Urethritis in women - causes, symptoms and treatment

Female urethritis (inflammation of the urethra) differs from male urethritis in a milder and less symptomatic course. But the harm caused to the health and functioning of the reproductive organs is very significant.

Drugs for the treatment of urethritis in women should have anti-inflammatory, analgesic and antispasmodic effects. It is not recommended to choose a treatment agent on your own, because improper treatment causes irreparable harm in the form of the development of resistance of pathogenic microorganisms to drugs.

In addition, it is impossible to guess the causative agent of inflammation that caused urethritis in a woman. Doctors, knowing the clinical course and its features, rely on the results of a urine test and a smear from the urethra. Only after this can you choose an effective drug.

They have anti-inflammatory properties:

• antibiotics;
• nitrofurans,
• sulfonamides.

The doctor can prescribe the necessary drug in the form of tablets, vaginal suppositories, solution for applications, or ointments. The choice of the right medicine depends on the form of the disease and the severity of clinical manifestations.

How to choose the right antibiotic?

The group of antibiotics includes natural substances (waste products of bacteria, plants, animals) that have the properties to kill or disrupt the viability of infectious agents, as well as their synthetic analogues.

It takes about a week before receiving the results of the flora and sensitivity analysis. But the doctor needs to use a drug that alleviates the patient’s condition. Therefore, one of the broad-spectrum antibiotics is prescribed (for several types of infection at once).

Such drugs include:

• cephalosporins;
• Tetracycline and its analogues;
• macrolides.

The name of the drug class is related to its chemical structure.

Cephalosporins are synthesized on the basis of aminocephalosporic acid. They inhibit enzymes that cause resistance to penicillin, so they are more potent. According to the breadth of the lesions, they are divided into 4 generations. Among the drugs in this group there are narrowly targeted drugs that kill staphylococci:

• Cefazolin;
• Cephalothin;
• Cephalexin.

Antibiotics acting on numerous flora, including streptococci, Proteus, gonococci - these are third-fourth generation cephalosporins:

Urethritis in women and the causes of its occurrence

• Cefixime;
• Ceftriaxone;
• Cefotaxime;
• Ceftazidime;
• Ceftibuten;
• Cefoperazone;
• Cefepime;
• Cefpir.

The group of tetracyclines includes antibiotics that can inhibit protein synthesis in a microbial cell. This action is called bacteriostatic. The drugs stop the metabolic processes in the microbe, it gradually weakens its pathogenic properties and dies out. Urethral pathogens staphylococci and streptococci are sensitive to them; they have no effect on Proteus and enterococci. The most famous:

• Tetracycline hydrochloride;
• Doxycycline.

The doctor has at his disposal combinations of antibiotics and antifungals.

The combination of tetracyclines and cephalosporins reduces their effect.

Macrolides have a bacteriostatic effect and slow down the proliferation of microorganisms. Unlike previous groups, they can destroy specific pathogens such as chlamydia, mycoplasma, ureaplasma, and spirochete. The group of macrolides (azalides) includes:

• Erythromycin;
• Josamycin;
• Azithromycin;
• Clarithromycin.

Almost all of the above remedies are contraindicated for urethritis in pregnant and lactating women. They have a toxic effect on the formation of the fetus and child.

Monural is an antibiotic based on fosfomycin, produced in granules. Before use, prepare a solution in water. The maximum concentration in the urinary tract is created 2 hours after oral administration and remains therapeutic for two days. Therefore, the treatment regimen consists of a single dose at night. Repeating is possible only every other day. Does not affect pregnancy and fetal development.

As you can see, it is not easy for a non-specialist to understand the features of the desired drug. It is very important to consider that drinking alcohol significantly reduces the activity of antibiotics and contributes to loss of sensitivity.

Antifungal

If you experience pain when urinating and other signs of urethritis, you should immediately seek medical help. In order for the therapy to give the desired result, it is necessary to consult a doctor before starting to use medications. It is not recommended to use the products yourself, because you need to get tested and detect the pathogen that caused the disease.

To eliminate candidal urethritis, the following gels and ointments with an antifungal effect are used:

1. 
   Nystatin.

2. Pimafucin.
3. Clotrimazole.
4. Daktarin.
5. Iconazole.
6. Miconazole.
7. Kandibene.
8. Candide B.
9. Kanesten.
10. Mifungar.

