Prostatitis is a disease of the prostate gland, which can be very painful, but with the right global approach the disease regresses. 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 drugs is usually limited to controlling its symptoms. Pain relievers 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 malaise.
The treatment for prostatitis in men is always antibiotics. Chronic infectious prostatitis may require long-term treatment with drugs, and severe 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 disease recurs within a year. They are indicated for effective treatment:
- Acute infectious prostatitis;
- Chronic infectious prostatitis.
The benefits of drugs 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;
- 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, genital organs;
- Trainingkidney stones;
- Coagulation disorderblood (when taking some cephalosporins);
- Sensitivity to light(when taking tetracyclines);
- Blood disorders("thick" blood syndrome);
- Deafness(rarely).
Common side effects also include:
- Possibilityallergic reaction;
- resistance of some bacteria. This happens if the patient takes an incomplete dose.
Types of antibiotics
Most often, the patient is prescribed4 week course, but if the urologist suspects chronic prostatitis and the signs (as well as pain) have not disappeared after a four-week cycle, he may recommend a longer intake.
Sometimes courses of up to three months are used.
Antibiotics for prostatitis in menprescribed by the attending physiciandepend on:
- The causative agent causing the infection;
- Forms of the disease (acute / chronic);
- The severity of the symptoms;
- general health of the patient;
- age.
And based on the results of thatanalyses, how:
- Blood test - extended profile;
- General urine analysis;
- PCR (smear) of the urethra;
- Reservoir. urine culture;
- Analysis of prostatic secretion.
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 | The effectiveness of the drug | Action taken | Tips for use (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 an antiseptic and antimicrobial effect, has a bactericidal effect | 1-2 g 2-3 r / day Release form: tablets 10 pcs. 500 mg |
| Semi-synthetic drug of the group of macrolides, derivative of 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 (streptococcus, Klebsiella, Escherichia coli, staphylococcus aureus) | 0, 15 g 2 r / day before meals with plenty of liquid Available in capsules of 10 pcs. 0, 15, 0, 3, 0, 1 and 0. 05 g each |
| Derivative of tetracycline | Effective for the treatment of infections such as acute / chronic prostatitis, chlamydia, gonorrhea, syphilis | It has a bacteriostatic and anti-inflammatory effect | With a liquid rich meal 200 mg once, then 100 mg once a day Produced in the form of capsules 10 pcs. 100 mg |
| Semi-synthetic drug of the cephalosporin group | Antibiotic for the treatment of acute bacterial prostatitis in men. It is taken against the background of severe bacterial infections | It has an antimicrobial and bactericidal effect. Active against many microorganisms that cause prostatitis (streptococcus, 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 |
| Preparation for cephalosporins (in the form of sodium salt) | It is used for severe bacterial infections (prostatitis, epididymitis) | It has antibacterial, bactericidal action | Administer intramuscularly or intravenously, 1-2 g every 12 hours Available in bottles of 0, 5, 1 or 2 g |
| Semi-synthetic broad-spectrum antibiotic from the penicillin group and clavulanic acid | The antibiotic is used for prostatitis, as well as in the treatment of gynecological infections, infections of the respiratory tract. | 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 15 pcs 250 + 125 mg |
| Semi-synthetic drug of 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 administered 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 pcs. 500 mg |
| Lomefloxacin hydrochloride | It is used for prostatitis, chlamydia, pyelonephritis, urethritis | 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 capsules 10 pcs. 400 mg |
| Fluorinated carboxyquinolone, a synthetic chemotherapy agent | The antibiotic is used for inflammation of the prostate | Active against bacteria such as streptococcus, staphylococcus, chlamydia | Oral tablet of 250 mg between meals or before meals with plenty of liquid Produced in the form of tablets 5 pcs. 250 mg |
| Antibiotic of the group of fluoroquinolones | Infections of the urinary tract, pelvic organs, genital organs | It has an antibacterial, bactericidal effect, is active against bacteria such as streptococcus, staphylococcus, chlamydia, enterococcus, mycoplasma | 1 tablet before meals 200-800 mg / day Produced in the form of tablets 10 pcs. 200 mg |
| A drug from the group of tetracyclines | 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 tablets 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 turn tofolk remediesand try antibiotic-free prostatitis treatment. Here are a few: 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 purchase a Chinese prostatitis patch.
Injections
If the body does not respond to oral treatment, the specialist may prescribe parenteral administration (intravenous / intramuscular routeusually in the buttock).
This method is also used for the treatment of 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 taken several courses of antibiotics for several months and all have been ineffective.
This reaction is due to the fact that infectious prostatitis is often caused by a local inflammatory process against 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 carried out strictly in the hospital. After 5 injections, relief usually occurs.
Contraindications
Contraindications usually depend on the specific drug, but most often include:
- Gastrointestinal disorders(especially when taking drugs from the macrolide group);
- allergic reactions (urticaria);
- Damage to the kidneys and liver(usually against the background of taking penicillins, 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 meals (unless otherwise indicated in the instructions) in order not to irritate the stomach. Drink after antibiotic therapya course of drugs to restore the intestinal flora.
Attention!Completely avoid alcohol 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 often less effective in fighting the infectious form of the disease. So what can replace antibiotics for prostatitis?
Used more oftenechinacea, in its composition there is a special substance - echinacoside, the properties of which are completely different from conventional antibiotics.
From the plant, infusions, herbal teas, decoctions are prepared, which allow to relieve inflammation of the prostate without antibiotics.
It has a similar effectaspen bark, which is called a "natural" antibiotic.
For the treatment of a bacterial form of the diseasealso appoint:
- alpha blockers;
- non-steroidal anti-inflammatory drugs;
- corticosteroids;
- 5-alpha inhibitors (slow the growth of the prostate);
- Laxatives.
With timely medical care and a comprehensive approach to treatment, bacterial prostatitis can be completely cured with a single course of antibiotic treatment.