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Treatment of chlamydia in women and men

Chlamydia is a sexually transmitted disease, which in most cases manifests itself unpredictable. The complexity of its treatment is that even after a course of antimicrobial therapy, the patient is not immune from the exit of infection from the latent period and the resumption of the clinical picture of the disease. The reason is the presence in most patients of urogenital chlamydia trachomatis in the chronic form. For the treatment of a chlamydia of the traditional therapeutic scheme may be ineffective.

According to experts this happens because the body of the patient and gives pathological response and inadequate immune response to the presence of chlamydia afflicting the urinary system. Proof of this are the data of medical research aimed at studying how the correction of disturbed immunity effective for chlamydia. The results indicate that the chronic form of the disease in 70% of cases can be defeated without antibiotic therapy. Spontaneous cure in this case is solely due to immunomodulation.

The only obstacle to using this method is the insensitivity of lymphocytes of patients with chlamydia to immunomodulators. To determine the resistance of the organism to the drugs that generate immune response, it is necessary to conduct a full study of the immunity of the patient.

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The choice of drugs in the treatment of chlamydia

The infection provokes an active inflammatory process. For its relief required the integrated use of medicines from different pharmacological groups. Drugs and treatment regimens for chlamydia are selected individually, so as to take into account features of the patient, the duration and intensity of the inflammatory process, the results of laboratory studies – liver function tests, blood and urine culture, immunogram, blood tests, PCR, ELISA.

Drugs to stimulate the immune response – indispensable part of complex treatment of chronic chlamydia and other sexually transmitted diseases. The lack of an adequate immune response to the infection means almost complete uselessness of antibiotics and the inability of complete cure.

Information about drugs is provided for informationalpurposes. Treatment appointment is the prerogative of the doctor-dermatologist, which necessarily takes into account laboratory data, medical history, and any comorbidities the patient has.

Interferon preparations

The name of the drug

Treatment of chlamydia

Cycloferon

Intramuscular 200 mg 10 days, every day

Amiksin

Only in the period of recurrence 1 t/day 250 mg. 2 days, then 125 mg every other day for one month

Ridostin

Only in the period of relapse of 8 mg intramuscularly No. 3 in 3 days

Neovir

Only in the period of recurrence of 250 mg intramuscularly every day number 3, then the day number 3

IFN

Every day 1 million intramuscularly 14 days

Poludan

Every day 200 mg intramuscularly No. 10

Leikinferon

Intramuscularly 2-3 times a week for 21 days

Interlok

Every day intramuscularly for 14 days 500 000 IU


Immunomodulators

The name of the drug

Treatment of chlamydia

Polyoxidonium

6 mg a day, intramuscularly No. 10

Timalin

Intramuscularly every day No. 10

Derinat

5 ml intramuscularly 1 time in 3 days №5-10


Systemic enzyme therapy

Highly active mixture of plant and animal origin, having in its composition of natural enzymes that have been successfully used in the framework of the scheme of treatment of chronic chlamydia. Enzymes therapy has a positive effect on the immune response of the organism, the process of reparation. Systemic enzyme therapy allows a point to concentrate antibiotics in the foci of infection, reduce intoxication of the organs and tissues, stimulate the liver, kidneys and to help the patient to recover faster.

The name of the drug

Treatment of chlamydia

Wobenzym

For 3 table. 3 R/day for a month 30 minutes before a meal

Phlogenzym

Table 2. 3 R/day for a month 30 minutes before a meal

Longidasa

Intramuscularly 2-3 times a week for a month or suppositories 1 time a day at night №10-20

Trypsin

Intramuscularly No. 10


The use of vitamin complexes, preparations of group of antioxidants strengthens the immune system of a patient with chlamydia, provides an adequate response to infectious invasion of the body, so the treatment regimens for chlamydia means of this pharmacological group plays an important role.

Antioxidants and synergists:

The name of the drug

Treatment of chlamydia

Thiosulfate Na

10.0 ml/daily for a course of 10 injections (if the acute process)

Vitamin E

1 capsule 2 R/day for 14 days

Ascorbic acid

Table 3. 3 R/day for 14 days

Glutamic acid

2 table. 3 R/day for 14 days


Hepatoprotectors

Protection of the liver from the negative effects of toxins and keep it functioning for treating pathological side effects of the antibiotics is carried out by hepatic. In addition to the protective function, these drugs have properties of antioxidants, immunomodulators and drugs, acute inflammation. As in the treatment of chlamydia infection is widely used antibiotics, may have side effects such as toxic effects on the organism, drugs from the group of hepatoprotectors is vital to restore the liver and the whole organism.

The name of the drug

Treatment of chlamydia

Karsil

1 table. 3 R/day for a month

Essentiale Forte

2 capsules 3x a day for a month

Phosphogliv

1-2 capsules 3-4 p/day during the month

Legalon

2 tablets 3x a day for a month


Probiotics

Massive exposureantibiotics can cause associated diarrhea and dysbiosis, when pathological bacteria, gut flora have a quantitative advantage over the beneficial microorganisms. To prevent such complications in the treatment of chlamydia included probiotics.

