Treatment Of Chlamydia In Women Drugs Scheme, Instructions And Course

2023 Author: Riley Dean | [email protected]. Last modified: 2023-11-27 09:15

According to what scheme are drugs prescribed for the treatment of female chlamydia

Content

• 1 How is chlamydia transmitted
• 2 How to treat chlamydia, basic principles

• 3 How to treat chlamydia in men

  • 3.1 Macrolides

    • 3.1.1 Azithromycin
    • 3.1.2 Clarithromycin
    • 3.1.3 Roxithromycin
    • 3.1.4 Josamycin
    • 3.1.5 Midecamycin
    • 3.1.6 Erythromycin

  • 3.2 Tetracyclines

    • 3.2.1 Tetracycline
    • 3.2.2 Doxycycline

  • 3.3 Fluoroquinolones

    3.3.1 Ofloxacin

• 4 Treatment of chlamydia in women: drugs, schemes

  • 4.1 Penicillin
  • 4.2 Polyoxidonium
  • 4.3 Douching
• 5 Diagnosis of recovery

Chlamydia is a pathogenic microorganism that causes chlamydia. This disease affects many organs, including the heart system, the musculoskeletal system, the respiratory system, and the genitourinary system. It often gives eye complications. One of the most common forms of chlamydia is urogenital, it manifests itself in the form of cystitis, vulvovaginitis, erosion, endometritis. These diseases can be detected only with the help of special diagnostics. Infections caused by chlamydia are fraught with numerous complications, including infertility, both female and male, damage to the joints, heart, in men, as a result, impotence may develop.

How is chlamydia spread

How is chlamydia spread

Chlamydia is transmitted in several ways. Both the development and course of the disease directly depends on how the bacteria entered the body.

The most common way is the sexual route. This becomes possible as a result of unprotected sex. The microorganism enters the mucous membrane and the inflammatory process begins. In women, it covers the entire surface of the vagina, spreads to the fallopian tubes, provoking adhesions. The cervical canal becomes inflamed. If the urinary tract is damaged, cystitis may appear. One unprotected act - oral, anal or vaginal - is enough for the infection to enter the body.

Much less often, infection occurs in a vertical way. This is the infection of a newborn baby at the time of delivery. The baby goes through the affected genital tract of the mother and gets an infection. In this case, he may develop chlamydial conjunctivitis or lung damage. It is believed that infection is also possible during pregnancy, but so far this has not been proven by any research.

Contact and household route of infection

Another possible route of infection is contact-household. It is believed that infection is possible through the use of someone else's towels, clothes, through dirty hands. Although this has not been proven for sure. But at the same time, it is reliably known that chlamydia bacteria are able to persist on objects for 2 days, but subject to the temperature regime of 18-19 degrees.

The fourth route of infection is airborne. This is how chlamydia, a provocateur of chlamydial pneumonia, is transmitted.

After entering the body, the incubation period begins. It can last anywhere from one week to three. Sometimes, if the body is weakened and not ready to fight the infection, the incubation period can be reduced to several days. During this time, the bacterium actively multiplies. After that, the first signs of the disease appear.

Many diseases caused by chlamydia begin their course asymptomatically, which complicates timely diagnosis and treatment. In most cases, identification occurs already at the stage of the rapid course of the disease, when treatment requires great efforts.

How to treat chlamydia, basic principles

Treating this disease is not an easy task. The causative agents of infection know how to hide well inside other cells, which complicates the procedure for influencing them.

In order for the therapy to give the expected effect, it is very important to follow certain rules in constructing a treatment course:

• Treatment is prescribed in parallel to both partners, otherwise, after a while, infection will occur again.
• In most cases, the drug regimens for both men and women are the same. But for female representatives the assortment is somewhat wider, since in addition to ointments and tablets, drugs are also produced in the form of vaginal suppositories.
• You shouldn't have sex while taking drugs for chlamydia.
• You can not interrupt the started treatment course. Otherwise, all treatment will have to be carried out from the very beginning.
• Since the therapeutic course is based on antibiotics, this fact should be taken into account and the intestines should be prepared in advance for long-term use of these medications.

In each individual case, its own treatment regimen and a set of medicines included in it are selected. Before such therapy, a detailed analysis of the body for existing diseases, including chronic ones, the state of the immune system, internal organs, especially the liver and kidneys, is carried out. Blood and urine culture tests are mandatory.

A significant role is played by the form of the course of the disease and the type of chlamydia. Therefore, in no case is self-medication of chlamydia on the principle "I will drink the same as prescribed to a friend" is unacceptable.

In the treatment of chlamydia, the emphasis is on antibiotics. Tetracyclines, macrolides and fluoroquinolones - these three groups have been shown to be effective in the treatment of chlamydia.

How to treat chlamydia in men

How to treat chlamydia in men

The main substance around which all treatment is built is an antibiotic. It is always in the complex, in the chronic stage of the disease, and at the discretion of the doctor, two antibiotics can be prescribed at once. In order for the treatment to give a guaranteed result, in a number of cases, immunomodulatory drugs are introduced into the therapeutic course, they help the body to work more effectively against infection.

