Ofloxacin for the treatment of gonorrhea. Gonorrhea treatment ofloxacin

Content

An effective antimicrobial drug belonging to the group of fluoroquinolones, Ofloxacin has a wide spectrum of action. Possessing bactericidal properties, the drug is active against many pathogenic microorganisms. Ofloxacin - instructions for use indicate that this is a strong antibacterial agent, therefore, violation of the dose during treatment can provoke the development of serious side effects. The use of the drug is indicated only as prescribed by a doctor.

What is Ofloxacin

This drug is often prescribed for the treatment of infections of bacterial etiology. This antimicrobial agent is active against most harmful microorganisms and bacteria and is perfectly absorbed from the gastrointestinal tract. The drug Ofloxacin is well distributed in the tissues and fluids of the human body and is excreted in the urine. A small part of the medication is excreted in the feces. The maximum concentration in blood plasma is achieved 1-2 hours after administration, and the bioavailability of Ofloxacin is 96%. During hemodialysis, up to 30% of the medication is lost.

Compound

According to the instructions, one tablet of Ofloxacin contains the active substance of the same name in an amount of 200 mg. The main component ensures the stability of bacterial DNA and supercoiling, which leads to their death. The biconvex tablets are coated with an almost white coating, have a slight roughness and two layers in the cross section. The auxiliary ingredients of the medicine include: microcrystalline cellulose, talc, silicon dioxide and some other substances.

Antibiotic or not

The annotation states that Ofloxacin belongs to the group of antibiotics, but the drug is sold without a doctor’s prescription. The second generation fluorinated quinolone has a broad bactericidal effect. The instructions for use indicate that the dose of the medicine is selected by the doctor, depending on the location and severity of the infectious process. Treatment usually lasts about one week.

pharmachologic effect

The antimicrobial effect of the drug is associated with the blockade of the DNA gyrase enzyme in bacterial cells. The medication is active against microorganisms that produce beta-lactamases and for atypical microbacteria. Penetrates into body tissues: alveolar macrophages, leukocytes, bones, pelvic and abdominal organs, respiratory system, saliva, urine, bile, skin, prostate secretions. The active substance passes through the placental barrier and is excreted in mother's milk.

Indications for use of Ofloxacin

According to the instructions, this antibiotic is prescribed in the presence of the following infectious diseases:

ENT organs (laryngitis, pharyngitis, sinusitis, otitis media);
respiratory tract (bronchitis, pneumonia);
skin, soft tissues, bones, joints;
inflammatory pathologies of the urinary tract and kidneys (cystitis, urethritis, pyelonephritis);
abdominal cavity (pseudomembranous colitis):
biliary tract (all pathologies except bacterial enteritis);
genital organs and pelvis (orchitis, epididymitis, oophoritis, parametritis, colpitis, prostatitis, endometritis, cervicitis, salpingitis).

According to reviews from doctors, it has been noted that the drug is effective in the treatment of eye infections: blepharitis, keratitis, ulcerative lesions of the cornea, meibomitis and others. In addition to the above diseases, Ofloxacin is widely used during therapy and for the prevention of pathologies in patients with impaired immune status. When treating chlamydia, septicemia or gonorrhea, intravenous use of the drug is prescribed.

Release form

The medicine is produced in the form of ointments, tablets, injections for injections. The price of the drugs is different, but the pharmacological effect is the same. Ofloxacin ointment is available in 3 and 5 gram weights. Sold in aluminum tubes, each of which is packed in a cardboard box. The package contains instructions for use. Ofloxacin tablets are packaged in 10 pieces in contour cell blisters placed in a cardboard box. As for the solution, this greenish-yellow dosage form is sold in 100 ml dark glass bottles or 1 ml ampoules.

Instructions for use

How to take Ofloxacin? The tablet form is prepared for oral administration, the eye ointment is prepared for placing under the eyelid, and the solution is administered intravenously or intramuscularly. The course of treatment lasts from 7 to 14 days. After the temperature normalizes and the symptoms of the disease disappear, the doctor may prescribe another three days of treatment with the drug to consolidate the results.

