Antibiotic therapy is the basis of the treatment of prostatitis. Antibiotics for prostatitis are divided into several groups. The choice of drug depends on the nature of the inflammatory process and the characteristics of the course of the disease in the patient. Often pathogenic microorganisms develop resistance to the active substance of the drug. In such cases, antibiotic therapy is chosen taking into account the sensitivity of pathogenic agents to certain active substances, and drugs are prescribed only after bacterial analysis of prostate juice.
Why are antibiotics needed?
In exacerbation of prostatitis, the first priority is to stop the inflammatory process. For this, antibacterial therapy is indicated, as only antimicrobial drugs are able to quickly eliminate the pathogenic agent that provokes the inflammatory process.
Symptomatic treatment without the use of antibacterial drugs is ineffective and gives only temporary results. All anti-inflammatory, analgesic and antipyretic drugs for prostatitis are used only in addition to antibiotic treatment.
Elimination of pathogens allows:
- relief of pain syndrome;
- normalize body temperature;
- improving urodynamics;
- normalize prostate function.
Thus, antibiotics for prostatitis in men can not only eliminate the inflammatory process, but also reduce symptoms. The improvement in well-being is due to the elimination of the swelling of the inflamed organ. The inflamed organ always increases in size and puts pressure on the surrounding tissues, causing pain.
Antibiotics treat both the symptoms and the cause of the disease.
The main advantage of antimicrobials is their fast action and ease of use. Antibiotic treatment of prostatitis is performed with pills, injections or the use of suppositories.
For medicines to work really quickly, you need to choose them strictly according to your doctor's instructions. To determine the type of pathogenic microorganisms, it is necessary to undergo a number of tests, first of all - bacterial examination of the composition of the secretion of the prostate gland. Only the identification of the cause of the inflammatory process guarantees the choice of optimal drugs that will quickly alleviate the exacerbation.
It is important to note that antibiotics for prostatitis are indicated for the treatment of only infectious forms of the disease, both acute and chronic. In non-infectious inflammation, the development of which is due to age-related changes or impaired prostate trophism, the use of antimicrobial drugs is inappropriate, as in adenoma.
Types of drugs
In the treatment of prostatitis, broad-spectrum drugs that are active against a large number of pathogens are preferred. This choice is explained by the fact that in some cases prostatitis is caused by the simultaneous action of several types of pathogens at once.The following drugs are effective antibiotics for prostatitis:
- fluoroquinolones;
- cephalosporins;
- macrolides; tetracyclines;
- penicillins.
Each type of drug is effective only for certain groups of bacteria.
Each of the listed antibiotics for prostatitis is active against certain microorganisms. Drugs from different groups are interchangeable in cases where the inflammation is provoked by opportunistic microorganisms, such as E. coli.
Fluoroquinolones
Antimicrobial drugs from the group of fluoroquinolones are only tentatively called antibacterial drugs. In terms of their pharmacological action, these agents show pronounced antibacterial activity, but in terms of their composition they are not antibiotics.
The main difference between fluoroquinolones and broad-spectrum antibiotics is their synthetic composition. Fluoroquinolones, unlike antibiotics from the group of penicillins or tetracyclines, have no natural analogues. This is the main advantage of drugs from this group - because there are no natural substitutes for the active substance, it means that pathogens can not develop resistance and treatment of chronic prostatitis with the antibiotic fluoroquinolone will be more effective.
Drugs in this group are active against most bacteria, including sexually transmitted infections (chlamydia, Trichomonas). To date, fluoroquinolone is the best drug for the treatment of lazy bacterial prostatitis. Depending on the correct dosage and the right choice of drug, fluoroquinolones show a rapid therapeutic effect and cause a minimum of side effects compared to antibiotics. Drugs in this group are toxic, so it is important to adhere to the treatment regimen recommended by your doctor.
In chronic bacterial inflammation, drugs from this group are used for a long course, 3-4 weeks.
The list of drugs from the group of fluoroquinolones is quite extensive, therefore, to choose the optimal drug, you need to consult a specialist. According to the doctor's prescription, the regimen and duration of the course of treatment can be adjusted.
Penicillins
In most cases, doctors prescribe penicillin drugs for the first episode of prostatitis. Such an antibiotic for prostatitis is well tolerated by the body and has a pronounced therapeutic effect, suppressing the activity of a number of opportunistic bacteria that cause inflammation of the prostate.
Most people are resistant to this group of drugs. This is due to the fact that penicillins have been used to treat all kinds of bacterial inflammation for the last 50 years. To increase the therapeutic effect, the use of combined antibiotics for the treatment of prostatitis in men is practiced - these are drugs with penicillins and clavulanic acid.
