Antibiotics are prescribed for chronic prostatitis to eliminate the bacterial factor that causes inflammation of the gland.
The goals of antibiotic therapy are to relieve symptoms, prevent complications, and restore normal prostate function.
The funds are prescribed by the treating physician based on the test results. The generalized name "antibiotics" means several groups of drugs of various compositions with a pronounced antibacterial activity.
True antibiotics are substances of natural (natural) origin or their fully synthetic analogues.
Classification of chronic prostatitis
There are three main forms of chronic prostatitis:
- Chronic bacterial prostatitisis a lesion of the prostate gland associated with the development of pathogenic microflora. It proceeds with symptoms similar to those of acute prostatitis (painful urination, presence of pus and blood in the urine, etc. ), but has more blurred (facilitated) manifestations.
- Chronic non-bacterial prostatitisis a type of damage to the male prostate gland caused by causes other than pathogenic bacteria (for example, trauma or stone formation in the prostate), detected in the presence ofinfectious diseases. However, the name of the pathology refers only to the etiology of the disease, and not to its course, since in the process of pathogenesis the development of a pathogenic microflora identical to other varieties of prostatitis is observed.
- Chronic asymptomatic prostatitisis a pathology of the prostate gland caused by the presence of pathogenic microflora in the prostate region and is asymptomatic or almost asymptomatic. Important! If this type of disease is suspected, as a rule, it is detected during diagnosis on the basis of the presence of pathological phenomena such as leukocyturia and / or bacteriuria, further diagnosis is necessary. This is due to the similarity of the course of asymptomatic chronic prostatitis with prostate cancer.
Therefore, regardless of the type of chronic prostatitis, the use of antibiotics is recommended in all cases. Drugs that are used in naming therapeutic practice as drugs of choice will be discussed below. And you should start by offering readers antibiotics for the chronic prostatitis list.
What antibiotics are there?
In recent years, the resistance of bacteria to certain drugs has increased dramatically, therefore, before starting antibiotic treatment for prostatitis in men, it is necessary to examine the patient for the entire group of STIsand the pathogenic flora to determine the resistance of certain microorganisms to certain drugs.
What antibiotics are used to treat prostatitis at home? There are the following groups of antibacterial drugs (the best antibiotics for prostatitis in men):
- Penicillins.In the past, these antibiotics were actively used for inflammation of the prostate, with the advent of more active antibacterial drugs, they practically lost their clinical importance due to the increase in the number of negative bacteria resistant to penicillins.
- Macrolides.These antibiotics for prostatitis have a broad spectrum of action and low toxicity.
- Tetracyclines. It has activity against gonococci, chlamydia, mycoplasma. It is most often used in the treatment of chronic infectious prostatitis caused by the above pathogens.
- Fluoroquinolones.It is often used for the complex treatment of chronic inflammation of the prostate and for uncomplicated acute inflammation of the prostate gland (efficacy up to 100%). They have high activity and low toxicity (they do not alter the intestinal microflora).
- Cephalosporins.It is actively used in the treatment of acute forms of bacterial prostatitis. These are good antibiotics for prostatitis, they have a wide spectrum of action and high activity against pathogenic bacteria.
At the same time, modern medicine uses antibiotics for prostatitis or other diseases due to their capabilities:
- quickly destroys the source of disease and removes inflammation;
- produce substances that kill or stop the reproduction of bacteria and large viruses, but are safe for the cells of the macroorganism;
- works when applied externally (suppositories, ointments) and with other methods of administration: intramuscularly, orally, intravenously;
- to simultaneously fight many pathogens (broad spectrum antibiotics).
What are the most effective antibiotics?
To cure or reduce the symptoms of infectious prostatitis, strictly follow your doctor's recommendations. Start the course only after diagnosis, when the doctor understands the nature of the disease. Self-treatment at home is fraught with devastating consequences, a malfunction of the body's systems.
Recommendations for antibiotic therapy
The side effects of antibiotics can be as bothersome as worsening prostatitis.
Typical disadvantages of each group of drugs:
- Penicillins: skin rash, dermatitis, diarrhea;
- Cephalosporins: diarrhea. Rash and fever are rare;
- Macrolides: nausea, vomiting. Colitis, cholestatic jaundice sometimes occurs;
- Fluoroquinolones: abdominal pain, diarrhea.
Diarrhea is the most common side effect of antibiotics. It is caused by two reasons: an imbalance of the intestinal microflora, an overgrowth of bacteria called Clostridium difficile. To prevent and eliminate diarrhea, you can take probiotics and prebiotics in parallel.
Non-antibacterial therapy
In addition to antibiotics, the following treatments are used to successfully treat prostatitis, especially chronic prostatitis:
- Prostate massage is the best way to improve blood supply and discharge of inflammatory secretions from the prostate gland;
- physiotherapy;
- nonsteroidal anti-inflammatory drugs: not used in parallel with fluoroquinolones;
- herbal preparations;
- alpha blockers.
To effectively cure a disease, it is necessary to perform diagnostics that show the type of bacterial agents causing the disease in a particular patient, their sensitivity to drugs. Based on the test results, the doctor decides what it means to treat chronic prostatitis or the acute form of the disease.