Infectious prostatitis is a common prostate disease that can lead to complications. Antibiotics for prostatitis are the main focus of treatment and are selected based on test results. It is impossible to take antibacterial drugs without a prescription. Every person who has faced this disease must know which groups of drugs exist and how they differ.
When do you need antibiotics?
Be sure to consult your doctor before using any medication.
There are several types of diseases:
- acute infectious (bacterial) prostatitis;
- chronic bacterial prostatitis;
- chronic non-infectious prostatitis.
Taking antibiotics is not always advisable. Drugs of this group are active only against pathogenic agents, but have no general anti-inflammatory action.
Antibiotics for prostatitis are indicated only if the inflammation of the organs is caused by the activity of pathogenic microorganisms in the prostate. In all other cases, an antibiotic for prostatitis in men will not be effective.
The main problem in treating prostatitis is that many men are wary of antibiotic therapy, considering such drugs harmful or dangerous. It is important to remember: neglected prostatitis is dangerous, and not a properly selected antibiotic taken on the recommendation of a doctor in accordance with the dose and treatment regimen.
An antibiotic for prostatitis and adenoma is prescribed only in the presence of bacterial inflammation. Drugs from this group are effective only against bacteria and do not show activity against viruses or fungi.
Antibiotics for chronic prostatitis are prescribed only if there is a chronic focus of infection in the prostate. Bacterial chronic prostatitis develops due to improper or insufficient treatment of acute bacterial prostatitis. Often the disease becomes chronic due to the fact that the man treated and took drugs that were ineffective against a certain pathogen. As a result, pathogenic microorganisms develop resistance to drugs and the disease becomes chronic, reminding itself of periodic complications.
The main antibiotic indication for the treatment of prostatitis in men is acute bacterial inflammation of the prostate.
In case of congestive or chronic non-infectious prostatitis, it is not advisable to take such medications. This is due to the mechanism of development of such inflammation. Congestive prostatitis is a consequence of a sedentary lifestyle and other reasons that lead to a violation of prostate trophism and thickening of prostate secretions. Inflammation is due to the fact that the secretion of the prostate can not leave the lobules of the organs, it begins to accumulate and squeeze the gland. In such diseases there is no infectious focus, which means that it makes no sense to take antibiotics. To treat this form of inflammation, special anti-inflammatory drugs are used that should not be mixed with antibiotics.
The most effective drugs
No doctor will ever tell a patient about the existence of the best antibiotics for prostatitis, because there are simply no such drugs. There are several groups of antibiotics for men used in the treatment of prostatitis. In each group there are many names of active substances that are active against different bacteria. An effective antibiotic for prostatitis is a drug selected taking into account the characteristics of the course of the disease in a particular man.
The following criteria are followed when prescribing the drug:
- pathogen;
- form of prostatitis;
- medications the man has been taking in recent months;
- presence of other chronic diseases.
In order to determine which antibiotic is better for prostatitis, it is necessary to make a bacterial culture of prostate secretion. This analysis allows you to identify the cause of the disease and determine its sensitivity to various active substances.
In general, acute bacterial prostatitis is treated quite effectively with appropriate antibiotics. Usually, a two-week course of therapy is enough to get rid of the disease forever.
The treatment of chronic bacterial inflammation is often complicated by the resistance of microorganisms to antibacterial drugs. In this case, either synthetic antimicrobial agents or combined antibacterial therapy with several different drugs at once are prescribed. The first option is more desirable, however, the course of therapy is increased to 28 days or more.
What are fluoroquinolones and when are they used?
The tablets are suitable for treating prostatitis with antibiotics at home, although injections are usually more effective and faster. At the same time, it is important to choose a drug that will effectively penetrate the prostate tissue, despite oral administration. Recently, men have begun to treat various diseases with antibiotics, often using drugs for other purposes, often found resistant forms of pathogenic microorganisms that are not sensitive to conventional antibiotics. In this case, doctors prefer drugs from the group of fluoroquinolones.
