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Treatment area: Bacterial infections

Treat bacterial infections responsibly

Antibiotics work against bacteria, not viruses, and are therefore only effective for certain infections. A doctor will review your questionnaire to determine whether a prescription antibiotic is suitable for you or whether a personal examination is necessary.

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BehandlungsoptionenTreatment optionsOptions de traitementBehandelopties

Antibiotics for bacterial infections

All medications are prescription-only and will only be prescribed after a doctor has reviewed your fully completed questionnaire. The doctor will decide which active ingredient, in what quantity, and for how long is appropriate.

Selbst einschätzenAssess it yourselfFaire le point vous-mêmeZelf inschatten

Which antibiotic might be suitable?

  1. 1 If you are allergic to penicillins Amoxicillin and Augmentin are not suitable in this case. After a mild reaction, a cephalosporin may be considered, depending on the infection and the causative agent. However, cephalexin is unlikely to be suitable after a reaction to amoxicillin or Augmentin because the active ingredients are chemically similar. After a severe reaction, including blisters or skin peeling, clarithromycin or clindamycin are more appropriate. Describe the previous reaction precisely in the questionnaire. The doctor will decide.
  2. 2 In the case of an uncomplicated bladder infection Guidelines usually recommend other, specifically intended medications for this. Amoxicillin, Augmentin, cephalexin, Zinnat, and ciprofloxacin are not first-line treatments for a simple bladder infection. Ciprofloxacin is only considered if other medications are unsuitable. Further information can be found in the section on bladder infections. The doctor will make the final decision.
  3. 3 If you regularly take medication or have heart rhythm disorders Clarithromycin and ciprofloxacin have numerous interactions and can affect heart rhythm (QT prolongation). Please list all medications you are taking completely in the questionnaire. The doctor will decide which active ingredient is appropriate.
  4. 4 If you are pregnant, breastfeeding, or planning a pregnancy Not every antibiotic is equally suitable. Ciprofloxacin, for example, should be avoided during pregnancy if possible and should not be taken while breastfeeding. Indicate pregnancy, desire to conceive, or breastfeeding in the questionnaire. The doctor will weigh the benefits and risks and make a decision.

Diese Hinweise helfen bei der Orientierung und ersetzen keine ärztliche Beratung. Ob und welche Behandlung für Sie geeignet ist, entscheidet der Arzt anhand Ihres Fragebogens.This guidance helps you get your bearings and does not replace medical advice. Whether a treatment is suitable for you, and which one, is decided by the doctor on the basis of your questionnaire.Ces indications vous aident à vous orienter et ne remplacent pas un avis médical. C’est le médecin qui décide, sur la base de votre questionnaire, si un traitement vous convient et lequel.Deze aanwijzingen helpen u op weg en vervangen geen medisch advies. Of en welke behandeling voor u geschikt is, bepaalt de arts aan de hand van uw vragenlijst.

Penicillins

Amoxicillin alone or together with clavulanic acid, which prevents its breakdown by certain bacterial enzymes.

Amoxicillin RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Amoxicillin

Penicillin antibiotic in tablet form against various bacterial infections, for example of the respiratory tract.

FormFormFormeVorm
Tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Amoxicillin belongs to the penicillin class of drugs. It inhibits the synthesis of the bacterial cell wall, causing multiplying bacteria to die. It is ineffective against viruses and against bacteria that break down penicillin using beta-lactamases.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If a bacterial infection has been medically diagnosed or is likely
  • If no allergy to penicillins is known
  • If there are no warning signs such as shortness of breath or confusion
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Tablets for oral administration, usually taken 2 or 3 times daily for several days, with or without food. The dose and duration depend on the infection.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 500 mg · 750 mg · 1000 mg

Do not take if you have a penicillin allergy or have had a severe allergic reaction to another beta-lactam antibiotic, such as a cephalosporin. If you experience shortness of breath, confusion, or feel very ill, seek immediate medical attention; in an emergency, call 112.

