Prostatitis is a disease of the prostate gland that can be very painful, but with the right comprehensive approach the disease recedes. Let's take a closer look at the most famous method of drug treatment -use of antibiotics- What antibiotics to take for prostatitis in men and which are the best?
Antibiotics
Treatment of prostatitis with drugs is usually limited to controlling its symptoms. Painkillers can relieve pain. Antibiotics are used for prostatitis in menfor patients with acute or chronic infectionprostate.
E. coli and other gram-negative bacteria cause the most acute prostate infections.Symptoms includegroin pain, dysuria, pain during ejaculation, inability to urinate, as well as fever, malaise.
The treatment of prostatitis in men is always antibiotics. Chronic infectious prostatitis may require long-term drug treatment, and severe infections may require hospitalization where the drugs will be administered parenterally.
Later in the article we will look at 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 a year. They are indicated for effective treatment:
- Acute infectious prostatitis;
- Chronic infectious prostatitis.
The benefits of the drugs include:
- Strongbactericidal properties;
- Bacteriostatic propertieswhich prevent the development of bacteria;
- High efficiency- cover a wide range of infections;
- Easy to use. Most drugs are taken orally or by injection;
- Few side effects;
- economymedicines are widely available and cheap.
Disadvantages includesystemic side effects, varying depending on the antibiotic chosen and most often include:
- diarrhea.Often during treatment there is an increase in intestinal sugar, which causes intestinal dysbacteriosis;
- Fungal infectionsoral cavity, genitals;
- Formationkidney stones;
- Coagulation disorderblood (when taking some cephalosporins);
- Light sensitivity(when taking tetracyclines);
- Blood disorders("thick" blood syndrome);
- deafness(rarely).
Also common side effects include:
- Opportunityalergic reaction;
- resistance of some bacteria. This happens if the patient takes an incomplete dose.
Types of antibiotics
Most often the patient is prescribed4 week course, but if the urologist suspects the presence of chronic prostatitis and the symptoms (as well as pain) have not disappeared after a four-week course, he may recommend a longer intake.
Courses of up to three months are sometimes used.
Antibiotics for prostatitis in menprescribed by your doctordepends:
- The causative agent of the infection;
- Forms of the disease (acute / chronic);
- The severity of the symptoms;
- General health of the patient;
- age.
And based on the results of suchanalyzesas:
- Blood test - extended profile;
- General urine analysis;
- PCR (smear) of the urethra;
- tank. urine culture;
- Analysis of prostate secretion.
Types of antibioticsused in the treatment of the prostate:
- 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 | Actions taken | Recommendations for use (more details in the instructions) |
|---|---|---|---|
| Macrolide drug | Effective against urinary tract diseases (prostatitis, urethritis, cervicitis, epididymitis) | Delays the active growth and reproduction of bacteria, has an antiseptic and antimicrobial effect, has a bactericidal effect | 1-2 g 2-3 r / day Form of release: tablets 10 pcs. 500 mg |
| Semi-synthetic drug from the group of macrolides, erythromycin derivative | Effective for the treatment of chronic infectious prostatitis | A broad-spectrum antibiotic. It has a wide range of antimicrobial action, many bacteria that cause prostatitis are sensitive to the drug (streptococci, Klebsiella, Escherichia coli, Staphylococcus aureus) | 0, 15 g 2 r / day before meals with plenty of fluids Available in capsules of 10 pcs. 0, 15, 0, 3, 0, 1 and 0, 05 g each |
| Tetracycline derivative | Effective in treating infections such as acute / chronic prostatitis, chlamydia, gonorrhea, syphilis | It has bacteriostatic and anti-inflammatory effect | When eating a lot of fluids 200 mg once, then 100 mg once a day It is produced in the form of capsules of 10 pcs. 100mg |
| Semi-synthetic drug from the group of cephalosporins | 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 (streptococci, Staphylococcus aureus) | It is administered intramuscularly or intravenously, 1 g every 8-12 hours Form of release: in ampoules for injections of 0, 5, 1 or 2 g |
