15 best remedies for sore throats

Review of the best according to the editorial board. On the selection criteria. This material is subjective and does not constitute advertising and does not serve as a purchase guide. Before buying, you need to consult with a specialist.

Angina is perhaps the most famous inflammatory disease of the ENT organs. Angina is called acute inflammation of the glandular lymphatic tissue of the pharynx, namely, the tonsils. They are part of the lymphoepithelial ring of the pharynx. This structure belongs to the peripheral organs of the protective, or immune system. It performs a sentry function, since it is located at the center of the intersection of the respiratory and alimentary tracts, and quickly reacts to the penetration of various antigens into the body.

And the largest structures of this ring are the palatine tonsils, or, in common parlance, the 'tonsils'. They produce various antibodies, special protective factors for the mucous membranes, and have loose fiber, which is prone to swelling and inflammation. Typical sore throat is caused either by bacteria, among which hemolytic group A streptococcus, staphylococcus and other microorganisms are most common.

It is not difficult to suspect a sore throat. The onset of the disease is acute. Redness or plaque appears on the palatine tonsils, signs of general malaise are disturbing, a sore throat joins, and the temperature rises. The mucous membrane of the tonsils is edematous. In some cases, there are purulent deposits in the form of dots on the tonsils that look like millet grains, or even large whitish-yellow islets. Regional lymph nodes react with swelling.

Usually, with angina, the patient is treated at home, at home bed rest. Shown is a mechanically and thermally sparing diet, an abundant vitamin drink. The basis for the treatment of any sore throat is the use of various agents, which include antibacterial and anti-inflammatory drugs, antihistamines, antiseptic and immunomodulatory drugs.

Alas, the patient is not always able to consult a doctor in a timely manner, therefore this rating includes the most effective and popular drugs that are used for various types of tonsillitis, and which can be freely purchased at the pharmacy.

Attention! It is a mistake to believe that only local remedies can cure a sore throat, and it can be dealt with only with inhalations, gargles and various pills from the throat. In the overwhelming majority of cases, when spots or whole areas of pus are visible on the tonsils, it is necessary to start treatment with systemic antibiotic therapy, and it is this stage of treatment that must be carried out as prescribed by the attending physician.

What are the most effective antibacterial agents used to treat sore throat? In the ranking below, the average prices for drugs are given for pharmacies of all types of ownership at the end of 2018.

Rating of the best remedies for angina

Nomination	a place	Name of product	price
Best Antibacterials	1	Cefexim (Suprax, Ceforal, Panzef)	506 RUB
	2	Amoxicillin (Flemoxin Solutab)	201 RUB
	3	Augmentin (Amoxiclav, Arlet, Ekoklav)	RUB 111
	4	Sumamed	189 r
Best Remedies for Tonsil Inflammation (NSAIDs)	1	Nimesulide (Nimesil, Nemulex, Nise)	243 r
	2	Ibuclin (paracetamol + ibuprofen)	RUB 104
Best Local Medicines for the Treatment of Angina with Antiseptics	1	Hexoral (Maxicold Lor)	236 r
	2	'Neo-angin'	118 RUB
	3	Septolet	211 r
Best Antiallergic Drugs	1	Tavegil (Clemastine)	153 r
	2	Claritin (loratadine)	197 RUB
	3	Allegra (fexofenadine)	RUB 513
The best immunomodulatory therapy for angina	1	Ribomunil	360 RUB
	2	Imudon	RUB 400
	3	Galavit	RUB 291

The best antibacterial drugs for angina

Of course, not all patients with angina require antibiotics. For example, if the patient's general state of health suffers little, there are no purulent deposits on the tonsils, and there is no high temperature (that is, simple, catarrhal angina in a mild form), then you can do without them. But in order to determine this, as well as to assess the risk of complications, a doctor's consultation is needed, and the sooner the better.

After all, antibacterial drugs and antibiotics are prescribed only by a doctor, especially since at present in the Russian Federation antibiotics are sold by prescription in pharmacies. What are the most effective safe antibiotics used to treat sore throat?

Cefexim (Suprax, Ceforal, Panzef)

Rating: 4.9

Suprax or cefixime is a 3-generation cephalosporin and is a broad-spectrum drug. It is available in capsules of 200 and 400 mg, and has a bacteriostatic effect, that is, it inhibits the multiplication of pathogenic microorganisms, but does not kill them. This is important, since the death of a large number of microbes can cause increased intoxication due to the simultaneous decay of their cells.

