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What are Boils?


These skin infections are caused by a bacteria called Staphylococcus aureus. The bacteria
infect a hair follicle resulting in the formation of a small swelling that goes on to form an
abscess. The abscess usually drains out resulting in resolution of the furuncle. In some
cases, however, the infection can spread through the skin and even to other parts of the
body.
hough boils can affect anybody, it occurs more often in people with reduced immunity
like diabetes patients or patients on corticosteroid.

Treatment
A warm compress applied to the boil may help it heal. Some furuncles may require
surgical draining.

Drugs
Local antibiotics: Local antibiotics like fusidic acid and retapamulin can be used to treat
furunculosis. These are usually not associated with any major side effects.
Oral antibiotics are necessary when the patient has multiple furuncles with fever or
reduced immunity. Oral drugs used to treat furunculosis include:
Penicillins: Penicillins are a group of commonly used antibiotics used in the
treatment of furunculosis. Ampicillin is a commonly used penicillin used for skin
infections. Unfortunately, the bacteria very often produce an enzyme called
penicillinase that destroys penicillin. To prevent this, another drug clavulanic acid is
given in the same formulation as ampicillin. Clavulanic acid inhibits the enzyme
penicillinase produced by the bacteria and allows the ampicillin to act.

Penicillinase-resistant penicillins like dicloxacillin: Another option to treat


resistant infections is with the use of penicillin antibiotics that cannot be destroyed by
penicillinase. These include drugs like dicloxacillin and Oxacillin.

Cephalosporins: Cephalexin is a commonly used cephalosporin used in the


treatment of furunculosis. It is a drug related to penicillin.

Erythromycin or clindamycin: The most common problem associated with penicillin


is the chance of developing an allergic reaction. The allergic reaction can vary from a
simple rash to a life-threatening situation. In such situation, it is necessary to use an
antibiotic that is not a penicillin or in any way related to penicillin like cephalosporin.
Therefore, drugs like erythromycin or clindamycin are used in these cases.

Drugs to treat methicillin-resistant Staphylococcus aureus. Some strains


ofStaphylococcus aureus called methicillin-resistant Staphylococcus aureus (MRSA)
are highly resistant to penicillins and are treated with drugs from other groups. These
drugs include:
o
Trimethoprim-sulfamethoxazole which is actually a combination of two drugs
given together for better effect.
o
Minocycline or doxycycline, which belongs to the tetracycline group of
antibiotics. These antibiotics should not be administered in pregnancy.
o
Very serious infections are treated in a hospital with intravenous drugs like
vancomycin or linezolid.
Staphylococcus aureus bacteria often remain on the skin and in the nostrils without
causing infection. These could be the sources of recurrent furunculosis and should
therefore be eliminated. Treatment of nasal carriers is done by using the following drugs:

Mupirocin cream or fusidic acid ointment for 5 days of each month. These are applied
to the nasal mucosa to eliminate the bacteria causing boils and thereby prevent
recurrences. Mupirocin is a local antibiotic that is effective even against methicillinresistant Staphylococcus aureus

Oral rifampicin for 10 days. Rifampicin is actually a drug that is used for the
treatment of tuberculosis. Although it is effective against a wide range of bacteria, its
use in all these infections is avoided to reduce the chances of developing resistance.
However, it can be used in the treatment of nasal carriers of Staphylococcus aureus.

Health Tips
Beside the nostrils, Staphylococcus aureus can also be found on the skin. Therefore,
it is necessary to keep the skin clean with a good antibacterial soap especially if you
tend to suffer from repeated infections.
Get yourself checked for diabetes, anemia etc. to rule out any predisposing factor.
Other family members should take extra hygiene methods to keep the skin clean.
Do not share clothes and handkerchiefs. Skin and underclothes should be kept
clean.
Use the antibiotic for the prescribed number of days. A short duration or a too-long
duration could lead to ineffectiveness.

http://www.medindia.net/drugs/medical-condition/boils.htm

Boils / Skin Abscess - Drugs for its Treatment


Written & Compiled by Madhumathi Palaniappan
Medically Reviewed by The Medindia Medical Review Team on Apr 07, 2016

