Prostatitis is a disease of the prostate gland, which can be very painful, but with the right comprehensive approach, the disease subsides. Let's consider in more detail the most well -known methods of drug treatment -use of antibiotics- what antibiotics should be taken for prostatitis in men and which one is best?
Antibiotics
Treatment of prostatitis with medication is usually limited to controlling its symptoms. Painkillers can relieve pain. Antibiotics for prostatitis in men are usedfor patients with acute or chronic infectionsprostate.
E. coli and other Gram-negative bacteria cause the most acute prostate infections.Symptoms includepain in the groin, dysuria, pain during ejaculation, inability to urinate, as well as fever, general lethargy.
Treatment for prostatitis in men is always antibiotics. Chronic infectious prostatitis may require long -term treatment with medication, and severe infection may require hospitalization, where medication will be given parenterally.
Further in the article, we will consider 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.
Medication benefits include:
- strongbacterial properties;
- Bacteriostatic propertieswhich inhibits bacterial growth;
- High efficiency- covers various types of infections;
- Ease of use. Most medications are taken orally or by injection;
- Few side effects;
- economydrugs are widely available and inexpensive.
Disadvantages includesystemic side effects, varies depending on the antibiotic chosen, and most often include:
- Diarrhea.Often, during treatment, there is an increase in sugar in the intestines, which causes intestinal dysbacteriosis;
- Fungal infectionsoral cavity, genitals;
- FormationCoral;
- Freezing disordersblood (when taking certain cephalosporins);
- Light sensitivity(when taking tetracycline);
- Blood disorders("thick" blood syndrome);
- Deaf(rarely).
Also common side effects include:
- Possiblyallergic reactions;
- resistance of some bacteria. This happens if the patient takes an incomplete dose.
Types of antibiotics
Often, patients are prescribed4 week course, but if the urologist suspects the presence of chronic prostatitis, and the symptoms (as well as pain) do not disappear after a four-week course, he or she may recommend a longer intake.
Sometimes courses of up to three months are used.
Antibiotics for prostatitis in menprescribed by the treating physiciandepend on:
- The causative agent that causes the infection;
- Forms of the disease (acute/chronic);
- Severity of symptoms;
- The general health of the patient;
- age.
And based on such decisionsanalysis, how:
- Blood tests - advanced profile;
- General urine analysis;
- PCR (smear) urethra;
- tank. urine culture;
- Analysis of prostate secretion.
Types of antibioticsused in prostate therapy:
- macrolide;
- Penicillin;
- Tetracycline;
- Fluoroquinolones;
- Cephalosporins.
Which antibiotic is better and more effectivewith prostatitis? Consider the names of antibiotics for prostatitis:
| Composition | Drug efficacy | Action taken | Suggestions for use (more details in instructions) |
|---|---|---|---|
| Macrolide drugs | Effective against urinary tract diseases (prostatitis, urethritis, cervix, epididymitis) | Slows down the active growth and reproduction of bacteria, has antiseptic and antimicrobial effects, has a bactericidal effect | 1-2 g 2-3 r / day Release form: 10 pcs tablets. 500 mg |
| Semi -synthetic drugs of the macrolide group, erythromycin derivatives | Effective for the treatment of chronic infectious prostatitis | Broad -spectrum antibiotics. It has a broad spectrum of antimicrobial action, many bacteria that cause drug -sensitive prostatitis (streptococcus, Klebsiella, Escherichia coli, staphylococcus aureus) | 0. 15 g 2 r / day before meals with plenty of fluids Available in 10 pcs capsules. 0. 15, 0. 3, 0. 1 and 0. 05 g each |
| Tetracycline derivatives | Effective for the treatment of infections such as acute / chronic prostatitis, chlamydia, gonorrhea, syphilis | Has bacteriostatic and anti-inflammatory effects | By eating with plenty of fluids 200 mg once, then 100 mg once a day Produced in the form of capsules of 10 pcs. 100mg |
| Semi -synthetic drugs of the cephalosporin group | Antibiotics for the treatment of acute bacterial prostatitis in men. It is taken against a background of severe bacterial infection | It has antimicrobial, bactericidal effect. Active against many microorganisms that cause prostatitis (streptococcus, staphylococcus aureus) | Give intramuscularly or intravenously, 1 g every 8-12 hours Release form: in ampoules for injection of 0. 5, 1 or 2 g |
| Preparation of cephalosporins (in the form of sodium salts) | It is used for severe bacterial infections (prostatitis, epididymitis) | Has antibacterial, bacterial action | Give intramuscularly or intravenously, 1-2 g every 12 hours Available in bottles of 0. 5, 1 or 2 g |