Nystatin ointment contains 100 thousand units of the active substance. The drug belongs to the antibiotics, but the peculiarity of the drug is the presence of an antifungal effect, which determines the use of the drug to eliminate the candidiasis form of urethritis.

The ointment is applied to the inflamed areas in a thin layer 2 times a day. The duration of treatment is 10 days.

The active component of Clotrimazole ointment is a substance with the same name. Thanks to this composition, the product eliminates dimorphic and yeast-like fungi. The medicine is applied to the site of inflammation and rubbed in with smooth movements. Treatment lasts about 2 weeks. Every day the drug is used 1 to 3 times.

The effect of Daktarin ointment is ensured by miconazole, the main component of the medicine. The product destroys the cell membrane of the fungus, without which the microorganism cannot fully develop. As a result of treatment, the following results are achieved:

1. Itching and other manifestations of urethritis disappear.
2. The composition of beneficial microflora does not change.

The affected organs are treated 2 times a day. Doctors recommend using the ointment even after the symptoms disappear, which helps to avoid relapse of the disease, so after recovery you need to visit the hospital and consult about further treatment tactics.

Miconazole is a drug against fungal urethritis. The drug has an antibacterial and antifungal effect, inhibiting the production of ergosterol, a substance necessary for the functioning of the membrane of microorganisms. The product can be used to treat urethritis not only in women, but also in men.

The drug is applied to the inflamed area, then rubbed until completely absorbed. The duration of therapy is 2 weeks, the ointment is used every day 2-3 times a day.

Other topical treatment agents are used in a similar manner. However, it must be borne in mind that in each case the disease may have its own characteristics, so only the doctor prescribes the exact duration of treatment and the amount of medication. It is not recommended to select the dosage yourself.

Other anti-inflammatory drugs

Sulfonamides began to be used as an anti-inflammatory agent much earlier than antibiotics. These are drugs synthesized on the basis of sulfonic acid (simply - white streptocide). They act bacteriostatically on bacteria, chlamydia and other microorganisms.

For urethritis, drugs are prescribed that are excreted in the urine and are less toxic to the kidneys. These include:

• Urosulfan;
• Etazol.

Bactrim creates a sufficient concentration in the urine for a therapeutic effect

In practice, combination drugs are more convenient:

• Co-trimoxazole (Bactrim, Biseptol), contains Trimethoprim + Sulfamethoxazole;
• Sulfatone, consisting of Sulfamonomethoxine + Trimethoprim.

They provide a broader effect.

A group of nitrofurans - drugs block the respiratory enzymes of microorganisms.

It is important that they are effective in identifying the resistance of pathogens to antibiotics and sulfonamides, practically do not reduce immunity and do not themselves cause resistance.

Nitrofurans are used for local treatment (washing, douching, vaginal tampons, baths). For this it is convenient to use:

• Nitrofural (Furacilin);
• Furazidin (Furagin);
• Furazolidone.

The solutions do not lose their activity in the presence of purulent discharge from the urethra. Furadonin and Furagin are widely used for various infections in the urinary tract. They are excreted from the body in the urine, therefore creating a high concentration of the drug in it. Negative property - cause nausea and vomiting.

Metronidazole (Trichopol) is a drug from this group, synthesized specifically for the treatment of trichomonas inflammation. It is considered a specific medicine for trichomonas urethritis.

The group of fluoroquinolones is known for the use of drugs such as:

• Negroes;
• Nevigramon;
• Gramurin;
• oxolinic acid.

Reviews from men about the treatment of urethritis

According to reviews on forums, many men suffer from urethritis for years, taking a large number of different medications. Here is one such story: https://forums.rusmedserv.com/showthread.php?t=219442.

There are many positive reviews about urethral instillations. An example of a combined solution: gentamicin + demixide + actovegin + dexamethasone. The proportions must be prescribed by a doctor. An example of a review from the forum https://hron-prostatit.ru/forum/viewtopic.php?t=12958:

How is specific urethritis treated?

If a woman is diagnosed with specific pathogens (fungi, gonococci, trichomonas, chlamydia, mycoplasma) and acquired through sexual transmission, then special means are used.

Fluconazole is also used for fungal infections of the skin and nails

For fungal urethritis, the following is indicated:

• Nystatin;
• Lamisila;
• Fluconazole.

If urethritis is of gonorrheal etiology (usually together with colpitis), then certain types of antibiotics are effective.