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Amoxicillin / Clavulanic acid RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Augmentin (Amoxicillin / Clavulansäure)

Amoxicillin with clavulanic acid as a film-coated tablet against bacterial infections, for example of the respiratory tract or skin.

FormFormFormeVorm
Film-coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Amoxicillin inhibits the synthesis of the bacterial cell wall. Clavulanic acid blocks beta-lactamases, which some bacteria use to break down penicillins. This combination therefore also targets pathogens that produce such enzymes.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If a bacterial infection has been medically diagnosed or is likely
  • If no allergy to penicillins is known
  • If no liver problems have previously occurred with amoxicillin and clavulanic acid
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Film-coated tablets for oral use at the start of a meal, usually 2 or 3 times daily. Do not use for longer than 14 days without medical supervision.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 500mg/125mg · 875mg/125mg

Do not take if you are allergic to penicillin, have had a severe allergic reaction to another beta-lactam antibiotic, or have experienced liver problems due to amoxicillin with clavulanic acid. Seek immediate medical attention if you experience shortness of breath, confusion, or feel very unwell.

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Cephalosporins

Antibiotics related to penicillins, which also disrupt the structure of the bacterial cell wall.

Cephalexin RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Cefalexin

Cephalosporin antibiotic in capsule form for bacterial infections, for example of the skin or urinary tract.

FormFormFormeVorm
Hard capsules

So wirkt es:How it works:Mode d’action :Zo werkt het: Cefalexin belongs to the cephalosporin class. It blocks enzymes that growing bacteria need to build their cell walls, causing the bacteria to die. It is ineffective against viruses.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If a bacterial infection has been medically diagnosed or is likely
  • If no allergy to cephalosporins is known
  • If no severe allergic reaction to penicillins is known
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Capsules for oral administration, usually every 8 or 12 hours for 7 to 10 days, with or without food. The doctor determines the dose and duration.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 500 mg

Do not take if you are allergic to cephalosporins or have had a severe allergic reaction to penicillins. Seek immediate medical attention if you experience shortness of breath, confusion, or feel very unwell.

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Cefuroxime axetile RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Zinnat (Cefuroxim)

Cephalosporin antibiotic in film-coated tablet form for respiratory, urinary tract and skin infections, as well as early treatment of Lyme disease.

FormFormFormeVorm
Film-coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Cefuroxime axetil is converted in the body to cefuroxime. Cefuroxime inhibits enzymes that bacteria need to build their cell walls, thereby killing susceptible bacteria.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If a bacterial infection is present for which Zinnat is approved
  • If there is no allergy to cephalosporins
  • If there has never been a severe allergic reaction to penicillins
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Take film-coated tablets twice daily after a meal, without chewing, usually for 7 days, 14 days in the case of Lyme disease, as determined by a doctor.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 250 mg · 500 mg

Not suitable for those with a cephalosporin allergy or after a severe allergic reaction to penicillins. Take tablets after meals.

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Macrolides and lincosamides

They inhibit protein production in bacteria and are often considered when penicillins are not suitable.

Clarithromycin RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Clarithromycin

Macrolide antibiotic in film-coated tablet form for respiratory and skin infections, and in combination with other drugs against Helicobacter pylori.

FormFormFormeVorm
Film-coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Clarithromycin binds to the ribosomes of bacteria, thus inhibiting the production of bacterial proteins. The bacteria can no longer multiply, and the immune system can eliminate the infection.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If a bacterial infection is present for which clarithromycin is approved
  • If penicillins are unsuitable due to an allergy or for other reasons
  • If no medications are being taken that should not be combined with clarithromycin
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Film-coated tablets are usually taken twice daily, regardless of meals, for 6 to 14 days as prescribed by a doctor.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 250 mg · 500 mg

Numerous interactions exist, for example with simvastatin, colchicine, and certain heart medications. Not suitable for patients with QT prolongation or low potassium or magnesium levels.

