Antibiotics for chronic prostatitis are prescribed to eliminate the bacterial factor that causes inflammation of the gland.
The aim of antibiotic therapy is to relieve symptoms, prevent complications and restore normal prostate function.
The funds are prescribed by the attending physician on the basis of the test results. The generalized name "antibiotics" means several groups of drugs of various compositions with pronounced antibacterial activity.
Real antibiotics are substances of natural (natural) origin or their fully synthetic analogues.
Classification of chronic prostatitis
There are three main forms of chronic prostatitis:
- Chronic bacterial prostatitisis a lesion of the prostate that is associated with the development of pathogenic microflora. It proceeds with symptoms similar to acute prostatitis (pain when urinating, pus and blood in the urine, etc. ), but it has more blurred (relieved) manifestations.
- Chronic non-bacterial prostatitisis a type of damage to the male prostate caused by causes other than pathogenic bacteria (e. g. trauma or the formation of stones in the prostate) and is found in infectious diseases. However, the name of the pathology concerns only the etiology of the disease, and not its course, since in the course of pathogenesis the development of a pathogenic microflora identical to other types of prostatitis is noted.
- Chronic asymptomatic prostatitisis a pathology of the prostate that is caused by the presence of a pathogenic microflora in the prostate area and is asymptomatic or almost asymptomatic. Important! If there is a suspicion that this type of disease is usually detected during diagnosis due to pathological phenomena such as leukocyturia and / or bacteriuria, additional diagnosis is required. This is due to the similarity of the course of chronic asymptomatic prostatitis with prostate cancer.
Regardless of the type of chronic prostatitis, the use of antibiotics is therefore recommended in all cases. The drugs that are used as the drugs of choice in the appointment of therapeutic practice are discussed below. And you need to start offering antibiotics for chronic prostatitis to readers.
What antibiotics are there?
The resistance of bacteria to certain drugs has increased significantly in recent years. Therefore, before starting antibiotic treatment for prostatitis in men, it is necessary to examine the patient for the entire STI group and pathogenic flora to determine the resistance of certain microorganisms to certain drugs.
What antibiotics are used to treat prostatitis at home? There are the following groups of antibacterial drugs (the best antibiotics for prostatitis in men):
- penicillins.In the past, such antibiotics were actively used to inflame the prostate. With the advent of the most active antibacterial drugs, they practically lost their clinical importance due to the increased number of negative bacteria resistant to penicillins.
- macrolides.These antibiotics for prostatitis have a broad spectrum of activity and low toxicity.
- tetracyclines.Have activity against gonococci, chlamydia, mycoplasma. They are more commonly used in the treatment of chronic infectious prostatitis caused by the pathogens mentioned above.
- fluoroquinolones.Often used for the complex treatment of chronic inflammation of the prostate and for acute uncomplicated inflammation of the prostate (efficiency up to 100%). They have high activity and low toxicity (they do not disturb the intestinal flora).
- Cephalosporins.Is actively used in the treatment of acute forms of bacterial prostatitis. These are good antibiotics for prostatitis, they have a wide spectrum of action and high activity against pathogenic bacteria.
At the same time, because of its capabilities, modern medicine uses antibiotics against prostatitis or other diseases:
- quickly destroys the source of the disease and eliminates inflammation;
- produces substances that kill or stop bacteria and large viruses from multiplying, but are safe for the cells of the macroorganism;
- act with external use (suppositories, ointments) and with other methods of administration: intramuscular, oral, intravenous;
- to fight against many pathogens (broad spectrum antibiotics) at the same time.
What are the most effective antibiotics?
To cure or alleviate symptoms of infectious prostatitis, strictly follow your doctor's recommendations. Do not start the course until after the diagnosis, when the doctor understands the nature of the disease. Self-treatment at home is fraught with devastating consequences and dysfunction of the body systems.
Recommendations for antibiotic therapy
Side effects of taking antibiotics can be just as problematic as worsening prostatitis.
Typical disadvantages of each drug group:
- Penicillins: rash, dermatitis, diarrhea;
- Cephalosporins: diarrhea. Rash and fever are rare;
- Macrolides: nausea, vomiting. Sometimes colitis, cholestatic jaundice occurs;
- fluoroquinolones: abdominal pain, diarrhea.
Diarrhea is the most common side effect of antibiotics. It is caused by two reasons: an imbalance in the intestinal flora, an overgrowth of bacteria called Clostridium difficile. By taking probiotics and prebiotics at the same time, diarrhea can be prevented and eliminated.
Non-antibacterial therapy
In addition to antibiotics, the following treatments are used to successfully treat prostatitis, particularly chronic prostatitis:
- Prostate massage is the best way to improve blood flow and the outflow of inflammatory secretions from the prostate.
- physiotherapy;
- nonsteroidal anti-inflammatory drugs - not used in parallel with fluoroquinolones;
- herbal preparations;
- Alpha blockers.
In order to effectively cure a disease, a diagnosis must be made, which will indicate the type of bacteria that are causing the disease in a particular patient and their sensitivity to drugs. Based on the test results, the doctor decides which means to treat chronic prostatitis or an acute form of the disease.