Prescribed against Trichomonas:

• Trichopolum;
• Flagyl;
• Tinidazole;
• Tiberal.

Chlamydia must be treated with a combination of an antibacterial drug and corticosteroids (Prednisolone, Dexamethasone). Only such treatment can prevent recurrence of infection.

For herpetic urethritis, a woman is treated with antiviral drugs:

• Acyclovir;
• Famciclovir;
• Valacyclovir.

Acyclovir is used for local treatment as an ointment preparation

Is ointment useful for urethritis?

Ointment for urethritis can have both antibacterial and anti-inflammatory effects. Some medications are used to enhance the patient's immunity. It should be noted that urethritis is inflammation of the urethra. Both men and women face this pathology. An ointment that helps against urethritis not only eliminates the symptoms of inflammation: it neutralizes the activity of pathogenic microorganisms.

Rules for treatment with ointments

When treating urethritis with ointments, you need to follow simple rules:

• The patient is recommended to take antibacterial drugs. They are prescribed after undergoing appropriate diagnostic procedures aimed at determining the sensitivity of the pathogen to various drugs.
• It is recommended to take herbal decoctions designed to enhance the patient's immunity.
• The patient should avoid alcoholic beverages and limit the consumption of strong coffee and carbonated drinks.
• If inflammation of the urethra was caused by a sexually transmitted infection, the patient should abstain from sexual intercourse for a while.
• It is recommended to reduce the amount of sugar consumed.
• The patient should exclude from the diet smoked foods, pickled vegetables, fatty foods, hot spices, savory seasonings, baked goods, mayonnaise, and high-fat dairy products.

When treating inflammatory diseases of the genitourinary system with ointments, you need to consume a sufficient amount of liquid: fruit drinks, teas. A pregnant woman suffering from urethritis is usually not prescribed strong antibacterial agents. Doctors prescribe the expectant mother a course of treatment with medicinal ointments, gels or creams.

The principle of action of ointments

Ointments allow you to get rid of painful sensations, they can also be used to prevent the occurrence of diseases of the genitourinary system. If a person who has unprotected sexual contact with a carrier of urethritis uses a special ointment that has antibacterial properties, the risk of infection will be significantly reduced. But you should not exaggerate the beneficial properties of the drug and consider it a panacea. If symptoms of a sexually transmitted infection appear, you should consult a doctor.

When treating urethritis with ointments, care must be taken: any medication has contraindications. Before using the drug, you should consult your doctor: this will reduce the likelihood of side effects in the patient.

Cycloferon

In the treatment of inflammation of the urethra, Cycloferon ointment is widely used. It is endowed with antiviral and immunostimulating properties. But this drug is not recommended for use during pregnancy or during breastfeeding. Viferon ointment perfectly eliminates the symptoms of the inflammatory process. It is allowed to be used to treat urethritis in women expecting a child.

Levomekol

The drug “Levomekol” helps cleanse the skin surface and quickly restore damaged tissue. Many ointments for urethritis are contraindicated for young children; these medications are not recommended for use in cases of individual sensitivity to their components or severe liver pathologies. People suffering from kidney disease should use medicinal ointments with caution. If an allergic reaction occurs, treatment should be stopped. In this case, the doctor selects another drug for the patient that has similar properties.

Treatment of urethritis in men

With urethritis, men often experience pain in the pelvic area and pain when urinating. Many representatives of the stronger sex experience discharge from the urethra. Sometimes men develop a yellow crust on the genitals. Discharge from the urethra may be white or greenish in color. In some cases, they are accompanied by a pungent odor.

When the disease becomes chronic, the symptoms of the pathology often disappear: the patient is only concerned about discomfort in the genital area, a burning sensation in the urethra, and the patient’s libido weakens.

To restore male power, you should prepare the following balm:

• Add 0.2 kg of honey to 0.25 liters of Cahors.
• These ingredients are combined with 0.2 kg of finely crushed aloe leaves.
• The product is carefully mixed and poured into a glass container.
• The jar is tightly sealed and kept in a place protected from sunlight for at least 7 days.
• Then the jar is opened and the balm is filtered.
• The drug should be taken 10 ml three times a day before meals. The duration of the course of treatment is at least a month.

In addition to folk remedies, antibiotics and other antifungal medications are used to treat urethritis in men. In some cases, medications are injected directly into the urethral area. Miramistin and Dioxidin are usually used for urethral installation. Physiotherapeutic procedures are prescribed for the chronic form of the pathology; in the presence of an acute inflammatory process, they are contraindicated.

