Prostatitis is a fairly common disease of the prostate, which affects a significant number of men worldwide. Organ inflammation is caused by a number of reasons, which the urologist takes into account when choosing treatment tactics. The plan is made for each patient individually, 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 cause their death. Today, it 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 involves drugs that only prevent them from reproducing, but don't kill them. Unable to reproduce, they are destroyed by the body's immune cells.
Antibacterial drugs are classified according to origin, chemical composition, mechanism of action and frequency of occurrence of resistant forms. Despite their differences, they all have a lot in common. This:
- high efficiency;
- ease of use;
- local impact;
- efficiency;
- ease of reception;
- a small list of side effects.
Medicines are intended to eliminate the inflammatory process and reduce 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 vital for the treatment of prostatitis in men and in what situations can you do without them?
Relevance to prostatitis
Inflammation of the prostate can be infectious and radically different in nature. In the first case, bacterial species are 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 degree of severity is no longer important.
Antibiotics for acute and chronic prostatitis are prescribed if the infectious form of the disease is confirmed.
The choice of funds is made by an expert, taking into account the following factors:
- causes of the inflammatory process;
- flow duration;
- degree of drug activity against pathogens;
- individual sensitivity of the patient to individual components.
Effect of drugs on the gland
The use of antibiotics is prescribed by a doctor to eliminate pathogenic microbes. This treatment option allows you to achieve the following results:
- relieve pain;
- normalize body temperature;
- increase in urodynamics;
- restore prostate function.
In prostatitis, the inflamed organ always increases in size, putting pressure on the surrounding tissues, which causes 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. To determine the choice of the optimal drug, it is necessary to consider them in more detail.
| Group name | Benefits | Disadvantages |
|---|---|---|
| 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 symptomatic signs: nausea, vomiting, dizziness and pain. |
| Cephalosporins | High activity; good tolerance; synergy with the products of the previous group; minimal side effects. |
Relatively weak effect against pneumococci; gastrointestinal dysfunction; photosensitivity (rare). |
| Macrolides | Low toxicity; high concentration; bacteriostatic effect; no cross allergy. |
Cause symptomatic manifestations; digestive system disorder. |
| Penicillins | High speed of action; minimum of unwanted reactions; relative safety; predictable consequences; short elimination period. |
Cleft in the gastrointestinal tract, therefore administered by injection; Do not use in prostatitis. |
| Tetracyclines | Bacteriostatic effect; wide range of applications. |
Microbial resistance to drugs of this group |
Types of dosage forms
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, solutions for injections, ointments and rectal suppositories are considered the most suitable.
Local remedies
Medicines for local application are considered "emergency" help in eliminating the disease. They are designed to deliver the drug to the site of the lesion and have a direct effect on inflammation and infection. For different forms of the disease, the use of drugs that have completely different medicinal effects is recommended. Today, there is a hugeselection of current products.
These are creams, pastes, gels, emulsions. It is considered advisable to use them externally during massage and rectally in the form of suppositories and tampons. Suppositories have no less effective effect.
Penetrating to the lesion, they give the following result:
- relieve pain;
- restore blood flow in the pelvic area;
- improve metabolic processes;
- inhibit inflammatory processes in the damaged organ.
Independent choice of any drug can worsen the situation and lead to serious consequences. Ointments are prescribed only for a chronic, sluggish process, and in acute form they are strictly prohibited, because they can cause the spread of an infectious agent through the bloodstream.
Suppositories have a similar therapeutic effect and are considered an absolutely safe form of medicine. The most popular are suppositories with levomycetin and other medicinal components. All of them reach the site of infection, bypassing the intestinal tract, so they retain 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 a urologist for the treatment of prostate inflammation. For use, the most preferred form of tablets is because self-injection of 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 numerous products that are popular. Some are effective in systemic therapy, while others are used in symptomatic treatment.
Choosing the right medicine
Among the various drugs, it is difficult for the average person to decide on any particular drug. How to choose the most suitable?
The selection of drugs should be done by a doctor, after having previously prescribed a set of procedures for examination. One of the most important diagnostic procedures is a swab from the urethra. A scraping from the mucous membrane is sent to the laboratory, where it is carefully examined to determine the type of pathogen. Here, bacteriological sowing of the flora is carried out, 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. Based on the obtained results, the urologist makes a decision on prescribing drugs.
Groups of antibiotics used for prostatitis
In the treatment of prostatitis, preference is given to broad-spectrum drugs that act 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, the patient can be prescribed drugs from the following groups:
- cephalosporins;
- fluoroquinolones;
- macrolides;
- penicillins;
- tetracyclines.
Each of the above is considered effective only against a specific set of pathogens, however, there are interchangeable drugs; only a doctor can assess the suitability of a prescription.
Description of representative
If you start listing all the antibiotics used for prostatitis, the list will be extensive. And yet, some of them are deservedly popular due to their good tolerability. Fluoroquinolones are considered the "gold standard" in the treatment of inflammation.
Medicines that supplement 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 the acute course, as well as in the chronic form of the disease. This means that the patient is prescribed drugs from other groups in addition to antibiotics. Traditionally, these are the following means:
- non-steroidal anti-inflammatory drugs - reduce pain, relieve inflammation;
- analgesics (painkillers) – stop acute attacks;
- alpha-blockers - relax the prostate and bladder muscles;
- immunomodulators – strengthen the body's resistance to infections;
- venotonics and angioprotectors – strengthen blood vessel walls, improve blood microcirculation.
The best antibacterial drugs, according to reviews of patients and doctors
It is difficult to list all the antibiotics used in the treatment of prostatitis. Studying the examination of each patient and the doctor's recommendation, we can conclude that in each specific case, an individual regimen is created and a specific drug is selected. It can be a pill, suppository or injection.
| Pharmacological group | Indications for use |
|---|---|
| Penicillins | Ineffective against prostate inflammation |
| Tetracyclines | Chlamydia, trichomonas, ureaplasma, gonorrheal prostatitis |
| Macrolides | Infectious lesions |
| Cephalosporins | Worsening of bacterial prostatitis, cystitis, ureaplasmosis |
| Fluoroquinolones | 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 when the process becomes chronic, because in the early stages it is asymptomatic.
Therapeutic measures are primarily aimed at eliminating the cause that caused the disease (restoring the hormonal level, regular sex, full sexual intercourse). Then, the doctor applies complex treatment, which includes:
- anti-inflammatory drugs;
- physiotherapeutic procedures;
- massage therapy;
- regular physical activity;
- folk remedies.
The use of antibiotics is considered inappropriate if the disease is detected in the early stages. Otherwise, in order to eliminate the risk of proliferation of microorganisms, which inevitably occurs during stagnation, broad-spectrum drugs are prescribed.
Antibiotics help in the treatment of prostatitis if the inflammatory process was caused by pathogenic bacteria. But, despite the relative safety of the drugs, they should be prescribed only by a specialist who can help to quickly cure the patient's illness. Therefore, at the first unpleasant symptoms, you should visit a medical facility.