Antibiotic therapy is the basis of treatment for inflammation of the prostate. Antibiotics for prostatitis are divided into several groups. The choice of a drug depends on the nature of the inflammatory process and the features 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 selected taking into account the sensitivity of pathogens to certain active substances, and drugs are prescribed only after bacterial analysis of prostate juice.
Why are antibiotics needed?
With exacerbation of prostatitis, the first priority is to stop the inflammatory process. For this, antibiotic therapy is indicated, since only antimicrobial drugs can quickly eliminate the pathogen that provokes the inflammatory process.
Symptomatic treatment without the use of antibacterial drugs is ineffective and only gives temporary results. All anti-inflammatory, analgesic and antipyretic drugs for prostatitis are used only in addition to antibiotic therapy.
The elimination of pathogens allows:
- relieve pain syndrome;
- normalize body temperature;
- improve urodynamics;
- normalize the function of the prostate.
So, antibiotics for prostatitis in men can not only eliminate the inflammatory process, but also reduce the symptoms. The improvement in well-being is due to the removal of swelling from 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 benefit of antimicrobials is fast acting and ease of use. Antibiotic treatment for prostatitis is carried out with pills, injections or the use of suppositories.
For medicines to work really quickly, you should choose them strictly according to your doctor's instructions. To determine the type of pathogenic microorganisms, it is necessary to undergo a series of examinations, first of all - a bacterial study of the composition of the secretion of the prostate. Only the determination of the causative agent of the inflammatory process guarantees the choice of optimal drugs that will quickly relieve the exacerbation.
It is important to note that antibiotics for prostatitis are indicated for the treatment only of the infectious form of the disease, both acute and chronic. With non-infectious inflammation, the development of which is due to age-related changes or a violation of the trophism of the prostate, the use of antimicrobial drugs is inappropriate, as well as adenoma.
Types of medication
In the treatment of inflammation of the prostate, preference is given to broad-spectrum drugs that are active against a large number of pathogens. 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 medicine is only effective for certain groups of bacteria.
Each of the antibiotics listed for prostatitis is active against certain microorganisms. Drugs of different groups are interchangeable, in the event that the inflammation is caused by opportunistic microorganisms, for example, E. coli.
Fluoroquinolones
Antimicrobial drugs from the fluoroquinolone group are only called antibacterial drugs. In terms of their pharmacological action, these agents exhibit a pronounced antibacterial activity, however, in terms of their composition, they are not antibiotics.
The main difference between fluoroquinolones and broad spectrum antibiotics is their synthetic composition. Unlike antibiotics from the penicillin or tetracycline group, fluoroquinolones have no natural analogues. This is the main advantage of drugs in this group - since there are no natural substitutes for the active substance, this means that pathogens can not develop resistance, and the treatment of chronic prostatitis with an antibioticfluoroquinolone will be more effective.
Preparations in this group are active against most bacteria, including sexually transmitted infections (chlamydia, Trichomonas). Today, fluoroquinolone is the best drug for the treatment of indolent bacterial prostatitis. Subject to the correct dosage and the right choice of drug, fluoroquinolones show a rapid therapeutic effect and cause minimal side effects compared to antibiotics. Drugs of this group are toxic, so it is important to adhere to the treatment regimen recommended by the doctor.
In chronic bacterial inflammation, drugs from this group are used for a long time, 3-4 weeks.
The list of drugs in the fluoroquinolones group is quite long. Therefore, to choose the optimal drug, you need to consult a specialist. Depending on the doctor's prescription, the regimen and duration of treatment can be adjusted.
Penicillins
In most cases, doctors will prescribe penicillin medicines 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 provoke inflammation of the prostate.
Most people are resistant to this group of drugs. This is because penicillins have been used to treat any bacterial inflammation for the past 50 years. To increase the therapeutic effect, the use of combined antibiotics for the treatment of prostatitis in men is practiced - these are drugs containing penicillins and clavulanic acid.
The use of combined drugs allows you to quickly achieve a therapeutic effect. These drugs are well tolerated, have few side effects, and are affordable, which makes them popular. Among the forms of release are suppositories for prostatitis with antibiotics, tablets and capsules, solutions for intramuscular injections. Although antibiotic injections can quickly stop inflammation, men prefer the tablet form of medication because of the ease of administration.
