Infectious prostatitis is a common disease of the prostate gland that can cause complications. Antibiotics for prostatitis are the main focus of treatment and are selected based on test results. It is not possible to take antibacterial drugs without a doctor's prescription. Every man who has this disease needs to know which group of drugs are available and how they differ.
When do you need antibiotics?
Before using medication, you must consult your doctor.
There are several types of diseases:
- acute infectious (bacterial) prostatitis;
- chronic bacterial prostatitis;
- chronic non-communicable prostatitis.
It is not always recommended to take antibiotics. Drugs of this group are only active against pathogenic agents, but have no general anti-inflammatory effect.
Antibiotics for prostatitis are indicated only if inflammation of the organs is caused by the activity of pathogenic microorganisms in the prostate gland. In all other cases, antibiotics for prostatitis in men are ineffective.
The main problem of prostatitis treatment is that many men are wary of antibiotic therapy, as such drugs are dangerous or dangerous. Important to remember: neglected prostatitis is dangerous, and not the right antibiotics chosen based on the recommendations of the doctor adhering to the dosage and treatment regimen.
Antibiotics for prostatitis and adenomas are prescribed only in case of bacterial inflammation. Drugs in this group are only effective against bacteria, and do not show activity against viruses or fungi.
Antibiotics for chronic prostatitis are prescribed only if there is a focus of chronic infection on the prostate gland. Chronic bacterial prostatitis develops due to improper or inadequate treatment of acute bacterial prostatitis. Often, the disease becomes chronic as the man treats himself and takes medications that are ineffective against certain pathogens. As a result, pathogenic microorganisms develop resistance to drugs and the disease becomes chronic, reminding itself of periodic complications.
The main antibiotic indication for the treatment of prostatitis in men is acute bacterial inflammation of the prostate.
If prostatitis is not congestive or chronic infectious, such medications are not recommended. This is due to the mechanism of expansion of the inflammation. Congestive prostatitis is the result of an inactive lifestyle and other causes leading to violations of prostate trophism and thickening of prostate secretions. This inflammation is due to the fact that the secretion of the prostate can not leave the lobe of the organ, it begins to accumulate and squeeze the glands. There is no contagious focus on such diseases, which means that it makes no sense to take antibiotics. To treat this form of inflammation, special anti-inflammatory drugs are used, which should not be confused with antibiotics.
The most effective medicine
No doctor will tell a patient about the best antibiotics for prostatitis, as there is no such cure. There are several groups of antibiotics for men used in the treatment of prostatitis. In each group, there are many names of active ingredients that are active against various bacteria. An effective antibiotic for prostatitis is a drug of choice taking into account the characteristics of the course of the disease in certain men.
When prescribing a drug product, the following criteria are followed:
- disease-causing agents;
- form of prostatitis;
- drugs that the man has taken in the last few months;
- presence of other chronic diseases.
To determine which antibiotic is better for prostatitis, it is necessary to do bacterial culture of prostate gland secretion. This analysis allows you to identify the causative agent of the disease and determine its sensitivity to various active ingredients.
In general, acute bacterial prostatitis is effectively treated with the right antibiotics. Usually two weeks of therapy is enough to get rid of this disease forever.
Treatment of chronic bacterial inflammation is often complicated by the resistance of microorganisms to antibacterial drugs. In this case, either a synthetic antimicrobial agent is prescribed, or a combination of antibacterial therapy with several different drugs at once. The first option is preferred, but the course of therapy increases to 28 days or more.
What are fluoroquinolones and when are they used?
Pills are easy to use to treat prostatitis with antibiotics at home, although injections are usually more effective and faster. At the same time, it is important to choose a drug that will penetrate the prostate tissue effectively, even orally. Of late men began to treat various diseases with antibiotics, often using drugs for other purposes, relatively resistant forms of pathogenic microorganisms were found to be insensitive to conventional antibiotics. In this case, the doctor prefers drugs from the fluoroquinolones group.
Fluoroquinolones is the only antibacterial drug that has no natural analogues.
These drugs are completely synthetic, developed by chemists, and are not taken naturally. They are distinguished by a broad spectrum of antimicrobial activity. The main advantage of using this drug is that the causative agent of the disease is not able to develop resistance to fluoroquinolones, which means that the drug remains effective even with repeated treatment.
The specialties of this group of drugs are as follows:
- various actions;
- no negative effects on the gastrointestinal tract;
- simple release form;
- ease of use;
- minimum side effects;
- can be taken at any age;
- penetrates the prostate tissue well.
Such a drug is easy to take, as it is prescribed one tablet a day. However, its treatment, in general, is quite long, because although the drug penetrates into the prostate tissue, its concentration increases slowly, so the course of its administration usually takes several weeks. Since there are practically no side effects, this does not have a negative impact on health.
In addition, the drugs of this group do not affect liver and kidney function, therefore they can be used in the therapy of patients over 65 years of age, but only after obtaining prior consent from the attending physician.
Use of penicillin in the treatment of prostatitis
One of the oldest groups of antibacterial drugs is the penicillin antibiotic. The drugs of this group are well studied, but today are no longer effective enough, as most microorganisms rapidly develop resistance to the active ingredient.
The advantage of this drug is its rapid removal from the body and minimal effect on liver function. The main disadvantages are low bioavailability and poor penetration into prostate tissue.
To date, the only drug still used in the treatment of prostatitis is a combination of penicillin antibiotics. It contains clavulanic acid, which enhances its action and gives some immunostimulatory effects.
It is best to use this group of drugs only for acute inflammation. Long-term administration of the drug is ineffective, as the causative agent of the disease quickly becomes resistant to its action. Usually the drug is prescribed for 7-10 days, no more.
