Prostatitis is a fairly common disease of the prostate gland that affects a significant proportion of men around the world. Inflammation of the organ is due to several reasons that the urologist takes into account when choosing treatment tactics. The plan is drawn up 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 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 that are 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 appearance of resistant forms. Despite their differences, they all have a lot in common. This:
- high efficiency;
- Easy to use;
- local impact;
- efficiency;
- ease of reception;
- a small list of side effects.
The medications are intended to eliminate the inflammatory process and reduce symptoms. Currently, manufacturers in our country offer a wide range of drugs that are used in domestic medicine and shipped 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 they be dispensed with?
Relevance to inflammation of the prostate.
Prostate inflammation can be infectious and of a radically different nature. In the first case, the bacterial species is 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 are prescribed for acute and chronic prostatitis 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 individual components.
The effect of drugs on the gland.
The doctor prescribes the use of antibiotics 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 increases in size, putting pressure on the 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 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 | Defects |
|---|---|---|
| Fluoroquinolones | Biological and clinical effectiveness; 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 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 allergy. |
Cause symptomatic manifestations; digestive system disorder. |
| penicillins | High speed of action; minimal adverse reactions; relative security; predictable consequences; short elimination period. |
Division in the gastrointestinal tract, so it is 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 pharmaceutical forms
Complex therapy involves the use of various methods, one of which is taking medications. The pharmaceutical industry produces various pharmaceutical forms of antibiotics. In the treatment of prostatitis, the most convenient are tablets, capsules, injectable solutions, ointments and rectal suppositories.
Local remedies
Topical medications are considered "emergency" help to eliminate the disease. They are designed to deliver the drug 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 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 effect.
Penetrating up to the lesion, they give the following result:
- ease the 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 and 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 medication. The most popular are suppositories with 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.
Medications 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 more 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 prostate inflammation and 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 a number of products that are popular. Some are effective in systemic therapy, while others are used in symptomatic treatment.
Choosing the right medicine
Among the variety of medications, it is difficult for the average person to decide on any specific drug. How to choose the most suitable one?
The selection of drugs should be carried out by a doctor, having previously prescribed a set of examination procedures. One of the most important diagnostic procedures is a urethral smear. The scraping of the mucous membrane is sent to the laboratory, where it is carefully examined to identify the type of pathogen. Here the bacteriological sowing of the flora is carried out, the growth of which is controlled by a specialist. Not only the type of microbe depends on this, but also the degree of its activity and aggressiveness. And based on the results obtained, the urologist makes the decision to prescribe medications.
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 drugs 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 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. And yet, some of them are deservedly popular due to their good tolerability. Fluoroquinolones are considered the "gold standard" in the treatment of inflammation.
Medications that complement antibiotic therapy.
Treatment of prostatitis at home with antibiotics alone will not be effective, since in practice combined therapy with drugs is used 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 (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 and 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. By studying the opinion 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 drug is selected. It can be a tablet, suppository, or injection.
| Pharmacological group | Indications for use |
|---|---|
| penicillins | Ineffective against inflammation of the prostate. |
| 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. |
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 go to the urologist when the process has become chronic, since in the early stages it is asymptomatic.
Therapeutic measures are aimed primarily at eliminating the cause that provoked the disease (restoration of hormonal levels, regular sexual relations, full sexual relations). Next, the doctor applies a complex treatment, which includes:
- anti-inflammatory medications;
- physiotherapeutic procedures;
- massage therapy;
- regular physical activity;
- home remedies.
The use of antibiotics is considered inappropriate if the disease is detected 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 only be prescribed by a specialist who can help quickly cure the patient's illness. Therefore, at the first unpleasant symptoms it is advisable to go to a medical center.