Antibiotics for the treatment of urethritis

The duration of antibiotic use depends on the severity of the disease and the patient’s condition. For acute forms of pathology, they are used for no more than 7 days; for chronic inflammation of the urethra, the average duration of treatment is 10 days. The most commonly used antibiotics are from the group of penicillins, tetracyclines, and fluoroquinolones.

They go well with antimicrobial solutions used to cleanse the urethra. This treatment gives excellent results and helps the patient cope with the disease faster. Additionally, for inflammation of the urethra, you should take vitamin and mineral complexes. The following undesirable effects may occur when using antibiotics:

• Weakness.
• Dizziness.
• Headache.
• Nausea.
• Dysfunction of the digestive organs.

Rectal suppositories

They do not irritate the digestive tract. These drugs are ideal for representatives of the stronger sex who suffer from various chronic pathologies and have contraindications to the use of oral medications. Rectal suppositories should not be used in the presence of a low-quality tumor or individual sensitivity to the ingredients of medications. They help well with acute inflammation of the urethra. Betiol suppositories relieve muscle spasms and eliminate discomfort in the bladder area. They must be inserted into the anus twice a day. The standard course of treatment lasts about 10 days.

Folk remedies

During pregnancy, most medicinal ointments and other antibacterial drugs are contraindicated. Urethritis that occurs in the first trimester of pregnancy should be treated with local procedures and anti-inflammatory herbal medicines.

A female representative needs to closely monitor her health. In order to reduce the likelihood of infection during menopause, you need to drink medicinal infusions and take vitamins that increase the body's resistance to the effects of urethritis pathogens.

Simple cranberries have a beneficial effect on the genitourinary system. It contains a huge amount of useful substances that actively fight harmful bacteria. Bioflavonoids present in cranberries can enhance the effect of antibiotics. The berry helps improve immunity and has diuretic properties. It is recommended to consume 500 ml of cranberry juice three times a day.

Linden is endowed with pronounced antiseptic properties. It removes toxins and other harmful substances from a woman’s body. Linden flower extract contains phytoestrogens, which have a beneficial effect on the condition of the female genital organs. The medicinal herb can be brewed like regular tea. You should take 400 ml of the drink per day. You can add honey to linden tea.

For inflammation of the urethra in women, other medicinal herbs that have anti-inflammatory and antiseptic effects are used:

• St. John's wort.
• Chamomile.
• Corn silk.
• Mint or black currant leaves.
• Lingonberry.

Decoctions of medicinal herbs can be diluted with water and used for medicinal baths and douching. It is recommended to brew medicinal plants at night: the potion is poured into a thermos and must be strained before use. When consuming medicinal herbs, urination is normalized and discomfort in the pelvic organs disappears.

stojak.ru

Local drug treatment

When choosing how to treat urethritis in women, one has to take into account the clinical course, simultaneous inflammation of the vagina and urethra, located slightly in front of it. It is important to take medications, and in the case of severe symptoms, in the form of injections.

But it is necessary to use local types of therapy, which include vaginal suppositories, douching with a disinfectant solution, and baths.

Used in candles:

• some forms of antibacterial drugs (Nystatin);
• probiotics that restore bacterial flora (Acyclate, Gynoflor);
• means for activating local immunity (Genferon, Viferon).

Antiseptics, unlike synthetic drugs that spread through the bloodstream throughout the body to “strike” pathogenic cells, act only on the surface of the mucous membranes (urethra, vagina).

Urologists recommend the following solutions:

• Collargol;
• Protargol;
• Chlorhexidine.

Miramistin has high antimicrobial activity against fungus, pathogenic bacteria, and viruses. Used for inflammation of the urethra in moistened vaginal tampons, instillation directly into the urethral canal, for irrigation of the external outlet.

Sold in two versions:

• with urological applicator;
• with spray nozzle.

The course of treatment is at least a week.

Another popular indication, as a disinfectant after sexual intercourse with an unknown partner, is effective only for two hours

In the form of an ointment application, for example:

• Clotrimazole;
• Miconazole;
• Econazole;
• Acyclovir;
• Syntomycin.

Local application enhances the overall effect of the medication, reduces symptoms, and speeds up the woman’s recovery.

