Inflammation of the prostate causes pain, problems with urination and erectile dysfunction. In the presence of complications, prostatitis becomes the cause of impotence and infertility. Treatment of the disease is aimed at eliminating unpleasant symptoms and restoring the gland's work. In cases where the cause of the inflammatory process is pathogenic microorganisms, the prostatitis treatment regimen necessarily includes taking one or more antibacterial drugs. Which antibiotics are considered the best for the treatment of prostatitis and how to take them correctly?
Basic principles and advantages of treatment
Men often have questions: "What are antibiotics? ", "Why is it necessary to take antibacterial drugs for prostate inflammation? "
The main difference between antibiotics and other drugs is their ability to suppress the growth of bacteria that cause infectious diseases. At the same time, the active substances of the drug inhibit only the pathogenic microflora, almost without affecting the normal cells of the body.
The need for antibacterial therapy is determined in the diagnostic phase. If the patient has symptoms characteristic of prostatitis, the doctor prescribes a series of diagnostic tests to identify the causes of the pathology. In the initial phase, an analysis of urine, seminal fluid and scraping of the epithelium from the urethra is performed. If pathogenic microflora is detected, the patient is diagnosed with "bacterial prostatitis". Then a test is carried out to determine the sensitivity of the pathogen to the main types of antimicrobial drugs. In this way, it is determined which antibacterial drugs will be effective for a particular patient.
Treatment of prostatitis with antibiotics has several important advantages:
- There is a rapid elimination of pathogenic microbes that cause the inflammatory process.
- The body begins to produce substances that prevent further proliferation of pathogenic bacteria. In this way, it is possible to avoid complications and reduce the likelihood of exacerbations in the chronic form of the pathology.
- The availability of different forms of drugs (injection solutions, tablets, suppositories) enables the selection of appropriate drugs for each patient.
- Complex antibacterial therapy allows you to get rid of all types of pathogenic agents and ensure complete recovery. In this case, several types of different drugs can be used, as well as broad-spectrum antibiotics of the new generation, developed for use in urology.
It is important to remember that there is still no universal cure for prostatitis. Self-administration of any drug can lead to worsening of the condition and chronic inflammation.
What antibiotics to take for prostatitis
In modern medicine, several classes of antibacterial agents are used, which differ in their chemical structure and ability to suppress the growth of certain types of pathogens.
Urological antibiotics for men are used to treat prostatitis. Let's consider in more detail groups of urological drugs and their clinical significance.
| CLASSES | POSSIBILITY OF APPLICATION |
| Penicillin group | Inexpensive antibacterial agents prescribed at initial diagnosis. Amoxicillin, chloramphenicol are ineffective for chronic or acute prostatitis with complications. |
| Macrolides | The least toxic products for the body with a wide range of effects. |
| Tetracyclines | Tetracycline and other similar drugs for prostatitis are most often prescribed when the inflammation is chronic and caused by the presence of intracellular pathogens (chlamydia, gonococci, mycoplasma). |
| Fluoroquinolones | Medicines are included in the course for acute inflammation and the need for quick relief of symptoms. |
| Cephalosporins | The most powerful drugs that eliminate almost all types of pathogenic microorganisms. Taking cephalosporins is indicated for acute infectious prostatitis. |
Some of the mentioned drugs are used as antibiotics for benign prostate adenoma in case of complications of the pathology caused by an inflammatory process of infectious etiology.
The most efficient
The main problem in the presence of any infectious disease is the resistance of bacteria to first-generation antibiotics. In this sense, pharmacologists are constantly improving existing drugs, creating stronger drugs of the second, third and fourth generation on their basis.
Conducting a bacterial culture and determining the sensitivity of microorganisms allows determining the most effective antibiotics for prostatitis.
Currently, many urologists introduce the following:products containing antibiotics:
- Second generation fluoroquinolones with good penetrating ability. Due to the high concentration of the active substance in the cells, it works against most intracellular pathogens.
