Infectious prostatitis is a common disease of the prostate that can lead to complications. Antibiotics for prostatitis are the focus of treatment and are selected based on the test results. It is impossible to take antibacterial drugs without a doctor's prescription. Every man faced with this disease needs to know what groups of drugs exist and how they differ.
When do you need antibiotics?
Before taking any medication, you should definitely consult your doctor.
There are different types of diseases:
- acute infectious (bacterial) prostatitis;
- chronic bacterial prostatitis;
- chronic non-infectious prostatitis.
Taking antibiotics is not always advisable. The drugs in this group are only effective against pathogens, but have no general anti-inflammatory effects.
Antibiotics for prostatitis are only indicated if the inflammation of the organ is caused by the activity of pathogenic microorganisms in the prostate. In all other cases, an antibiotic for prostatitis will be ineffective in a man.
The main problem with treating prostatitis is that many men are wary of antibiotic therapy if they consider such drugs harmful or dangerous. It is important to remember: neglected prostatitis is dangerous and not a properly selected antibiotic, taken on the recommendation of a doctor in accordance with the dosage and treatment regimen.
Antibiotics for prostatitis and adenoma are prescribed only in the presence of bacterial inflammation. Medicines in this group are only effective against bacteria and show no activity against viruses or fungi.
Antibiotics for chronic prostatitis are only prescribed if there is a chronic focus of infection in the prostate. Chronic bacterial prostatitis results from improper or inadequate treatment of acute bacterial prostatitis. Very often the disease becomes chronic because a man has self-medicated and taken drugs that were ineffective against a particular pathogen. As a result, pathogenic microorganisms develop resistance to drugs, and the disease becomes chronic, which reminds of itself with periodic complications.
The most important antibiotic indication for the treatment of prostatitis in men is acute bacterial inflammation in the prostate.
In congestive or chronic non-infectious prostatitis, the use of such drugs is not advisable. This is due to the mechanism of the development of such inflammation. Congestive prostatitis is a consequence of a sedentary lifestyle and other reasons that lead to a violation of the trophism of the prostate and a thickening of prostate secretion. Inflammation is due to the fact that the secret of the prostate cannot leave the lobules of the organ, and the gland accumulates and compresses. There is no infectious focus in such a disease, which means there is no point in taking antibiotics. To treat this form of inflammation, special anti-inflammatory drugs are used, which should not be confused with antibiotics.
The most effective drugs
No doctor will ever tell a patient about the existence of the best antibiotics for prostatitis because there are simply no such drugs. There are different groups of antibiotics for men that are used to treat prostatitis. In each group, there are many names of active ingredients that are effective against different bacteria. An effective antibiotic for prostatitis is a drug that is selected taking into account the features of the course of the disease in a particular man.
When prescribing a drug, the following criteria are observed:
- causative agent of the disease;
- form of prostatitis;
- Medication the man has been taking in the past few months;
- Presence of other chronic diseases.
To determine which antibiotic is more suitable for prostatitis, a bacterial culture of the secretion of the prostate must be carried out. This analysis allows you to identify the causative agent of the disease and determine its sensitivity to various active substances.
In general, acute bacterial prostatitis is treated very effectively with the right antibiotics. Usually two weeks of therapy is enough to get rid of the disease forever.
The treatment of chronic bacterial inflammation is often made difficult by the resistance of microorganisms to antibacterial drugs. In this case, either synthetic antimicrobial agents are prescribed or antibacterial therapy is combined with several different drugs at the same time. The first option is preferable, but the course of therapy is increased to 28 days or more.
What are fluoroquinolones and when are they used?
Pills are great for treating prostatitis with antibiotics at home, although injections are usually more effective and faster. At the same time, it is important to choose a drug that, despite oral administration, effectively penetrates the tissues of the prostate. Recently, men have started to treat various diseases with antibiotics, often using drugs for other purposes. Resistant forms of pathogenic microorganisms that are not sensitive to conventional antibiotics are often found. In this case, doctors prefer drugs from the group of fluoroquinolones.
