Prostatitis is a disease of the prostate gland that can be very painful, but with the right comprehensive approach the disease is reduced. Let us consider in more detail the most famous method of drug treatment -Use of antibiotics- What antibiotics should we take in men with prostatitis and which one is the best?
Antibiotics
Treatment with prostatitis medication is usually limited to controlling its symptoms. Painkillers can relieve pain. Antibiotics for prostatitis are used in menFor patients with acute or chronic infectionProstate.
E. coli and other gram-negative bacteria cause the most acute infections of the prostate.Symptoms includedPain in the abdomen, dysuria, pain during ejaculation, inability to urinate, as well as fever, general weakness.
Treatment of prostatitis in men is always antibiotics. Chronic infectious prostatitis may require long-term treatment with medication, while severe infections may require hospitalization where medication will be administered parenterally.
In the following article we will discuss how to treat prostatitis in men with antibiotics.
Pros and cons
Antibiotics are always recommended if there is an infection or if the disease recurs within a year. They have been shown to be effective in treating:
- Acute infectious prostatitis;
- Chronic infectious prostatitis.
Benefits of the drug include:
- StrongBactericidal properties;
- Bacteriostatic propertiesWhich inhibits the growth of bacteria;
- ᲛHigh efficiency- covers a wide range of infections;
- Ease of use. Most medications are taken orally or by injection;
- Minor side effects;
- EconomyDrugs are widely available and inexpensive.
Disadvantages includeSystemic side effects, Varies according to the selected antibiotic and most often includes:
- Diarrhea.Often during treatment the sugar content in the intestines increases, which leads to intestinal dysbacteriosis;
- Fungal infectionsOral cavity, genitals;
- FormationKidney stones;
- Coagulation disorderBlood (while taking certain cephalosporins);
- Sensitivity to light(While taking tetracyclines);
- Blood disorders(Thick blood syndrome);
- Deafness(Rarely).
Common side effects also include:
- OpportunityAllergic reaction;
- Resistance to some bacteria. This happens if the patient takes an incomplete dose.
Types of antibiotics
Most often, it is prescribed to the patient4-week course, But if the urologist suspects the presence of chronic prostatitis and the signs (as well as pain) have not disappeared after a four-week course, he or she may recommend a longer intake.
Courses of up to three months are sometimes used.
Antibiotics for prostatitis in menAssigned 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 the results of suchAnalyzes, How:
- Blood test - advanced profile;
- General urinalysis;
- PCR (smear) of the urethra;
- Tank. Urine culture;
- Analysis of prostate secretion.
Types of antibioticsUsed in prostate therapy:
- Macrolides;
- Penicillins;
- Tetracyclines;
- Fluoroquinolones;
- Cephalosporins.
Which antibiotics are better and more effectiveWith prostatitis? Consider the names of prostatitis antibiotics:
| Composition | Efficacy of the drug | Action taken | Recommendations for use (read in the instructions) |
|---|---|---|---|
| Macrolide drug | Effective against urinary tract diseases (prostatitis, urethritis, cervicitis, epididymitis) | Slows down the active growth and reproduction of bacteria, has antiseptic and antimicrobial action, has bactericidal action. | 1-2 g 2-3 r / day Release form: tablets 10 pcs. 500 mg |
| Semi-synthetic drug of the macrolide group, produced by erythromycin | It is effective in treating chronic infectious prostatitis | Broad-spectrum antibiotic. It has a wide range of antimicrobial action, many bacteria that cause prostatitis are sensitive to the drug (streptococcus, Klebsiella, Escherichia coli, Staphylococcus aureus). | 0, 15 g 2 r / day with a large amount of fluid before meals Available in capsules of 10 pieces. 0. 15, 0. 3, 0. 1 and 0. 05 g each |
| Derived from tetracycline | Effective in treating infections such as acute / chronic prostatitis, chlamydia, gonorrhea, syphilis | Has a bacteriostatic and anti-inflammatory effect | With large amounts of fluids 200 mg once with meals, then 100 mg once daily Produced in the form of capsules of 10 pcs. 100 mg |
| A semi-synthetic drug of the cephalosporin group | Antibiotic for the treatment of acute bacterial prostatitis in men. Accepted against the background of severe bacterial infections | It has antimicrobial, bactericidal effect. Active against many microorganisms that cause prostatitis (streptococcus, Staphylococcus aureus) | Inject intramuscularly or intravenously, 1 g every 8-12 hours Release form: 0, 5, 1 or 2 g in injection ampoules |
