Infectious prostatitis is a common prostate disease that can lead to complications. Antibiotics for prostatitis are the main focus of treatment and are selected based on test results. It is impossible to take antibacterial drugs without a prescription. Every man who faces this disease needs to know which groups of drugs exist and how they differ.
When do you need antibiotics?
Before using medications, you should definitely consult your doctor.
There are several types of disease:
- acute infectious (bacterial) prostatitis; chronic bacterial prostatitis
- ;
- chronic non-infectious prostatitis.
It is not always advisable to take antibiotics. The drugs in this group are active only against pathogens, but have no general anti-inflammatory effect.
Antibiotics for prostatitis are indicated only 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 in a man will be ineffective.
The main problem with treating prostatitis is that many men are suspicious of antibiotic therapy, considering these drugs harmful or dangerous. It is important to remember: neglected prostatitis is dangerous and is not a properly selected antibiotic, taken on the recommendation of a doctor according to the dosage and treatment regimen.
The antibiotic for prostatitis and adenoma is prescribed only in the presence of bacterial inflammation. The drugs in this group are effective only against bacteria and have no activity against viruses or fungi.
Antibiotics for chronic prostatitis are prescribed only if there is a chronic focus of infection in the prostate. Chronic bacterial prostatitis develops due to inadequate or insufficient treatment of acute bacterial prostatitis. Often, the disease becomes chronic due to the fact that men self-medicate and take ineffective drugs against a given pathogen. As a result, pathogenic microorganisms develop resistance to drugs and the disease becomes chronic, reminding itself of periodic complications.
The main antibiotic indication for the treatment of prostatitis in men is acute bacterial inflammation in the prostate.
In the case of chronic congestive or non-infectious prostatitis, these drugs are not advisable. This is due to the mechanism of development of this inflammation. Congestive prostatitis is a consequence of sedentary lifestyle and other reasons that lead to the violation of prostate trophism and thickening of prostate secretion. The inflammation is due to the fact that the prostate secret cannot get out of the organ's lobes, it starts to accumulate and tighten the gland. There is no infectious focus on this disease, which means that it makes no sense to take antibiotics. To treat this form of inflammation, special anti-inflammatories are used, which should not be confused with antibiotics.
The most effective medicines
No doctor will ever tell a patient about the best antibiotics for prostatitis, as there are simply no such drugs. There are several groups of antibiotics for men used to treat prostatitis. In each group, there are many names of active substances that act against various bacteria. An effective antibiotic for prostatitis is a drug selected taking into account the characteristics of the course of the disease in a given man.
When prescribing a drug, the following criteria are followed:
- causative agent of the disease;
- form of prostatitis;
- medicines the man has taken in the past few months;
- presence of other chronic diseases.
To determine which antibiotic is best for prostatitis, it is necessary to have a bacterial culture of prostate secretion. This analysis allows to identify the causative agent of the disease and to determine its sensitivity to various active substances.
In general, acute bacterial prostatitis is treated quite effectively with the right antibiotics. Usually, a two-week course of therapy is enough to get rid of the disease forever.
The treatment of chronic bacterial inflammation is often complicated by the resistance of microorganisms to antibacterial drugs. In that case, synthetic antimicrobials or antibacterial therapy combined with several different drugs are prescribed at the same time. The first option is preferable, however, the course of therapy is increased to 28 days or more.
What are fluoroquinolones and when are they used?
The pills are convenient 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 effectively penetrates the tissues of the prostate, despite oral administration. Since recently, men have started treating various illnesses with antibiotics, often using drugs for other purposes, often resistant forms of pathogenic microorganisms that are not sensitive to conventional antibiotics are often found. In this case, doctors give preference to drugs in the fluoroquinolone group.
Fluoroquinolones are the only antibacterial drugs that do not have natural analogues.
These drugs are completely synthetic, developed by chemists, and not ingested in nature. They are distinguished by a broad spectrum of antimicrobial activity. The main advantage of using these drugs is that the disease-causing agent cannot develop resistance to fluoroquinolones, which means that these drugs remain effective even with repeated treatment.
The distinguishing characteristics of this group of drugs are as follows:
- wide range of actions;
- without negative impact on the digestive tract;
- convenient release form;
- ease of use;
- minimal side effects;
- can be taken at any age;
- penetrates well into the prostate tissue.
These drugs are convenient to take, as one tablet is prescribed a day. However, the course of treatment, as a rule, is quite long, because although the drug penetrates the tissues of the prostate, its concentration increases slowly, so that the course of administration usually lasts several weeks. As there are virtually no side effects, this has no negative impact on health.
In addition, the drugs in this group do not affect liver and kidney function, so they can be used in therapy for patients over 65, but only after prior agreement with the attending physician.
The use of penicillins in the treatment of prostatitis
One of the oldest groups of antibacterial drugs is penicillin-based antibiotics. The drugs in this group are well studied, but today they are no longer effective enough, as most microorganisms develop resistance to the active principle very quickly.
The advantage of these drugs is their rapid elimination from the body and minimal effect on liver function. The main disadvantage is the low bioavailability and little penetration into the prostate tissue.
So far, the only drug still used to treat prostatitis is a combined penicillin antibiotic. Contains clavulanic acid, which enhances its action and provides some immunostimulating effect.
The preparations in this group should only be used for acute inflammation. Long-term drug administration is ineffective, as the disease-causing agent quickly becomes resistant to its action. Typically, the drug is prescribed for 7 to 10 days, not more.
