Antibiotics for prostatitis in the event that a patient visits a urologist at an acute stage of inflammation are prescribed almost immediately. In other words, the doctor will not wait for the test data. Therefore, at first, a drug with a broad spectrum of action is selected, the selection scheme is very similar when selecting antibiotics for cystitis.
Once the laboratory data is received by the doctor, it usually takes two to three days, a decision is made to either continue with the selected treatment regimen or to prescribe a new, more effective drug.
When choosing a drug, the doctor should take into account the age of the patient, the presence of certain somatic diseases in his anamnesis and allergic reactions.
The patient, in turn, should notify the physician of any antibiotics they have previously used.
If a man has been treated with some kind of medicine a few weeks before prostatitis, it is very likely that at this point it will not be as effective as needed in relieving inflammation.
Among the different groups of antibiotics, there are 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 specific period of time. Usually it's at least 2 weeks. In the future, the doctor assesses the condition of the prostate and cancels the drug or advises the continuation of treatment;
- The dosage of the drug is also selected individually;
- All processing should be completed. If it is interrupted, the body creates the appropriate conditions for the transition from an acute infectious process to a chronic one;
- It shouldn't take more than three days from the time you start using antibiotics until the pain and discomfort has subsided. If after this period the condition has not improved, you need to see a doctor again for a review of the treatment and the selection of another antibiotic.
Antibiotic therapy is one of the most important conditions for a complete cure of bacterial prostatitis. A sick man should understand that his trouble-free life in the future depends on compliance with 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 precisely before data is received from the laboratory. Another advantage of these drugs is their budget price and therefore every patient can receive treatment;
- macrolidespenetrate perfectly into the prostate tissue 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 for prostatitis caused by chlamydia. But these drugs are highly toxic and have a spermatoxic effect. Therefore, before planning the conception, they are not prescribed;
- 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 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 an antibiotic, the doctor should check his 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 immediately contact your doctor and change the drug.
Antibiotics for the treatment of prostatitis, available in pill form, may contain different active ingredients. Therefore, the list of such drugs is large enough, and only a doctor can prescribe the correct one.
Fluoroquinolones
The most effective antibiotics against prostatitis, according to urologists, belong to the group of fluoroquinolones. The advantages of fluoroquinolones in the treatment of prostate inflammation are:
- large volume of distribution;
- creation of high concentrations of the substance in the prostate;
- enter cells;
- have a po-antibiotic effect - after withdrawal of the drug, a concentration that inhibits the growth of bacteria remains inside the cells for several days;
- are taken once a day most often.
There are several generations of this type of antibacterial drugs. The second, third and fourth generations are most often used in urological practice.
Antibiotics against prostatitis from the fluoroquinolone group of the third generation, fourth generation allow the treatment of inflammatory processes initiated by mixed microflora - facultative anaerobes, gram-positive, gram-negative bacteria (Escherichia coli, staphylococci, enterococci), atypical intracellular bacteria, mycoplasma bacteria.
The active ingredients in fluoroquinolone preparations for prostatitis include: levofloxacin, ciprofoloksacin, moxifloxacin.
Antibiotics for acute prostatitis in men can be used not for a month, but for two weeks, if the disease is initiated by opportunistic flora.
As a rule, drugs in this group are well tolerated by patients. The most common side effects are nausea and diarrhea. Phototoxicity is rarely recorded.
If chronic bacterial prostatitis has started, a different treatment strategy should be used.
The symptoms are not as pronounced as in the case of an acute process. The patient complains of infrequent pain, urination problems and problems of a sexual nature.
Chronic bacterial prostatitis is dangerous: for most men it disappears almost imperceptibly, accompanied by episodic pain, but leads to infertility, erection problems, prostate abnormalities and adenoma of the prostate. prostate.
All of this suddenly appears, when obvious signs of these issues start to bother a man.
A man oppressed by unpleasant sensations and episodic pains, which become more and more frequent over time, turns to a urologist.
The doctor, as in acute prostatitis, conducts the necessary examinations (blood tests, urine tests, palpation and bacterial culture), after which he draws up a treatment regimen.
On average, the treatment lasts 4 to 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 combined 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 muscles of the prostate, one should not forget about folk remedies that accelerate the therapeutic effect in complex therapy.
Tetracyclines
Also available in two forms of administration, very active against chlamydia and mycoplasmas, their efficacy is therefore higher in chronic prostatitis associated with sexually transmitted diseases. The optimal drugs are those with the best pharmacokinetic data and the best tolerability.
However, tetracyclines have a destructive effect on gram-positive flora, including active in nosocomial infections by methicillin-resistant staphylococcus. The drugs destroy the 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. As for the intestine, Pseudomonas aeruginosa, they are ineffective.
For infections with chlamydia, mycoplasma and ureaplasma, the drugs are taken for 3 weeks, the rest of the pathogens take two weeks.
Means in 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 effect. activity against Gram-negative bacteria.
But you should not give up the use of macrolides completely, as they are quite active against Gram positive bacteria and chlamydia.
Antibiotics of the macrolide group in the treatment of inflammation of the prostate have a growth inhibiting 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 substance in the tissues of the gland, have a postantibiotic effect, anti-inflammatory and immunomodulatory effects. 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 opportunistic flora, treatment may take two weeks. Medicines can be taken in combination with fluoroquinolones.
Many patients are interested in which antibiotics to take for prostatitis in men with a history of penicillin allergy. Means from the group of macrolides do not have a cross-allergy type with drugs from the group of penicillins and cephalosporins, therefore it can be safely taken by people with allergies.