Pills

The daily dose of tablets for adults is 200-800 mg. When treating gonorrhea, the drug should be used once (recommended in the morning after breakfast) with a dosage of 400 mg. If the prescribed dose is not a single dose, but more than 400 mg/day, then the medication is taken 2 times after meals. Ofloxacin tablets are taken without chewing, with a small amount of liquid. The doctor determines the duration of treatment individually. The drug is not prescribed for use for more than 4 weeks.

Ointment

This dosage form is used subconjunctivally. Ofloxacin ointment, yellow or white, is placed in a 1 cm strip behind the lower eyelid of the affected eye 2-3 times a day. When treating chlamydia, your doctor may prescribe medication up to 5 times a day. The duration of treatment with ointment according to the instructions should not exceed 14 days. For chlamydial infection, the therapeutic course is extended to 5 weeks.

Solution

The instructions for use say that when administered intravenously, the medicine is prescribed in a dose of 200 mg as a single dose in the form of drip infusions. The drug is administered over 30 to 60 minutes. After the condition improves, the patient is transferred to Ofloxacin tablets. For infections of the urinary system, the medicine is administered intramuscularly in a dose of 100 mg up to 2 times a day. For infectious pathologies of soft tissues, skin, joints, ENT organs and the abdominal cavity, the solution can be prescribed from 200 to 400 mg twice a day.

Ofloxacin during pregnancy

For women while expecting a child, the medicine is prescribed exclusively for local treatment (ointment), which is carried out under the strict supervision of a doctor. Taking the tablet form or injections of Ofloxacin during pregnancy and lactation is contraindicated. If it is necessary for a nursing woman to take medication, then stop breastfeeding the baby during the entire therapeutic course of the antibiotic.

Ofloxacin for children

According to the instructions for use, the drug is not prescribed to a child under 15 years of age, since the effectiveness and safety of the medicine for children has not been clinically proven. If it is impossible to take other antibiotics, Ofloxacin may be prescribed to children. The daily dosage for children is calculated as follows: per 1 kg of child weight – 7.5 mg. The maximum dose does not exceed 15 mg/1 kg of body weight.

Drug interactions

When taking Ofloxacin, you must tell your doctor about other medications you are taking, otherwise side effects may occur. The medicine is not recommended for use with anti-inflammatory drugs to avoid stimulation of the central nervous system. During treatment with Ofloxacin for diabetes mellitus, blood glucose levels should be monitored. For better absorption, medications containing iron, calcium, sulfates or antacids are recommended to be taken after taking the antibiotic at intervals of two hours. The drug reduces theophylline clearance by 25%.

Compatibility of Ofloxacin and alcohol

According to the instructions, the use of Ofloxacin tablets, ointment and solution is strictly prohibited simultaneously with alcoholic beverages for men and women. It is allowed to drink alcohol one day after the end of the therapeutic course in order to avoid risks to health. The combined use of an antibiotic and ethanol-containing drinks leads to a disulfiram-like reaction. Ethanol comes into good contact with antibacterial molecules, so the potential risk of the following conditions increases:

vomiting;
nausea;
headache;
redness of the face, chest, neck;
rapid heartbeat;
intermittent breathing;
limb spasms.

If the prohibition is violated and the above conditions occur, you should immediately stop drinking alcohol and drink plenty of water for the next few hours. If the medicine was prescribed for a long course, then alcohol should not be taken subsequently, depending on the doctor’s instructions, from 3 days to 1 month. Any form of the drug will have a negative effect on the body if used together with alcoholic beverages.

