Inflammation of the prostate gland causes pain, problems with urination, erectile dysfunction. In case of complications, prostatitis becomes the cause of impotence and infertility. The treatment of the disease is aimed at eliminating unpleasant symptoms and restoring the activity of the gland. In cases where pathogenic microorganisms are the cause of the inflammatory process, the treatment regimen of prostatitis necessarily includes taking one or more antibacterial drugs. What antibiotics are considered the best for the treatment of prostatitis and how to take them correctly?
Basic principles and benefits of treatment
Men often have questions: "What are antibiotics? ", "Why do you need to take antibacterial substances for inflammation of the prostate? "
The main difference between antibiotics and other drugs is their ability to suppress the growth of bacteria that cause infectious diseases. At the same time, the active substances of the drug inhibit only the pathogenic microflora without having practically any effect on the normal cells of the body.
The need for antibacterial therapy is determined at the diagnostic stage. If the patient has symptoms characteristic of prostatitis, the doctor prescribes a series of diagnostic tests to determine the causes of the pathology. At the initial stage, urine, seminal fluid and epithelial scraps from the urethra are analyzed. If pathogenic microflora is detected, the patient is diagnosed with "bacterial prostatitis". Then, a test is performed to determine the sensitivity of the pathogenic agent to the main types of antimicrobial drugs. Thus, it is determined which antibacterial drugs will be effective for a particular patient.
Treatment of prostatitis with antibiotics has several important advantages:
- There is a rapid elimination of pathogenic microbes that cause the inflammatory process.
- The body begins to produce substances that prevent further reproduction of pathogenic bacteria. In this way, it is possible to prevent complications in the chronic form of the pathology and reduce the possibility of exacerbation.
- The availability of different forms of drugs (solutions for injection, tablets, suppositories) allows to choose suitable drugs for each patient.
- Complex antibacterial therapy allows to get rid of all types of pathogenic agents and ensure complete recovery. In this case, several types of different drugs can be used, as well as a wide range of antibiotics of the new generation developed for use in urology.
It should be remembered that there is still no universal treatment for prostatitis. Self-administration of any drug can cause the condition to worsen and inflammation to become chronic.
What antibiotics should be taken for prostatitis?
In modern medicine, several classes of antibacterial agents are used, which differ in their chemical structure and ability to suppress the growth of certain types of pathogens.
Urological antibiotics for men are used to treat inflammation of the prostate gland. Let's consider the groups of urological drugs and their clinical importance in more detail.
| LESSONS | POSSIBILITY OF APPLICATION |
| Penicillin group | Inexpensive antibacterial substances prescribed during the initial diagnosis. Amoxicillin, chloramphenicol is ineffective for chronic or acute prostatitis with complications. |
| Macrolides | The least toxic products for the body with a wide spectrum of activity. |
| Tetracyclines | Tetracycline and other similar drugs are often prescribed for prostatitis due to the chronicity of inflammation and the presence of intracellular pathogens (chlamydia, gonococci, mycoplasma). |
| Fluoroquinolones | Medicines are included in the course for acute inflammation and the need to quickly relieve symptoms. |
| Cephalosporins | The most powerful drugs that eliminate almost all types of pathogenic microorganisms. Cephalosporins are indicated for acute infectious prostatitis. |
Some of the listed drugs are used as antibiotics for benign prostate adenoma in case of complication of pathology with inflammatory process of infectious etiology.
The most effective
The main problem in the presence of any infectious disease is the resistance of bacteria to first-generation antibiotics. In this regard, pharmacologists are constantly improving existing drugs, creating more powerful drugs of the second, third and fourth generations on their basis.
Conducting a bacterial culture and determining the sensitivity of microorganisms allows to determine the most effective antibiotics for prostatitis.
Currently, many urologists offer the following:Products containing antibiotics:
- A second generation fluoroquinolone with good penetration. Due to the high concentration of the active substance in cells, it is active against most intracellular pathogens.
