Antibiotics for chlamydia in women and men: What you need to take

When detecting chlamydia in women or male physician should choose the tactics of therapy. It is necessary even in cases where the disease is asymptomatic. It must be treated with antibiotics for chlamydia in women and in men. Tactics treatment selected for each patient individually. The doctor takes into account the shape of infection (acute, subacute or chronic), duration of disease, the presence of symptoms and related infectious pathologies.

Chlamydia sensitivity to antibiotics

In identifying chlamydia necessarily medicinally prescribed antibiotics. But the fight against pathogens of the infection is difficult because the entire life cycle of chlamydia is held in the body's cells. Bacteria get energy and multiply within the cell structures. Because of this, get rid of them is difficult, because the cell membrane effectively protect bacteria from the effects of antimicrobial agents.

Therefore, for the treatment of chlamydia must be selected such preparations which can pass through the cell membrane and accumulate in diseased tissues. Used primarily antibiotics with a broad spectrum of action. Studies have shown that they are sensitive to tetracycline drugs, macrolides, fluoroquinolones.

Difficulties may arise at the stage of selection of the required doses of drugs for women. If previously the patient in detecting chlamydia propyl course of antibiotics, the bacteria strains can become resistant to their action. In such cases it is recommended to be tested, allowing to identify the sensitivity of microorganisms to specific drugs.

But the data obtained from the tests do not always correlate with the data on the effectiveness of their application in practice. In in vitro studies (outside of a living organism) revealed that chlamydia sensitive to penicillin. In practice, they are not used due to the fact that excessively high doses necessary to obtain a result.

Important! Preparations from the group of cephalosporins, sulfonamides, carbapenem aminoglizidov not appointed for chlamydia. In rare cases, the use rifamycins and fluoroquinolones.

Indications for prescription of antibiotics for chlamydia

In identifying chlamydia treatment administered immediately. Antibiotics are shown even in those situations where there is no evidence of disease, and the presence of pathogenic microorganisms show only results of analyzes.

When handling patients complaining of specific symptoms associated with chlamydia and other urogenital infections, the doctor should order tests for STIs.

Treatment is necessary if a woman makes a gynecologist, urologist or venereal diseases with complaints:

• pain with urination;
• burning sensation and itching in the area of ​​the genitals;
• purulent appearance, mucopurulent discharge from the vagina;
• high humidity in the crotch region;
• bleeding during or after intercourse.

Antibiotics for chlamydia men appointed, if these pathogens are detected in patients who come to the doctor with complaints:

• pain, itching or a burning sensation when urinating;
• frequent urination;
• pain in the scrotum, groin;
• muco-purulent discharge from the urethra.

Even in the absence of symptoms in detecting chlamydia doctor should appoint antibiotics. Neglected infections are the cause of infertility in patients of both sexes. Men may become inflamed prostate, bladder, begin orchitis. In women developing cervicitis, vulvovaginitis, cystitis, urethritis and other inflammatory diseases of the reproductive system.

What antibiotics treat Chlamydia

For the treatment of chlamydial infection most commonly prescribed antibiotics such groups:

• tetracyclines;
• macrolides;
• fluoroquinolones.

Selection of preparations carried out with the duration of the disease, the patient's condition, presence of concomitant venereal pathologies.

For treatment administered high doses of antibiotics. This is required to destroy the pathogen quickly, until it has developed resistance to antibacterial agent used. Increase the effectiveness of treatment for complications of chronic chlamydia can be, if you go a few courses of antibiotic therapy with the use of drugs from different groups.

tetracyclines

Drugs tetracycline can be assigned to an adult women and men that have been identified chlamydia. They have high activity against Chlamydia. It is believed that the true resistance in these pathogens practically does not occur to tetracyclines. But after treatment to them may develop resistance.

Of this group of women may assign resources tetracycline. But when it is used there is a high likelihood of developing side effects.

Comment! Do not prescribe this remedy for pregnant women and children under the age of 14 years.

macrolides

The most effective antibiotics for chlamydia are considered agents related to macrolides. If the diagnosis was made at a time until the disease was in the acute phase, the use of a macrolide antibiotic to get rid of it allows to enter the chronic stage.

Pick a running antibiotic dosage regimen for men and women with chronic chlamydia harder. Therapy is prescribed course duration from 1 day to 2 weeks. Some doctors offer scheme, calculated on a more long-term use of macrolides. They are shown at the ascending chlamydial infection in women.

Accept physicians advise preparations in which the active substance acts azithromycin, spiramycin, clarithromycin, roxithromycin, josamycin, erythromycin.

fluoroquinolones

fluoroquinolone means women with chlamydia are appointed in cases where there is a contraindication to receiving tetracyclines or macrolides, or preparations of these groups were not effective. In laboratory conditions, many fluoroquinolones help in the fight against chlamydia. Resistance to them is found only in rare cases.

Of this group of drugs physicians may recommend Ofloxacin. In rare cases, it shows a typical Ciprofloxacin, but many strains of Chlamydia detected resistance to the active ingredient of this agent.

Best antibiotics for chlamydia

To an antibiotic to cure chlamydia is required to use it in high doses. According to studies by one of the most effective medications is Azithromycin (Sumamed). Depending on the clinical picture, the general condition of the woman and the test results, it may recommend that you take once or take a longer course of therapy. Effectiveness means that the active agent is azithromycin, exceeds 93%.

