Antibiotic therapy is the basis for the treatment of prostatitis. Antibiotics for prostatitis can be divided into several groups. The choice of drug depends on the nature of the inflammatory process and the characteristics of the course of the patient's disease. Often, pathogenic microorganisms develop resistance to the drug. In such cases, antibiotic therapy is chosen to take into account the sensitivity of pathogenic agents to certain drugs and to prescribe drugs only after bacterial analysis of the prostate juice.
Why are antibiotics needed?
As prostatitis worsens, stopping the inflammatory process is paramount. For this, antibacterial therapy is indicated, as only antimicrobial drugs are able to rapidly eliminate the pathogen that triggers 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 used for prostatitis should only be used in addition to antibiotic treatment.
Eliminating the pathogens of the disease allows you to:
- relieves pain syndrome;
- normalizes body temperature;
- improves urodynamics;
- to normalize prostate function.
Thus, anti-inflammatory antibiotics 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 size of the inflamed organ always increases and puts pressure on the surrounding tissues, causing pain.
Antibiotics treat both the symptoms and the cause of the disease.
The main advantages of antimicrobials are quick action and ease of use. Antibiotic treatment of prostatitis is performed with tablets, injections or suppositories.
In order for medications to work really quickly, they must be chosen strictly according to your doctor’s instructions. To determine the type of pathogenic microorganisms, a series of tests must be performed, above all - bacterial examination of the composition of the secretion of the prostate gland. Only the determination of the pathogen of the inflammatory process guarantees the selection of optimal drugs that quickly alleviate exacerbation.
It is important to note that antibiotics for prostatitis are only indicated for the treatment of acute and chronic infectious forms of the disease. In the case of non-infectious inflammation, which develops due to age-related changes or violation of prostate trophism, the use of antimicrobial drugs is inappropriate, as well as adenoma.
Medication Types
In the treatment of inflammation of the prostate, a broad-spectrum drug that is active against a large number of pathogens is preferred. This choice is explained by the fact that in some cases prostatitis is caused by the simultaneous action of several pathogens.
The following drugs are effective antibiotics against prostatitis:
- fluoroquinolones;
- cephalosporins;
- macrolides;
- tetracyclines;
- penicillins.
All types of medicines are only effective for certain groups of bacteria.
All of the antibiotics listed in prostatitis are active against certain microorganisms. Drugs belonging to different groups can be interchanged in case the inflammation is provoked by opportunistic microorganisms such as E. coli.
Fluoroquinolones
Fluoroquinolone antimicrobials are only traditionally called antibacterial agents. In terms of their pharmacological activity, these agents show pronounced antibacterial activity, but in terms of their composition they are not antibiotics.
The main difference between fluoroquinolones and broad-spectrum antibiotics is their synthetic composition. Fluoroquinolones, unlike antibiotics belonging to the group of penicillins or tetracyclines, do not contain natural analogues. This is the main advantage of the drugs in this group - as there are no natural substitutes for the drug, this means that pathogens are unable to develop resistance and treatment of chronic prostatitis with a fluoroquinolone antibiotic will be more effective.
The preparations in this group are also active against most bacteria, including sexually transmitted infections (chlamydia, Trichomonas). To date, fluoroquinolone is the best drug to treat indolent bacterial prostatitis. With the right dosage and the right choice of drug, fluoroquinolones have a rapid therapeutic effect and minimal side effects against antibiotics. Drugs in this group are toxic, so it is important to follow the treatment regimen recommended by your doctor.
In cases of chronic bacterial inflammation, drugs in this group are used for a long time, for 3-4 weeks.
The list of drugs in the fluoroquinolone group is quite extensive, so you should consult a specialist to select the optimal drug. The treatment regimen and duration of treatment can be modified according to the doctor's prescription.
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 prostatitis.
Most people resist this group of medications. 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, combined antibiotics are used to treat prostatitis in men - drugs containing penicillins and clavulanic acid.
Combination drugs allow a therapeutic effect to be achieved quickly. These drugs are well tolerated, have few side effects, and are affordable, which makes them popular. Forms of release include 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 the drug because of its ease of administration.
