Prostatitis is a fairly common disease of the prostate, affecting a significant proportion of men worldwide. Inflammation of the organ occurs due to a number of reasons that are taken into account by the urologist 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 capable of inhibiting the vital activity of certain bacteria and causing 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 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 according to their origin, chemical composition, mechanism of action and the frequency of appearance 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.
Medications are intended to eliminate the inflammatory process and reduce symptoms. Currently, manufacturers of our country offer a wide range of drugs used in national medicine and shipped abroad.
Treatment of prostatitis with antibacterial drugs
Before carrying out treatment, 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?
Importance for prostate inflammation
Prostate inflammation 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 carried out 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 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:
- ease the pain;
- normalize body temperature;
- increase urodynamics;
- restore prostate function.
With prostatitis, the inflamed organ always grows, putting pressure on surrounding tissues, causing pain. Antibacterial agents help 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 remedy, it is necessary to consider them in more detail.
| Group name | Benefits | Defaults |
|---|---|---|
| Fluoroquinolones | Biological and clinical effectiveness; 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 | Great speed of action; minimal adverse effects; relative security; foreseeable consequences; short waiting period. |
Cleavage in the gastrointestinal tract, therefore administered by injection; Do not use in case of 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, including taking medications. The pharmaceutical industry produces several dosage forms of antibiotics. In the treatment of prostatitis, tablets, capsules, solutions for injection, ointments and rectal suppositories are considered the most convenient.
Local remedies
Medications for topical use are considered "emergency" help to eliminate the disease. They are designed to deliver medication to 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 with completely different medicinal effects. Today there is a wide choice of topical products.
These are creams, pastes, gels, emulsions. It is recommended to use them both externally during a 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:
- ease the pain;
- restore blood circulation to the pelvic region;
- 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 cause 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 containing levomycetin and other medicinal components. All of them reach the site of infection, bypassing the intestinal tract, therefore 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, which are prescribed by a urologist for the treatment of inflammation of the prostate. The tablet form is most preferable for administration, since injecting antibiotics on your own is impossible and dangerous.
Herbal Remedies
As is known, in urological practice there are two main directions of treatment of inflammation and adenoma of the prostate: medications and surgery. However, many experts suggest trying to get rid of 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.
Choosing the right medication
Among the variety of drugs, it is difficult for an average person to choose a particular drug. How to choose the most suitable one?
The selection of drugs should be carried out by a doctor, after prescribing a set of examination procedures. One of the most important diagnostic procedures is the urethral smear. The 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 the flora is carried out, the growth of which is monitored by a specialist. This determines not only the type of microbe, but also its degree of activity and aggressiveness. And based on the results obtained, the urologist makes a decision on prescribing the drug.
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 under the influence of several types of pathogens. Based on this, the patient may be prescribed medications belonging to the following groups:
- cephalosporins;
- fluoroquinolones;
- macrolides;
- penicillins;
- tetracyclines.
Each of the above products is considered effective only against a certain set of pathogens, but there are also interchangeable drugs: only a doctor can judge the appropriateness of the prescription.
Description of representatives
If you start listing all the antibiotics used for prostatitis, the list will be long. And yet, some of them are deservedly popular due to their good tolerance. Fluoroquinolones are considered the "gold standard" in the treatment of inflammation.
Medications complementary to 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 belonging to 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 the antibiotics used in the treatment of prostatitis. Studying the opinion of each patient and the doctor's recommendation, we can conclude that in each specific case an individual diet is developed and a specific drug is selected. This can be a tablet, suppository or injection.
| Pharmacological group | Indications for use |
|---|---|
| Penicillins | Ineffective against prostate inflammation |
| Tetracyclines | Chlamydia, trichomonas, ureaplasma, gonorrheal prostatitis |
| Macrolides | Infectious lesions |
| Cephalosporins | Exacerbation 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 has become chronic, since at first it is asymptomatic.
Therapeutic measures are aimed primarily at eliminating the cause that provoked the disease (restoration of hormonal levels, regular sexual relations, full 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 at an early stage. Otherwise, to eliminate the risk of proliferation of microorganisms, inevitable in case of 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 drugs, they should be prescribed only by a specialist who can help quickly cure the patient's illness. Therefore, at the first unpleasant symptoms, you should go to a medical institution.