Suprax is used for angina as a reserve antibiotic, in the event that patients have intolerance to other antibiotics. But in pediatric practice, it is widely used, and for children there is a special form of Suprax in the form of a sweet syrup with a strawberry flavor. It is also widely used to treat complications of angina, such as bronchitis. Suprax is a modern and expensive antibiotic. One package of 6 capsules, 400 mg each, has an average price of about 760 rubles. Suprax is produced by the Hungarian pharmaceutical company Gedeon Richter.

Advantages and disadvantages

Suprax is a fast acting, effective cephalosporin. It quickly enters the bloodstream, and is slowly excreted from it, therefore, for sore throats with purulent manifestations, it can be used one capsule per day. A relative disadvantage of the remedy is the rather frequent occurrence of side effects in the form of itching and allergic reactions, as well as a rather high price. The minimum cost of packing Suprax is 591 rubles.

Amoxicillin (Flemoxin Solutab)

Rating: 4.8

A well-known popular drug amoxicillin, which belongs to synthetic aminopenicillins. Flemoxin is sold in the form of highly soluble tablets, which is where the second name – Solutab – came from. You can buy packs with tablets of 125 mg, 250, 500 and 1 g. This is a powerful modern bacteriostatic antibiotic that is widely used against the coccal flora, and it is it that most often causes angina. Flemoxin Solutab is most often used in dosages of 250 mg once or twice a day, in severe cases – 500 mg twice a day, for 7 to 10 days. It is produced by Astellas Pharma from the Netherlands. A pack of 20 dissolving tablets can be purchased at an average price of 290 rubles.

Advantages and disadvantages

These tablets dissolve quickly in warm water, have a rather pleasant fruity taste, the release form ensures their rapid absorption and entry into the body. You can take this remedy before and after meals, and even with meals. Relief of the condition may occur by the end of the first day of using the drug. The disadvantage of amoxicillin and its analogs, as in the case of Suprax, is intolerance, which is expressed as a side allergic reaction. Also, Amoxicillin is not able to fight particularly resistant bacteria that produce a special enzyme, or beta-lactamase. Still, this drug is a universal antibiotic with a wide spectrum of action, and is not very expensive with high quality.

Augmentin (Amoxiclav, Arlet, Ekoklav)

Rating: 4.7

If you add clavulanic acid to Flemoxin, which exhibits pronounced activity against microorganisms that produce beta-lactamase, you get a more powerful and modern antibiotic Augmentin. It is widely used not only for tonsillitis, but for a wide variety of bacterial infections, ranging from soft tissue lesions to severe septic disorders. Augmentin is produced in different dosages, most often used for the treatment of angina is a 250 mg tablet of amoxicillin in combination with half the dosage (125 mg) of clavulanic acid. Tablets, packaged in packs of 20, can be purchased at the pharmacy for 270 rubles. Augmentin is produced by the well-known pharmaceutical concern from Great Britain SmithKline Beecham.

Advantages and disadvantages

The addition of clavulanic acid significantly increased the effectiveness of amoxicillin, and at the same time its price not only did not change, but even slightly decreased compared to the previous drug. This is due to pharmacoeconomic reasons, and has nothing to do with the quality of the drug and its effectiveness. The advantage of Augmentin is the speed of action and reliability, and the disadvantages include the effect on the microflora of the gastrointestinal tract and the ability to cause dysbiosis after treatment of angina, which needs to be corrected. Of course, any antibiotics cause dysbiosis, but the stronger the drug, the more harmful it will produce in the patient's large intestine. That is why, immediately after treatment with Augmentin and its analogues, it is necessary to start taking eubiotics, or drugs for the treatment of intestinal dysbiosis.

Sumamed

Rating: 4.7

Azithromycin belongs to the group of azalides – macrolides. It comes in a wide variety of dosage forms. This is a suspension, a powder for preparation of injections, but for tonsillitis, it is most convenient to take tablets and capsules. The drug is able to actively inhibit the synthesis of protein compounds that are part of the cell wall of bacteria, and it is especially indicated for infections caused by gram-positive flora. Sumamed is also used in the treatment of complications of angina, of which chronic bronchitis occurs most often. The most effective dosage is 500 mg, and one tablet should be taken once a day, for 3 or 5 days. Sumamed is produced by the Croatian company Pliva, and one pack of 3 tablets costs, on average, 520 rubles.