The result is not worse than with other macrolides. In 88-98% manage to get rid of the infection during the course of treatment Vilprafenom (josamycin) Rovamycinum (spiramycin), rulid (roxithromycin) klatsid (clarithromycin) Ermitsedom (Erythromycin).

The second most popular scheme of treatment of chlamydia in women is doxycycline. This means tetracycline. The experience of its use has been gained in the 70-80-xx of the last century. Since it is used for comparison when conducting clinical trials of other drugs as a gold standard. The clinical and bacteriological efficacy Doxycycline range from 80 to 99%.

If necessary, it can be assigned for the treatment of chlamydia in women and other antibiotics. In cases where there are indications of fluoroquinolones intended purpose, it is recommended to use Ofloxacin. The results of tests to achieve clinical and bacteriological efficacy is possible in 93-99% of cases.

Comment! The course of antibiotic therapy for each patient is chosen individually. Although there are standard schemes for women taking antibiotics for chlamydia.

Scheme antibiotic treatment of chlamydia

In the acute form pathology acceptable application 1 g of azithromycin mono- or Sumamed. If the disease is able to detect when it has already passed in the chronic form, it is desirable to exchange the appointment of therapy. On the first day of treatment is shown receiving means 1 g, 2 days with 500 mg daily or every other day.

There are other schemes of azithromycin therapy. In protracted infections appoint 1 g of preparation 1, 7 and 14 days of therapy.

Women who are prescribed Vilprafen therapeutic purposes, it is recommended to take 500 mg of drug twice a day. The duration of the therapeutic course - 10 days.

Rovamycinum appoint 3 Mill. u three times a day for 10 days.

When using klatsid, fromilid dosage is selected so that the body received 250 mg twice daily of clarithromycin 10-14 days. Women who have chlamydia diagnosed protracted given antibiotics administered intravenously. They should be administered at 500 mg daily for 2 days.

erythromycin treatment course lasts for 7 days. Doctors advise women to take 500 mg BID or 250 mg four times a day. But in the treatment of this drug there is a high risk of complications.

In the case where the most sensitive to chlamydia midecamycin appoint Macropen. To achieve the desired effect in the treatment of chlamydia, this antibiotic needs to drink 400 mg three times a day. Treatment will last 14 days.

Doxycycline related to tetracycline antibiotics prescribed for chlamydia, you need to take 100 mg twice a day. The recommended therapeutic course - 7-14 days.

If the doctor believes that is necessary tetracycline, the woman would have to drink it four times a day 500 mg. It needs to be treated up to 2 weeks.

In the appointment of the fluoroquinolones ofloxacin need to take it to the 200 mg twice a day for 9 days.

Rules of antibiotics against chlamydia

data can be found in the instructions for each drug on when it is best to take. Funds generated based on azithromycin, clarithromycin, erythromycin, tetracycline, should be drunk on an empty stomach one hour before meals or 2 hours after a meal. Antibiotics based on roxithromycin, midecamycin desirable to take before meals.

Doxycycline is better to drink during or immediately after a meal. Ofloxacin is recommended to take before or during a meal.

When antibiotic treatment of chlamydia women and men should stick to the established rules:

• strictly abide by the assigned dose;
• take medications at regular time intervals;
• not discontinue treatment for chlamydia disappearance of symptoms;
• renounce the use of alcohol;
• drink plenty of fluids.

Important! In the treatment, doctors are advised to adhere to proper nutrition. It is advisable to limit the intake of fatty, spicy foods, fast food, smoked, pickled foods.

Compliance with the principles of proper nutrition can reduce the burden on the digestive organs, and to minimize the likelihood of side effects from the gastrointestinal tract.

Contraindications and side effects

If there are contraindications to certain groups of antibiotics is necessary to refuse from them and pick up the treatment by other means. Thanks to the achievements of modern pharmacology, doctors have a large selection of products, is an antibiotic that is used for the treatment of chlamydia in women.

Intolerance to certain drugs or hypersensitivity reactions when administered to a history of them should be discarded. It is undesirable to make money based on clarithromycin, azithromycin, erythromycin, spiramycin, if previously there have been cases of allergic reactions during treatment with macrolides. The antibiotics of this group undesirable to drink if disrupted liver, kidney, heart decompensation with signs.

Women during childbearing and breast-feeding newborn antibiotics used with caution. The ban falls tetracycline, macrolides, many. Among the approved funds in this period is called erythromycin and azithromycin.

When antibiotic treatment side effects may occur. Most often, women and men are faced with violations of the digestive system. The most common complications were diarrhea, nausea, vomiting, stomach pain. Many people have problems with the nervous system.

Women and men complain about:

• dizziness;
• headache;
• concentration violation;
• drowsiness.

You may experience an allergic reaction in which a rash, redness, itching.

Precautionary measures

Women and men who have violated the functioning of liver, kidney, there are problems with the heart, antibiotics should be prescribed with caution. Writing some of them under the above pathologies, the physician should adjust the dose based on the patient's condition.

When you receive many antibiotics to treat chlamydia, it is desirable to temporarily stop doing those activities in which you need to focus. Refuse physicians advise on the management of complex machinery and driving vehicles.

Particular attention is paid to the reception of other medicines because of possible drug interactions. Some drugs can not be taken at the same time due to the fact that they increase or conversely reduce the concentration of active components with each other.

conclusion

Antibiotics for chlamydia in women prescribed as the detection of asymptomatic forms of the disease and the appearance of the typical signs of urogenital infections. Drugs scheme and duration of treatment is determined individually. Tactics therapy will depend on the general condition of the patient, concomitant infections and form identified chlamydia.