9 best remedies for cystitis

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.

Cystitis is an inflammation of the inner, mucous membrane of the bladder. Cystitis can be considered more of a female disease, since it is in women that there are anatomical and biological prerequisites for more frequent damage to the bladder than in men, as well as hormonal changes in the body of a regular nature.

The most common symptoms of cystitis are frequent and painful urination, lower abdominal pain, and blood at the end of urination. Cystitis sharply increases the urge to go to the toilet and is very exhausting for patients, since pain and cramps do not stop even at night.

In men, cystitis occurs three times less often, but the most common cause in both cases is a common microbial infection. Therefore, the rating included various drugs, both antibacterial agents of various groups, and local antiseptics, anti-inflammatory and antispasmodic agents, and other drugs.

Rating of the best remedies for cystitis

Nomination	a place	Name of product	price
Rating of the best remedies for cystitis	1	Nolitsin	198 RUB
	2	Safocid	779 RUB.
	3	Panclave	391 RUB
	4	Furamag	471 RUB.
	5	Fosfomycin	434 RUB
	6	Chlorhexidine	132 RUB
	7	Miramistin	383 RUB
	8	Spazoverin	120 RUB
	9	Kanefron-N	467 RUB

Nolitsin

Rating: 4.9

The famous drug Nolitsin, which belongs to fluoroquinolones, opens the rating of medicines for cystitis. The active ingredient in it is norfloxacin, and it is used not only for cystitis, but also for gonococcal infections, inflammatory lesions of the prostate gland and other diseases. The drug is usually prescribed in an average dose of 400 mg twice a day, or one tablet 2 times a day. You need to be treated for at least a week or two, according to the indications, the medication can be extended. If cystitis is uncomplicated, then usually 5 days may be enough. This product is produced by a well-known company from Slovenia, Krka. You can buy these pills for cystitis in a pharmacy, starting from the price of 310 rubles. per pack of 20 tablets, designed for 10 days of admission.

Advantages and disadvantages

The advantages of the remedy include broad indications, they are also treated with other urinary tract infections, for example, pyelonephritis. This allows you to 'overlap' the indications with one agent in case of a combined infection, since only pure cystitis is rarely found in isolation. It is also good that in patients with impaired renal function and chronic renal failure, it is possible not to select the dose in a special way, but to prescribe the entire dosage. The disadvantages of Nolitsin include the fact that more active drugs from the same group of fluoroquinolones have already appeared, and drug resistance sometimes develops to norfloxacin, but this is offset by the relative low cost and availability of these tablets.

Safocid

Rating: 4.8

This drug was included in the rating due to its high effectiveness associated with its combined composition. Here fluconazole, which has a powerful antifungal effect, azithromycin, or Sumamed, which is a highly effective antibiotic, and secnidazole are collected in one package. The latter is a representative of antimicrobial drugs from the metronidazole group, or trichopol. Safocid is used for a wide range of sexually transmitted diseases, gynecological diseases, and is used in a very interesting way. You need to use the medicine once, but all 4 tablets at once, which exist in one package. Manufacturer – Laika Labs Limited, India.

Advantages and disadvantages

The obvious advantages of this combination drug include its powerful action, high efficiency and a single dose, of the 'take and forget' type. The disadvantages include the need to take 4 tablets at once, which is not so convenient, as well as a rather high price: in 2018, you can purchase Safocid in the amount of 4 tablets for 1 single dose, starting at a price of 742 rubles.

Panclave

Rating: 4.8

This broad-spectrum antibiotic is a combination of amoxicillin with clavulanic acid. The basis is semi-synthetic penicillin, additionally enhanced by an enzyme that inhibits microbial beta-lactamase, with which pathogenic pathogens destroy antibiotics. The drug is available in the form of tablets, and the dosage must take into account the patient's body weight. If it exceeds 40 kg, then the dosage is one tablet three times a day with an uncomplicated course of acute cystitis. In the case of a severe course, it is necessary to use a different dosage – not 250 mg, but 500 mg. The course of treatment should not last more than 14 days without a subsequent medical examination. The medicine is produced by the Serbian company Hemofarm, and in Russia the distributor is Nizhpharm. The drug can be purchased at a reasonable price of 310 rubles, for 20 tablets for a week of treatment.

