Sore throat or, scientifically, acute tonsillitis is a well-known ailment that affects the upper respiratory tract. This pathology occurs somewhat easily and is quite amenable to treatment, but the occurrence of complications due to its course should also not be ruled out.
As a rule, angina is complicated by untimely or poorly organized therapy. In order to prevent such a combination of circumstances, it is extremely important to know about the essence of the unpleasant pathology and the methods of its treatment. We will talk about this and much other useful information in the article below.
What is used to treat tonsillitis
Sore throat is an insidious disease, in most cases caused by the introduction of pathogenic microflora into the mucous membrane of the respiratory tract. But sometimes the disease is caused by viruses and fungi. Tonsillitis can be acute or chronic, primary or a complication of other pathologies. Taking into account the clinical picture, diagnosis, severity of the disease and physiological characteristics of the patient, an effective medicine for angina is selected.
As a rule, various drugs for angina are used; complex drug therapy includes:
- local antiseptics;
- antibiotics;
- immunomodulatory drugs;
- vitamin supplements;
- if necessary, anti-inflammatory, antipyretic and painkillers;
- sometimes antihistamines.
These can be aerosols and sprays for irrigating the larynx and tonsils, solutions for rinsing and lubricating the mucous membrane, tablets, capsules, syrups. It is better if a doctor prescribes medications for sore throat to adults, as well as to children. Self-medication in this case can lead to serious complications and chronicity of the disease.
Today, pharmacies offer many different remedies for sore throats, and every year there are more and more of them. Which one to choose that will really help you get back on your feet faster and prevent complications? This rating, based on patient reviews and sales volumes, will help.
What are the side effects of antibiotics?
Taking antibiotics should not be taken lightly, as any deviations from the doctor’s prescriptions can lead to negative consequences.
Side effects of antibiotics include:
- if the dosage is insufficient, the effectiveness of antibiotic use is reduced to almost zero;
- uncontrolled use of antibiotics can lead to the development of bacterial resistance to the active substance;
- an incorrectly selected antibiotic will not only have no effect on the infection, but will also harm the body, reducing the patient’s immunity;
- due to a disturbance in the intestinal microflora, digestion may be upset, accompanied by diarrhea, nausea or constipation;
- the appearance of an allergic reaction to the active substance;
- dysfunction of internal organs.
Antibacterial agents
Unfortunately, it is possible to cure a sore throat without antibiotics in very rare cases. The most popular remedies for sore throat for adults from this group are penicillins and cephalosporins. These are Amoxicillin, Amoxiclav, Cefix. If the patient has individual hypersensitivity to these antibiotics, then drugs from the macrolide group are used - as a rule, this is Summed. All these medications can be taken in the form of tablets, capsules or suspensions; in severe forms of the disease, they are administered intramuscularly in liquid form.
Benefits of antibacterial drugs
- Quickly relieve symptoms of sore throat.
- They suppress the pathogens of the disease, that is, eliminate the root cause.
- Available in different pharmaceutical forms and dosages for children and adults.
Flaws
- They have a number of side effects and affect the functioning of internal organs.
- Together with pathogenic microflora, beneficial bacteria are also destroyed, which can cause the development of dysbacteriosis and candidiasis.
- To avoid relapses, you must strictly follow the dosage and duration of treatment recommended by your doctor.
- The latest generation of drugs are quite expensive.
Antibiotics are usually combined with probiotics or prebiotics. These are Linex, Enetrogermin and their analogues. Probiotics will need to be taken for at least three weeks to completely restore the intestinal microflora.
Reasons for the development of pathology
The etiology of the disease is very diverse.
The mucous membrane and lymphoid tissue of the pharynx in the body come into contact with pathogenic environmental agents. In this regard, bacterial tonsillitis is most common. The disease is often combined with pharyngitis.
Pathogenic bacteria that cause inflammation of lymphoid tissue: staphylococci, streptococci, Haemophilus influenzae, gonococci, anaerobes, spirochetes, mycoplasmas and chlamydia. A major etiological role is assigned to group A beta-hemolytic streptococcus, or pyogenic streptococcus.
The cause of inflammation of the palatine tonsils can also be a viral infection: rhinoviruses, adenovirus, influenza viruses, parainfluenza, herpes.
In more rare cases, fungal tonsillitis develops, which is caused by yeast-like fungi of the genus Candida.
The causative agent of sore throat can be transmitted in various ways
Pathogens enter the mucous membrane of the tonsils through food, airborne droplets or direct contact.
Conditionally pathogenic flora of the oral cavity can also cause inflammation of the tonsils while reducing the overall reactivity of the body and weakening local immunity.
Rating of the best antibacterial remedies for sore throat
Rating | #1 | #2 | #3 |
Name | Azithromycin | Cefix | Meropenem |
Meropenem
This antibiotic also has a wide spectrum of action and belongs to the category of carbapenems.
pros
- High efficiency.
- Quick results.
Minuses
- Release form: injection.
- There is no way to treat the onset of the disease with it - the medicine is used only if other antibiotics have not given a positive result or there is a risk of developing sepsis.
Azithromycin
This is a macrolide drug. It is most often used to treat chronic sore throat or a purulent disease.
pros
- Effective at any stage of the disease.
- It starts working quickly.
- The course of treatment is short - only a week, and sometimes 5 days.
- The effect of the drug is as long as possible with rapid absorption.
- After finishing taking the drug, it remains in the body for at least another 7 days, which reduces the risk of relapse to zero.
Minuses
- The drug is available only in capsules, and it is not possible to treat children with it.
- There are contraindications.
- The dosage is individual for each person, so before you start taking this antibiotic, you should definitely consult your doctor.
Cefix
This is an antibiotic from the cephalosporin category. It has a wide spectrum of action and is a third generation medicine for angina.
pros
- Available in powder form for the preparation of suspension and capsules.
- Children can be treated with antibiotics.
- Effective and safe.
- It starts working quickly. Already 2-3 days from the start of treatment, the patient feels improvement.