- A product from the group of tetracyclines with a wide spectrum of action. The maximum concentration of the drug in the prostate is observed within 30 minutes after administration, which is very important if a rapid therapeutic effect is required during exacerbations. These antibiotics for prostatitis, relatively cheap and effective, have minimal negative effects on the patient's body.
- Third generation cephalosporin with high antibacterial activity against bacteria such as Escherichia coli, gonococcus, Proteus, Enterobacter.
- Effective in the presence of most types of pathogens. The introduction of clavulanic acid into the composition of the drug ensures its resistance to bacterial enzymes.
- Contains amoxicillin. It is recommended for prostatitis caused by gram-positive and gram-negative bacteria.
- Aminoglycosides for the elimination of most gram-negative bacteria. It penetrates the source of inflammation within 50-60 minutes, relieving the main symptoms in the acute phase of the disease.
- A drug from the lincosamide group for the elimination of gram-positive bacteria and parasitic protozoa.
Each of the mentioned drugs has its advantages, so only a urologist can determine the best antibiotics for prostatitis.
Features of treatment of acute and chronic forms
Prostatitis can be acute or slow with alternating periods of exacerbation and remission. When prescribing drugs, it is necessary to take into account the form of the disease.
Therefore, with the rapid development of the inflammatory process with a significant deterioration of the patient's well-being, hospitalization is required. In order to quickly deliver the active ingredients to the inflamed tissues, antibiotics are given by intravenous infusion or injection. In order to ensure effective treatment of acute prostatitis in men, drugs from the class of cephalosporins are selected. After improvement, the doctor can replace the drugs with milder ones.
Antibiotics for chronic infectious prostatitis should be taken for a long time. The general course is divided into several cycles with possible replacement of drugs in the absence of positive dynamics. The patient is prescribed injections or tablets. Antibiotics for asymptomatic prostatitis are also used in the form of suppositories. Men can be prescribed anti-inflammatory and antipyretic suppositories.
In which cases is the treatment contraindicated?
When choosing a drug for prostate inflammation, the doctor must take into account the characteristics of the patient's body, the presence of allergies and related diagnoses.
In some cases, taking antibacterial agents is contraindicated due to individual intolerance to their components. Antibiotics are also not prescribed to patients with serious abnormalities in kidney function. They are used with caution in the presence of certain diseases of the digestive tract.
The age of the patient should be taken into account when choosing medicines. Therefore, an antibiotic for prostatitis is prescribed to an adult man without any age restrictions, in adolescence, natural analogs of synthetic drugs are chosen.
Is it possible to cure prostatitis without antibiotics?
Despite the high effectiveness of antibacterial drugs, their use has a certain negative effect on the body.
Is it possible to do without synthetic bactericides or replace them with safer natural analogues?
Unfortunately, with the bacterial form of the disease, this is the only way to quickly improve the patient's condition and completely get rid of infectious pathogens. Treatment of prostatitis without antibiotics is impossible.
General recommendations for antibacterial therapy
The success of treatment does not depend only on the correct selection of drugs. An important factor is the patient's compliance with several basic rules during the therapeutic course and during the rehabilitation period.
- Antibiotics for prostatitis should be taken only on the recommendation of a specialist.
- The duration of therapy is determined by taking into account the type of pathogen and the stage of the disease, therefore, for complete recovery, it is necessary to completely complete the recommended course of prostatitis treatment. Premature discontinuation of drugs will lead to the need to use stronger antibiotics in the future.
- During antibacterial therapy, a diet with the exception of spices, fatty foods, pickles and sweets is necessary.
- For certain reactions of the body to antibiotics, the list of drugs is supplemented with hepatoprotectors, probiotics and anti-allergic drugs. Since the beneficial microflora is partially damaged by the use of bactericides, the use of an antifungal drug (Nystatin) is indicated during antibacterial therapy.
Antibiotics affect the number and activity of spermatozoa, so the ability to conceive is restored no later than 3-4 months after recovery.
Currently, antibiotics are the only effective means in the treatment of infectious prostatitis. The correct combination of drugs and compliance with the doctor's recommendations are the main conditions for restoring the functioning of the prostate.