Prostatitis is a fairly common prostate disease that affects a significant proportion of men worldwide. Organ inflammation can have various causes, which the urologist takes into account when choosing treatment tactics. The plan is drawn up individually for each patient, but in most situations it is impossible to achieve a positive result without the use of antibacterial agents.
Antibiotics: characteristics of the pharmacological group
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 lead to their death. Today, this is a broad category of drugs used to treat infectious diseases caused by various pathogens. They are divided into two large groups. The first include active ingredients that cause microbes to die. The second includes drugs that only prevent their reproduction, but do not kill them. They cannot reproduce and are destroyed by the body's own immune cells.
Antibacterial drugs are classified according to their origin, chemical composition, mechanism of action and the frequency of emergence of resistant forms. Despite their differences, they all have a lot in common. The:
- high efficiency;
- User friendliness;
- local impacts;
- efficiency;
- easy reception;
- a small list of side effects.
Medications are designed to eliminate the inflammatory process and relieve symptoms. Currently, manufacturers in our country offer a wide range of medicines 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 essential for the treatment of prostatitis in men and in what situations can they be avoided?
Relevance for inflammation of the prostate
Inflammation of the prostate can be contagious and of a completely different nature. In the first case, the bacterial species is isolated separately. In the latter case, antimicrobial drugs are useless. Their use is possible only if the disease is caused by a representative of the biocenosis and the severity no longer plays a role.
Antibiotics for acute and chronic prostatitis are prescribed if the infectious form of the disease is confirmed.
The selection of funds is carried out by a specialist, taking into account the following factors:
- causes of the inflammatory process;
- duration of flow;
- the degree of activity of the drug against the pathogen;
- individual sensitivity of the patient to individual components.
The effect of medication on the gland
The use of antibiotics is prescribed by a doctor to eliminate pathogenic microbes. With this treatment option you can achieve the following results:
- Relieve pain;
- normalize body temperature;
- increase urodynamics;
- Restoration of prostate function.
With prostatitis, the inflamed organ always enlarges and puts pressure on the surrounding tissue, causing pain. Antibacterial agents help to relieve swelling, restore the normal volume of the gland and its functionality.
advantages and disadvantages
Inflammation and BPH are usually treated with antibacterial drugs from different groups. Each of them has its advantages and disadvantages. In order to choose the optimal remedy, it is necessary to take a closer look at it.
| Group name | Advantages | defects |
|---|---|---|
| Fluoroquinolones | Biological and clinical effectiveness; easy tolerability; long half-life; minimal side effects; high bioavailability. |
Forbidden during pregnancy and breastfeeding; toxic effect on liver and kidneys; Development of symptomatic signs: nausea, vomiting, dizziness and pain. |
| Cephalosporins | High activity; good compatibility; synergy with the products of the previous group; minimal side effects. |
Relatively low effect against pneumococci; gastrointestinal disorder; Sensitivity to light (rare). |
| Macrolides | Low toxicity; high concentration; bacteriostatic effect; no cross allergy. |
Cause symptomatic manifestations; Digestive system disorder. |
| Penicillins | High speed of action; minimal side effects; relative security; foreseeable consequences; short elimination period. |
Split in the gastrointestinal tract, hence administration by injection; Do not use for inflammation of the prostate. |
| Tetracyclines | Bacteriostatic effect; wide range of applications. |
Resistance of microbes to drugs of this group |
Types of dosage forms
In complex therapy, various methods are used, including taking medications. The pharmaceutical industry produces various dosage forms of antibiotics. In the treatment of prostatitis, tablets, capsules, solutions for injections, ointments and rectal suppositories are considered the most practical.
Local remedies
Drugs for topical use are considered "emergency aid" to eliminate the disease. They are designed to deliver the drug to the lesion site and have a direct effect on inflammation and infection. For different forms of the disease, the use of drugs with completely different medical effects is recommended. Nowadays there area huge selection of topical products.
These are creams, pastes, gels, emulsions. It is considered advisable to use them both externally during a massage and rectally in the form of suppositories and tampons. Suppositories have no less effective effect.
They penetrate the lesion and give the following result:
- Relieve pain;
- Restoration of blood circulation in the pelvic area;
- improve metabolic processes;
- inhibit inflammatory processes in the damaged organ.
Choosing a remedy yourself can aggravate the situation and lead to serious consequences. Ointments are prescribed only for chronic, sluggish processes and are strictly prohibited in acute form, as they can provoke the spread of the infectious agent through the bloodstream.