- Can be taken regardless of meals.
Minuses
- For a suspension prepared from powder, the shelf life is only 14 days, if stored in the refrigerator.
- Has contraindications.
- Prescribed with caution to pregnant and lactating women.
Amoxiclav
One of the most common broad-spectrum antibiotics, available without a prescription at a fairly affordable price - from 250 rubles per pack.
pros
- Low cost.
- Proven effectiveness.
- Several release forms.
- For children it is available in the form of a powder for preparing a suspension.
Minuses
- Short shelf life - only 1 week for suspensions prepared from powder.
- Long term treatment – from 5 days to 2 weeks.
- Frequent doses are required - 3 times a day immediately before meals.
Sumamed
It is a broad-spectrum antibiotic whose main active ingredient is azithromycin.
pros
- Effectively kills the pathogen.
- Already on the 2nd–3rd day of treatment, patients feel improvement (need to be taken for 5 days).
- Very convenient to take. The need for an antibiotic is only once a day, and you can take the medicine both before and after meals.
- Suitable for children.
Minuses
- Contraindicated during pregnancy and breastfeeding.
- The drug should be prescribed with caution to people with impaired liver and kidney function.
- May cause side effects, including nausea and vomiting.
- It is quite expensive - from 520 rubles per package.
Amoxicillin
This is an antibacterial semi-synthetic drug from the penicillin group, available at the pharmacy in the form of tablets or powder for the preparation of a suspension. This remedy should be taken after meals, the effect begins to appear after a quarter of an hour and lasts for eight hours - this means that it is enough to take the remedy twice a day.
pros
- Fast absorption.
- Proven effectiveness.
- Good tolerance.
- Reasonable price.
Minuses
- Possible side effects - dyspeptic disorders, leukopenia, anaphylactic shock.
- Some patients have individual intolerance to penicillin drugs.
- This antibiotic cannot be used during pregnancy and lactation, for liver pathologies, bronchial asthma, and acute seasonal allergies.
Cheap analogues, instructions for proper use
To treat tonsillitis, your doctor may prescribe the following inexpensive medications:
- Ampicillin - when taken orally for adults, a single dose is 250-500 mg, the frequency of administration is 4 times a day. Children weighing up to 20 kg - 12.5-25 mg/kg every 6 hours. Price up to 75 rubles in Russian pharmacies.
- Doxycycline - adults are prescribed 200 mg/day orally or intravenously (drip) on the first day of treatment, 100-200 mg/day on subsequent days. Frequency of administration (or intravenous infusion) – 1-2 times/day. For children over 8 years of age and weighing more than 50 kg, the daily dose for oral administration or intravenous administration (drip) is 4 mg/kg on the first day of treatment. In the following days - 2-4 mg/kg/day, depending on the severity of the clinical course of the disease. Frequency of administration (or intravenous infusion) – 1-2 times/day. The recommended minimum time for intravenous infusion of 100 mg of doxycycline (with an infusion solution concentration of 0.5 mg/ml) is 1 hour. The cost is up to 50 rubles.
- Amoxil - dosage for diseases of moderate and mild severity: adults and children over 10 years old - 500-750 mg 2 times a day, from 3 to 10 years 750 mg per day in 3 divided doses, from 1 year to 3 250 mg twice daily. In the case of chronic recurrent diseases and in severe cases, adults take 3 g per day; children - 60 mg/kg body weight, divided into 3 doses. The daily dose for adults is a maximum of 6 g.
Price – from 65 rub.
They are taken according to the regimen specified by the attending physician or in the instructions. In some cases, the dosage of medications may be slightly increased to achieve a therapeutic effect as quickly as possible.
Antihistamines for sore throat
These drugs are auxiliary for inflammation of the tonsils; their main purpose is to relieve swelling of the larynx and reduce possible reactions in case of hypersensitivity to the components of antibacterial and anti-inflammatory drugs. Antiallergic drugs of different generations are used: Suprastin, Diazolin, Fenistil, Zortec. The best remedy for sore throat in this category is Claritin, a good alternative is Erius.
The benefits of such medicines
- A wide range of drugs in different price ranges.
- Effectively reduces swelling of the larynx.
- Reducing the risk of adverse reactions to antibiotics or NSAIDs.
Flaws
- May cause a feeling of drowsiness and slowed reflexes.
- Not all drugs are approved in pediatrics and obstetrics.
- They have a number of contraindications and can also cause side effects in case of individual intolerance to the active substances.
As a rule, antihistamines are prescribed for several days until the pronounced symptoms of the disease subside. They are not mandatory in complex therapy, but, nevertheless, if the doctor prescribed them, you should not refuse.
Tablets in the treatment of disease
The prescription of tablet drugs for sore throat in adults occurs only after determining the type of disease and the cause that contributed to its occurrence. If a sore throat is caused by a bacterial infection, antibiotic medications are needed. When a virus affects the body, antiviral drugs are required. The most effective remedies for sore throat are:
Name | A drug | Price |
Amoxicillin | from 32 rub. | |
Flemoxin | from 239 rub. | |
Biseptol | from 37 rub. |
Amoxicillin for quick treatment of sore throat
You can treat your throat with a drug such as Amoxicillin, which has a powerful bactericidal effect. The use of the medicine is prescribed not only for sore throat, but also for bronchitis, sinusitis, pharyngitis and other diseases that are caused by bacterial infection.
Adults should take medications for sore throat 3 times a day before meals. The daily dosage for an adult and a child will be different. Medicine for sore throat for children and adults should not be taken in the following cases:
- with hypersensitivity to its components;
- tendency to allergic reactions.
Among the side symptoms it is worth highlighting:
- headache;
- dizziness;
- nausea;
- vomiting;
- tachycardia;
- skin rash.
The use of Flemoxin in the treatment of angina
Flemoxin is another thing that is taken for sore throat; it has a bactericidal effect. The effectiveness of the medicine has been proven for pathologies of the throat and other respiratory organs, gastrointestinal tract, and genitourinary system. This medicine is used for sore throat in adults and in children over one year of age. The daily dose is 2 tablets, divided into 2 times: morning and evening.
