Prostatitis is a very common disease of the prostate, affecting a significant proportion of men worldwide. Inflammation of the organ is due to a number of reasons, which are taken into account by the urologist when choosing treatment tactics. The plan is drawn up for each patient individually, but in most situations it is impossible to obtain a positive result without the use of antibacterial drugs.
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, this is a broad category of medicines 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 medications 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 frequency of occurrence of resistant forms. Despite the differences, they all have a lot in common. That:
- high efficiency;
- easy to use;
- local impact;
- efficiency;
- ease of reception;
- a short list of side effects.
Medications 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 national 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 prostate inflammation
Prostate inflammation can be infectious and radically different in nature. In the first case, the bacterial species are isolated separately. In the latter 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 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 patient sensitivity 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:
- relieve pain;
- normalize body temperature;
- increase urodynamics;
- restore prostate function.
With prostatitis, the inflamed organ always increases in size, pressing on the surrounding tissues, which causes 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 medications from several groups. Each of them has its pros and cons. To determine the choice of the ideal remedy, it is necessary to consider them in more detail.
| Group's name | Benefits | Imperfections |
|---|---|---|
| Fluoroquinolones | Biological and clinical efficacy; easy tolerability; long half-life; minimal side effects; high bioavailability. |
Prohibited during pregnancy and lactation; toxic effects on the liver and kidneys; development of symptomatic signs: nausea, vomiting, dizziness and pain. |
| Cephalosporins | High activity; good tolerance; synergy with products from the previous group; minimal side effects. |
Relatively low 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 adverse reactions; relative security; predictable consequences; short elimination period. |
Cleavage in the gastrointestinal tract, therefore administered by injection; Do not use for prostate inflammation. |
| 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 several methods, one of which is the use of medications. The pharmaceutical industry produces several pharmaceutical forms of antibiotics. In the treatment of prostatitis, tablets, capsules, injectable solutions, ointments and rectal suppositories are considered the most convenient.
Local remedies
Topical medications are considered "emergency" aid in eliminating 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 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 effect.
Penetrating the lesion, they give the following result:
- relieve pain;
- restore blood flow in 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 and slow process, and in the 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, maintaining their original concentration and not negatively affecting 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 prostate inflammation. The tablet form is most preferred for administration as injecting antibiotics on your own is impossible and dangerous.
Herbal remedies
As you know, in urological practice there are two main directions of treatment of inflammation and prostate adenoma: medication 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.
Choosing the right medicine
Among the variety of medicines, it is difficult for an average person to decide on any specific medicine. How to choose the most suitable one?
The selection of medications must be made by the doctor, having previously prescribed a set of examination procedures. One of the most important diagnostic procedures is the urethral swab. The mucosal scraping is sent to the laboratory, where it is carefully examined to identify the type of pathogen. Bacteriological sowing of flora is carried out here, 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 on prescribing the medication.
Groups 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 various types of pathogens. Based on this, the patient can be prescribed medications from the following groups:
- cephalosporins;
- fluoroquinolones;
- macrolides;
- penicillins;
- tetracyclines.
Each of the above is considered effective only against a certain set of pathogens; however, there are also interchangeable medications; 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 tolerability. Fluoroquinolones are considered the "gold standard" in treating inflammation.
Medicines 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 medications 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 prostate and bladder muscles;
- 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 to treat prostatitis. Studying the assessment of each patient and the doctor's recommendation, we can conclude that in any specific case an individual regimen is drawn up and a specific medicine 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 | Exacerbation of bacterial prostatitis, cystitis, ureaplasmosis |
| Fluoroquinolones | A disease of a bacterial nature in both forms, pharyngitis, diseases of the genitourinary system |
Prostatitis treatment 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 see a urologist when the process becomes chronic, as in the early stages it is asymptomatic.
Therapeutic measures are mainly aimed at eliminating the cause that provoked the disease (restoration of hormonal levels, regular sex, full sexual intercourse). Then the doctor applies a complex treatment, which includes:
- anti-inflammatory medications;
- physiotherapeutic procedures;
- massage therapy;
- regular physical activity;
- folk remedies.
The use of antibiotics is considered inappropriate if the disease is detected in its 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 is caused by pathogenic bacteria. But, despite the relative safety of medicines, 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.