Suppositories have a similar therapeutic effect and are considered an absolutely safe form of medication. The most popular are suppositories with Levomycetin and other medicinal components. They all reach the site of infection bypassing the intestinal tract, so they retain their original concentration and do not have a 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 a urologist to treat inflammation of the prostate. The tablet form is best suited for administration, as injecting antibiotics alone is impossible and dangerous.
Herbal remedies
As is known, in urological practice there are two main directions of treatment of inflammation and prostate adenoma: medication and surgery. However, many experts recommend eliminating the unpleasant symptoms with the help of natural remedies. The pharmaceutical industry produces a number of popular products. Some are effective in systemic therapy, while others are used in symptomatic treatment.
Choose the right medication
With the variety of medications available, it is difficult for the average person to choose a particular medication. How to choose the most suitable one?
The selection of drugs should be made by a doctor who has previously prescribed a number of examination procedures. One of the most important diagnostic procedures is a smear from the urethra. The scraping of the mucous membrane is sent to the laboratory, where it is carefully examined to identify the type of pathogen. Here a bacteriological sowing of the flora takes place, the growth of which is monitored by a specialist. This determines not only the type of microbe, but also the degree of its activity and aggressiveness. And based on the results obtained, the urologist decides whether to prescribe medication.
Groups of antibiotics used for prostatitis
When treating prostatitis, preference is given to broad-spectrum drugs that are effective against a wide range of microbes. This approach is due to the fact that the development of the inflammatory process in some cases is due to the influence of several types of pathogens. Based on this, the patient can be prescribed drugs from the following groups:
- cephalosporins;
- fluoroquinolones;
- macrolides;
- penicillins;
- Tetracyclines.
Each of the above remedies is considered effective only against a specific group of pathogens, but there are also interchangeable drugs; only a doctor can assess the appropriateness of the prescription.
Description of representatives
If you start listing all the antibiotics used for prostatitis, the list becomes extensive. Nevertheless, some of them are rightly very popular due to their good tolerability. Fluoroquinolones are considered the "gold standard" in the treatment of inflammation.
Drugs that complement antibiotic therapy
Treatment of prostatitis at home with antibiotics alone will not be effective, since in practice combination drug therapy is used to quickly eliminate inflammation in the acute course, as well as in the chronic form of the disease. This means that in addition to antibiotics, the patient is also prescribed medications from other groups. Traditionally these are the following means:
- non-steroidal anti-inflammatory drugs – relieve pain, reduce inflammation;
- Analgesics (pain relievers) – stop acute attacks;
- Alpha blockers – relax the muscles of the prostate and bladder;
- Immunomodulators – strengthen the body's resistance to infections;
- Venotonics and angioprotectors – strengthen the walls of blood vessels and improve blood microcirculation.
The best antibacterial drugs, according to reviews of patients and doctors
It is difficult to list all the antibiotics used to treat prostatitis. If we study the reviews of each patient and the doctor's recommendation, we can conclude that in each individual case an individual treatment regimen is drawn up and a specific drug is selected. This can be a tablet, a suppository or an injection.
| Pharmacological group | Instructions for use |
|---|---|
| Penicillins | Ineffective against inflammation of the prostate |
| Tetracyclines | Chlamydia, Trichomonas, Ureaplasma, gonorrheic prostatitis |
| Macrolides | Infectious lesions |
| Cephalosporins | Exacerbation of bacterial prostatitis, cystitis, ureaplasmosis |
| Fluoroquinolones | A bacterial disease in both forms, pharyngitis, diseases of the genitourinary system |
Treatment of prostatitis without antibiotics: is it possible?
Treatment of the disease without the use of antibacterial drugs is possible if it is caused by congestion. By the way, non-infectious prostatitis is considered the most common form of pathology. As a rule, patients turn to a urologist if the process has become chronic, as it is asymptomatic in the early stages.
Therapeutic measures are aimed primarily at eliminating the cause of the disease (restoring hormonal levels, regular sex, full sexual intercourse). Next, the doctor applies complex treatment, which includes:
- anti-inflammatory drugs;
- physiotherapeutic procedures;
- massotherapy;
- regular physical activity;
- home remedies.
The use of antibiotics is considered inappropriate if the disease is detected in its early stages. Otherwise, broad-spectrum drugs are prescribed to eliminate the risk of proliferation of microorganisms, which inevitably occurs with stagnation.
Antibiotics help treat prostatitis if the inflammatory process was caused by pathogenic bacteria. However, despite the relative safety of medications, they should only be prescribed by a specialist who can help quickly cure a patient's disease. Therefore, at the first unpleasant symptoms, you should go to a medical facility.