Antibiotics for the prostate in case a patient consults a urologist in an acute phase of inflammation are prescribed almost immediately. That is, the doctor will not wait for test data. Therefore, in the early days, choosing a drug with a broad spectrum of action, the selection scheme is very similar when choosing antibiotics for cystitis.
Once the laboratory data is obtained from the physician, it usually takes two to three days, a decision is made either to continue the chosen regimen of therapy or to prescribe a new, more effective medicine.
When choosing a medicine, a doctor should take into account the patient's age, the presence of certain somatic diseases in his anamnesis, and allergic reactions.
The patient, in turn, should warn the doctor about the antibiotics he has used before.
If a man has been treated with any medication a few weeks before prostatitis, then it is very likely that at this stage it is not as effective as it is needed to relieve the inflammation.
Among the various groups of antibiotics, there are so-called "backup" drugs, which include drugs with a strong effect on the body. The urologist prescribes them only if previous conservative treatment has not helped.
Antibiotic therapy requires certain conditions.
- Antibiotics are prescribed for a specific period of time. It is usually at least 2 weeks. In the future, the doctor assesses the condition of the prostate gland and cancels the drug, or advises the continuation of treatment;
- Dosage of the drug is also chosen individually;
- The entire course of treatment should be completed. If interrupted, then the body creates suitable conditions for the transition of an acute infectious process to a chronic process;
- It should take no more than three days from the moment you start using antibiotics to reduce the pain and discomfort. If after this period the condition has not improved, then you should consult a doctor again for a review of therapy and the choice of another antibiotic.
Antibiotic therapy is one of the most important conditions for complete cure of bacterial prostatitis. A sick person should understand that his trouble-free life in the future depends on adhering to the entire treatment regimen.
Antibiotics for prostatitis are selected from the following groups of medicines:
- Penicillin. This group has a wide range of effects on bacteria and therefore it is most often described exactly before the data are obtained from the laboratory. Another advantage of these drugs is their budget price and therefore any patient can receive treatment;
- Macrolidespenetrate perfectly into the tissues of the prostate gland and begin to fight infection after their first intake. This group of drugs is practically non-toxic and does not affect the state of the intestinal microflora;
- Cefalosparina. They are mainly used in hospitals, as they are administered intramuscularly or intravenously; Tetracycline.Effective for prostatitis caused by chlamydia. But these drugs are very toxic and have a spermatoxic effect. Therefore, before planning conception, they are not described;
- Fluorokinolone.Used when there is no effect from drugs from other groups.
When using antibiotics for the first time, it is necessary to record all changes in health status. Often these drugs cause severe allergic reactions, especially in patients with a history of allergies.
At home, it is not always possible to get rid of prostatitis, because before prescribing any antibiotic, the doctor should check his reaction to the bacteria found.
Due to the large number of side effects, treatment should be performed under the supervision of a specialist. In case of unpleasant symptoms, you should immediately contact your doctor and change the medication.
Antibiotics for the treatment of prostatitis, available in pill form, may contain various active ingredients. Therefore, the list of such drugs is quite extensive and only a doctor can prescribe it properly.
Fluoroquinolones
The most effective antibiotics for prostatitis, according to urologists, belong to the group of fluoroquinolones. The benefits of fluoroquinolones in the treatment of prostate inflammation are:
- large volume of distribution;
- creating high concentrations of the substance in the prostate;
- penetrate cells;
- have a yes-antibiotic effect - after withdrawal of the drug, a concentration that inhibits the growth of bacteria remains inside the cells for several days;
- taken once a day more often.
There are several generations of this type of antibacterial drug. Second, third and fourth generations are most often used in urological practice.
Antibiotics against prostatitis from the group of third-generation, fourth-generation fluoroquinolones allow the treatment of inflammatory processes initiated by mixed microflora - facultative anaerobes, gram-positive, gram-negative bacteria (Escherichia coli, starch), atypical intracellular bacteria, mycoplasma, mycoplasma.
The active ingredients of fluoroquinolone preparations for prostate include: levofloxacin, ciprofoloxacin, moxifloxacin.
Antibiotics for acute prostatitis in men can be used not for a month, but for two weeks, if the disease starts from the opportunistic flora.
As a rule, medicines in this group are well tolerated by patients. The most common side effects are nausea and diarrhea. Phototoxicity is rarely recorded.
If chronic bacterial prostatitis has started, another treatment strategy should be used.
The symptoms are not as pronounced as in the case of an acute process. The patient complains of infrequent pain, urination problems, and problems of a sexual nature.
Chronic bacterial prostatitis is dangerous: for most men, it disappears almost invisibly, accompanied by occasional pain, but leads to infertility, erection problems, prostatectomy, and prostate adenoma.
All of this comes to light suddenly, when the obvious signs of these problems start to bother a man.
A man oppressed by uncomfortable sensations and episodic pain, which become more frequent over time, turns to the urologist.
The doctor, as in the case of acute prostatitis, performs the necessary examinations (blood tests, urine tests, palpation and bacterial culture), after which he develops a treatment regimen.
On average, treatment lasts 4-8 weeks. This is a serious stress for the body, because in addition to the target microflora, our friends also suffer. Therefore, taking antibiotics is associated with taking medications that regenerate the gastrointestinal microflora in the first place.
In addition to antibiotics, the patient is prescribed physiotherapy and drugs that relieve swelling and relax the smooth muscles of the prostate gland, not to forget the folk remedies that accelerate the therapeutic effect in complex therapy.
Tetracyclines
Also available in two forms of administration, very active against chlamydia and mycoplasma, so their effectiveness is higher in chronic prostatitis associated with sexually transmitted diseases. Optimal drugs are those with better pharmacokinetic data and tolerance.
However, tetracyclines have a destructive effect on gram-positive flora, including active in nosocomial infection with methicillin-resistant staphylococci. The drug destroys the intracellular forms of chlamydia, mycoplasma, ureaplasma. The advantage of tetracyclines is a lower frequency of formation of intestinal dysbiosis, as well as the presence of an anti-inflammatory effect. Regarding the intestines, Pseudomonas aeruginosa, they are ineffective.For infections from chlamydia, mycoplasma and ureaplasma, the medication is taken for 3 weeks, the rest of the pathogens require administration for two weeks.
Assets from this group should not be used concomitantly with dairy products.
Macrolides in the treatment of prostatitis
Macrolides (including azalides) should only be used under certain conditions, as there is only a small amount of scientific research confirming their effectiveness in the prostate and this group of antibiotics has little activity against gram-negative bacteria.
But you should not completely abandon the use of macrolides, as they are quite active against gram-positive bacteria and chlamydia.
Antibiotics from the macrolide group in terms of treating inflammation of the prostate gland have a growth inhibitory effect against atypical intracellular bacteria, gram-positive microorganisms (bones).
The advantage of macrolides in the treatment of prostate inflammation is their low toxicity compared to fluoroquinolones. Macrolides create high concentrations of the active substance in the glandular tissues, have a postantibiotic effect, anti-inflammatory and immunomodulatory effects. The drug has a beneficial effect on phagocytosis, inhibits oxidative stress in cells. Macrolides can be used in adolescents.
If prostatitis is caused by opportunistic flora, treatment may take up to two weeks. Drugs can be taken in combination with fluoroquinolones.
Many patients are interested in what antibiotics to take for prostate in men, if there is a history of penicillin allergy. Means from the macrolide group do not have a cross-allergy type with drugs from the penicillin and cephalosporin group, so they can be safely taken by those suffering from allergies.