Prostatitis is a disease of the prostate, which can be very painful, but with the right comprehensive approach, the disease will regress. Let's consider in more detail the most famous method of drug treatment -use of antibiotics- which antibiotics to take for prostatitis in men and which are the best?
antibiotics
Treatment of prostatitis with medication is usually limited to controlling your symptoms. Analgesics can relieve pain. Antibiotics for prostatitis in men are usedfor patients with acute or chronic infectionprostate.
E. coli and other Gram-negative bacteria cause the most acute infections of the prostate.The symptoms includegroin pain, dysuria, pain during ejaculation, inability to urinate, as well as fever, general malaise.
Treatment for prostatitis in men is always antibiotics. Chronic infectious prostatitis may require long-term drug treatment, and serious infections may require hospitalization, where the drugs will be given parenterally.
Later in the article, we will consider how to treat prostatitis in men with antibiotics.
Advantages and disadvantages
Antibiotics are always recommended if there is an infection or if the illness recurs within a year. They are indicated for effective treatment:
- Acute infectious prostatitis;
- Chronic infectious prostatitis.
The benefits of medications include:
- Strongbactericidal properties;
- bacteriostatic propertiesthat prevent the growth of bacteria;
- High efficiency– cover a wide range of infections;
- Easy to use. Most drugs are taken by mouth or by injection;
- Few side effects;
- economydrugs are widely available and inexpensive.
The disadvantages includesystemic side effects, which vary depending on the antibiotic selected and most often include:
- Diarrhea.Often, during treatment, there is an increase in sugar in the intestine, which causes intestinal dysbacteriosis;
- fungal infectionsoral cavity, genitals;
- Formationkidney stones;
- clotting disorderblood (when taking certain cephalosporins);
- light sensitivity(when taking tetracyclines);
- blood diseases("thick" blood syndrome);
- Deafness(rarely).
Also common side effects include:
- Possibilityallergic reaction;
- resistance of some bacteria. This happens if the patient takes an incomplete dose.
types of antibiotics
In most cases, the patient is prescribed4 weeks course, but if the urologist suspects the presence of chronic prostatitis and the signs (as well as pain) do not go away after a four-week course, he may recommend a longer intake.
Sometimes courses of up to three months are used.
Antibiotics for prostatitis in menprescribed by the attending physiciandepending on the:
- The causative agent of the infection;
- Disease forms (acute/chronic);
- The severity of symptoms;
- General health of the patient;
- age.
And based on the results of suchanalysis, how:
- Blood test - extended profile;
- General analysis of urine;
- PCR (smear) of the urethra;
- Tank. urine culture;
- Analysis of prostate secretion.
types of antibioticsused in prostate therapy:
- macrolides;
- Penicillins;
- Tetracyclines;
- Fluoroquinolones;
- Cephalosporins.
Which antibiotics are best and most effectivewith prostatitis? Consider the names of antibiotics for prostatitis:
| Composition | The effectiveness of the drug | Measure taken | Usage recommendations (more details in the instructions) |
|---|---|---|---|
| Macrolide drug | Effective against urinary tract diseases (prostatitis, urethritis, cervicitis, epididymitis) | Slows down the active growth and reproduction of bacteria, has antiseptic and antimicrobial effect, has bactericidal effect | 1-2 g 2-3 r/day Release way: 10 pcs tablets. 500 mg |
| Semi-synthetic drug of the macrolide group, derived from erythromycin | Effective for the treatment of chronic infectious prostatitis | Broad spectrum antibiotic. It has a broad spectrum of antimicrobial action, many bacteria that cause prostatitis are sensitive to the drug (streptococci, Klebsiella, Escherichia coli, staphylococcus aureus) | 0. 15 g 2 r/day before meals with plenty of fluids Available in capsules of 10 units. 0, 15, 0, 3, 0, 1 and 0. 05 g each |
| tetracycline derivative | Effective for treating infections such as acute/chronic prostatitis, chlamydia, gonorrhea, syphilis | Has a bacteriostatic and anti-inflammatory effect | With a high fluid meal 200 mg once, then 100 mg once daily Produced in the form of 10 pcs capsules. 100mg |
| Semi-synthetic drug from the cephalosporin group | Antibiotic for the treatment of acute bacterial prostatitis in men. It is taken against the background of serious bacterial infections | It has an antimicrobial and bactericidal effect. Active against many microorganisms that cause prostatitis (streptococci, staphylococcus aureus) | Administer intramuscularly or intravenously, 1 g every 8-12 hours Release form: in ampoules for injections of 0, 5, 1 or 2 g |
| Cephalosporin preparation (in sodium salt form) | It is used for serious bacterial infections (prostatitis, epididymitis) | Has antibacterial, bactericidal action | Administer intramuscularly or intravenously, 1-2 g every 12 hours Available in 0, 5, 1 or 2 g bottles |