To determine which of the three types of antibiotics to base the entire drug treatment method, before the start of the course, an analysis is carried out for the sensitivity of bacteria to each drug. The antibiotic that is better than others can suppress the identified chlamydia, and will form the basis of the entire therapeutic course. Although it is believed that in the body during the course of the disease, strains of the main virus may develop, which will be less vulnerable to the selected antibacterial drug.

Macrolides

These antibiotics are often prescribed for the chronic course of the disease, for effectiveness they include not one, but two drugs of this group at once. This group includes a lot of drugs, so it will not be difficult to correctly build a course in accordance with the individual characteristics of the patient.

Azithromycin

The drug is based on azithromycin dihydrate, which actively suppresses the vital activity of the pathogenic organism, minimizing its ability to reproduce. It is quickly absorbed, but it is excreted for a long time, 68 hours is the half-life of the substance from the body. It penetrates quite easily into all tissues and organs, where it localizes the foci of the disease. The antibacterial effect of the treatment lasts for a week after the last dose of the drug.

Contraindicated in kidney and liver pathologies, while it can provoke a number of adverse reactions. they must be carefully read before starting treatment.

For the treatment of chlamydia in both men and women, 500 mg should be taken (1 capsule of 500 or 2 capsules of 250 of the active ingredient). At the discretion of the treating doctor, this dosage can be revised downward. The course lasts from 5 to 10 days.

Sumamed is a structural analogue of the previous drug, and, if necessary, can easily replace it, the regimen and dosage are the same.

Clarithromycin

The drug is based on the active substance of the same name. It actively works against intracellular microorganisms, which include chlamydia. It is quickly absorbed, already after 1-3, but it is quickly excreted, after 4-6 hours. During its stay in the body, it effectively works against pathogenic bacteria. Able to accumulate in tissues and organs in a therapeutic volume. It is categorically contraindicated in the first trimester of pregnancy and during breastfeeding.

Available in the form of tablets and capsules. For the treatment of chlamydia, both forms are suitable. Is taken twice a day for 250 mg. the therapeutic course lasts up to two weeks, but can be shortened at the discretion of the doctor.

Klacid completely duplicates the therapeutic properties of the previous drug, since it is its structural analogue. The regimen and dosage is the same as Clarithromycin. In addition to capsules and tablets, it is also available in powder form for making infusions. In the latter form, it can be administered intravenously, and in large doses.

Roxithromycin

Roxithromycin

Acts on the basis of the active ingredient of the same name, which has an antimicrobial effect. Suppresses the growth and reproduction of bacteria. Pregnancy and breastfeeding are on the list of contraindications. The drug is prescribed in the form of tablets twice a day. A single dosage in most cases is up to 150 mg. The therapeutic course can last up to three weeks.

Josamycin

The main component is josamycin, it is rapidly absorbed, while it can accumulate in tissues and organs in therapeutic doses. To combat chlamydia, it is prescribed in the form of tablets of 500 mg twice a day. It is better if the interval between procedures is maintained at 12 hours. Of the contraindications, only serious violations in the liver and an allergic reaction to one of the components of the drug. It should be taken for 10 days.

Vilprafen completely repeats the previous drug, since it belongs to its structural analogs. The regimen and contraindications are identical.

Midecamycin

Created on the basis of the substance of the same name, an active fighter against various kinds of infections, the list of which also includes chlamydia. Contraindicated in acute renal failure and in case of allergy to one of the components.

The drug should be taken for two weeks. The daily dose is 1200 mg of the active ingredient, this volume should be divided into three doses.

Macropen is also "implicated" in midecamycin, it is taken according to the above scheme.

Erythromycin

Erythromycin

The main substance is erythromycin, which has a strong antibacterial effect. Has a number of contraindications, including pregnancy and breastfeeding. Destroys stable connections in pathogenic organisms, interfering with their reproduction.

The drug is rapidly absorbed and excreted from the body. Assign 1000 mg per day. The resulting volume should be divided into two or four procedures at equal time intervals.

Ermicese contains the same erythromycin in the composition, so on occasion it can easily replace it. The indications for treatment, contraindications and dosages are identical.

Tetracyclines

The second group of antibiotics used to treat chlamydia.

Tetracycline

Tetracycline

It is the most popular representative of this group of antibiotics. The main component is tetracycline hydrochloride, an antibiotic that belongs to antimicrobial substances. It is absorbed quickly enough, the elimination half-life reaches 11 hours.

Tetracycline tablets are contraindicated in chronic kidney and liver diseases. Pregnancy and breastfeeding are also on the list of contraindications.

The drug should be taken about an hour before a meal, if it failed, the drug can be taken after a meal, but for this you should wait at least two hours. It should be borne in mind that dairy and fermented milk products can significantly reduce the effectiveness of a therapeutic course based on tetracycline. For this reason, these foods should be excluded from the diet during treatment.

The regimen for taking the drug in each individual case is individual and is determined by the attending physician, but most often it comes down to taking from 1000 to 2000 mg per day. This dose is divided into two or four doses of equal volume. The time between treatments should be 12 or 6 hours, respectively.

