Prostatitis is a fairly common disease of the prostate gland, affecting a significant percentage of men worldwide. Inflammation of the organ is due to a number of reasons that are taken into account by the urologist when choosing therapeutic 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 chemical substances 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, they are destroyed by the body's immune cells.
Antibacterial drugs are classified based on their 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 aimed at eliminating the inflammatory process and reducing 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 one do without them?
Relevance for prostate inflammation
Inflammation of the prostate gland can be infectious and radically different in 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 degree of severity no longer matters.
Antibiotics for acute and chronic prostatitis are prescribed if the infectious form of the disease is confirmed.
The choice of funds is made by a specialist, taking into account the following factors:
- causes of the inflammatory process;
- flow duration;
- the degree of activity of the drug against the pathogen;
- individual sensitivity of the patient to the individual components.
The 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 urodynamics;
- restore prostate function.
With prostatitis, the inflamed organ always increases in size, putting pressure on the surrounding tissues, causing pain. Antibacterial agents help relieve swelling, restore normal volume of the gland and its functionality.
Advantages and disadvantages
Inflammation and BPH are usually treated with antibacterial drugs from various groups. Each of them has its pros and cons. To determine the choice of the optimal remedy, it is necessary to consider them in more detail.
| Group name | Advantages | Cracking |
|---|---|---|
| Fluoroquinolones | Biological and clinical efficacy; easy tolerability; 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 low effect against pneumococci; gastrointestinal dysfunction; photosensitivity (rare). |
| Macrolides | Low toxicity; high concentration; bacteriostatic effect; no cross allergies. |
Cause symptomatic manifestations; digestive system disorder. |
| Penicillins | High speed of action; minimal adverse reactions; relative safety; foreseeable consequences; short elimination period. |
Split into the gastrointestinal tract, then administered 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
Complex therapy involves the use of various methods, one of which is taking medications. The pharmaceutical industry produces various dosage forms of antibiotics. In the treatment of prostatitis, tablets, capsules, injectable solutions, ointments and rectal suppositories are considered the most convenient.
Local remedies
Topical medicines are considered an "emergency" aid to eliminate the disease. They are designed to release the drug at the site of injury 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 medicinal effects. Today there is a large 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 effects.
Penetrating into 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 remedy can aggravate the situation and lead to serious consequences. Ointments are prescribed only for a chronic, slow process, and in acute form they are strictly prohibited, 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 medicine. 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 for the treatment of inflammation of the prostate. For administration, the tablet form is preferable, since self-injection of antibiotics is impossible and dangerous.
Herbal remedies
As is known, in urological practice there are two main directions of treatment of inflammation and prostatic adenoma: drugs and surgery. However, many experts suggest trying to eliminate 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 drug
Among the variety of drugs, it is difficult for the average person to settle on a specific drug. How to choose the most suitable one?
The selection of drugs should be carried out by a doctor, after prescribing a series of procedures for examination. One of the most important diagnostic procedures is a smear of the urethra. The mucosal scraping is sent to the laboratory, where it is carefully examined to identify 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. And based on the results obtained, the urologist decides whether to prescribe drugs.
Groups of antibiotics used for prostatitis
In the treatment of prostatitis, preference is given to broad-spectrum drugs 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 different types of pathogens. Based on this, the patient can be prescribed drugs from the following groups:
- cephalosporins;
- fluoroquinolones;
- macrolides;
- penicillins;
- tetracyclines.
Each of these is considered effective only against a certain set of pathogens, however, there are also interchangeable drugs, only the doctor can judge the appropriateness of the prescription.
Description of the representatives
If you start listing all the antibiotics used for prostatitis, the list will be long. Yet some of them are deservedly appreciated thanks 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 combined drug therapy is used in practice to quickly eliminate inflammation in its acute course, as well as in the chronic form of the disease. This means that in addition to antibiotics, the patient is prescribed drugs from other groups. Traditionally, these are the following means:
- non-steroidal anti-inflammatory drugs – reduce pain, relieve inflammation;
- analgesics (painkillers) – 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, improve blood microcirculation.
The best antibacterial drugs, according to reviews of patients and doctors
It is difficult to list all antibiotics used in the treatment of prostatitis. Studying the review of each patient and the doctor's recommendation, we can conclude that in each specific case an individual regimen is drawn up and a specific drug is selected. This may be a tablet, a suppository or an injection.
| Pharmacological group | Directions for use |
|---|---|
| Penicillins | Ineffective against inflammation of the prostate |
| Tetracyclines | Chlamydia, trichomonas, ureaplasma, gonorrhea prostatitis |
| Macrolides | Infectious lesions |
| Cephalosporins | Exacerbation of bacterial prostatitis, cystitis, ureaplasmosis |
| Fluoroquinolones | A disease of bacterial nature 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 has become chronic, since in the initial stages it is asymptomatic.
Therapeutic measures are primarily aimed at eliminating the cause that provoked the disease (restoration of hormone levels, regular sex, full sexual intercourse). Next, the doctor applies a 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 diagnosed in the early stages. Otherwise, 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 quickly cure the patient's disease. Therefore, at the first unpleasant symptoms you should visit a medical facility.