Antibiotics for prostatitis in case a patient consults a urologist in the 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 drug with a broad spectrum of action is chosen, the selection scheme is very similar in the choice of antibiotics for cystitis.
Once the laboratory data is obtained from the doctor, it usually takes two to three days to decide whether to continue the chosen 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 history and allergic reactions.
The patient, in turn, should warn the doctor about the antibiotics he has used before.
If a man has been treated with a drug for a few weeks before prostatitis, then it is very likely that at this stage it is not as effective as it is needed to relieve the inflammation.
Among the various groups of antibiotics are the so-called "reserve" drugs, which include drugs with a strong effect on the body. The urologist prescribes them only if the previous conservative treatment has not helped.
Antibiotic therapy requires certain conditions.
- Antibiotics are prescribed for a certain period of time. This is usually at least 2 weeks. In the future, the doctor assesses the condition of the prostate gland and cancels the drug or advises continued treatment;
- The dosage of the drug is also chosen individually;
- The entire course of treatment must be completed. If it is interrupted, then the body creates appropriate conditions for the transition from an acute infectious process to a chronic one;
- No more than three days should elapse from the time you start using antibiotics until the pain and discomfort subside. If after this period the condition has not improved, you should consult a doctor again to review the 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 trouble-free life in the future depends on following 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 just before laboratory data are available. Another advantage of these drugs is their budget cost and therefore any patient can receive treatment;
- Macrolidespenetrate perfectly into 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 condition of the intestinal microflora;
- Cephalosparins. They are mainly used in hospitals as they are administered intramuscularly or intravenously;
- Tetracyclines.Effective in chlamydia-induced prostatitis. But these drugs are highly toxic and have a spermatoxic effect. Therefore, they are not prescribed before conception planning;
- Fluoroquinolones.Used when there is no effect of drugs from other groups.
When using antibiotics for the first time, it is necessary to record all changes in health. Often these drugs cause severe allergic reactions, especially in patients with a history of allergies.
It is not always possible to get rid of prostatitis at home, because before prescribing any antibiotic, the doctor 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 contact your doctor immediately and change the medicine.
Antibiotics for the treatment of prostatitis, available in pill 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 prostatitis are:
- large volume of distribution;
- creating high concentrations of the substance in the prostate;
- penetrate the cells;
- have a more antibiotic effect - after withdrawal of the drug concentration, inhibiting the growth of bacteria, remains inside the cells for several days;
- is 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 from the third generation, fourth generation allow treatment of inflammatory processes initiated by mixed microflora - facultative anaerobes, gram-positive, gram-negative bacteria (Escherichia coli, staphylococci), mycoplasma bacteria, mycoplasma.
The active ingredients of fluoroquinolone preparations for prostatitis include: levofloxacin, ciprofoloxacin, moxifloxacin.
Antibiotics for acute prostatitis in men can be used not one month but two weeks if the disease is initiated by opportunistic flora.
Generally, drugs in this group are well tolerated by patients. The most common side effects are nausea and diarrhea. Phototoxicity is rarely reported.
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 rare pain, difficulty urinating and sexual problems.
Chronic bacterial prostatitis is dangerous: for most men, it passes almost imperceptibly, accompanied by occasional pain, but leads to infertility, erection problems, prostate ablation and prostate adenoma.
It all comes out suddenly when the obvious signs of these problems start to bother the man.
A man, depressed by unpleasant sensations and episodic pains, which become more frequent with time, turns to a urologist.
The doctor, as in acute prostatitis, conducts the necessary tests (blood tests, urine tests, palpation and bacterial culture), and then develops a treatment regimen.
On average, treatment takes 4-8 weeks. This is a serious stress for the body, because in addition to the target microflora, our friends also suffer. Therefore, the use of antibiotics is associated with the use of drugs that regenerate the gastrointestinal microflora in the first place.
In addition to antibiotics, the patient is prescribed physiotherapy and drugs that relieve swelling and relax the smooth muscles of the prostate, should not be forgotten about folk remedies that accelerate the therapeutic effect in complex therapy.
Tetracyclines
It is also available in two forms of application, highly 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 methicillin-resistant staphylococcal infection. The drugs destroy the intracellular forms of chlamydia, mycoplasma, ureaplasma. The advantage of tetracyclines is the lower incidence of intestinal dysbiosis, as well as the presence of anti-inflammatory effect. As for the intestinal, Pseudomonas aeruginosa, they are ineffective.For chlamydial, mycoplasmal and ureaplasma infections, medications are taken for 3 weeks, and other pathogens require two weeks of use.
Products from this group should not be taken at the same time as dairy products.
Macrolides in the treatment of prostatitis
Macrolides (including azalides) should only be used under certain conditions, as there are only a small amount of scientific studies confirming their effectiveness in prostatitis, and this group of antibiotics has little activity against gram-negative bacteria.
But you should not completely give up the use of macrolides, as they are quite active against gram-positive bacteria and chlamydia.
Macrolide antibiotics in the treatment of prostatitis have a growth-inhibiting effect against atypical intracellular bacteria, gram-positive microorganisms (cocci).
The advantage of macrolides in the treatment of prostatitis 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 action. The drugs have a beneficial effect on phagocytosis, inhibit 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 what antibiotics to take for prostatitis in men if they have a history of penicillin allergy. Macrolide agents do not cross-type allergies with penicillins and cephalosporins, so they can be safely taken by allergy sufferers.