne on the face and body will be completely different.