| Semi-synthetic broad-spectrum antibiotic from the group of penicillins and clavulanic acid | The antibiotic is used for prostatitis, as well as in the treatment of gynecological infections, respiratory tract infections. | Has a bactericidal effect on gram-positive and gram-negative aerobes/anaerobes | 1 tablet of 250 mg (+125 mg) every 8 hours Produced in tablets 15 units 250+125 mg |
| Semi-synthetic drug from the penicillin group | It is used to treat infections of the genitourinary system (urethritis, prostatitis, pyelonephritis) | Has antibacterial, bactericidal action | Antibiotic for prostatitis, injections given intramuscularly or intravenously, 500 mg 3 r/day or in tablet form 500 mg every 8 hours Produced in ampoules for injections of 500 mg or in tablets of 20 units. 500 mg |
| Lomefloxacin Hydrochloride | It is used for prostatitis, chlamydia, pyelonephritis, urethritis | It has an antibacterial, bactericidal effect, is active against gram-negative microorganisms that cause prostatitis | Tablets within 400 mg 1 r / day Produced in the form of 10 pcs capsules. 400 mg |
| Fluorinated carboxyquinolone, a synthetic chemotherapeutic agent | Antibiotic is used for prostate inflammation | Active against bacteria such as streptococci, staphylococci, chlamydia | 250 mg oral tablet between meals or before meals with plenty of fluid Produced in the form of 5 pcs tablets. 250 mg |
| Antibiotic of the fluoroquinolone group | Urinary tract infections, pelvic organs, genitals | It has an antibacterial, bactericidal effect, is active against bacteria such as streptococci, staphylococcus, chlamydia, enterococci, mycoplasma | 1 tablet before meals 200-800 mg/day Produced in the form of 10 pcs tablets. 200 mg |
| A drug of the tetracycline group | It is used for respiratory tract infections, chlamydia, prostatitis, syphilis | Antibacterial, bacteriostatic action | 1 tablet 250-500 mg 4 r/day Produced in the form of 10 pcs tablets. 250 mg |
Only the treating physician can decide which antibiotic complex is right for you.
If the antibiotic didn't help with prostatitis, you can resort tofolk remediesand try prostatitis treatment without antibiotics. Here are some of them: pumpkin seeds and honey, propolis, propolis candles, dead bees, soda and hydrogen peroxide, as well as monastery tea, Ivan tea and onions. You can also buy a Chinese prostatitis patch.
injections
If the body does not respond to oral treatment, the specialist may prescribe parenteral administration (intravenous / intramuscularusually on the buttock).
This method is also used to treat chronic/acute infectious prostatitis. It should only be considered after all other options have been tried, including oral antibiotic treatment for prostatitis, corticosteroid treatment, and traditional medicine.
Parenteral administration is used if the patient has had several courses of antibiotics over several months and they have all been ineffective.
This reaction is due to the fact that infectious prostatitis is often caused by a local inflammatory process in the background of an autoimmune disease, and oral medications do not have the desired effect.
What injections are given for prostatitis?
Antibiotics are commonly used for intravenous (and intramuscular) administration.3rd generation cephalosporin groups.Injections are strictly done in the hospital. After 5 injections, relief usually occurs.
contraindications
Contraindications usually depend on the specific drug, but most often include:
- gastrointestinal problems(especially when taking drugs from the macrolide group);
- allergic reactions (urticaria);
- Kidney and liver damage(usually in the context of taking penicillins, cephalosporins, macrolides);
- Childhood(with caution up to 18 years);
- Diabetes.
How to get
The tablet should be taken with 1. 5-2 glasses of water, the drug should be taken with meals (unless otherwise stated in the instructions) so as not to irritate the stomach. Drinking after antibiotic therapya course of drugs to restore intestinal flora.
Attention!Avoid alcohol completely during treatment.
Replacement
Infectious prostatitis is successfully treated with antibiotics, but if there are contraindications for hospitalization or if you have individual intolerance, hypersensitivity to some components of the drug, or when antibiotics do not help with prostatitis, the so-callednatural antibioticswith prostatitis. Most of the time, they are less effective in fighting the infectious form of the disease. So what can replace antibiotics for prostatitis?
most often usedechinacea, in its composition there is a special substance - echinacoside, whose properties are completely different from conventional antibiotics.
Infusions, herbal teas, decoctions are prepared from the plant, which allows you to relieve inflammation of the prostate without antibiotics.
It has a similar effectpoplar bark, which is called a "natural" antibiotic.
For the treatment of a bacterial form of the diseasealso name:
- alpha blockers;
- non-steroidal anti-inflammatory drugs;
- corticosteroids;
- 5-alpha inhibitors (slow prostate growth);
- Laxatives.
With timely medical attention and a comprehensive approach to treatment, bacterial prostatitis can be completely cured with a single course of antibiotic treatment.