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Understanding Antibiotics: What They Are and How They Work

Antibiotics are powerful medications specifically designed to treat bacterial infections by either killing bacteria or stopping their growth and reproduction. These essential medicines have revolutionized modern healthcare and continue to save countless lives across Canada and worldwide.

Definition and Purpose of Antibiotics

Antibiotics are antimicrobial drugs that target bacterial infections in the human body. Unlike other medications that treat symptoms, antibiotics work directly against the underlying cause of bacterial illness. They are prescription medications in Canada, meaning they require a healthcare provider's assessment and approval before use.

How Antibiotics Fight Bacterial Infections

Antibiotics employ various mechanisms to combat harmful bacteria. Some antibiotics destroy bacterial cell walls, causing the bacteria to burst and die. Others interfere with bacterial protein synthesis or DNA replication, preventing bacteria from multiplying and spreading throughout the body. This targeted approach allows your immune system to effectively eliminate the remaining bacterial threats.

Difference Between Antibiotics and Other Medications

It's crucial to understand that antibiotics are fundamentally different from other common medications. While pain relievers like acetaminophen treat symptoms, and antiviral medications target viruses, antibiotics specifically combat bacterial infections. They cannot treat viral infections such as the common cold, flu, or COVID-19, nor do they provide pain relief or reduce fever directly.

When Antibiotics Are Prescribed vs. When They're Not Needed

Healthcare providers in Canada prescribe antibiotics when they diagnose confirmed or suspected bacterial infections. Common conditions requiring antibiotic treatment include strep throat, urinary tract infections, certain pneumonias, and infected wounds. However, antibiotics are not prescribed for viral infections, minor cuts that show no signs of infection, or as a preventive measure for healthy individuals.

Common Misconceptions About Antibiotic Use

Several misconceptions surround antibiotic use that can lead to improper treatment. Many Canadians mistakenly believe antibiotics can treat any infection, including viral ones. Another common myth is that stopping antibiotics early when feeling better is acceptable, which can actually lead to antibiotic resistance and recurring infections.

Types of Antibiotics Available in Canada

Canada's healthcare system provides access to various classes of antibiotics, each designed to target specific types of bacterial infections. Understanding these different categories helps patients and healthcare providers choose the most effective treatment option.

Penicillins

Penicillins represent one of the oldest and most widely used antibiotic classes. These medications work by disrupting bacterial cell wall formation, making them highly effective against many gram-positive bacteria.

  • Amoxicillin: Commonly prescribed for respiratory tract infections, ear infections, and urinary tract infections
  • Penicillin V: Often used for throat infections, including strep throat, and certain skin infections

Cephalosporins

Cephalosporins are broad-spectrum antibiotics that share similarities with penicillins but offer broader coverage against various bacterial strains. They're particularly useful for patients with mild penicillin allergies.

  • Cephalexin: Frequently prescribed for skin and soft tissue infections, as well as respiratory tract infections
  • Cefuroxime: Used for more serious infections, including pneumonia and complicated urinary tract infections

Macrolides

Macrolide antibiotics work by inhibiting bacterial protein synthesis, making them effective against respiratory infections and certain sexually transmitted infections. They're often prescribed as alternatives for patients allergic to penicillin.

  • Azithromycin: Popular for treating respiratory infections, including pneumonia and bronchitis
  • Clarithromycin: Used for respiratory tract infections and as part of H. pylori treatment regimens
  • Erythromycin: One of the older macrolides, still used for specific infections and in patients with penicillin allergies

Fluoroquinolones

Fluoroquinolones are potent broad-spectrum antibiotics that interfere with bacterial DNA replication. Due to potential side effects, they're typically reserved for serious infections or when other antibiotics aren't suitable.

  • Ciprofloxacin: Effective against urinary tract infections, certain gastrointestinal infections, and respiratory tract infections
  • Levofloxacin: Used for pneumonia, sinusitis, and complicated urinary tract infections

Tetracyclines

Tetracycline antibiotics work by preventing bacteria from producing essential proteins needed for growth and reproduction. They have unique applications in treating certain chronic conditions and infections.

  • Doxycycline: Used for respiratory infections, acne treatment, and certain tick-borne diseases
  • Tetracycline: Applied in treating specific infections and as part of H. pylori eradication therapy

Sulfonamides

Sulfonamide antibiotics interfere with bacterial folate synthesis, preventing bacteria from producing essential compounds needed for survival and growth.

  • Sulfamethoxazole-trimethoprim: Commonly known as co-trimoxazole, this combination is frequently used for urinary tract infections, certain pneumonias, and other bacterial infections

Common Conditions Treated with Antibiotics

Antibiotics are essential medications prescribed by Canadian healthcare providers to treat various bacterial infections throughout the body. These powerful drugs work by either killing bacteria or preventing their growth, helping your immune system fight off infections more effectively.

