Antibiotics for prostatitis in the event that a patient consults a urologist in an acute stage of inflammation, they are prescribed almost immediately. That is, the doctor will not wait for the test data. Therefore, in the first days, a drug with a wide spectrum of action is selected, the selection scheme is very similar when selecting antibiotics for cystitis.
Once the physician receives the laboratory data, usually taking two to three days, the decision is made to continue with the selected therapy regimen or to prescribe a new, more effective drug.
When choosing a drug, a doctor should take into account the patient's age, the presence of certain somatic diseases in his anamnesis, and allergic reactions.
The patient, in turn, should warn the doctor about the antibiotics they have used previously.
If a man was treated with any medication a few weeks before prostatitis, it is very likely that at this stage it will not be as effective as necessary in relieving 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 above 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 state of the prostate gland and cancels the drug or advises the continuation of treatment;
- The dose of the drug is also selected individually;
- The entire treatment cycle must be completed. If interrupted, the body creates the right conditions for the transition from an acute infectious process to a chronic one;
- It should not be more than three days from the time you start antibiotics until the pain and discomfort are reduced. If after this period the condition has not improved, you should see a doctor again to review the therapy and select another antibiotic.
Antibiotic therapy is one of the most important conditions for full recovery from bacterial prostatitis. A sick man must understand that his smooth life in the future depends on adherence to the entire treatment regimen.
Antibiotics for prostatitis are selected from the following groups of drugs:
- Penicillins. This group has a wide range of effects on bacteria and is therefore most often prescribed precisely before receiving the data from the laboratory. Another advantage of these drugs is their budget price and therefore all patients can receive treatment;
- Macrolidesperfectly penetrate the tissues of the prostate gland and begin to fight 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 used mainly in hospitals, as they are administered intramuscularly or intravenously;
- Tetracyclines.Effective for chlamydial prostatitis. But these drugs are very toxic and have a spermatoxic effect. Therefore, before planning conception, they are not prescribed;
- Fluoroquinolones.It is used when there is no effect of drugs from other groups.
When using antibiotics for the first time, all changes in health status need to be recorded. These drugs often 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 antibiotics, the doctor must check your 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 drug.
Antibiotics for the treatment of prostatitis, available in pill form, can 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 inflammation of the prostate are:
- large volume of distribution;
- creation of high concentrations of the substance in the prostate;
- penetrates cells;
- have a postantibiotic effect: after drug withdrawal, a concentration remains that inhibits bacterial growth within cells for several days;
- are taken once a day more often.
There are several generations of these types of antibacterial drugs. The second, third and fourth generation are the most used in urological practice.
Antibiotics against prostatitis from the group of fluoroquinolones of the third generation, of the fourth generation, allow to treat the inflammatory processes initiated by the mixed microflora: facultative anaerobes, gram-positive and gram-negative bacteria (Escherichia coli, staphylococci, enterococci), atypical intracellular bacteria, mycoplasma bacteria, mycoplasma bacteria.
Active ingredients in fluoroquinolone preparations for prostatitis include: levofloxacin, ciprofoloksacin, moxifloxacin.
Antibiotics for acute prostatitis in men can be used not for a month, but for two weeks, if the disease is initiated by opportunistic flora.
As a general rule, drugs in this group are well tolerated by patients. The most common adverse events are nausea and diarrhea. Phototoxicity is rarely reported.
If chronic bacterial prostatitis has started, a different treatment strategy should be used.
The symptoms are not as pronounced as in the case of an acute process. The patient complains of infrequent pain, urination problems, and problems of a sexual nature.
Chronic bacterial prostatitis is dangerous: For most men, it goes away almost imperceptibly, accompanied by occasional pain, but it leads to infertility, erection problems, prostate ablation, and prostate adenoma.
All of this comes to light suddenly, when the obvious signs of these problems start to bother a man.
A man oppressed by unpleasant sensations and episodic pain, which becomes more frequent with time, goes to the urologist.
The doctor, as in acute prostatitis, performs the necessary examinations (blood tests, urinalysis, palpation and bacterial culture), after which he develops a treatment regimen.
On average, the treatment lasts between 4 and 8 weeks. This is a serious stress on the body, because in addition to the specific 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 physical therapy and drugs that relieve edema and relax the smooth muscles of the prostate gland, home remedies that accelerate the therapeutic effect in complex therapy should not be forgotten.
Tetracyclines
Also available in two forms of administration, highly active against chlamydia and mycoplasma, so its effectiveness is greater 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, even active in nosocomial infection by methicillin-resistant staphylococci. Medications destroy intracellular forms of chlamydia, mycoplasma, ureaplasma. The advantage of tetracyclines is a lower frequency of intestinal dysbiosis formation, as well as the presence of an anti-inflammatory effect. In relation to intestinal, Pseudomonas aeruginosa, they are ineffective.
For chlamydia, mycoplasma, and ureaplasma infections, the drugs are taken for 3 weeks, the rest of the pathogens require two weeks of administration.
Media in this group should 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, as they are quite active against gram-positive bacteria and chlamydia.
Macrolide antibiotics in the treatment of inflammation of the prostate have a growth inhibitory effect against atypical intracellular bacteria, gram-positive microorganisms (cocci).
The advantage of macrolides in the treatment of inflammation of the prostate is their low toxicity compared to fluoroquinolones. Macrolides create high concentrations of the active ingredient in the tissues of the gland, have a post-antibiotic effect, anti-inflammatory and immunomodulatory effects. 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 can take two weeks. Medications can be taken in combination with fluoroquinolones.
Many patients are interested in knowing which antibiotics to take for prostatitis in men, if there is a history of allergy to penicillin. Means from the group of macrolides 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.