Contents
Chlamydia is a sexually transmitted disease that in most cases manifests itself unpredictably. The complexity of its treatment lies in the fact that even after undergoing a course of antimicrobial therapy, the patient is not immune from the release of the infection from the latent period and the resumption of the clinical picture of the disease. The reason is the presence of chronic urogenital chlamydia in most patients. For the treatment of such a development of chlamydia, the traditional therapeutic regimen may be ineffective.
According to experts, this is due to the fact that the patient’s body gives a pathological reaction and an inadequate immune response to the presence of chlamydia that affected the genitourinary system. This is evidenced by the data of medical studies aimed at studying how the correction of impaired immunity is effective in chlamydia. The results obtained indicate that the chronic form of the disease in 70% of cases can be defeated without antibiotic therapy. Spontaneous healing in this case occurs solely due to immunocorrection.
The only obstacle to the use of this method is the insensitivity of the lymphocytes of a patient with chlamydia to immunomodulators. To determine the body’s resistance to drugs that form an immune response, it is necessary to conduct a complete study of the patient’s immunity.
The choice of drugs in the treatment of chlamydia
This infection provokes an active inflammatory process. For its relief, the complex use of drugs from various pharmacological groups is necessary.
Preparations for stimulating the immune response are an indispensable part of the complex treatment of chronic chlamydia and other sexually transmitted diseases. The lack of an adequate immune response to infection means the almost complete uselessness of antibiotic therapy and the impossibility of a complete cure.
Information about drugs is provided for informational purposes only. The appointment of treatment is the prerogative of a dermatovenereologist, who necessarily takes into account the data of laboratory tests, anamnesis, as well as what comorbidities the patient has.
Interferon preparations
Drug name | Chlamydia treatment regimen |
Cyclopherol | IM 200 mg 10 days, every day |
Amiksin | Only in the period of relapse 1 r / day 250 mg. 2 days, then 125 mg. every other day within a month |
Ridostin | Only in the period of relapse 8 mg. intramuscularly №3, after 3 days |
Neovir | Only during relapse 250 mg intramuscularly every day #3, then every other day #3 |
Reaferon | Every day 1 million IM for 14 days |
Crazy | Every day 200 mcg intramuscularly №10 |
Leukinferon | Intramuscularly 2-3 times a week for 21 days |
Interlock | Every day intramuscularly for 14 days 500 IU |
Immunomodulators
Drug name | Chlamydia treatment regimen |
Polyoxidonium | 6 mg every other day, intramuscularly No. 10 |
Timalin | Intramuscularly every day №10 |
Long time ago | 5 ml intramuscularly 1 time in 3 days No. 5-10 |
Systemic enzyme therapy
Highly active mixtures of plant and animal origin, which contain natural enzymes, are successfully used as part of the treatment regimen for chronic chlamydia. Enzyme therapy has a positive effect on the body’s immune response, on repair processes. Systemic enzyme therapy makes it possible to point-point concentrate antibiotics in the foci of infection, reduce intoxication of organs and tissues, stimulate the liver and kidneys, and help the patient recover faster.
Drug name | Chlamydia treatment regimen |
Wobenzym | 3 tab. 3 r / day for a month 30 minutes before meals |
Phloenzyme | 2 tab. 3 r / day for a month 30 minutes before meals |
Longidaza | Intramuscularly 2-3 times a week for a month or suppositories 1 time per day at night No. 10-20 |
Trypsin | Intramuscular №10 |
The use of vitamin complexes, drugs from the group of antioxidants strengthens the immunity of a patient with chlamydia, provides an adequate response to an infectious invasion into the body, therefore, in the treatment of chlamydia, drugs from this pharmacological group play an important role.
Antioxidants and synergists:
Drug name | Chlamydia treatment regimen |
Thiosulfate Na | 10,0 ml IV daily, 10 injections per course (with an acute process) |
Vitamin E | 1 capsule 2 r / day 14 days |
Ascorbic acid | 3 tab. 3 r/day 14 days |
Glutamic acid | 2 tab. 3 r/day 14 days |
Hepatoprotectors
Protecting the liver from the negative effects of toxins and maintaining its functioning to neutralize the pathological side effects of antibiotics is carried out by hepatoprotectors. In addition to the protective function, these drugs have the properties of antioxidants, immunomodulators and drugs that stop inflammation. Since antibiotics are widely used in the treatment of chlamydia, which have side effects in the form of a toxic effect on the body, drugs from the group of hepatoprotectors are vital for restoring the liver and the whole body.
Drug name | Chlamydia treatment regimen |
Karsil | 1 tab. 3 r / day for a month |
Essentiale Forte | 2 capsules 3 r / day for a month |
Phosphogliv | 1-2 capsules 3-4 r / day for a month |
Legalon | 2 tablets 3 r / day for a month |
Probiotics
Massive exposure to antibiotics can lead to associated diarrhea and dysbacteriosis, when pathological bacteria of the intestinal flora have a quantitative advantage over beneficial microorganisms. To prevent such complications, probiotics are included in the treatment regimen for chlamydia.
