Infectious prostatitis is a common disease of the prostate gland that can lead to complications. Antibiotics for prostatitis are the main focus of treatment and are selected based on test results. It is impossible to take antibacterial medication without a doctor's prescription. Anyone who has faced this disease should know which groups of medicines exist and how they differ.
When do you need antibiotics?
Before using any medicine, you should definitely consult your doctor.
There are several types of diseases:
- 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 do not have a general anti-inflammatory effect.
Antibiotics for prostatitis are indicated only if the inflammation of the organ is caused by the activity of pathogenic microorganisms in the prostate gland. In all other cases, an antibiotic for prostatitis in a man will be ineffective.
The main problem with treating prostatitis is that many men are wary of antibiotic therapy, considering such drugs harmful or dangerous. Importers It is important to remember: neglected prostatitis is dangerous, and not a properly selected antibiotic, taken on the recommendation of a doctor, in accordance with the dose and treatment regimen.
Antibiotic for prostatitis and adenoma is prescribed only in the presence of bacterial inflammation. The drug in this group is effective only against bacteria and shows no activity against viruses or fungi. Antibiotics for chronic prostatitis are prescribed only if there is a chronic focus of infection on the prostate gland. Chronic bacterial prostatitis develops due to improper or insufficient treatment of acute bacterial prostatitis. Too often, the disease becomes chronic due to the fact that man self-medicated and took medications that were ineffective against a certain pathogen. As a result, pathogenic microorganisms develop resistance to drugs and the disease becomes chronic, reminding itself of periodic complications.The main antibiotic indicator for treating prostatitis in men is acute bacterial inflammation in the prostate.
In case of infectious or chronic non-infectious prostatitis, such drugs are not advised to be taken. This is due to the mechanism of development of such inflammation. Congestive prostatitis is a consequence of a sedentary lifestyle and other reasons leading to violation of prostate trophism and thickening of prostate secretion. Inflammation is due to the fact that the secretion of the prostate can not leave the lobules of the organ, it begins to accumulate and squeeze the gland. There is no infectious focus with such a disease, 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.
Most effective drugs
No doctor will ever tell a patient about the existence of the best antibiotics for prostatitis, as there is simply no such medication. There are several groups of antibiotics for men used to treat prostatitis. In each group, there are many names of active substances that are active against different bacteria. An effective antibiotic for prostatitis is a drug of choice taking into account the course characteristics of the disease in a particular man.
When prescribing a medicinal product, the following criteria are followed:
- the cause of the disease;
- form of prostatitis;
- medication that the husband has been taking in recent months;
- presence of other chronic diseases.
To determine which antibiotic will be best for prostatitis, it is necessary to do a 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 substances.
In general, acute bacterial prostatitis is treated quite effectively with the right antibiotics. Usually a two week course of therapy is enough to get rid of the disease permanently.
Treatment of chronic bacterial inflammation is often complicated by the resistance of microorganisms to antibacterial drugs. In this case, either synthetic antimicrobial agents are prescribed, or antibacterial therapy combined with several different drugs at the same time. The first option is preferable, but the course of therapy increases to 28 days or more.
What are fluoroquinolones and when are they used?
Tablets are suitable 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 drug that will effectively penetrate the prostate tissue, regardless of oral administration. Since men have recently begun to treat various diseases with antibiotics, often using drugs for other purposes, often resistant forms of pathogenic microorganisms are found that are not sensitive to conventional antibiotics. In this case, doctors give preference to drugs from the group of fluoroquinolones.
Fluoroquinolones are the only antibacterial drugs that have no natural analogues.
These drugs are completely synthetic, developed by chemists and not taken by nature. They are distinguished by a wide range of antimicrobial activity. The main advantage of using these drugs is that the causative agent of the disease can not develop resistance to fluoroquinolones, which means that such drugs remain effective even with repeated treatment.
The distinguishing features of this group of drugs are as follows:
- wide range of activities;
- has no negative impact on the digestive tract;
- appropriate release form;
- ease of use;
- minimal side effects;
- can be taken at any age;
- penetrate well into prostate tissue.
Such drugs are convenient to take as they are prescribed one tablet a day. However, the course of treatment, as a rule, is quite long, because despite the fact that the drug penetrates into the prostate tissue, its concentration increases slowly, so the course of administration usually lasts several weeks. Since there are practically no side effects, this has no negative impact on health.
Furthermore, medicines 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 in the treatment of prostatitis
One of the oldest groups of antibacterial drugs is the penicillin antibiotic. Drugs of this group have been well studied, but today they are no longer effective, as most microorganisms develop resistance to the active substance very quickly.
The advantage of these drugs is their rapid elimination from the body and minimal effect on liver function. The main disadvantage is low bioavailability and poor penetration into prostate tissue.
To date, the only drug still used in the treatment of prostatitis is an antibiotic combined with penicillin. It contains clavulanic acid, which enhances its action and provides an immunostimulatory effect.Preparations of this group should be used only in 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- variety of release forms;
- a wide range of antimicrobial activity;
- fast efficiency;
- low cost.
