Antibiotics for prostatitis: groups of drugs and their use

Prostate treatment

14.04.2018

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Prostatitis is an inflammatory disease of the prostate gland. Begins to develop in 80% of young men aged 20 to 30 years. There are acute and chronic prostatitis. Bacterial prostatitis occurs in 10% of cases. A combination of prostatitis with prostate adenoma and cystitis is often found.

Prostatitis is usually treated at home, but in severe cases and acute forms, hospitalization may be necessary.

Bacteria that cause inflammation of the prostate gland:

• Escherichia coli (the most common pathogen);
• Klebsiella;
• staphylococci;
• streptococci;
• Pseudomonas aeruginosa;
• chlamydia;
• mycoplasma;
• gonococci;
• Trichomonas

Main symptoms:

• burning in the urethra;
• heaviness when urinating;
• frequent urge to urinate, accompanied by unpleasant sensations;
• sluggish stream of urine;
• feeling of fullness of the bladder even after urination;
• decreased potency;
• high temperature (in acute form).

Diagnostic methods:

• digital rectal examination of the prostate;
• ultrasound examination of the prostate
• microscopic examination of a smear;
• bacterial culture of the smear;
• detection of bacterial DNA by PCR - Androflor.

The choice of antibiotics for the treatment of prostatitis is quite limited. This is due to the fact that only those antibiotics that are highly soluble in fats are able to accumulate in sufficiently high concentrations in the prostate gland.

List of antibacterial drugs for the treatment of acute prostatitis:

• Fluoroquinolones;
• Penicillins;
• Cephalosporins;
• Aminoglycosides.

Antibiotics for the treatment of chronic prostatitis:

• Fluoroquinolones;
• Macrolides;
• Tetracyclines;
• Co-trimoxazole.

Fluoroquinolones are the most effective drugs for bacterial prostatitis. Broad-spectrum drugs. Active against all pathogens of prostatitis.

They are used for both acute and chronic prostatitis.

Side effects:

• photodermatitis - allergic skin irritation under the influence of sunlight;
• tendonitis - inflammation of the tendons;
• heart rhythm disturbances - prolongation of the QT interval;
• anxiety;
• sleep disturbance.

When taking fluoroquinolones simultaneously with nonsteroidal anti-inflammatory drugs (aspirin, paracetamol, diclofenac, etc.), convulsions similar to those during an epileptic seizure may occur.

Scheme for using fluoroquinolones:

Title and photo	Dosage regimen for acute prostatitis	Regimen for chronic prostatitis
Levofloxacin (Tavanic)	500 mg per day IV for 2 weeks, then 500 mg per day orally for 2 weeks	Drink 500 mg per day for 8 weeks
Ciprofloxacin (Ciprolet)	500 mg 2 times a day intravenously for 2 weeks, after 500 mg/day orally for 2 weeks	Drink 500 mg 2 times a day, 8 weeks
Ofloxacin (Ofloxin)	400 mg twice daily IV for 2 weeks, then 400 mg/day orally for 2 weeks	Drink 400 mg 2 times a day, 8 weeks
Norfloxacin (Nolitsin)	400 mg 2 times a day intravenously for 2 weeks, then 400 mg/day orally for 2 weeks	Drink 400 mg 2 times a day, 8 weeks
Pefloxacin (Abactal)	400 mg twice daily intravenously for 2 weeks, then 400 mg daily orally for 2 weeks	Drink 400 mg 2 times a day, 8 weeks

In each specific case of illness, the dosage and form of use can only be prescribed by the attending physician.

The best medicines for prostatitis caused by intracellular pathogens - chlamydia and mycoplasma. They have an anti-inflammatory effect.

• The disadvantage is its low effectiveness against the main pathogens - Escherichia coli and Klebsiella.
• They are used only for chronic prostatitis in the form of tablets or capsules.
• Side effects:

• increased liver enzymes in the blood;
• bile stagnation;
• heart rhythm disturbances - prolongation of the QT interval

Regimen for taking macrolides (course is 8 weeks):

Title and photo	Dosage
Erythromycin	400 mg 4 times a day
Clarithromycin (Klacid)	1000 mg per day in 2 divided doses
Josamycin (Vilprafen)	1000 mg per day in 2 divided doses
Aziromycin (Sumamed)	500 mg 1 time per day
Roxithromycin (Esparoxy)	150 mg 2 times a day
Spiramycin (Rovamycin)	3 million IU 3 times a day

Active against chlamydia and mycoplasma. Ineffective against common prostatitis pathogens. Their main advantage is that they are inexpensive and effective.

