Antibiotics for prostatitis in case the patient consults a urologist in the acute phase of inflammation are prescribed almost immediately. That is, the doctor will not wait for the test data. Therefore, in the first days a drug with a broad spectrum of action is selected, the selection scheme is very similar when choosing an antibiotic for cystitis.
After the doctor receives the laboratory data, usually two to three days pass, a decision is made either to continue the selected treatment regimen or to 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 his anamnesis and allergic reactions.
The patient must in turn alert the doctor to the antibiotics he has previously used.
If a man has been treated with any medication for a few weeks before prostatitis, it is very likely that at this stage it will not be as effective as it is needed to alleviate the 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 limited time. It is usually at least 2 weeks. In the future, the doctor assesses the condition of the prostate and cancels the medication or advises continued treatment;
- The dosage of the drug is also selected individually;
- The entire course of treatment must be completed. If it is interrupted, the body creates favorable conditions for the transition from an acute infectious process to a chronic one;
- It should take a maximum of three days from the time you start using antibiotics until the pain and discomfort subsides. If the condition does not improve after this period, you should see your doctor again to review your therapy and choose another antibiotic.
Antibiotic therapy is one of the most important conditions for complete recovery from bacterial prostatitis. A sick man must understand that his life without problems in the future depends on adherence to the whole treatment regimen.
Antibiotics for prostatitis were selected from the following groups of drugs:
- Penicillins. This group has a wide range of effects on bacteria and is therefore most often prescribed before data are obtained from the laboratory. Another advantage of these drugs is their budget cost and therefore every patient can receive treatment;
- Macrolidespenetrate perfectly into the prostate tissues and begin to fight infection after the first intake. This group of drugs is practically non-toxic and does not affect the state of the intestinal microflora;
- Cephalosparini. They are mainly used in hospitals because they are given intramuscularly or intravenously;
- Tetracyclines.Effective for prostatitis caused by chlamydia. But these drugs are very toxic and have a spermatoxic effect. Therefore, they are not prescribed before conception planning;
- Fluoroquinolones.Used when drugs from other groups do not work.
When using antibiotics for the first time, any changes in health should be recorded. These drugs often cause serious allergic reactions, especially in patients with a history of allergies.
It is not always possible to get rid of prostatitis at home, because the doctor must check its reaction to the found bacteria before prescribing any antibiotic.
Due to the large number of side effects, treatment should be carried out under the supervision of a specialist. In case of unpleasant symptoms, contact your doctor immediately and change the medication.
Antibiotics for the treatment of prostatitis, available in tablet form, may contain various 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 amount of distribution;
- creation of high concentrations of the substance in the prostate;
- penetrate cells;
- have a postantibiotic effect - after drug withdrawal, the concentration that inhibits bacterial growth remains within the cells for several days;
- are taken once a day, most often.
There are several generations of this type of antibacterial drug. 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 enable the treatment of inflammatory processes triggered by mixed microflora - facultative anaerobes, gram-positive, gram-negative bacteria (Escherichia coli, staphylococci, enterococci), atypical intraplasmic mycoplasiabacteria, mycoplasma bacteria, mycoplasma bacteria, mycoplasma bacteria, mycoplasma bacteria, mycoplasmas.
The active ingredients of fluoroquinolone preparations for prostatitis include: levofloxacin, ciprofoloxacin, 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 started.
Patients in this group generally tolerate drugs well. The most common side effects are nausea and diarrhea. Phototoxicity has been reported rarely.
If chronic bacterial prostatitis has started, a different treatment strategy should be used.
Symptoms are not as severe 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 passes almost imperceptibly, accompanied by episodic pain, but leads to infertility, erection problems, prostate abnormalities and prostate adenoma.
All this suddenly comes to light when the obvious signs of these problems start to bother a person.
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, performs the necessary examinations (blood tests, urine tests, palpation and bacterial culture), after which he develops a treatment regimen.
On average, treatment lasts 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 primarily associated with taking drugs that regenerate the gastrointestinal microflora.
In addition to antibiotics, the patient is prescribed physiotherapy and drugs that relieve edema and relax the smooth muscles of the prostate, we should not forget about folk remedies that accelerate the therapeutic effect in complex therapy.
Tetracyclines
Also available in two forms of administration, very active against chlamydia and mycoplasma, so their effectiveness is higher in chronic prostatitis associated with sexually transmitted diseases. The optimal drugs are those with the best pharmacokinetic data and tolerability.
However, tetracyclines have a destructive effect on gram-positive flora, including those active in nosocomial staphylococcal infections resistant to methicillin. Drugs destroy intracellular forms of chlamydia, mycoplasma, ureaplasma. The advantage of tetracycline is the lower frequency of intestinal dysbiosis, as well as the presence of anti-inflammatory effect. Compared to intestinal, Pseudomonas aeruginosa, they are ineffective.
For chlamydia, mycoplasma and ureaplasma infections, the drugs are taken for 3 weeks and the rest of the pathogen requires two weeks of administration.
Products from this group should not be taken with the simultaneous use of dairy products.
Macrolides in the treatment of prostatitis
Macrolides (including azalides) should only be used 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 prostatitis have the effect of inhibiting growth against atypical intracellular bacteria, gram-positive microorganisms (cocci).
The advantage of macrolides in the treatment of prostate inflammation is their low toxicity over fluoroquinolones. Macrolides create high concentrations of the active substance in the glandular tissues, have a postantibiotic, anti-inflammatory and immunomodulatory effect. The drugs have a beneficial effect on phagocytosis, inhibiting oxidative stress in cells. Macrolides can be used in adolescents.
If the prostatitis is caused by an opportunistic flora, treatment may take two weeks. The drugs can be taken in combination with fluoroquinolones.
Many patients are interested in which antibiotics to take for prostatitis in men if there is a history of penicillin allergy. Macrolide agents do not have a cross-type allergy with penicillin and cephalosporin drugs, so allergy sufferers can safely take them.