Advantages and disadvantages

The advantages of this remedy include a rather low price, good tolerance and a large list of indications, ranging from cystitis to otitis media, inflammatory disease of the biliary tract, and gynecological pathology. This means that in any case, the packaging of this drug will never be superfluous in any home. The negative aspects of using Panklav include the need to calculate especially the dosage of the drug in patients with renal failure, as well as the gradual development of drug resistance of cystitis pathogens to this agent, which gradually reduces the effectiveness.

Furamag

Rating: 4.8

This tool has taken its place in the ranking due to its high efficiency and reliability. The active ingredient is furazidine, which belongs to nitrofurans, synthetic antibacterial drugs. This medicine is effective against many gram-positive and gram-negative cocci and rods, as well as against protozoa. The remedy is especially indicated for diseases of the urinary tract, with cystitis, urethritis and pyelonephritis. The medicine can also be used in the form of a local solution for instillation into the urethra, if indicated. Furamag is available in capsules, for 30 capsules you need to pay at least 645 rubles, while the medicine is enough for two weeks of use.

Advantages and disadvantages

The advantages include: high efficiency and reliability of the drug, extremely rare development of microbial resistance, which are especially “dislike” nitrofurans, the ability to take the drug for a long time. Hypersensitivity to nitrofurans, pregnancy and childhood can limit the use. There are also special instructions: with prolonged use of the drug, symptoms of damage to peripheral nerves may occur, therefore, when prescribing Furamag, it is necessary to prescribe additionally group B drugs – thiamine, pyridoxine hydrochloride, cyanocobalamin.

Fosfomycin

Rating: 4.7

Fosfomycin is an antibiotic specifically used to treat infections of the genitourinary system. It is a broad-spectrum antibiotic and is indicated for many inflammatory diseases, including cystitis. A unique feature of this agent is its antiadhesive effect: infectious agents simply cannot 'stick' to the cells of the urinary tract mucous membrane, which significantly inhibits the initiation of the infectious process.

This antibiotic was included in the popularity rating for a wide range of pathogens that it is capable of inactivating. Fosfomycin is produced in various commercial drugs such as Urofoscin, Monural, Uronormin, and so on. The product is available in granular form, in sachets for administration, before taking it, you need to prepare a solution. A typical representative is Monural, one sachet of the drug with a dosage of 2 g costs 338 rubles. Monural is produced by the Italian company Zambon.

Advantages and disadvantages

The advantages of fosfomycin include its high efficiency, as well as the fact that the treatment is carried out only for 1 day, and therefore a single dose is equal to the course of treatment, which makes the drug more attractive economically. Also, the remedy can be prescribed for children, and, if necessary, for pregnant women. The negative aspects include side effects, especially from the gastrointestinal tract in the form of diarrhea, heartburn and nausea. Various allergic reactions and skin rashes are also possible.

Chlorhexidine

Rating: 4.7

In the ratings for the treatment of cystitis and other inflammatory diseases of the urinary tract, there must be topical antiseptics. Chlorhexidine is the most versatile. It is a bactericidal universal remedy of a very broad spectrum of action, which is also active against many fungi, and even against viruses, for example, herpes viruses.

The finished dosage form contains the active substance in the form of a bigluconate. This drug is highly active against various bacteria, both gram-positive and gram-negative. Perhaps, only in the case of a rare form of pseudomonas and proteic cystitis, chlorhexidine will have a lower activity.

Chlorhexidine is indicated for rinsing, instillations, for administration into the urethra, for treating female and male genital organs, and even for rinsing the mouth with stomatitis, which indicates its high safety. Chlorhexidine can be used to treat skin and mucous membranes even in babies and pregnant women.

Chlorhexidine solution can be used not only for the treatment of cystitis, but also for its prevention, for example, by injecting immediately into the external opening of the urethra 2-3 ml of chlorhexidine after unprotected intercourse for men, and for women the same amount into the urethra and about 10 ml of chlorhexidine in the vagina. It is important to refrain from urinating after instillation for 2 hours. For douching and treatment of mucous membranes, a solution with a concentration of 0.05% is used.