| Semi -synthetic broad -spectrum antibiotics of the penicillin and clavulanic acid groups | Antibiotics are used for prostatitis, as well as in the treatment of gynecological infections, respiratory tract infections. | Has a bacterial 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 drugs of the penicillin group | It is used to treat infections of the genitourinary system (urethritis, prostatitis, pyelonephritis) | Has antibacterial, bacterial action | Antibiotics for prostatitis, injections given intramuscularly or intravenously, 500 mg 3 r / day or in the form of 500 mg tablets every 8 hours Produced in ampoules for injection of 500 mg or in tablets of 20 pcs. 500 mg |
| Lomefloxacin hydrochloride | It is used for prostatitis, chlamydia, pyelonephritis, urethritis | It has an antibacterial, bacterial, active effect against gram-negative microorganisms that cause prostatitis | Tablets in 400 mg 1 r / day Produced in the form of capsules of 10 pcs. 400 mg |
| Fluorinated carboxquinolone, a synthetic chemotherapeutic agent | Antibiotics are used for inflammation of the prostate | Active against bacteria such as streptococcus, staphylococcus, chlamydia | 250 mg oral tablets between meals or before meals with plenty of fluids Produced in the form of 5 pcs tablets. 250 mg |
| Antibiotics of the fluoroquinolone group | Infections of the urinary tract, pelvic organs, genitals | It has antibacterial, bactericidal effect, active against bacteria such as streptococcus, staphylococcus, chlamydia, enterococcus, mycoplasma | 1 tablet before meals 200-800 mg / day Produced in the form of tablets of 10 pcs. 200 mg |
| Drugs from the tetracycline group | It is used for respiratory tract infections, chlamydia, prostatitis, syphilis | Antibacterial, bacteriostatic action | 1 tablet 250-500 mg 4 r / day Produced in the form of tablets of 10 pcs. 250 mg |
Only the treating physician can determine the right antibiotic complex for you.
If antibiotics do not help with prostatitis, then you can switch tofolk remediesand try treatment of prostatitis without antibiotics. Here are a few of them: pumpkin seeds and honey, propolis, propolis wax, dead beeswax, soda and hydrogen peroxide, as well as monastery tea, Ivan’s tea, and onions. You can also buy Chinese prostatitis patches.
Injections
If the body does not respond to oral treatment, the specialist may prescribe parenteral administration (intravenously / intramuscularlyusually in the buttocks).
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 antibiotic treatment for prostatitis, corticosteroid treatment and traditional medicine.
Parenteral administration is used if the patient has taken several courses of antibiotics for several months, and all of them are ineffective.
This reaction is due to the fact that infectious prostatitis is often caused by local inflammatory processes on the background of autoimmune diseases, and oral medications do not have the desired effect.
What injections are given for prostatitis?
Antibiotics are commonly used for intravenous (and intramuscular) administration.3rd generation cephalosporin group.Injections are performed strictly in the hospital. After 5 injections, relief usually occurs.
Contraindications
Contraindications usually depend on the specific medication, but often include:
- Gastrointestinal disorders(especially when taking drugs of the macrolide group);
- allergic reactions (itching);
- 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
Tablets should be taken with 1. 5-2 glasses of water, the drug should be taken with food (unless otherwise specified in the instructions) so as not to irritate the stomach. Drink after antibiotic therapycourse of medication to restore the intestinal flora.
Attention!Avoid alcohol completely during treatment.
Replacement
Infectious prostatitis is successfully treated with antibiotics, but if there are contraindications to admission or if you have individual intolerance, hypersensitivity to some components of the drug, or when antibiotics do not help with prostatitis, called,natural antibioticswith prostatitis. They are most often less effective in combating this form of infectious disease. So what can replace antibiotics for prostatitis?
Most frequently usedechinacea, in its composition there is a special substance - echinacoside, whose properties are completely different from conventional antibiotics.
Infusions, herbal teas, decoctions are prepared from plants, which allow you to relieve inflammation of the prostate without antibiotics.
Has the same effectaspen bark, called "natural" antibiotics.
For the treatment of bacterial forms of the diseasealso appointed:
- alpha blockers;
- non-steroidal anti-inflammatory drugs;
- corticosteroids;
- 5-alpha inhibitors (slows prostate growth);
- laxative.
With timely medical treatment and a comprehensive treatment approach, bacterial prostatitis can be completely cured with one course of antibiotic treatment.