Metronidazole for parasites: pharmacological action, release form and side effects

• pharmachologic effect
• Release form
• Compound
• Indications for use
• Contraindications
• Side effect
• Analogs
• Conditions for dispensing from pharmacies
• It is possible to defeat parasites!

Metronidazole belongs to the nitrofuran antibiotics and is used as a second-line drug in the treatment of most infectious diseases of bacterial etiology, when first-line drugs are ineffective.

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In some cases, it is used in combination therapy, in particular, for complications of gastric ulcers by Helicobacter.

pharmachologic effect

Metronidazole is an extremely broad-spectrum drug used in the treatment of many diseases. It affects the DNA of the microorganism, disrupting the synthesis of bacterial DNA and RNA and ultimately causing its death. The effect of the drug begins after 3-4 hours of its entry into the human body and its almost complete absorption in the gastrointestinal tract.

In addition to the death of bacterial cells and pathogenic microorganisms, the therapeutic effect is that restoration processes are stimulated, and malignant tumors become more sensitive to radiation.

Release form

Available in the form of tablets of 250 and 500 mg, as well as a solution for injections, vaginal gel, vaginal suppositories (suppositories) and cream for external use.

Compound

The drug, along with the active ingredient metronidazole, also contains a number of excipients, depending on the form of release.

Indications for use

The range of indications for use is extremely wide: from protozoal infections, including infections of bones and joints, the central nervous system, abdominal cavity, skin and soft tissues to sepsis, pneumonia, gastritis and duodenal ulcers, gynecological operations and even alcoholism.

In our context, the use of metronidazole for the treatment of giardiasis and amoebic liver abscess is of particular interest.

If, after treatment of giardiasis, the symptoms of the disease continue to persist, then it is recommended to conduct three stool tests at regular intervals after 3-4 weeks to identify the presence of giardia.

The fact is that even with successful therapy, some patients, due to invasion, develop lactose intolerance, whose symptoms are reminiscent of giardiasis, which can manifest itself for several more weeks and even months.

Contraindications

There are not many of them:

• pregnancy and lactation;
• individual intolerance due to hypersensitivity to the active substance or other components of the drug.

Side effect

During treatment, various side effects may occur from many body systems:

• digestive;
• cardiovascular;
• urinary;
• musculoskeletal;
• CNS and peripheral nervous system.

The manifestation of side effects depends on the disease and the prescribed course of therapy, therefore any independent use of metronidazole without a doctor’s prescription is unacceptable.

Analogs

As for the active substance, metronidazole has many analogues (Klion, Trichopolum, Flagyl, Metrogyl gel, rozamet cream), their choice depends on the doctor.

Conditions for dispensing from pharmacies

To purchase the drug, a prescription from your doctor is required.

• Dispensed without a doctor's prescription;
• Can be used at home;
• Clears parasites in 1 course;
• Thanks to tannins, it heals and protects the liver, heart, lungs, stomach, and skin from parasites;
• Eliminates rotting in the intestines, neutralizes parasite eggs thanks to the F molecule.

A certified remedy recommended by helminthologists for getting rid of parasites at home. It has a pleasant taste that children will like. Consists exclusively of medicinal plants collected in environmentally friendly places.

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Additional drugs

Great importance is attached to the breakdown of protective mechanisms in the occurrence of urethritis in women. The urgency of the problem is caused by the transition of an acute process into a chronic course with repeated exacerbations.

You can learn more about urethritis in this article.

To activate the immune system, doctors advise:

• take complex vitamins, especially group B, vitamin C, E, PP in capsules or tablets;
• use herbal remedies in ready-made tinctures and preparations (ginseng, Chinese lemongrass, zamanika, honey).

The combined finished product is Phytolysin. It contains almost all the herbal components necessary for the treatment of urinary tract infections in the form of essential oils and concentrated herbal extracts. Each plant has its own effect:

• wheatgrass root - antimicrobial, restoration of metabolism;
• onion peel - antimicrobial;
• parsley - activates the tone of the bladder and urethra, has a noticeable diuretic effect;
• knotweed - relieves inflammation;
• horsetail - diuretic and hemostatic;
• birch leaves - decongestant, diuretic;
• fenugreek in the form of seeds - general sedative;
• goldenrod - antimicrobial, immune stimulation;
• hernia - relieves inflammation;
• lovage - disinfectant.