Used only for chronic prostatitis.

The most commonly used drug is Doxycycline in capsules, which is prescribed for adults 2 times a day. The course of therapy is 8 weeks.

Side effects:

• peptic ulcer of the esophagus;
• liver and kidney damage;
• yellow staining of teeth;
• photodermatitis;
• impaired motor coordination

Prescribed for chronic prostatitis if the above drugs do not help get rid of the disease.

Trade name: Biseptol. Take 960 mg 2 times a day. The full course is 8 weeks.

They are used in the form of injections in the following cases:

• severe course of acute prostatitis;
• lack of effect when taking fluoroquinolones;
• The main causative agent of prostatitis is gonococci.

Scheme for the use of penicillins, cephalosporins and aminoglycosides:

Pharmacological group	Drug name	Dosage
Penicillins	Amoxiclav	625 mg 3 times a day, 10 days
Cephalosporins	Cefixime (Suprax)	400 mg once a day, 10 days
Cefuroxime (Zinnat)	250 mg 2 times a day, 10 days
Cefoperazone	1000 mg once a day? 10 days
Ceftibuten (Cedex)	400 mg once a day, 10 days
Amine glycosides	Gentamicin	1 mg/kg 3 times a day for 10 days
Amikacin	5 mg/kg 3 times a day for 10 days

These drugs are used for prostatitis caused by Trichomonas.

It is strictly forbidden to drink alcohol while taking them.

Scheme for the use of nitrofurans and nitroimidazoles

Pharmacological group	Drug name	Dosage
Nitrofurans	Furazolidone	400 mg per day in 4 divided doses
Nifuratel (MacMirror)	400 mg per day in 2 divided doses
Nitroimidazoles	Metronidazole (Trichopol)	750 mg per day in 3 divided doses
Ornidazole (Tiberal)	1000 mg per day in 3 divided doses
Tinidazole	1000 mg per day in 2 divided doses

Side effects:

• metallic taste in the mouth;
• impaired coordination of movements;
• increased levels of liver enzymes in the blood;
• decrease in the number of red blood cells and white blood cells.

For the successful treatment of prostatitis, especially chronic, in addition to taking antibiotics, the following types of treatment are used:

• Prostate massage is the best way to improve blood supply and drain inflammatory secretions from the prostate gland;
• physiotherapy;
• non-steroidal anti-inflammatory drugs - not used in parallel with fluoroquinolones;
• herbal preparations;
• alpha-blockers - Tamsulosin, Doxazosin, Terazosin.

Source: https://zdravman.com/prostate/treatment-prostate/antibiotiki-pri-prostatite.html

The need to take antibiotics in the treatment of prostatitis in men

The need for antibacterial therapy in acute forms of bacterial prostatitis with severe symptoms is beyond doubt.

But is it advisable to take antibiotics for chronic and nonspecific inflammation of the prostate gland? And is there a difference between groups of antibacterial drugs in the treatment of prostatitis?

In the article we will talk about how to treat prostatitis in men with antibiotics and what contraindications there are for taking them. And below you will find a list of antibiotics for prostatitis.

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Antibiotics for prostatitis in men: do you always need to take them?

The goal of treatment for prostatitis is to restore normal function of the prostate gland and urethra with the obligatory elimination of the pathogen. It is to eliminate the pathogen that antibiotic for prostatitis in men.

Antibiotics are absolutely indicated for acute bacterial and chronic infectious prostatitis, as well as test therapy for inflammation of the prostate gland.

Since long-term treatment of prostatitis with antibiotics negatively affects the immune system, digestive organs, liver and kidneys, the course of treatment should not exceed 2 weeks.

antibiotic treatment for prostatitis in men are obvious:

• they suppress the growth of pathogenic microorganisms in the prostate gland and urethra;
• prevent the development of complications due to the disease (infertility, urethritis, epididymitis);
• in case of chronic prostatitis, they prevent the development of exacerbations, which, if repeated, are often fraught with complications.

