What antibiotics to take for cystitis in women

Cystitis is a common bladder disease. Inflammation of the bladder mucosa is caused by pathogens.

More often women have cystitis due to the peculiarities of the anatomical structure of the genitourinary system. Inflammation of the bladder is accompanied by acute pain, to eliminate which antibiotics are used for cystitis in women - meaning it can quickly destroy microbes and relieve pain during an exacerbation of the disease.

For the treatment process to be effective, you must strictly follow the doctor's recommendations. A remedy chosen independently can be ineffective and have undesirable consequences.


This disease is determined by the following criteria:

  • frequent need to urinate, despite the time of day, with little fluid coming out;
  • the urination process is accompanied by painful sensations in the lower abdomen and genitals (burning and cramps);
  • the urge to urinate is often false;
  • in urine, hematuria (secretion with blood), urine with a bad smell may be observed;
  • pain radiating to the lower back in the abdomen;
  • an acute form of cystitis occurs with nausea, headache and fever.

Most of the time, cystitis begins after the penetration of pathogenic bacteria in the urethra; therefore, antibiotic therapy is used to destroy pathogenic flora.

Which antibiotics are suitable for treatment?

The choice of antimicrobial agent is empirical due to a predictable range of pathogens that cause inflammation.

However, several requirements are imposed on the medicine:

  • antibiotics for cystitis and urethritis in women should have the widest spectrum of action possible and cover the entire range of pathogens;
  • creates high concentrations in the urine;
  • have a low resistance index in the pathogenic flora;
  • must be free of nephrotoxicity.

At the moment, it is recommended that antibiotics for female cystitis be prescribed in short courses. This treatment regimen has proven to be good and has a high level of effectiveness. Long-term courses are prescribed for severe chronic forms with frequent relapses. In terms of duration, the three- and seven-day courses stand out.

taking antibiotics to treat cystitis

A single dose of the drug, as a rule, is not effective and presents a high risk of re-inflammation or complete absence of clinical effect after administration. This treatment is only possible in the case of mild acute cystitis, which appears for the first time.

List of antibiotics for cystitis in women

The choice of a drug depends not only on the causative agent of the disease, but also on the form of its course. In the acute and chronic course, different antibiotics can be prescribed for the treatment of cystitis in women with an individual treatment regimen.

A list of the 6 most popular antibiotics for cystitis is shown in the table:

Phosphomycin Considered the most effective broad-spectrum antibiotic, it is used in acute cases. In suspension form, it is quickly released by the bloodstream in the inflammation area and starts to act at the infection site. Two days is sufficient for complete recovery. Use during pregnancy is possible.
Norfloxacin Generation II fluoroquinolones. When the causative agents of the disease are resistant to other antibacterial drugs, it has good results and in the elimination of painful sensations. Release format - tablets.
Roxithromycin Category of macrolides, effective against gram-positive and gram-negative bacteria. The course of treatment is one week. The dosage is 150 mg per day.
Pipemidic acid Refers to quinolones. According to the dosage, it has a bactericidal (large doses) or bacteriostatic (small doses) effect. It is produced in tablets, candles and capsules are also made. Contraindicated in pregnant and lactating women. The duration of therapy is 6 to 10 days.
Furazidine Nitrofuran series, a characteristic of this agent is the slow development of the resistance of microorganisms, which means high medicinal properties. The duration of therapy is up to 10 days, everything depends on the course of the disease.
Nalidixic acid It has a negative effect on all categories of bacteria that cause changes in the urinary system. Assign a course - one week.

The antibiotics for cystitis listed in the list should be prescribed. The inflammation easily becomes chronic or invades other parts of Organs genitourinary organs. A common complication is pyelonephritis - inflammation of the kidneys. Therefore, you need to drink the prescription drugs until the end.

Important! If cystitis does not go away after taking antibiotics, it means that the dosage is wrong, the course has not been completed, or the pathogen has not been identified.

Many microorganisms are highly resistant to the drugs used against them. Therefore, if there is no relief from the condition, it is necessary to change the medicine to another one. In this case, drugs from a different group are generally used.


Penicillin preparations have limited use in cystitis. This is due to a decrease in efficiency due to the development of resistance in microorganisms. However, penicillins have a high safety record, which allows them to be used for therapy in children and pregnant women.

Amoxicillin preparations with clavulanic acid are now prescribed.


Cephalosporins are beta-lactam antibiotics with a bactericidal effect. Today, 5 generations of these drugs are distinguished, but only the first three are used in urology. Cephalosporins are considered to be one of the safest antibacterial drugs.

The following drugs are prescribed for the treatment of cystitis:

the appointment of cephalosporins for the treatment of cystitis
  • Cefuroxime.
  • First generation drugs (cefazolin and others) are rarely used due to the resistance of microorganisms.

Cefuroxime is prescribed at 0, 4 g once or 0, 2 g twice a day for adults. Dosage for children depends on age and body weight.


This group of medicines belongs to synthetic antibiotics. Tetracyclines have a bacteriostatic effect, that is, they inhibit the reproduction of microorganisms. They are used today to treat cystitis when standard therapy with fosfomycin and nitrofurans has proved ineffective.

Most commonly used:

  • tetracycline;
  • doxycycline.

Take doxycycline 0. 1 g once or twice a day. It is advisable to additionally monitor kidney and liver function every 3 days after taking the medicine.

Fosfomycin trometamol

The drug has a strong bactericidal effect against Escherichia coli, enterococci, staphylococci, Klebsiella, Proteus and other pathogens, produced in the form of powder sachets.

