Infectious prostatitis is a common disease of the prostate gland that can lead to complications. Antibiotics for prostatitis are the main focus of treatment and are selected based on the test results. It is impossible to take antibacterial drugs without a prescription. Every man facing this disease needs to know what groups of drugs exist and how they differ.
When do you need antibiotics?
Before using any medications, you should definitely consult your doctor.
There are several types of diseases:
- acute infectious prostatitis (bacterial);
- chronic bacterial prostatitis;
- chronic non-infectious prostatitis.
Taking antibiotics is not always advisable. Drugs of this group are active only against pathogens, but they do not have a general anti-inflammatory effect.
Antibiotics for prostatitis are indicated only if the inflammation of the organs is caused by the activity of pathogenic microorganisms in the prostate gland. In all other cases, an antibiotic for prostatitis in a man will be ineffective.
The main problem with prostatitis treatment is that many men are wary of antibiotic therapy, considering such drugs to be 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 dosage and treatment regimen.
The antibiotic for prostatitis and adenoma is prescribed only in the presence of bacterial inflammation. The drugs in this group are effective only against bacteria and show no activity against viruses or fungi.
Antibiotics for chronic prostatitis are prescribed only if there is an outbreak of chronic infection in the prostate gland. Chronic bacterial prostatitis develops due to improper or insufficient treatment of acute bacterial prostatitis. Most often, the disease becomes chronic due to the fact that a man self-medicated and took drugs that are ineffective against a certain pathogen. As a result, pathogenic microorganisms develop drug resistance, and the disease becomes chronic, reminding itself with 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, such drugs are not appropriate. 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 the trophism of the prostate and thickening of the prostatic secretion. Inflammation is due to the fact that the prostate secret can not leave the lobules of the organ, it begins to accumulate and squeeze the gland. There is no infectious outbreak with such a disease, which means that there is no point in taking antibiotics. To treat this form of inflammation, special anti-inflammatory drugs are used, which should not be confused with antibiotics.
The most effective drugs
No doctor will ever tell a patient about the best antibiotics for prostatitis, since 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 ingredients that are active against various bacteria. An effective antibiotic for prostatitis is a drug selected taking into account the features of the course of the disease in a particular man.
When prescribing a medicine, the following criteria are followed:
- causative agent of the disease;
- form of prostatitis;
- drugs that the man has taken in recent months;
- presence of other chronic diseases.
To determine which antibiotic is best for prostatitis, it is necessary to do a bacterial culture of the secretion of the prostate gland. This analysis allows you to identify the causative agent of the disease and determine its sensitivity to various active ingredients.
In general, acute bacterial prostatitis is treated quite effectively with the right antibiotics. Usually, a two-week course of therapy is enough to get rid of the disease forever.
Treatment of chronic bacterial inflammation is often complicated by the resistance of microorganisms to antibacterial drugs. In this case, synthetic antimicrobial agents or combined antibacterial therapy with several different drugs are prescribed at once. The first option is preferable, but the course of therapy is increased to 28 days or more.
What are fluoroquinolones and when are they used?
Pills are convenient for treating prostatitis with antibiotics at home, although injections are generally more effective and faster. At the same time, it is important to choose a medicine that effectively penetrates the tissues of the prostate, despite oral administration. Since recently men have begun to treat various diseases with antibiotics, often using drugs for other purposes, resistant forms of pathogenic microorganisms that are not sensitive to conventional antibiotics are quite often found. In this case, doctors give preference to 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 not taken in nature. They are distinguished by a broad spectrum of antimicrobial activity. The main advantage of using these drugs is that the causative agent of the disease cannot develop resistance to fluoroquinolones, which means that these drugs remain effective even with repeated treatments.
The distinctive features of this group of drugs are as follows:
- wide range of actions;
- no negative impact on the digestive tract;
- convenient release module;
- ease of use;
- minimal side effects;
- can be taken at any age;
- penetrates well into the prostate tissue.
Such drugs are convenient to take, as they are prescribed one tablet per day. However, the course of treatment, as a rule, is quite long, because despite the fact that the drug penetrates the tissues of the prostate, its concentration slowly increases, so the course of administration usually lasts for several weeks. As there are practically no side effects, this does not have a negative impact on health.
In addition, the drugs of this group do not affect the functions of the liver and kidneys, therefore they can be used in the therapy of patients over the age of 65, but only with prior agreement with the attending physician.
The use of penicillins in the treatment of prostatitis
One of the oldest groups of antibacterial drugs is the penicillin antibiotics. Drugs of this group are well studied, but today they are no longer effective enough, since most microorganisms very quickly develop resistance to the active substance.
The advantage of these drugs is their rapid elimination from the body and minimal effect on liver function. The main disadvantage is the low bioavailability and poor penetration into the prostate tissue.
