Infectious prostatitis is a common disease of the prostate that can lead to complications. Treatment focuses on antibiotics against prostatitis, which are selected based on test results. It is impossible to take antibacterial medications without a prescription. Every man who faces this disease needs to know which groups of drugs exist and how they differ.
When should you take antibiotics?
Be sure to talk to your doctor before taking this medicine.
There are several types of the disease:
- acute infectious (bacterial) prostatitis;
- chronic bacterial prostatitis;
- Chronic, non-infectious prostatitis.
It is not always recommended to take antibiotics. Drugs in this group are only active against pathogens but do not have a general anti-inflammatory effect.
Anti-inflammatory antibiotics only appear if the inflammation of the organ is caused by the activity of pathogenic microorganisms in the prostate gland. In all other cases, the antibiotic for prostatitis will be ineffective in a man.
The main problem with treating prostatitis is that many men are reluctant to take antibiotic therapy because they consider such drugs to be harmful or dangerous. It is important to note that neglected prostatitis is a dangerous and improperly selected antibiotic that is taken according to the doctor’s recommendation according to the dosing and treatment schedule.
Antibiotics for prostatitis and adenoma are prescribed only in the presence of bacterial inflammation. Drugs in this group are only effective against bacteria and do not show activity against viruses or fungi.
Antibiotics are prescribed for chronic prostatitis only if there is a chronic infection in the prostate gland. Bacterial chronic prostatitis is caused by improper or inadequate treatment of acute bacterial prostatitis. Often, the disease becomes chronic as the man self-medicates and takes medications that have been ineffective against a particular pathogen. As a result, pathogenic microorganisms develop resistance to drugs and the disease becomes chronic, resembling itself with periodic complications.
The main antibiotic in the treatment of prostatitis in men is acute bacterial inflammation of the prostate.
The use of such drugs is not recommended in patients with congestive or chronic, non-infectious prostatitis. This is due to the mechanism of development of such inflammation. Congestive prostatitis is a consequence of a sedentary lifestyle and other causes that lead to a violation of prostate trophism and a thickening of prostate secretion. Inflammation is due to the fact that the secret of the prostate cannot leave the lobe of the organ, it begins to accumulate and compress the gland. In such a disease, there is no infectious focus, which means there is no point in taking antibiotics. Special anti-inflammatory drugs are used to treat this form of inflammation, which should not be confused with antibiotics.
The most effective drugs
No doctor will ever tell a patient the existence of the best antibiotics for prostatitis because there are simply no such drugs. There are several groups of antibiotics for men in the treatment of prostatitis. Each group has a number of active ingredients that are active against various bacteria. An effective antibiotic for prostatitis is a drug that is selected to take into account the characteristics of the course of the disease in a given man.
The following criteria should be followed when prescribing a drug:
- is the pathogen of the disease; form of prostatitis
- ;
- medicines the man has been taking in recent months;
- Presence of other chronic diseases.
To determine which antibiotic is better for prostatitis, bacterial culture should be performed in the secretion of the prostate gland. This analysis makes it possible to identify the pathogen of the disease and to determine its susceptibility to various active substances.
In general, acute bacterial prostatitis is treated quite effectively with appropriate antibiotics. Generally, two weeks of therapy is enough to get rid of the disease forever.
The 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 combined antibacterial therapy with several different drugs at the same time. The first option is preferred, but the duration of therapy increases to 28 days or more.
What are fluoroquinolones and when are they used?
tablets are convenient for treating prostatitis with home antibiotics, although injections are generally more effective and faster. However, it is important to choose a drug that effectively penetrates the tissues of the prostate despite oral administration. Because men have recently started treating various diseases with antibiotics, often using drugs for other purposes, resistant forms of pathogenic microorganisms that are not sensitive to conventional antibiotics are often found. In this case, doctors prefer drugs from the group of fluoroquinolones.
Fluoroquinolones are the only antibacterial drugs that have no natural analogue.