Despite the fact that the drug is well tolerated by the body, there are still side effects: an allergic reaction and diarrhea. Contraindications include the following: pregnancy and lactation, hypersensitivity.
Features of using Biseptol
Another, no less effective remedy for sore throat in adults and children is the drug Biseptol, which has an antibacterial effect. The active substance of the drug can also fight dysentery and staphylococcal infection. To avoid possible harm from taking such a drug, it is recommended to take vitamins together and maintain a drinking regime (at least 2 liters per day). Taking tablets is allowed only after meals.
Side symptoms of taking Biseptol include headache, nausea, dizziness, and abdominal cramps.
Doctors prohibit taking the drug:
- during pregnancy;
- breastfeeding;
- in case of dysfunction of the thyroid gland;
- hematopoietic systems;
- dysfunction of organs such as the liver and kidneys.
Rating of the best antihistamines for sore throats
Rating | #1 | #2 | #3 |
Name | Diazolin | Suprastin | Zortec |
Claritin
The active ingredient of this medicine is loratadine. Can be purchased both in tablets and syrup form.
pros
- Does not cause drowsiness.
- Does not affect the nervous system.
- Does not affect psychomotor reactions.
Minuses
- Do not give to children under two years of age and should not be taken while breastfeeding.
- Possible side effects - headaches, gastrointestinal disorders, drowsiness, dry mouth.
Zortec
A fairly effective and popular remedy, which is prescribed as an auxiliary for sore throat.
pros
- Does not depress the nervous system, does not reduce concentration.
- It acts within 20–30 minutes after administration and remains effective for up to 8 hours.
- The tablets help quickly.
Minuses
- Effects on the kidneys.
- Quite a high cost - for the same amount you can buy a safer product of the latest generation
Fenistil
A popular second-generation remedy, despite the abundance of modern improved medications. It is very popular among young mothers, as it is available in various pharmaceutical forms and is suitable for treating children.
pros
- It starts working quickly.
- Effective.
Minuses
- Weak sedative effect.
- Incompatibility with alcohol and certain medications.
- Prescribed with caution to pregnant, lactating and young children.
Diazolin
The active component of this drug is mebhydrolin. This medicine is great for treating not only children.
But also adults.
pros
- Suitable for all age categories.
- It's inexpensive.
- It acts quickly and retains its effect for a long time.
Minuses
- Has contraindications and side effects.
- Contraindicated in pregnancy and breastfeeding, heart failure, epilepsy, glaucoma, prostatitis adenoma.
Suprastin
In comparison with analogues from this class, it has few side effects and contraindications. The active component is chloropyramine, it does not stay in the blood for long, is not deposited in cells and is almost completely excreted through the kidneys along with urine.
Has a sedative effect and causes drowsiness.
pros
- Low cost.
- Proven effectiveness.
Minuses
- Causes drowsiness and inhibits reflex reactions.
- Not prescribed for small children and pregnant women, drivers, doctors.
Use of antihistamines
Antiallergic drugs are prescribed, firstly, to avoid the development of allergies, which often accompanies antibiotic therapy. This is especially true when treating children. Additionally, blocking the release of histamine is important for reducing swelling in the throat.
Many antihistamines have a sedative effect and cause severe drowsiness, so they are best taken before bed.
The main antihistamines are as follows:
- Suprastin,
- Parlazin,
- Zodak,
- Loratadine,
- Fexofenadine,
- Tsetrin et al.
Children are usually prescribed antihistamines in the form of drops (Fenistil). At the same time, pay attention to age.
NSAIDs for inflammation of the tonsils
These are anti-inflammatory, analgesic and fever-relieving drugs, often including several active substances. They are taken only if a sore throat is accompanied by severe sore throat, headaches, myalgia, and high body temperature.
The benefits of NSAIDs include
- Possibility of choosing medicine in different forms - tablets, capsules, powders, syrups, rectal suppositories.
- Wide price range.
- Quick effect - modern drugs begin to act within a quarter of an hour.
Flaws
- Cannot be used in case of renal or liver failure.
- NSAIDs irritate the mucous membrane of the stomach and intestines; with prolonged use, pain and pain occur; in patients with gastritis and peptic ulcers, an exacerbation may occur, accompanied by internal bleeding.
- The drugs thin the blood, so they are not prescribed for low hemoglobin and poor blood clotting.
To avoid side effects, doctors do not recommend taking anti-inflammatory non-steroidal drugs for more than five days. In this case, you must strictly observe the dosage: Usually they are prescribed 1-2 tablets no more often than every four hours, and no more than 4 times a day.
It is important to know: in the initial stages, sore throat is often mistaken for the flu or a cold, the patient begins to take symptomatic drugs - Theraflu, Coldrex and their analogues. The main active ingredient of these drugs is paracetamol. If you then take an additional NSAID with the same active ingredient, an overdose may occur, be careful.
Symptoms and diagnosis of sore throat
The severity of symptoms can vary greatly depending on the type of pathogen and the form of the disease.
With angina, signs of intoxication are expressed: fever, muscle and headache, weakness, fatigue, loss of appetite, sleep disturbance.
With angina, the submandibular and cervical lymph nodes become enlarged
Patients complain of pain, soreness and discomfort in the throat, which worsens when swallowing. The submandibular, anterior and posterior cervical lymph nodes increase in size, become swollen and painful on palpation.
On examination, hyperemia, swelling and infiltration of the mucous membrane of the palatine tonsils, palatine arches, soft palate, and posterior pharyngeal wall are determined. Plaque and purulent follicles are detected, which are visible through the mucous membrane of the tonsils in the form of yellowish round granules.
Manifestations of acute tonsillitis depend on the causative agent of the disease
The diagnosis is established by a doctor after examination, pharyngoscopy, and obtaining data from laboratory research methods.
