Pills for cystitis: a list of drugs and tablets
Content:
- Antibiotics for cystitis
- Herbal remedies for cystitis
- Other medicines for cystitis
Most often, women suffer from cystitis: almost 90% of all clinical cases of cystitis occur in the female part of patients. Contrary to popular belief, cystitis is by no means a harmless disease. Postponed cystitis without adequate treatment leads to the development of many severe complications, fraught with disability and a significant decrease in the quality of life. Therefore, it is obvious that it is unacceptable to self-medicate. As soon as the first signs of the disease appear, you need to consult a doctor and undergo an appropriate examination.
However, not all so simple. It often happens that the first signs of the disease pile up and grow. A woman experiences excruciating manifestations of cystitis: pulling pains, burning and cramps, frequent urge to urinate, etc. however, there is currently no way to get to the toilet.
The rhythm of life dictates its own conditions, getting an appointment with a urologist is not always easy: there is simply not enough time, family, work, long queues. Therefore, at best, a woman can get to a urologist in the midst of an illness, when it is vital to start therapy.
Before any woman who finds herself in a similar situation, the question arises: what to do, how to help yourself, what pills to take with cystitis?
This material contains information on the main drugs that are currently used to treat diseases of the excretory system.
It is important to keep in mind that self-medication, without the participation of a doctor and conducting the necessary research, is not the best solution. Cystitis may not be an independent disease, it does not occur in isolation, but in combination with diseases of the genitals, other internal organs (including kidneys: nephritis, pyelonephritis, urolithiasis, and this is only a small part of the possible concomitant pathologies).
"Untreated" cystitis rapidly turns into a chronic form, and this is a direct path to disability. The structures of the bladder are destroyed, the organ loses its elasticity, cysts are formed, over time, the risk of malignant degeneration of tissues increases due to constant inflammation.
- Cystitis often develops due to the penetration of pathogenic and opportunistic microflora into the urinary canal (in the overwhelming majority of cases, we are talking about Escherichia coli). Therefore, the most common reason for the development of cystitis is a violation of hygiene rules, including wearing tight synthetic underwear, thongs, etc.
- The development of cystitis can be provoked by the microflora of the partner (the so-called defloration option).
- Also, cystitis often develops due to mixed infections. In this case, the disease is secondary and develops against the background of genital infections.
Review of tablets from cystitis to relieve pain and inflammation from the site "my family doctor"
Antibiotics for cystitis
Just a few 30-40 years ago, cystitis did not require taking antibacterial drugs, a woman needed to take phytotherapeutic drugs for a while, observe the rules of personal hygiene, a certain diet and the disease receded.
Things have changed dramatically these days. Infectious agents have become immune to naturally occurring antibacterial agents. Now antibiotics cannot be treated without antibiotics. Moreover, now cystitis almost always becomes chronic.
Modern antibiotics, especially when it comes to broad-spectrum cystitis tablets, cause many side effects and have many contraindications. Therefore, their uncontrolled reception is unacceptable. Before you start taking medications, you need to conduct a urinalysis and identify a specific pathogen, determine its sensitivity to antibiotics. Only after that a specific antibacterial drug is selected. In severe, advanced cases (when granulation in the bladder and other complications develop), the doctor prescribes collargol installations.
To determine the effectiveness of the treatment, at the end of taking antibiotics, a repeated culture of urine on culture media is performed.
Some drugs that are used to treat cystitis:
- Nolitsin, as well as analogs of nolicin - Norbactin, Normax. It is a broad-spectrum antibacterial drug. It is prescribed only in cases where the use of other antibiotics has shown its ineffectiveness, because it is a reserve drug. This means that infectious agents have not yet developed a response to it. The active ingredient, norfloxacin, belongs to the group of fluoroquinolones. Other drugs of the fluoroquinolone group have also proven their effectiveness: Ciprofloxacin, Ofloxacin. Nolitsin's price is affordable and is about 100 rubles.
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Monural. Probably the most popular drug against urinary tract infections. It is prescribed even with unconfirmed cystitis (without urinalysis results). Monural is prescribed as a therapeutic agent for acute cystitis. In the chronic form of the disease, this remedy is ineffective, because it is impossible to cure chronic cystitis with a single course of antibiotic. Monural is a strong uro-antiseptic. The approximate price is 350 rubles.
- Palin. It is used to treat urinary tract infections. The antibiotic belongs to the drugs of the quinolone group. One of the main active ingredients is pipemidic acid. It is used to treat cystitis, infectious pyelonephritis with an ascending infection. The price is about 200 rubles.