Advantages and disadvantages

The advantages of chlorhexidine include its high efficiency and safety, low cost – 100 ml of a spray can be bought for only 12 rubles, ease of use, and the ability to use it in various dosage forms – from ointments, creams, sprays to vaginal suppositories and even to alcohol solutions . Side effects include a rather rare individual intolerance, and it is also not recommended to simultaneously use it for women together with soap for washing, since the alkaline formula of the soap significantly reduces the effectiveness of the compound.

Miramistin

Rating: 4.6

Miramistin also occupies popular places in the ratings of topical antiseptics for cystitis and other diseases of the urinary tract. It belongs to quaternary ammonium compounds, and its chemical name is too complicated, so we will restrict ourselves to the general one.

This antiseptic is indicated both for the treatment of urinary tract infections and cystitis, and for the prevention of many sexually transmitted diseases – with candidiasis, with diseases of ENT organs, with periodontitis, stomatitis, inflammatory diseases of the female and male genital organs. Miramistin is produced in the form of a solution, if you shake it, then there is intense foaming. It is very important that the agent also has antiviral activity, including against the human immunodeficiency virus.

The drug is applied topically, there is both a spray nozzle and a special gynecological nozzle and an urological applicator, with which you can inject the drug into the urethra in an amount of up to 3 ml once or twice a day, for up to 10 days. This is the standard treatment for chronic and acute cystitis. A solution at a concentration of 0.01% is used, and you can buy Miramistin, starting at a cost of 190 rubles. for one bottle of 50 ml. The tool is produced by ZAO Infomed, a domestic manufacturer.

Advantages and disadvantages

The advantages of Miramistin include high and complex efficacy against various microorganisms and viruses, a wide range of applications in many fields of medicine, safety in pregnant women and children, convenience with which the drug can be introduced into the urethra. On the negative side, you can name a slight burning sensation that goes away by itself after a few seconds. This symptom is a side effect of drug administration and should not be canceled in this case. Also, sometimes there may be mild allergic reactions and individual intolerance to the drug.

Spazoverin

Rating: 4.6

The popular rating of drugs for the treatment of cystitis will be incomplete without myotropic antispasmodics. One of these representatives is spazoverin. This remedy is an analogue of No-shpa, and contains drotaverine as an active ingredient in an amount of 40 mg in the form of hydrochloride. The drug reduces the tone of the smooth muscles of internal organs, including the bladder, and can reduce the symptoms of cystitis associated with inflammatory spasm of the bladder, reduce the feeling of fullness, increase the time between urination, and improve the quality of life during the period of acute inflammation. The drug is prescribed by mouth, in a dosage of 40 to 80 mg 2 to 3 times a day. The Indian company Shreya produces the tool, and you can buy it for 122 rubles. in the amount of 30 tablets per pack.

Advantages and disadvantages

The disadvantages of the remedy include the presence of serious contraindications that are associated with heart disease, severe hepatic and renal failure, as well as the presence of atherosclerosis of the vessels of the heart and adenoma of the prostate gland. Only a doctor should prescribe the drug, since in a large dose it can lead to inhibition of the conduction of the heart impulse, it can damage during pregnancy and breastfeeding. The positive aspects of the drug include its good effect on dysuric disorders, as well as a democratic price and good tolerance.

Kanefron-N

Rating: 4.5

The rating of remedies for the treatment of cystitis should also include a natural herbal remedy, Canephron – N. It belongs to diuretics, that is, drugs that increase urination, and its active substances are extracts from the herbs of centaury, lovage and rosemary. This agent has a mild diuretic, antispasmodic effect, and also has an anti-inflammatory and antimicrobial effect.

It is necessary to use Canephron in complex therapy, against the background of the appointment of symptomatic drugs and antibacterial agents. Kanefron is used inside, in the form of a solution. An ordinary adult needs 50 drops 3 times a day, and after the symptoms of cystitis have subsided, treatment is continued for a month as prescribed by a doctor. The drug is produced by the domestic company Bionorica, and for one bottle of 100 ml you need to pay from 370 rubles.

Advantages and disadvantages

The advantages of kanefron include its mild action, no side effects, the ability to combine it with other antimicrobial drugs and local antiseptics. Some of the inconveniences include its bitter taste, which can make it difficult to take in children, the need to consume large amounts of fluids during treatment, and the presence of allergic reactions and dyspeptic disorders as side effects.

---

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.