Advantages and disadvantages

A big plus is the high activity of the drug, ease of use (just one tablet a day), as well as a short course. A single dose per day is possible due to its long half-life. Sumamed is also active against many anaerobic microorganisms, and this is very important, since in severe cases anaerobic flora can cause angina. Sumamed well treats specific tonsillitis, such as chlamydia or mycoplasma. The medicine is very well tolerated and rarely causes allergic reactions. Perhaps, Sumamed's disadvantage is its high price, because 520 rubles. packaging costs only 3 tablets.

Of course, other antibiotics, fluoroquinolones, and other drugs can also be used for angina. Usually, the course of treatment with antibacterial agents should be from 7 to 10 days, for complete sanitation of the tonsils and prevention of microbial complications. An exception can be made only for Sumamed: the usual course lasts from 3 to 5 days.

The best remedies to fight tonsil inflammation (NSAIDs)

Angina is a very unpleasant disease. It is accompanied not only by the multiplication of pathogenic microorganisms on the surface of the tonsils, but also by pronounced signs of inflammation. The palatine tonsils have a well-developed and blood-supplied loose subcutaneous tissue, which can swell sharply and increase in volume. Therefore, all signs of inflammation are characteristic of angina. This is redness, swelling, sharp soreness, hyperemia and a feeling of heat. All these symptoms are successfully dealt with by anti-inflammatory drugs, which belong to the group of NSAIDs, or nonsteroidal anti-inflammatory drugs. They reduce the intensity of pain, swelling, and with the general reaction of the body, they are good at fighting fever or fever. We list the most popular drugs from the NSAID group, which are used not only in the treatment of angina, but also for upper respiratory tract infections and diseases of the ENT organs, such as sinusitis, otitis media.

Nimesulide (Nimesil, Nemulex, Nise)

Rating: 4.9

One of the mildly acting anti-inflammatory drugs is Nimesil. It is a selective inhibitor of cyclooxygenase and has a good, even balance between analgesic, anti-inflammatory and antipyretic effects. Therefore, with tonsillitis, it is successfully used for severe complaints of a patient with general infectious manifestations of the disease. This product is produced in sachets, 1 package is diluted in a glass of warm water, which is drunk half an hour after a meal. For tonsillitis, it is recommended to take 2 sachets daily, and a course of 3 or 5 days is enough, it is advisable to use Nimesil from the first day of the inflammatory process. This product is produced by the German pharmaceutical company Berlin Chemie, and 9 sachets in one package have a retail price of 330 rubles on average.

Advantages and disadvantages

The advantage of Nimesil will be a quick action, it is all the faster, since the drug is used in the form of a solution. But we must remember that Nimesil has general contraindications, like the entire class of non-steroidal drugs. It should not be used in patients who cannot tolerate aspirin, or have ulcerative and destructive processes of the stomach and duodenum, as well as erosive and ulcerative gastritis. It cannot be prescribed for liver failure, as well as for increased bleeding, that is, with hemorrhagic syndrome. It is not prescribed for pregnant women and during lactation, as well as in children under 12 years of age. But in the event that the remedy is applied correctly, then it can relieve sore throat and reduce fever within 2-3 hours after ingestion.

Ibuclin (paracetamol + ibuprofen)

Rating: 4.8

Ibuklin is a highly active drug. Both paracetamol and ibuprofen, which are included in its composition, each by itself can relieve pain, reduce swelling and temperature reaction. But combined together, these components act especially actively, mutually potentiating each other's action. The remedy is indicated for severe sore throat, high fever, aching bones, and severe general malaise with moderate and moderate varieties of angina. Ibuklin should be used one tablet three times a day, and this dosage should not be exceeded. It can be used without a doctor's prescription for the purpose of pain relief and removal of inflammatory signs within 5 days, no longer. Ibuklin is manufactured by the Reddis company from India, and one pack of 10 tablets is very inexpensive, about 170 rubles. But with the usual course of sore throat, two tablets a day are enough, so this package is quite enough for five days of taking, which is usually quite enough.

