Infectious prostatitis is a common disease of the prostate gland that can cause complications. Antibiotics against prostatitis are the main focus of treatment and their selection is based on test results. It is impossible to take antibacterial drugs without a doctor's prescription. Every man who has this disease should know which groups of drugs exist and how they differ.
When do you need antibiotics?
Be sure to consult your doctor before using any medication.
There are several types ofdisease:
- Acute infectious (bacterial) prostatitis;
- chronic bacterial prostatitis;
- Chronic non-infectious prostatitis.
Taking antibiotics is not always advisable. Drugs of this group are active only against pathogenic agents, but have no general anti-inflammatory action.
Antibiotics for prostatitis are indicated only if the inflammation of the body is caused by the action of pathogenic microorganisms in the prostate gland. In all other cases, the prostatitis antibiotic in men will be ineffective.
The main problem with treating prostatitis is that many men are wary of antibiotic therapy because such drugs are harmful or dangerous. Important to remember: Neglected prostatitis is dangerous and not a properly selected antibiotic taken on a doctor’s recommendation, in accordance with the dosing and therapy regimen.
An antibiotic for prostatitis and adenoma is prescribed only in the presence of bacterial inflammation. Drugs in this group are effective only against bacteria and show no activity against viruses or fungi.
Antibiotics for chronic prostatitis are prescribed only if there is a chronic focus of infection in the prostate gland. Bacterial chronic prostatitis develops due to improper or inadequate treatment of acute bacterial prostatitis. Quite often, the disease becomes chronic because the person was self-employed and took ineffective drugs against a certain pathogen. As a result, pathogenic microorganisms develop drug resistance and the disease becomes chronic, leading to periodic complications.
The main antibiotic for the treatment of prostatitis in men is acute bacterial inflammation of the prostate.
It is not advisable to take such drugs for edematous or chronic non-infectious prostatitis. This is caused by the mechanism of development of such inflammation. Congenital prostatitis is the result of a sedentary lifestyle and other causes that lead to a violation of prostate trophism and a thickening of prostate secretion. Inflammation is caused by the fact that the secretion of the prostate can not leave the mucus of the body, it begins to accumulate and deplete the gland. There is no infectious focus on such a disease, which means that taking antibiotics makes no sense. To treat this form of inflammation, special anti-inflammatory drugs are used, which should not be confused with antibiotics.
Most effective drugs
No doctor ever tells a patient about the best antibiotics for prostatitis because such drugs simply do not exist. There are several groups of antibiotics for men used to treat prostatitis. There are many active ingredients in each group that are active against different bacteria. An effective antibiotic for prostatitis is a drug that is selected based on the course characteristics of the disease in a particular man.
The following criteria are observed when prescribing a medication:
- disease-causing agent;
- a form of prostatitis;
- Medications that men have taken in recent months;
- Presence of other chronic diseases.
To determine which antibiotic is better for prostatitis, it is necessary to do a bacterial culture of prostate secretion. This analysis allows you to identify the causative agent of the disease and determine its susceptibility to various active substances.
In general, the treatment of acute bacterial prostatitis is quite effective with the right antibiotics. Usually, a two-week course of therapy is enough to get rid of the disease forever.
Treatment of chronic bacterial inflammation is often complicated by the resistance of microorganisms to antibacterial drugs. In this case either synthetic antimicrobials are prescribed, or combination antibacterial therapy with several different drugs simultaneously. The first option is preferred, but the course of therapy is increased to 28 days or more.
What are fluoroquinolones and when are they used?
Pills are convenient for treating prostatitis with antibiotics at home, although injections are usually more effective and faster. At the same time, it is important to choose a medication that effectively penetrates the prostate tissues, regardless of oral administration. Since men began treating various diseases with antibiotics, often using drugs for other purposes, we have often encountered resistant forms of pathogenic microorganisms that are not sensitive to conventional antibiotics. In this case, doctors prefer drugs of the fluoroquinolone group.
Fluoroquinolones are the only antibacterial drugs that have no natural analogues.
These drugs are completely synthetic, developed by chemists and not obtained in nature. They are distinguished by a wide range of antimicrobial action. The main advantage of using these drugs is that the disease-causing agent may not develop resistance to fluoroquinolones, which means that such drugs are effective even during repeated treatments.
The distinguishing marks of this group of drugs are the following:
- wide range of action;
- has no adverse effects on the digestive tract; Convenient release form
- ;
- Easy to use;
- Minimal side effects;
- can be accepted at any age;
- penetrates well into prostate tissue.
Such drugs are convenient to take as they are prescribed as one tablet per day. However, the course of treatment is usually quite long, because even though the drug reaches the prostate tissues, its concentration increases slowly, so the course of reception usually lasts for several weeks. Since side effects are practically non-existent, it does not have a negative impact on health.
In addition, drugs in this group do not affect liver or kidney function, so they can be used in the treatment of patients over 65 years of age, but only with the prior consent of the attending physician.
Use of penicillins to treat prostatitis
One of the oldest groups of antibacterial drugs is the penicillin antibiotic. Drugs in this group are well studied, but today they are no longer effective enough, as most microorganisms develop resistance to the active substance very quickly.
The advantage of these drugs is their rapid excretion from the body and minimal impact on liver function. The main disadvantage is the low bioavailability and poor penetration into the prostate tissue.
To date, the only drug still used to treat prostatitis is the combined antibiotic penicillin. It contains clavulanic acid, which enhances its action and provides a certain immunostimulatory effect.
Drugs of this group should be used only in case of acute inflammation. Prolonged use of the drug is ineffective, as the disease-causing agent quickly becomes resistant to its action. Usually, the drug is prescribed for 7-10 days, longer.