Side effects

Like other antibiotics, Ofloxacin, if the prescribed dosage is exceeded or with a long course of treatment, has the following side effects:

abdominal organs (diarrhea, nausea, vomiting, hepatitis, dysbacteriosis, jaundice, colitis, liver failure);
nervous system (migraine, anxiety, agitation, increased blood pressure, nightmares, convulsions, impaired sense of smell, taste, vision, coordination of movements);
cardiovascular system (thrombocytopenia, aplastic or hemolytic anemia, cardiovascular collapse);
genitourinary area (acute nephritis, vaginitis, impaired renal excretory function);
allergic manifestations: angioedema of the face, urticaria, bronchospasm, skin rash, exudative erythema, itching, anaphylactic shock;
in ophthalmology: discomfort, burning in the eyes, dryness, itching, redness of the conjunctiva, lacrimation;
after instillation into the ear: itching of the ear canal, bitter taste and dry mouth;
spontaneous tendon ruptures;

Contraindications

This drug has few contraindications. The main one is hypersensitivity to quinolone derivatives. According to the instructions, Ofloxacin should not be used by women during pregnancy and breastfeeding. Children under 15 years of age are also a contraindication, but in special cases the use of this antibiotic is still prescribed to a child. Patients with a history of impaired liver and kidney function, a tendency to tendinitis, and prolongation of the QT interval should take the medication with caution.

Analogs

The modern pharmacological industry offers for sale several analogs of Ofloxacin that have a similar effect to it. Most Popular:

Digital The official instructions indicate that the medication is indicated for osteomyelitis, prostatitis, bacterial diarrhea, pyelonephritis, lung abscess and other infections. It is prescribed in a strictly specified dosage.
Tsiprolet. The medicine is effective against gram-negative and gram-positive bacteria. It is prescribed for use in many pathologies of an inflammatory and infectious nature.
Levofloxacin. Effectively acts against a variety of pathogens, regardless of their location.

Price

How much does Ofloxacin cost? The price of the drug varies depending on the dosage form, the initial cost of the manufacturer and the marketing policy of the outlet. If this antibiotic is not on sale, you can order it from a catalog at a pharmacy or buy it inexpensively in an online store. The average price for the drug in pharmacies in the Moscow region:

Video

Attention! The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and give treatment recommendations based on the individual characteristics of a particular patient.

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Gonorrhea is a sexually transmitted disease. The source of the disease is considered to be the bacterium gonococcus. The incubation period is no more than 5 days.

The disease is diagnosed using laboratory tests. For guys, a smear is taken from the urethra, and for girls, directly from the cervix. Experts determine the presence of bacteria under a microscope, as well as by growing a culture in a nutrient medium created for this purpose. If an increase in temperature is observed with gonorrhea, the patient undergoes a blood test.

For treatment, ofloxacin can be used for gonorrhea (in a single dose orally 400 mg). Take the drug without chewing and with plenty of water. Ofloxacin should be taken with food or on an empty stomach.

The choice of treatment regimen for the infection will depend directly on the clinical picture, as well as on the localization of the disease, the association of the infection with some other diseases that are transmitted exclusively sexually, the possibility of side effects from therapy and other factors.

When taking ofloxacin for gonorrhea, you should pay attention to the occurrence of such effects. For example, from the digestive system, vomiting, nausea, diarrhea, enterocolitis, anorexia, and abdominal pain are possible. Sometimes there is loss of appetite, as well as pseudomembranous colitis. The patient can become familiar with the entire list of side effects by reading the instructions for the drug.

For gonorrhea, ofloxacin acts as a broad-spectrum antimicrobial agent from the group of fluoroquinolones. This is a bactericidal agent, ofloxacin, which is effective against gram-negative bacteria, some gram-positive, which, as a rule, produce beta-lactamases and are resistant to many antibiotics. However, ofloxacin is considered the most modern fluoroquinolone produced today. A piperazinyl ring and a fluorine atom have been added to the basic structure of the product, which helps to increase the power of action on the disease, as well as anti-pseudomonas activity. In addition, the drug, which is now actively used to combat gonorrhea, contains an oxazine ring. It is believed that such structural modification is the basis for high bioavailability. During treatment, the drug ofloxacin is characterized by bioavailability and good absorption among other fluoroquinolones in addition to pefloxacin.

