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 chosen taking into account the sensitivity of pathogens to some active substances and medication is prescribed only after bacterial analysis of prostate fluid.
Why are antibiotics needed?
With a worsening of the prostate, the first priority is to stop the inflammatory process. For this, antibiotic therapy is indicated, as only antimicrobial drugs can 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. Any anti-inflammatory, analgesic and antipyretic drug for prostatitis is used only in addition to antibiotic treatment.
Elimination of disease agents allows:
- relieves pain syndrome;
- normalize body temperature;
- improve urodynamics;
- normalize prostate function.
Thus, antibiotics for prostate 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 the swelling of the inflamed organ. The inflamed organ always increases in size and puts pressure on the surrounding tissues, which causes 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 performed with pills, injections or the use of suppositories.
For medicines to work quickly, you must 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 secretion composition of the prostate gland. Only the determination of the causative agent of the inflammatory process guarantees the choice of optimal drugs that will facilitate rapid deterioration.
It is important to note that antibiotics for prostatitis are indicated for the treatment of only infectious forms of the disease, acute and chronic. With non-infectious inflammation, the development of which is due to age-related changes or violation of prostate trophism, the use of antimicrobial drugs is inappropriate, as well as with adenomas.
Types of medicines
In the treatment of prostate inflammation, 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 pathogen at the same time.
The following medications are effective antibiotics for prostatitis:
- fluorokinolone;
- cephalosporins;
- macrolides;
- tetracycline;
- penicillin.
Any type of medicine is only effective for certain groups of bacteria.
Each of the antibiotics listed for prostate is active against certain microorganisms. Drugs from different groups are interchangeable, in case the inflammation is provoked by opportunistic microorganisms, for example, E. coli.
Fluoroquinolones
Antimicrobial drugs of the fluoroquinolone group are conventionally referred to only as antibacterial drugs. In terms of their pharmacological action, these agents exhibit 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. Fluoroquinolones, in contrast to antibiotics from the penicillin or tetracycline group, 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 pathogens can not develop resistance and 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 medicine for treating indolent bacterial prostatitis. Depending on the correct dose and the correct choice of medication, 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, medicines of this group are used for a long course, 3-4 weeks.
The list of drugs in the fluoroquinolone group is quite extensive, therefore, to choose the optimal drug, you should consult a specialist. According to the doctor's prescription, the regimen and duration of the course of treatment can be adjusted.
Penicillin
In most cases, doctors prescribe penicillin medication 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 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 effectThese drugs are well tolerated, have few side effects and are affordable, which makes them popular. Among the release forms are prostate suppositories with antibiotics, tablets and capsules, solutions for intramuscular injections. Despite the fact that injections with antibiotics can quickly stop inflammation, men prefer the tablet form of the drug because of its ease of administration.
Doctors and patients speak well of these products, noting:
- pronounced antibacterial effect;
- appropriate release form;
- acceptable cost;
- minimal side effects.
Thanks to the clavicle 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 disruption of the gastrointestinal tract, which is manifested by diarrhea, nausea and stomach pain. To minimize the negative effect on the mucosa, you should consult your doctor about prescribing 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 in the inflamed prostate tissues.
The advantage of this group of drugs is their 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.
Because of the risk of complications, you should not take this medicine yourself. The treatment regimen and duration of therapy are chosen by the physician on an individual basis.
Macrolides
When asked what antibiotics can be taken for the prostate, many tend to favor macrolides. Drugs of this group are quite common, they are prescribed especially often in cases 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 provoked by chlamydia, ureaplasma and gonococcal infection.
Despite the fact that the mechanism of action of these drugs in 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 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. Macrolide group preparations are available in tablet form as well as injectable solutions, so the latter are not widely used in patients due to use discomfort.
Cephalosporins
The treatment regimen for prostatitis with these drugs is chosen by a doctor. Usually, 1 injection of the drug is prescribed daily for 7-14 days.
The doctor decides which medicine to choose after examining the patient. Drugs in this group have a broad spectrum of action, but are inactive against chlamydia.
List of medicines in tablets
is best suited to treat prostatitis at home with pills or capsules. Popular groups of drugs in this form of release:
- penicillin;
- macrolides;
- tetracycline.
How to treat inflammation, as well as the duration of the course and regimen - it depends on the dosage of the drug and the form of the disease. Antibiotic therapy lasts 10-12 days for acute inflammation, and three weeks for chronic inflammation.
Antibiotic tablets are recommended to be taken immediately after meals. It is advisable 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 the same.
Antibiotic Suppositories
Another suitable form of home remedy is suppositories of rectal antibiotics.
The duration of the course of treatment 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 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 before bedtime.
Precautions
Every antibacterial drug has a number of contraindications. This list should be read before you start taking the medicine. Absolute contraindications to taking any antibiotic:
- individual intolerance;
- acute renal failure;
- acute liver failure;
- concomitant use of alcohol.
Most side effects associated with antibiotic therapy are from the gastrointestinal tract. These include intestinal dysbiosis, diarrhea, stomach pain, mixed with vomiting.
If adverse reactions of the body occur, it is permissible to replace the medicine with one medicine with another active substance in the composition. The prescription of fluoroquinolones to replace penicillin antibiotics with the development of side effects or intolerance of the latter is practiced quite often. However, analogues should be chosen by a physician, depending on the characteristics of the drug response.