Generic and Trade Names of Drugs for Treatment of


Boils / Skin Abscess
Amoxicillin
Amoxicillin is a penicillin-like , -lactam antibiotic. It is used to treat bacterial infections caused by susceptible
microorganisms. It prevents the bacterial growth and is used in the treatment of a number of infections such as
pneumonia, bronchitis, gonorrhea, and infections of t
Trade Names
AC 2 (500+125) | Acmox | Advent (1000+200) | Aeromox | Aeromox 500 | Alnaclox | Aloxan D | Alpaclav (30
ml) | Ambrom S |Ambrox | Ambrox Forte | Amclox DL | Amexine | Amexine (500 mg) | Amilus D | Amimox
-DC | Amoclav (500+125) | Amoclox - D |Amov 625 (alu alu) | Amovate Kid |
More...

Ampicillin
Ampicillin is beta-lactam antibiotic, prescribed for certain types of bacterial infections such as UTI, meningitis,
gonorrhea, pneumonia, bronchitis, ear, lung, skin and respiratory tract infections.
Trade Names
2 Pen | 2 Pen | 2 Pen D | 2 Pen LB | 2 Pen LB DT | 2 Pen LB Syrup | Aanclox | Aanclox Kid | Ace | Ace (1.5+1.5
gm) | Ace (1+1 gm) |Aciamclox-500 | Adc | Adilox | Affycillin | AG Clox | Ak 60 (30 ml) | Ak 60 250 | Ak 60 Kid | AL
1|
More...

Cefaclor
Cefaclor is a cephalosporin antibiotic, prescribed for certain infection caused by bacteria such as pneumonia, ear,
lung, skin, throat, and urinary tract infections.
Trade Names
Alclor | Alclor | Clorocef | Diclor | Diclor | Diclor | Distaclor | Distaclor | Distaclor | Distaclor | Distaclor | Distaclor | Di
staclor |Distaclor | Distaclor | Eclor La | Eclor Premix | Halclor | Halocef | Halocef |
More...

Nitrofurazone
Nitrofurazone is an antibiotic, prescribed for infected burns.
Trade Names
Nitrofurazone | Decacin | Furasept | Furocid | Nitrofurazone |

Povidone Iodine
Povidone Iodine is an antiseptic combination, prescribed for minor wounds and infections, as well as killing
bacteria.
Trade Names
Aansoo | Adle | Alopim | Aqatears | Aqua Tears | Aquatears (10 ml) | Aquatears (5ml) | Ashru | Clopo | Dudrop | Eczo
-Betadine |Eczo -Wokadine | Eyedrip | Flotears (10 ml) | Font Eye | Healin (35 gm) | Hypotears Plus | I -Lube (Eye) | I
-Lube Unims (Eye) | Ilube Unims |

More...

Sodium Fusidate
Sodium Fusidate is a bacteriostatic antibiotic, prescribed for osteomyelitis, boils, folliculitis, sycosis, and other skin
infections.
Trade Names
Clopinate-F | Dicfu-C | Fucinex | Fucinit | Fucithalmic | Fudac
(10
gm) | Fudec | Fudil | Fusibact | Fusicare | Fusiclo | Fusiderm (10 gm) | Fusiderm (5 gm) | Fusigen | Fusigen (10
gm) | Fusigen (5 gm) | Fusikab | Fusikab (10 gm) | Fusikab 10 | Fusikab Cream |
More..

MEGACLAV 625 TAB


10 TAB in Strip
Alembic Chemical Works Co. Ltd.
Rs. 19.73 / TAB

AUGMENTIN DUO 625


10 TAB in Strip
GSK
Rs. 16.95 / TAB

DUET 375
10 TAB in Strip
Lupin Laboratories Ltd.
Rs. 16.85 / TAB

CLAVOTROL 625MG TAB


10 TAB in Strip
AstraZeneca Pharma India Ltd.
Rs. 16.70 / TAB

ACLAV TAB
10 TAB in Strip
Glenmark Pharmaceuticals Ltd.
Rs. 14.94 / TAB

FIGHTOX 625MG TAB


10 TAB in Strip
Abbott Healthcare Pvt. Ltd
Rs. 14.33 / TAB

SYMBIOTIK XL 625MG TAB


10 TAB in Strip
Cadila Pharmaceuticals Ltd.
Rs. 14.15 / TAB

CLAVAM LB 625MG TAB


10 TAB in Strip
ALKEM
Rs. 14.10 / TAB

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