Prostatitis is a fairly common disease of the prostate gland and affects a significant number of men worldwide. Inflammation of the organ is caused by a number of reasons, which are taken into account by the urologist when choosing treatment tactics. The plan is drawn up individually for each patient, but in most cases it is impossible to get a positive result without using antibacterial substances.
Antibiotics: characteristics of the pharmacological group
The term of the same name appeared for the first time 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 includes drugs that only inhibit their reproduction, but do not kill them. Those unable to reproduce 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 occurrence of their persistent forms. Despite their differences, they all have a lot in common. This:
- high efficiency;
- ease of use;
- local impact;
- efficiency;
- ease of admission;
- a small list of side effects.
Medicines are designed to eliminate the inflammatory process and reduce symptoms. Currently, manufacturers in our country offer a wide range of medicines used in local medicine and sent abroad.
Treatment of prostatitis with antibacterial drugs
Before therapy, it is necessary to determine the type of pathogen and determine the nature of the disease. When are antibiotics necessary for the treatment of prostatitis in men and in what cases can you do without them?
Relevance for inflammation of the prostate gland
Inflammation of the prostate gland can be radically different in nature, infectious and radical. 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.
If the infectious form of the disease is confirmed, antibiotics are prescribed for acute and chronic prostatitis.
The selection of funds is carried out by a specialist taking into account the following factors:
- the causes of the inflammatory process;
- the duration of the flow;
- degree of action of the drug against the pathogen;
- individual sensitivity of the patient to individual components.
Effects of drugs on glands
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, puts pressure on the surrounding tissues, which causes pain. Antibacterial substances help to eliminate swelling, restore the normal volume and functionality of the gland.
The good and the bad
Inflammation and BPH are usually treated with antibacterial drugs of different groups. Each of them has its pros and cons. To determine the choice of the optimal tool, it is necessary to consider them in more detail.
| Group name | Advantages | Defects |
|---|---|---|
| Fluoroquinolones | Biological and clinical efficacy; easy tolerance; long half-life; minimal side effects; high bioavailability. |
It is prohibited during pregnancy and lactation; toxic effect on the liver and kidneys; development of symptomatic signs: nausea, vomiting, dizziness and pain. |
| Cephalosporins | High activity; good tolerance; synergy with products of the previous group; minimal side effects. |
Relatively low effect against pneumococci; dysfunction of the gastrointestinal tract; photosensitivity (rare). |
| Macrolides | Low toxicity; high concentration; bacteriostatic effect; no cross-allergy. |
Causes symptomatic manifestations; digestive system disorder. |
| Penicillins | High movement speed; minimal negative reactions; relative safety; predictable results; short elimination period. |
Breakdown in the gastrointestinal tract is therefore administered by injection; Do not use for inflammation of the prostate. |
| 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 medication. The pharmaceutical industry produces several dosage forms of antibiotics. In the treatment of prostatitis, tablets, capsules, injection solutions, ointments, rectal suppositories are considered the most convenient.
Local remedies
Medicines for local use are considered "emergency aid" in the elimination of the disease. They are designed to deliver the drug to the site of the lesion and have a direct effect on inflammation and infection. It is recommended to use drugs with completely different medicinal effects for different forms of the disease. Today there is a huge selection of topical products.
These are creams, pastes, gels, emulsions. It is considered appropriate to use them both externally during 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;
- inhibits inflammatory processes in the damaged organ.
An independent choice of any means can aggravate the situation and lead to serious consequences. Ointments are prescribed only for a chronic, slow process, and in the acute form they are strictly prohibited, because they can cause the spread of the infectious agent through the bloodstream.
Suppositories have a similar therapeutic effect and are considered a completely safe form of medication. The most popular are suppositories with levomycetin and other medicinal components. All of them pass through the intestinal tract and reach the site of infection, 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 injection, prescribed by a urologist for the treatment of inflammation of the prostate gland. Tablet form is best for administration, as it is impossible and dangerous to inject antibiotics yourself.
Herbal remedies
As it is known, in urological practice, there are two main directions of treatment of inflammation and adenoma of the prostate gland: medicine 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 medicine
Among various medicines, it is difficult for a common man to be satisfied with any particular medicine. How to choose the most suitable?
The choice of medicine should be made by a doctor who previously prescribed a number of procedures for examination. One of the most important diagnostic procedures is a urethral smear. Scrapes from the mucous membrane are sent to the laboratory, where they are carefully examined to determine the type of pathogen. Bacteriological spraying of flora is carried out here, its growth 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 obtained results, the urologist makes a decision on prescribing drugs.
Antibiotic groups used for prostatitis
In the treatment of prostatitis, it is preferable to use 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 as a result of 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 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 extensive. However, some of them are deservedly popular due to their good tolerance. Fluoroquinolones are considered the "gold standard" in the treatment of inflammation.
Medicines that supplement antibiotic therapy
Treatment of prostatitis at home only with antibiotics will not be effective, because combined drug treatment is used in practice in the acute course of inflammation, as well as to quickly recover from the chronic form of the disease. This means that in addition to antibiotics, the patient is also prescribed drugs from other groups. Traditionally, these are the following means:
- non-steroidal anti-inflammatory drugs - reduce pain, eliminate 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, improve blood microcirculation.
The best antibacterial drugs according to the 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 come to the conclusion that in any specific case, an individual regimen is drawn up and a special drug is selected. It can be a tablet, suppository or injection.
| Pharmacological group | Instructions for use |
|---|---|
| Penicillins | It is ineffective against inflammation of the prostate gland |
| Tetracyclines | Chlamydia, trichomonas, ureaplasma, gonorrhoeal prostatitis |
| Macrolides | Infectious lesions |
| Cephalosporins | Exacerbation of bacterial prostatitis, cystitis, ureaplasmosis |
| Fluoroquinolones | In both forms, a disease of a bacterial nature, 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 consult a urologist when the process becomes chronic, because it is asymptomatic in the early stages.
Therapeutic measures are primarily aimed at eliminating the cause of the disease (restoration of hormonal levels, regular sex, full sex). Then the doctor applies complex treatment, which includes:
- anti-inflammatory drugs;
- physiotherapeutic procedures;
- massage therapy;
- regular physical activity;
- folk treatment.
If the disease is detected at an early stage, the use of antibiotics is considered inappropriate. Otherwise, a wide range of drugs are prescribed to eliminate the risk of reproduction of microorganisms that inevitably occur during stagnation.
If the inflammatory process is caused by pathogenic bacteria, antibiotics help in the treatment of prostatitis. But despite the relative safety of the drugs, they should be prescribed only by a specialist who can help treat the patient's illness quickly. Therefore, you should contact a medical institution at the first unpleasant symptoms.