Doctors and patients talk well about these products, noting:
- pronounced antibacterial effect;
- convenient release form;
- eligible cost;
- minimal side effects.
Thanks to the clavulon in its composition, the products penetrate directly into the tissues of the prostate gland.
The medicines in this group are taken for three weeks. The maximum dose is 1 g of active ingredient per day, which is 1-2 tablets depending on the form of release.
These medications often cause gastrointestinal disorders associated with diarrhea, nausea, and stomach pain. 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 in 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 drug in the tissues of the inflamed prostate.
The advantage of drugs in this group is the pronounced activity against chlamydia and ureaplasma. Disadvantages include negative effects on the gastrointestinal tract, individual intolerance, and a large number of negative reactions in the body.
Because of the risk of complications, you should not take this medicine alone. The treatment regimen and duration of therapy are chosen individually by the physician.
Macrolides
When wondering what antibiotics can be taken for prostatitis, many people prefer macrolides. Drugs in this group are quite common, especially when prescribed in case of ineffectiveness of other drugs, which occurs when pathogenic microorganisms develop resistance.
Unlike other antibiotics, macrolides have little use. These drugs are prescribed only for inflammation caused by chlamydia, ureaplasma, and gonococcal infection.
Although the exact mechanism of action of these drugs on the inflamed prostate is not known, the main advantages of these drugs are low toxicity and minimal side effects. Along with its fairly affordable cost, this drug is becoming a popular cure for prostatitis in men.
The process of treatment depends on the severity of the inflammatory process and lasts on average about three weeks. Formulations of the macrolide group are prepared in the form of tablets as well as solutions for injection, so that the latter are not widely used among patients due to the inconvenience of use.
Cephalosporins
Cephalosporin antibiotics are one of the most effective drugs for bacterial prostatitis. Medications quickly relieve symptoms a few days after starting treatment. Due to the affordable costs, the course of medication will be cheap and affordable for everyone. The drugs are well accepted by the body and have virtually no side effects, but they have a major drawback - they are only produced in injectable solutions. Not everyone can inject themselves at home, so treatment with cephalosporins is mainly done in a hospital.
With these drugs, the treatment regimen for prostatitis is chosen by a doctor. Usually 1 injection per day is prescribed for 7-14 days.
After examining the patient, the doctor will decide which medication to choose. Drugs in this group have a broad spectrum of activity but are inactive against chlamydia.
List of medicines in tablets
The most convenient way to treat prostatitis at home is with pills or capsules. Popular drug groups in this form of release:
- penicillins;
- macrolides; fluoroquinolones;
- tetracyclines.
How to treat inflammation, as well as the duration of the course and the treatment regimen - it depends on the dose of the drug and the form of the disease. Antibiotic therapy is 10-12 days for acute inflammation and three weeks for chronic inflammation.
It is recommended that antibiotic tablets be taken immediately after a meal. It is advisable to drink the capsule at the same time each day. If the medicine 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 treatment is 7-21 days, depending on the severity of the symptoms. Often, in order to achieve the best therapeutic effect, doctors prescribe the concomitant use of suppositories and antibiotics in tablets, while selecting drugs with different active ingredients. This combination therapy allows the inflammatory process to be stopped as soon as possible.
Candles are used once a day. They are placed rectally at bedtime.
Precautions
Any antibacterial drug has a number of contraindications. This list should be read before taking this medicine. Absolute contraindications to any antibiotic:
- individual intolerance;
- acute renal failure;
- acute liver failure;
- Concomitant intake with alcohol.
During antibiotic therapy, most side effects come from the gastrointestinal tract. These include intestinal dysbiosis, diarrhea, stomach pain, nausea and vomiting.
If adverse reactions occur in the body, it is permissible to replace the medicine with another active substance in the product. It is often practiced to prescribe fluoroquinolones to replace penicillin antibiotics with the development of side effects or intolerance to the latter. However, analogs should be selected by a physician, depending on the characteristics of the reactions to the drugs.