Fluoroquinolones are the only antibacterial drugs that do not contain natural analogues.
These drugs are entirely synthetic, developed by chemists, and not ingested naturally. They are characterized by a wide range of antimicrobial activity. The main advantage of using these drugs is that the causative agent of the disease cannot develop resistance to fluoroquinolones, which means that such drugs remain effective with repeated treatment.
The characteristic features of this group of medicinal products are as follows:
- wide range of actions;
- no negative effects on the digestive tract;
- convenient release form;
- ease of use;
- minimal side effects;
- can be taken at any age;
- penetrates the prostate tissue well.
Such drugs are convenient to take, since they are prescribed one tablet a day. However, the course of treatment is usually quite long, since, despite the fact that the drug penetrates the tissues of the prostate, its concentration slowly increases, so the course of administration, as a rule, lasts for several weeks. Since there are practically no side effects, it does not have a negative impact on health.
In addition, drugs of this group do not impair the functions of the liver and kidneys, which is why they can be used for the therapy of patients over 65 years of age, but only after prior consultation with the attending physician.
The use of penicillins in the treatment of prostatitis
One of the oldest groups of antibiotics are penicillin antibiotics. The drugs in this group have been well studied, but today they are no longer effective enough as most microorganisms develop resistance to the active ingredient very quickly.
The advantage of these drugs is their rapid elimination from the body and minimal impact on liver function. The main disadvantage is the low bioavailability and poor penetration into the prostate tissue.
To date, the only drug that is still used to treat prostatitis is a combined penicillin antibiotic. It contains clavulanic acid, which enhances its effects and has a certain immunostimulating effect.
Preparations in this group should only be used for acute inflammation. Long-term administration of the drug is ineffective, since the causative agent of the disease quickly becomes resistant to its effects. Usually the drug is no longer prescribed for 7-10 days.
Medicines from the group of tetracyclines
Tetracycline antibiotics are often prescribed for bacterial prostatitis. The benefits of these drugs:
- various forms of release;
- a wide range of antimicrobial activity;
- quick efficiency;
- low cost.
Most often, pills or injections are prescribed. If it is necessary to use suppositories with an antibiotic for prostatitis, then such drugs can be found in the tetracycline group.
The disadvantage of these drugs is their harmful effect on the gastrointestinal tract. They should be taken together with antihistamines and probiotics, otherwise dysbiosis cannot be avoided.
Due to side effects and contraindications, urologists prescribe such drugs to a small extent and only in acute inflammation.
What are the specialties of macrolides?
When asked which antibiotics are best for prostatitis, many doctors refer to macrolides. The main feature of this group of drugs is low toxicity and the absence of side effects. They are well tolerated by the body and do not cause allergic reactions. They are used as a stand-alone remedy without the need to administer hepatoprotectors, antihistamines or probiotics at the same time.
While some doctors are actively prescribing macrolides for prostatitis, others argue that these drugs are ineffective for chronic bacterial inflammation.
Macrolides have several dozen names. The latest generation of drugs in this group is characterized by an interesting form of release - a gel or a suspension. They are convenient to take and the liquid form ensures rapid absorption of the drug. In addition, drugs of this group are highly bioavailable and penetrate well into the tissues of inflamed organs.
The main contraindications are mental disorders and depression. Long-term use of drugs in this group is potentially dangerous for the development of psychopathological syndromes in people with a tendency to such diseases.
When are cephalosporins effective?
Cephalosporins are good antibiotics for prostatitis. They perfectly treat bacterial prostatitis, leaving no chance for pathogenic microorganisms. The downside is a pretty impressive list of contraindications and side effects. In addition, drugs of this group require the correct selection of dosage, so they should only be prescribed by a doctor.
Advantages of drugs from this group:
- high efficiency against pyogenic bacteria;
- quick action;
- good penetration into prostate tissue;
- no negative effects on the microflora of the stomach.
