Prostatitis is a disease of the prostate that can be very painful, but with the right comprehensive approach, the disease resolves. Let's consider in more detail the most famous method of drug treatment -use antibiotics- What antibiotics should be taken for prostatitis in men and which are the best?
antibiotics
Drug treatment of prostatitis is usually limited to controlling symptoms. Painkillers can relieve pain. Antibiotics for prostatitis in men are usedfor patients with acute or chronic infectionsProstate.
E. coli and other gram-negative bacteria cause the most acute prostate infections.Symptoms includeGroin pain, dysuria, painful ejaculation, inability to urinate and fever, general malaise.
Treatment for prostatitis in men always consists of antibiotics. Chronic infectious prostatitis may require long-term treatment with drugs, and severe infections may require hospitalization where drugs are given parenterally.
Further in this article we will consider how prostatitis in men can be treated with antibiotics.
advantages and disadvantages
Antibiotics are always recommended when an infection is present or the disease returns within a year. They are indicated for effective treatment:
- Acute infectious prostatitis;
- Chronic infectious prostatitis.
The benefits of medication include:
- Strongbactericidal properties;
- Bacteriostatic propertiesthat prevent the growth of bacteria;
- high efficiency– cover a wide range of infections;
- user friendliness. 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 chosen and most commonly include:
- Diarrhea.During treatment, there is often an increase in sugar in the intestines, which causes intestinal dysbacteriosis.
- fungal infectionsoral cavity, genitals;
- formationKidney stones;
- coagulation disorderblood (when taking certain cephalosporins);
- sensitivity to light(when taking tetracyclines);
- blood diseases("Thick" Blood Syndrome);
- deafness(Rare).
Also common side effects are:
- probabilityallergic reaction;
- resistance of some bacteria. This happens when the patient takes an incomplete dose.
types of antibiotics
Most often, the patient is prescribed4 week course, but if the urologist suspects the presence of chronic prostatitis and the signs (as well as the pain) have not disappeared after a four-week course, he may recommend longer intake.
Sometimes courses up to three months are used.
Antibiotics for prostatitis in menprescribed by the attending physiciandepending on:
- The pathogen causing the infection;
- forms of illness (acute/chronic);
- The severity of the symptoms;
- general health of the patient;
- Age.
And based on the results of suchanalyses, how:
- blood test - extended profile;
- General urinalysis;
- PCR (smear) of the urethra;
- Tank. urine culture;
- Analysis of the prostate secretion.
types of antibioticsused in prostate therapy:
- macrolides;
- penicillins;
- tetracyclines;
- fluoroquinolones;
- cephalosporins.
Which antibiotics are better and more effective?with prostatitis? Consider the names of antibiotics for prostatitis:
| composition | The effectiveness of the drug | action taken | Application recommendations (more details in the instructions) |
|---|---|---|---|
| macrolide drug | Effective against diseases of the urinary tract (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. 500mg |
| Semi-synthetic drug of the macrolide group, erythromycin derivative | Effective for the treatment of chronic infectious prostatitis | broad spectrum antibiotic. It has a wide spectrum of antimicrobial activity, many bacteria that cause prostatitis are sensitive to the drug (Streptococcus, Klebsiella, Escherichia coli, Staphylococcus aureus) | 0. 15 g 2 U/day before meals with plenty of liquid Available in capsules of 10 pieces. 0. 15, 0. 3, 0. 1 and 0. 05g respectively |
| Tetracycline Derivative | Effective in treating infections such as acute/chronic prostatitis, chlamydia, gonorrhea, syphilis | Has a bacteriostatic and anti-inflammatory effect | 1 x 200 mg with a meal with plenty of liquid, then 1 x 100 mg daily Produced in the form of capsules 10 pieces. 100mg |
| Semi-synthetic drug of the cephalosporin group | Antibiotic used to treat acute bacterial prostatitis in men. It is taken against the background of severe bacterial infections | It has an antimicrobial, bactericidal effect. Effective 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 |