Drug name | Chlamydia treatment regimen |
Bifikol | 5 doses 3 r / day half an hour before meals for 14-21 days |
Lactobacterin | 5 doses 3 r / day half an hour before meals for 14-21 days |
Bifidumbacterin | 5 doses 3 r / day half an hour before meals for 14-21 days |
Enterol | 1 capsule 2 r / day half an hour before meals |
Antibiotics for chlamydia
Antimicrobials are the main tool in the complex treatment of chlamydia. The chronic form of this infection requires the use of not one, but several such drugs at once, most often a combination of 2 drugs of this pharmacological group is used. The dermatovenereologist adjusts the dosage and duration of the course of treatment depending on the patient’s response to the antibiotic, the form of the disease, and the dynamics of the course of the disease.
Choosing the most effective drug, the doctor focuses on the data of laboratory tests regarding the sensitivity of a particular pathogen to certain antibiotics. A combination of laboratory culture methods with such a type of study as an antibiogram will help to more accurately determine this indicator.
Drug name | Chlamydia treatment regimen |
Doxycycline (Dorix, Vibramycin, Vibra-Tabs) | 2 r / day 100 mg after meals for uncomplicated chlamydia 10-14 days, for chronic and complicated – more than 14 days |
Erythromycin (Erytran, Eracin) | 4 r / day 500 mg one hour before meals, the duration of the course is the same as that of Doxycycline |
Sumamed (Azithromycin, Zithromax) | 1 r / day at 250 mg for 11 days, the full course is 3 g, the first dose is 500 mg, with complicated forms for 2 weeks |
Lomefloxacin (Levaquin) | 1 r / day after meals, 600 mg for 10-14 days, with complicated forms for more than 14 days |
Ofloxacin (Floxin, Zanotsin, Tarivid, Ofloxin) | 2 r / day after meals, 300 mg 10 days, with a complicated form 14 days |
Rovamycin | 3 r / day, 3 million IU 2 hours after eating for 10 days, with a complicated form 14 days |
Wilprafen | 2 r / day, 500 mg after meals 10-12 days, with a complicated form 14 days |
Pefloxacin (Abactal) | 2 r / day, 400 mg with meals for 10 days, with a complicated form, 14 days |
Ciprofloxacin (Cifran, Ciprobay, Ciprinol, Ciprolet) | 2 r / day, 500 mg for a week |
Levofloxacin (Nolicin, Norbactin, Urobacid) | 2 r / day, 400 mg for 10 days |
Chlamydia treatment regimen
Complex therapy of uncomplicated chlamydia is carried out according to the following scheme:
Prepare – goes away within a week. This stage includes immunocorrection (if necessary with a reduced immune status) with Polyoxidonium or Amiksin, vitamin therapy with multivitamin complexes, vitamin E, systemic enzyme therapy with Wobenzym, Trypsin. Local treatment of manifestations of chlamydia is also used: microclysters with Chlorhexidine solution, baths and installations with medicines;
Basic treatment – carried out for 2 weeks with antibiotics, antifungal drugs if necessary, digestive enzymes (Mezim, Festal, Pancreatin). It is possible to carry out basic treatment, combining it with the first stage of therapy;
Recovery – lasts for 2 weeks. During this period, the balance of the intestinal microflora is restored with probiotics. According to indications, hepatoprotectors, physiotherapy procedures are used.
Treatment regimen for chronic chlamydia
The choice of tactics for the treatment of this form of the disease depends on which subspecies of the pathogen caused the infection, and to what extent the clinical signs of chlamydia are manifested.
If chronic chlamydia proceeds atypically, is accompanied by such complications as inflammation of the structures of the male genital organ or pathological processes in the pelvic organs in women, the following therapeutic regimen is used:
Basic treatment – taking drugs from the group of antibiotics, vitamins, antioxidants, immune drugs. 6-7 days after the start of antibiotic therapy, systemic enzymes and antifungals are added to the chlamydia treatment regimen;
Recovery period – to restore liver function, hepatoprotectors are used, in addition, physiotherapeutic procedures can be used: exposure to ultrasound, laser and magnetic waves. Baths with Chlorhexidine or Perftoran solution are also applied topically.
Treatment regimen for sluggish chlamydia
Preparation – therapy with enzymes, immunomodulators for 2 weeks, the use of topical agents.
Basic treatment– Even before the end of the first stage, 7 days after its start, antibiotics, antimycotic drugs, multivitamin complexes and antioxidants begin.
Recovery – to normalize all functions of the body, hepatoprotectors, probiotics, antioxidants, hyaluronidase derivatives (Longidase), physiotherapy procedures, preparations for local treatment are used.
The use of the above treatment regimens for chlamydia will be successful if certain conditions are met:
The use of drugs that penetrate the cell barrier and have high activity against pathogens;
Accounting for the clinical picture and the stage of the inflammatory process: acute, latent, subacute, torpid, as well as the period that has passed since the introduction of the infection: fresh infection, chronic form;
The duration of the course of treatment is at least 2-3 weeks to cover 6-7 life cycles of the pathogen, which are 2-3 days.
With this chlamydia, it is unacceptable to engage in self-diagnosis and self-treatment. In order not to harm your health, you need to follow the recommendations of a dermatovenereologist and strictly adhere to the prescribed treatment regimen.