| Preparation of cephalosporin (in the form of sodium salt) | Used for severe bacterial infections (prostatitis, epididymitis) | Has antibacterial, bactericidal action | Inject intramuscularly or intravenously, 1-2 g every 12 hours Available in 0, 5, 1 or 2 g bottles |
| Semi-synthetic broad-spectrum antibiotic and clavulanic acid of the penicillin group | Antibiotic is used in prostatitis, as well as in the treatment of gynecological infections, respiratory infections. | Has bactericidal action on gram-positive and gram-negative aerobes / anaerobes | 1 tablet 250 mg (+125 mg) every 8 hours Produced in tablets of 15 pcs 250 + 125 mg |
| A semi-synthetic drug of the penicillin group | Used to treat infections of the genital system (urethritis, prostatitis, pyelonephritis) | Has antibacterial, bactericidal action | Antibiotic for prostatitis, injections intramuscularly or intravenously, 500 mg 3 r / day or in the form of tablets 500 mg every 8 hours Produced in ampoules of 500 mg or in tablets of 20 mg. 500 mg |
| Lomefloxacin hydrochloride | Used in prostatitis, chlamydia, pyelonephritis, urethritis | It has antibacterial, bactericidal action, is active against gram-negative microorganisms causing prostatitis. | Tablets inside 400 mg 1 r / day 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 250 mg tablet between meals or with plenty of fluids before meals Produced in the form of tablets 5 pcs. 250 mg |
| Antibiotic of the fluoroquinolone group | Infections of the urinary tract, pelvic organs, genitals | It has antibacterial, bactericidal action, is active against bacteria such as streptococci, staphylococci, chlamydia, enterococci, mycoplasma. | 1 tablet before meals 200-800 mg / day Produced in the form of tablets of 10 pcs. 200 mg |
| Drug from the tetracycline group | Used in respiratory 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 attending physician can decide which antibiotic complex is right for you.
If the antibiotic did not help the prostatitis, then you can apply itFolk remediesAnd try treating prostatitis without antibiotics. Here are a few 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, a specialist may prescribe parenteral administration (Intravenously / intramuscularlyUsually in the buttocks).
This method is also used to treat chronic / acute infectious prostatitis. It should be considered only after all other options have been tried, including treatment with prostatitis with oral antibiotics, 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 were ineffective.
This reaction is caused by the fact that infectious prostatitis is often caused by a local inflammatory process in the setting of autoimmune disease, and oral medications do not have the desired effect.
What injections are given during prostatitis?
Antibiotics are usually used for intravenous (and intramuscular) administration.Groups of 3rd generation cephalosporins.Injections are done strictly in the hospital. After 5 injections, relief usually occurs.
Contraindications
Contraindications usually depend on the particular medication, but most often include:
- Gastrointestinal disorders(Especially when taking macrolide group drugs);
- Allergic reactions (Urticaria);
- Damage to the kidneys and liver(Usually on the background of taking penicillins, cephalosporins, macrolides);
- Childhood(With caution under 18);
- Diabetes mellitus.
How to get
The tablet is taken with 1, 5-2 glasses of water, the drug is taken with food (unless otherwise stated in the instructions), so as not to irritate the stomach. Drink after antibiotic therapyA course of medication to restore the intestinal flora.
Attention!Avoid alcohol completely during treatment.
replace
Infectious prostatitis is successfully treated with antibiotics, but if there are contraindications to taking it or you have an individual intolerance, hypersensitivity to some components of the drug, or when antibiotics do not help prostatitis, e. g. წ.Natural antibioticsWith prostatitis. They are most often less effective in fighting the infectious form of the disease. So what can replace antibiotics during prostatitis?
Most often usedEchinacea, Contains a special substance - echinacoside, the properties of which are completely different from conventional antibiotics.
The plant is made into infusions, herbal teas, decoctions that allow you to relieve inflammation of the prostate without antibiotics.
Has a similar effectAspen bark, Which is called a "natural" antibiotic.
To treat the bacterial form of the diseaseAlso schedule:
- Alpha blockers;
- Nonsteroidal anti-inflammatory drugs;
- Corticosteroids;
- 5-alpha inhibitors (slowing prostate growth);
- Laxatives.
With timely medical care and a comprehensive approach to treatment, bacterial prostatitis can be completely cured with a single course of antibiotic therapy.