Treatment of prostatitis antibiotics: indications, most effective drugs

To eliminate the pronounced clinical symptoms and the infectious process in the prostate gland, doctors prescribe antibiotics with prostatitis in men.It is not recommended to choose a medicine independently as it can be ineffective to the pathogen that provokes the pathology.Only a specialist can determine the name of the drug, its dose and duration of the therapeutic course.

When appointed

Antibacterial drugs are relatively new drugs invented about a hundred years ago.Thanks to them, you can fight viruses and pathogenic bacteria for a very short time.The difference between the chemical structure of the drug made it possible to distinguish several types of antimicrobial drugs that can cope with prostatitis both acute and chronic.

It is recommended that the antibiotic with prostatitis be taken only if the inflammatory process in the gland is caused by the active reproduction of the pathogenic flora.Other forms of the disease (eg stagnant or chronic non -infectious prostatitis) are not treated with these methods.

Important!The main indication of the use of antibacterial agents is acute bacterial inflammation of the prostate gland.

List of antibiotics recommended for prostatitis

To quickly destroy the focus of the disease and stop the active spread of the infection, experts can prescribe antibiotics in prostatitis, the most effective of which are as follows:

Fluoroquinolones

Lomefloxacin, levofloxacin, offloxacin, pifloxacin, norfloxacin, ciprofloxacin.Their active components have a wide range of action and affect different types of pathogens.Fluoroquinolone -based preparations are effective against the chronic form of the disease.They are absorbed into the walls of the gastrointestinal tract, from nowhere they do not enter the cells of organs and tissues that destroy the bacteria.

Advantages:

• a high degree of permeability in the tissue that allows you to deal with even stagnant prostatitis, the causes of which are related to inflammatory processes;
• ensuring the destruction and suppression of the spread of infection in the body due to the ability to integrate into the DNA structure of pathogens;
• almost complete absence of resistance to this substance in germs;
• Wide use against acute and chronic type of disease.

Disadvantages:

• are not appointed to persons over 65 years and in the event of a violation of kidney work;
• Not used for more than 28 days.

Tetracyclines

Minocycline, doxycycline, tetracycline.Highly active to bacteria that cause prostate inflammation, but it is difficult to tolerate from the body.

Advantages:

• These antibiotics with inflammation of the gland in men are distinguished by different forms of release;
• have a wide range of antimicrobial exposure;
• They are not expensive;
• are fast -acting.

Disadvantages:

• destructive effect on the gastrointestinal tract;
• The need for treatment with antihistamines and probiotics.Otherwise, dysbiosis may develop;
• A large number of side effects and contraindications that are used only with an acute form of prostatitis and a short course.

Penicillins

Amoxicillin, benzolinecillin sodium.The active substances block the production of a peptidlican, from which the cell wall of the bacteria is built, leading to their death.

Advantages:

• High degree of antimicrobial activity to most pathogens;
• Good body tolerance in the absence of allergic reactions;
• The rapid elimination of the body and a minimal negative effect on the liver.

Disadvantages:

• low bioavailability and poor penetration into the tissue of the prostate;
• Low efficiency due to the use of this pharmacological group for decades.

These antibiotics can only be used in acute form.Long -term technique is inappropriate as the infectious agent quickly causes penicillin resistance.

Cephalosporins

Cephalor, Ceftabuten, Cefixim, Ceftriaxone.The current components damage the cell membranes of the germs, which becomes destructive to them.They are poorly absorbed, irritating the mucous membranes of the digestive tract, leading to impaired kidneys and allergies.In the event of a risk of meningitis, they are not prescribed.They are used intramuscularly, intravenously.

Macrolides

Azithromycin, clarithromycin, roxithromycin.These are the less toxic antibiotics for the treatment of prostatitis in men based on natural components.However, due to the lack of data on the effectiveness of macrolides, they are not often assigned.Patients tolerate therapy well, practically do not complain of allergic reactions, liver and kidney inhibition, destruction of joint tissues and intoxication.

Aminoglycosides

Amikacin, streptomycin, tobramycin.They are used when the type of pathogen of the infectious process cannot be recognized.Made mainly in ampoules and dear.In the acute form of the disease, the course of treatment is 2 to 4 weeks.Then the tests are diverted and drink the course of the medicine again.

Scheme for taking antibiotics for acute and chronic prostatitis

In order to determine which antibiotics to take with prostatitis in men, it is necessary to undergo laboratory diagnostics.The tests will show the type of pathogen in any case and will determine the resistance of the pathogenic flora to a particular antibacterial agent.After receiving the results of the study, your doctor will tell you what to accept and describe the treatment regimen that includes:

• the use of antibiotics to destroy bacterial elements in iron and tissues located next to it;
• the use of drugs that improve blood circulation and reduce stagnant processes;
• taking anti -inflammatory drugs with swelling, pain syndrome during urination;
• strengthening immunity with the help of immunomodulators;
• vitamin therapy, administration of mineral complexes;
• the use of sedatives that soothe the nervous system;
• Summation, prostate massage, physiotherapy.

In acute form, treatment is performed in a hospital or outpatient.Use complex medicines: cephalosporins, tetracycline, fluoroquinolones.In order to achieve positive dynamics as soon as possible, the urologist may prescribe two types of antibiotics at the same time.

As a rule, the result of the treatment is noticed immediately, but it is impossible to interrupt the course.It mainly lasts about four weeks.If you do not follow the dose recommended by the doctor and stop taking the medicine, inflammation of decay in chronic form.

The treatment of chronic prostatitis C antibiotics is performed taking into account the sensitivity of the pathogenic flora.Cephalosporins, macrolides, fluoroquinolones are considered highly effective.The minimum course of therapy is one month.Possible interruptions with the resumption of the treatment cycle.