- Nitroxoline. The drug belongs to the antibiotics of the oxyquinoline group. It is used not only for cystitis, but also for other infectious lesions of the organs of the excretory system.
- Nevigramon. The main active ingredient is nalidixic acid. The drug is used to treat urinary tract infections and is highly effective. The price is quite high, about 2,000 rubles.
- Furagin. It is used both by Furagin himself and his analogue, Furamag. It is used with proven sensitivity of the causative agent of cystitis to Furagin. The cost of the drug is about 100-200 rubles.
- Furadonin. The basis of the drug is nitrofuran, which has antimicrobial properties. Differs in a relatively low price - about 50 rubles.
- Macmiror is an antimicrobial drug, nitrofuran, which has a wider spectrum of action. Eliminates the causative agent of the inflammatory process from the surface of the mucous membrane of the bladder.
- Rulid. A powerful antibacterial agent with a broad spectrum of action. Refers to drugs of the macrolide group. It is a semi-synthetic antibacterial agent. It has many side effects, so it can only be prescribed by a specialist. The price is about 800 rubles.
Nolitsin
Nolitsin tablets belong to the pharmacological group of antibiotics, exhibit antimicrobial effects on bacteria and pathogenic microorganisms. The drug is used to treat inflammatory diseases of the genitourinary system: cystitis, urethritis, acute and chronic pyelonephritis and prevention of relapses.
Dosage: the drug is administered orally.
- Infectious cystitis (acute uncomplicated) - 0.4 g 2 rubles / day, a course of 3-5 days;
- Prevention of recurrence of urinary tract infections, if exacerbations occur at least 3-4 times a year - 0.2 g once a night for 6-24 months.
Side effects from the digestive system:
- Nausea and vomiting;
- Bitterness in the mouth;
- Lack of appetite;
- Diarrhea;
- Pain in the epigastric region;
- Pseudomembranous enterocolitis;
- Elevated AST, ALT levels.
Side effects from the genitourinary system:
- Polyuria;
- Crystalluria;
- Glomerulonephritis;
- Hypercreatininemia;
- Dysuria;
- Albuminuria;
- Bleeding from the urethra.
Possible complications: hallucinations, headache, heart palpitations, insomnia, fainting, edema, urticaria, malignant erythema, pruritus. Occasionally: photophobia, arthralgia, candidiasis, chemosis, candidiasis.
Absolute contraindications:
- Pregnancy,
- Childhood,
- Intolerance to fluoroquinolones,
- Congenital deficiency of the enzyme glucose-6-phosphate dehydrogenase.
Relative contraindications:
- Cerebral circulation disorders;
- Allergy to acetylsalicylic acid;
- Epilepsy,
- Atherosclerosis of the vessels of the brain.
In liver failure, Nolitsin is used with extreme caution. It is recommended to avoid sunlight and physical activity during treatment.
Monural
The drug Monural belongs to the pharmacological group of antibiotics, has a broad spectrum of antimicrobial and bactericidal action. Monural is used for the treatment of acute and recurrent bacterial cystitis, urethritis, bacteriuria, pyelonephritis, as well as for the prevention of UTI after surgery and diagnostic studies of the urethra. The drug is considered one of the most effective remedies for the treatment of cystitis, approved for use during pregnancy.
Dosage for cystitis:
- Adults - 3 g once, it can be repeated a day later in the same dose;
- Children over 5 years old - 2 g of the drug, diluted in water, once, do not take it again.
The best time to take is the evening before bedtime, not earlier than 2 hours after a meal. Empty the bladder before use.
Side effects:
- Hypersensitivity, manifested by itching and skin rashes;
- Diarrhea;
- Heartburn;
- Nausea and vomiting.
Contraindications:
- Children under 5 years of age;
- Severe renal failure;
- Hypersensitivity.
When lactating, it is recommended to stop breastfeeding for the duration of the drug treatment.
Palin
Palin is an antibiotic from the quinolone group, used for the treatment of acute and chronic cystitis, urethritis, pyelonephritis, prostatitis, as well as for the prevention of infections in urology and gynecology after instrumental diagnostics.
Dosage:
Treatment of infections of the genitourinary system - 0.2 g before meals, every morning and evening, the duration of the course of treatment is determined according to individual indications.
