Prostatitis is a fairly common disease of the prostate gland, which affects the majority of men around the world. Organ inflammation is caused by several reasons, which are taken into account by urologists when choosing treatment tactics. This plan is prepared for each patient individually, but in most situations it is impossible to achieve a positive result without using antibacterial agents.
Antibiotics: characteristics of pharmacological groups
The term of the same name first appeared in 1942, when special chemicals were obtained from microorganisms that could inhibit the vital activity of certain bacteria and cause their death. Today, this is a broad category of drugs used in the treatment of infectious diseases caused by various pathogens. They are divided into two large groups. The first includes agents that cause the death of microbes. The second includes drugs that only prevent their reproduction, but do not kill them. Unable to reproduce, it is destroyed by the body's immune cells.
Antibacterial drugs are classified according to their origin, chemical composition, mechanism of action, and frequency of occurrence of resistant forms. Although different, they all have a lot in common. this:
- high efficiency;
- ease of use;
- local effects;
- efficiency;
- ease of reception;
- A small list of side effects.
Medicines aim to eliminate the inflammatory process and reduce symptoms. Currently, manufacturers in our country offer a wide variety of drugs that are used in domestic medicine and sent abroad.
Treatment of prostatitis with antibacterial drugs
Before carrying out therapy, it is necessary to identify the type of pathogen and determine the nature of the disease. When are antibiotics important for the treatment of prostatitis in men, and in what situations can you do without them?
Relevance for prostate inflammation
Inflammation of the prostate gland can be contagious and its nature is radically different. In the first case, bacterial species are isolated separately. In the second case, antimicrobial drugs are useless. Its use is possible only if the disease is caused by a representative of the biocenosis, and the degree of severity is no longer important.
Antibiotics for acute and chronic prostatitis are prescribed if the infectious form of the disease is confirmed.
Fund selection is carried out by experts, taking into account the following factors:
- the cause of the inflammatory process;
- flow duration;
- level of drug activity against pathogens;
- individual sensitivity of the patient to individual components.
Effects of drugs on the glands
The use of antibiotics is prescribed by a doctor to eliminate pathogenic microbes. This treatment option allows you to achieve the following results:
- relieves pain;
- normalize body temperature;
- improve urodynamics;
- restore prostate function.
With prostatitis, the inflamed organ constantly increases in size, putting pressure on the surrounding tissue, which causes pain. Antibacterial agents help relieve swelling, restore the normal volume of the gland and its function.
Advantages and disadvantages
Inflammation and BPH are usually treated with antibacterial drugs of various groups. Each of them has advantages and disadvantages. To determine the optimal choice of medicine, it is necessary to consider it in more detail.
| Group name | Advantage | Disability |
|---|---|---|
| Fluoroquinolones | Biological and clinical efficacy; easy tolerance; long half-life; minimal side effects; high bioavailability. |
Prohibited during pregnancy and breastfeeding; toxic effects on the liver and kidneys; development of symptoms: nausea, vomiting, dizziness and pain. |
| Cephalosporins | High activity; good tolerance; synergy with previous group products; minimal side effects. |
Relatively low effect on pneumococci; gastrointestinal dysfunction; photosensitivity (rare). |
| Macrolides | Low toxicity; high concentration; bacteriostatic effect; no cross allergies. |
Cause the manifestation of symptoms; digestive system disorders. |
| Penicillin | High speed of action; minimal adverse reactions; relative safety; predictable consequences; short elimination period. |
Cleavage in the gastrointestinal tract, therefore administered by injection; Do not use for prostate inflammation. |
| Tetracycline | Bacteriostatic effect; various applications. |
Microbial resistance to drugs of this group |
Type of dosage form
Complex therapy involves the use of various methods, one of which is taking medication. The pharmaceutical industry produces several dosage forms of antibiotics. In the treatment of prostatitis, tablets, capsules, injection solutions, ointments, and rectal suppositories are considered the most convenient.
Local medicine
Medicines for topical use are considered "emergency" help in eliminating the disease. They are designed to deliver drugs to the site of the lesion and have a direct effect on inflammation and infection. For different forms of the disease, it is recommended to use drugs that have completely different medical effects. Today there are many choices of topical products.
These are creams, pastes, gels, emulsions. It is advisable to use it externally during massage and rectally in the form of suppositories and tampons. Suppositories have a no less effective effect.
Penetrating the lesion, they give the following results:
- relieves pain;
- restore blood flow in the pelvic area;
- improve metabolic processes;
- inhibits the inflammatory process in damaged organs.
Free choice of any drug can worsen the situation and lead to serious consequences. Ointment is prescribed only for chronic, damp processes, and in acute form it is strictly prohibited, because it can provoke the spread of infectious agents through the bloodstream.