- A product from the group of tetracyclines with a wide spectrum of action. The maximum concentration of the drug in the prostate gland is observed within 30 minutes after administration, which is very important when a rapid therapeutic effect is needed during exacerbations. These antibiotics for prostatitis are relatively cheap and effective, with minimal negative effects on the patient's body.
- Third-generation cephalosporins with high antibacterial activity against bacteria such as Escherichia coli, gonococcus, Proteus, Enterobacter.
- It is effective in the presence of most types of pathogens. The inclusion of clavulanic acid in the composition of the drug ensures its resistance to bacterial enzymes.
- It contains amoxicillin. It is recommended for prostatitis caused by gram-positive and gram-negative bacteria.
- An aminoglycoside to eliminate most gram-negative bacteria. In the acute stage of the disease, it penetrates the source of inflammation within 50-60 minutes, eliminating the main symptoms.
- A drug from the lincosamide group to eliminate gram-positive bacteria and parasitic protozoa.
Each of the listed drugs has its advantages, so only a urologist can determine the best antibiotics for prostatitis.
Features of treatment of acute and chronic forms
Prostatitis can be acute or slow, periods of exacerbation and remission vary. When prescribing medicine, the form of the disease should be taken into account.
Thus, with a significant deterioration of the patient's well-being, hospitalization is required with the rapid development of the inflammatory process. Antibiotics are given by intravenous infusion or injection for quick delivery of active substances to inflamed tissues. Medicines of the cephalosporin class are selected to provide effective treatment of acute prostatitis in men. After getting better, the doctor can replace the drugs with milder ones.
For chronic infectious prostatitis, antibiotics must be taken for a longer period of time. The general course is divided into several periods with a possible change of drugs in the absence of positive dynamics. Injections or tablets are prescribed to the patient. Antibiotics are also used in the form of suppositories for asymptomatic prostatitis. A man can be prescribed anti-inflammatory and antipyretic suppositories.
In what cases is the treatment contraindicated?
When choosing a drug for inflammation of the prostate gland, the doctor must take into account the characteristics of the patient's body, the presence of allergies and related diagnoses.
In some cases, taking antibacterial substances is contraindicated due to individual intolerance to their components. Antibiotics are also not prescribed to patients with serious abnormalities in kidney function. It is used with caution in case of certain diseases of the digestive system.
The age of the patient should be taken into account when choosing a drug. Thus, antibiotics for prostatitis are prescribed to an adult man without age restrictions, natural analogues of synthetic drugs are chosen during adolescence.
Is it possible to treat prostatitis without antibiotics?
Despite the high effectiveness of antibacterial drugs, their use has certain negative effects on the body.
Is it possible to do without synthetic bactericides or replace them with safer natural analogues?
Unfortunately, with the bacterial form of the disease, this is the only way to quickly improve the patient's condition and completely get rid of infectious pathogens. Prostatitis cannot be treated without antibiotics.
General recommendations for antibacterial therapy
The success of treatment does not depend only on the correct selection of drugs. An important factor is that the patient follows several basic rules during the therapeutic course and during the rehabilitation period.
- Antibiotics for inflammation of the prostate should be taken only as prescribed by a specialist.
- The duration of therapy is determined by taking into account the type of pathogen and the stage of the disease, so it is necessary to fully complete the recommended course of treatment for prostatitis in order to fully recover. Stopping the medication prematurely will lead to the need for stronger antibiotics in the future.
- During antibacterial therapy, a diet excluding spices, fatty foods, acids and sweets is necessary.
- The list of drugs for certain reactions of the body to antibiotics is completed with hepatoprotectors, probiotics and antiallergic drugs. Since the beneficial microflora is partially damaged when using bactericides, taking an antifungal drug (Nystatin) is indicated during antibacterial therapy.
Antibiotics affect the number and activity of spermatozoa, and therefore the ability to conceive is restored no later than 3-4 months after recovery.
Currently, antibiotics are the only effective means of treating infectious prostatitis. The correct combination of drugs and compliance with the recommendations of the attending physician are the main conditions for restoring the function of the prostate gland.