Side effects:
- From the side of the nervous system - rarely headache, depression, confusion, visual disturbances, agitation, sensory disturbances, tremors of the limbs, very rarely - large seizures.
- On the part of the digestive system - diarrhea, nausea, vomiting, pain in the epigastric region, occasionally colitis, accompanied by severe diarrhea.
- From the side of the hematopoietic system - anemia, eosinophilia, thrombocytopenia in patients with renal failure.
- Allergic skin manifestations;
- Photosensitization.
Contraindications:
- Pregnancy and lactation;
- Liver failure, cirrhosis;
- Acute renal failure
- Intolerance to individual components of the drug;
- Children under 14 years of age.
Driving is not recommended during drug treatment.
Nitroxoline
Nitroxoline tablets are a drug with antibacterial action from the group of antibiotics. It is used for the treatment of urinary tract infections - cystitis, pyelonephritis, urethritis, epididymitis, adenoma or carcinoma of the prostate, as well as for the prevention of infection during surgery, cytoscopy and catheterization.
Dosage:
- Treatment of adults - 0.1 g 4 rubles / day, the course of treatment is 2-3 weeks;
- Prevention of complications - 0.1 g 4 rubles / day, the course of treatment is 2-3 weeks.
Nitroxoline tablets are taken after meals.
Side effects:
- Digestive system - nausea, vomiting, appetite disorders, occasionally liver failure;
- Nervous system - ataxia, headache, polyneuropathy, paresthesia, optic neuritis (with prolonged use);
- Allergic itching, skin rash.
Contraindications:
- Lactation and pregnancy;
- Quinoline intolerance;
- Cataract;
- Neuritis;
- Deficiency of the enzyme glucose-6-phosphate dehydrogenase;
- Cataract;
- Renal failure, accompanied by anuria, oligoanuria;
- Severe liver failure.
Nevigramon
Capsules Nevigramon refers to antibacterial agents, exhibits bacteriostatic action. The drug is used for the treatment of urinary tract infections (cystitis, urethritis, pyelonephritis, prostatitis), gastrointestinal diseases (cholecystitis), as well as for the prevention of postoperative complications.
Dosage:
- Adults at the beginning of treatment - 2 capsules (1 g) 4 times a day one hour before meals, the course takes 7 days;
- Adults after a week of treatment - 1 capsule (0.5 g) 4 times a day;
- Children under 12 years old - 0.05 g per 1 kg of body weight, the dose is divided into 3-4 doses.
Side effects:
- Nervous system - dizziness, headache, weakness, drowsiness, toxic psychosis, increased intracranial pressure, convulsions;
- Visual impairment - distortion of light perception, diplopia, decreased vision;
- Digestive system - nausea, diarrhea, vomiting, stomach pain;
- Allergic manifestations - Quincke's edema, anaphylactic shock, paresthesia, urticaria, skin rashes, itching;
- Arthralgia.
Contraindications:
- Allergy to the components of the drug;
- Children under 12 years of age;
- Epilepsy, porphyria;
- Parkinson's disease;
- Pregnancy in the 1st trimester, lactation;
- Hepatic and renal failure in severe form;
- Severe atherosclerosis.
During treatment with the drug, it is not recommended to drive a car, be exposed to sunlight.
Furagin
Furangin tablets belong to the group of nitrofurans, they exhibit antimicrobial action. It is used to treat infections of the genitourinary system (cystitis, prostatitis, urethritis, pyelonephritis), to prevent complications after surgery.
Dosage:
- Adult patients - 2 tablets 4 times a day in the acute phase of the disease, 2 tablets 3 times a day - with continued treatment;
- Children - 5-7 mg / kg of weight with standard therapy, 1-2 mg / kg of weight with long-term treatment;
- For preventive purposes - 1 tablet in the morning and in the evening.
Side effects:
- Digestive system - nausea and vomiting, epigastric pain, loss of appetite, diarrhea.
- Nervous system - drowsiness, peripheral nerve damage, blurred vision, dizziness;
- Allergy symptoms - rash, itchy skin;
- Fever, hyperthermia.
Contraindications:
- Pregnancy and lactation;
- Intolerance to drugs of the nitrofurin group;
- Newborn age (up to 1 week);
- Lack of the enzyme glucose-6-phosphate dehydrogenase;
- Peripheral nerve damage.
At the time of treatment with Furagin, a protein diet is recommended.
