Note that there are only these two real anti-inflammatory drugs, don’t use antibacterial drugs as anti-inflammatory drugs!

When a customer says she has a cold and a sore throat, what would you recommend for anti-inflammatory drugs? medicine? Is it amoxicillin, cephalosporin, or azithromycin? In fact, no matter which antibacterial drug you recommend, you have made a cognitive mistake, “mistaking antibacterial drugs as anti-inflammatory drugs”, why? Because antibacterial drugs ≠ anti-inflammatory drugs, and there is an essential difference between the two. Today we’re going to talk about the conflation of antibiotics and anti-inflammatory drugs.

Second, only these two types of drugs work for inflammation!

If you want to control inflammation, which is what we call “anti-inflammatory”, the most direct way is to choose anti-inflammatory drugs for treatment. “Anti-inflammatory drugs” do not include antibacterial drugs. Our most commonly used anti-inflammatory drugs fall into two broad categories:The first is Non-steroidal anti-inflammatory drugs, representative drugs areibuprofen, indomethacin, aspirin, meloxicam, celecoxib etc., such drugs exert anti-inflammatory effects by inhibiting the synthesis of prostaglandins, inhibiting the aggregation of leukocytes, reducing the formation of bradykinin, and inhibiting the aggregation of platelets;No. The second class of drugs are glucocorticoids, such asdexamethasone, prednisone, methylprednisolone, fluticasone, mometasone furoate, etc. , This type of drug has a strong anti-inflammatory effect. In the early stage of inflammation, it can reduce exudation and edema, thereby improving symptoms such as redness, swelling, heat, and pain. In the later stage of inflammation, it can prevent adhesion and scar formation, and reduce sequelae. These effects Mainly related to glucocorticoids, it can inhibit phospholipase A2, stabilize lysosomal membrane, increase vascular tension, reduce capillary permeability, inhibit phagocyte function, inhibit inflammatory cell function, inhibit the proliferation of granulation tissue in the later stage of inflammation, and inhibit certain cells. factors and the production of adhesion molecules.

3. Why are antibiotics not “anti-inflammatory drugs” /span>

Let’s talk about why antibiotics are not anti-inflammatory drugs. Antibacterial drugs are drugs that inhibit or kill bacteria. treatment, then antibiotics aremedicine. For inflammation caused by bacterial infection, taking antibacterial drugs to inhibit or kill pathogenic bacteria can gradually reduce and disappear the inflammatory response (this is an indirect process), but as we said earlier, not all inflammation is caused by bacterial infection , For inflammation caused by other factors, such as inflammation caused by viral infection, non-infectious inflammation, antibacterial drugs are useless, and antibacterial drugs themselves have no inhibitory effect on the inflammatory response, so antibacterial drugs are not anti-inflammatory drugs. Attachment: Classification of Common Antibacterial Drugs

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Tetracycline, Doxycycline, Minocycline, etc.

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Clindamycin, Lincomycin

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representative drug

Cephalosporins

Cefaclor, Cefradine, Cefixime, Cephalexin, etc.< /span>

Penicillins

Penicillin V potassium, amoxicillin, ampicillin, etc.

Macrolides

clarithromycin, azithromycin, roxithromycin, erythromycin, etc.

quinolones

Levofloxacin, Ofloxacin, Ciprofloxacin, Balofloxacin, etc.

Sulfonamides

Sulfasalazine, Sulfadiazine, Sulfamethoxazole azoles, etc.

tetracyclines

< span>Aminoglycosides

Gentamicin, Aminoglycosides, Neomycin, Amikacin, etc.< /span>

lincomycins

< p>chloramphenicol

chloramphenicol

Nitroimidazoles

Metronidazole, Tinidazole, Ornidazole, etc.

Nitrofurans

Nitrofurantoin, Furazolidone