Typically, patients with a runny nose, cough, sore throat, pharyngeal congestion and no fever have a viral infection. The presence of exudative inflammation of the palatine tonsils, high body temperature, signs of intoxication of the body, cervical lymphadenitis and the absence of cough are highly likely to indicate a bacterial etiology of the disease.
Strong antibiotics that act against a large number of pathogens, including streptococcus pyogenes, are drugs with amoxicillin and clavulanic acid: Amoxiclav, Augmentin.
The main method for diagnosing infectious lesions of the palatine tonsils is microbiological examination. It is extremely important to identify acute streptococcal sore throat, which requires systemic antibiotic therapy.
For rapid analysis, a test for streptococcal antigen (Streptatest) is used. This is a universal method that allows you to determine the presence of group A beta-hemolytic streptococcus in 5 minutes and determine treatment tactics in a timely manner. Carrying out this test does not eliminate the need for bacteriological culture, regardless of the result obtained.
Rating of the best NSAIDs for sore throats
Rating | #1 | #2 | #3 |
Name | Citramon | Aspirin | Paracetamol |
Ibuklin
A medicine containing ibuprofen and paracetamol. Effectively relieves joint pain, migraines, has an antipyretic effect, and has an anti-inflammatory effect.
pros
- Quickly lowers temperature for a long period.
- Effective against any type of pain: dental, migraine or joint pain.
- Can be used from the age of three.
Minuses
- High price.
- Contraindicated for asthmatics and people suffering from stomach diseases.
- An overdose can negatively affect liver and kidney function.
Citramon
A combination drug containing paracetamol, acetylsalicylic acid and caffeine. It is used as a strong analgesic, antipyretic, and anti-inflammatory agent.
Helps improve blood circulation.
pros
- A domestic drug in a low price segment.
- It has a combined effect, replacing several different drugs at the same time.
- Quickly relieves migraines, toothaches and aching sensations in the joints.
Minuses
- May cause an allergic reaction if you are sensitive to the components of the drug.
- An overdose is dangerous for the kidneys, liver, and gastrointestinal tract.
Paracetamol
An effective non-hormonal drug with a pronounced analgesic and antipyretic effect. The medicine is recognized as a completely safe drug, available for use by infants.
pros
- Insignificant cost for the budget.
- Quickly eliminates pain and lowers temperature.
- Relieves swelling of the throat and nasopharynx.
Minuses
- Exceeding the dosage has a negative effect on the liver and kidneys.
- Weak anti-inflammatory effect
Aspirin
A widely known anti-inflammatory drug that combines antipyretic and analgesic effects, and also prevents red blood cell aggregation. For sore throat, it is prescribed to lower the temperature and helps get rid of severe pain in the head and throat.
pros
- Available without a prescription and at low prices.
- Has a complex effect.
- Effectively eliminates headaches for a long time.
- Quickly lowers temperature.
Minuses
- May cause an allergic reaction in asthmatics.
- Regular use increases the risk of internal bleeding.
- Corrodes the gastric mucosa at high daily doses.
Ibuprofen
One of the cheapest and most accessible drugs. It has anti-inflammatory, analgesic and antiseptic effects.
pros
- Affordable price.
- Fast analgesic effect.
- Quickly relieves fever and swelling of the throat.
- There are suppositories and syrups for treating children.
Minuses
- It is effective only for pain and temperature of medium or low intensity; for severe sore throat, this drug is practically useless.
- There are many contraindications, including incompatibility with alcohol.
Antibiotics without a doctor's prescription
When treating purulent sore throat, antibiotics without prescriptions should be chosen with caution.
The list below contains the best bactericidal drugs that can be taken to treat tonsillitis without a doctor's prescription. These medications can be purchased without a prescription at any pharmacy; in addition, they have a relatively low price. In this list, drugs are arranged according to the pricing policy (from lowest to highest), the price range is from 227 rubles. up to 345 rub.:
- Amoxicillin;
- Flemoxin Solutab;
- Amoxiclav;
- Augmetin;
- Panclave;
- Rapiklav.
Tablets for the treatment of purulent sore throat
In addition to the necessary antibiotics as part of a comprehensive treatment, the doctor also prescribes medications to the patient to relieve pain, inflammation, intoxication, and fever.
Local antiseptics
Many patients, and doctors too, believe that a good spray for irrigating the throat with antibacterial, analgesic and anti-inflammatory effects is the most effective remedy for sore throat.
Local preparations have a number of undeniable advantages
- They act instantly, immediately after application, exactly where it is needed - at the site of inflammation.
- They have a versatile effect - they moisturize and disinfect the mucous membrane, relieve swelling and redness, and stop the inflammatory process.
- Strengthen the effect of systemic drugs.
- Simple and easy to use.
- Can be used for a long course of treatment, including for rinsing.
Flaws
- Sprays alone are not enough for complete treatment; such drugs cannot completely suppress the causative agents of the disease.
- The effect after irrigation does not last long, since the active components work only on the surface of the mucous membrane, do not penetrate deep into the tissue and are quickly washed off by saliva.
- Aerosols should not be used to treat children under three years of age, since spraying the drug can provoke bronchospasm, reactive laryngeal edema and an attack of suffocation.
The drug of choice from this group is the spray with antibacterial and anti-inflammatory effects Bioparox. Orasept, Inhalipt, and Lugol's solution can be used as alternatives. To treat sore throat in pregnant women and children, preparations based on plants and purified sea water are used - these are Chlorophyllipt and Aqualor.
What can and cannot be taken during pregnancy, medications
Tonsillitis during pregnancy can be very difficult, since during this period the immune system is greatly weakened. The most dangerous form of the disease for a pregnant woman is follicular tonsillitis. It is fraught with serious consequences, including miscarriage, so treatment must be quick and effective. It is not recommended to treat sore throat in pregnant women with folk remedies, because It is important to choose the right recipe. It is especially dangerous to hover your legs, as it increases the tone of the uterus. You need to gargle regularly and often, and you can take Pentalgin as a remedy for pain.