Source www.zppp.saharniy-diabet.com

Antibiotics for gonorrhea are a mandatory part of drug therapy. The disease, in the absence of adequate treatment, can cause the most serious complications - prostatitis and infertility.

Antibiotics for gonorrhea

If we talk about how to treat gonorrhea, then antibiotic therapy is the only option for a guaranteed cure. When selecting medications, the physician ensures that the resistance of gonococci to the prescribed medication does not exceed the five percent threshold.

The causative agent of the disease develops resistance to antibiotics, which is why many previously used regimens are no longer relevant. Today, gonococci remain sensitive, for example, to Ceftriaxone, Ofloxacin and Ciprofloxacin, while previously widely used tetracycline drugs and penicillin no longer bring the expected therapeutic result. Many new strains are emerging that are also resistant to drugs from the fluoroquinolone group.

Modern dermatological practice involves the use of several drugs at once. They are divided into two groups:

basic;
reserve (prescribed if there is no effect from the previously selected remedy or in case of intolerance to it).

Many medications are approved for use in home treatment of gonorrhea, but Rocephin is used exclusively in hospitals.

Sumamed

Sumamed is prescribed quite often for gonorrhea. Medicines from a number of macrolides cope well with many types of bacteria and microorganisms.

Sumamed is highly effective against gonorrhea, due to its ability to quickly penetrate tissue. The medicine promotes the death of the pathogen, activating the protective functions of the body.

When taken as a course, Sumamed accumulates in blood fibroblasts, after which its gradual release begins. The source of infection is destroyed, not accompanied by the development of side effects. The doctor selects the dosage individually in each specific case.

Metronidazole

Metronidazole for gonorrhea is recommended for use while diagnosing trichomoniasis. This combination of diseases is dangerous because the causative agent of gonorrhea “hides” inside the Trichomonas vaginalis. In this case, there is a high risk of relapse of the underlying disease, so trichomoniasis is treated first, and then the use of gonococci.

Metronidazole is prescribed transvaginally, but can also be administered intravenously. Duration of treatment – 10 days. Omission may cause the selected therapy to be ineffective. The sexual partner is also prescribed treatment with Metronidazole. The drug is taken once at night.

During treatment, an allergic reaction may develop. Metronidazole is strictly contraindicated during pregnancy, as well as in the diagnosis of renal failure, leukopenia and central nervous system lesions.

In order to avoid side effects, vitamin B and ascorbic acid are prescribed simultaneously with taking Metronidazole.

Levofloxacin

Levofloxacin belongs to the group of fluoroquinolones, being a broad-spectrum antibiotic. The action of the drug is based on blocking the division of bacterial cells, which leads to the death of the pathogen. Levofloxacin is effective against many microbes. The medicine also works well against gonococci.

The product has contraindications for use. Levofloxacin should not be taken in the following cases:

during gestation and breastfeeding;
with diagnosed epilepsy or other pathologies accompanied by seizures;
if you are allergic to the components of the drug;
with renal failure.

Children's age also becomes a contraindication.

Levofloxacin may cause an overdose if taken uncontrolled. It is indicated by:

drowsiness;
attacks of dizziness;
erosive damage to the oral mucosa;
arrhythmia;
vomiting that does not bring relief;
convulsions;
loss of consciousness.

In such cases, gastric lavage and subsequent symptomatic therapy are prescribed.

Levofloxacin may also cause side effects. In particular:

pain in the abdomen;
dry mouth;
headache;
nausea and vomiting;
scary dreams;
dizziness.

Bicillin

Quite often the drug Bicillin is prescribed for gonorrhea. . The drug belongs to the penicillin group. Bicillin is a combination drug with a prolonged action. Its effectiveness is due to a disruption in the synthesis of one of the components of the cell membrane, which leads to a slowdown in the rate of reproduction of the pathogen.

