Infectious prostatitis is a common disease that can cause complications of the prostate gland. Antibiotics for prostatitis are the mainstay of treatment and are selected based on test results. It is not possible to take antibacterial drugs without a doctor's prescription. Every man with this disease should know what groups of drugs are available and how they differ.
When do you need antibiotics?
You must consult your doctor before using the medication.
There are several types of disease:
- acute infectious (bacterial) prostatitis;
- chronic bacterial prostatitis;
- chronic non-infectious prostatitis.
It is not always advisable to take antibiotics. Drugs of this group are active only against pathogenic agents, but have no general anti-inflammatory effect.
Antibiotics for prostatitis are prescribed only when the inflammation of the body 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 in the treatment of prostatitis is that many men are wary of antibiotic therapy, considering such drugs harmful or dangerous. It is important to remember: indifferent prostatitis is dangerous and is not a properly selected antibiotic taken on the advice of a doctor according to the dose and treatment regimen.
Antibiotics for prostatitis and adenoma are prescribed only in case of bacterial inflammation. Drugs in this group are effective only against bacteria and do not act against viruses or fungi.
Antibiotics for chronic prostatitis are prescribed only if there is a chronic infection focus in the prostate gland. Bacterial chronic prostatitis develops due to improper or inadequate treatment of acute bacterial prostatitis. Often, the disease becomes chronic due to self-medication and taking drugs that are ineffective against a particular pathogen. As a result, pathogenic microorganisms become resistant to drugs, and the disease becomes chronic and manifests itself with periodic complications.
The main indication for the treatment of prostatitis in men is acute bacterial inflammation of the prostate.
Such drugs are not recommended for non-congestive or non-chronic prostatitis. This is due to the mechanism of development of such inflammation. Congestive prostatitis is another cause of sedentary lifestyle and disorders of prostate trophism and thickening of prostate secretion. Inflammation begins when the secretion of the prostate is unable to leave the body's lobules, causing the gland to contract and contract. There is no infectious focus with such a disease, that is, there is no point in taking antibiotics. Special anti-inflammatory drugs are used to treat this form of inflammation, which should not be mixed with antibiotics.
The most effective drugs
No doctor will tell a patient about the best antibiotics for prostatitis because there are no such drugs. There are several groups of antibiotics used for the treatment of prostatitis in men. Each group contains the names of many active substances that are active against different bacteria. An effective antibiotic for prostatitis is a drug that is selected based on the characteristics of the disease in a particular man.
The following criteria are followed when prescribing a drug:
- the causative agent of the disease;
- prostatitis form;
- medications taken by a man in recent months;
- Presence of other chronic diseases.
To determine which antibiotic is best for prostatitis, a bacterial culture of prostate secretion should be performed. 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. Generally, 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 antibacterial therapy combined with several different drugs at the same time. The first option is preferred, but the course of therapy is extended to 28 days or more.
What are fluoroquinolones and when are they used?
Pills are suitable for treating prostatitis with antibiotics at home, although needles are generally more effective and faster. At the same time, it is important to choose a drug that will effectively penetrate the tissues of the prostate, even if given orally. Recently, men have begun to treat various diseases with antibiotics, often using drugs for other purposes, often finding resistant forms of pathogenic microorganisms that are not sensitive to conventional antibiotics. In this case, doctors prefer drugs from the group of fluoroquinolones.
Fluoroquinolones are the only antibacterial drug that has no natural analogue.
These drugs are completely synthetic, developed by chemists and not accepted in nature. They are distinguished by a wide spectrum of antimicrobial activity. The main advantage of the use of these drugs is that the pathogen can not develop resistance to fluoroquinolones, which means that such drugs remain effective with repeated treatment.
The distinctive features of this group of drugs are:
- wide range of activities;
- does not adversely affect the digestive system;
- convenient release form;
- ease of use;
- minimum side effects;
- can be drawn at any age;
- penetrates well into prostate tissue.
It is convenient to take such drugs, because one tablet is prescribed per day. However, the course of treatment is usually quite long, because despite the fact that the drug penetrates into the tissues of the prostate, its concentration increases slowly, so the course of application usually lasts several weeks. As there are practically no side effects, it has no negative impact on health.
In addition, drugs in this group do not affect the function of the liver and kidneys, so they can be used in the treatment of patients over 65 years of age, but can be used only after prior consultation with the attending physician.
Use of penicillins in the treatment of prostatitis
One of the oldest groups of antibacterial drugs is penicillin antibiotics. Drugs of this group are well studied, but today they are no longer effective enough, because most microorganisms are very resistant to the active substance.
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 the prostate tissue.