| Cephalosporin preparation (in the form of sodium salt) | It is used in severe bacterial infections (prostatitis, epididymitis). | Has antibacterial, bactericidal effect | 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 of the penicillin group and clavulanic acid | The antibiotic is used in prostatitis, as well as in the treatment of gynecological and respiratory infections. | Has a bactericidal effect on gram-positive and gram-negative aerobes / anaerobes | 1 tablet 250 mg (+125 mg) every 8 hours Produced in tablets 15 pieces 250+125 mg |
| Semi-synthetic drug of the penicillin group | It is used to treat infections of the genitourinary system (urethritis, prostatitis, pyelonephritis). | Has antibacterial, bactericidal effect | Antibiotic for prostatitis, injections administered intramuscularly or intravenously, 500 mg 3 r / day or in the form of tablets 500 mg every 8 hours Produced in ampoules for injections of 500 mg or in tablets of 20 pieces. 500mg |
| lomefloxacin hydrochloride | It is used for prostatitis, chlamydia, pyelonephritis, urethritis | It has an antibacterial, bactericidal effect, is effective against gram-negative microorganisms that cause prostatitis | Tablets in 400 mg 1 r / day Produced in the form of capsules 10 pieces. 400mg |
| Fluorinated carboxyquinolone, a synthetic chemotherapeutic agent | Antibiotics are used for inflammation of the prostate | Active against bacteria such as streptococci, staphylococci, chlamydia | 250 mg tablet to be taken between meals or before meals with plenty of liquid Produced in the form of tablets 5 pieces. 250mg |
| Antibiotic of the fluoroquinolone group | Infections of the urinary tract, pelvic organs, genital organs | It has an antibacterial, bactericidal effect, is active against bacteria such as streptococci, staphylococci, chlamydia, enterococci, mycoplasma | 1 tablet before meals 200-800 mg/day Produced in the form of tablets 10 pieces. 200mg |
| A drug from the group of tetracyclines | It is used for respiratory infections, chlamydia, prostatitis, syphilis | Antibacterial, bacteriostatic effect | 1 tablet 250-500 mg 4 r / day Produced in the form of tablets 10 pieces. 250mg |
Only the attending physician can decide which antibiotic complex is right for you.
If the antibiotic did not help with prostatitis, then you can contacthome remediesand try treating prostatitis 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 in the buttocks).
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 when the patient has taken several courses of antibiotics over 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 drugs 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 exclusively in the hospital. Relief usually occurs after 5 injections.
contraindications
Contraindications, as a rule, depend on the specific drug, but most often include:
- Gastrointestinal Disorders(especially when taking drugs of the macrolide group);
- allergic reaction (hives);
- Damage to the kidneys and liver(usually against the background of taking penicillins, cephalosporins, macrolides);
- childhood(with caution up to 18 years);
- diabetes mellitus.
How you take it
The tablet should be taken with 1. 5-2 glasses of water, the drug should be taken with meals (unless otherwise specified in the instructions) so as not to irritate the stomach. Drink after antibiotic therapya set of drugs to restore the intestinal microflora.
Attention!Completely abstain from alcohol during the treatment.
replacement
Infectious prostatitis is successfully treated with antibiotics, but if there are contraindications to admission, or if you have individual intolerance, hypersensitivity to some components of the drug, or if antibiotics do not help with prostatitis, so-called,natural antibioticswith prostate inflammation. They are usually less effective at fighting the infectious form of the disease. So what can replace antibiotics in prostatitis?
Most commonly usedEchinacea, in its composition there is a special substance - echinacoside, the properties of which are completely different from conventional antibiotics.
Infusions, herbal teas and decoctions are prepared from the plant, which allow you to relieve prostate inflammation without antibiotics.
Has a similar effectaspen bark, which is called a "natural" antibiotic.
To treat a bacterial form of the diseasealso appoint:
- alpha blockers;
- non-steroidal anti-inflammatory drugs;
- corticosteroids;
- 5-alpha inhibitors (slow down the growth of the prostate);
- Laxative.
With timely medical attention and a comprehensive approach to treatment, bacterial prostatitis can be completely cured with a single course of antibiotics.