The main disadvantage is the high hepatotoxicity and stress on the kidneys. Therefore, drugs of this type are not prescribed to elderly patients. Another pressing problem is the large list of negative drug interactions. In other words, you should stop taking other drugs while you are on these antibiotics.
Antibacterial suppositories
Now that you have figured out what antibiotics are used for prostatitis, and what names may be useful for men in the future, you should pay attention to suppositories for infectious prostatitis with antibiotics.
Topical application is an advantage of such preparations. Suppositories act in the immediate vicinity of the prostate, so the active ingredient is quickly absorbed by the walls of the rectum and penetrates directly into the tissue of the inflamed organ.
In addition to antibiotic suppositories, antiseptics and anti-inflammatory suppositories can be prescribed for prostatitis.
Medicines in the form of suppositories can be used in conjunction with antibiotic tablets. For example, chronic prostatitis is often treated with oral macrolides in addition to suppository macrolides. You can also use tetracycline drugs with suppositories.
The duration of the use of rectal suppositories is determined individually. They are usually prescribed for a period of two weeks or more.
Antibiotic suppositories for prostatitis can have side effects. With prolonged use of this form of the drug, intestinal dysbiosis is often observed.
Natural antibiotics
In addition to pharmaceutical preparations, treatment can be carried out with natural remedies with antimicrobial properties. Of course, natural antibiotics are noticeably worse in their effectiveness over special drugs, but they can be used in chronic bacterial prostatitis to improve the therapeutic effect of other drugs.
The most effective antimicrobial agent in nature:
- honey;
- propolis;
- garlic;
- celandine.
Honey has a pronounced immune stimulating effect. Men are recommended to eat it for both the prevention and treatment of prostatitis. In addition, homemade suppositories are made from honey.
Propolis is a powerful natural antibiotic and antiseptic. You can make propolis suppositories yourself or buy them at the pharmacy.
Garlic helps fight chronic prostatitis, both infectious and non-infectious. It is often recommended to make candles and add sea buckthorn oil, which speeds tissue regeneration.
Celandine has pronounced antimicrobial activity and is used as a decoction and microclyster.
Make suppositories at home
Garlic is good for treating prostate problems.
To prepare candles with an antimicrobial effect, you need to stock up on a solid fat base. Cocoa butter or beeswax can also be used as a base for candles.
The base must be melted in a water bath, the active ingredient being added gradually. Then the product is mixed and poured into a mold. You can also pour the resulting mass onto cling film, then twist the ends into a "sausage" and let stand in the refrigerator for an hour. After the mixture has hardened, it is cut into small suppositories about 3-4 cm long. The proportions depend on which active ingredient is used.
- To make candles with honey, you need 50 g of base and 25 g of honey. Before using such suppositories, any intolerance to bee products should be excluded.
- One of the most effective remedies for prostatitis is candles with propolis and honey. To prepare the drug, you need to take 50 g of beeswax, 25 g of honey and 10 g of propolis.
- Suppositories with sea buckthorn oil are recommended to reduce inflammation. To prepare them, melt 2 parts of the base and add one part of sea buckthorn oil. You can use the same recipe to make pumpkin oil-based candles.
- Home treatments can be done with garlic. Squeeze 3 cloves of garlic, pour in 50 ml of sea buckthorn oil and let stand in the refrigerator for 24 hours. Then 25 ml of garlic oil are mixed with 50 ml of cocoa butter and candles are formed.
Such suppositories should be used 1-2 times a day. They are injected into the rectum after a cleansing enema.
Special features of antibiotic treatment
An antibiotic treatment regimen for prostatitis is put together individually by a doctor. Typically, antibiotic treatment for chronic prostatitis lasts 4 to 5 weeks, and acute prostatitis is treated within two weeks.
Every drug has its own properties, contraindications and side effects. They are listed in the official instructions for use, which must be read before starting therapy.
Self-medication with antibiotics is not allowed. You must take the prescribed medications daily without missing or stopping taking them until the end of the course.
It should be noted that it is impossible to cure bacterial prostatitis without antibacterial drugs.