Advantages and disadvantages

It is very important that the remedy acts quickly. Within an hour after taking the first pill, the severity of the sore throat is significantly reduced and the patient can swallow more easily. Of course, Ibuklin is also a drug from the NSAID group, and therefore it is not prescribed for ulcerative and erosive gastritis, with a decrease in blood clotting, aspirin intolerance, and with severe liver and kidney disorders. Also, Ibuklin should not be used in patients under 18 years old, in pregnant women and nursing mothers. But usually, with a typical course of sore throat, 3 or 4 days of taking Ibuclin are quite enough, it helps the patient to facilitate food intake, reducing sore throat, and reduces the severity of febrile manifestations.

The best local drugs for the treatment of angina with antiseptics

Some types of sore throat can be treated without antibiotics. Sometimes the sore throat is not so severe, and the patient does not have a high fever, and therefore, with tonsillitis, you can even do without anti-inflammatory drugs. But without local remedies, without rinsing, without sprays, antimicrobial lozenges and lozenges – not a single sore throat can be cured.

You can do it in different ways. Gargling with a solution of soda and salt can be effective, which reduces swelling. It is indicated for angina to rinse with a solution of furacillin, decoctions of medicinal herbs, for example, calendula and chamomile, or even just hydrogen peroxide and chlorhexidine, which are good antiseptics. But in this section of the rating, we will consider specially created drugs for influencing the mucous membrane of the oral cavity.

Ingalipt

Rating: 4.9

Ingalipt is a Russian-made aerosol. It contains various natural and artificially created synthetic components. These are eucalyptus oil, peppermint oil, disinfectants and antiseptics – streptocide and norsulfazole. Ingalipt has a pronounced antimicrobial and anti-inflammatory effect after application to the tonsils. In addition, Ingalipt refreshes. It is necessary to spray the aerosol into the oral cavity 4 times a day, and it is advisable to rinse your mouth with warm water before spraying. Ingalipt is produced by Microfarm, and a 30 ml aerosol can costs only 60 rubles.

Advantages and disadvantages

Ingalipt is a very pleasant medicine. It contains fragrant aromatic oils, it tastes good and is refreshing. Ingalipt can be sprayed into the oral cavity to almost everyone: children, pregnant women, and lactating women. The only thing to remember is that norsulfazole and streptocide are rather old and already ineffective antimicrobial drugs. Forty years ago, one Ingalipt would have been quite enough for the treatment of uncomplicated angina, but nowadays it is desirable to combine its application on the surface of the tonsils with the appointment of antibiotic therapy, and especially in the presence of pus on the tonsils.

Hexoral (Maxicold Lor)

Rating: 4.8

Hexoral is an imported French local antiseptic. It contains an active ingredient called hexetidine. Maxicold ENT is a domestic analogue. Hexetidine inhibits the growth and reproduction of pathogenic flora, and is also highly active against fungi and viruses that like to colonize the affected tonsils against the background of reduced immunity. Hexoral is a red liquid with a pleasant mint scent. It is very important that this antiseptic has some local anesthetic and analgesic effects. Therefore, immediately after application to the tonsils, sore throat decreases, and it can be successfully applied 15 minutes before a meal. It is also indicated for pharyngitis, stomatitis and various forms of gingivitis, that is, with inflammatory lesions of the gums and oral mucosa. It is necessary to spray Geksoral twice a day, and it is important to remember that you cannot swallow the solution, but you need to spit it out. Hexoral is produced by the pharmaceutical company Famar Orleans, and a 40 ml aerosol in a pharmacy costs about 270 rubles.

Advantages and disadvantages

A big plus of Hexoral is a pleasant aroma, analgesic effect and safety. It is not toxic, and is prescribed not only for adults, but also for children. The fact that it cannot be swallowed does not mean at all that the patient will be poisoned, it is just that the antiseptic should not penetrate into the gastrointestinal tract, so as not to cause dysbiosis. Therefore, children can be prescribed this remedy from the age when they can understand parental advice and not swallow the medicine.

'Neo-angin'

Rating: 4.7

Neo-angina is the classic medicine for sore throat. It contains the disinfectant amylmetacresol and the antiseptic benzyl alcohol. Menthol gives fresh breath and an additional analgesic and distracting effect. Auxiliary components – anise oil, tartaric acid. Like the previous drug, Neo-angin is able to somewhat reduce the sensitivity of the mucous membrane, and therefore it relieves pain. It is used for a variety of diseases of the oral cavity, and, first of all, for tonsillitis. The drug is available in tablets, which must be slowly absorbed after 2 hours in the first days of the illness, and 3 times a day on the following days. However, more than 6 tablets cannot be used in one day. Neo – angin is produced by the German company Klosterfrau, and a pack of 16 pieces costs only 100 rubles, which is quite inexpensive.