Bicillin for gonorrhea is prescribed according to a specific regimen. Skipping the next dose may cause the pathogen to adapt to this drug.

Bicillin is used in the form of injections. The number of injections is determined by the physician. For chronic gonorrhea, the patient is prescribed Bicillin-5, since the drug has a higher content of the active component.

Vilprafen

The next remedy that can be prescribed for gonorrhoea is Vilprafen. Its active substance is josamycin. Vilprafen will be equally effective against gonorrhea and chlamydia. A special feature of the drug is the absence of gonococcal resistance.

Vilprafen does not have toxic properties, and therefore can be used to treat pregnant women. The active substance penetrates the placental barrier, but does not have a negative effect on the fetus.

Vilprafen has virtually no contraindications. These become:

increased sensitivity of the body to the constituent components of the drug;
severe liver damage, accompanied by a decrease in its functions;
chronic renal failure (with caution).

Vilprafen is available in the form of regular film-coated tablets and soluble pills. The latter have a pleasant strawberry taste and smell. The dosage regimen and dosage of the drug are selected by the attending doctor.

Amoxiclav

Amoxiclav, which is also used to treat gonorrhea, comes in different formats. At the pharmacy you can buy tablets, powders for infusions and injections, as well as a suspended form. Amoxiclav is a broad-spectrum antibiotic, therefore it is used in the treatment of various sexually transmitted diseases.

Amoxiclav can be prescribed to patients of all age categories, including children. The regimen and dosage depend on the severity of the condition and the age of the patient. The total duration of antibiotic use is from 5 to 14 days.

Amoxiclav has a minimum of side effects and is quite well tolerated by the body. The incidence of unpleasant symptoms is relatively low. Amoxiclav is prohibited for the treatment of nursing women and patients with diagnosed renal impairment.

Ceftriaxone

Ceftriaxone is a powerful broad-spectrum antibiotic. Destroys bacteria by disrupting the protein synthesis process necessary to create cell walls.

The drug is attractive in medical terms due to its high absorption rates and low toxicity threshold. A contraindication for use is the body's allergic response to penicillin and cephalosporin drugs.

When treating gonorrhea, Ceftriaxone is the drug of choice. This means that it is the most active against the causative agent of gonorrhea of all the medications used. For an uncomplicated infection, the full course of therapy consists of one injection, that is, the drug is administered in the dosage recommended by the physician once.

Ofloxacin

Ofloxacin is the next medication used for gonorrhea infection. It has a therapeutic result by disrupting the DNA synthesis of the pathogen.

The drug has a high level of toxicity, therefore Ofloxacin is contraindicated in children and in patients with a high sensitivity threshold. To cure gonorrhea uncomplicated by infections, it is enough to take one dose of the drug.

Cefotaxime

Cefotaxime is a third generation cephalosporin antibiotic. The drug does not have a strong toxic effect, but will be contraindicated in case of personal intolerance to the active substance, during the entire period of gestation, as well as breastfeeding.

Treatment of gonorrhea, not complicated by concomitant STDs, is carried out by a single intravenous administration of the drug.

Cefuroxime

Cefuroxime is an antibiotic included in the list of reserve medications. Belongs to the category of cephalosporins. When detecting gonorrhea, its tablet format is used.

Contraindications for Cefuroxime are:

pregnancy and breastfeeding;
prematurity of the child;
allergic response to the component composition of the drug.

Lomefloxacin

Lomefloxacin is another reserve drug used in the treatment of gonorrheal infection. It is part of the group of fluoroquinolones and eliminates the symptoms of uncomplicated gonorrhea with a single dose. Lomefloxacin is contraindicated in childhood and gestation.