Unfortunately, it will not be possible to do without antibiotics, so pregnant women can take or inject Erythromycin, Sumamed, Gentamicin. If the temperature is very high, it can be brought down by taking Panadol or Paracetamol. Aspirin is strictly contraindicated as it can cause severe bleeding.
Price – from 40 rub.
This material will familiarize you with the instructions for using Chlorophyllipt spray.
Rating of the best topical antiseptics for sore throats
Rating | #1 | #2 | #3 |
Name | Orasept | Tantum Verde | Ingalipt |
Tantum Verde
This rinse solution has a unique composition: it contains analgesic and antiseptic substances, which after the first use reduce the unpleasant manifestations of sore throat and alleviate the condition. But besides this, the active components are able to penetrate deep into the tissue and eliminate the root cause of sore throat.
pros
- If you start using Tantum Verde at the first symptoms of a sore throat, you can do without antibiotics, provided you follow bed rest.
- The cause of the disease is eliminated.
- There are a minimum of side effects, since the active substances act only at the site of inflammation and almost never enter the blood.
Minuses
- It is not always possible to perform the gargling procedure.
- High cost - a 300 ml bottle costs from 300 rubles.
Stopangin
Antiseptic with a pronounced anti-inflammatory and fungicidal (fungal disinfection) effect. Contains two active substances: hexetidine, a pyrimidine derivative, and methyl salicylate.
Available in bottles and as a spray. It is used in ENT practice as a local drug.
pros
- Contains natural essential oils.
- Does not enter the bloodstream, depositing on the mucous membrane of the mouth. Excreted with saliva.
- It has a combined antibacterial and anti-inflammatory effect.
- Has no special side effects.
Minuses
- Requires careful use; ingestion may cause vomiting.
- Available in spray form only from 8 years of age.
- Contraindicated for dry pharyngitis.
Ingalipt
This is a broad spectrum spray for topical use. The remedy is most effective in the early stages of the disease, but can also be successfully used to treat severe or chronic tonsillitis.
The main active ingredients are streptocide and norsulfazole, auxiliary components are thymol, eucalyptus oil, mint extract.
pros
- High efficiency, fast action, wide spectrum of action.
- Additionally freshens breath.
- It has no side effects and very rarely causes allergies.
- Low price - from 55 rubles for a small bottle.
Minuses
- It cannot suppress the growth of bacteria and is not effective for purulent sore throat and severe forms of the disease.
- In case of individual intolerance, it can cause vomiting, diarrhea, rash, and suffocation.
Orasept
Oral antiseptic, available in spray form. The active substance is 1.
4% phenol solution. The drug is intended for local treatment, effectively eliminates inflammatory processes in pharyngitis and tonsillitis.
pros
- Effective action that does not require long-term treatment.
- There are virtually no side effects.
- Safe for tooth enamel.
Minuses
- It has a pleasant, but quickly boring cloying taste.
- It has only a superficial anti-inflammatory effect, without destroying the infection itself.
Bioparox
Local antibiotics used in the treatment of diseases of the respiratory tract and nasopharynx. The active ingredient is fusafungin, which has an anti-inflammatory effect.
Available in aerosol form.
pros
- Effective when local action is necessary.
- Has a minimum of side effects.
- Does not dry out the nasal mucosa.
Minuses
- Contraindicated in patients prone to bronchospasms and allergies.
- Available only with a doctor's prescription, it requires an individually prescribed course of treatment.
Inhalations for illness
Treatment of sore throat also includes therapeutic inhalations. They can only be done with the help of a nebulizer; steam inhalations cannot be done for purulent tonsillitis, as there is a risk of infection spreading to healthy tissue.
To treat sore throat, saline solution, soda solution and some essential oils are used. The duration of one procedure is 20 minutes. Up to 5 inhalations can be performed per day. Thanks to such procedures, the mucous membrane is softened, cleared of plaque and restored faster.
When performing inhalations, it is important to choose the right mask; it should fit tightly to the face. To treat children, you should take a small-sized children's mask.
Inhalations may only be given to children in the presence of adults. This will allow you to monitor how correctly the procedure is carried out and avoid accidents.
Lollipops and lozenges
These medications are also auxiliary in the complex treatment of sore throat and act locally. With their help, you can reduce such unpleasant symptoms as sore throat, sore throat, cough, swelling and redness. Lollipops, dragees, and lozenges cannot destroy pathogenic microorganisms.
The composition of such medications is approximately the same: painkillers, moisturizing and softening oils, antiseptic, vitamins.
Benefits of lozenges
- Pleasant taste, quick effect.
- Ease of use.
- No side effects (subject to dosage).
Flaws
- Short action.
- Drugs in this group are ineffective as monotherapy and should only be used in combination with more serious medications.
- Contraindicated in the treatment of young children due to the risk of ingestion of the lollipop.
Such products often contain fragrances and dyes, which can cause allergic reactions and digestive disorders. Since the lozenges contain sugar, they are prescribed with caution to patients with elevated blood glucose levels.
Dangerous and dubious means of self-medication
Adults often use folk remedies to treat sore throat. But homemade medicines do not always bring benefits, but also very often cause harm. It is strictly not recommended to use warming compresses, as bacteria may begin to multiply faster when heated.
You should also avoid visiting the sauna, since sore throat is often accompanied by fever and general weakness of the body. Additional load will only do harm. Also, you should absolutely not overcool your throat by listening to advice on how to eat ice cream during a sore throat.
Conclusion
Sore throat is a very dangerous disease, ignoring which can lead to serious consequences. Fortunately, there are many medications with which an adult can safely and quickly get rid of this disease. The main thing is to take action at the first symptoms.
Rating of the best remedies for sore throats in the form of lollipops and lozenges
Rating | #1 | #2 | #3 |
Name | Faringosept | Septolete | Decathylene |
Septolete
If you need good lozenges for a sore throat, then Septolete is what you need. Medications of this form are not basic, but they help out if it is not possible to use tablets, sprays or rinses.
pros
- Pleasant taste and convenient packaging.