Medicines in the tetracycline group
Tetracycline antibiotics are often prescribed for bacterial prostatitis. The benefits of these drugs:
- variety of release forms;
- a wide range of antimicrobial activities;
- Fast efficiency;
- low cost.
Most of the time, pills or injections are prescribed. If antibiotic suppositories are required for prostatitis, these drugs can be found in the tetracycline group.
The disadvantage of these drugs is their harmful effect on the gastrointestinal tract. They must be taken in conjunction with antihistamines and probiotics, otherwise dysbiosis cannot be prevented.
Due to side effects and contraindications, urologists prescribe these drugs in a short period and only in acute inflammation.
What are macrolide specialties?
When asked which antibiotics are best for prostatitis, many doctors point to macrolides. The main characteristic of this group of drugs is the 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 an independent agent, without the need for simultaneous administration of hepatoprotectors, antihistamines or probiotics.
While some doctors actively prescribe macrolides for prostatitis, others argue that these drugs are ineffective for chronic bacterial inflammation.
Macrolids have several dozen names. The latest generation of drugs in this group is distinguished by an interesting form of release - a gel or a suspension. They are easy to take and the liquid form ensures rapid absorption of the medicine. In addition, drugs in this group are highly bioavailable and penetrate well into the tissues of inflamed organs.
The main contraindications are mental disorders and depression. Prolonged drug use in this group is potentially dangerous for the development of psychopathological syndromes in people prone to these diseases.
When are cephalosporins effective?
Cephalosporins are good antibiotics for prostatitis. They treat bacterial prostatitis perfectly, leaving no chance for pathogenic microorganisms. The downside is a very impressive list of contraindications and side effects. In addition, the drugs in this group require the correct selection of dosage, therefore, they should be prescribed by a doctor only.
Benefits of medicines in this group:
- high efficiency against pyogenic bacteria;
- fast action;
- good penetration into prostate tissues;
- no negative impact on the microflora of the stomach.
The main disadvantage is high hepatotoxicity and overload to the kidneys and, therefore, drugs of this type are not prescribed for elderly patients. Another urgent problem is the long list of negative drug interactions. In other words, during therapy with these antibiotics, you should stop taking any other medications.
Antibacterial suppositories
After finding out which antibiotics for prostatitis are used and which names might 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 that the active substance is quickly absorbed by the walls of the rectum and penetrates directly into the tissues of the inflamed organ.
In addition to antibiotic suppositories, antiseptic drugs and anti-inflammatory suppositories may be prescribed for prostatitis.
Medication in the form of suppositories can be used in conjunction with antibiotic pills. For example, chronic prostatitis is often treated with oral macrolides, in addition to macrolides for suppositories. You can also use tetracycline series drugs with suppositories.
The duration of the course of use of rectal suppositories is defined individually. They are usually prescribed for a period of two weeks or more.
Antibiotic suppositories for prostatitis can have side effects. Often, with prolonged use of this form of the drug, intestinal dysbiosis is observed.
Natural antibacterials
In addition to pharmaceutical preparations, treatment can be done with natural remedies with antimicrobial properties. Of course, natural antibiotics are noticeably less effective than special drugs, but they can be used in chronic bacterial prostatitis to increase the therapeutic effect of other drugs.
Nature's most potent antimicrobial agent:
- honey; propolis;
- celandine.
Honey has a pronounced immunostimulating effect. Men are advised to eat it for both prevention and treatment of prostatitis. In addition, homemade suppositories are made of honey.
Propolis is a powerful natural antibiotic and antiseptic. You can make propolis suppositories yourself or buy them at the pharmacy.
Garlic helps to fight chronic prostatitis of an infectious and non-infectious nature. It is often suggested to be used to make candles by adding sea buckthorn oil, which speeds up tissue regeneration.
Celandine has a pronounced antimicrobial activity and is used as a decoction and microclysters.
Making suppositories at home
Garlic is good for treating prostate problems.
To prepare candles with antimicrobial action, it is necessary to store a solid base of fat. Cocoa butter or beeswax can also be used as a base for candles.
The base must be melted in a water bath, gradually adding the active ingredient. Then, the product is mixed and placed in a mold. You can also pour the resulting dough into a plastic wrap, twist the ends to form a "sausage" and leave it 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, 50 g of base and 25 g of honey are required. Before using these suppositories, you must exclude intolerance to bee products.
- One of the most effective remedies for prostatitis is a suppository with propolis and honey. To prepare the remedy, it is necessary to take 50 g of beeswax, 25 g of honey and 10 g of propolis.
- Sea buckthorn oil suppositories are recommended to reduce inflammation. To prepare them, melt 2 parts of the base and add a part of sea buckthorn oil. The same recipe can be used to make candles based on pumpkin seed oil.
- Homemade treatments can be done with garlic. Squeeze 3 cloves of garlic, pour 50 ml of hawthorn oil and leave in the refrigerator for 24 hours. Then, 25 ml of garlic oil are mixed with 50 ml of cocoa butter and candles are formed.
These suppositories should be used 1-2 times a day. They are injected into the rectum, after performing a cleansing enema.
Peculiarities of antibiotic treatment
An antibiotic treatment regimen for prostatitis is designed by a doctor individually. Usually, antibiotic treatment for chronic prostatitis takes 4-5 weeks, and acute prostatitis is treated in two weeks.
Each drug has its own characteristics, contraindications and side effects. They are detailed in the official instructions for use, which must be read before starting therapy.
Self-medication with antibiotics is not allowed. You need to take the prescribed medications daily, without skipping or interrupting your intake until the end of the course.
It must be remembered that it is impossible to cure bacterial prostatitis without antibacterial drugs.