Fluoroquinolones are the only antibacterial drugs that have no natural analogues.
These drugs are completely synthetic, developed by chemists and are not taken in nature. They are characterized by a wide range of antimicrobial activity. The main advantage of using these drugs is that the pathogen cannot develop resistance to fluoroquinolones, which means that such drugs remain effective even with repeated treatment.
The characteristic features of this group of drugs are as follows:
- wide range of actions;
- has no negative effect on the digestive tract;
- a suitable form to issue;
- ease of use;
- minimal side effects;
- can be taken at any age;
- penetrate well into prostate tissue.
It is convenient to take such medicines, because they are prescribed one tablet a day. However, the course of treatment is usually quite long, because despite the fact that the drug penetrates into the tissues of the prostate, its concentration slowly increases, so the course of application usually lasts from a few weeks. Since there are virtually no side effects, it has no negative impact on health.
In addition, drugs from this group do not affect liver and kidney function, so they can be used in the treatment of patients older than 65 years, but only after prior agreement with the doctor.
Use of penicillin in the treatment of prostatitis
One of the oldest groups of antibacterial drugs are penicillin antibiotics. Drugs of this group have been well studied, but today they are no longer effective enough, because most microorganisms develop resistance to the active substance very quickly.
The advantage of these drugs is their rapid elimination from the body and minimal effect on liver function. The main disadvantage is low bioavailability and poor penetration into prostate tissue.
To date, the only drug still used in the treatment of prostatitis is a combined penicillin antibiotic. It contains clavulanic acid which enhances its action and provides a certain immunostimulatory effect.
Preparations of this group should be used only in acute inflammation. Long-term use of the drug is ineffective, because the pathogen quickly becomes resistant to its action. Usually the drug is prescribed for 7-10 days, no more.
Drugs from the tetracycline group
Tetracycline antibiotics are often prescribed for bacterial prostatitis. Advantages of these drugs:
- various forms of publishing;
- a wide range of antimicrobial activities;
- fast efficiency;
- low price.
Tablets or injections are usually prescribed. If it is necessary to use suppositories with an antibiotic for prostatitis, such drugs can be found in the tetracycline group.
The disadvantage of these drugs is their detrimental effect on the gastrointestinal tract. They should be taken together with antihistamines and probiotics, otherwise dysbiosis cannot be avoided.
Due to side effects and contraindications, urologists prescribe such drugs in a short time and only in acute inflammation.
What are the specialties of macrolides?
When asked which antibiotics are best for prostatitis, many doctors point to macrolides. The main feature of this group of drugs is their low toxicity and the absence of side effects. The body tolerates them well and they do not cause allergic reactions. They are used as an independent drug, without the need for concomitant use of hepatoprotectors, antihistamines or probiotics.
Although some doctors actively prescribe macrolides for prostatitis, others claim that these drugs are ineffective for chronic bacterial inflammation.
Macrolides have several dozen names. The latest generation of drugs in this group is characterized by an interesting form of release - gel or suspension. They are convenient to take, and the liquid form ensures rapid absorption of the drug. In addition, drugs of this group are very bioavailable and penetrate well into the tissues of inflamed organs.
The main contraindications are mental disorders and depression. Long-term use of drugs in this group is potentially dangerous for the development of psychopathological syndromes in people who have a tendency to such diseases.
When are cephalosporins effective?
Cephalosporins are good antibiotics for prostatitis. They perfectly treat bacterial prostatitis, leaving no chance for pathogenic microorganisms. The downside is a pretty impressive list of contraindications and side effects. In addition, drugs from this group require the correct dosage selection, so they should be prescribed only by a doctor.
Advantages of drugs from this group:
- high efficacy against pyogenic bacteria;
- quick action;
- good penetration into prostate tissues;
- has no negative effect on the gastric microflora.
The main drawback is the high hepatotoxicity and burden on the kidneys, so drugs of this type are not prescribed to elderly patients. Another urgent problem is the large list of negative drug interactions. In other words, you should stop taking any other medications during therapy with these antibiotics.
