Antibiotics for prostatitis in the event that a patient consults a urologist in an acute stage of inflammation are prescribed almost immediately. That is, the doctor will not wait for the test data. Therefore, in the first days, a medicine with a broad spectrum of action is selected, the selection scheme is very similar when selecting antibiotics for cystitis.
After the laboratory data has been received by the doctor, it usually takes two to three days, the decision is made to continue the selected treatment regimen or to prescribe a new, more effective drug.
When choosing a medicine, a doctor must take into account the age of the patient, the presence of certain somatic diseases in his medical history and allergic reactions.
The patient, in turn, must warn the doctor about the antibiotics he has used previously.
If a man was treated with some type of medication a few weeks before prostatitis, it is most likely not as effective at this stage as needed to relieve inflammation.
Among the different groups of antibiotics, there 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 did not help.
Antibiotic therapy requires certain conditions.
- Antibiotics are prescribed for a certain period of time. It is usually at least 2 weeks. In the future, the doctor assesses the condition of the prostate gland and either cancels the drug, or advises the continuation of treatment;
- The dosage of the medicine is also selected individually;
- The entire course of treatment must be completed. If it is interrupted, the body creates suitable conditions for the transition of an acute infectious process into a chronic one;
- It should not take more than three days from the time you start using antibiotics until pain and discomfort is reduced. If after this period the condition has not improved, it is necessary to consult a doctor again for a review of therapy and the selection of 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 adherence to the entire treatment regimen.
Antibiotics for prostatitis are selected from the following drug groups:
- Penicillins. This group has a wide range of effects on bacteria and therefore is most often prescribed right before the data is obtained from the laboratory. Another advantage of these drugs is their cheap price and therefore every patient can receive treatment;
- Macrolidesperfectly penetrate the tissues of the prostate gland and begin to fight the infection after their first intake. This group of drugs is practically non-toxic and does not affect the state of the intestinal microflora;
- Cephalosparins. They are mainly used in hospitals, as they are administered intramuscularly or intravenously;
- Tetracyclines.Effective for prostatitis caused by chlamydia. But these drugs are highly toxic and have a spermotoxic effect. Therefore, before planning conception, they are not prescribed;
- Fluoroquinolones.Used when there is no effect from drugs of other groups.
When using antibiotics for the first time, it is necessary to record all changes in the state of health. Often these drugs cause severe allergic reactions, especially in patients with a history of allergies.
At home it is not always possible to get rid of prostatitis, because before prescribing any antibiotic, the doctor must check its reaction to the detected bacteria.
Due to the large number of side effects, the treatment should be carried out under the supervision of a specialist. If you experience any unpleasant symptoms, contact your doctor immediately and replace the medicine.
Antibiotics for the treatment of prostatitis, available in pill form, may contain several active ingredients. Therefore, the list of such drugs is quite extensive, 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 volume of distribution;
- creation of high concentrations of the substance in the prostate;
- penetrates the cells;
- has a postantibiotic effect - after discontinuation of the drug, a concentration that inhibits bacterial growth remains inside the cells for several days;
- are taken once a day more often.
There are several generations of this type of antibacterial drugs. The second, third and fourth generations are most commonly used in urological practice.
Antibiotics against prostatitis of the group of third generation, fourth generation fluoroquinolones allow the treatment of inflammatory processes initiated by mixed microflora - facultative anaerobes, gram-positive, gram-negative bacteria (Escherichia coli, staphylococci, enterococci), bacteriaatypical intracellular, mycoplasma.
The active substances of fluoroquinolone preparations for prostatitis include: levofloxacin, ciprofloxacin, moxifloxacin.
Antibiotics for acute prostatitis in men can be used not for a month, but for two weeks, if a conditionally pathogenic flora disease begins.
As a rule, drugs in this group are well tolerated by patients. The most common adverse events are nausea and diarrhea. Phototoxicity is rarely recorded.
If chronic bacterial prostatitis has started, a different treatment strategy should be used.
Symptoms are not as pronounced as in the case of an acute process. The patient complains of rare pain, problems with urination and problems of a sexual nature.
Chronic bacterial prostatitis is dangerous: for most men, it goes away almost imperceptibly, accompanied by episodic pain, but leads to infertility, erection problems, prostate abnormalities and prostate adenoma.
All of this comes to light suddenly, when the obvious signs of these problems begin to bother a man.
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, conducts the necessary tests (blood tests, urine tests, palpation and bacterial culture), after which he develops a treatment regimen.
On average, treatment takes 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 associated with taking 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 muscle of the prostate gland, one should not forget about folk remedies that accelerate the therapeutic effect in complex therapy.
Tetracyclines
Also available in two forms of administration, highly active against chlamydia and mycoplasma, therefore their effectiveness is greater in chronic prostatitis associated with sexually transmitted diseases. The optimal drugs are those with the best pharmacokinetic and tolerance data.
However, tetracyclines have a destructive effect on gram-positive flora, including that active in nosocomial methicillin-resistant staphylococcal infections. Drugs destroy intracellular forms of chlamydia, mycoplasma, ureaplasma. The advantage of tetracyclines is a lower frequency of formation of intestinal dysbiosis, as well as the presence of an anti-inflammatory effect. In relation to the intestine, Pseudomonas aeruginosa, they are ineffective.
For chlamydial, mycoplasma and ureaplasma infections, drugs are taken for 3 weeks, the rest of the pathogens take two weeks.
Means of 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 shouldn't completely abandon the use of macrolides, as they are quite active against gram-positive bacteria and chlamydia.
Macrolide antibiotics in the treatment of inflammation of the prostate have a growth inhibitory effect against atypical intracellular bacteria, gram-positive microorganisms (cocci).
The advantage of macrolides in the treatment of inflammation of the prostate is their low toxicity compared to fluoroquinolones. Macrolides create high concentrations of the active ingredient in the tissues of the gland, have a postantibiotic effect, anti-inflammatory and immunomodulatory effects. Drugs have a beneficial effect on phagocytosis, inhibit oxidative stress in cells. Macrolides can be used in adolescents.
If prostatitis is caused by 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. Means from the macrolide group do not have a cross-allergy type with drugs from the penicillin and cephalosporin group, so they can be safely taken by allergy sufferers.