Available in the form of a paste, you need to take it orally, dissolving it in warm water, you can add honey

The drug enhances the effect of anti-inflammatory drugs. It has proven itself well in the treatment of pregnant women and children. Can be used even for newborns.

The only contraindication is allergic reactions to individual components. In the treatment of allergic urethritis, doctors prescribe desensitization agents:

• Diphenhydramine;
• Suprastin;
• Tavegil;
• prolonged action - Loratadine.

The drug "Mebendazole": description, action and method of use, analogues

Often, problems with digestive function arise due to the presence of parasites.

Many patients do not pay attention to the symptoms, blaming everything on the wrong diet. As a result, they do not tend to visit a doctor. And they do it in vain, because due to a parasitic infection, the body’s condition worsens every day.

But there is a solution to the problem. Take deworming tablets in the form of Mebendazole.

Description

To understand what kind of drug Mebendazole is, the instructions for use describe the medication in detail.

It first appeared on sale at the end of the twentieth century, when perestroika was actively underway and people did not think about what and how to take.

Nowadays, this medicine is one of the leading ones in the treatment of parasitic infections. Mebendazole is often prescribed to patients to eliminate pinworms.

Tablets Mebendazole is an antiparasitic drug that is of synthetic origin. If used incorrectly, the drug may cause side symptoms or may not have the desired therapeutic effect at all.

After the first use, the medication reacts with parasites, resulting in degenerative processes in their cells.

Indications for use

Based on reviews from doctors and patients, it turned out that this medication has an excellent effect, so it is often prescribed for:

• ascariasis;
• echinococcosis;
• strongyloidiasis;
• hookworm;
• gnathostomiasis;
• alveococcosis;
• capillaiosis;
• joint helminthiasis.

Upon penetration, the components of the drug pass through the stomach and intestines. The action of the main substance is to create an obstacle to the formation of tubulin. In such an environment, parasites simply cannot survive. Another distinctive advantage is that the medication does not enter the blood, but is excreted through the kidneys.

Mebendazole is prescribed only at the initial stage of the disease, when the number of worms is still minimal. In advanced cases, the drug can cause parasites to migrate to nearby organs. As a result of this process, the patient may experience appendicitis or intestinal perforation.

If the doctor decides to prescribe this medication, the patient must first take Piperazine and then start taking Mebendazole.

What does the male form of the disease look like?

As mentioned earlier, men are more likely to suffer from this disease than women, since their urethra is physiologically structured differently. All the signs of the disease in men are much brighter than in women. Inflammatory processes begin to develop in the urethra. The reasons why this disease appeared are completely different:

• Sexual contact without using a condom.
• Various infectious diseases.
• Constant consumption of spicy food.
• Hypothermia.

It must be said that men should not delay visiting a specialist if they experience symptoms indicating the onset of this disease, because the consequences can be serious. An experienced doctor will refer the patient for an examination, based on the results of which he will select an effective treatment.

Ointment for cystitis: benefits, types, use in women

Cystitis is a common disease in the structure of pathologies of the genitourinary system. It is an inflammation of the bladder with primary damage to its mucous membrane.

Due to the structural characteristics of the body, it is considered a typically female disease; men suffer from it much less frequently.

Since the cause of cystitis in most cases is infection, specific therapy is aimed at destroying pathogenic microorganisms.

How can cystitis be treated?

For many decades, the treatment of inflammatory processes of the genitourinary system was based on a course of injections of drugs due to their high effectiveness.

Today, in the treatment of urological diseases, no less high-quality products are used, intended for internal and external use.

These are medicinal forms in the form of gels, creams and ointments that quickly relieve inflammation, eliminate the process of suppuration and improve the well-being of women.

Pros and cons of ointments

Among the variety of dosage forms, creams and ointments belong to the group of the most gentle drugs in the treatment of bladder inflammation.

They have a minimum of side effects and contraindications, and, unlike tablet forms, do not have a negative effect on the liver and do not irritate the mucous membranes of the gastrointestinal tract.

Administration of the drug by the urethral method allows for the concentration of the active substance at the site of infection, accelerating the healing process.

The disadvantage of this method is the impossibility of internal use in the treatment of cystitis in men. This is due to the anatomical features of the structure: the urethra is narrow, longer and rather tortuous, which creates obstacles for the drug to enter the bladder.

For male patients, it is better to use ointments externally, although this method is not considered very effective.