These drugs are completely synthetic, developed by chemists, and not taken in nature. They are distinguished by a broad spectrum of antimicrobial activity. The main advantage of using these drugs is that the pathogen of the disease is unable to develop resistance to fluoroquinolones, which means that such drugs remain effective with repeated treatment.
The distinguishing features of this class of drugs are:
- A wide range of
- actions;
- has no negative effects on the digestive system;
- convenient release form;
- easy to use;
- minimal side effects;
- can be taken at any age;
- penetrates well into prostate tissue.
Such medications are convenient to take as they are prescribed one tablet daily. However, the process of treatment is usually quite long because, although the drug penetrates the tissues of the prostate, its concentration increases slowly, so the dose usually lasts for several weeks. As there are virtually no side effects, this has no negative effects on health.
In addition, medicines in this group do not affect the way your liver and kidneys work, so they can be used in the treatment of patients over 65 years of age, but only after prior consultation with your doctor.
Use of penicillins in the treatment of prostatitis
One of the oldest groups of antibacterial drugs is penicillin antibiotics. Drugs in this group have been well studied, but are no longer effective enough today, as most microorganisms develop resistance to the drug very quickly.
These drugs have the advantage of being rapidly eliminated from the body and have minimal effect on liver function. The main disadvantages are low bioavailability and poor penetration into prostate tissue.
To date, there is only one combined penicillin antibiotic in the treatment of prostatitis. It contains clavulanic acid, which enhances its effect and has a certain immunostimulatory effect.
Preparations in this group should only be used in cases of acute inflammation. Long-term administration of the drug is ineffective because the pathogen of the disease quickly becomes resistant to its effects. Usually the drug is prescribed for 7-10 days, no longer.
Medicines belonging to the group of tetracyclines
Tetracycline antibiotics are often prescribed for bacterial prostatitis. The benefits of these drugs are:
- many forms of release;
- a wide range of antimicrobial activity;
- fast efficiency;
- low cost.
Tablets or injections are most often prescribed. If suppositories with antibiotics are to be used for prostatitis, such drugs are found in the group of tetracyclines.
The disadvantage of these drugs is that they have a detrimental effect on the gastrointestinal tract. These should be taken with antihistamines and probiotics, otherwise dysbiosis cannot be avoided.
Due to side effects and contraindications, urologists prescribe such drugs in small amounts and only in cases of acute inflammation.
What are the special features of macrolides?
When asked which antibiotics are best for prostatitis, many doctors point to macrolides. The main feature of this group of drugs is low toxicity and lack of side effects. They are well tolerated by the body and do not cause allergic reactions. It is used as an independent agent without the need for concomitant administration of hepatoprotectors, antihistamines or probiotics.
While some doctors are actively prescribing macrolides for prostatitis, others claim that these drugs are ineffective in chronic bacterial inflammation.
Macrolides have dozens of names. The latest generation of drugs in this group is distinguished by an interesting form of release - gel or suspension. They are convenient to absorb and the liquid form ensures rapid absorption of the drug. In addition, drugs in this group have high bioavailability and penetrate well into the tissues of inflamed organs.
The main contraindications are mental disorders and depression. Long-term use of drugs in this group is potentially dangerous for the development of psychopathological syndromes in people prone to such diseases.
When are cephalosporins effective?
Cephalosporins are good antibiotics for prostatitis. They treat bacterial prostatitis perfectly, leaving no chance for pathogenic microorganisms. The downside is a fairly impressive list of contraindications and side effects. In addition, medicines in this group require the right choice of dosage and should therefore only be prescribed by a doctor.
Benefits of drugs from this group:
- high efficacy against pyrogenic bacteria;
- quick action;
- good penetration into prostate tissues;
- has no negative effect on the gastric microflora.