Pills or injections are most often prescribed. If it is necessary to use suppositories with a prostate antibiotic, such drugs can be found in the tetracycline group.
The disadvantage of these drugs is their detrimental effect on the gastrointestinal tract. They should be taken together with antihistamines and probiotics, otherwise dysbiosis cannot be avoided.
Because of the side effects and contraindications, urologists prescribe such medications in a small course and only in acute inflammation.
What are the specialties of macrolides?
When asked which antibiotics are best for prostatitis, many doctors suggest macrolides. The main feature of this group of drugs is their low toxicity and lack of side effects. They are well tolerated by the body and do not cause allergic reactions. They are used as an independent agent, without the need for concomitant administration of hepatoprotectants, antihistamines or probiotics.
While some doctors actively prescribe macrolides for the prostate, others argue that these drugs are ineffective for chronic bacterial inflammation.
Macrolides have several dozen names. The latest generation of drugs in this group is distinguished by an interesting form of release - a gel or a suspension. They are convenient to take, and the liquid form ensures rapid absorption of the drug. In addition, drugs in this group are very available 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 perfectly treat bacterial prostatitis, leaving no chance for pathogenic microorganisms. The disadvantage is a rather impressive list of contraindications and side effects. In addition, medicines in this group require the correct choice of dose, so they should be prescribed only by a doctor.Benefits of drugs from this group:
- high efficiency against pyogenic bacteria;
- fast action;
- good penetration into prostate tissue;
- has no negative impact on the gastric microflora.
The main disadvantage is the high hepatotoxicity and burden on the kidneys, and therefore drugs of this type are not prescribed for elderly patients. Another urgent problem is the long list of negative drug interactions. In other words, during therapy with these antibiotics, you should stop taking any other medication.
Antibacterial suppositories
Once you understand which antibiotics are used for prostate and which names may be useful for men in the future, you should pay attention to suppositories for infectious prostate with antibiotics.
Local implementation is an advantage of such preparations. Suppositories act near the prostate, so the active substance 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 drugs and anti-inflammatory suppositories may be prescribed for prostatitis.
Medicines in the form of suppositories can be used together with antibiotic tablets. For example, chronic prostatitis is often treated with oral macrolides in addition to suppository macrolides. You can also use tetracycline series suppositories.
The duration of the course of use of rectal suppositories is determined on an individual basis. They are usually prescribed for a period of two weeks or more.
Antibiotic suppositories for the prostate can have side effects. Often, with prolonged use of this form of the drug, intestinal dysbiosis is observed.
Natural antibacterials
In addition to pharmaceutical preparations, treatment can be performed with natural remedies with antimicrobial properties. Of course, natural antibiotics are significantly inferior in effectiveness to certain drugs, but they can be used in chronic bacterial prostatitis to enhance the therapeutic effect of other drugs.
The most powerful antimicrobial agent in nature:
- honey;
- propolis;
- garlic;
- celandine.
Honey has a pronounced immunostimulatory effect. Men are advised to eat it both for the prevention and treatment of prostatitis. In addition, household suppositories are made from honey.
Propolis is a powerful natural antibiotic and antiseptic. You can make propolis suppositories yourself or buy them at the pharmacy.
Garlic helps fight chronic prostatitis of an infectious and non-infectious nature. It is often suggested to be used to make candles, adding buckthorn oil, which accelerates tissue regeneration.
Celandine has a pronounced antimicrobial activity and is used as a decoction and microclister.
Making suppositories at home
Garlic is good for treating prostate problems.
To prepare candles with antimicrobial action, you need to accumulate on a strong fat base. Cocoa butter or beeswax can also be used as a base for candles.
The base should be dissolved in a water bath, gradually adding the active ingredient. The product is then mixed and poured into a mold. You can also pour the resulting mass into cling film, then turn the edges to form a “sausage” and leave in the fridge for an hour. Once the mixture has hardened, it is cut into small suppositories, about 3-4 cm long. The size depends on the active ingredient used.
- To make candles with honey, you need 50 g of base and 25 g of honey. Prior to the use of such suppositories, intolerance to bee products should be ruled out.
- One of the most effective remedies for prostatitis are candles 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.
- Buckthorn oil suggestions are recommended to reduce inflammation. To prepare them, melt 2 parts of the base and add to them a part of sea oil. The same recipe can be used to make candles based on pumpkin seed oil.
- Home treatments can be made with garlic. Squeeze 3 cloves of garlic, pour 50 ml of buckthorn oil and leave in the fridge for 24 hours. Then 25 ml of garlic oil are mixed with 50 ml of cocoa butter and candles are formed.
Such suppositories should be used 1-2 times a day. They are injected into the rectum after making a cleansing enema.
Features of antibiotic treatment
An antibiotic treatment regimen for prostatitis is developed by a physician on an individual basis. Typically, antibiotic treatment for chronic prostatitis lasts 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 should be read before starting therapy.
Self-medication with antibiotics is not allowed. You should take the prescribed medication every day, without missing or stopping taking it until the end of the course.
It should be remembered that it is impossible to cure bacterial prostatitis without antibacterial drugs.