Prostatitis is a disease of the prostate gland, which can be very painful, but with the right comprehensive approach, the disease recedes. Let us consider in more detail the most famous method of drug treatment -antibiotic use- what antibiotics to take for prostatitis in men and which ones are the best?
Antibiotics
Treatment of prostatitis with drugs is usually limited to controlling its symptoms. Painkillers 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 prostate infections.Symptoms includepain in the groin, 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 treatment with drugs, and severe infections may require hospitalization, where drugs will be administered parenterally.
Further 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 one year. They are indicated for effective treatment:
- Acute infectious prostatitis;
- Chronic infectious prostatitis.
The benefits of drugs include:
- Strongbactericidal properties;
- Bacteriostatic propertiesthat prevent the growth of bacteria;
- High efficiency– cover a wide range of infections;
- Ease of use. Most drugs are taken orally or by injection;
- Few side effects;
- economydrugs are widely available and inexpensive.
The disadvantages includesystemic side effects, varying depending on the selected antibiotic, and most often include:
- Diarrhea.Often, during treatment, there is an increase in sugar in the intestines, which causes intestinal dysbacteriosis;
- Fungal infectionsoral cavity, genital organs;
- Formationkidney stones;
- Coagulation disorderblood (when taking certain cephalosporins);
- Light sensitivity(when taking tetracyclines);
- Blood disorders(syndrome of "thick" blood);
- Deafness(seldom).
Also common side effects 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 weeks course, 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 up to three months are used.
Antibiotics for prostatitis in menprescribed by the attending physiciandepending on the:
- The causative agent causing the infection;
- Forms of the disease (acute/chronic);
- The severity of symptoms;
- General health of the patient;
- age.
And based on the results of suchanalyzes, how:
- Blood test - extended profile;
- General urine analysis;
- PCR (smear) 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 | The effectiveness of the drug | Action taken | Recommendations for use (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. 500 mg |
| Semi-synthetic drug of the macrolide group, erythromycin derivative | Effective for the treatment of chronic infectious prostatitis | Broad spectrum antibiotic. It has a broad spectrum of antimicrobial activity, many bacteria that cause prostatitis (Streptococcus, Klebsiella, Escherichia coli, Staphylococcus aureus) are sensitive to the drug | 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 |
| Tetracycline derivative | Effective for the treatment of infections such as acute / chronic prostatitis, chlamydia, gonorrhea, syphilis | Has a 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 10 pcs. 100mg |
| 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, 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 |
| Cephalosporin preparation (in the form of sodium salt) | It is used for severe bacterial infections (prostatitis, epididymitis) | 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 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 | 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 pcs 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 action | 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 pcs. 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 inside 400 mg 1 r / day Produced in the form of capsules 10 pcs. 400 mg |
| Fluorinated carboxyquinolone, a synthetic chemotherapeutic agent | Antibiotic is used for inflammation of the prostate | Active against bacteria such as streptococcus, staphylococcus, chlamydia | Oral 250 mg tablet between meals or before meals with plenty of liquid Produced in the form of tablets 5 pcs. 250 mg |
| 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 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 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 tablets 10 pcs. 250 mg |
Only the attending physician can decide which complex of antibiotics is right for you.
If the antibiotic did not help with prostatitis, then you can turn tofolk remediesand try the treatment of 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 purchase a Chinese prostatitis patch.
Injections
If the body does not respond to oral treatment, the specialist may prescribe parenteral administration (intravenously / intramuscularlyusually in 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 taken several courses of antibiotics over several months, and all of them were ineffective.
This reaction is due to the fact that infectious prostatitis is often caused by a local inflammatory process on 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 done 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 of the macrolide group);
- allergic reactions (hives);
- 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) 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, so-called,natural antibioticswith prostatitis. They are most often less effective in combating 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 allow you to relieve inflammation of the prostate without antibiotics.
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 attention and a comprehensive approach to treatment, bacterial prostatitis can be completely cured with a single course of antibiotic treatment.