- Wide spectrum of action - Septolete eliminates almost all symptoms of sore throat.
- The line of medications includes sugar-free lozenges - they can be used for diabetes.
- Lozenges are convenient to take with you to work, school, or on the road; if necessary, they can be used in a public place.
Minuses
- Short term effect.
- Lozenges cannot be combined with milk - it neutralizes the effect of the drug.
Grammidin
Local antibiotic based on gramicidin C. It affects any type of microorganism by increasing the permeability of cell walls.
Intended for the treatment of acute forms of tonsillitis, pharyngitis, tonsillitis. Available in the form of lozenges.
pros
- Effectively destroys any types of pathogenic bacteria in the oral cavity.
- Does not cause addiction in microorganisms.
- Resorption of the tablet is accompanied by increased salivation, which additionally cleanses the oral cavity of bacteria and their waste products.
Minuses
- Requires a two-hour pause for food and drink after administration.
- May cause allergic reactions in case of individual sensitivity to the active substance.
- It has an anesthetic effect, which may lead to temporary numbness of the tongue.
Decathylene
A bactericidal and antifungal drug based on the following substances: dequalinium chloride and dibucaine hydrochloride. Intended for the treatment of various forms of sore throat, including catarrhal and ulcerative film.
Available in the form of sucking lollipops.
pros
- It has a complex effect, destroying bacteria and fungus.
- Affects strains of microorganisms resistant to antibiotics.
- Has no registered side effects.
- Can be used for diabetes.
Minuses
- High price.
Lysobacter
Local antiseptic for the treatment of upper respiratory tract infections. The active substances are natural compounds: lysozyme and pyridoxine.
Available in the form of lozenges. It has a complex effect that suppresses infection, fungus and bacteria.
pros
- Contains natural substances. Lysozyme is a natural human compound found in saliva. Pyridoxine – vitamin B6.
- Eliminates the immediate source of sore throat.
- Restores beneficial microflora.
Minuses
- May cause allergic reactions if hypersensitivity to the components of the drug.
- Contraindicated in persons with lactose intolerance.
Faringosept
A bacteriostatic drug, where the active substance is ambazone. Available in the form of lozenges.
The drug is intended for the treatment of diseases of the oral cavity, including pharyngitis and tonsillitis.
pros
- It has a local surface effect without affecting the intestinal microflora.
- There are no reported side effects.
- Additionally, it relieves sore throat and discomfort when swallowing.
- Can be used during pregnancy.
Minuses
- Ineffective for prolonged severe sore throat.
- Specific taste.
- A three-hour ban on eating and drinking after taking the medicine.
Penicillin drugs for the treatment of adults
Penicillins are most often used to treat purulent forms. These are fairly affordable and safe drugs that have proven their effectiveness in the treatment of streptococcal purulent tonsillitis for several decades.
But some bacteria have developed resistance to penicillin during this time, destroying it with the help of beta-lactamases. In this case, penicillins are administered to the patient in forms protected by beta-lactamase inhibitors.
The following drugs are most often prescribed by doctors:
- Augmentin.
This is a widely used remedy that is used to treat infectious diseases of any organ of the respiratory system. Augmentin contains the semisynthetic antibiotic amoxicillin in combination with clavulanic acid, which protects the beta-lactam structure of the active molecule from the destructive effects of bacterial enzymes. - Flemoklav Solutab. This remedy is used to combat pathogens of purulent tonsillitis and other diseases of the respiratory system, skin and joints. The duration of treatment depends on the severity of the disease and the characteristics of the infections.
- Amoxicillin. This is a budget alternative to the above medications, as it is one of the most affordable antibiotics. The drug is widely used in the treatment of various types of bacterial tonsillitis, as well as other pathologies of the respiratory tract. The dosage is selected by the attending physician.
- Flemoxin Solutab. Another option for the antibiotic is amoxicillin, only in the form of a trihydrate. This medicine is considered more convenient for use than the above, because it is produced in the form of pills. This dosage form is pleasant to chew, it can be swallowed and even dissolved in water. The tablets contain lemon and tangerine flavors, which creates a positive impression of using the drug.
Therapy at home
Rinse
Rinsing is the simplest and fastest procedure that does not require effort or any special preparation. Very effective for home treatment. Rinsing only takes a few minutes. With this procedure, purulent plaque from the tonsils is washed away, and the process of restoration and healing of damaged soft tissues is noticeably accelerated. In addition, antiseptic solutions prevent the absorption of substances that have a toxic effect on the human body into the blood.
For rinsing, it is recommended to use warm solutions of potassium permanganate, boric acid, gramicidin, bicarbonate and sodium chloride.
gargling for sore throat
At home, it is also possible to prepare the following solutions for the treatment of purulent sore throat.
- Soda solution. This product can be used from the age of 3 years. This substance is harmless to the child. The solution will require a tablespoon of soda (for children - half a spoon) and a glass of warm water. Mix and start rinsing. It is necessary to treat the throat with the prepared solution 4 times a day for adults, and no more than 3 times for children. The interval between procedures should be 2 hours. Soda acts as an antiseptic and softens the mucous membrane.
- Saline solution. Salt has a powerful antiseptic effect. Take 250 ml. boiled water, 2-3 drops of iodine and about a couple of teaspoons of salt. The throat must be treated several times a day. One procedure should take approximately 5 minutes.
- Hydrogen peroxide. This remedy is well known to everyone as a universal antiseptic. The effect is felt after the first use. After this type of rinsing, the patient experiences positive dynamics of recovery. The composition significantly softens the mucous membrane of the tonsils. You only need to use a 3% concentration product. First you need to boil and cool the water to room temperature. For 250 ml. clean water, you need to take 1 tbsp of hydrogen peroxide.
- Hydroperide. For treatment, you will need a drug available in tablet form. For a glass of warm water you need 1 tablet of the drug. Receives a ready-made peroxide solution.