Respiratory Tract Infections

Respiratory infections are among the most common reasons for antibiotic prescriptions in Canada. These include pneumonia, which affects the lungs and can be serious if left untreated, bronchitis that causes inflammation of the airways, and sinusitis, which involves infection of the sinus cavities. Your doctor will determine if your respiratory symptoms are caused by bacteria rather than viruses before prescribing antibiotics.

Other Common Bacterial Infections

Antibiotics effectively treat numerous other conditions that Canadian patients frequently encounter:

  • Urinary tract infections (UTIs), which can affect the bladder, kidneys, or urethra
  • Skin and soft tissue infections, including cellulitis and wound infections
  • Ear infections, particularly middle ear infections in children
  • Strep throat and other bacterial throat infections
  • Dental infections and abscesses
  • Post-surgical infection prevention

It's important to remember that antibiotics only work against bacterial infections, not viral illnesses like the common cold or flu. Your healthcare provider will conduct proper testing when necessary to ensure antibiotics are the appropriate treatment for your specific condition.

Popular Antibiotic Medications in Canadian Pharmacies

Canadian pharmacies stock a wide range of antibiotic medications, each designed to target specific types of bacterial infections. Understanding these common antibiotics can help you better discuss treatment options with your healthcare provider.

Broad-Spectrum Antibiotics

Amoxicillin remains one of the most frequently prescribed antibiotics in Canada for general bacterial infections. It's particularly effective for respiratory tract infections, ear infections, and certain skin conditions. This penicillin-based antibiotic is well-tolerated by most patients and comes in various forms including tablets, capsules, and liquid suspensions.

Azithromycin, commonly known as the Z-pack, is another popular choice for respiratory infections. This antibiotic offers the convenience of a shorter treatment course, typically lasting 3-5 days, making it easier for patients to complete their full prescription.

Targeted Treatment Options

For specific conditions, Canadian doctors often prescribe targeted antibiotics. Ciprofloxacin is highly effective for urinary tract infections, while cephalexin is commonly used for skin and soft tissue infections. Doxycycline offers versatility in treating various bacterial infections, including some sexually transmitted infections and tick-borne diseases. Clindamycin is frequently prescribed for dental infections and serious skin infections.

Always complete your full antibiotic course as prescribed, even if you feel better before finishing all doses.

Safe Use and Important Considerations

Completing Your Antibiotic Course

One of the most critical aspects of antibiotic treatment is completing the entire prescribed course, even if you feel better before finishing all the medication. Stopping antibiotics early can lead to incomplete treatment of your infection and contribute to antibiotic resistance. Your healthcare provider has determined the appropriate duration based on the type of infection and antibiotic prescribed.

Following Prescription Instructions

Take your antibiotics exactly as prescribed by your healthcare provider. This includes taking the correct dose at the right times and following any specific instructions regarding food or other medications. Some antibiotics work best on an empty stomach, while others should be taken with food to reduce stomach upset.

Managing Side Effects and When to Seek Help

Common side effects of antibiotics may include nausea, diarrhea, stomach upset, or mild skin reactions. However, you should contact your healthcare provider immediately if you experience:

  • Severe allergic reactions (difficulty breathing, swelling, severe rash)
  • Persistent or severe diarrhea
  • Unusual bleeding or bruising
  • Signs of liver problems (yellowing of skin or eyes)
  • Severe stomach pain or cramping

Storage and Missed Doses

Store antibiotics according to package instructions, typically in a cool, dry place away from direct sunlight. If you miss a dose, take it as soon as you remember, but don't double up on doses. Consult your pharmacist for specific guidance on missed dose protocols for your particular antibiotic.

Antibiotic Resistance and Responsible Use in Canada

Understanding Antibiotic Resistance

Antibiotic resistance occurs when bacteria evolve to survive exposure to antibiotics that once effectively treated infections. This is a growing concern in Canada and worldwide, making some infections harder to treat and potentially more dangerous. Responsible antibiotic use by every Canadian helps preserve the effectiveness of these life-saving medications for future generations.

Your Role in Preventing Resistance

Following your prescription instructions precisely is crucial in preventing antibiotic resistance. Never share your antibiotics with family members or friends, even if they have similar symptoms. Each prescription is specifically tailored to treat a particular infection in a specific individual. Additionally, never save leftover antibiotics for future use or request antibiotics for viral infections like colds or flu.

Proper Disposal and Healthcare Partnership

Dispose of unused antibiotics safely by returning them to participating pharmacies across Canada through medication return programs. Work closely with your healthcare provider to ensure you receive appropriate treatment – antibiotics are only effective against bacterial infections, not viral illnesses. Health Canada continuously monitors antibiotic use and resistance patterns to guide prescribing practices and protect public health.

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