• However, if you decide to start treating prostatitis with antibiotics at home, then remember that antibacterial drugs can be prescribed after laboratory diagnosis of the disease, examination of the flora and identification of the pathogen.
• For nonspecific prostatitis (an inflammatory process of unknown etiology), antibiotic therapy is not only ineffective, but also increases the risk of developing dysbacteriosis , and can also aggravate the course of the disease, provoking the development of mycotic (fungal) lesions of the prostate gland.
• It is also important to choose an antibiotic for the treatment of prostatitis in men, the one that is most active in relation to the identified causative agent of the infection.
• Important: Choosing effective antibiotics for prostatitis “blindly” without first identifying the pathogenic microorganism can only harm the body .
• Also, many antibiotics do not penetrate the prostate gland well; their concentration is insufficient to affect bacteria, as a result of which the latter develop resistance to this drug.
• In acute forms of prostatitis, occurring with pronounced symptoms: intoxication of the body, fever, pain in the perineum, inability and pain of urination, the necessary course of treatment of prostatitis with antibiotics and their intravenous administration to achieve a high concentration of the drug.

Kinds

In recent years, bacterial resistance to certain drugs has sharply increased, therefore, before starting antibiotic for prostatitis in men, it is necessary to examine the patient for the entire group of STIs and pathogenic flora, determining the resistance of certain microorganisms to certain drugs.

What antibiotics are used to treat prostatitis? The following groups of antibacterial drugs are distinguished (the best antibiotics for prostatitis):

1. Penicillins - ampicillin, amoxiclav, amosin, amoxicillin. In the past, such antibiotics were actively used for inflammation of the prostate; with the advent of the most active antibacterial drugs, they practically lost their clinical significance, due to the increased number of negative bacteria resistant to penicillin.
2. Tetracyclines – vibromycin, tetracycline, doxycycline. They are active against gonococci, chlamydia, and mycoplasmas. More often used in the treatment of chronic infectious prostatitis caused by the above pathogens.
3. Macrolides - erythromycin, josamycin, azithromycin, roxithromycin, clarithromycin. These antibiotics for prostatitis have a wide spectrum of action and low toxicity.
4. Cephalosporins – cefotaxime, ceftriaxone, cefixime. They are actively used in the treatment of acute forms of bacterial prostatitis. These are good antibiotics for prostatitis; they have a wide spectrum of action and high activity against pathogenic bacteria.
5. Fluoroquinolones – ciprofloxacin, ofloxacin, lomefloxacin, levofloxacin. Often used for complex treatment of chronic inflammation of the prostate, and for acute uncomplicated inflammation of the prostate gland (effectiveness up to 100%). They have high activity and low toxicity (do not disturb the intestinal microflora).

Antibiotics for prostatitis in men - names, treatment regimen for prostatitis with antibiotics and spectrum of action:

It is difficult to say which antibiotics for prostatitis are the best. After all, they all have different indications for use.

By injection

Which antibiotic is best for prostatitis? If you have an acute form of bacterial prostatitis, with pronounced symptoms of inflammatory processes, intramuscular administration of antibiotics from the cephalosporin - Cefotaxime , Ceftriaxone .

1. Intramuscular administration of the drug is carried out strictly by a medical worker in an outpatient clinic once a day.
2. It is prohibited to give injections yourself at home .
3. For emergency relief of symptoms in complicated acute prostatitis, intravenous injections of the drug Sumamed , usually in a hospital setting.

When treating prostatitis in men with antibiotics, it is necessary to take into account their effect on spermatogenesis , therefore it is forbidden to plan conception for 4 months after the course of treatment.

Recommendations for taking and treating prostatitis in men with antibiotics:

1. The drug is prescribed strictly by a doctor and only after the results of laboratory diagnostics.
2. If possible, for chronic prostatitis it is more advisable to take fluoroquinolones , which have a wide spectrum of action, high activity and low toxicity. They do not change the intestinal microflora and have an immunomodulatory effect.
3. The duration of treatment is determined by the doctor and is strictly observed.
4. While taking medications, it is necessary to refrain from fatty, excessively salty, spicy and sweet foods to ease the load on the liver. If necessary, antihistamines may be prescribed.
5. After antibiotic therapy, it is recommended to take eubiotics to normalize the intestinal microflora for 3 to 4 weeks.

In the treatment of chronic and acute inflammation of the prostate gland, antibiotics are only a component of complex therapy, which includes: taking anti-inflammatory and painkillers, physiotherapy, prostate massage, herbal medicine. Sanatorium-resort treatment of patients with chronic prostatitis is effective.

