The inflammatory process, the presence of bacteria in the urinary tract, pain and cramps, urination disorders are the main manifestations of cystitis, rational therapy should be aimed at the fight.Cystitis tablets have an advantage over other forms of drugs - it is convenient to take them, so most patients prefer tablet drugs.
What kind of tablets should you drink with cystitis
Choosing inexpensive and effective tablets to treat at random or take them random is a lottery, and far from win -win.Any tablet without a doctor’s prescription can cause significant harm to the body, while without eliminating cystitis, but only drowning out the symptoms.
The price of self -medication for inflammation of the bladder can be too high.Before taking any effective tablets from cystitis, you should consult a urologist who will develop the correct treatment regimen taking into account all the characteristics of the course of the disease.
The option “drink just in case, maybe it will help” can do more than reception in a paid clinic.The doctor will prescribe the necessary tests, including bacteriological sowing, which will reveal the sensitivity of bacteria to certain drugs.
Antibacterial tablets of synthetic or semi -synthetic origin
The main reason for the development of cystitis is a bacterial infection, precisely because of harmful microflora (streptococci, E. coli, staphylococci), inflammation appears.Therefore, the basis for the treatment of acute and recurrent cystitis is antibacterial agents.
Important: the antibacterial drug will be effective when a doctor prescribes it.You should not choose the medicine on the advice of acquaintances or reviews on the Internet, it is also wrong to choose the most expensive drug against cystitis - the price is not a guarantee of cure.Be sure to take urine for analysis to determine which bacteria caused inflammation, and then decide which tablets to drink.
Having drunk a pill with antibacterial effect for cystitis, the patient may feel an improvement in a few hours.But this does not mean that the best drug was chosen that quickly cured the disease.It is necessary to continue therapy with prescribed funds throughout the course (prescribes a doctor, usually 5-10 days).After therapy, they re -take tests - if they are good and there are no symptoms, then cystitis is considered cured.
Fluoroquinolones
Effective against most cystitis pathogens, drugs from this group can be used in a short course.However, some doctors believe that fluoroquinolons are unjustified to the cystitis of an uncomplicated form, they must be left as a reserve for more complex diseases.Therefore, more often fluoroquinolones are prescribed in severe forms of the disease, including in the presence of complications.
Penicillins
The spectrum of action of penicillins is not as wide as that of fluoroquinolons, so the drug is selected individually in each case.However, they have a significant advantage - well tolerated, almost not toxic.They are rarely prescribed, since the stability of many pathogens to representatives of this group is increasingly noted - in other words, penicillins do not always help.
Cephalosporins
High activity in relation to many bacteria (more affect gram-negative), have a strong bactericidal effect, resistant to beta-lactamase enzymes.In total, there are 4 generations of this group of drugs, but the first 3 are produced in a tablet form. Today, only cephalosporins of the 2nd and 3rd generations are used as drugs for cystitis, since representatives of the 1st generation are less resistant to beta-lactamases and are not so effective.
Nitrophuran derivatives
Tablets for cystitis from this group have a pronounced bactericidal effect, are usually tolerated well, pathogens slowly develop stability to them, the price of drugs is relatively low.Therefore, nitrofuran derivatives are considered first -line drugs for cystitis.
The doctor can also prescribe tablets from inflammation of the bladder.
Plant -based tablets
Phytopreparations are not considered a medicine, they can be used to treat cystitis only with a mild form of the course of the disease without temperature and only after consulting a doctor.Typically, they are included in the composition of complex therapy along with synthetic antibacterial drugs and used as preventive agents.
Phytopreparations are sold without a prescription and are considered relatively safe.Nevertheless, we advise you to consult a urologist before using any phytopreparations, because even they have contraindications.It should also be borne in mind that an allergic reaction may occur from the phytopreparate tablet inside the tablet.
Antispasmodics
Spasmolytic drugs are not able to cure cystitis, they are drunk to relieve unpleasant symptoms.Spasmolytics reduce pain, removing the spasm of the muscles of internal organs.They also relax the sphincter of the urethra, so that the calls to urination become less often.The drugs are fast and relatively cheap.
NSAIDs in tablets
Non -steroidal anti -inflammatory drugs are used as part of complex therapy for cystitis.They have an antipyretic, anti -inflammatory and analgesic effects.
Probiotics in tablets
The purpose of taking probiotics in cystitis is the normalization of the microflora of the intestines and vagina, this will help the body quickly cope with the disease and reduce the likelihood of exacerbations in the future.
In women, inflammation of the bladder often occurs precisely due to the imbalance of microflora, when harmful microorganisms fall into the urethra from closely located foci of infection.
The effectiveness of probiotics in the complex treatment of cystitis was evaluated in a study with the participation of 44 patients who diagnosed chronic cystitis.The results were evaluated 3 months after the start of treatment.Women were divided into 2 groups:
- The first group (24 women).Standard antibacterial therapy is prescribed.After 3 months, relapses were noted in 7 patients.
- The second group (20 women).Antibacterial therapy is prescribed in combination with a probiotic.There were no relapses.
Given the results, probiotics can be recommended for inclusion in the treatment diagram of chronic cystitis, they reduce the likelihood of relapse.What to drink from probiotics with cystitis, ask the doctor - it is impossible to call the best drugs in absentia that will help in a particular case.
Immunomodulators
Cystitis appears against the background of weakened immunity, so doctors often include immunomodulating agents in complex therapy, which contribute to increased protective properties of the whole organism and urinary tract in particular.Some of them are also used as antiviral drugs.
The mucous membrane of the bladder is a protective barrier that holds the defense from different infections.Normally, bacteria cannot attach to the walls of the bladder due to the thin layer of a special substance - GlyCocalyx, and washed in urine.
But with chronic cystitis, the protection is weakened, and the cells that produce GlyCocalyx are damaged.The process of developing interferons is disturbed, it becomes easier for bacteria to attack the body.In this case, it is advisable to assign immunomodulators.
Perhaps the feasibility of taking immunomodulators among patients causes the most disputes, although their effectiveness has been proven.Some believe that immunomodulators are indispensable, the latter refuse to take these drugs, motivating the refusal by the fact that the body should fight itself.Who is right.We turn to the facts.
Here are the results of a study of the effectiveness of one immunomodulating drug in the complex therapy of chronic cystitis:
Starting data: 60 women with diagnosed recurrent cystitis, patients of patients from 20 to 80 years.Patients were divided into 2 groups of 30 people.The total observation period for patients was 180 days, during this period, each patient visited a doctor 5 times.
- The first group received an antibiotic (10 days) and an immunomodulator (10 tablets for a basic therapy course, 10 tablets once a week for prevention).On the 25th day of treatment, flora is highlighted in 20.7% of cases.On the 100th day-in 13.8% of patients.On the 180th day-for 3 women.
- The second group received an antibiotic (course of 10 days) and placebo.On the 25th day of treatment, flora is highlighted in 48% of cases.On the 100th day-in 32% of patients.On the 180th day-for 3 women.
As can be seen according to the results, the eradication of microorganisms in a group of women taking from cystitis a drug with an immunomodulating effect was more intense, which proves the effectiveness of immunomodulating therapy for cystitis.
The same indicators of the release of microflora on the 180th day indicate that immunomodulating therapy courses for prevention should be carried out twice a year.
Conclusion
There is an impressive amount of drugs that are produced in tablets and are used for cystitis.Among them are tablets with antimicrobial, anti -inflammatory, immunomodulating, antispasmodic and analgesic effects.Some of them are sold without a prescription, but in no case should it be a reason for self -medication - with irrational intake, any medicine can harm.Contact the doctor at the first symptoms of cystitis!