Medications from the tetracycline group
- Variety of release forms; a wide range of
- antimicrobial activity;
- fast efficiency;
- Low cost.
The most commonly prescribed pill or injection. If you need to use suppositories in combination with anti-prostatitis antibiotics, such drugs can be found in the tetracycline group.
The disadvantage of these drugs is their harmful effect on the gastrointestinal tract. They should be taken in combination with antihistamines and probiotics, otherwise dysbiosis cannot be avoided.
Due to side effects and contraindications, urologists prescribe such drugs in small doses and only in case of acute inflammation.
What are the specialties of macrolides?
When asked which antibiotics are best for prostatitis, many doctors point to macrolides. The main features of this group of drugs are low toxicity and the absence of side effects. They are well tolerated by the body and do not cause allergic reactions. They are used as an independent remedy without the concomitant use of hepatoprotectants, antihistamines or probiotics.
Although some doctors are actively prescribing macrolides for prostatitis, others argue that these drugs are ineffective in chronic bacterial inflammation.
Macrolides have several dozen names. The latest generation of drugs in this group is distinguished by an interesting form of release - gel or suspension. They are convenient to take and the liquid form ensures rapid absorption of the drug. In addition, drugs in this group are highly bioavailable and penetrate well into the tissues of inflammatory organs.
The main contraindications are mental disorders and depression. Prolonged use of this group of drugs is potentially dangerous for the development of psychopathological syndromes in people who are prone to such diseases.
When are cephalosporins effective?
Cephalosporins are good antibiotics for prostatitis. They perfectly treat bacterial prostatitis, leaving no chance for pathogenic microorganisms. The downside is a pretty impressive list of contraindications and side effects. In addition, medications in this group require proper dose selection, so they should only be prescribed by a physician.
Advantages of drugs from this group:
- High efficiency against pyogenic bacteria;
- fast action;
- Good penetration into prostate tissues;
- has no adverse effect on the gastric microflora.
The main disadvantage is the high hepatotoxicity and burden on the kidneys, so these types of drugs are not prescribed to elderly patients. Another acute problem is the large list of negative interactions. In other words, you should stop taking any other medication during therapy with these antibiotics.
Antibacterial suppositories
Once you understand which antibiotics are used for prostatitis and which names may be useful for men in the future, you should pay attention to the suppositories for infectious prostatitis with antibiotics.
Topical use is an advantage of such drugs. Candles act in the immediate vicinity of the prostate, so the active substance is rapidly absorbed by the walls of the rectum and penetrates directly into the tissues of the inflamed organ.
In addition to antibiotic suppositories, antiseptics and anti-inflammatory suppositories may be prescribed for prostatitis.
Medications in the form of suppositories can be used in combination with antibiotic tablets. For example, chronic prostatitis is often treated with oral macrolides other than candle macrolides. You can also use tetracycline series medications with suppositories.
The duration of the course of rectal suppositories is determined individually. They are usually prescribed for a period of two weeks or more.
Antibiotic suppositories for prostatitis may have side effects. Often, with prolonged use of this form of the drug, intestinal dysbiosis is observed.
Natural antibacterial agents
In addition to pharmaceutical drugs, treatment can be carried out with natural remedies with antimicrobial properties. Of course, natural antibiotics are significantly less effective than special drugs, but they can be used to enhance the therapeutic effect of other drugs in chronic bacterial prostatitis.is the most powerful antimicrobial in nature:
- honey;
- propolis;
- garlic;
- Celandine.
Honey has a pronounced immunostimulatory effect. Men are advised to take it both for the prevention and treatment of prostatitis. In addition, homemade candles are made from honey.
Celandine has a strong antimicrobial action and is used as a decoration and microclysters.
Making candles at home
Garlic is good for treating prostate problems.
To prepare candles with antimicrobial action you need to accumulate a solid base of fat. Cocoa butter or beeswax can also be used as a base for candles.
The base should be rinsed in a water bath, gradually adding the active ingredient. Then the product is mixed and poured into a mold. The resulting mass can also be poured on cling film, then flip the ends and create a "sausage" and leave in the refrigerator for an hour. After the mixture has hardened, it is cut into small suppositories, about 3-4 cm long. The proportions depend on which active ingredient is used.
To make candles with- you need 50 g of root and 25 g of honey to make candles. Before using such candles you should rule out intolerance to bee products.
- One of the most effective remedies for prostatitis is a candle with propolis and honey. To prepare the drug you need to take 50 g of beeswax, 25 g of honey and 10 g of propolis.
- Candles with sea buckthorn oil are recommended to reduce inflammation. To prepare them melt 2 parts of the stem and add one part of sea buckthorn oil. Using the same recipe you can prepare candles based on pumpkin oil.
- Home treatment can be done with garlic. Chop 3 cloves of garlic, pour 50 ml of sea buckthorn oil and leave in the fridge for 24 hours. Then 25 ml of garlic oil is mixed with 50 ml of cocoa butter and candles are formed.
You should use such candles 1-2 times a day. They injected the rectum after doing a cleansing climate.
Peculiarities of antibiotic treatment
Antibiotic treatment regimen for prostatitis is determined by your doctor individually. Typically, antibiotic treatment for chronic prostatitis takes 4-5 weeks, while treatment for acute prostatitis takes two weeks.
Each drug has its own characteristics, contraindications and side effects. They are described in the official instructions for use, which you should read before starting therapy.
Self-employment with antibiotics is not allowed. You should take the prescribed medication every day, skipping or stopping taking it before the end of the course.
We must remember that bacterial prostatitis cannot be cured without antibacterial drugs.