To date, the only drug still used in the treatment of prostatitis is a penicillin-based combination antibiotic. Contains clavulanic acid, which enhances its action and provides an immunostimulating effect.
The preparations of this group should be used only in acute inflammation. Long-term administration of the drug is ineffective, as the causative agent of the disease quickly becomes resistant to its action. Usually the drug is prescribed for 7-10 days, no more.
Medicinal products of the tetracyclines group
Tetracycline antibiotics are often prescribed for bacterial prostatitis. The advantages of these drugs:
- variety of release forms;
- a wide range of antimicrobial activity;
- fast efficiency;
- at low cost.
Most often pills or injections are prescribed. If it is necessary to use suppositories with an antibiotic for prostatitis, then such drugs can be found in the group of tetracyclines.
The disadvantage of these drugs is their harmful 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 course and only in case of 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 low toxicity and the absence of side effects. They are well tolerated by the body and do not cause allergic reactions. They are used as independent agents, without the need for the simultaneous administration of hepatoprotectors, antihistamines or probiotics.
While some doctors actively prescribe macrolides for prostatitis, others argue that these drugs are ineffective for chronic bacterial inflammation.
Macrolides have several dozen names. The latest generation of drugs in this group is distinguished by an interesting form of release - a 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 highly 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 with a tendency to such diseases.
When are cephalosporins effective?
Cephalosporins are excellent antibiotics for prostatitis. They perfectly treat bacterial prostatitis, leaving no chance for pathogenic microorganisms. The downside is a rather impressive list of contraindications and side effects. Also, drugs in this group require the correct selection of dosage, so they should only be prescribed by a doctor.
Advantages of drugs of this group:
- high efficiency against pyogenic bacteria;
- fast action;
- good penetration into the prostate tissues;
- no negative impact on the microflora of the stomach.
The main disadvantage is high hepatotoxicity and the load on the kidneys, therefore, drugs of this type are not prescribed to elderly patients. Another pressing issue is the extensive list of negative drug interactions. In other words, while taking these antibiotics, you should stop taking other medications.
Antibacterial suppositories
Having figured out which antibiotics for prostatitis are used and which names may be useful for men in the future, you should pay attention to 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 quickly absorbed by 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 for prostatitis can be prescribed.
The drug in the form of suppositories can be used in combination with antibiotic tablets. For example, chronic prostatitis is often treated with oral macrolides, in addition to suppository macrolides. You can also use drugs from the tetracycline series with suppositories.
The duration of the cycle of use of rectal suppositories is established on an individual basis. They are usually prescribed for a period of two weeks or more.
Antibiotic suppositories for prostatitis can have side effects. Often, with prolonged use of this form of the drug, intestinal dysbiosis is observed.
Natural antibacterials
In addition to drugs, the treatment can be carried out with natural remedies with antimicrobial properties. Of course, natural antibiotics are significantly less effective than 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:
- honey;
- propolis;
- garlic;
- celandine.
Honey has a marked immunostimulating effect. Men are advised to eat it for both the prevention and treatment of prostatitis. In addition, homemade suppositories are based on 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 an infectious and non-infectious nature. It is often suggested to be used to make candles, adding sea buckthorn oil, which accelerates tissue regeneration.
Celandine has a strong antimicrobial activity and is used as decoctions and microclitres.
Making suppositories at home
Garlic is great for treating prostate problems.
To prepare candles with antimicrobial action, it is necessary to stock up on a solid base of fat. 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. Then the product is mixed and poured into a mold. You can also pour the resulting mass on the foil, then twist the ends to form a "sausage" and leave in the refrigerator for an hour. After the mixture has hardened, it is cut into small suppositories, about 3-4 cm long. The proportions depend on the active ingredient used.
- To make candles with honey, you need 50 g of base and 25 g of honey. Before using such suppositories, you should exclude intolerance to bee products.
- One of the most effective remedies for prostatitis is a suppository with propolis and honey. To prepare the medicine, you need 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, dissolve 2 parts of the base and add one part of sea buckthorn oil. The same recipe can be used to make pumpkin seed oil candles.
- Home treatments can be done with garlic. Squeeze 3 cloves of garlic, pour 50 ml of sea buckthorn 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 having a cleansing enema.
Peculiarities of antibiotic treatment
An antibiotic treatment regimen for prostatitis is compiled by a doctor on an individual basis. Typically, antibiotic treatment for chronic prostatitis takes 4-5 weeks, and acute prostatitis is treated within two weeks.
Each drug has its own characteristics, contraindications and side effects. They are described in detail in the official instructions for use, which must be read before starting therapy.
Self-medication with antibiotics is not allowed. It is necessary to take the prescribed drugs daily, without skipping or stopping the intake until the end of the course.
It should be remembered that it is impossible to cure bacterial prostatitis without antibacterial drugs.