Drugs for the treatment of gonorrhea in women

Treatment of gonorrhea in women should be carried out taking into account the characteristics of the body. Do not forget that prolonged antibiotic therapy causes disruption of the vaginal microflora and the development of thrush. Gynecologists recommend combining drug treatment for gonorrhea with antifungal therapy, as well as taking drugs from the probiotic category.

suppositories with lactobacilli - Lactonorm, Acylact, Ecofemin and others;
antifungal suppositories – Isoconazole, Clotrimazole, Candide.

Local antiseptics - creams, ointments and suppositories - can be used as an adjuvant to prescribed medications. In particular, they are prescribed to pregnant women as an alternative to oral medications.

Depending on the course of the pathology and its local manifestations, the following are recommended:

sitz baths in chamomile decoction and treatment with protorgol in glycerin for inflammation of the labia majora and minora;
irrigation and installation with protorgol solution for inflammation of the urethral mucosa;
vaginal suppositories for the development of vaginitis.

The use of topical products should be avoided during menstruation. The start of the course of treatment is allowed from the second day of completion of monthly bleeding.

Treatment of gonorrhea in men

Treatment of gonorrhea in men also has its own nuances. In addition to the recommended medications, therapy is supplemented by the use of local medications.

As prescribed by the urologist, a solution of silver nitrate, protargol or collargol can be used. But these antiseptics are prescribed only when suppuration develops.

In case of damage to the skin in the area of the external genitalia, sitz baths in a solution of potassium permanganate or furatsilin are recommended.

Mixed form of gonorrhea

How to treat gonorrhea in women and men if a concomitant sexually transmitted infection is detected? It all depends on what diseases were identified along the way.

For concomitant chlamydia, the following medications are prescribed (at the doctor's discretion) - Ciprofloxacin, Ofloxacin, Doxycycline, Erythromycin.

If trichomoniasis is detected, Metronidazole or Tinidazole are prescribed as additional drugs.

Gonorrheal infection is often accompanied by syphilis, but since it has a rather long incubation period, the patient is prescribed preventive medication with specialized medications.

If the test for syphilis is negative, Bicillin-5 or benzylpinicillin novocaine salt is used. If the answer is positive, the same drugs are recommended, but in different dosages.

The choice of drug depends on each specific case. The dosage of the medication is also selected individually. Self-prescribing antibiotics can have the most negative consequences.

Source intimatejotvet.ru

How to take ofloxacin for gonorrhea is a rather relevant and interesting question. After all, gonorrhea is quite common among the sexually mature population, and to cure it, you need antibiotics, which include ofloxacin. Like all serious drugs, this antibiotic should be taken only after consulting a specialist, strictly following the recommendations.

This article will discuss the characteristics of this disease, and we will also learn how to use ofloxacin and other types of antibacterial drugs from this group to treat gonorrhea.

What is gonorrhea?

The causative agent of this venereal disease is Neisseria gonorrhea, a gram-negative diplococcus from the group of gonococci. The bacterium is highly sensitive to heat, drying, antiseptics, etc., which is why it is extremely unstable in environmental conditions, however, gonococcus can exist in the host’s body for a long time, especially when transformed into the L-form, which is insensitive to antibiotics.

Infection with gonorrhea occurs through unprotected sexual intercourse, both traditional and anal-genital and oral-genital. Gonococci are localized on organs with glandular and cylindrical epithelium, namely in the urethra, cervix, conjunctiva of the eyes, rectum, and oropharynx.

The incubation period lasts from several days to a month, but on average it is 7-10 days. The disease has an acute and chronic form; in addition, in women, most cases of infection are asymptomatic, while in men such cases account for only 10%.

In men, acute gonorrhea manifests itself in the form of urethritis and is accompanied by:

purulent or mucopurulent discharge from the urethra;
swelling and redness of the external opening of the urethra;
burning and itching;
pain when urinating.

Women with acute gonorrhea may notice the following symptoms:

purulent or serous-purulent vaginal discharge;
frequent urination;
burning and itching in the genital area;
pain in the lower abdomen;
redness and swelling of the mucous membranes of the genital organs;
intermenstrual bleeding.