Furadonin
The antimicrobial drug Furadonin belongs to the group of nitrorfurans, it is used to treat urinary tract infections (cystitis, urethritis, pyelonephritis, pyelitis), to prevent infection in urological diagnosis and surgical interventions.
Dosage:
- For adult patients - 0.1-0.15 g 3-4 rubles / day, the course of treatment is 7-10 days in the acute period, for the prevention of relapses - 1-2 mg per kg of weight;
- For children - 5-7 mg per 1 kg of the child's weight in the acute period of the disease, 1 mg per 1 kg of the child's weight with prolonged use for preventive purposes.
The drug has an exceptionally bitter taste, it is taken after meals, washed down with plenty of liquid, accompanied by a course of treatment with a protein diet.
Side effects:
- From the digestive system - nausea and vomiting, anorexia, pain in the epigastric region, occasionally hepatitis, diarrhea, jaundice;
- From the respiratory system - cough, chest pain, asthma attacks, if any, pulmonary infiltrates.
- From the nervous system - drowsiness, headache, dizziness;
- From the hematopoietic system - violations of the blood formula;
- On the part of the skin - erythema, dermatitis;
- Allergic manifestations - rash, Quincke's edema, chills, anaphylaxis;
- Arthralgia, myalgia.
Contraindications:
- Hypersensitivity to drug components;
- Lactation and pregnancy;
- Children up to age 1 month.
- Renal and heart failure;
- Liver cirrhosis, chronic hepatitis;
- Porphyria.
McMiror
Pharmacotherapeutic group: antimicrobial and antiprotozoal agent - nitrofuran.
Method of administration and dosage: The drug is taken orally following the recommendations:
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Vaginal infections:
- Adults: 1 tablet 3 times a day after meals for 7 days (both sexual partners must take the drug).
- Children: the recommended dose is 10 mg / kg of body weight daily for 10 days. The recommended dose should be taken in two divided doses.
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Urinary tract infections:
- Adults: depending on the severity of the disease, 1-2 tablets 3 times a day for 7-14 days.
- Children: the recommended dose is 30-60 mg / kg of body weight. The recommended dose should be taken in two divided doses.
Treatment of urinary tract infections may be prolonged or repeated on the recommendation of a doctor.
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Intestinal amebiasis:
- Adults: 2 tablets 2-3 times a day for 10 days.
- Children: the recommended dose is 10 mg / kg of body weight 3 times a day.
-
Giardiasis:
- Adults: 2 tablets 2-3 times a day for 7 days.
- Children: the recommended dose is 15 mg / kg of body weight 2 times a day for 7 days.
-
Inflammatory diseases of the upper gastrointestinal tract associated with Helicobacter pylori:
- Adults: 2 tablets 2-3 times a day for 7 days.
- Children: the recommended dose is 15 mg / kg of body weight 2 times a day for 7 days.
Side effect:
- Dyspeptic disorders: nausea, vomiting, bitterness in the mouth, diarrhea, heartburn.
- Allergic reactions: skin rash, itching.
Contraindications:
- Hypersensitivity to the active substance or any component of the drug.
- Sucrose / isomaltose deficiency, fructose intolerance, glucose-galactose malabsorption.
Rulid
The drug Rulid is an antibiotic from the macrolide group, exhibits antimicrobial activity of a wide spectrum of action, and has low toxicity. Rulid is used for infections of the genitourinary system (cystitis, urethritis, cervico-vaginitis), infections of the upper and lower respiratory tract (pneumonia, pharyngitis, sinusitis, bronchitis, tonsillitis, pharyngitis), infections of the skin and soft tissues.
Dosage:
- In adults - 0.15 g 2 rubles / day or 0.3 g once;
- In children over 4 years old - 0.15 g 2 rubles / day;
- In liver failure - 0.15 g once.
Side effects:
- Digestive system - diarrhea, nausea, vomiting, pain in the epigastric region;
- Anaphylactic reactions - edema, bronchospasm, anaphylactic shock;
- Skin - hyperemia, rash, urticaria;
- Liver - acute hepatitis, an increase in AST, ALT enzymes;
- Pancreatitis;
- Nervous system - headache and dizziness, paresthesia;
- Slightly impaired taste and smell.
Contraindications:
- Pregnancy and lactation;
- Children under 4 years old;
- Hypersensitivity to macrolides;
- Taking ergotamine or dihydroergotamine due to the risk of limb necrosis.
To date, infectious agents have developed efficacy against a variety of antimicrobial drugs. The adaptation process continues rapidly, and with long-term use of this or that antibiotic, the infectious agent "gets used" and "learns" to resist it.