Antibacterial suppositories
Once you’ve figured out which antibiotics for prostatitis are used and which names may be useful for men in the future, look for suppositories for infectious prostatitis with antibiotics.
Topical application is an advantage of such preparations. Suppositories act in the immediate vicinity of the prostate, so the active substance is rapidly absorbed through the walls of the rectum and penetrates directly into the tissues of the inflamed organ.
In addition to antibiotic suppositories, antiseptic drugs and anti-inflammatory suppositories may be prescribed for prostatitis.
The drug in the form of suppositories can be used together with antibiotic tablets. For example, chronic prostatitis is often treated with oral macrolides with macrolide suppository therapy. You can also use drugs from the tetracycline series with suppositories.
The duration of use of rectal suppositories is determined on an individual basis. They are usually transcribed for a period of two weeks or more.
Antibiotic suppositories for prostatitis can have side effects. Often, with long-term use of this form of the drug, intestinal dysbiosis is observed.
Natural antibacterial products
In addition to pharmaceutical preparations, treatment can be carried out with natural drugs with antimicrobial properties. Of course, natural antibiotics are noticeably inferior in efficacy to special drugs, but they can be used in chronic bacterial prostatitis to enhance the therapeutic effect of other drugs.
The most powerful antimicrobial agent in nature:
- med;
- propolis;
- garlic;
- celandine.
Honey has a pronounced immunostimulatory effect. Men are advised to eat it both for the prevention and treatment of prostatitis. In addition, homemade suppositories are made from honey.
Propolis is a powerful natural antibiotic and antiseptic. You can make propolis suppositories yourself or buy them at the pharmacy.
Garlic helps fight chronic prostatitis of infectious and non-infectious nature. It is often suggested to be used to make candles, adding burdock oil, which accelerates tissue regeneration.
Celandine has a pronounced antimicrobial activity and is used as a decoction and microclyster.
Making suppositories at home
Garlic is good for treating prostate problems.
To prepare antimicrobial candles, you need to stock up on a solid fat base. Cocoa butter or beeswax can also be used as a base for candles.
The base must be dissolved in a water bath, gradually adding the active ingredient. The product is then mixed and poured into a mold. You can also pour the resulting mass on a transparent foil, then twist the ends to create a "sausage" and leave in the refrigerator for an hour. After the mixture hardens, it is cut into small plugs, approximately 3-4 cm long. The proportions depend on which active ingredient is used.
- To make honey candles you need 50 g of base and 25 g of honey. Intolerance to bee products should be ruled out before using such suppositories.
- One of the most effective remedies for prostatitis are candles with propolis and honey. To prepare the medicine, it is necessary to take 50 g of beeswax, 25 g of honey and 10 g of propolis.
- Suppositories with sea buckthorn oil are recommended to reduce inflammation. To prepare them, melt 2 parts of the base and add one part of sea buckthorn oil to them. Using the same recipe, you can prepare candles based on pumpkin oil.
- Home treatments can be done with garlic. Squeeze 3 cloves of garlic, pour 50 ml of burdock oil and leave in the refrigerator for 24 hours. Then 25 ml of garlic oil is mixed with 50 ml of cocoa butter and candles are formed.
Such suppositories should be used 1-2 times a day. They are injected into the rectum, after making an enema for cleansing.
Peculiarities of antibiotic treatment
The doctor compiles a regimen for treating prostatitis with antibiotics on an individual basis. Typically, antibiotic treatment of chronic prostatitis lasts 4-5 weeks, and acute prostatitis is treated within two weeks.
Each drug has its own properties, contraindications and side effects. They are detailed in the official instructions for use, which must be read before starting therapy.
Self-medication with antibiotics is not allowed. You must take the prescribed medication daily, without skipping or stopping your intake until the end of the course.
It should be borne in mind that it is impossible to cure bacterial prostatitis without antibacterial drugs.