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clindamycin RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Clindamycin

Lincosamide antibiotic in hard capsule form, used for, among other things, dental, skin and ENT infections.

FormFormFormeVorm
Hard capsules

So wirkt es:How it works:Mode d’action :Zo werkt het: Clindamycin binds to the ribosomes of bacteria, thus inhibiting the production of bacterial proteins. The bacteria can no longer multiply. It is particularly effective against staphylococci, streptococci, and bacteria that live without oxygen.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If a bacterial infection is present for which clindamycin is approved
  • If penicillins are unsuitable due to an allergy or for other reasons
  • If there is no allergy to clindamycin or lincomycin
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Take capsules with a large glass of water while standing upright, divided into 2 to 4 doses per day as directed by a doctor.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 150 mg · 300 mg

Risk of intestinal inflammation caused by Clostridioides difficile. If severe or bloody diarrhea occurs, discontinue use and seek immediate medical advice, even if it develops weeks after treatment.

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Fluoroquinolones

Ciprofloxacin is used only in specific cases due to rare but serious side effects; for milder infections, it is only used when other antibiotics are unsuitable.

Ciprofloxacin RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Ciprofloxacin

Fluoroquinolone antibiotic in film-coated tablet form, used, among other things, for complicated urinary tract and prostate infections.

FormFormFormeVorm
Film-coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Ciprofloxacin inhibits enzymes that bacteria need to replicate their genetic material, thereby killing susceptible bacteria. The active ingredient effectively reaches the kidneys, urinary tract, and prostate.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If a doctor has diagnosed a bacterial infection for which ciprofloxacin is approved
  • If other common antibiotics are unsuitable or have not worked
  • If there is no allergy to quinolones
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Take the film-coated tablets twice daily with water, not with dairy products alone. The duration of treatment varies from one day to several weeks, depending on the infection, and will be determined by a doctor.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 250 mg · 500 mg · 750 mg

Rarely, severe, sometimes long-lasting side effects may occur, affecting tendons, nerves, mental health, and the aorta. Do not take with tizanidine.

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RatgeberGuideGuideGids

What you should know about antibiotics

Antibiotics fight bacteria, but they are ineffective against viruses. To ensure they remain effective in the future, they are used selectively and only after medical examination.

Bacteria or viruses?

Many infections are caused by viruses, for example, colds, flu, most sore throats, and acute bronchitis. Antibiotics are ineffective against viruses. Bacteria, on the other hand, are often the cause of:

  • Cystitis and other urinary tract infections
  • inflamed wounds, erysipelas and other skin infections
  • Erythema migrans after a tick bite (early Lyme disease)
  • some tonsil, sinus, middle ear or lung infections

Without an examination, it's not always possible to distinguish with certainty. Clues can be found in the course of the illness, fever, and typical findings; sometimes a test using urine, a swab, or blood is also necessary.

What antibiotics are available?

Antibiotics are classified into groups according to their chemical structure and mode of action:

  • Penicillins Amoxicillin, as Augmentin together with clavulanic acid
  • Cephalosporins: Cefalexin and cefuroxime (Zinnat)
  • Macrolides and lincosamides: Clarithromycin and clindamycin
  • Fluoroquinolones Ciprofloxacin, only for selected infections

Which medication is suitable depends on the location of the infection, the likely pathogens, allergies, other medications, and antibiotic resistance in the region. Not every antibiotic is effective against every pathogen. Therefore, the doctor assesses each case individually.

Side effects and resistance

Common side effects include diarrhea, nausea, abdominal pain, skin rash, and fungal infections, for example, in the vagina or mouth. Rarely, severe intestinal inflammation can develop due to Clostridioides difficile, even weeks after taking the antibiotic. Allergic reactions are possible with all antibiotics.

Individual active ingredients carry particular risks. Ciprofloxacin can damage tendons and nerves, clarithromycin has many interactions, the risk of intestinal inflammation is increased with clindamycin, and Augmentin can rarely trigger hepatitis with jaundice, even weeks after ingestion.

