When do you need antibiotics?
Before using any medication, be sure to consult your doctor.There are different types of diseases:
- acute infectious (bacterial) prostatitis;
- chronic bacterial prostatitis?
- chronic non-infectious prostatitis.
Taking antibiotics is not always recommended. Drugs in this group are active only against pathogens, but have no general anti-inflammatory action.
Antibiotics for prostatitis are only indicated if the inflammation of the organ is caused by the activity of pathogenic microorganisms in the prostate. In all other cases, an antibiotic for prostatitis in a man will be ineffective.The main problem with treating prostatitis is that many men are wary of antibiotic treatment, considering such drugs harmful or dangerous. It is important to remember: neglected prostatitis is dangerous and not a well-chosen antibiotic taken after a doctor's recommendation according to the dosage and treatment regimen.
The antibiotic for prostatitis and adenoma is prescribed only in the presence of bacterial inflammation. Drugs in this group are only effective against bacteria and have no activity against viruses or fungi. Antibiotics for chronic prostatitis are only prescribed if there is a chronic source of infection in the prostate. Bacterial chronic prostatitis develops due to inadequate or inadequate treatment of acute bacterial prostatitis. Very often, the disease becomes chronic due to the fact that a man self-medicated and took drugs that were ineffective against a particular pathogen. As a result, pathogenic microorganisms develop drug resistance and the disease becomes chronic, reminding itself of periodic complications.The main indication for antibiotics to treat prostatitis in men is acute bacterial inflammation of the prostate.
In case of congestive or chronic non-infectious prostatitis, taking such drugs is not recommended. This is due to the mechanism of development of such inflammation. Congestive prostatitis is a consequence of a sedentary lifestyle and other reasons that lead to a violation of prostate nutrition and thickening of prostate secretion. Inflammation is due to the fact that the secretion of the prostate can not leave the lobes of the organ, it begins to accumulate and compress the gland. There is no infectious focus with such a disease, which means that it does not make sense to take antibiotics. To treat this form of inflammation, special anti-inflammatory drugs are used, which should not be confused with antibiotics.
The most effective drugs
No doctor will ever tell a patient about the existence of the best antibiotics for prostatitis, as there are simply no such drugs. There are many groups of antibiotics for men used to treat prostatitis. In each group, there are many names of active substances that are active against different bacteria. An effective antibiotic for prostatitis is a drug that is chosen taking into account the characteristics of the course of the disease in a particular person.
When prescribing a medicinal product, the following criteria are followed:
- causative agent of the disease?
- form of prostatitis?
- drugs that the man has been taking in recent months.
- presence of other chronic diseases.
To determine which antibiotic is best for prostatitis, it is necessary to do a bacterial culture of prostate secretion. This analysis allows you to determine the causative agent of the disease and determine its sensitivity to various active substances.
In general, acute bacterial prostatitis is treated quite effectively with the right antibiotics. Usually, a two-week treatment is enough to get rid of the disease forever.
Treatment of chronic bacterial inflammation is often complicated by the resistance of microorganisms to antibacterial drugs. In this case, either synthetic antimicrobial agents or combination antibacterial therapy with several different drugs are prescribed at the same time. The first option is preferable, but the course of treatment increases to 28 days or more.
What are fluoroquinolones and when are they used?
Pills are convenient for treating prostatitis with antibiotics at home, although injections are usually more effective and faster. At the same time, it is important to choose a drug that will penetrate the prostate tissue effectively, despite oral administration. Recently men have started to treat various diseases with antibiotics, often using drugs for other purposes, quite often resistant forms of pathogenic microorganisms are found that are not sensitive to conventional antibiotics. In this case, doctors prefer drugs from the group of fluoroquinolones.
Fluoroquinolones are the only antibacterial drugs that do not have natural analogues.
These drugs are completely synthetic, developed by chemists and not taken in nature. They are distinguished by a wide range of antimicrobial activity. The main advantage of using these drugs is that the causative agent of the disease can not develop resistance to fluoroquinolones, which means that such drugs remain effective with repeated treatment.
The distinguishing features of this group of medicines are as follows:
- wide range of actions.
- no adverse effects on the digestive system.
- convenient release form?
- ease of use
- minimal side effects?
- can be taken at any age.
- penetrates well into prostate tissue.
Such drugs are convenient to take, as they are prescribed one tablet a day. However, the course of treatment, as a rule, is quite long, because despite the fact that the drug penetrates into the prostate tissues, its concentration increases slowly, so the course of administration is usually several weeks. Since there are virtually no side effects, this does not have a negative impact on health.
In addition, drugs in this group do not affect liver and kidney function, so they can be used to treat patients over 65 years of age, but only with the prior consent of the treating physician.
The use of penicillins in the treatment of prostatitis
One of the oldest groups of antibacterial drugs is the penicillin antibiotic. Drugs in this group have been well studied, but today they are no longer effective enough, as most microorganisms develop resistance to the active substance very quickly.
The advantage of these drugs is their rapid elimination from the body and minimal effect on liver function. The main disadvantage is the low bioavailability and poor penetration into the prostate tissue.
To date, the only drug still used to treat prostatitis is a combination penicillin antibiotic. It contains clavulanic acid, which enhances its action and provides some immunostimulatory action.Preparations of this group should only be used in acute inflammation. Long-term administration of the drug is ineffective, as the causative agent of the disease quickly becomes resistant to its action. Usually the drug is prescribed for 7-10 days, no more.
Drugs from the tetracycline group
- variety of circulation forms.
