drugs

Pharyngitis Care Medications

Definition

In the medical field, the common "sore throat" is called pharyngitis: it is an infectious inflammatory process that affects the pharynx. We talk about rhino-pharyngitis when the inflammation also involves the mucosa of the nose and pharyngitis-tonsillitis when the tonsils are also affected.

Causes

The flu, mononucleosis and cold are possible risk factors for pharyngitis, which means that the inflammation of the mucous membrane of the throat is mainly due to viral infections. Only rarely, pharyngitis is a consequence of bacterial attacks.

Symptoms

Spy lit of pharyngitis is the perception of heat and discomfort in the throat, often accompanied by difficulty in swallowing solid and liquid food (odinophagy). In general, pharyngitis is associated with other disorders, such as difficulty breathing, weakness, fever, loss of appetite and otalgia; in case of severity, pharyngitis causes an evident enlargement of the lymph nodes, whose responsible is revealed a streptococcus.

Natural Care

Information on Sore Throats - Pharyngitis Treatment Drugs is not intended to replace the direct relationship between health professional and patient. Always consult your doctor and / or specialist before taking Sore throat - Pharyngitis Treatment Medications.

drugs

Generally, pharyngitis caused by viruses is treated only with therapeutic aids, useful for speeding up the patient's recovery; when the clinical profile of the patient becomes complicated, it is likely that the pharyngitis depends on a bacterial infection, for which a real pharmacological treatment with antibiotics is essential. If the pathogen involved is group A beta-hemolytic streptococcus, penicillins are the drugs of choice.

The following are the classes of drugs most used in pharyngitis therapy, and some examples of pharmacological specialties; it is up to the doctor to choose the most suitable active ingredient and posology for the patient, based on the severity of the disease, the health of the patient and his response to treatment:

Viral pharyngitis

There is no specific treatment for the treatment of viral pharyngitis, since the discomfort tends to resolve itself. However, it is possible to speed up the healing with gargling of warm salted water, repeated several times during the day, and taking anti-pyretic drugs (eg paracetamol) and anti-inflammatory drugs (eg ibuprofen), in full compliance with what is indicated by the doctor. Do not exceed with anti-inflammatory drugs, as they can cause a worsening of symptoms. Do not use antibiotics: the use of these drugs in the context of viral pharyngitis could worsen the condition and make pathogens more resistant to treatment.

Bacterial pharyngitis

In the case of pharyngitis caused by bacteria, antibiotic treatment is almost essential:

  • Azithromycin (eg Azithromycin, Zitrobiotic, Rezan, Azitrocin) from the first symptoms, administer the drug at a dose of 500 mg once a day (orally), followed by 250 mg of drug once a day for 2-5 days.
  • Clarithromycin (eg Biaxin, Macladin, Klacid, Soriclar, Veclam) it is recommended to take one tablet of 250-500 mg of drug every 12 hours. In case of suspected or proven infection with Haemophilus influenzae, take 500 mg of active. Continue the therapy for 10 days.
  • Nafcillin: particularly indicated for bacterial infections in the context of pharyngitis in children. The recommended dose is 25 mg / kg intravenously or intramuscularly every 6-8-12 hours, depending on the age of the child. For boys and adolescents, it is possible to take 100-200 mg / kg per day every 4-6 hours. Do not exceed 12 grams per day.
  • Amoxicillin (eg Augmentin, Klavux): when bacterial pharyngitis is diagnosed from the earliest symptoms, start therapy with 250-500 mg of orally active, every 8 hours, for 7-10 days, or 500-875 mg for os twice a day. If bacterial pharyngitis was later diagnosed, it is recommended to take this penicillin at a dose of 775 mg per os once a day, an hour before meals for 10 days. Particularly useful in case of pyogenic Streptococcus superinfections.
  • Cefradine (eg Ecosporin, Lisacef) first-generation cephalosporin to be taken orally at a dose of 250 mg every 6 hours or 500 mg every 12 hours. For children (> 9 months) sick with bacterial pharyngitis take 25-50 mg / kg of drug divided into several doses, every 6-12 hours. Do not exceed 4 grams per day.
  • Telithromycin (eg. Ketek) the antibiotic drug (macrolide class), available in 400 mg tablets, is indicated for the treatment of pharyngitis and mild to medium-sized pneumonia. It is recommended to take one tablet once a day, before or after meals, for 7-10 days.
  • Corticosteroids such as Cortisone (eg Cortis, Cortone acetato) or prednisone (eg Deltacortene, Lodotra) are indicated for the treatment of pharyngitis derived from mononucleosis: in similar situations, sore throat tends to degenerate, therefore the lymph nodes become enlarged . Pharyngitis in the context of mononucleosis requires specific pharmacological treatment: the dosage and duration of treatment must be established by the doctor.