- Furacilin. It is necessary to use furatsilin tablets. Crush 1 tablet and mix with 100 ml. water. At such proportions, the maximum activity of antimicrobial substances is maintained. For convenience, you can crush the tablet directly in the blister.
- Chlorophyllipt. This drug is an organic medicine. We dilute a tablespoon of the solution in a glass of non-hot water. We treat the mouth after eating, every 2 hours at the first stage of treatment.
Inhalations
Quick treatment of purulent sore throat at home involves the use of inhalations. Among medicines, Chlorophyllipt and Chlorhexidine are widely used for this method of treatment. When inhaling steam, the film around the tonsils gradually softens, the pain threshold decreases, and the area of edema decreases significantly.
It is also recommended to use inhalations based on medicinal herbs: chamomile, sage, calendula and oregano.
How to properly carry out the inhalation procedure. First you need to prepare the solution and fill the inhaler with it. If special equipment is not at hand, you can use a container with a hot solution (you need to cover yourself with a thick towel and inhale the steam) or a kettle with a spout through which the steam will escape. The course of inhalations is approximately 7 days. It is recommended to carry out up to two procedures per day. But it is worth remembering that there are some contraindications to this type of treatment. If you have high blood pressure, temperature or cancer, inhalation is strictly prohibited.
Local therapy
Not only a complex of rinses and inhalations helps to cure purulent sore throat. It can be used at home to treat Lugol's. The drug has a powerful antiseptic effect thanks to iodine, which is an active element in the composition of this drug. And glycerol, which is one of the components of the ointment, softens the mucous membrane, eliminating discomfort.
The product is freely available in any pharmacy and has a relatively low price. The spray bottle allows you to effortlessly treat the entire oral cavity. Doctors recommend carrying out the disinfection procedure up to 5 times a day. For some time after treatment of the oral cavity, you should refrain from eating and drinking.
If the nozzle for the solution is not commercially available, you can apply the drug to cotton wool and treat the tonsils with it. It is necessary to pay attention to the fact that the drug also has contraindications. It is forbidden to use the medicine if there is an increased level of sweat and saliva, with tachycardia, nervousness and allergies or irritation.
Preparations for treating the throat
To treat purulent sore throat in an adult, it is necessary to take antibiotics. This type of therapy should be carried out simultaneously with local treatment, namely in conjunction with inhalations, rinsing and taking antiseptic medications.
For example, Tantum Verde spray does its job perfectly. The active components included in the medicine have a bactericidal effect and help relieve sore throat. The drugs Grammidin neo, Grammidin neo with anesthetic, Streptocide, Sulfanilamide are also recommended for use. Each of these drugs is easy to purchase at an affordable price, and each of them is very effective. The active ingredients have a broad spectrum bactericidal effect.
If we talk about folk remedies, then it is possible to use a warming compress made from vodka. But before using this method, you must consult your doctor.
Disease prevention
To prevent the disease, you should not overcool, you need to visit the dentist in a timely manner, in the hot season, limit the consumption of chilled drinks and ice cream, regularly strengthen the immune system, play sports, do exercises, hardening and consume vitamins and minerals required for the normal functioning of the body.
Traditional medicine
Positive dynamics of the patient can be observed if you use folk remedies for the treatment of purulent tonsillitis.
- Lemon. Wash the lemon thoroughly and cut off a small piece. No need to peel. First, you need to hold the lemon in your mouth for a while, then gradually chew it. You can also gargle with lemon juice to achieve a bactericidal effect. For some time after treatment of the tonsils, it is forbidden to eat or drink.
- Milk and honey. Use is recommended for both adults and children. Heat 250 ml of milk, add 1 tbsp. honey and just a little butter and soda. It is recommended to drink the medicinal drink like tea, in small sips, immediately after treating the throat with an antiseptic solution. You can also consume honey in honeycombs. To soften the tonsils, it must be chewed slowly.
- At home, it is recommended to prepare decoctions from rose hips, raspberries, and currants. Should be taken warm. They contain many vitamins and important microelements and strengthen the immune system.
- Also suitable for gargling a sore throat is beetroot juice , diluted with vinegar in a 1:1 ratio.
purulent sore throat and beet juice
- Place the crushed onion puree on gauze and fix the bandage on the patient’s throat. This remedy should be used if the patient’s body temperature is not elevated.
- Pour boiling water over 5 cloves and leave the broth for about 60 minutes. We consume the solution in small sips.
- Dill decoction . Pour boiling water over the shoots of the young plant, and after the solution has infused, take it orally. It is advisable to use it throughout the week.
- Tincture with propolis. Mix the alcohol tincture with a small amount of water and honey, then lubricate the almonds with the resulting mixture.
Can an adult have a purulent sore throat without fever?
Yes, may be.
Pathogenic bacteria, mainly the streptococcus bacterium, are activated in the throat by entering it through airborne droplets or through household items.
Also, tonsillitis without fever can occur due to the bacteria Staphylococcus aureus. This bacterium is present on the mucous membranes of almost 1⁄4 of the population. The bacterium and the human body are able to coexist peacefully as long as the human immune system does not weaken. In this case, the protection is destroyed, which provokes the development of the disease.
Features of treatment
The doctor prescribes complex therapy, which includes the following areas:
- Etiotropic treatment. It is aimed at eliminating the causes of the pathological process and purulent foci on the surface membranes of the pharynx and includes the use of antibacterial, antifungal, antiviral agents against sore throat.
- Pathogenetic treatment is aimed at restoring the body's defenses; for this purpose, immunomodulators and immunostimulants are prescribed.
- Palliative treatment - elimination of the symptoms of tonsillitis, includes taking antipyretic, analgesic, decongestant and antiphlogistic drugs.
Local preparations with antibacterial effect
The selection of medication for angina is carried out by the attending physician, who recommends comprehensive treatment. Sprays with an antibacterial effect are recommended for the throat: Hexoral, Stopangin, Bioparox and others.
The choice of local antibacterial agent is made depending on the form of the disease and its severity. Sprays are not used as the main therapeutic measure, but are prescribed exclusively in conjunction with general antibacterial drugs.
