What is better to choose an antibiotic drug for angina?

Obviously, for different patients and for treatment of angina in different situations and antibiotic preparations will vary. However, in the average case, the optimal ratio efficiency-security price are a few drugs that are prescribed by the doctor more often. Let's look at their performance, evaluate their strengths and weaknesses, and see why certain products are prescribed in specific cases.

Amoxil - tableted antibiotic

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Active substance: amoxicillin.

Advantages.

Amoxil is highly effective against pathogens angina, non-resistant to penicillin. Very quickly and completely absorbed in the stomach, binds weakly to blood proteins thereby effective in lower doses than other preparations based antibiotics.

In comparison with the preparations on the basis of amoxicillin and clavulanic acid Amoxil angina significantly safer and less likely to cause side effects. Due to this, it can be considered one of the best drugs of choice for angina.

Disadvantages.

The main drawback of Amoxil - its presence on sale only in the form of tablets. In other words, this drug is not suitable for children during the first three years of life. But given the fact that at this age she angina occurs rarely, this disadvantage is not very significant impact on the applicability of the drug.
Babies convenient to give antibiotics in slurry form, and Amoxil sometimes not suitable for them.
Further, Amoxil angina is ineffective if the disease caused by penicillin-resistant pathogens. In this situation, appointed Augmentin or its analogs instead.

And most importantly: Amoxil is not sold on the territory of Russia. But here you can easily buy it complete analogues - Amoxicillin tablets, Ekobol, Flemoksin Soljutab.

Conclusion.

Amoxil - Ukrainian analogue Amosina, Ekobola and flemoksin Solutab, cheaper and similar in effectiveness. Optimal for the treatment of angina caused by penicillin-sensitive agent. In Russia, instead of all rational buying Amosin tablets, just as effective, but cheaper.

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Augmentin for angina

Active ingredients: amoxicillin and clavulanic acid.

Advantages.

Augmentin - broad-spectrum antibiotic, effective in angina almost always, even if the disease is caused by bacteria that are resistant to penicillin in general and in particular to amoxicillin. Actually, for this in his composition and put clavulanate. Thanks to him, Augmentin can be used (and is most commonly used) in situations where no known causative agent and its sensitivity to certain antibiotics. With a maximum probability at the correct diagnosis of angina Augmentin help.
Clavulanic acid in the composition makes it Augmentin reliable means against staphylococcus and streptococcus, causing sore throat, including those resistant to penicillins.

Further:

Due to amoxycillin as a main active ingredient, Augmentin has superior pharmacokinetic properties compared to similar drugs. It is absorbed in the stomach more quickly and completely than other antibiotics for sore throat. Augmentin is less inactivated in the blood;
Because of clavulanic acid Augmentin has protivostreptokokkovoy more pronounced activity than pure amoxicillin. Clavulanate itself not only eliminates bacteria protection from amoxycillin, but contributes to the destruction of bacterial cell walls, whereby the action is enhanced amoxicillin;
Augmentin absorbed in the stomach and reaches the affected tissue infection at about the same rate at which it makes the ampicillin benzylpenicillin or intramuscular injections. But at the same time in a way it does not cause any pain to administer and does not leave painful bruising on the buttocks, typical of other antibiotics administered intramuscularly with angina.
Augmentin presented for sale in several dosage forms: tablets, powder for preparation of suspensions for children, powder for solution for injection, that is, it can be applied in all situations and for all patients.

It is also good that Augmentin is available in tablets of different masses, which facilitates dosage of the active ingredient for the treatment of angina in patients of different ages.

Disadvantages.

Compared to pure Augmentin is Amoxicillin more adverse effects. This is mainly digestive disorders and disorders of the gastrointestinal tract, accompanied by diarrhea, nausea, vomiting. Such effects of the drug are observed most often. Augmentin application also affects the kidney, liver and nervous system, a skin condition. Even though all such effects are reversible, they are often highly undesirable.
Skin rashes while taking Augmentin - a frequent phenomenon.

Conclusion.

Augmentin - one of the best remedies for the treatment of angina before receiving the results of bacterial inoculation test swab from the throat. In this case, may be ineffective other antibiotics for sore throat. Augmentin is also quite accessible. Limitations in its application relate only to the high incidence of side effects, especially in children. As a result, if the sensitivity of the pathogen agent is not installed, or a sore throat caused by bacteria, forming penicillinase, Augmentin is one of the main drugs of choice for both adults and children. If it is known that the pathogen is sensitive to penicillins, Augmentin rational to replace drugs on the basis of pure amoxicillin.
Alternative Augmentin formulations are based on macrolides - azithromycin and erythromycin. They are mostly cheaper Augmentin and similar security applications.

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Analogs Augmentin - Amoxiclav and Flemoklav Soljutab.

When angina they are appointed in the same situations, but if Amoxiclav sold at the same price, the Flemoklav is more expensive and therefore less used in angina.