This remedy should be used once, 2 hours after a meal, before bedtime. In this case, the contents of the sachet must first be stirred in a small amount of water (about one third of the glass). A single dose for adults is 3. 0 g of the drug. In some cases, you need to repeat the appointment after 24 hours.

Fosfomycin is practically not metabolized in the patient's body and most of it is excreted by the kidneys. At the same time, in the urine, 4-6 hours after ingestion, the therapeutic concentration of the drug is reached, which persists for more than two days. In addition, the medicine has several advantages:

  • single-use convenience;
  • low rates of side effects when used;
  • limited contraindications (severe renal failure, child under 5 years of age);
  • the medicine can be used during pregnancy.

Antibiotics for chronic cystitis

When the infection progresses to the chronic stage, empirical antibiotic therapy is unacceptable. Without fail, before prescribing antibacterial drugs, it is necessary to carry out a microbiological study of urine. With it, the resistance of the bacterial strain to specific drugs is also studied. This allows the attending physician to select antibiotics for chronic cystitis that will be most effective for a given patient.

It is believed that this form of pathology is rarely an independent disease. Therefore, in such a patient, not only the genitourinary organs, but also other systems of the body must be examined comprehensively. Special attention is paid to possible immune disorders and foci of chronic infection in the body.

Fluoroquinolones (ciprofloxacin, ofloxacin, norfloxacin) or other reserve drugs on the list are predominantly prescribed - tetracyclines, third generation cephalosporins, macrolides. The course of your admission lasts at least 7 days. At the same time, it must be complemented with several non-drug treatment methods:

  • surgical intervention for anatomical defects and / or presence of foci of chronic infection;
  • careful hygiene;
  • selection of comfortable underwear;
  • treatment of immunological disorders;
  • temporary restriction of sexual intercourse.


Antibiotics for cystitis in women should be used after studying the clinical picture of the disease, conducting diagnostic studies and decoding analyzes of the susceptibility of the pathogen of the pathology to the effects of a certain group of substances. Self-medication with antibiotics is unacceptable.

Most antibiotics for women have the following contraindications:

  • severe liver dysfunction;
  • inflammation of the kidneys;
  • pregnancy;
  • the presence of allergic reactions;
  • problems with the functioning of the heart muscle.

How to take antibiotics correctly

When treating inflammation of the bladder with antibiotics, it is necessary to follow a series of rules for the use of antibacterial drugs that will help you undergo a course of therapy without harming your body and maintaining your health:

  1. Only drugs prescribed by the attending physician should be taken;
  2. For high treatment efficiency, it is best to preliminarily inoculate the microflora for resistance to drug groups of antimicrobial agents;
  3. Strictly observe the time intervals established by the doctor between taking the pills. If the time limit for taking the pill has passed, you should not increase the amount of the drug next time. It is best to take the medicine as soon as you remember and then continue according to the doctor's recommendations;
  4. Do not take antimicrobial drugs on an empty stomach to avoid intensive contact of the drug's active ingredient with the gastric mucosa. This will help to avoid undesirable phenomena of the organs of the gastrointestinal tract. Before using antibiotics, you should have a light snack;
  5. Antibiotics for cystitis should be taken for at least three days and not more than two weeks, on average 1 week. Prolonged use of medications is justified in the case of an elderly patient, if the patient has diabetes mellitus, with a recurrent course, as well as in the treatment of men. You should not stop taking the medicine prescribed by your doctor, even if all the pathological signs of the disease have disappeared;
  6. Before starting treatment, be sure to read the package leaflet. The instruction usually indicates the ideal variant of the liquid to drink the drug;
  7. Probiotics recommended by your doctor should be taken during the course of antimicrobial therapy. This will help to maintain the normal balance of the microflora;
  8. Alcohol, fatty, fried, smoked and acidic foods should be avoided when using antibiotics. This diet should be started as soon as the first pill is taken.

The correct intake of antibiotics will help to carry out the treatment in the most effective way possible and without the appearance of unwanted reactions from the body. In addition to antibacterials, the doctor also includes anti-inflammatories, analgesics, antispasmodics and, if necessary, other groups of drugs in the complex treatment.

Additional Treatment

An abundant consumption regime is recommended, with the exception of alcoholic beverages, soft drinks, strong and sweet tea and coffee. Compliance with the basic principles of the 5th Pevzner diet is demonstrated.

Nonsteroidal anti-inflammatory drugs are used to limit the area of damage and block inflammatory mediators. In acute cystitis, systemic anti-inflammatory treatment (Nimesulide, Diclofenac) is prescribed. These drugs also have pronounced analgesic and antipyretic effects.

As part of the treatment of chronic cystitis, the urinary bladder is washed and instilled with antibacterial and anti-inflammatory agents. Use solutions of furacillin, boric acid, protargol, collar.

  1. In severe pain syndrome (or urinary retention in men), the indication of analgesics and antispasmodics (drotaverine hydrochloride, platifiline hydrocartrate, papaverine hydrochloride) is also indicated.
  2. To eliminate edema, the use of antihistamines (mebidroline napsylate, loratadine, diphenhydramine hydrochloride) is indicated.
  3. Immunomodulatory therapy is effective.
  4. From traditional medicine, the use of infusions and mille-leaf teas, chamomile, lemon balm, mother herb, thyme, St. John's wort, mint is shown.

It is important to remember that many herbs are contraindicated during pregnancy and lactation, and herbal medicine is not used in the presence of allergic reactions to this plant.