The name of the drug

Treatment of chlamydia

Bifikol

5 doses 3 R/day for half an hour before meals within 14-21 days

Laktobakterin

5 doses 3 R/day for half an hour before meals within 14-21 days

Bifidumbacterin

5 doses 3 R/day for half an hour before meals within 14-21 days

Enteral

1 capsule 2 R/day for half an hour before meals


Antibiotics for chlamydia

Antimicrobial agents – the main means in the treatment of chlamydia. The chronic form of this infection requires the use of not one but multiple drugs, often use a combination of the 2 drugs in this pharmacological group. Dermatologist shall adjust dosage and duration of treatment depending on the response of the patient to the antibiotic forms of the disease, the dynamics of the disease.

Choosing the most effective drug, the physician focuses on the laboratory analysis data regarding the specific sensitivity of the pathogen to particular antibiotics. To better define this indicator will help a combination of laboratory culture methods with this type of research, as antibiogram.

The name of the drug

Treatment of chlamydia

Doxycycline (Doryx, Vibramycin, Vibra-Tabs)

2 p/day to 100 mg after food with uncomplicated chlamydia 10-14 days, in chronic and complicated – more than 14 days

Erythromycin (Eritran, Eratin)

4 p/day 500 mg one hour before a meal, duration of treatment same as Doxycycline

Sumamed (Azithromycin, Zithromax)

1 t/day 250 mg the course of 11 days, the full course is3G, the first taking 500 mg, in complicated forms 2 weeks

Lomefloxacin (Levaquin)

1 p/day after meal, 600 mg for 10-14 days., in complicated forms of more than 14 days

Ofloxacin (Floxin, Zanocin, Tarivid, Ofloksin)

2 p/day after meals or 300 mg 10 days, with the complicated form 14 days

Rovamicin

3 R/day for 3M. IU 2 hours after meals for 10 days, with the complicated form 14 days

Vilprafen

2 p/day 500 mg after food for 10-12 days, in complicated form 14 days

Pefloxacin (Abaktal)

2 p/day 400 mg during food 10 days, with the complicated form 14 days

Ciprofloxacin (Tsifran, Ciprobay, Ciprinol, Tsiprolet)

2 p/day to 500 mg per week

Levofloxacin (Nolitsin, Norbaktin, Oribatid)

2 t/day is 400 mg for 10 days


Treatment of chlamydia

Complex therapy of uncomplicated chlamydia is carried out as follows:

  • Training takes place in the course of a week. This stage includes immunocorrection (if necessary with reduced immune status) with Polyoxidonium or Amiksina, vitamins multivitamin complexes, vitamin E, systemic enzyme therapy with Wobenzyma, Trypsin. Also used the local treatment of chlamydia: microclysters with solution of Chlorhexidine, baths and installations with medicines;
  • Basic treatment is carried out for 2 weeks with antibiotics, antifungal medications, if needed, digestive enzymes (Mezim, Festal, Pancreatin). You can carry out basic treatment, combining it with the first stage of therapy;
  • Recovery – lasts for 2 weeks. During this period the rebalancing of intestinal microflora by probiotics. According to the testimony used hepatoprotectors, physical therapy procedures.

The scheme of treatment of chronic chlamydia

The choice of tactics of treatment of this form of the disease depends on the subspecies of the pathogen has caused infection, and the extent to which manifest clinical signs of chlamydia.

If chronic chlamydia atypical flows, accompanied by such complications as inflammation of the structuresthe male sexual organ or the pathological processes in organs of small pelvis in women, is used this therapeutic scheme:

  • Basic treatment – receiving drugs from the group of antibiotics, vitamins, antioxidants, immune drugs. After 6-7 days after start of therapy with antibiotics in treatment of chlamydia are added systemic enzymes and antifungal agent;
  • The recovery period is to restore liver function used medications, can be additionally applied physiotherapy: the impact of ultrasound, laser and magnetic waves. The same applied topically baths with Chlorhexidine or a solution of Perftoran.

Scheme of treatment for indolent chlamydia

  • Training – therapy, enzymes, immunomodulators within 2 weeks, the use of means of local action.
  • Basic treatment– before the end of the first stage, 7 days after it starts, starts antibiotics, antimycotic drugs, multivitamin complexes and antioxidants.
  • Recovery – for the normalization of all body functions are used hepatoprotectors, probiotics, antioxidants, derivatives of hyaluronidase (Longidase), physiotherapy, drugs for local treatment.

The application of the above regimens for treatment of chlamydia is successful, subject to certain conditions:

  • The use of drugs, penetrating through the cell barrier and having high activity against the causative agents of the disease;
  • Account of clinical picture and stages of the inflammatory process: acute, latent, subacute, torpid, and the period elapsed from the time of introduction of infection: new infection, the chronic form;
  • The duration of treatment for at least 2-3 weeks to cover 6-7 cycles of activity of the pathogen, components of 2-3 days.

While chlamydia is unacceptable to engage in self-diagnosis and self-treatment. Not to cause harm, you should follow the recommendations of the dermatologist and strictly follow the assigned treatment regimen.