What is the most effective antibiotic for prostatitis? They all have different effects on the body and each has individual sensitivity, so it is impossible to choose the best one.

Contraindications

A complex of antibiotics for prostatitis is prescribed only by the attending physician when a diagnosis has been established and the causative agent of the disease has been identified through diagnostic methods.

• Since this can only worsen the course of the disease.
• Taking antibacterial drugs is prohibited for persons who have hypersensitivity to the active substance.
• This also applies to men who have severe renal and liver failure.

Such patients should be treated for prostatitis without antibiotics . For diseases of the gastrointestinal tract, antibiotic therapy is carried out under the supervision of a physician.

Natural

For bacterial prostatitis in the acute stage, treatment with antibacterial drugs is necessary and there are no alternative therapeutic methods. As for natural antibiotics for prostatitis, herbal medicine may be indicated for chronic prostatitis as an auxiliary treatment.

Now you know what antibiotics to take for prostatitis. Remember, if the causative agent of prostatitis is bacteria , the only effective treatment is antibiotic therapy.

However, to achieve a full healing effect a comprehensive treatment , including anti-inflammatory drugs, prostate massage, physiotherapy, and reflexology.

Source: https://samec.guru/zabolevaniya/andrologiya/prostatit/lechenie/antibiotikami.html

7 effective groups of antibiotics for the treatment of chronic prostatitis

Antibiotics for chronic prostatitis are prescribed to eliminate the bacterial factor that causes inflammation of the gland. The goals of antibiotic therapy are to relieve symptoms, prevent complications, and restore normal functioning of the prostate .

The medications are prescribed by the attending physician based on test results (necessary tests for prostatitis). The general name “antibiotics” refers to several groups of drugs of various compositions with pronounced antibacterial activity.

True antibiotics are substances of natural origin or their full synthetic analogues.

Fluoroquinolones

Fluoroquinolone drugs (2nd generation quinolones) are currently recognized as the most effective for the treatment of chronic prostatitis. They are appointed first. Fluoroquinolones differ from antibiotics in that they have no natural analogues.

Preparations based on this group of substances inhibit enzymes vital for microbial cells: topoisomerase-4, DNA gyrase. As a result, DNA ceases to be synthesized, which leads to cell death.

In addition, fluoroquinolones provoke a number of other processes that destabilize the development of the microbe.

List of drugs prescribed for chronic prostatitis:

• 1st generation: ciprofloxacin ("Tsiprolet"), lomefloxacin ("Lomflox"), ofloxacin, norfloxacin ("Nolitsin"), pefloxacin ("Abaktal"). Particularly effective for chronic prostatitis caused by gram-negative bacteria (Proteus, Escherichia coli, Klebsiella, Haemophilus influenzae, Pseudomonas aeruginosa);
• 2nd generation: levofloxacin (“Tavanic”). They act on all previous pathogens, as well as mycoplasma and chlamydia;
• 3rd generation: moxifloxacin (Avelox). The list of pathogens against which fluoroquinolones of the 1st and 2nd generations are active has been supplemented with anaerobic bacteria.

Practicing dermatovenerologist Vyacheslav Vasilievich Makarchuk about the drug “Levofloxacin”

1-3 hours after administration, the maximum concentration of the active substance is reached. Eating may slow down the process, but will not affect bioavailability .

The particular value of fluoroquinolones in the treatment of chronic prostatitis lies in their ability to easily penetrate tissues and organs, including the prostate gland.

The half-life is long, so it is enough to take 1-2 tablets per day.

Main side effects :

1. Disorders of the digestive system.
2. Drowsiness, cramps, headaches.
3. Rash, itching, photophobia.

Fluoroquinolones are considered relatively safe substances, but are not recommended for patients with kidney pathologies . This type of antibiotic should not be taken simultaneously with vitamin complexes and antacids, since as a result the antibacterial activity will decrease due to the formation of insoluble complexes.

Macrolides

Macrolides are a group of substances of natural origin (products of secondary cellular metabolism of fungi, plants, animals, called polyketides). Macrolides are considered the least toxic and well tolerated of all antibiotics . For chronic prostatitis, 2-3 queue drugs are prescribed (reserve row).

Types of macrolides:

1. Natural origin: erythromycin, josamycin (“Vilprafen”).
2. Prodrugs (substances that activate after entering the body): salts and esters of erythromycin.
3. Semi-synthetic origin: azithromycin (“Sumamed”). Prescribed for chronic prostatitis caused by chlamydia, Staphylococcus aureus, and mycoplasmas. You can take 1 tablet per day.

