Antibiotics for prostatitis should be prescribed almost immediately if a patient consults a urologist at an acute stage of inflammation. That is, the doctor will not wait for the test results. Therefore, in the first days, a drug with a wide range of action is selected, the scheme of choice is very similar when choosing antibiotics for cystitis.
After receiving the laboratory data from the doctor, it usually takes two to three days, it is decided either to continue the chosen treatment regimen or to prescribe a new, more effective drug.
When choosing a drug, a doctor should take into account the age of the patient, the presence of certain physical ailments in his memory and allergic reactions.
The patient, in turn, should warn the doctor about the antibiotics he has used before.
If a man was treated with some kind of medicine a few weeks before prostatitis, then it is very likely that at this stage it will not be as effective as it is necessary to relieve the inflammation.
Among the various groups of antibiotics, there are so-called "backup" drugs, which include drugs that have a strong effect on the body. Your urologist will only prescribe them if the previous conservative treatment did not help.
- Antibiotics are prescribed for a specific period of time. It is usually at least 2 weeks. In the future, the doctor will assess the condition of the prostate and cancel the medication or advise you to continue treatment.
- Dosage of the drug is also selected separately.
- The entire course of treatment must be completed. If it is stopped, then the body creates suitable conditions for the transition of an acute infectious process to years. It will not take more than three days from the time you start using antibiotics until the pain and discomfort is reduced. If after this period the condition has not improved, then you should consult a doctor again for a review of treatment and the choice of another antibiotic.
- Penicillins. This group has a wide range of effects on bacteria and is therefore most often prescribed just before receiving data from the laboratory. Another advantage of these drugs is their economical price and therefore any patient can receive treatment.
- Macrolidespenetrate perfectly into the prostate tissues and begin to fight infection after their first intake. This group of drugs is practically non-toxic and does not affect the state of the intestinal microflora.
- Cephalosporins. They are mainly used in hospitals, as they are administered intramuscularly or intravenously.
- Tetracyclines.Effective for chlamydia-induced prostatitis. But these drugs are very toxic and have a spermatic effect. Therefore, they are not prescribed before conception planning.
- Fluoroquinolones.Used when there is no effect from drugs of other groups.
When using antibiotics for the first time, it is important to record all changes in your health. Often these drugs cause severe allergic reactions, especially in patients with a history of allergies.
At home, it is not always possible to get rid of prostatitis, because before prescribing any antibiotic, the doctor must check his reaction to the bacteria found.
Due to the large number of side effects, treatment should be performed under the supervision of a specialist. In case of unpleasant symptoms, you should contact your doctor immediately and change the medicine.
Antibiotics for the treatment of prostatitis, available in pill form, may contain different active ingredients. Therefore, the list of these drugs is quite extensive and only a doctor can prescribe the right one.Fluoroquinolones
The most effective antibiotics for prostatitis, according to urologists, belong to the group of fluoroquinolones. The benefits of fluoroquinolones in the treatment of prostate inflammation are:
- large volume of distribution?
- creating high concentrations of the substance in the prostate.
- penetrates cells.
- have antibiotic activity - once the drug is withdrawn, a concentration that inhibits the growth of bacteria remains inside the cells for several days.
- are taken once a day more often.
There are many generations of this type of antibacterial drug. The second, third and fourth generations are most often used in urological practice.
Antibiotics against prostatitis from the group of fluoroquinolones of the third generation, the fourth generation allow the treatment of inflammatory processes that start from mixed microflora - preventive anaerobic, gram-positive, gram-negative bacteria (Escherichia coli), Escherichia coli, intracellular bacteria, mycoplasma.
Antibiotics for acute prostatitis in men can be used not for a month, but for two weeks, if a conditionally pathogenic flora begins.The active ingredients of fluoroquinolone preparations for prostatitis include: levofloxacin, ciprofloxacin, moxifloxacin.
As a rule, drugs in this group are well tolerated by patients. The most common side effects are nausea and diarrhea. Phototoxicity is rarely recorded.
If chronic bacterial prostatitis has started, a different treatment strategy should be used.
The symptoms are not as severe as in the case of an acute procedure. The patient complains of rare pain, urination problems and problems of a sexual nature.
Chronic bacterial prostatitis is dangerous: for most men, it disappears almost imperceptibly, is accompanied by occasional pain, but leads to infertility, erection problems, prostate removal and prostate adenoma.
All of this comes to light suddenly when obvious signs of these problems start to bother a man.
A man oppressed by unpleasant sensations and episodic pains, which become more frequent over time, turns to a urologist.
The doctor, as in acute prostatitis, performs the necessary tests (blood tests, urine tests, palpation and bacterial culture), after which he develops a treatment regimen.
On average, treatment lasts 4-8 weeks. This is a serious stress for the body, because in addition to the targeted microflora, our friends also suffer. Therefore, taking antibiotics is related to taking drugs that regenerate the gastrointestinal microflora.
In addition to antibiotics, the patient is prescribed physiotherapy and drugs that relieve swelling and relax the smooth muscles of the prostate, we must not forget the folk remedies that accelerate the therapeutic effect in complex therapy.
Tetracyclic lines
It is also available in two forms of administration, particularly active against chlamydia and mycoplasma, so their effectiveness is higher in chronic prostatitis associated with sexually transmitted diseases. The best drugs are those with the best pharmacokinetic data and tolerance.
However, tetracyclines have a devastating effect on gram-positive flora, including active nosocomial infection with methicillin-resistant staphylococcus. Drugs destroy intracellular forms of chlamydia, mycoplasma, ureaplasma. The advantage of tetracyclines is the lower incidence of intestinal discomfort, as well as the presence of anti-inflammatory action. In relation to the gut, Pseudomonas aeruginosa is ineffective.For chlamydial, mycoplasma and ureaplasma infections, the drugs are taken for 3 weeks, while the other pathogens require two weeks of administration.
Means from this group should not be taken with concomitant use of dairy products.
Macrolides in the treatment of prostatitis
Macrolides (including azaleas) should only be used under certain conditions, as there is only a small amount of scientific research confirming their effectiveness in prostatitis and this group of antibiotics has little activity against gram-negative bacteria.
But you should not completely abandon the use of macrolides, as they are quite active against gram-positive bacteria and chlamydia.
Antibiotics from the group of macrolides in the treatment of prostate gland inflammation have an inhibitory effect against atypical intracellular bacteria, gram-positive microorganisms (cocci).The advantage of macrolides in the treatment of prostate inflammation is their low toxicity compared to fluoroquinolones. Macrolides create high concentrations of the active substance in the glandular tissues, have metabolic activity, anti-inflammatory and immunomodulatory effects. Drugs have a beneficial effect on phagocytosis, inhibit oxidative stress in cells. Macrolides can be used in teenagers.
If prostatitis is caused by opportunistic flora, treatment can take up to two weeks. The drugs can be taken in combination with fluoroquinolones. Many patients are interested in the antibiotics they should take for prostatitis in men if there is a history of penicillin allergy. The macrolide group does not have a cross-type allergy to drugs from the penicillin group and cephalosporins, so they can be safely taken by allergy sufferers.