Advantages and disadvantages

Neo-angina is widely available, very inexpensive, safe and well tolerated. This remedy can be combined with other medications, and even with other topical remedies. Neo-angina can be absorbed by pregnant and lactating women, and of the side effects, only individual intolerance can be mentioned. By the way, there are people who do not organically tolerate the aroma of anise oil, so if you do not like the smell of aniseed drops, then you will not like Neo-Angin, despite all its effectiveness.

Miramistin

It is no exaggeration to say that Miramistin is the pride of the domestic pharmaceutical industry, it has become famous all over the world. It is an extremely highly effective antiseptic that belongs to quaternary ammonium compounds. Miramistin is extremely widely used in medicine. Suffice it to say that its field of application extends from the prevention of infection with genital infections and ending with the treatment of surgical purulent wounds. It is also highly effective for angina. It has not only antimicrobial, but antifungal and antiviral effects. Miramistin is able to effectively fight even herpes and HIV infection. With tonsillitis, you can irrigate the throat with Miramistin three, four, five times a day, as needed. Miramistin is available in vials, and their volume can be different: from 50 to 500 ml. This unique antiseptic is produced by the domestic manufacturer Infamed K, and the average, most popular package volume of 150 ml costs only 290 rubles.

Advantages and disadvantages

Miramistin is a clear, slightly foaming liquid, and has neither taste, nor color, nor odor. Therefore, when irrigating the oral cavity, it resembles ordinary water. It does not sting, does not irritate mucous membranes, and does not cause allergy symptoms. You can not only irrigate your mouth with miramistin, but also gargle, it is not capable of being absorbed through the mucous membranes and does not enter the bloodstream. The safety and effectiveness of Miramistin is very high against many infectious agents, and its cost is quite low. Therefore, Miramistin deserves first place in the ranking of all local drugs for the treatment of angina. In the event that you have a package of Miramistin at home, then it can be used for any purpose, from treating a contaminated wound, to instillations and baths for the treatment of gynecological diseases.

Septolet

Rating: 4.7

Septolete are green pastilles and can be considered 'Ingalipt in solid form'. They also contain a variety of essential oils and antiseptics such as benzalkonium chloride. Lozenges are indicated for tonsillitis, since they have a good effect on the gram-positive microbial flora, and it is this coccal flora that can often cause inflammation of the tonsils. Also, the plates have an antifungal effect, and help to cope with candidiasis, and peppermint oil distracts and gives fresh breath. Septolete lozenges are used for tonsillitis every 2 or 3 hours, but no more than 8 pieces per day. They are used in adults and children over 12 years old. In addition to sore throat, Septolete can be used for all inflammatory diseases of the oral cavity and for sore throat. They are produced by the company Krka from Slovenia, and a package of 30 lozenges costs, on average, 160 rubles.

Advantages and disadvantages

The use of Septolete lozenges does not cause any side effects, but only diabetics need to remember that each lozenge contains about 180 mg of sugar. Lozenges must be absorbed between meals in order not to reduce the concentration of active substances on the tonsils, but this advice applies to all local remedies without exception.

The best antiallergic drugs for angina

It would seem, why use antiallergic drugs for angina? It's not a swelling of the throat that is caused by an allergen, is it? Very simple. Antihistamines potentiate or enhance the effect of other drugs. When these drugs are combined with non-steroidal anti-inflammatory drugs, the analgesic effect is enhanced, and swelling and a general feeling of heat also decrease faster. Suffice it to recall the popularity of the use of analginum with diphenhydramine among ambulance doctors. In this section, we will consider representatives of both old first generation antihistamines and more modern ones.

Tavegil (Clemastine)

Rating: 4.9

Tavegil has a pronounced antipruritic and antiallergic effect, and reduces vascular permeability. And this means that with angina it will reduce the swelling of the tonsils, and thereby – the severity of the pain syndrome. Unlike its predecessors, such as Suprastin or Diphenhydramine, it does not have pronounced hypnotic activity. After taking Tavegil, antihistamine activity develops in 5-7 hours, and lasts for a day. Tavegil is shown in the complex therapy of severe angina, and is prescribed for adults and children from 12 years old, usually one tablet in the morning and in the evening. Tavegil is produced by the Italian company Famar, and one pack of 10 tablets (1 mg each) costs 185 rubles.