Every dose can contribute to bacteria becoming insensitive (resistant). Antibiotics are therefore only used when a suitable diagnosis is made.

Warning signs: When immediate help is needed

Online treatment is not suitable for every infection. Call emergency services immediately on 112 (Switzerland: 144) if:

  • Shortness of breath, confusion, severe drowsiness, a very severe feeling of illness or circulatory problems may occur.
  • Swelling of the face, lips or throat, or difficulty swallowing
  • A stiff neck with severe headaches occurs, or skin spots appear during fever that do not fade when pressed.
  • a redness spreads quickly and is very painful
  • Sudden severe pain in the abdomen, chest or back occurs while taking Ciprofloxacin

Seek immediate personal medical attention if you experience high fever with chills, flank pain, after a bite on your hand, face or joint, or if your symptoms do not improve after two to three days of treatment.

Use antibiotics correctly

So that antibiotics remain effective

Bacteria can adapt to antibiotics and become resistant. Such resistance develops more readily the more frequently antibiotics are used, even when unnecessary. Therefore, it is important to take antibiotics correctly and exactly as prescribed. The duration depends on the infection and is determined by your doctor; do not stop or extend the course on your own. However, if you experience a serious side effect, such as an allergic reaction, stop taking the antibiotic and seek medical help immediately.

  • Distribute the doses evenly throughout the day and follow instructions regarding meals, for example with Augmentin and Zinnat.
  • Do not save leftovers for later, do not give them away, and do not dispose of them via the toilet or drain.
  • Drink plenty of fluids if you have diarrhea; stop taking the medication and seek medical advice immediately if you experience severe or bloody diarrhea.

Diarrhea or vomiting can reduce the effectiveness of the birth control pill; refer to the package insert for further information. If symptoms do not improve or worsen after two to three days, consult your doctor. More information on urinary tract infections: Cystitis. Our online doctor answers general questions..

Zu den BehandlungsoptionenView treatment optionsVoir les options de traitementNaar de behandelopties

AblaufHow it worksDéroulementWerkwijze

In vier Schritten zur BehandlungFour steps to your treatmentEn quatre étapes vers votre traitementIn vier stappen naar uw behandeling

Ärztlich geprüft, diskret und ohne Wartezimmer.Reviewed by a doctor, discreet and without a waiting room.Examiné par un médecin, discret et sans salle d’attente.Door een arts beoordeeld, discreet en zonder wachtkamer.

  1. 1Behandlung wählenChoose a treatmentChoisir un traitementBehandeling kiezenWählen Sie Ihr Anliegen und das gewünschte Präparat oder stellen Sie eine allgemeine Anfrage.Choose your concern and the medicine you want, or send a general request.Choisissez votre problème et le médicament souhaité, ou envoyez une demande générale.Kies uw klacht en het gewenste middel, of stuur een algemene aanvraag.
  2. 2Fragebogen ausfüllenFill in the questionnaireRemplir le questionnaireVragenlijst invullenDie medizinischen Fragen beantworten Sie online, vertraulich und in Ruhe.You answer the medical questions online, confidentially and at your own pace.Vous répondez aux questions médicales en ligne, en toute confidentialité et à votre rythme.U beantwoordt de medische vragen online, vertrouwelijk en in alle rust.
  3. 3Ärztliche PrüfungMedical reviewÉvaluation médicaleMedische beoordelingEin zugelassener Arzt prüft Ihre Angaben. Ist die Behandlung nicht geeignet, erhalten Sie Ihr Geld zurück.A licensed doctor reviews your answers. If the treatment is not suitable, you get your money back.Un médecin agréé examine vos réponses. Si le traitement ne convient pas, vous êtes remboursé.Een bevoegde arts beoordeelt uw gegevens. Is de behandeling niet geschikt, dan krijgt u uw geld terug.
  4. 4Diskreter VersandDiscreet deliveryLivraison discrèteDiscrete verzendingNach Ausstellung des Rezepts versendet eine EU-Partnerapotheke Ihr Arzneimittel meist innerhalb eines Werktages.Once the prescription has been issued, an EU partner pharmacy usually sends your medicine within one working day.Une fois l’ordonnance établie, une pharmacie partenaire de l’UE expédie votre médicament généralement sous un jour ouvré.Na het uitschrijven van het recept verstuurt een EU-partnerapotheek uw geneesmiddel meestal binnen één werkdag.