To date, the only drug used to treat prostatitis is the combined antibiotic penicillin. Contains clavulanic acid to enhance composition & have some immunostimulatory effects
Drugs of this group should be used only in acute inflammation. Long-term use of the drug is ineffective, because the causative agent of the disease quickly becomes resistant. Generally, the drug is prescribed for 7-10 days, not longer.
Drugs from the group of tetracyclines
Tetracycline antibiotics are often prescribed for bacterial prostatitis. Benefits of these drugs:
- various release forms;
- has a broad antimicrobial activity;
- fast efficiency;
- low price.
Pills or injections are often prescribed. If it is necessary to use antibiotic suppositories for prostatitis, such drugs can be found in the group of tetracyclines.
The disadvantage of these drugs is their harmful effects on the gastrointestinal tract. It 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 a small course and only in acute inflammation.
What are the properties 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 the absence of side effects. It is well tolerated by the body and does 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 prescribe active macrolides for prostatitis, others claim 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 easy to take, and the liquid form provides rapid absorption of the drug. In addition, drugs in this group are highly bioavailable and penetrate well into the tissues of inflamed organs.
The main contraindications are mental illness 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 a good antibiotic for prostatitis. They perfectly treat bacterial prostatitis without leaving any chance for pathogenic microorganisms. The disadvantage is a very impressive list of contraindications and side effects. In addition, drugs in this group require the correct choice of dose, so it should be prescribed only by a physician.
Benefits of drugs from this group:
- high effectiveness against pyogenic bacteria;
- fast action;
- good penetration into prostate tissues;
- does not adversely affect the gastric microflora.
The main disadvantage is the high hepatotoxicity and burden on the kidneys, and therefore this type of drug is not prescribed to elderly patients. Another topical issue is the large list of adverse drug interactions. In other words, you should not take any other medications during therapy with these antibiotics.
Antibacterial suppositories
After thinking about what antibiotics are used for prostatitis and what names may be useful for men in the future, you should pay attention to antibiotic suppositories for infectious prostatitis.
Local application is the advantage of such preparations. The mammary glands 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, antiseptic drugs and anti-inflammatory suppositories may be prescribed for prostatitis.
The drug 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 suppositories. You can also use tetracycline series drugs with suppositories.
The duration of use of rectal suppositories is determined individually. They are usually appointed for two weeks or more.
Antibiotic suppositories for prostatitis may have side effects. Often, intestinal dysbiosis is observed with long-term use of this form of the drug.
Natural Antibacterial Substances
In addition to medicines, treatment can be carried out with natural remedies with antimicrobial properties. Of course, natural antibiotics are less effective than specific drugs, but they can be used in chronic bacterial prostatitis to increase the therapeutic effect of other drugs.
The Strongest Natural Antimicrobial:
- points;
- propolis;
- garlic;
- celandine.
Honey has a pronounced immunostimulatory effect. Men are advised to eat to prevent and treat prostatitis. In addition, home-made suppositories are made from honey.
Propolis is a powerful natural antibiotic and antiseptic. You can make propolis suppositories yourself or buy them at a pharmacy.
Garlic helps fight chronic prostatitis, both infectious and non-infectious. It is often suggested that candle production be used to add sea buckthorn oil, which accelerates tissue regeneration.
Celandine has a pronounced antimicrobial activity and is used as a decoction and microclusters.
Make suppositories at home
Garlic is useful for treating prostate problems.
You need a solid oil base to make antimicrobial candles. Cocoa butter or beeswax can also be used as a base for candles.
The base should be gradually dissolved in a water bath with the addition of the active substance. Then the product is mixed and poured into a mold. As a result, you can pour the mass into a food film, then bend the ends to form a "sausage" and keep in the refrigerator for an hour. After hardening, the mixture is cut into small suppositories about 3-4 cm long. These ratios depend on which active ingredient is used.
- To make candles with honey, you need 50 g of base and 25 g of honey. Intolerance to bee products should be ruled out before using such suppositories.
- One of the most effective drugs for prostatitis, suppository with propolis and honey. To prepare the drug you need 50 g of beeswax, 25 g of honey and 10 g of propolis.
- Recommended with sea buckthorn oil suppositories to reduce inflammation. To prepare them, melt 2 parts of the base and add a part of sea buckthorn oil to them. You can make candles based on pumpkin oil using the same recipe.
- Home treatment can be done with garlic. Squeeze 3 cloves of garlic, pour 50 ml of sea buckthorn oil and keep in the refrigerator for 24 hours. 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. The cleanser is injected into the rectum after enema.
Features of antibiotic treatment
Antibiotic treatment regimen for prostatitis is prescribed by a 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. Detailed information is provided in the official instructions for use, which should be read before starting therapy.
Self-medication with antibiotics is not allowed. You should take your prescribed medication daily without losing or stopping by the end of the course.
Let's not forget that it is impossible to treat bacterial prostatitis without antibacterial drugs.