Antibiotics for prostatitis in the event that a patient consults a urologist in an acute stage of inflammation are prescribed almost immediately. That is, the doctor will not wait for the test data. Therefore, in the early days, a medicine with a wide spectrum of action is selected, the selection scheme is very similar when selecting antibiotics for cystitis.
After the laboratory data is received by the doctor, it usually takes two to three days, a decision is made either to continue the selected therapy regimen or to prescribe a new, more effective drug.
When choosing a medicine, a doctor must take into account the patient's age, the presence of certain somatic diseases in his anamnesis, and allergic reactions.
The patient, in turn, must warn the doctor about the antibiotics he has previously used.
If a man was treated with any medication a few weeks before prostatitis, then it is highly likely that at this stage it will not be as effective as necessary to relieve inflammation.
Among the different groups of antibiotics, there are so-called "reserve" drugs, which include drugs with a strong effect on the body. The urologist prescribes them only if the previous conservative treatment did not help.
Antibiotic therapy requires certain conditions.
- Antibiotics are prescribed for a specific period of time. Usually it is at least 2 weeks. In the future, the doctor assesses the condition of the prostate gland and cancels the drug, or advises the continuation of treatment;
- The dosage of the medicine is also selected individually;
- The entire course of treatment must be completed. If it is interrupted, then the body creates suitable conditions for the transition of an acute infectious process into a chronic one;
- It should take no more than three days from the moment you start using antibiotics until pain and discomfort are reduced. If after this period the condition has not improved, then you need to consult a doctor again for a review of therapy and the selection of another antibiotic.
Antibiotic therapy is one of the most important conditions for complete recovery from bacterial prostatitis. A sick man must understand that his trouble-free life in the future depends on adherence to the entire treatment regimen.
Antibiotics for prostatitis are selected from the following drug groups:
- Penicillins. This group has a wide range of effects on bacteria and therefore it is most often prescribed precisely before the data is received from the laboratory. Another advantage of these drugs is their budget price and therefore every patient can receive treatment;
- Macrolidesperfectly penetrate the tissues of the prostate gland and begin to fight the infection after their first intake. 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 for prostatitis caused by chlamydia. But these drugs are highly toxic and have a spermatoxic effect. Therefore, they are not prescribed before planning conception;
- Fluoroquinolones.Used when there is no effect from drugs from other groups.
When using antibiotics for the first time, it is necessary to record all changes in the state of health. Often these drugs cause severe allergic reactions, especially in patients with a history of allergies.
At home, it is not always possible to get rid of prostatitis, because before prescribing any antibiotic, the physician must check its reaction to the bacteria found.
Due to the large number of side effects, treatment should be carried out under the supervision of a specialist. In case of unpleasant symptoms, you should immediately contact your doctor and change the medicine.
Antibiotics for the treatment of prostatitis, available in pill form, may contain different active ingredients. Therefore, the list of such drugs is wide enough and only a doctor can prescribe the right one.
Fluoroquinolones
The most effective antibiotics for prostatitis, according to urologists, belong to the group of fluoroquinolones. The benefits of fluoroquinolones in the treatment of prostate inflammation are:
- large distribution volume;
- creation of high concentrations of the substance in the prostate;
- penetrate cells;
- have a po-antibiotic effect - after drug withdrawal, a concentration inhibiting the growth of bacteria remains inside the cells for several days;
- are taken once a day most often.
There are several generations of this type of antibacterial drugs. The second, third and fourth generations are most often used in urological practice.
Antibiotics against prostatitis from the group of fluoroquinolones of the third generation, fourth generation allow the treatment of inflammatory processes initiated by mixed microflora - facultative anaerobes, gram-positive, gram-negative bacteria (Escherichia coli, staphylococci, enterococci), atypical intracellular bacteria, mycoplasma bacteria, mycoplasma bacteria.
The active ingredients of fluoroquinolone preparations for prostatitis include: levofloxacin, ciprofloxacin, moxifloxacin.
Antibiotics for acute prostatitis in men can be used not for a month, but for two weeks, if a conditionally pathogenic flora disease is initiated.
As a rule, drugs in this group are well tolerated by patients. The most common adverse events are nausea and diarrhea. Phototoxicity is rarely recorded.
If chronic bacterial prostatitis has begun, a different treatment strategy should be used.
Symptoms are not as pronounced as in the case of an acute process. The patient complains of infrequent pain, problems with urination and problems of a sexual nature.
Chronic bacterial prostatitis is dangerous: for most men, it goes away almost imperceptibly, accompanied by episodic pain, but leads to infertility, erection problems, prostate abnormalities and prostate adenoma.
All this comes to light suddenly, when obvious signs of these problems begin to bother a man.
A man oppressed by unpleasant sensations and episodic pains, which become more frequent over time, turns to a urologist.
The doctor, as in acute prostatitis, conducts the necessary examinations (blood tests, urine tests, palpation and bacterial culture), after which he develops a treatment regimen.
On average, treatment takes 4-8 weeks. This is a serious stress for the body, because in addition to the targeted microflora, our friends also suffer. Therefore, taking antibiotics is associated with taking drugs that regenerate the gastrointestinal microflora in the first place.
In addition to antibiotics, the patient is prescribed physiotherapy and drugs that relieve edema and relax the smooth muscles of the prostate gland, one should not forget about folk remedies that accelerate the therapeutic effect in complex therapy.
Tetracyclines
Also available in two forms of administration, highly active against chlamydia and mycoplasma, therefore their effectiveness is higher in chronic prostatitis associated with sexually transmitted diseases. The optimal drugs are those with the best pharmacokinetic data and tolerance.
However, tetracyclines have a destructive effect on gram-positive flora, including active in nosocomial infection with methicillin-resistant staphylococcus. The drugs destroy the intracellular forms of chlamydia, mycoplasma, ureaplasma. The advantage of tetracyclines is a lower frequency of the formation of intestinal dysbiosis, as well as the presence of an anti-inflammatory effect. In relation to intestinal, Pseudomonas aeruginosa, they are ineffective.
For chlamydial, mycoplasma and ureaplasma infections, medications are taken for 3 weeks, the rest of the pathogens require two weeks.
Means from this group must not be taken with the simultaneous use of dairy products.
Macrolides in 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 prostatitis, and this group of antibiotics has little activity against gram-negative bacteria.
But you should not completely abandon the use of macrolides, since they are quite active against gram-positive bacteria and chlamydia.
Antibiotics from the macrolide group in the treatment of prostate inflammation have a growth inhibitory effect against atypical intracellular bacteria, gram-positive microorganisms (cocci).
The advantage of macrolides in the treatment of prostate inflammation is their low toxicity compared to fluoroquinolones. Macrolides create high concentrations of the active substance in the tissues of the gland, have a postantibiotic effect, anti-inflammatory and immunomodulatory effects. The drugs have a beneficial effect on phagocytosis, inhibit oxidative stress in cells. Macrolides can be used in adolescents.
If prostatitis is caused by opportunistic flora, treatment may take two weeks. The drugs can be taken in combination with fluoroquinolones.
Many patients are interested in what antibiotics to take for prostatitis in men, if there is a history of penicillin allergy. Means from the macrolide group do not have a cross type of allergy with drugs from the group of penicillins and cephalosporins, therefore they can be safely taken by allergy sufferers.