Prostatitis is a disease of the prostate, which can be very painful, but with the right comprehensive approach, the disease recedes. Let's consider in more detail the most well-known method of drug treatment -use of antibiotics- Which antibiotics to take for prostatitis in men and which are the best?
Antibiotics
Drug treatment of prostatitis is usually limited to controlling its symptoms. Painkillers can relieve pain. Antibiotics are used for prostatitis in menfor patients with acute or chronic infectionprostate.
E. coli and other gram-negative bacteria cause the most acute prostate infections.Symptoms includegroin pain, dysuria, pain during ejaculation, inability to urinate, as well as fever, general weakness.
Treatment of prostatitis in men is always with antibiotics. Chronic infectious prostatitis may require long-term drug treatment, and severe infections may require hospitalization, where drugs will be administered parenterally.
Later in the article, we will discuss how to treat prostatitis in men with antibiotics.
Advantages and disadvantages
Antibiotics are always recommended if there is an infection or if the disease recurs within a year. They are indicated for effective treatment:
- Acute infectious prostatitis;
- Chronic infectious prostatitis.
Benefits of medications include:
- Strongbactericidal properties;
- Bacteriostatic propertieswhich prevent the growth of bacteria;
- High efficiency- cover a wide range of infections;
- Ease of use. Most medications are taken orally or by injection;
- Few side effects;
- economymedicines are widely available and cheap.
Disadvantages includesystemic side effects, varies depending on the chosen antibiotic, and most often includes:
- Diarrhea.Often there is an increase in intestinal sugar during treatment, which causes intestinal dysbacteriosis;
- Fungal infectionsoral cavity, genital organs;
- Formationkidney stone;
- Coagulation disorderblood (when taking certain cephalosporins);
- Sensitivity to light(when taking tetracyclines);
- Blood disorders(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
It is usually prescribed to the patientCourse of 4 weeks, but if the urologist suspects the presence of chronic prostatitis, and the signs (as well as pain) have not disappeared 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 physiciandepends on:
- The causative agent of the infection;
- Forms of disease (acute / chronic);
- Severity of symptoms;
- General health condition of the patient;
- Age
And based on the results of suchanalysis, how:
- Blood test - extended profile;
- General urine analysis;
- PCR (swab) of the urethra;
- Tank. urine culture;
- Prostate secretion analysis.
Types of antibioticsused in prostate therapy:
- macrolides;
- Penicillins;
- Tetracyclines;
- Fluoroquinolones;
- Cephalosporins.
Which antibiotics are better and more effectivewith prostatitis? Consider the names of antibiotics for prostatitis:
| Composition | Efficacy of the drug | Action has been taken | Recommendations for use (more details in the manual) |
|---|---|---|---|
| Macrolide drug | Effective against diseases of the urinary tract (prostatitis, urethritis, cervicitis, epididymitis) | It slows down the active growth and reproduction of bacteria, has an antiseptic and antimicrobial effect, has a bactericidal effect | 1-2 g 2-3 r / day Form of issue: tablets 10 pcs. 500 mg |
| Semi-synthetic macrolide drug, erythromycin derivative | Effective in the treatment of chronic infectious prostatitis | Broad-spectrum antibiotic. It has a wide range of antimicrobial activity, 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 pcs. 0, 15, 0, 3, 0, 1 and 0, 05 g each |
| Tetracycline derivative | Effective in treating infections such as acute / chronic prostatitis, chlamydia, gonorrhea, syphilis | It has bacteriostatic and anti-inflammatory effect | With a meal with plenty of fluids 200 mg once, then 100 mg once a day Produced in the form of capsules of 10 pcs. 100mg |
| Semi-synthetic drug from the cephalosporin group | An antibiotic for the treatment of acute bacterial prostatitis in men. It is taken against the background of severe bacterial infections | It has antimicrobial, bactericidal action. Active against many microorganisms that cause prostatitis (streptococci, staphylococci aureus) | Apply intramuscularly or intravenously, 1 g every 8-12 hours Form of release: in ampoules for injections of 0, 5, 1 or 2 g |
| Cephalosporin preparation (in the form of sodium salt) | Used for severe bacterial infections (prostatitis, epididymitis) | It has antibacterial, bactericidal action | Apply intramuscularly or intravenously, 1-2 g every 12 hours Available in 0, 5, 1 or 2 g bottles |
