Top 10 antibiotics for otitis media

In the treatment of otitis media, antibiotics of the penicillin series are more often used, as they are the most effective against bacteria that cause inflammation of the middle ear and are safe. But in cases of individual intolerance, one has to resort to drugs of another group. Often, doctors prescribe Clarithromycin, a fairly strong antibiotic that shows excellent results in the treatment of adults. It is usually not recommended for children under 12 years of age due to many side effects, not the best tolerance.

Available in tablets and capsules in dosages of 250 and 500 mg. In severe cases of the disease, the first days can be prescribed in the form of intramuscular injections with a further transition to a tablet form. The maximum duration of treatment does not exceed 14 days. The main advantage of the antibiotic is the effectiveness of the action, the ability to cope with severe infections, to minimize the risk of complications.

Ceftriaxone is a very powerful third-generation cephalosporin antibiotic. It is used more often for adults, in cases where there is a high probability of developing complications, with a severe course of diseases. In extreme cases, it can also be given to a child. This antibiotic, often used not only for otitis, but also for such serious diseases as pneumonia, lung abscess.

The drug is sold in small glass vials, it is a powder for preparing a solution for intramuscular injection. The dosage is purely individual, determined only by the doctor based on the severity of the course of the disease, taking into account the characteristics of the patient (age, weight). This antibiotic is not suitable for self-treatment, but is considered one of the best in severe cases of the disease. It acts quickly, the next day after the start of treatment, the patient usually already feels much better.

Azithromycin is not always used for otitis media, but is indispensable in cases where the patient has a history of intolerance to penicillin. It is an antibiotic active against gram-positive, gram-negative and some anaerobic microorganisms. It has a pronounced bactericidal effect, concentrating in the focus of inflammation. Improvement is observed from the second day of admission.

Azithromycin shows itself well in the treatment of otitis media, infections of the ENT organs and upper respiratory tract. It is well tolerated, but, like most antibiotics, it inhibits the intestinal microflora, can lead to dysbacteriosis, and therefore requires the use of supportive agents (probiotics).Azithromycin is applicable mainly for the treatment of adults, it is contraindicated for children under 12 years of age. Frequent contraindications also include arrhythmia, severe violations of the liver and kidneys.

One of the new generation of antibiotics, consisting of 500 mg of amoxicillin and 125 mg of clavulanic acid. In addition to the effectiveness of this combination, the advantage of the remedy is the standard, but still optimal dosage for an adult or a child over 12 years old. The drug is often prescribed for otitis media of varying severity, it is considered quite effective and safe.

The main contraindication for use is intolerance to antibiotics of the penicillin group, other components of the drug, as well as severe liver dysfunction. The standard scheme for mild to moderate otitis media is one tablet three times a day. If the risk of complications is high, the disease is severe, the doctor may prescribe a higher dose. The combination of amoxicillin and clavulanic acid is quite common in preparations, but they all differ in effectiveness. "Augmentin" is considered one of the best medicines with this composition.

This antibiotic is often prescribed for otitis in children, as it has a minimum number of unwanted side effects, is well tolerated, and is considered one of the best and safest. The composition of the drug includes amoxicillin, supplemented with clavulanic acid to enhance the effect.Amoxiclav has a wide spectrum of action, effective against many types of bacteria. This and the safety of use determine the frequency of use of the drug in pediatric and therapeutic practice for the treatment of otitis media and other inflammatory diseases.

Despite the minimal list of side effects, this is a fairly strong antibiotic, which, like other drugs, has contraindications and requires an accurate dosage calculation depending on the patient's age and the severity of the disease. Of the advantages of the tool, users call it the best tolerance compared to analogues. The disadvantage is that Amoxiclav is much more expensive than many drugs from the same group.

It is a combined drug used for inflammatory diseases of the eyes and external ear. The composition is based on a combination of two antibiotics (framycetin and gramicidin) and dexamethasone. Thanks to the latter substance, drops have an antihistamine, anti-inflammatory and anti-edematous effect, reduce the severity of pain, a feeling of pressure, burning sensation.

When applied topically, the drug has low systemic absorption, so it rarely causes side effects and is well tolerated by patients. But it is contraindicated even with a slight perforation of the eardrum, as well as with individual intolerance, pregnancy and during breastfeeding. For young children, drops are prescribed with caution. However, these are some of the best drops for treating otitis media. The only downside is its high cost.

The therapeutic effect of ear drops is due to the anti-inflammatory properties of dexamethasone and the antibacterial action of two antibiotics - neomycin and polymyxin. Thanks to their combination, an effect on most microorganisms is achieved. The drug is most often used to treat otitis externa, it is contraindicated in cases of damage to the membrane due to the undesirability of systemic absorption.

The drops are strong enough, so they are prescribed to children with caution. Long-term treatment with Polydex is not recommended for pregnant women due to the risk of ototoxic effects on the fetus. Drops can only be used as prescribed by a doctor, since they are incompatible with some other drugs and are undesirable for use if the eardrum is damaged even slightly. Otherwise, they are effective and give a minimum of side effects.

"Anauran" is a combined topical preparation, which includes two compatible antibiotics and lidocaine for rapid pain relief.The substances used are neomycin sulfate and polymyxin. It is due to the combined composition of the drops that they quickly give a feeling of relief - they instantly relieve pain, reduce the degree of inflammation the very next day. The drug is used for acute and chronic otitis, with postoperative purulent complications.

In addition to intolerance to the substances that make up the drops, there are no other contraindications. Due to low doses, systemic side effects are unlikely, but in the area of ​​​​application, local allergic reactions may occur in the form of hyperemia, itching, and peeling of the skin. The drug is incompatible with some groups of antibiotics taken orally as part of complex therapy, therefore, self-use of the drug without consulting a doctor is highly undesirable. Otherwise, the drug is safe, can be used to treat a child of any age.

The main active ingredient of the drops is norfloxacin - a powerful antibiotic. It is effective against most bacteria that cause otitis media. A high dosage of the active active substance causes a rapid onset of relief in patients. The agent is prescribed 1-2 drops in a sore ear up to four times a day.

Despite the fact that the drug is used as a local remedy, it does not enter the body directly by mouth, its use can be accompanied by a number of side effects. It is for this reason that it is not prescribed for children and adolescents under 18 years of age. Doctors believe that when treating a child, it is advisable to consider less effective, but safer means.

One of the most common topical antibiotics in ENT practice, showing high efficiency. It is safe, so it can be used even in cases where the eardrum is damaged, both for adults and children. The main substance is an antibiotic from the rifamycin group, which is active against most microorganisms that lead to the development of otitis media.

Method of application - instillation into a sore ear. The drug is not only effective, but also safe. The only contraindication is intolerance to rifamycin. There are no side effects or discomfort during treatment. Users confirm the effectiveness of this antibiotic, but warn that it has a bright color, so it can stain bedding.