Advantages and disadvantages

Antibacterial drugs are always used in an infectious process and recurrent relapses during the year.

The benefits of using such medicines include:

• efficiency and speed;
• bacteriostatic effects that prevent pathogens from reproducing;
• Simplicity: Most medicines are injected or taken as oral;
• Affordability and low price.

The disadvantages of treatment with prostatitis antibiotics include systemic side effects that occur depending on the agent chosen and the presence of contraindications.

General recommendations

If a person undergoes the treatment of bacterial prostatitis with antibiotics, he or she must know some characteristics of these agents, which will help to avoid unpleasant consequences and overcome the underlying malaise.

• Antibiotics reduce immunity due to suppression of normal microflora.After therapy, it is necessary to drink the course of the medicines that restore the intestines: powder, bifidum bifidobacteria;
• Antibacterial therapy often causes the development of severe allergic reactions, so if the patient has at least once had itching, burning, skin rashes after taking this or that tool, it is better to use another tool;
• Prolonged use of antibiotics adversely affect the liver.It is advisable to take hepatoprotectors during the therapeutic course;
• The tablet is washed with enough water during or after a meal (if the instructions do not show another order);
• If at the end of treatment the improvement has not happened, then it is necessary to tell the doctor about it;
• In the presence of an acute form of pancreatitis, the drug effect of antimicrobial drugs can only occur at 5-6 days of treatment;
• It is strictly forbidden to independently adjust the dose or to stop the specified course.The symptoms of the disease will surely return, with even more power;
• In chronic infectious prostatitis, antibiotics should be ordered regularly as one course is not sufficient.

Combination with other means

What antibiotics for prostatitis are the best list of drugs, the intake scheme - all this is discussed with a doctor.As a rule, it takes 2 weeks to treat the acute form of inflammation of the prostate gland and chronic-4-5 weeks.Each product has its own special instructions, composition and instructions for use that must be familiar before the start of therapy.

Medicines are selected, taking into account the compatibility of the active components.For example, penicillins are not prescribed with sulfonamides, fluoroquinolones are not prescribed at the same time as NSAIDs and nitroimidazole derivatives, and tetracyclines are not used with iron preparations.It is forbidden to drink alcohol during antibiotic therapy, which means that all herbal tinctures with ethanol should be excluded.

The list of the most effective

The main regimen for the treatment of prostatitis C antibiotics is determined individually, depending on the degree of neglect of the disease, the type of pathogen, the condition of the body of the person.

The list of most often prescribed medicines includes:

1. Azithromycin 1 capsule (500 mg) once a day;
2. Josamycin 2 tablets (1 g) once a day;
3. Doxycycline for 1 capsule (100 mg) twice a day;
4. Clarithromycin per tablet 0.5-1 (250-500 mg) twice a day;
5. Levofloxacin 1 tablet (500 mg) once a day;
6. Oleandomycin 2-4 tablets (250-500 mg) once a day;
7. Tetracycline for 1 capsule (250 mg) four times a day every 6 hours;
8. Ceftriaxone 1-2 ampoules (1-2 g) intramuscularly once a day;
9. Ciprofloxacin 1-2 tablets (250-500 mg) twice a day.

In the bacterial form of the disease, they do not use:

• corticosteroids;
• non -steroidal anti -inflammatory drugs;
• laxatives;
• Alpha blockers;
• 5-alpha inhibitors that slow down the growth of glandular tissues.

Injections and introduction of a drip

If there is no reaction to the body of antibiotics with prostate and prostatitis adenoma, the urologist prescribes parenteral administration of the drug.This method is only considered in cases where all possible methods of administration of drug therapy have been tested.

This is due to the fact that infectious prostatitis is in some cases caused by a local inflammatory process against the background of autoimmune disease and oral agents cannot correct the situation.A third generation cephalosporins are used for intravenous administration.Usually five droplets are sufficient for the patient's condition to improve significantly.

Contraindications and side effects

From the general contraindications of antimicrobial agents can be distinguished:

• acute disorders of the gastrointestinal tract;
• hypersensitivity to components included in the recipe of one or the other antibiotic;
• severe diseases of the liver and kidneys;
• cardiac pathology;
• bronchial asthma;
• Mental disorders and depressive state;
• Diabetes sugar;
• The age of the children is up to 18 years of age.

Against the background of antibiotic intake, side effects may develop, including:

• Syndrome of diarrhea and dysbiosis;
• development of fungal flora in the mouth and genitals;
• the formation of calculas in the kidneys;
• Blood coagulation disorder;
• photosensitivity;
• allergies;
• The stability of some bacteria to the active component.

Reviews of patients and doctors

1. The spouse is diagnosed with chronic prostatitis.But it was not enough antibiotics to recover.In addition, I had to go to prostate massage and take vitamins.The treatment was expensive, but it improved a lot.Plus, we were able to get pregnant, which we dreamed of for more than a year.
2. When I was discovered through acute inflammation of the prostate gland, I asked the urologist to prescribe antibiotics from prostatitis cheap and effective.The only thing that came is tetracycline.After that, I immediately felt better, even though I was torturing acids in the morning and started diarrhea.I solved this problem with probiotics.As a result, the treatment is done well.
3. Levofloxacin took with other pills and put rectal suppositories.Side phenomena cannot be avoided.I walked all day in the fog, my head hurt and it was sick.But the chronic form after the end of treatment does not increase, I hope and it will not deteriorate.
4. The treatment of bacteriological type of disease with the most effective antibiotics ends in 95% of cases.It is important to perform a timely diagnosis and to initiate therapy in the early stages of the disease.It is recommended to use medicinal herbs and exercise for men as a prevention of relapse and supplemental medicines.