It should be borne in mind that during a therapeutic course based on tetracycline, the sensitivity of the skin to the sun's rays increases. Therefore, during treatment, it is worth limiting the time spent in the open sun; it is worth refraining from visiting the solarium at all.

The effectiveness of taking oral contraceptives is also reduced, therefore, after the end of treatment for a while, it is better to provide for enhanced protection during intercourse. For example, use condoms in addition to pills.

Often, in the treatment of chlamydia in men, for the effectiveness of drugs, tetracycline is also introduced into the course in the form of an ointment. It is applied topically, 2-3 times a day with clean hands, applying a small amount of the composition to the head of the penis and foreskin.

Doxycycline

Another representative of the tetracycline group. This drug is based on doxycycline, which inhibits protein synthesis in pathogenic bacteria. Due to this action, bacteria lose their ability to reproduce and grow. Contraindicated in pregnant women, lactating mothers and with liver failure.

The drug course based on this drug is designed for 1-2 weeks. It should be taken 100 mg twice a day. The time between treatments should be 12 hours.

Fluoroquinolones

They are prescribed less often, if drugs from the previous groups were ineffective or ineffective.

Ofloxacin

Ofloxacin

As the main component, it contains the active substance of the same name, which actively fights against pathogens. It works by disrupting DNA synthesis, does not allow pathogenic bacteria to divide and grow.

It has a fairly wide list of contraindications. including pregnancy and breastfeeding. The list of side effects is also quite large, and some of them are quite serious.

Most often, the drug course is reduced to a single dose of the drug, the daily volume is 200 or 400 mg. Reception is no longer than 9 days.

Treatment of chlamydia in women: drugs, schemes

Chlamydia treatment in women

All of the above drugs prescribed in a therapeutic course for men can be successfully used in women. But the structural features of the female genitourinary system require a different approach to treatment than in men.

Treatment largely depends on what kind of chlamydia is found in the female body. In the course of treatment, a woman takes tests, on the basis of which the therapeutic course is adjusted.

Most often, the course boils down to the following scheme: first, broad-spectrum antibiotics are prescribed. It is best to start treatment with drugs in the form of a solution for intramuscular injection. After that, they switch from injections to pills.

Any of the above antibiotics are suitable as preparations for the first stage. Penicillin also works well.

Penicillin

Broad-spectrum antibiotic. Due to active work aimed at reducing the growth of pathogenic bacteria and their reproduction, it is excellent for the initial course of treatment.

Most often it is prescribed intramuscularly. Due to this introduction, it quickly penetrates into tissues, launching the mechanisms of struggle against pathogenic microorganisms.

Contraindicated in case of high sensitivity and allergic reactions to this drug.

The dosage in each individual case is assigned individually. Most often it comes down to the introduction of 0.1 to 0.3 IU of the drug every 3-4 hours.

If the drug is prescribed in tablets, then take 250-700 mg every 8 hours.

Pathogenic bacteria that settle in a woman's vagina can be treated with topical preparations.

Polyoxidonium

Polyoxidonium

Suppositories for topical use, with this disease they are administered vaginally. This drug has no contraindications, except for individual intolerance. As the main substance, the candles include azoxymer bromide. In addition to detoxification properties, this drug has immunomodulatory properties. Which is especially good when undergoing a therapeutic course based on antibiotics.

The main property is to increase the body's resistance to pathogenic bacteria. The dosage and frequency of administration of suppositories is determined by the doctor. The course can last from 7 to 21 days. Depending on the severity of the disease.

Douching

This method is also often used in the treatment of this disease. It is not the main one and can only work as an auxiliary. It boils down to the fact that the vagina is washed with special solutions and infusions that help clear the mucous membrane of pathogenic flora.

An infusion of garlic can act as a solution for douching. To do this, you need to pour 6 cloves of garlic with a glass of water, the latter should be warm. Insist all this for 10-12 hours. Before use, be sure to strain, discarding the sediment. Such baths should not be done more than once every two days. A course of 10 procedures may well be enough.

Another way: douching with St. John's wort infusion. It has not only a pronounced antimicrobial property, but also helps to strengthen the immune system, which will not be superfluous. To prepare the infusion, you need to pour 10 g of herbs with a glass of boiling water. Leave the herb to infuse for 2-3 hours. This solution can be applied twice a day, after five days there should be an obvious improvement for the better.

If after 14 days therapy with antibiotics and concomitant drugs did not give the desired result, the antibacterial drugs should be replaced with representatives of another group.

Following the course of antibiotics, vitamin complexes are administered. They are necessary to restore balance in the body after antibacterial treatment.

To help the body overcome the disease to the end, immunomodulating drugs are added, such as Timalin, Taktivin.

It will not be superfluous to introduce enzymes into the course (Carsil, Pancreatin, Gastal), they will contribute to the normal functioning of the liver and pancreas. To restore microflora, probiotics should not be neglected.

Diagnosis of recovery

After completing the course completely, it is necessary to pass all tests again to make sure that the therapy passed is effective.