Suppositories have the same therapeutic effect and are considered a completely safe form of medicine. The most popular are suppositories with levomycetin and other medical components. All of them reach the site of infection, bypassing the intestinal tract, so they maintain their original concentration and have no negative effect on the digestive organs.
Medicines for internal use
Acute or chronic prostatitis is almost always treated with antibiotics. Most of them are available in the following forms: capsules, tablets, solutions for intramuscular injections, prescribed by urologists for the treatment of prostate inflammation. The tablet form is the most preferred for administration, because self-injecting antibiotics is impossible and dangerous.
Herbal medicines
As is known, in urological practice there are two main directions of treatment of inflammation and prostate adenoma: drugs and surgery. However, many experts suggest trying to get rid of unpleasant symptoms with the help of natural remedies. The pharmaceutical industry produces several popular products. Some are effective in systemic therapy, while others are used in symptomatic treatment.
Choose the right medicine
Among the variety of drugs, it is difficult for the average person to settle on any particular drug. How to choose the most suitable?
The selection of drugs should be done by a doctor, having previously prescribed a set of procedures for examination. One of the most important diagnostic procedures is a smear from the urethra. Scraping from the mucous membrane is sent to the laboratory, where it is carefully examined to identify the type of pathogen. Here, bacteriological seeding of flora is carried out, its growth is monitored by experts. This determines not only the type of microbes, but also their level of activity and aggressiveness. And based on the results obtained, the urologist decides to prescribe medication.
A group of antibiotics used for prostatitis
In the treatment of prostatitis, preference is given to broad-spectrum drugs that are active against a large number of microbes. This approach is due to the fact that in some cases the development of the inflammatory process occurs due to the influence of several types of pathogens. Based on this, patients can be prescribed drugs from the following groups:
- cephalosporins;
- fluoroquinolones;
- macrolides;
- penicillin;
- tetracycline.
Each of the above is considered effective only against a specific set of pathogens, however, there are also interchangeable drugs; only a doctor can assess the suitability of a prescription.
Representative description
If you start listing all the antibiotics used for prostatitis, the list will be extensive. However, some of them are really popular because of their good tolerance. Fluoroquinolones are considered the "gold standard" in the treatment of inflammation.
Medicines that complement antibiotic therapy
Treatment of prostatitis at home with antibiotics alone will not be effective, because combined drug therapy is used in practice to quickly eliminate inflammation in its acute course, as well as from the chronic form of the disease. This means that in addition to antibiotics, patients are given drugs from other groups. Traditionally, this is the following way:
- non-steroidal anti-inflammatory drugs - reduce pain, relieve inflammation;
- analgesics (painkillers) - stop acute attacks;
- alpha-blockers - relax the muscles of the prostate and bladder;
- immunomodulator - strengthens the body's resistance to infection;
- venotonics and angioprotectors – strengthen blood vessel walls, improve blood microcirculation.
The best antibacterial drugs, according to reviews from patients and doctors
It is difficult to list all the antibiotics used in the treatment of prostatitis. Studying the reviews of each patient and the doctor's recommendations, we can conclude that in any given case an individual regimen is created and a specific drug is selected. These may be tablets, suppositories or injections.
| Pharmacological group | Instructions for use |
|---|---|
| Penicillin | Not effective against prostate inflammation |
| Tetracycline | Chlamydia, trichomonas, ureaplasma, gonorrhea prostatitis |
| Macrolides | Infectious wounds |
| Cephalosporins | Severity of bacterial prostatitis, cystitis, ureaplasmosis |
| Fluoroquinolones | Bacterial diseases in both forms, pharyngitis, diseases of the genitourinary system |
Treatment of prostatitis without antibiotics: is it possible?
Treatment of the disease without using antibacterial drugs is possible if it is caused by congestion. In this way, non-infectious prostatitis is considered the most common form of pathology. As a rule, the patient turns to a urologist when the process becomes chronic, because in the early stages it does not show symptoms.
Therapeutic measures are mainly aimed at eliminating the causes that cause the disease (restoration of hormone levels, normal sex, full sexual intercourse). Next, the doctor uses a complex treatment, which includes:
- anti-inflammatory drugs;
- physiotherapeutic procedures;
- massage therapy;
- frequent physical activity;
- folk remedies.
The use of antibiotics is considered inappropriate if the disease is detected at an early stage. Otherwise, to eliminate the risk of the proliferation of microorganisms, which inevitably occurs during stagnation, broad-spectrum drugs are prescribed.
Antibiotics help in the treatment of prostatitis if the inflammatory process is caused by pathogenic bacteria. But, despite the relative safety of the drugs, they should only be prescribed by a specialist who can help quickly cure the patient's illness. Therefore, at the first unpleasant symptoms you should visit a medical facility.