If the patient consults a urologist during the acute phase of inflammation, antibiotics for prostatitis will be prescribed almost immediately. In other words, doctors will not wait for test data. Therefore, in the early days, people chose drugs with a wide range of effects, and when choosing antibiotics for cystitis, the options were very similar.
After the doctor receives the laboratory data, it usually takes two to three days, and then decides to continue to choose a treatment plan or prescribe a more effective new drug.
When choosing drugs, doctors must consider the age of the patient, whether there are certain physical diseases and allergic reactions in the memory.
The patient must tell the doctor about the antibiotics he has used before.
If a person has received any medication a few weeks before the onset of prostatitis, the effectiveness of alleviating inflammation at this stage may not be as effective as needed.
Among the different types of antibiotics, there are so-called "reserve" drugs, which include drugs that have a strong effect on the body. Only when the previous conservative treatment does not help, the urologist prescribes it.
Antibiotic treatment requires certain conditions.
- Prescribe antibiotics for a specific period of time. Usually at least 2 weeks. In the future, the doctor will assess the condition of the prostate and cancel the drug treatment, or recommend continued treatment;
- The dose of the drug can also be selected individually;
- The entire treatment process must be completed. If interrupted, the body will create suitable conditions for the transition from an acute infection process to a chronic infection process.
- The time from starting antibiotics to reducing pain and discomfort is no more than three days. If your condition does not improve during this period, you need to consult your doctor again to review the treatment plan and choose another antibiotic.
Antibiotic treatment is one of the most important conditions for a complete recovery from bacterial prostatitis. The sick person must understand that his future trouble-free life depends on the adherence to the entire treatment plan.
Antibiotics for prostatitis are selected from the following drug groups:
- Penicillin. This group has a wide range of effects on bacteria, so it is most often accurately prescribed before obtaining data from the laboratory. Another advantage of these drugs is that they are cheap, so every patient can be treated;
- Macrolidescan perfectly penetrate the prostate tissue and begin to fight infection after the first ingestion. This group of drugs is actually non-toxic and will not affect the state of the intestinal flora.
- Cephalosporins. They are mainly used in hospitals because they are administered intramuscularly or intravenously.
- Tetracycline.Effective for prostatitis caused by chlamydia. But these drugs are highly toxic and have sperm toxic effects. Therefore, they are not specified before the plan is conceived.
- Fluoroquinolones.Use when other groups of drugs are ineffective.
When antibiotics are used for the first time, it is necessary to record all changes in health. These drugs usually 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 antibiotics, the doctor must check the reaction to the bacteria found.
Since there are many side effects, treatment should be carried out under the guidance of a specialist. If you experience discomfort, you should contact your doctor immediately and change the medicine.
Antibiotics used to treat prostatitis are provided in pill form, which can contain different active ingredients. Therefore, the list of such drugs is extensive enough that only doctors can prescribe the correct drugs.
Fluoroquinolones
According to urologists, the most effective antibiotics for prostatitis are fluoroquinolones. The benefits of fluoroquinolones in the treatment of prostatitis are:- Large circulation;
- Produces high concentrations of substances in the prostate;
- penetrate the cell;
- has anti-antibiotic effect-after stopping the drug, the concentration that inhibits bacterial growth will remain in the cell for several days;
- Take it at most once a day.
There are several generations of this antibacterial drug. The second, third and fourth generations are most commonly used in urology.
The third and fourth generation fluoroquinolone anti-prostatitis antibiotics can be used to treat the inflammatory process caused by mixed flora-facultative anaerobes, Gram-positive, Gram-negative bacteria (E. coli, Staphylococcus, Enterococcus), atypical intracellular bacteria, mycoplasma.
The active ingredients of fluoroquinolone preparations for prostatitis include: levofloxacin, ciprofloxacin, moxifloxacin.
If the disease is caused by opportunistic flora, antibiotics for acute prostatitis in men cannot be used for one month, but can be used for two weeks.
Generally, this group of patients tolerates the drugs well. The most common adverse reactions are nausea and diarrhea. Very little phototoxicity has been recorded.
If chronic bacterial prostatitis has started, other treatment strategies should be used.
The symptoms are not as obvious as the acute course. The patient complained of rare pain, urination problems and sexual problems.
Chronic bacterial prostatitis is very dangerous: For most men, it disappears almost imperceptibly and is accompanied by occasional pain, but it can cause infertility, erections, prostate ablation, and prostate adenomas. problem.
When the obvious signs of these problems start to bother a person, all these suddenly come to light.
A man is oppressed by unpleasant sensations and episodic pain, and with the passage of time, this pain becomes more and more frequent, he turns to a urologist.
As with acute prostatitis, the doctor performs the necessary tests (blood tests, urine tests, palpation and bacterial culture), and then develops a treatment plan.
On average, treatment takes 4-8 weeks. This is a serious stress on the body, because in addition to the target microflora, our friends also suffer. Therefore, taking antibiotics first is related to taking drugs that can regenerate the gastrointestinal flora.
In addition to antibiotics, physical therapies and drugs are prescribed for patients. These drugs can reduce edema and relax the smooth muscles of the prostate. Therefore, please don't forget folk remedies, which can speed up the therapeutic effects of complex therapies.
Tetracycline
There are also two forms of administration, which are highly active against chlamydia and mycoplasma, so they are more effective in chronic prostatitis related to sexually transmitted diseases. The best drug is the drug with the best pharmacokinetic data and tolerability.
However, tetracycline has a damaging effect on Gram-positive bacteria, including activity in hospital infections of methicillin-resistant Staphylococcus. These drugs destroy the intracellular forms of Chlamydia, Mycoplasma, and Ureaplasma. The advantage of tetracycline is that it reduces the frequency of intestinal malnutrition and has anti-inflammatory effects. Regarding intestinal Pseudomonas aeruginosa, they are ineffective.
For chlamydia, mycoplasma and ureaplasma infections, you need to take the medicine for 3 weeks, and the other pathogens need 2 weeks.
Do not use dairy products at the same time.
Macrolides in the treatment of prostatitis
Macrolides (including azalides) should only be used under certain conditions, because only a few scientific studies have confirmed their effectiveness in prostatitis, and this group of antibiotics is effectiveThe activity of Langerhans negative bacteria is very small.
However, you should not completely give up the use of macrolides because they are very effective against gram-positive bacteria and chlamydia.
Macrolide antibiotics can inhibit the growth of atypical intracellular bacteria and Gram-positive microorganisms (cocci) in the treatment of prostate inflammation.
If prostatitis is caused by opportunistic flora, treatment may take two weeks. The drug can be used in combination with fluoroquinolones.
If there is a history of penicillin allergy, many patients are interested in which antibiotics men take to treat prostatitis. Macrolides and penicillins and cephalosporins are not cross-allergenic, so allergy sufferers can take it safely.