Advantages and disadvantages

The dignity of Tavegil in providing a decongestant effect. It reduces the exudative component of inflammation and allows the use of non-steroidal anti-inflammatory drugs in a lower dosage, which is much safer for the body. In addition, Tavegil does not cause dry mouth and drowsiness, and is inexpensive. But it must be remembered that the purpose of this drug is to help other drugs and enhance their effect. If you think that only Tavegil can defeat a sore throat, then you are mistaken.

Claritin (loratadine)

Rating: 4.8

This modern antiallergic drug also belongs to type 1 histamine receptor blockers, and is available in syrup and tablets. It works quickly and lastingly. Within 30 minutes after taking the Claritin tablet, you can feel a decrease in sore throat with angina, and this remedy works for about a day. Unlike the first generation products, Claritin does not cause drowsiness, dry mouth and slowing down of motor reactions. Claritin is shown to be taken regardless of food intake. Adults with tonsillitis are prescribed one 10 mg tablet, or two teaspoons at once, or 10 ml of syrup once a day. Children from 2 years old can also take the drug, but the pediatrician prescribes the dosage depending on the child's body weight. Claritin is produced by the well-known pharmaceutical company Schering-Plow, and the cost of a pack of 10 tablets is 230 rubles. A 60 ml bottle of syrup costs 260 rubles.

Advantages and disadvantages

Claritin is a modern drug, therefore it is more effective than Tavegil, it works for a longer time, and requires only a single dose at a relatively low price. But at the same time, it must be remembered that this medicine is contraindicated in lactation, as well as in children under 3 years of age. Of the side effects, drowsiness most often occurs, but it appeared only with an overdose of the drug.

Allegra (fexofenadine)

Rating: 4.7

Allegra is another of the histamine receptor blockers, which in its pure form is indicated for the treatment of urticaria and the relief of symptoms of vasomotor and allergic rhinitis. Since with allergic rhinitis, swelling and intense discharge from the nose in the form of a transparent rhinorrhea very sharply and quickly, this drug is also able to reduce the pronounced swelling of the tonsils, and it is especially indicated for use on the first day with the development of intense redness and pain.

When this remedy is prescribed, it is quite sufficient to take it for a very short period of two or three days. If Allegra will act in conjunction with Ibuklin, Nimesil, then this will significantly reduce the severity of the pain syndrome. Fexofenadine is available in 120 mg tablets, and for tonsillitis with severe pain, one tablet a day for 3 days is enough. The well-known company Sanofi-Aventis produces the drug Allegra, and the cost of a package of 10 tablets is rather big: 600 rubles

Advantages and disadvantages

Despite its high price, Allegra is able to significantly reduce the dosage of non-steroidal anti-inflammatory drugs when taken together. Therefore, it can be shown to those patients who have a rather severe course of angina with severe pain syndrome, but at the same time they have gastritis in the acute phase or gastric ulcer and duodenal ulcer. Of the symptoms of an overdose, dizziness and drowsiness are noted, but they occur at doses 8 times higher than the recommended ones.

The best immunomodulatory therapy for angina

Finally, it is imperative to consider drugs to improve local and general immunity. The use of these drugs is especially indicated for long-term sore throats, during the transitions of acute tonsillitis (and this is angina) into a chronic form, in those people who, for other diseases, are forced to take cytostatics or immunosuppressants – corticosteroid hormones. The intake of these drugs is shown for rather long courses, and their purpose is to reduce the number of exacerbations of chronic tonsillitis or to prevent the transition of a prolonged acute process into a chronic form.

Ribomunil

Rating: 4.9

Ribomunil is a highly effective immunostimulant that is indicated for many diseases of the upper respiratory tract and nasopharynx. It consists of an unusual active substance. These are areas of cells of the most common pathogens of angina and other inflammatory diseases, which contain various antigens, or pronounced substances of microbes with foreign properties, which are capable of activating the manifestations of immunity to a very high degree.

At the reception of Ribomunyl, special antibodies begin to accumulate, the activity of macrophages and lymphocytes increases. The production of interferon begins. Therefore, Ribomunil, in addition to tonsillitis and microbial diseases, also protects against viral infections. This remedy is shown, both for the prevention and for the treatment of angina of varying severity, but as part of complex therapy.

