Antibiotic therapy is the mainstay of treatment for 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 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 worsening prostatitis, the first priority is to stop the inflammatory process. Antibacterial therapy is indicated for this, because only antimicrobial drugs can quickly eliminate the pathogenic agent that causes the inflammatory process.
Symptomatic treatment without the use of antibacterial drugs is ineffective and gives only temporary results. Any anti-inflammatory, analgesic and antipyretic drugs for prostatitis are used only with antibiotic treatment.
Removal of pathogens allows:
- relieve pain syndrome;
- normalize body temperature;
- improve urodynamics;
- normalize prostate function.
Thus, antibiotics for prostatitis in men can not only eliminate the inflammatory process, but also reduce the symptoms. Improving well-being is a consequence of removing the swelling of the inflamed organ. The inflamed organ always enlarges 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. Treatment of prostatitis with antibiotics is carried out with tablets, injections or the use of suppositories.
For medicines to work really quickly, you need to choose them strictly according to your doctor's instructions. In order to determine the type of pathogenic microorganisms, it is necessary to go through examinations, first of all - a bacterial study of the composition of the prostate secretion. Only the identification of the cause of the inflammatory process guarantees the selection of optimal drugs that will quickly alleviate the deterioration.
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 whose development is due to age-related changes or violations of prostate trophism, the use of antimicrobial drugs is inappropriate, as in adenomas.
Types of drugs
In the treatment of prostatitis, 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 drug is effective only for certain groups of bacteria.
Each of these antibiotics for prostatitis is active against certain microorganisms. Drugs from different groups are interchangeable, in case the inflammation is caused by opportunistic microorganisms, for example, E. coli.
Fluoroquinolones
Antimicrobial drugs from the fluoroquinolone group are only commonly referred to as antibacterial drugs. As for their pharmacological action, these agents show pronounced antibacterial activity, but they are not antibiotics in their composition.
The main difference between fluoroquinolones and broad-spectrum antibiotics is their synthetic composition. Fluoroquinolones, unlike penicillin or tetracycline antibiotics, have no natural analogues. This is the main advantage of drugs in this group - since there are no natural substitutes for the active substance, it means that pathogenic agents cannot develop resistance, and treatment of chronic prostatitis with the antibiotic fluoroquinolone will be more effective.
Preparations of this group are active against most bacteria, including sexually transmitted infections (chlamydia, trichomonas). Today, fluoroquinolone is the best drug to treat indolent bacterial prostatitis. Depending on the correct dose and the correct choice of drug, fluoroquinolones show a rapid therapeutic effect and cause a minimum of adverse reactions compared to antibiotics. Drugs from this group are toxic, so it is important to follow the treatment regimen recommended by your doctor.
In chronic bacterial inflammation, drugs of this group are used for a long time, 3-4 weeks.
The list of drugs in the group with fluoroquinolones is quite extensive, so you need to consult a specialist to choose the optimal drug. According to the doctor's prescription, the regimen and duration of treatment can be adjusted.
Penicillins
In most cases, doctors prescribe penicillin medications 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 many 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 any 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 achieve a therapeutic effectThese 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. Despite the fact that injections with antibiotics can quickly stop the inflammation, men prefer the tablet form because of the ease of application.
Doctors and patients speak well of these products, noting:
- pronounced antibacterial effect;
- a suitable form to issue;
- eligible cost;
- minimal side effects.
Thanks to clavulane in its composition, the preparations penetrate well directly into the prostate tissues.
Drugs from 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 gastrointestinal upset, which is manifested by diarrhea, nausea and stomach pain. To reduce the negative effect on the mucosa, you should consult with 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 a large number of side effects and insufficient intake of the active substance into the tissues of the inflamed prostate.
The advantage of drugs in this group is the pronounced activity against chlamydia and ureaplasma. The disadvantage is the 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, you should not take this group of medicines on your own. The treatment regimen and duration of therapy are selected by the doctor individually.
Macrolides
When wondering which antibiotics can be taken for prostatitis, many favor macrolides. Drugs of 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 a small spectrum of use. 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 the inflamed prostate is not precisely understood, the main advantage of these drugs is low toxicity and minimal side effects. Along with a fairly affordable cost, this drug makes it a popular remedy for prostatitis in men.
The course of treatment depends on the severity of the inflammatory process and lasts on average about three weeks. Preparations from the group of macrolides are produced in the form of tablets, as well as solutions for injections, so the latter are not widely used among patients due to the inconvenience of use.
Cephalosporini
Cephalosporin antibiotics are one of the most effective drugs for bacterial prostatitis. Medications work quickly to relieve symptoms a few days after starting treatment. Due to affordable costs, a course of drug treatment will be cheap and affordable for everyone. The drugs are well accepted in the body and have virtually no side effects, but they have one significant drawback - they are produced only in solution for injection. Not everyone can give themselves an injection at home, so treatment with cephalosporins is usually carried out in a hospital.
The treatment regimen for prostatitis with these drugs is chosen by the doctor. Usually, 1 injection of the drug is prescribed daily for 7-14 days.
The doctor decides which drug to choose after examining the patient. Drugs from this group have a broad spectrum of action, but are inactive against chlamydia.
List of medicines in tablets
It is best to treat prostatitis at home with tablets 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 mode of administration - it depends on the dose of the drug and the form of the disease. Antibiotic therapy lasts 10-12 days for acute inflammation and three weeks for chronic inflammation.
It is recommended to take antibiotic tablets immediately after meals. It is recommended to take the capsule at the same time every day. If the drug is used several times a day, the time intervals between doses should be equal.
Antibiotic suppositories
Another suitable 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 selecting 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 before bedtime.
Precautions
Any antibacterial drug has a number of contraindications. You must read this list before you start taking the medicine. Absolute contraindications for taking any antibiotics:
- individual intolerance;
- acute renal failure;
- acute liver failure;
- concomitant intake with alcohol.
Most adverse reactions associated with antibiotic therapy come from the gastrointestinal tract. These include intestinal dysbiosis, diarrhea, abdominal pain, nausea with vomiting.
If side effects occur, it is allowed to replace the drug with another active substance in the composition. It is often practiced to prescribe fluoroquinolones to replace penicillin antibiotics with the development of side effects or intolerance of the latter. However, analogues should be selected by a physician depending on the characteristics of the drug reactions.