In order to confirm the diagnosis, examination and questioning alone are not enough, so the doctor must refer the patient for additional tests. This can be a bacteriological culture, blood or PCR smears or a flora smear.

Use of antibiotics for gonorrhea

It is no secret that antibacterial drugs of different groups are used to treat gonorrhea. One such group is called fluoroquinolones. The drugs included in this group, such as ofloxacin for gonorrhea, ciprofloxacin, levofloxacin, lomefloxacin and others, are highly effective and safe.

Important! The attending physician must select the specific drug, its dosage and duration of treatment.

There are four generations of quinolones. This division is based on the time of introduction into medicine of drugs with more advanced antimicrobial properties.

Quinolones from the 1st generation are active against gram-negative flora and are not prone to creating high concentrations of the drug in tissues and blood. 2nd generation drugs have a wide spectrum of antimicrobial action, even against staphylococci, in addition, their improved pharmacokinetics and bactericidal activity are noted.

Features of antibiotics and regimens of use are as follows:

Ofloxacin– the drug is available in the form of tablets of 200 or 400 mg, is active against various pathogens, including staphylococci, gonococci, Escherichia coli, enterobacteria, Klebsiella, Proteus, chlamydia, Legionella, etc. The bioavailability of the drug is more than 96%. Ofloxacin can be used in a dose of 400 mg once for uncomplicated acute gonorrhea.
Ciprofloxacin against gonorrhea- Available in tablets of 250 or 500 mg. The antibiotic is used to treat infectious diseases of the respiratory system, gastrointestinal tract, genitourinary system, joints and bones, soft tissues and others. How to take ciprofloxacin for gonorrhea: a single dosage of 500 mg in case of acute form, and in chronic form - 500 mg on the first day and 250 mg twice a day on subsequent days of treatment.
Levofloxacin for gonorrhea– 3rd generation fluoroquinolone, available in tablets of 250 or 500 mg. The drug is sensitive to some gram-positive and gram-negative microorganisms, including aerobic and anaerobic. To treat gonorrhea, 250 mg of antibiotic is prescribed once. The price of the medicine ranges from 180-600 rubles, depending on the dosage and number of tablets in the package.

Antibacterial drugs from the quinolone group are taken with plenty of water, and are not used simultaneously with bismuth, iron or zinc preparations, taking a break between these drugs for at least 6 hours.

Contraindications and side effects of fluoroquinolones

Although drugs related to fluoroquinolones have an impressive number of positive qualities, they also have a number of contraindications and side effects that make their use impossible for a certain number of patients.

The following reactions may occur:

heartburn, epigastric pain, changes in appetite, nausea and/or vomiting;
insomnia or drowsiness;
headaches and dizziness;
visual disturbances, convulsions, tremor, paresthesia;
photosensitivity;
itching and rash.

Rarely and extremely rarely, candidiasis, arthralgia and myalgia, transient nephritis, and crystalluria may occur. If any adverse reactions occur, you must completely stop using the drug.

The instructions for fluoroquinolone warn that drugs from this group are not used in the presence of allergic reactions to the main active ingredient of the drug, deficiency of glucose-6-phosphate dehydrogenase, liver and kidney dysfunction, pregnancy and lactation, as well as in childhood or old age.

From the photos and videos in this article, we learned about the drugs included in the quinolone group that are used in the treatment of gonorrhea, as well as the side effects that may occur.

Frequently asked questions to the doctor

Subtleties of reception

Hello. Tell me, what drugs can be used to treat gonorrhea in the oral cavity or rectum?

Good evening. I think there is no need to remind you that self-medication is dangerous. Ciprofloxacin for gonorrhea is suitable for the purposes you specified. It has a wide spectrum of action and can be used not only for gonococcal urethritis, but also in cases of multiple localization of the pathogen.