| Cephalosporin preparation (in the form of sodium salt) | Used for severe bacterial infections (prostatitis, epididymitis) | It has antibacterial, bactericidal action | It is administered intramuscularly or intravenously, 1-2 g every 12 hours Available in bottles of 0, 5, 1 or 2 g |
| Semi-synthetic broad-spectrum penicillin and clavulanic acid antibiotic | The antibiotic is used in prostatitis, as well as in the treatment of gynecological infections, respiratory infections. | Has a bactericidal effect on gram-positive and gram-negative aerobes / anaerobes | 1 tablet of 250 mg (+125 mg) every 8 hours Produced in tablets of 15 pcs. 250 + 125 mg |
| Semi-synthetic drug from the penicillin group | It is used to treat infections of the genitourinary system (urethritis, prostatitis, pyelonephritis) | It has antibacterial, bactericidal action | Antibiotic for prostatitis, injections given intramuscularly or intravenously, 500 mg 3 r / day or in the form of tablets of 500 mg every 8 hours It is produced in ampoules for injections of 500 mg or in tablets of 20 pcs. 500 mg |
| Lomefloxacin hydrochloride | Used in 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 It is produced in the form of capsules of 10 pcs. 400 mg |
| Fluorinated carboxyquinolone, a synthetic chemotherapeutic agent | An antibiotic is used for inflammation of the prostate | Active against bacteria such as streptococci, staphylococci, chlamydia | Oral tablet of 250 mg between meals or before meals with plenty of fluids It is produced in the form of 5 tablets. 250 mg |
| Fluoroquinolone antibiotic | Infections of the urinary tract, pelvic organs, genitals | It has antibacterial, bactericidal effect, is active against bacteria such as streptococci, staphylococci, chlamydia, enterococci, mycoplasmas | 1 tablet before meals 200-800 mg / day It is produced in the form of 10 tablets. 200 mg |
| A drug from the tetracycline group | It is used for respiratory infections, chlamydia, prostatitis, syphilis | Antibacterial, bacteriostatic action | 1 tablet 250-500 mg 4 r / day It is produced in the form of 10 tablets. 250 mg |
Only your doctor can decide which antibiotic complex is right for you.
If the antibiotic did not help with prostatitis, then you can turn tofolk remediesand try treatment for 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 buy a Chinese prostatitis patch.
Injections
If the body does not respond to oral treatment, the specialist may prescribe parenteral administration (intravenous / intramuscularusually in the ass).
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 treatment with antibiotics for prostatitis, treatment with corticosteroids and traditional medicine.
Parenteral administration is used if the patient has taken several courses of antibiotics for several months and all of them have been ineffective.
This reaction is due to the fact that infectious prostatitis is often caused by a local inflammatory process against the background of autoimmune disease, and oral drugs 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.The injections are done strictly in the hospital. Relief usually occurs after 5 injections.
Contraindications
Contraindications usually depend on the specific drug, but most often include:
- Gastrointestinal disorders(especially when taking drugs from the group of macrolides);
- 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 food (unless otherwise stated 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 or if you have individual intolerance, hypersensitivity to certain components of the drug, or when antibiotics do not help with prostatitis, the so-called.natural antibioticswith prostatitis. Most often, they are less effective in combating the infectious form of the disease. So what can replace antibiotics for prostatitis?
It is most often usedechinacea, it contains 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.
It has a similar effectaspen barkwhich is called a "natural" antibiotic.
For the treatment of the bacterial form of the diseasealso appoints:
- alpha blockers;
- non-steroidal anti-inflammatory drugs;
- corticosteroids;
- 5-alpha inhibitors (slows prostate growth);
- Laxatives.
With timely medical care and a holistic approach to treatment, bacterial prostatitis can be completely cured with a single course of antibiotic treatment.