What medicine is good for female pelvic inflammatory disease

Pelvic inflammatory disease is one of the more common symptoms among women. If there is pelvic inflammatory disease, the entire reproductive system of women will be greatly affected. In order to avoid further expansion of this impact, it is necessary to take reasonable methods to treat pelvic inflammatory disease in time. Drug therapy is a common way to treat pelvic inflammatory disease. Next, I will introduce to you the drug treatment of pelvic inflammatory disease!

1. Outpatient drug treatment

If the patient is in good general condition, has mild symptoms, can tolerate oral antibiotics, and has follow-up conditions, oral or intramuscular antibiotics can be given in the outpatient clinic. Common solutions:

① Ceftriaxone sodium 250 mg, single intramuscular injection, or ceftriaxone sodium 2 g, single intramuscular injection, and oral probenecid 1 g at the same time, then change to doxycycline 100 mg, twice a day, for 14 consecutive days, and oral metronidazole 400 mg, twice a day, for 14 consecutive days; or other third-generation cephalosporins can be used in combination with doxycycline and metronidazole.

② Take ofloxacin 400 mg orally, twice a day, or levofloxacin 500 mg orally, once a day, and take metronidazole 400 mg, 2-3 times a day, for 14 days; or moxifloxacin 400 mg, once a day, for 14 days.

2. Inpatient drug treatment

If the patient's general condition is poor, the condition is serious, accompanied by fever, nausea, vomiting; or there is pelvic peritonitis; or fallopian tube and ovarian abscess; or outpatient treatment is ineffective; or cannot tolerate oral antibiotics; or the diagnosis is unclear, the patient should be hospitalized and given comprehensive treatment with antibiotics as the main drug therapy. Among them, intravenous drip is the most effective route for antibiotic treatment, and the commonly used regimens are as follows:

① Cephalosporins or cephalosporins: Cephalosporins, such as 2 g of ceftriaxone sodium, intravenous drip, once every 6 hours; or 2 g of cefotetan disodium, intravenous drip, once every 12 hours. Add doxycycline 100 mg IV or orally every 12 hours. Cephalosporins, such as cefuroxime sodium, ceftizoxime sodium, ceftriaxone sodium, and ceftriaxone sodium can also be used. After clinical symptoms improved for at least 24 hours, the patient was switched to oral medication, doxycycline 100 mg once every 12 hours for 14 days. For those who cannot tolerate doxycycline, azithromycin can be used as an alternative, 500 mg each time, once a day, for 3 consecutive days. For patients with tubo-ovarian abscesses, clindamycin or metronidazole may be added to more effectively combat anaerobic bacteria.

② Combination of clindamycin and aminoglycosides: clindamycin 900 mg, once every 8 hours, intravenous drip; gentamicin is first given in a loading dose (2 mg/kg), followed by a maintenance dose (1.5 mg/kg), once every 8 hours, intravenous drip. After clinical symptoms and signs improve, continue intravenous application for 24-48 hours, and change clindamycin to oral administration, 450 mg each time, 4 times a day, for 14 consecutive days; or doxycycline 100 mg, orally, once every 12 hours, for 14 consecutive days.

3. Chinese patent medicine

Friends who know about pelvic inflammatory disease know that pelvic inflammatory disease can be divided into acute and chronic. If pelvic inflammatory disease occurs, the first thing to do is to determine which type of pelvic inflammatory disease you have. When acute pelvic inflammatory disease occurs, patients can use some Chinese patent medicines for conditioning. However, if you suffer from chronic pelvic inflammatory disease, in addition to drug treatment, you must also use other treatment methods.