| A semi-synthetic broad-spectrum antibiotic of the penicillin group and clavulanic acid | The antibiotic is used for prostatitis, as well as in the treatment of gynecological infections, respiratory tract infections. | It 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 of 15 pcs 250 + 125 mg |
| Semi-synthetic drug from the penicillin group | It is used to treat infections of the genitourinary system (urethritis, prostatitis, pyelonephritis) | It 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 It is produced in ampoules for injections of 500 mg or in tablets of 20 pcs. 500 mg |
| Lomefloxacin hydrochloride | It is used for prostatitis, chlamydia, pyelonephritis, urethritis | It has an antibacterial, bactericidal effect, it is active against gram-negative microorganisms that cause prostatitis | Tablets within 400 mg 1 r / day Produced in the form of capsules of 10 pcs. 400 mg |
| Fluorinated carboxyquinolone, synthetic chemotherapist | An antibiotic is used for inflammation of the prostate | Active against bacteria such as streptococci, staphylococci, chlamydia | 250 mg oral tablet between meals or before meals with plenty of fluids Produced in the form of tablets of 5 pcs. 250 mg |
| Fluoroquinolone antibiotic | Infections of the urinary tract, pelvic organs, genital organs | It has an antibacterial, bactericidal effect, it is active against bacteria such as streptococcus, staphylococcus, chlamydia, enterococcus, mycoplasma | 1 tablet before meals 200-800 mg / day It is produced in the form of tablets of 10 pcs. 200 mg |
| A drug from the tetracycline group | It is used for infections of the respiratory tract, chlamydia, prostatitis, syphilis | Antibacterial, bacteriostatic action | 1 tablet 250-500 mg 4 r / day It is produced in the form of tablets of 10 pcs. 250 mg |
Only the attending physician can decide which antibiotic complex is right for you.
If the antibiotic did not help with prostatitis, you can turnfolk remediesand try antibiotic-free prostatitis treatment. 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 therapy, the specialist may prescribe parenteral administration (intravenous / intramuscularusually in the buttocks).
This method is also used to treat chronic / acute infectious prostatitis. It should be considered only 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 taken several courses of antibiotics for several months, and all of them have been ineffective.
This reaction is due to the fact that infectious prostatitis is often caused by a local inflammatory process on the background of 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 done strictly in the hospital. Relief usually occurs after 5 injections.
Contraindications
Contraindications usually depend on the drug, but most often include:
- Gastrointestinal disorders(especially when taking macrolide drugs);
- allergic reactions (rash);
- Kidney and liver damage(usually on the background of taking penicillin, cephalosporins, macrolides);
- childhood(with caution up to 18 years);
- Diabetes.
How to take
The tablet should be taken with 1, 5-2 glasses of water, the drug should be taken with a meal (unless otherwise stated in the instructions) so as not to irritate the stomach. Drink after antibiotic therapya course of drugs to restore the intestinal flora.
Attention!Avoid alcohol completely during treatment.
Replacement
Infectious prostatitis is successfully treated with antibiotics, but if there are contraindications for admission or if you have individual intolerance, hypersensitivity to some components of the drug or when antibiotics do not help with prostatitis, the so-called.natural antibioticswith prostatitis. They are usually less effective in combating the infectious form of the disease. So what can replace antibiotics for prostatitis?
It is most often usedechinacea, contains a special substance - echinacoside, whose properties are completely different from conventional antibiotics.
Infusions, herbal teas, decoctions are prepared from the plant, which allow you to alleviate prostate inflammation without antibiotics.
It has a similar effectaspen bark, which is called a "natural" antibiotic.
For the treatment of the bacterial form of the diseasealso name:
- alpha blockers;
- nonsteroidal anti-inflammatory drugs;
- corticosteroids;
- 5-alpha inhibitors (slow prostate growth);
- Laxatives.
With timely medical care and a comprehensive approach to treatment, bacterial prostatitis can be completely cured with a single antibiotic treatment.