Drugs from the tetracycline group
The tetracycline antibiotic is often prescribed for bacterial prostatitis. Advantages of this drug:
- various forms of release;
- various antimicrobial activities;
- fast efficiency;
- low cost.
Often, pills or injections are prescribed. If it is necessary to use suppositories with antibiotics for prostatitis, such drugs are available in the tetracycline group.
The disadvantage of this drug is its adverse effects on the gastrointestinal tract. They should be taken in combination with antihistamines and probiotics, otherwise dysbiosis is inevitable.
Due to side effects and contraindications, urologists prescribe such medications on a small scale and only on acute inflammation.
What are the special features of macrolides?
When asked which antibiotic is best for prostatitis, many doctors show 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 independent agents, without the need for simultaneous administration of hepatoprotectors, antihistamines or probiotics.
While some doctors are actively prescribing macrolides for prostatitis, others argue that this drug is not effective for chronic bacterial inflammation.
Macrolides has several names. The latest generation drugs in this group are distinguished by an attractive form of release - gel or suspension. They are easy to take, and the liquid form ensures rapid absorption of the drug. In addition, drugs in this group are very readily available and penetrate 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 syndrome in people with a predisposition to the disease.
When is cephalosporine effective?
Cephalosporins are good antibiotics for prostatitis. They treat bacterial prostatitis perfectly, giving no chance to pathogenic microorganisms. The downside is the list of contraindications and side effects is quite impressive. In addition, drugs in this group require proper dose selection, so these drugs can only be prescribed by a doctor.
Benefits of drugs from this group:
- high efficiency against pyogenic bacteria;
- quick action;
- good penetration into prostate tissue;
- no negative effects on the stomach microflora.
The main disadvantage is the high hepatotoxicity and load on the kidneys, and therefore this type of medication is not prescribed to elderly patients. Another pressing problem is the large list of negative drug interactions. In other words, during therapy with this antibiotic, you should stop taking other medications.
Antibacterial suppositories
Once you know what antibiotics for prostatitis are used for, and what names might be useful for men in the future, you should pay attention to suppositories for prostatitis infectious with antibiotics.
Topical applications are an advantage of such preparations. Suppositories act around the prostate, so the active ingredient is quickly absorbed by the rectal wall and penetrates directly into the tissue of the inflamed organ.
In addition to antibiotic suppositories, antiseptic drugs and anti-inflammatory suppositories can be prescribed for prostatitis.
Medicines in the form of suppositories can be used in conjunction with antibiotic tablets. For example, chronic prostatitis is often treated with oral macrolides in addition to suppository macrolide therapy. You can also use tetracycline series drugs with suppositories.
The duration of use of the rectal suppository is set individually. They are usually prescribed for a period of two weeks or more.
Antibiotic suppositories for prostatitis can have side effects. Often, with prolonged use of this form of the drug, intestinal dysbiosis is observed.
Natural Antibacterial
In addition to pharmaceuticals, treatment can be done with natural remedies with antimicrobial properties. Of course, natural antibiotics are less effective than special drugs, but can be used in chronic bacterial prostatitis to enhance the therapeutic effects of other drugs.
The most influential antimicrobial agent:
- honey;
- propolis;
- garlic;
- celandine.
Honey has a significant immunostimulatory effect. Men are advised to eat it both for the prevention and treatment of prostatitis. In addition, homemade suppositories are made from honey.
Propolis is a powerful natural antibiotic and antiseptic. You can make your own propolis suppository or buy it at a pharmacy.
Garlic helps fight chronic and non-infectious chronic prostatitis. It is often recommended to use for making candles, adding sea buckthorn oil, which accelerates tissue regrowth.
Celandine has significant antimicrobial activity and is used as decoctions and microclysters.
Make a suppository at home
Garlic is good for treating prostate problems.
To provide antimicrobial suppositories, you need to store solid fat. Cocoa butter or beeswax can also be used as a base for candles.
The base must be diluted in a water bath, slowly adding the active ingredient. Then the product is mixed and poured into a mold. You can also pour the resulting mass into a sticker, then twist the ends to form a “sausage” and leave in the refrigerator for an hour. After the mixture hardens, it is cut into small suppositories, about 3-4 cm long. The proportion depends on which active ingredient is used.
- To make a candle with honey, you need 50 g of base and 25 g of honey. Before using such suppositories, intolerance to bee products should be excluded.
- One of the most effective remedies for prostatitis is suppositories with propolis and honey. To prepare the medicine, you need to 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 it, melt 2 parts of the base and add one part of sea buckthorn oil into it. Using the same recipe, you can prepare candles based on pumpkin oil.
- Home treatment can be done with garlic. Squeeze 3 cloves of garlic, pour 50 ml of sea buckthorn oil and leave in the refrigerator for 24 hours. Then 25 ml of garlic oil is mixed with 50 ml of cocoa butter and wax is formed.
Such suppositories should be used 1-2 times a day. They are injected into the rectum, after making a cleansing enema.
Specialties of antibiotic treatment
The antibiotic treatment regimen for prostatitis is compiled by the doctor individually. Typically, antibiotic treatment for chronic prostatitis takes 4-5 weeks, and acute prostatitis is treated within two weeks.
Each drug has its own characteristics, contraindications and side effects. They are detailed in the official instructions for use, which must be read before starting therapy.
Self-medication with antibiotics is not allowed. You need to take the prescribed medication every day, without losing or stopping taking it until the end of the course.
Keep in mind that it is impossible to cure bacterial prostatitis without antibacterial drugs.