Known ointments for cystitis and their characteristics

Today, in the pharmacy chain you can find a variety of creams and ointments for cystitis. Due to their particular relevance, their range is annually replenished with new products. However, many of the old drugs tested by experience and time have proven themselves to be reliable remedies.

"Vishnevsky ointment"

The drug is effective for all forms of cystitis in women. The composition includes castor oil, birch tar, xeroform. It has a characteristic smell and color. Has a pronounced irritant and antiseptic effect.

“Vishnevsky Ointment” is indicated for inflammation of the bladder, accompanied by a violation of the outflow of urine. Prescribed as vaginal tampons in the vagina for two weeks. After the first procedure, relief of the patient’s condition and a decrease in unpleasant symptoms when urinating are expected. At the end of treatment, there is a month-long break, after which a second course of therapy is carried out.

"Clotrimazole"

For complications of infectious cystitis caused by pathogenic fungi, as well as long-term treatment with antibacterial agents, patients are prescribed Clotrimazole ointment.

The composition includes an active component of the same name. Has an antimycotic effect and eliminates the symptoms of the disease. Can be used both externally and vaginally in the form of lotions.

Depending on the degree of damage, the course of treatment lasts 1-3 weeks.

"Levomekol"

An effective anti-inflammatory agent. Successfully copes with inflammation of various origins. Affects a wide spectrum of bacteria. It is used in the treatment of cystitis as an antibiotic, however, it is effective against many viruses, including herpes simplex.

The active ingredients are methyluracil and chloramphenicol. Eliminates inflammation, relieves swelling, improves tissue regeneration. The course is prescribed for no more than 7 days, since long-term use of the medication can provoke the development of allergic reactions. "Levomekol" for cystitis is used vaginally in the form of tampons.

"Methyluracil"

For the bacterial form of the disease, rectal suppositories or ointment are prescribed.

The active substance is the component of the same name. Suppositories, as well as cream, are used as an anti-inflammatory and regenerating agent in case of damage to the mucous membranes of the bladder.

Proper use of the ointment can not only relieve the symptoms of the disease, but also prevent its re-development. "Methyluracil" is used in the form of tampons, and suppositories are just one piece vaginally for a week.

"Nystatin" ointment

A broad-spectrum antibiotic is prescribed as an antifungal drug in the treatment of cystitis caused by Candida fungi. Used for intravaginal administration or external treatment of the genitals.

To increase effectiveness, it is recommended to use suppositories twice a day in the vagina. The product quickly destroys pathogenic fungi without affecting bacteria. The course lasts 7-10, and with advanced forms – up to 14 days.

Miramistin ointment

The broad-spectrum antibiotic gained popularity after an advertising campaign. The active substance is chlorhexidine, known to affect the cell membrane of pathogenic microorganisms.

It has a pronounced anti-inflammatory, regenerating effect, stimulates the immune system. It has a local effect, that is, it does not enter the bloodstream. It is used intraurethrally, vaginally in the form of tampons for 2-4 weeks in combination with antifungal drugs.

"Ichthyol" ointment

The known remedy is often prescribed for the treatment of a wide range of diseases, including cystitis. The ointment has a characteristic brown color and a specific odor.

The active ingredient is ichthammol (ichthyol), and the auxiliary ingredient is petroleum jelly. Due to the sulfur contained in it, the ointment has an anti-inflammatory, antiseptic, and analgesic effect.

“Ichthyol” ointment improves microcirculation in the skin and promotes rapid wound healing and tissue cell regeneration.

Can be used externally and vaginally in the form of tampons soaked in glycerin. The latter are recommended to be used with great caution, as they can cause irritation of the mucous membrane.

"Phytolysin"

A topical preparation based on herbs has become widespread due to the natural composition. In addition to a complex of herbs, it includes essential oils. All components enhance the healing effects of each other. According to reviews, the drug is highly effective.

The drug has an antispasmodic, analgesic effect. It fights inflammation and germs. "Phytolysin" is available in the form of a paste, which should be taken orally with a small amount of water. To obtain a suspension, you need to dissolve a teaspoon of the product in water.

It is recommended to take the medicine after meals 3-4 times a day. The course of therapy is 2-6 weeks. According to indications, the doctor may prescribe re-treatment with the drug.

In the recent past, “Synthomycin” emulsion and “Tetracycline” ointment were popular, but due to their high toxicity, the latter was no longer used for medicinal purposes.

