Prostatitis is a disease of the prostate gland that can be very painful, but with the right complex approach, the disease is reversed. Let's take a closer look at the most popular method of drug treatment -use of antibiotics- What antibiotics should be taken for prostatitis in men and which are better?
Antibiotics
Drug treatment of prostatitis 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 includepain in the groin, dysuria, pain during ejaculation, inability to urinate, as well as fever, general malaise.
Treatment of prostatitis in men is always antibiotics. Chronic infectious prostatitis may require long-term treatment with medication, and severe infections may require hospitalization, where the medication will be administered parenterally.
In the next article, we will look at how to treat prostatitis in men with antibiotics.
Pros and cons
If there is an infection or the disease recurs within a year, antibiotics are always recommended. They are indicated for effective treatment:
- acute infectious prostatitis;
- Chronic infectious prostatitis.
The benefits of medication include:
- Strongbactericidal properties;
- Bacteriostatic propertiesinhibits the growth of bacteria;
- High efficiency- covers a wide range of infections;
- Ease of use. Most medications are taken orally or by injection;
- Several side effects;
- economyThe drugs are widespread and inexpensive.
Disadvantages includesystemic side effects, varies depending on the antibiotic selected, and most include:
- Diarrhea.During treatment, an increase in intestinal sugar is often observed, which leads to intestinal dysbacteriosis;
- Fungal infectionsoral cavity, genitals;
- formationkidney stones;
- Coagulation disorderblood (when taking certain cephalosporins);
- Sensitivity to light(when taking tetracyclines);
- Blood disorders("thick" blood syndrome);
- Deafness(Rarely).
Also common side effects include:
- Opportunityallergic reaction;
- resistance to some bacteria. This happens if the patient takes an incomplete dose.
Types of antibiotics
It is often prescribed to the patient4-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 may recommend a longer intake.
Sometimes courses of up to three months are used.
Antibiotics for prostatitis in menis prescribed by the attending physiciandepending on:
- The causative agent of the infection;
- Forms of the disease (acute / chronic);
- Severity of symptoms;
- General health of the patient;
- age.
And based on such resultsconducts analyzes, How:
- Blood test - extended profile;
- General urinalysis;
- PCR (smear) of the urethra;
- Tank. urine culture;
- Analysis of prostate secretion.
Types of antibioticsUsed in the treatment of prostate:
- macrolides;
- penicillins;
- tetracyclines;
- fluoroquinolones;
- Cephalosporins.
Which antibiotics are better and more effectivewith prostatitis? Consider the names of antibiotics for prostatitis:
| Ingredients | Efficacy of the drug | An action was taken | Recommendations for use (more detailed instructions) |
|---|---|---|---|
| Macrolide preparation | It is effective against diseases of the urinary tract (prostatitis, urethritis, cervicitis, epididymitis). | Inhibits the active growth and reproduction of bacteria, has antiseptic and antimicrobial effects, bactericidal effect. | 1-2 g 2-3 r / day Form of release: 10 tablets. 500 mq |
| Semi-synthetic drug of the macrolide group, a derivative of erythromycin | It is effective in the treatment of chronic infectious prostatitis | Broad-spectrum antibiotic. It has a wide range of antimicrobial effects, many bacteria that cause prostatitis are sensitive to drugs (streptococcus, Klebsiella, Escherichia coli, staphylococcus aureus) | 0, 15 g 2 r / day before meals with plenty of fluids Available in 10 capsulesEach 0, 15, 0, 3, 0, 1 and 0, 05 g |
| Tetracycline derivative | It is effective in the treatment of infections such as acute / chronic prostatitis, chlamydia, gonorrhea, syphilis. | Has a bacteriostatic and anti-inflammatory effect | 200 mg once a day with plenty of fluids, then 100 mg once a day It is produced in the form of 10 capsules. 100 mq |
| Semi-synthetic drug of the cephalosporin group | An antibiotic for the treatment of acute bacterial prostatitis in men. It is taken against the background of severe bacterial infections | Has antimicrobial, bactericidal effect. It is active against many microorganisms that cause prostatitis (streptococcus, Staphylococcus aureus). | Apply 1 g intramuscularly or intravenously every 8-12 hours Dosage form: 0, 5, 1 or 2 g in ampoules for injection |