The use of combination drugs allows you to quickly get a therapeutic effect. These drugs are well tolerated, have few side effects and are affordable, which makes them popular. Forms of release include suppositories for prostatitis with antibiotics, tablets and capsules, solutions for intramuscular injection. Despite the fact that injections of antibiotics can quickly stop the inflammation, men prefer the tablet form of the drug because of the ease of administration.
Doctors and patients talk well about these products, noting:
- pronounced antibacterial effect;
- convenient form to issue;
- reasonable price;
- minimal side effects.
Thanks to the clavula in its composition, the preparations penetrate well directly into the tissues of the prostate gland.
Drugs in this group are taken for three weeks. The maximum dose is 1 g of active ingredient per day, which is equal to 1-2 tablets, depending on the form of release.
Often these drugs cause disorders of the gastrointestinal tract, which is manifested by diarrhea, nausea and stomach pain. To minimize the negative effect on the mucous membranes, you should consult your doctor about the appointment of probiotics.
Tetracyclines
The use of tetracycline antibiotics to treat prostatitis in men has declined in recent years. This is due to the large number of side effects and insufficient intake of the active substance in the tissues of the inflamed prostate.
The advantage of drugs from this group is a pronounced activity against chlamydia and ureaplasma. The disadvantage is a negative effect on the gastrointestinal tract, a large number of cases of individual intolerance and adverse reactions of the body.
Due to the risk of complications, you should not take this group of medicines alone. The treatment regimen and duration of therapy are chosen by the doctor individually.
Macrolides
When wondering what antibiotics can be taken for prostatitis, many prefer macrolides. Drugs from this group are quite common, especially often prescribed in cases of ineffectiveness of other drugs, which occurs when pathogenic microorganisms develop resistance.
Unlike other antibiotics, macrolides have little use. These drugs are prescribed only for inflammation provoked by chlamydia, ureaplasma and gonococcal infection.
Despite the fact that the mechanism of action of these drugs on the inflamed prostate is not exactly understood, the main advantage of the drugs is low toxicity and minimal side effects. Along with a fairly affordable price, this makes the drug a popular treatment for prostatitis in men.
The course of treatment depends on the severity of the inflammatory process and takes an average of about three weeks. Preparations from the group of macrolides are produced in the form of tablets as well as injectable solutions, so the latter are not widely used among patients due to the inconvenience of use.
Cephalosporins
Cephalosporin antibiotics are one of the most effective drugs for bacterial prostatitis. The drugs work quickly to relieve symptoms a few days after starting treatment. Due to the affordable costs, the course of drug treatment will be cheap and accessible to all. The drugs are well absorbed by the body and have virtually no side effects, but have one significant drawback - they are produced only in solutions for injection. Not everyone can get an injection at home, which is why cephalosporin treatment is mainly given in a hospital.
The treatment regimen for prostatitis with these drugs is chosen by a doctor. It is usually prescribed 1 injection of the drug per day for 7-14 days.
The doctor decides which drug to choose after examining the patient. Drugs from this group are characterized by a broad spectrum of action, but are inactive against chlamydia.
List of medicines in tablets
It is most convenient to treat prostatitis at home with pills or capsules. Popular groups of drugs in this form of release:
- penicillins;
- macrolides;
- fluoroquinolones;
- tetracyclines.
How to treat inflammation, as well as the duration of the course and regimen - depends on the dosage of the drug and the form of the disease. Antibiotic therapy takes 10-12 days for acute inflammation and three weeks for chronic inflammation.
Antibiotic tablets are recommended to be taken immediately after a meal. It is recommended that you take the capsule at the same time each day. If the drug is used several times a day, the time intervals between doses should be the same.
Antibiotic suppositories
Another convenient form of home remedy is rectal antibiotic suppositories.
The duration of treatment is 7-21 days, depending on the severity of symptoms. Often, in order to achieve the best therapeutic effect, doctors prescribe the simultaneous use of suppositories and the use of antibiotics in tablets, while choosing drugs with different active substances. This combination therapy allows you to stop the inflammatory process as soon as possible.
Candles are used once a day. They are inserted rectally at bedtime.
Precautions
All antibacterial drugs have a number of contraindications. This list should be read before you start taking the medicine. Absolute contraindications for taking antibiotics:
- individual intolerance;
- acute renal failure;
- acute liver failure;
- concomitant intake with alcohol.
Most adverse reactions during antibiotic therapy are observed in the gastrointestinal tract. These include intestinal dysbiosis, diarrhea, stomach pain, nausea and vomiting.
If side effects occur, it is allowed to replace the drug with a drug with another active substance in the composition. It is quite common to prescribe fluoroquinolones to replace penicillin antibiotics with the development of side effects or intolerance to the latter. However, analogues should be selected by a physician, depending on the characteristics of the reactions to the drugs.