Features of use in women

The advantage of using ointments for cystitis in women is based on the structural features of the ureteral system. The straight, shorter and wider urethral canal is the gateway for the entry of infectious agents into the bladder, affecting the mucous membrane and provoking the development of the inflammatory process.

Ointment for cystitis in women is considered the most effective treatment, especially its acute form. The introduction of a small amount of the drug into the urethra allows the active substance to be delivered directly to the site of inflammation.

The intraurethral method helps to quickly cope with cystitis complicated by inflammatory pathologies of the urethra. An important advantage of this administration of the drug is that the risk of penetration of pathogenic microorganisms from the genitals into the urethra and bladder is reduced.

In addition, the ointment creates a barrier to the spread of infections to other organs.

Use in children

Inflammation of the bladder can occur not only in adults, but also in children. Childhood cystitis is more often diagnosed in girls, which is due to the structure of the female body. In any case, treatment of a child should be approached with extreme caution. The optimal method of eliminating pathology is the prescription of antibiotics and antispasmodics.

As an additional measure in complex therapy, the drug “Fitolysin” can be prescribed. It is indicated for use in children under 15 years of age. According to data, it is used in the treatment of urological pathologies even in newborn infants.

The maximum permissible single dose should be no more than ¼ or ½ teaspoon of paste diluted in warm water. The baby should be given the suspension three times a day.

Negative reactions of the body

When prescribing medication, the doctor takes into account the age, characteristics of the girl or woman’s body, the form of the disease and its stage. As a rule, all ointments used in the treatment of cystitis contain natural ingredients that have virtually no side effects on the body.

Of course, some dosage forms can cause itching, burning, an allergic reaction to any component of the drug, and other unpleasant symptoms. In this case, the patient should inform the doctor to replace it with an analogue that is better suited for treatment.

The use of ointments in combination with other products

To eliminate the symptoms of bladder inflammation, as a rule, complex therapy is prescribed, where local agents are used as an auxiliary method.

If cystitis is caused by a genitourinary infection, patients are advised to take antifungal medications, including gels (ointments, creams).

It is important to remember that local drugs should be used only as part of the main treatment, since the action of one drug is not enough to achieve a positive result.

A few words about treatment

To get the maximum effect from the prescribed remedy, you should follow the recommendations for their use, as well as follow generally accepted rules.

Before applying the drug you must:

1. Empty your bladder. If this is done after introducing the cream, the entrance to the urethra will remain untreated and there will be no effect from the procedure.
2. Wash thoroughly and treat the external genitalia and folds. This will allow the ointment to be better absorbed and penetrate the cell membrane faster, which will only enhance the effect of the treatment.
3. Wash your hands with soap or antiseptic gel. You can treat them with bactericidal wipes.
4. The procedure should be performed in the evening, preferably before bed.
5. The ointment should be applied in a thin layer without rubbing into the skin.
6. When administering the drug intravaginally, it is necessary to use sterile gauze swabs.
7. After completing the procedure, the medicine should be removed away from children in a cool, dark place.

Therapy should be carried out in accordance with the prescription of the attending physician. Many women stop procedures after the first signs of relief occur.

An unfinished course can provoke an exacerbation of the disease, so it is necessary to complete the course of treatment.

When is it better to refuse local treatment: contraindications

The use of medications should always be agreed with your doctor. This is due to the presence of a number of contraindications during treatment of the disease.

These include:

1. Allergies to any component of medications.
2. Individual intolerance to the drug.
3. Pregnancy and lactation period.
4. Damage to the soft tissue of the genital organs.
5. Liver or kidney failure.

For a complete recovery, it is recommended to follow the instructions of the attending physician, and, in addition to drug therapy, it is necessary to switch to a diet, give up bad habits and observe good hygiene.

Source: https://UroMir.ru/vospalenie-mochevogo-puzyrya/lekarstva/maz-pri-cistite.html

Are antibiotics prescribed for chronic illness?

If this disease has advanced to the chronic stage, then its treatment is more difficult, and therefore antibiotics that have a broad effect are used.

Therefore, in such cases, gentamicin and chloramphenicol help well. However, it should be noted that a positive result after taking such drugs is achieved very quickly.

If the medicine is chosen correctly, the symptoms quickly disappear, pain subsides, urination is restored, and tests return to normal.

But after the symptoms have weakened, you cannot stop taking these medications; you must complete the full course of therapy so that urethritis does not reappear after taking antibiotics.