- a wide range of antimicrobial activity.
- fast performance?
- low cost.
Pills or injections are most often prescribed. If it is necessary to use antibiotic suppositories for prostatitis, such drugs can be found in the tetracycline group.
The disadvantage of these drugs is their harmful effect on the gastrointestinal tract. They should be taken together with antihistamines and probiotics, otherwise discomfort cannot be avoided.
Due to side effects and contraindications, urologists prescribe such drugs in a short time and only in acute inflammation.
What are the specialties of macrolides?
When asked which antibiotics are best for prostatitis, many doctors recommend macrolides. The main feature of this group of drugs is their low toxicity and the absence of side effects. They are well tolerated by the body and do not cause allergic reactions. They are used as an independent agent, without the need for concomitant administration of hepatoprotectants, antihistamines or probiotics.
While some doctors actively prescribe macrolides for prostatitis, others argue that these drugs are ineffective for chronic bacterial inflammation.Macrolides have several dozen names. The latest generation of drugs in this group is distinguished by an interesting form of release - a gel or a suspension. They are convenient to take and the liquid form ensures rapid absorption of the drug. In addition, drugs in this group are highly bioavailable and penetrate well into the tissues of inflammatory organs.
The main contraindications are mental disorders and depression. Long-term drug use in this group is potentially dangerous for the development of psychopathological syndromes in people prone to such diseases.
When are cephalosporins effective?
Cephalosporins are good antibiotics for prostatitis. They perfectly treat bacterial prostatitis, leaving no chance for pathogenic microorganisms. The downside is a pretty impressive list of contraindications and side effects. In addition, drugs in this group require the correct choice of dosage, so they should only be prescribed by a doctor.Benefits of drugs from this group:
- high efficiency against pyogenic bacteria.
- fast action?
- good penetration into prostate tissues.
- no adverse effects on gastric microflora.
The main disadvantage is the high hepatotoxicity and the burden on the kidneys, and therefore drugs of this type are not prescribed for elderly patients. Another pressing problem is the long list of negative drug interactions. In other words, during treatment with these antibiotics, you should stop taking other medications.
Antibacterial suppositories
Having understood which antibiotics are used for prostatitis and which names may be useful for men in the future, you should watch out for suppositories for infectious prostatitis with antibiotics.
Topical application is an advantage of such preparations. The suppositories act very close to the prostate, so the active substance is rapidly absorbed by the walls of the rectum and penetrates directly into the tissues of the inflammatory organ.
In addition to antibiotic suppositories, antiseptic drugs and anti-inflammatory suppositories for prostatitis may be prescribed.
The drug in the form of suppositories can be used in combination with antibiotic tablets. For example, chronic prostatitis is often treated with oral macrolides other than suppository macrolides. You can also use tetracycline drugs with suppositories.
The duration of use of rectal suppositories is determined on an individual basis. They are usually prescribed for a period of two weeks or more.
Antibiotic suppositories for prostatitis may have side effects. Intestinal discomfort is often observed with prolonged use of this form of the drug.
Natural antibacterials
In addition to medicinal preparations, treatment can be carried out with natural therapies with antimicrobial properties. Of course, natural antibiotics are significantly less effective than specific drugs, but they can be used in chronic bacterial prostatitis to enhance the therapeutic effect of other drugs.
The most powerful antimicrobial agent in nature:
- honey?
- propolis?
- garlic?
- selandin.
Honey has a strong immunostimulatory effect. Men are advised to eat it both for the prevention and treatment of prostatitis. In addition, homemade suppositories are made from honey.
Creating suppositories at home
Garlic is good for treating prostate problems.
To prepare antimicrobial suppositories, you must store them on a solid fat base. Cocoa butter or beeswax can also be used as a base for candles.
The base should melt in a water bath, gradually adding the active ingredient. The product is then mixed and poured into a mold. You can also pour the resulting mass into the adhesive film and then twist the ends to form a "sausage" and leave in the refrigerator for an hour. After the mixture hardens, it is cut into small suppositories, about 3-4 cm long. The proportions depend on which active substance is used.
- To make candles with honey, you need 50 g of base and 25 g of honey. Before using such suppositories, intolerance to bee products must be ruled out.
- One of the most effective treatments for prostatitis is a suppository with propolis and honey. To prepare the drug, you need to take 50 g of beeswax, 25 g of honey and 10 g of propolis.
- Suppositories with sea buckthorn oil are recommended to reduce inflammation. To prepare them, melt 2 parts of the base and add a part of sea oil. Using the same recipe, you can prepare candles based on pumpkin oil.
- Home remedies can be done with garlic. Squeeze 3 cloves of garlic, add 50 ml of sea buckthorn and leave in the fridge for 24 hours. Then mix 25 ml of garlic oil with 50 ml of cocoa butter and form candles.
Such suppositories should be used 1-2 times a day. They are injected into the rectum, after making a cleansing enema.
Peculiarities of antibiotic treatment
An antibiotic treatment regimen for prostatitis is prepared by a doctor on an individual basis. Usually, antibiotic treatment for chronic prostatitis lasts 4-5 weeks and acute prostatitis is treated within two weeks.Each drug has its own characteristics, contraindications and side effects. They are detailed in the official instructions for use, which you should read before starting the treatment.
Antibiotic self-medication is not allowed. You should take the prescribed medication daily, without missing or stopping taking it until the end of the course.
We must remember that it is impossible to cure bacterial prostatitis without antibacterial drugs.