Antibiotic therapy is the mainstay of treatment for prostate inflammation. Antibiotics for prostatitis are divided into several groups. The choice of a 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 susceptibility of pathogens to certain active substances, and drugs are prescribed only after bacterial analysis of prostate juice.
Why are antibiotics needed?
With an exacerbation of prostatitis, the first priority is to stop the inflammatory process. For this, antibacterial therapy is indicated, since only antimicrobial drugs can quickly eliminate the pathogen that causes the inflammatory process.
Symptomatic treatment without the use of antibacterial drugs is ineffective and provides only temporary results. Any anti-inflammatory, analgesic and antipyretic drugs for prostatitis are used only in addition to antibiotic treatment.
The elimination of pathogens allows:
- relieve pain syndrome;
- normalizes body temperature;
- improves urodynamics;
- normalizes prostate function.
Therefore, 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 removal 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 fast action and ease of use. Antibiotic treatment of prostatitis is carried out with pills, injections or the use of suppositories.
In order for drugs to work really quickly, it is necessary to choose them strictly according to the doctor's instructions. To determine the type of pathogenic microorganisms, it is necessary to undergo a number of examinations, first of all - a bacterial study of the composition of the secretion of the prostate gland. 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 of only 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 with adenoma.
Types of drugs
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 the same time.
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 antibiotics listed for prostatitis is active against certain microorganisms. Medicines of different groups are interchangeable, in case the inflammation is caused by opportunistic microorganisms, for example E. coli.
Fluoroquinolones
Antimicrobial drugs of the fluoroquinolone group are only conventionally referred to as antibacterial drugs. In terms of pharmacological action, these agents show a strong antibacterial activity, however, in terms of composition, they are not antibiotics.
The main difference between fluoroquinolones and broad spectrum antibiotics is their synthetic composition. Fluoroquinolones, unlike antibiotics from the penicillin or tetracyclines group, have no natural analogues. This is the main advantage of drugs in this group: since there are no natural substitutes for the active ingredient, it means that pathogens cannot develop resistance, and the treatment of chronic prostatitis with an antibiotic fluoroquinolone will be more effective.
Preparations of this group are active against most bacteria, including sexually transmitted infections (chlamydia, Trichomonas). To date, fluoroquinolone is the best drug for the treatment of indolent bacterial prostatitis. Except for the correct dosage and the correct choice of the drug, fluoroquinolones show a rapid therapeutic effect and cause a minimum of adverse reactions 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 of this group are used for a long course, 3-4 weeks.
The list of drugs in the group of fluoroquinolones is quite extensive, so it is necessary to consult a specialist to choose the optimal drug. According to the doctor's prescription, the regimen and duration of the course of treatment can be changed.
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 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 with 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. Despite the fact that antibiotic injections can quickly stop inflammation, men prefer the tablet form of the drugs due to the ease of administration.
Doctors and patients speak well of these products, noting:
- pronounced antibacterial effect;
- convenient release module;
- acceptable cost;
- minimal side effects.
Thanks to the clavulone in its composition, the preparations penetrate well directly into the tissues of the prostate gland.
The drugs in this group are taken for three weeks. The maximum dosage is 1 g of active ingredient per day, which is equal to 1-2 tablets, depending on the release form.
Often these drugs cause disorders of the gastrointestinal tract, which manifest themselves as diarrhea, nausea and stomach pain. To minimize the negative effect on the mucous membranes, consult with your doctor about the appointment of probiotics.
Tetracyclines
The use of tetracycline antibiotics for the treatment of 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 in this group is a marked activity against chlamydia and ureaplasma. The disadvantage 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, you should not take this group of medicines alone. The treatment regimen and duration of therapy are selected by the doctor on an individual basis.
Macrolides
When one wonders which antibiotics can be taken for prostatitis, many tend to favor macrolides. Drugs of this group are quite common, they are especially often 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 medicines 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 accurately understood, the main advantage of the drugs is the low toxicity and minimal side effects. Together with a fairly affordable cost, this makes the drug 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 of the macrolide group are produced in the form of tablets, as well as solutions for injections, so the latter are not widespread among patients due to the discomfort of use.
Cephalosporins
Antibiotics of the cephalosporin group 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 cost, the course of drug treatment will be inexpensive and affordable for everyone. Medicines are well accepted by the body and practically have no side effects, however, they have a significant drawback - they are produced only in solutions for injection. At home, not everyone can get an injection, so cephalosporin treatment is mainly done in the hospital.
The treatment regimen of prostatitis with these drugs is selected 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. Medicines of this group are characterized by a broad spectrum of action, but are inactive against chlamydia.
List of medicinal products 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 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.
It is recommended that the antibiotic tablets be taken immediately after meals. It is recommended to drink the capsule at the same time every 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 the treatment course is 7-21 days, depending on the severity of the symptoms. Often, to achieve the best therapeutic effect, doctors prescribe the simultaneous use of suppositories and the use of antibiotics in tablets, while drugs with different active substances are selected. 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
All antibacterial drugs have a number of contraindications. This list should be read before starting to take the medicine. Absolute contraindications for taking any antibiotic:
- individual intolerance;
- acute renal failure;
- acute liver failure;
- simultaneous intake with alcohol.
Most adverse reactions associated with antibiotic therapy originate from the gastrointestinal tract. These include intestinal dysbiosis, diarrhea, stomach pain, nausea with vomiting.
If unwanted reactions of the body appear, it is permissible to replace the drug with a drug with another active ingredient in the composition. The prescription of fluoroquinolones to replace penicillin antibiotics with the development of side effects or intolerance to the latter is quite often practiced. However, analogues should be selected by a doctor, depending on the characteristics of drug reactions.