Doctors and patients alike speak well about these products, noting:
- pronounced antibacterial effect;
- practical release form;
- acceptable cost;
- minimal side effects.
Thanks to the clavulone in its composition, the preparations penetrate well directly into the tissues of the prostate.
Medicines in this group are taken for three weeks. The maximum dose is 1 g of the active ingredient per day, which is equivalent to 1-2 tablets, depending on the form of release.
Often these drugs cause a disturbance in the gastrointestinal tract, which is manifested by diarrhea, nausea and upset stomach. 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 for the treatment of prostatitis in men has decreased in recent years. This is due to the large number of side effects and insufficient supply of the active substance to the tissues of the inflamed prostate.
The advantage of this group of drugs is their pronounced activity against chlamydia and ureaplasma. The downside is a negative effect on the gastrointestinal tract, a large number of cases of individual intolerance and negative reactions of the body.
Due to the risk of complications, this group of medicines should not be taken alone. The treatment regimen and duration of treatment are chosen by the doctor on an individual basis.
Macrolides
When wondering which antibiotics can be taken for prostatitis, many tend to favor macrolides. Drugs of this group are quite common, especially often they are prescribed in case of ineffectiveness of other drugs, which occurs when pathogenic microorganisms develop resistance.
Unlike other antibiotics, macrolides have a small range of uses. These drugs are prescribed only for inflammation caused by chlamydia, ureaplasma, and gonococcal infection.
Despite the fact that the mechanism of action of these drugs on an inflamed prostate is not precisely understood, the main benefit of these drugs is low toxicity and minimal side effects. With a fairly affordable cost, this makes the drug a folk remedy for prostatitis in men.
The duration of treatment depends on the severity of the inflammatory process and lasts about three weeks on average. Preparations of the group of macrolides are produced in the form of tablets, as well as solutions for injections, so the latter are not widely used in patients due to the disadvantages of use.
Cephalosporins
Antibiotics from the cephalosporin group are one of the most effective drugs against bacterial prostatitis. The drugs work quickly to relieve symptoms a few days after starting treatment. Due to the affordable cost, drug treatment will be cheap and affordable for everyone. Drugs are well accepted by the body and have practically no side effects, but they have one major drawback - they are produced only in injectable solutions. At home, not everyone can give themselves an injection. Therefore, treatment with cephalosporins is mainly carried out in the hospital.
The treatment regimen for prostatitis with these drugs is chosen by a doctor. Usually 1 injection of the drug is prescribed per day for 7-14 days.
The doctor decides which drug to choose after examining the patient. Drugs of this group are characterized by a wide spectrum of action, but are inactive against chlamydia.
List of drugs in tablets
It is more 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 treatment and the regimen - it depends on the dosage of the drug and the form of the disease. Antibiotic therapy takes 10 to 12 days for acute inflammation and three weeks for chronic inflammation.
It is recommended that you take antibiotic tablets immediately after meals. It is advisable to drink 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
Rectal antibiotic suppositories are another convenient form of home remedy.
The duration of treatment is 7 to 21 days, depending on the severity of the symptoms. Often, in order to achieve the best therapeutic effect, doctors prescribe the simultaneous use of suppositories and the use of antibiotics in the form of tablets, while drugs with different active substances are selected. This combination therapy allows you to stop the inflammatory process as quickly 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 to taking antibiotics:
- individual intolerance;
- acute renal failure;
- acute hepatic failure;
- simultaneous consumption of alcohol.
Most of the side effects during antibiotic therapy are seen in the gastrointestinal tract. These include intestinal dysbiosis, diarrhea, stomach pain, nausea with vomiting.
If adverse reactions from the body appear, it is allowed to replace the drug with a drug with another active substance of the composition. The prescription of fluoroquinolones as a replacement for penicillin antibiotics with the development of side effects or intolerance to them is quite often practiced. Nevertheless, analogues should be selected by a doctor, depending on the characteristics of drug reactions.