Flemoksin Soljutab angina.

Active substance: amoxicillin.
Well absorbed antibiotic penicillin-based with a minimum of unpleasant reactions from the gastrointestinal tract.

Dignity

It is effective against pathogens of sore throats, if they do not have resistance to antibiotics penicillin;
Very well and rapidly absorbed, faster acting than other penicillins when administered intramuscularly;
The maximum safe, low incidence of side effects of the digestive system;
In present sale in various dosage forms, including a powder for suspension infant. In this form rarely causes digestive disorders and goiter, and therefore is considered the best tool for children.

Disadvantages.

Flemoksin Soljutab ineffective against strains of bacteria that produce penitsilllinazu. Therefore, it is usually prescribed in situations where the angina bakposev was taken from the throat and found the sensitivity of bacteria to penicillin.

Furthermore, Flemoxin Solutab roads. Its price is several times higher in price based on analogues of amoxicillin in tablet form.

Conclusion.

Flemoksin Soljutab - the best remedy for the treatment of angina in a child if set to be susceptible to penicillin. If an adult patient financial aspect is not particularly critical, the same drug is suitable to him.

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Azithromycin for angina treatment

Active substance: azithromycin.
Azithromycin is erythromycin significantly improved, more stable in the digestive tract, and less likely to cause digestive disorders.

Advantages.

The antibiotic azithromycin in angina - the only means of treatment which lasts 5 days (ie, less than the minimum allowable for other antibiotics 7 days). There is even a scheme of treatment of angina them for 3 days, but it means less effective;
Effective against tonsillitis pathogens that are resistant to penicillin. And its efficiency is particularly high due to the ability to accumulate in the tissues at high concentrations;
Well tolerated by most patients.

Disadvantages.

It can cause digestive disorders, although this is less common than with Augmentin and its analogues. In addition, with this name drug is not available in a form suitable for reception children. In pharmacokinetic properties of azithromycin amoxicillin is slightly inferior, but in general has similar efficacy.

When issuing Azithromycin is packaged with a large number of capsules each will contain a smaller amount of active ingredient.

Conclusion.

Antibiotic azithromycin with angina may be considered the best means for adolescents and adults. On the effectiveness of it is similar to expensive protected penicillins such as Augmentin, but cheaper and safer to them.

When tonsillitis in children rational use of azithromycin in the form of Sumamed drugs Azitro-Sandoz and others. They are more expensive than simple Azithromycin, but are available in the form of powders for suspensions, more delicate and safe.

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Erythromycin from angina

Active ingredient: erythromycin.
Despite the use of a very long experience, erythromycin remains onim of the most effective and commonly used antibiotics for sore throat.

Advantages.

High effectiveness against angina agents, including penicillin-resistant.
Low price.

On a note.

Erythromycin - one of the oldest, most commonly used and well-studied in the fight against tonsillitis antibiotics. Partly due to this, many physicians prescribe simply habit, even when there are more preferred alternatives.

Disadvantages.

Erythromycin stimulates motility of the stomach and intestines, whereby its application is often accompanied by digestive disorders and diarrhea. This is most important for children, and because at least in pre-school children is almost always replaced by erythromycin azithromycin.
Because of digestive disorders and other unpleasant gastrointestinal side effects of erythromycin for children try not to write.

Conclusion.

Erythromycin - the best medication for angina terms of price and efficiency. Inferior in safety only unprotected penicillins, in the case of pathogen resistance to penicillin is the first means of selection lines. Adults can be used almost always, and the treatment it will be very low.

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Ceftriaxone and preparations based on it

Active ingredient: ceftriaxone.

Advantages.

Ceftriaxone angina highly effective against pathogens, including almost always against those that produce penicillinase. In this way it is used for the urgent need to treat the patient in a serious condition.

Disadvantages.

It applies only for intravenous or intramuscular administration, and as a result - with inpatient treatment. Ceftriaxone injections are very painful, causing infiltration, swelling at the injection site.

Conclusion.

The antibiotic ceftriaxone in angina - a means for the hospital treatment of the disease, when the injection is done by qualified personnel taking into account the optimal dose for the patient.

Summary.

In the usual case where undefined angina pathogen sensitivity to antibiotics or known resistance it penicillin, children are assigned either based suspension azithromycin - Azitro-Sandoz, Sumamed - or agents based on a combination of amoxicillin and clavulanic acid - Augmentin, Flemoklav Soljutab , Amoksiklav, also in the form of suspensions. Adults in this situation rationally prescribe less expensive erythromycin or azithromycin;
If it is known that the causative agent of angina is sensitive to penicillins, children prescribed suspension Flemoksin Soljutab, adolescents and adults - Amosina pills Amoxil and their analogues. At intolerance of penicillin drugs they are replaced on the basis of azithromycin and erythromycin;
In severe cases in the hospital for treatment of angina use Ceftriaxone or other cephalosporins, as well as various Bitsillin.

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