Therefore, taking antibiotics must be treated carefully:
- Nitrofuran drugs (Furagin, Furadonin) are not effective enough, therefore they are more often prescribed for prevention.
- The 1st generation cephalosporins (cefradine, cephalexin, etc.) are not very effective.
- In 25-30% of cases, infectious agents (E. coli) are insensitive to ampicillin.
- The effectiveness of biseptol in the fight against E. coli, according to various estimates, ranges from 30 to 80%.
Review of antibiotics from the site "my family doctor"
Herbal remedies for cystitis
Phytopreparations are herbal medicines. They act most effectively in the initial stages of cystitis, when specific symptoms have not yet manifested. In all other cases, phytopreparations are used as an adjuvant in combination with traditional medicines.
In pharmacies you can find:
- Lingonberry leaves. Lingonberry leaf is used for all known diseases of the excretory system. It has pronounced anti-inflammatory, astringent and diuretic effects. The lingonberry leaf contains substances that suppress the vital activity of Staphylococcus aureus. In combination with traditional drugs, it has a beneficial effect on the immune system, and also increases the effectiveness of antibiotics. It is better to purchase it in the form of crushed raw materials and brew it yourself. Filter bags have lower efficiency. The cost is about 50 rubles.
- Cyston. Includes many different plant extracts. Due to the constituent substances, it has anti-inflammatory, antimicrobial and diuretic effects. Increases the effectiveness of traditional drugs. By itself, it is effective only with prolonged use. The cost is about 300 rubles.
- Kanephron. Kanephron is used as an adjunct for acute cystitis, as well as for the prevention of exacerbations of chronic cystitis. It has an analgesic effect. The cost is about 300 rubles.
- Monurel. Not to be confused with Monural - it is an antibiotic. Monurel, on the other hand, is a herbal medicine based on cranberry extract. It has a complex effect, relieves pain, fights an infectious agent, and eliminates inflammation. Since the cranberry contained in Monurel (in the form of an extract) is harmless, the agent is also recommended as a measure to prevent exacerbation of chronic cystitis. The cost is about 500 rubles.
- Phytolysin paste. It is based on orange, sage, pine oils. It has a complex effect, combating all manifestations of cystitis, from inflammation to pain, including eliminating the source of the development of the disease. The average price is 230 rubles.
Other medicines for cystitis
Also, drugs for cystitis include:
- Preparations for the restoration of the mucous membrane of the bladder. Recently, the so-called glycosaminoglycan replacement therapy has been widely used for the prevention and treatment of chronic cystitis. In healthy people, the bladder is covered with a protective layer from the inside that protects the bladder mucosa from contact with urine and / or bacteria in the urine. This protective layer consists of substances called glycosaminoglycans, the most important of which are hyaluronic acid and chondroitin sulfate. One of the causes of chronic cystitis is the destruction of the protective membrane of the bladder, respectively, the introduction of the components of the protective layer (sodium hyaluronate, chondroitin sulfate) into the bladder will help restore it and protect the bladder from contact with bacteria and toxic components of urine. The most famous drug in Russia for the restoration of the mucous membrane of the bladder is "Urolife". It is available in the form of capsules for oral administration and solution for introduction into the bladder.
- Antispasmodic drugs. The main cause of pain in cystitis is muscle spasm. To eliminate the pain syndrome, antispasmodic drugs are used, such as No-shpa, Drotaverin. These are the most powerful antispasmodics.
- Anti-inflammatory drugs (NSAIDs). Non-steroidal anti-inflammatory drugs such as Ibuprofen (trade names, Nurofen, Mig, Faspik, Ibuklin, etc.) effectively relieve inflammation.
- Probiotic preparations. Cystitis rarely develops in isolation. Often it acts as a secondary infection in relation to infectious lesions of the vagina and intestines. Therefore, it is important that the microflora of the mucous membranes of the external genital organs and the colon is in order. In order to normalize it, courses of probiotics containing lacto- and bifidobacteria are prescribed: Hilak Forte, Acipol, RioFlora Immuno, RioFlora Balance, bifiform.
At the end of treatment, it is necessary to consult a specialist gynecologist and gastroenterologist.
The author of the article: Lapikova Valentina Vladimirovna | Gynecologist, reproductologist
Education: Diploma in Obstetrics and Gynecology received at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013 completed postgraduate studies at N. N. N. I. Pirogova.