Forms of the disease
Catarrhal form
The very first stage of sore throat. With the right treatment, complications can be avoided.
Follicular tonsillitis
This type of disease develops very quickly. In this case, pus accumulates in the parenchyma of the tonsils, and there is a high risk of blood infection, since a large number of blood vessels are concentrated in the tonsils. This form of the disease is characterized by swelling, intoxication, high temperature, pain in the lymph nodes, and redness in the root of the tongue.
Purulent lacunar form
Diphthera-like form of acute tonsillitis. Lacunae are canals in the tonsils. When infected, pus accumulates in these canals, causing inflammation and redness of the tonsils. The disease is accompanied by disturbances in the functioning of the gastrointestinal tract, weakness, nausea, intoxication, chills.
Incubation period and how long is purulent sore throat treated?
This period begins from the time the pathogen enters the disease until the first symptoms of the disease appear. The incubation period varies between children and adults. Its duration can average from a couple of hours to 4 months.
sore throat types of disease
Complications
If you promptly seek help from a doctor and start treatment on time, the prognosis will be favorable. But tonsillitis is also very dangerous in a number of cases of complications that can occur with poor quality or untimely treatment. Sinusitis, laryngitis, otitis, and soft tissue abscesses can develop as complications in the early period of the disease.
Meningitis, rheumatism, polyarthritis, pyelonephritis can develop in the later stages of an untreated disease.
To minimize the risk of complications, after completing therapy, you must continue to gargle with antiseptic solutions, avoid cold food and drinks, and do not go outside at high levels of air humidity.
Diagnostics
The diagnosis is made in the following stages:
- oral interview with the patient;
- establishment and confirmation of the etiology of the disease;
- examination of the oral cavity;
- blood sampling for biochemical analysis.
Purulent sore throat, cheap antibiotics for adults, as well as antiseptic drugs
To successfully treat the disease and prevent complications from occurring, you must strictly follow the instructions of your doctor. If you have acute tonsillitis, the patient must be placed on bed rest. Food should be neutral in taste, preferably containing a minimum of salt. It is also worth avoiding adding spices and seasonings to food in order to avoid irritation on the mucous membranes and increased pain. In difficult cases - antibiotics.
A positive result is possible only if you follow all medical recommendations and fulfill all the required conditions in the complex of prescribed treatment.
Antibiotics. The most important purpose of antibiotics is to destroy streptococcus bacteria in the mouth. For purulent sore throat, antibiotics are prescribed to adults by a doctor after establishing and confirming the causes and conditions of the disease after tests. Correctly selected antibiotics can quickly and without consequences eliminate the disease. The duration of treatment is determined using an individual approach to each patient. The dosage is also selected based on the degree of bacterial damage to the tonsils, body mass index, and age. Changing the dosage or duration of treatment on your own is strictly prohibited.
Antiseptic drugs. Recommended medicinal solutions with bactericidal properties, used to relieve pain and remove pus from the tonsils: Furacilin, Chlorgenxidin, Stopangin, Streptocide, Rotocan.
Cheap antibiotics for adults with purulent sore throat - Amoxicillin
To reduce the pain of grief, you need to take dissolving tablets. But they can only soften the painful sensations. They cannot cure a sore throat itself.
Such drugs include Neoangin, Faringosept, Strepsils, Travisil, Chlorophyllipt.
It is recommended to use antipyretic medications. Tablets such as paracetamol and ibuprofen are effective. When treating at home, it is recommended to drink a lot of liquid; decoctions of berries, which have antipyretic and analgesic effects, will be very useful. Among other things, such decoctions help improve immunity and contain all the necessary vitamins.
Treatment of purulent sore throat in children
Tonsillitis occurs quite often in children. It is worth noting that the disease in children does not always begin with a rise in temperature and a sore throat. Sometimes the disease first affects a nearby organ.
A child's body is much more susceptible to drugs than an adult. Children are much more susceptible to allergic reactions, including to medications, so the complexity of treating the disease in children is higher than in adults.
purulent sore throat in children
The role of antibiotics in treatment
It is necessary to take antibiotics immediately after the doctor has determined the etiology of the disease.
Typically, the attending physician prescribes medications from the categories of penicillins, cephalosporins, and macrolides. These agents not only have a wide bactericidal spectrum of action on pathogenic microorganisms, they are highly effective against the main causative agent of purulent sore throat - the streptococcus bacterium.
If no positive dynamics are observed in the first days after prescribing antibiotics, the doctor adjusts the drug prescription. Antibiotics must also be taken after the patient’s health has improved and it seems to him that the treatment is over. The fact is that antibiotics act on the principle of a cumulative effect, so the drugs must be taken strictly following the doctor’s prescription. It is prohibited to stop therapy on your own. Some antibiotics require 7–10 days to achieve the desired effect. For purulent sore throat, cheap antibiotics for adults can be found on special price monitoring sites in pharmacies.
Local dissolving tablets
Faringosept. This drug contains an active substance that has bactericidal properties against most microorganisms that can cause purulent tonsillitis. The composition also includes an analogue of the antiseptic found in human saliva. And also a vitamin that prevents the occurrence of ulcers on the mucous membranes.
Strepsils. The composition also includes an antiseptic that destroys pathogenic microorganisms. In addition, the drug has a softening effect.
The above remedies must be taken after 30 minutes. after eating, gradually dissolving them.
Antipyretics
To combat elevated body temperature, medications such as Paracetamol, Ibuprofen, and Diclofenac are prescribed. Doctors do not recommend using aspirin.
Antihistamines
Drugs such as Suprastin, Tavegil and Cetrin are used to prevent allergic reactions and intoxication in the patient.
Antifungal agents
These drugs are prescribed for patients with reduced immunity. Basically, doctors recommend the use of Nystatin or Ketoconazole to prevent candidiasis.
Immune modulators
As a preventive measure for the disease and for a general increase in immunity, it is recommended to take a course of immunomodulators, such as Ribomunil and Bronchomunal.