Häufige FragenFrequently asked questionsQuestions fréquentesVeelgestelde vragen

Questions about antibiotics

Haben Sie eine andere Frage? Unsere Ärzte und unser Service-Team helfen Ihnen gerne weiter.Have another question? Our doctors and our service team will be glad to help.Vous avez une autre question ? Nos médecins et notre équipe de service vous aident volontiers.Heeft u een andere vraag? Onze artsen en ons serviceteam helpen u graag verder.

Frage an einen ArztAsk a doctorPoser une question à un médecinVraag stellen aan een arts
Do antibiotics help with colds or flu?

No. Colds, flu, and most sore throats are caused by viruses, against which antibiotics are ineffective. Unnecessary use can cause side effects and promotes resistance. Antibiotics are only considered when a bacterial infection is likely, for example, in certain cases or with an unusual course of the illness. Learn more: Colds, coughs and flu.

Yes. All antibiotics in this category require a prescription. A doctor will review your questionnaire and decide whether a prescription without a personal examination is appropriate. The inquiry itself is free of charge. If the treatment is unsuitable, no prescription will be issued, and you will receive a full refund of any payments already made.

Take the antibiotic for the full course prescribed, even if you feel better sooner. The appropriate duration depends on the infection and is often shorter than previously thought. Do not stop or extend the course on your own. However, if you experience signs of an allergic reaction, yellowing of the skin, severe or bloody diarrhea, or, while taking ciprofloxacin, tendon pain, tingling, or numbness, stop taking the medication and seek immediate medical attention.

Amoxicillin and Augmentin are unsuitable for anyone with a penicillin allergy. After a severe allergic reaction, such as shortness of breath, circulatory collapse, swelling of the face or throat, or blisters and skin peeling, this also applies to cefalexin and Zinnat. Following a reaction to amoxicillin or Augmentin, cefalexin is generally not an option because the active ingredients are chemically similar. Please describe in detail in the questionnaire which medication triggered which reaction. The doctor will make the final decision.

Medical professionals will typically contact you within 24 hours. Once the prescription is issued, it will be shipped free of charge via DHL Express, discreetly packaged and with a tracking number. If your symptoms worsen significantly in the meantime or if warning signs appear, do not wait for delivery, but seek immediate in-person medical attention.

Medizinische ExpertiseMedical expertiseExpertise médicaleMedische expertise

Jede Anfrage in ärztlichen HändenEvery request in a doctor’s handsChaque demande entre des mains médicalesElke aanvraag in medische handen

Dr. Viktor Simunovic
Medizinischer GutachterMedical assessorMédecin évaluateurMedisch beoordelaarDr. Viktor SimunovicAllgemeinmedizin & digitale GesundheitGeneral medicine & digital healthMédecine générale et santé numériqueHuisartsgeneeskunde en digitale zorg
Dr. Codruta Anca Pandalache
Medizinische GutachterinMedical assessorMédecin évaluatriceMedisch beoordelaarDr. Codruta Anca PandalacheReproduktionsmedizin & FrauengesundheitReproductive medicine & women’s healthMédecine de la reproduction et santé des femmesVoortplantingsgeneeskunde en vrouwengezondheid
Lernen Sie unsere Ärzte kennenMeet our doctorsFaites connaissance avec nos médecinsMaak kennis met onze artsenHintergrund, Erfahrung und FachgebieteBackground, experience and specialismsParcours, expérience et spécialitésAchtergrond, ervaring en vakgebieden

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