| Cephalosporin preparation (in the form of sodium salt) | Used in severe bacterial infections (prostatitis, epididymitis). | Has antibacterial, bactericidal effect | Intramuscularly or intravenously, apply 1-2 g every 12 hours Available in 0, 5, 1 or 2 g bottles |
| Semi-synthetic broad-spectrum antibiotic of the penicillin group and clavulanic acid | Antibiotics are used for 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 250 mg (+125 mg) every 8 hours It is produced in the form of 15 tablets of 250 + 125 mg |
| Semi-synthetic drug of the penicillin group | It is used to treat infections of the genitourinary system (urethritis, prostatitis, pyelonephritis). | Has antibacterial, bactericidal effect | Antibiotics for prostatitis, intramuscular or intravenous injections, 500 mg 3 r / day or 500 mg tablets every 8 hours It is produced in ampoules or 20 tablets for injection of 500 mg. 500 mq |
| Lomefloxacin hydrochloride | Used for prostatitis, chlamydia, pyelonephritis, urethritis | It has 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 10 capsules. 400 mq |
| Fluorinated carboxyquinolone, a synthetic chemotherapeutic agent | Antibiotics are used for inflammation of the prostate gland | It is active against bacteria such as streptococcus, staphylococcus, chlamydia | 250 mg tablets orally with plenty of fluids between meals or before meals It is produced in the form of 5 tablets. 250 mq |
| Antibiotics of the fluoroquinolone group | Infections of the urinary tract, pelvic organs, genitals | It has antibacterial, bactericidal effect, is active against bacteria such as streptococci, staphylococci, chlamydia, enterococci, mycoplasma. | 1 tablet 200-800 mg / day before meals It is produced in the form of 10 tablets. 200 mq |
| A drug from the tetracycline group | Used for respiratory infections, chlamydia, prostatitis, syphilis | Has antibacterial, bacteriostatic effect | 1 tablet 250-500 mg 4 r / day It is produced in the form of 10 tablets. 250 mq |
Only the attending physician can decide which antibiotic complex is right for you.
If antibiotics do not help with prostatitis, you can applyfolk remediesand try antibiotic-free treatment of prostatitis. Some of them are: 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, a specialist may prescribe parenteral administration (intravenously / intramuscularlyusually in the hips).
This method is also used in the treatment of chronic / acute infectious prostatitis. This should only be considered after all other options, including oral antibiotic treatment, corticosteroid therapy and traditional medicine, have been tested for prostatitis.
Parenteral administration is used when the patient has been taking 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 a local inflammatory process in the background of an autoimmune disease, and oral medications do not have the desired effect.
What needles are given for prostatitis?
Antibiotics are commonly used for intravenous (and intramuscular) administration.3rd generation cephalosporin groups.Injections are given in a serious hospital setting. Relaxation usually occurs after 5 injections.
Contraindications
Contraindications usually depend on the specific drug, but most include:
- Gastrointestinal disorders(especially when taking macrolide drugs);
- allergic reactions (hives);
- Kidney and liver damage(usually against the background of 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 to avoid irritation of the stomach (unless otherwise specified in the instructions). Drink after antibiotic therapya course of drugs to restore the intestinal flora.
Attention!Abstain from alcohol completely during treatment.
Displacement
Infectious prostatitis is successfully treated with antibiotics, but if there are contraindications or individual intolerance, sensitivity to some components of the drug, or if antibiotics do not help with prostatitis,natural antibioticswith prostatitis. They are less effective in combating the most contagious form of the disease. So what can replace antibiotics for prostatitis?
Most usedexinasya, it contains a special substance - echinacoside, the properties of which are completely different from ordinary antibiotics.
Herbal infusions, herbal teas, decoctions are prepared, which allows you to eliminate inflammation of the prostate without antibiotics.
It has a similar effectaspen bark, it is called a "natural" antibiotic.
For the treatment of bacterial forms of the diseasealso appointed:
- alpha blockers;
- non-steroidal anti-inflammatory drugs;
- corticosteroids;
- 5-alpha inhibitors (slows prostate growth);
- Laxatives.
With timely medical intervention and a comprehensive approach to treatment, bacterial prostatitis can be completely cured with a course of antibiotic treatment.