It can be used from the age of six months, and even during pregnancy and breastfeeding. You need to take Ribomunil once a day in the morning, before meals. The daily dose is one 0.75 mg tablet. For treatment, you need to take the funds for 4 days, then take a three-day break, and so continue for 3 weeks. Ribomunil is produced by the French company Pierre Fabre Medicament, and the cost of a package of 12 tablets, designed for a course of treatment lasting 18 days, is 1276 rubles. Accordingly, the monthly rate will require almost twice the amount.

Advantages and disadvantages

Perhaps Ribomunil is the most expensive drug in the ranking. However, it is not able to cope with angina alone. Many may consider this a disadvantage. But in the end, the use of this remedy will maximize the activation of the body's defenses, and defeat the sore throat in the shortest period of time. This will save money on many antibiotics, anti-inflammatories and topical medications. The drug is well tolerated, of the contraindications – only autoimmune diseases, when pathological immune complexes appear in blood patients. Also, an unusual side effect occurs within two to three days after prescribing a fever. This is a normal reaction, you do not need to be afraid of it, it stimulates the launch of immunity.

Imudon

Rating: 4.8

Imudon is also a highly effective immunostimulating drug, it also represents a special 'tantalizing seed' for the immunity of the human body, since it contains extracts from the most common microorganisms that cause angina, as well as simply from various bacteria with an antigenic structure. Imudon is produced in the form of tablets, and is a multivalent antigenic complex. When used, it causes the production of antibodies, stimulation of local cellular immunity, and as part of complex therapy it is able to reduce the duration of clinical manifestations of angina and help strengthen immunity and speedy recovery.

The drug is used in adults and adolescents over 14 years old quite often: 8 tablets per day. It is necessary to dissolve the tablets, without chewing, and apply every hour. This can be done, on average, for 10 days with angina. If a sore throat occurs in a child from 3 to 14 years old, then the number of tablets is reduced to 6 pieces. You can also use Imudon for prophylactic purposes, for example, in the autumn-spring period. Imudon is produced by the pharmaceutical company Solvay Pharma (France), and the cost of one package of 40 tablets, designed for a five-day admission, for adults is 660 rubles. with a range of prices from 490 to 870 rubles.

Advantages and disadvantages

The disadvantage of Imudon is the fact that angina, which is treated fully and correctly, can be cured without immunomodulators. But at the same time, there may be a risk of recurrence of this unpleasant disease after a few months. If you use immunomodulating drugs according to indications, then this fact will significantly reduce the duration of the disease, as well as avoid recurrence of sore throat in the coming months or even weeks. Imudon is well tolerated, there are no cases of overdose, of contraindications, except for individual intolerance, only children under 3 years of age are noted.

Galavit

Rating: 4.7

Finally, in conclusion of the rating of popular and widely used immunomodulatory agents for angina, Galavit should be mentioned. It is no longer an antigenic extract from microorganisms, but is a monocomponent preparation and contains sodium aminodihydrophthalazinedione

amine dihydro in sodium tolzingone. This active ingredient is a regulator of humoral and cellular immunity, and increases the activity of macrophages. At the same time, it restores the balance of neutrophils, their ability to bactericidal activity, and normalizes the formation of antibodies. It is indicated for a large number of various diseases, almost all inflammatory diseases of ENT organs, genital, influenza, tonsillitis, inflammatory diseases of the oral mucosa. It is necessary to take galavit for angina, one tablet 4 times a day, dissolves them under the tongue, within 5 days. Preventive course One tablet twice a day for 10 days. Galavit is produced by the National Pharmaceutical Company Medicor, and one pack of 20 tablets, designed for a five-day course of treatment, costs an average of 480 rubles.

Advantages and disadvantages

The advantage of galavit will be its not so high price, as well as release in several forms, including in rectal suppositories that can be used by young children. Galavit is contraindicated only for pregnant and lactating women, a big plus is the ability to start taking it at any stage of the disease with angina. The downside is the fact that all immunomodulators, including galavit alone, are not able to cope with pronounced and severe infections, and they can only alleviate the symptoms and shorten the duration of the disease.

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Attention! This rating is subjective and does not constitute an advertisement and does not serve as a purchase guide. Before buying, you need to consult with a specialist.