Antibiotics for prostatitis in the case of a patient consulting a urologist during the period of acute inflammation is prescribed almost immediately. That means the doctor won't wait for the test data. So, in the early days, a broad spectrum drug was chosen, the scheme of choice was very similar to the choice of antibiotics for cystitis.
After the doctor receives the test data, which usually takes two to three days, a decision will be made to either continue the chosen treatment regimen or prescribe a new, more effective drug.
When choosing a drug, the doctor must take into account the patient's age, the presence of certain somatic diseases in the medical history and allergic reactions.
It is the patient's turn to warn their doctors about the antibiotics they were taking before.
If a man has been treated with any medicine several weeks prior to prostatitis, then it is very likely that at this stage the medication will not be as effective at reducing the required inflammation.
Among the different classes of antibiotics, there are so-called "reserve" drugs, including those that have a strong effect on the body. Urologist only prescribes if previous conservative treatment does not help.
Antibiotic therapy requires certain conditions.
- Antibiotics are prescribed for a specific period of time. Usually at least 2 weeks. In the future, the doctor evaluates the condition of the prostate gland and cancel the drug, or advises to continue treatment;
- The dosage of the drug is also selected individually;
- Must complete the entire course of treatment. If it is interrupted, the body creates the right conditions for chronic infectiousness;
- It will take no more than three days from the time you start using the antibiotic until pain and discomfort is relieved. If after this time your condition still does not improve, you should see your doctor again to consider therapy and other antibiotic options.
Antibiotic therapy is one of the most important conditions for full recovery from bacterial prostatitis. Patients must understand that their trouble-free life in the future depends on adhering to a full treatment regimen.
Antibiotics for prostatitis are selected from the following groups of drugs:
- Penicillin. This group has a wide range of effects on bacteria and therefore it is often indicated correctly before data is collected from the laboratory. Another advantage of these drugs is that they are affordable and therefore accessible to all patients;
- Macrolidespenetrates perfectly into the tissues of the prostate gland and begins to fight infection after the first dose. This group of drugs is practically non-toxic and does not affect the state of the intestinal microflora;
- Cephalosparins. They are mainly used in hospitals, as they are administered intramuscularly or intravenously;
- Tetracyclines.Effective against chlamydia prostatitis. But these drugs are highly toxic and have a spermatogenic effect. So, before planning for conception, they are not prescribed;
- Fluoroquinolon.Used in the absence of the influence of drugs of other classes.
When using an antibiotic for the first time, keep a record of any developments in health. Often these drugs cause a severe allergic reaction, especially in patients with a history of allergy.
At home, it is not always possible to cure prostatitis, because before prescribing any antibiotic, the physician must check its response to the bacteria it finds.
Due to many side effects, treatment should be carried out under the supervision of a specialist. In the event of unpleasant symptoms, contact a doctor immediately and change the medication.
Antibiotics for the treatment of prostatitis, available in pill form, can contain different active ingredients. Therefore, the list of such drugs is broad enough and only a doctor can prescribe the right one.
Fluoroquinolones
The most effective antibiotic for prostatitis, according to urologists, belongs to the group of fluoroquinolones. The benefits of fluoroquinolones in the treatment of prostatitis are:
- large volume distribution;
- produces high concentrations of this substance in the prostate gland;
- penetrates the cell;
- has antibiotic effects - after stopping the drug, the concentration that inhibits the growth of bacteria remains inside the cell for several days;
- is done once a day most often.
This antibacterial drug has many generations. The second, third and fourth generations are most commonly used in urological practice.
Antibiotics against prostatitis from the group of fluoroquinolones, the third, fourth generation allowing the treatment of inflammatory processes initiated by a mixed microflora - anaerobic bacteria, gram-positive bacteria, gram negative (Escherichia coli, staphylococci, enterococci), atypical intracellular bacteria, mycoplasma.
The active ingredients of fluoroquinolone preparations for the treatment of prostatitis include: levofloxacin, ciprofloxacin, moxifloxacin.
Antibiotics for acute prostatitis in men can be used not for a month but for two weeks, if the disease is triggered by opportunistic bacteria.
As a rule, drugs of this group are well tolerated by patients. The most common side effects were nausea and diarrhea. Phototoxicity has been rarely reported.
If chronic bacterial prostatitis has already begun, a different treatment strategy should be used.
Symptoms are not as pronounced as in the case of the acute course. Patients complain of infrequent pain, problems with urination and problems of sexual nature.
Chronic bacterial prostatitis is very dangerous: for most men the disappearance is barely noticeable, sometimes with pain but leads to infertility, problemson erection, prostateectomy and prostate adenoma.
All of this suddenly came to light, when the obvious signs of these problems began to bother a man.
A man overwhelmed by discomfort and intermittent pain, which became more frequent over time, went to see a urologist.
The doctor also conducts necessary tests (blood test, urine test, palpation and bacterial culture), then recommends a treatment protocol.
On average, the treatment takes 4-8 weeks. This is a serious strain for the body, because in addition to the target microflora our friends suffer as well. Therefore, the use of antibiotics must be combined with the use of drugs that regenerate the gastrointestinal tract from the beginning.
In addition to antibiotics, patients are prescribed physical therapy and drugs that reduce edema and relax the smooth muscles of the prostate gland, should not forget folk remedies that help accelerate the therapeutic effect of therapy. complex.
Tetracyclines
Also available in two forms of use, are highly active against chlamydia and mycoplasma, so their effectiveness is higher in chronic prostatitis associated with sexually transmitted diseases. Optimal drugs are those with the best pharmacokinetic data and tolerability.
However, tetracycline has the effect of destroying gram-positive microbiota, including activity in methicillin-resistant staph infections hospital. The drug destroys intracellular forms of chlamydia, mycoplasma, ureaplasma. The advantage of tetracycline is the lower frequency of the formation of intestinal disorders, as well as the presence of an anti-inflammatory effect. With regard to the intestinal tract, Pseudomonas aeruginosa, they are ineffective.
For cases infected with chlamydial, mycoplasma and ureaplasma, using the drug for 3 weeks, the remaining pathogens need to be used for two weeks.
means from this heading may not be used when using dairy products at the same time.
Macrolide for the treatment of prostatitis
Macrolides (including azalides) should be used only under certain conditions, as there is only a small amount of scientific research confirming their effectiveness in inflammatory prostate disease and this group of antibiotics. has very little activity against gram-negative bacteria.
But you should not give up the use of macrolides completely, as they are quite active against gram-positive bacteria and chlamydia.
An antibiotic of the macrolide group in the treatment of prostatitis inhibits the growth of atypical intracellular bacteria, gram-positive microorganisms (cocci).
The advantage of macrolide in the treatment of prostatitis is its low toxicity compared with fluoroquinolon. Macrolide produces high concentrations of the active substance in the tissues of the gland, has antibiotic, anti-inflammatory and immunomodulatory effects. Medicines have phagocytic effects, inhibiting oxidation in cells. Macrolide can be used in adolescents.
If the prostatitis is caused by opportunistic bacteria, it may take up to two weeks of treatment. The drug can be used in combination with fluoroquinolones.
Many patients are interested in what antibiotics to take for prostatitis in men if they have a history of penicillin allergy. Drugs from the macrolide group do not have a cross-allergenic pattern with drugs from the penicillin and cephalosporin groups, so allergy sufferers can use them safely.