The main disadvantages are high hepatotoxicity and burden on the kidneys, so these types of drugs are not prescribed for elderly patients. Another pressing issue is the large list of negative drug interactions. In other words, you must stop taking any other medications during therapy with these antibiotics.
Antibacterial suppositories
Once you have figured out which antibiotics to use for prostatitis and which may be useful for men in the future, pay attention to the suppositories for infectious prostatitis that come with antibiotics.
The advantage of such preparations is topical application. The suppositories act in the immediate vicinity of the prostate, so the active ingredient is quickly absorbed by the walls of the rectum and penetrates directly into the tissues of the inflamed organ.
In addition to antibiotic suppositories, antiseptic and anti-inflammatory suppositories may also be prescribed for prostatitis.
The medicine in the form of suppositories can be used in combination with antibiotic tablets. For example, chronic prostatitis is often treated with oral macrolides in addition to conical macrolides. You can also use the tetracycline series medications with suppositories.
The duration of use of rectal suppositories is determined individually. They are usually prescribed for two weeks or more.
Prostatitis antibiotic suppositories can have side effects. Intestinal dysbiosis is often observed with prolonged use of this form of the drug.
Natural antibacterial agents
In addition to medications, treatment can also be done with natural remedies with antimicrobial properties. Of course, the effectiveness of natural antibiotics is noticeably lower than that of special drugs, but they can be used in chronic bacterial prostatitis to enhance the therapeutic effect of other drugs.
The most effective antimicrobial in nature:
- sweetheart;
- propolis;
- garlic;
- celandine.
Honey has a pronounced immunostimulatory effect. Men are advised to eat it for both prevention and treatment of prostatitis. In addition, homemade cones are made from honey.
Propolis is a powerful natural antibiotic and antiseptic. You can also make propolis suppositories or buy them at the pharmacy.
Garlic helps fight infectious and non-infectious chronic prostatitis. It is often recommended to make candles with the addition of sea buckthorn oil, which accelerates tissue regeneration.
Celandine has pronounced antimicrobial activity and is used as a decoction and microclicker.
Make cones at home
Garlic is good for treating prostate problems.
To prepare antimicrobial candles, a solid grease base must be prepared. Cocoa butter or beeswax can also be used as a base for candles.
The base should be melted in a water bath, gradually adding the active ingredient. The product is then mixed and molded. You can also pour the resulting mass on a foil, then twist the ends to form a "sausage" and leave it in the refrigerator for an hour. After the mixture has hardened, a small, approx. Cut into 3-4 cm long cones. The ratios depend on which active ingredient is used.
- Honey candles require 50 g of base and 25 g of honey. Intolerance of apiculture products must be ruled out before using such cones.
- One of the most effective treatments for prostatitis is a suppository with propolis and honey. To prepare the medicine, take 50 g of beeswax, 25 g of honey and 10 g of propolis.
- Suppositories with sea buckthorn oil are recommended to reduce inflammation. To prepare them, read 2 parts of the base and add a part of sea buckthorn oil. You can make candles based on pumpkin oil based on the same recipe.
- Homemade treatments can be done with garlic. Squeeze out 3 cloves of garlic, pour 50 ml of sea buckthorn oil and leave for 24 hours in the refrigerator. Then 25 ml of garlic oil is mixed with 50 ml of cocoa butter and candles are formed.
Such suppositories should be used 1-2 times a day. After making a cleansing enema, they are injected into the rectum.
Peculiarities of antibiotic treatment
The antibiotic treatment regimen for prostatitis is drawn up individually by a doctor. Antibiotic treatment for chronic prostatitis usually lasts 4 to 5 weeks, and acute prostatitis is treated within two weeks.
Each drug has its own characteristics, contraindications and side effects. These are detailed in the official instructions for use, which should be read before starting therapy.
Self-medication with antibiotics is not permitted. You should take your prescribed medications daily without missing or stopping your intake until the end of the course.
It should be remembered that without antibacterial drugs it is impossible to cure bacterial prostatitis.