Antibiotics for prostatitis in the event that a patient consults a urologist in an acute stage of inflammation are prescribed almost immediately. That is, the doctor won't wait for the test dates. Therefore, in the early days, a drug with a wide spectrum of action is selected, the selection scheme in the choice of antibiotics for cystitis is very similar.
After the laboratory data have been received by the doctor, it usually takes two to three days. A decision is made to either continue the selected regimen or to prescribe a new, more effective drug.
When choosing a drug, a doctor must take into account the patient's age, the presence of certain somatic diseases in his or her medical history, and allergic reactions.
The patient, in turn, must warn the doctor about the antibiotics he has previously used.
If a man has been treated with medication a few weeks before prostatitis, it is very likely that at this stage it will not be as effective as needed to relieve inflammation.
Among the different groups of antibiotics there are so-called "reserve" drugs, which include drugs with a strong effect on the body. The urologist prescribes them only if the previous conservative treatment did not help.
Antibiotic therapy requires certain conditions.
- Antibiotics are prescribed for a certain period of time. Usually it is at least 2 weeks. In the future, the doctor will assess the condition of the prostate and cancel the drug or advise continuing treatment;
- The dosage of the drug is also selected individually.
- The entire course of treatment must be completed. When it is interrupted, the body creates suitable conditions for the transition from an acute infectious process to a chronic one;
- From the moment you start taking antibiotics, it shouldn't take more than three days for the pain and discomfort to subside. If after this time the condition has not improved, you need to consult a doctor again to review therapy and choose another antibiotic.
Antibiotic therapy is one of the most important conditions for full recovery from bacterial prostatitis. A sick man needs to understand that his trouble-free life in the future depends on adherence to the entire treatment regimen.
Antibiotics for prostatitis are selected from the following drug groups:
- Penicillins. This group has a wide variety of effects on bacteria, so it is usually prescribed just before the data is received from the laboratory. Another advantage of these drugs is their budget price and therefore any patient can be treated.
- Macrolidesperfectly penetrate the tissues of the prostate and, after their first use, begin to fight the infection. This group of drugs is practically non-toxic and does not affect the state of intestinal microflora.
- Cephalosparins. They are mainly used in hospitals because they are administered intramuscularly or intravenously.
- tetracyclines.Effective for prostatitis caused by chlamydia. But these drugs are highly toxic and have a sperm-toxic effect. Therefore, they are not prescribed before the planning conception;
- fluoroquinolones.Used when drugs from other groups have no effect.
The first time antibiotics are used, all changes in health must be recorded. Often times, these drugs cause severe allergic reactions, especially in people with a history of allergies.
Getting rid of prostatitis at home is not always possible, because before prescribing an antibiotic, the doctor must check the reaction to the bacteria found.
Due to the large number of side effects, treatment should be carried out under the supervision of a specialist. If you have unpleasant symptoms, you should immediately contact your doctor and change the drug.
Antibiotics for the treatment of prostatitis, available in pill form, can contain various active ingredients. Therefore, the list of such drugs is wide enough and only a doctor can prescribe the right one.
Fluoroquinolones
According to urologists, the most effective antibiotics for prostatitis belong to the group of fluoroquinolones. The benefits of fluoroquinolones in treating prostate inflammation are:
- large volume of distribution;
- Generation of high concentrations of the substance in the prostate;
- invade cells;
- have a post-antibiotic effect - after stopping the drug, a concentration that inhibits bacterial growth remains in the cells for several days.
- are most often taken once a day.
There are several generations of this type of antibacterial drug. The second, third and fourth generations are most commonly used in urological practice.
Antibiotics for prostatitis from the group of fluoroquinolones of the third and fourth generation allow the treatment of inflammatory processes triggered by mixed microflora - facultative anaerobes, gram-positive, gram-negative bacteria (Escherichia coli, staphylococci, enterococci), atypical intracellular bacteria, mycoplasmic bacteria.
The active ingredients of fluoroquinolone preparations for prostatitis include: Levofloxacin, Ciprofoloksacin, Moxifloxacin.
Antibiotics for acute prostatitis in men can be used not for a month, but for two weeks if the disease is triggered by opportunistic flora.
Drugs in this group are usually well tolerated by patients. The most common adverse events are nausea and diarrhea. Phototoxicity is rarely recorded.
If chronic bacterial prostatitis has started, a different treatment strategy should be used.
The symptoms are not as pronounced as in an acute process. The patient complains of infrequent pain, urination problems, and sexual problems.
Chronic bacterial prostatitis is dangerous: for most men it disappears almost imperceptibly, accompanied by occasional pain, but leads to infertility, erectile problems, prostate ablation and prostate adenoma.
All of this suddenly comes out as obvious signs of these problems start to bother a man.
A man oppressed by unpleasant sensations and episodic pains, which become more common over time, turns to a urologist.
As with acute prostatitis, the doctor carries out the necessary examinations (blood tests, urine tests, palpation and bacterial culture), after which he develops a treatment regimen.
The treatment takes an average of 4-8 weeks. This is a serious burden on the body, since in addition to the targeted microflora, our friends also suffer. Therefore, taking antibiotics is primarily associated with taking drugs that regenerate gastrointestinal microflora.
In addition to antibiotics, the patient is prescribed physical therapy and drugs that relieve edema and relax the smooth muscles of the prostate. One should not do without folk remedies that accelerate the therapeutic effect in complex therapy.
Tetracycline
They are also available in two forms of administration and are highly effective against chlamydia and mycoplasma. Therefore, their effectiveness is higher in chronic prostatitis associated with sexually transmitted diseases. The optimal drugs are those with the best pharmacokinetic data and tolerability.
Tetracyclines, however, have a destructive effect on gram-positive flora, including active nosocomial infection with methicillin-resistant staphylococci. The drugs destroy the intracellular forms of chlamydia, mycoplasma, ureaplasma. The advantage of tetracyclines is a lower frequency of the formation of intestinal dysbiosis, as well as the presence of an anti-inflammatory effect. In terms of gut, Pseudomonas aeruginosa, they are ineffective.
For chlamydial, mycoplasma and ureaplasma infections, drugs are taken for 3 weeks, the rest of the pathogens take two weeks.
Agents from this group must not be used with the simultaneous use of dairy products.
Macrolides in the treatment of prostatitis
Macrolides (including azalides) should only be used under certain conditions, as few scientific studies confirm their effectiveness in prostatitis and this group of antibiotics has little activity against gram-negative bacteria.
However, you should not completely give up the use of macrolides as they are very active against gram positive bacteria and chlamydia.
Macrolide antibiotics in the treatment of prostate inflammation have a growth-inhibiting effect against atypical intracellular bacteria, gram-positive microorganisms (cocci).
The advantage of macrolides in treating prostate inflammation is their low toxicity compared to fluoroquinolones. Macrolides produce high concentrations of the active ingredient in the tissue of the gland, have a post-antibiotic, anti-inflammatory and immunomodulatory effect. The drugs have a beneficial effect on phagocytosis, inhibit oxidative stress in cells. Macrolides can be used in adolescents.
If the prostatitis is caused by an opportunistic flora, treatment can last two weeks. The drugs can be taken in combination with fluoroquinolones.
Many patients are interested in which antibiotics to take for prostatitis in men if they have a history of penicillin allergy. Means from the macrolide group do not have cross-allergy with drugs from the group of penicillins and cephalosporins, so they can be safely taken by allergy sufferers.