For chronic prostatitis, Azithromycin Forte is often prescribed. The drug is active against Haemophilus influenzae, gonococcus, and streptococcus. The half-life is 2 days.

Protected penicillins

Protected penicillins are those containing inhibitors of beta-lactamase, a microbial enzyme that destroys antibiotics. Drugs in this group can be divided into 2 types (active substance + inhibitor):

• Amoxicillin + clavuanic acid: “Amoxiclav”, “Kuram”, “Augmentin”;
• Apmicillin + sulbactam: “Sultasid”, “Ampisid”.

Protected penicillins for chronic prostatitis are prescribed in cases of individual intolerance to fluoroquinolones by the patient .

Cephalosporins

The group of cephalosporins includes drugs based on aminocephalosporanic acid. Semi-synthetic derivatives are characterized by increased resistance (resistance) to the destructive effects of beta-lactamase. They damage the cell walls of bacteria, causing their death.

Examples of cephalosporin antibiotics prescribed for chronic prostatitis:

• "Rofecin";
• "Klaforan";
• "Suprax";
• "Zinnat".

II generation cephalosporin. Price in pharmacies from 223 rubles.

Cephalosporins are active against enterobacteria, gonococci, Klebsiella, Proteus, and Escherichia coli.

Side effects may include impaired renal function, allergies, and muscle pain. Cephalosporins are incompatible with alcohol. Drugs of this class are administered mainly intramuscularly.

Tetracyclines

Tetracycline group drugs are active against a wide range of bacterial pathogens . Prescribed for chronic prostatitis caused by Escherichia coli, staphylococcus, chlamydia, mycoplasma.

Side effects include dyspepsia, headache, itching, and rash . Not prescribed for liver failure, fungal prostatitis and other mycoses. The drug may change the color of tooth enamel. Doxycycline is most easily tolerated by patients.

Tetracyclines should not be taken at the same time as any dairy products, as absorption will be impaired.

Prices for the most commonly prescribed antibiotics for chronic prostatitis (RUB):

• "Amoxiclav" - from 100;
• "Suprax" - from 510;
• “Tsiprolet” - from 60;
• “Sumamed” - from 200;
• "Azithromycin forte" - from 150;
• "Ceftriaxone" - from 18.

The cost of drugs varies greatly. During treatment, the doctor can change or combine them, so it is difficult to calculate in advance how much the entire course will cost.

Antibiotics in the form of suppositories

Rectal suppositories containing antibiotics provide more effective delivery of medicine to the tissues of the gland, bypassing the gastrointestinal tract . For prostatitis caused by Proteus, chlamydia, staphylococcus, suppositories with rifampicin are prescribed. Not commercially available, must be ordered with a prescription from industrial pharmacies.

A popular addition to the main therapy are Vitaprost Plus suppositories , which contain fluoroquinolone, lomefloxacin and prostate extract (a substance of animal origin). The drug has an antibacterial and anti-inflammatory effect not only on the gland, but also on the organs of the urinary system.

The cost of rectal suppositories is from 712 rubles.

In the complex treatment of chronic prostatitis caused by bacilli, staphylococci, streptococci, Proctosedyl suppositories . An antibiotic from the group of aminoglycosides, framycetin, acts as an antibacterial agent. Suppositories effectively relieve inflammation and pain due to the glucocorticosteroids and benzocaine included in the composition.

Suppositories with chloramphenicol are used to treat chronic prostatitis caused by pathogens resistant to tetracyclines, sulfonamides, and penicillin.

The active ingredient is the antibiotic chloramphenicol. Active against staphylococcus, streptococcus, chlamydia, various types of bacilli.

Suppositories with syntomycin also have an inhibitory effect on these types of prostatitis pathogens.

Natural antibiotics

Natural antibiotics contained in plants and bee products are an effective auxiliary component in the treatment of chronic bacterial prostatitis.

They have less pronounced activity, but do not cause harm to health.

Doctors recommend periodically using these drugs for prevention during periods of remission or to consolidate the results of treatment of exacerbations (after relief of symptoms).

Cranberry tincture

Regular consumption of cranberries ensures natural disinfection of the bladder and urinary tract, improves urine flow, and helps relieve inflammatory reactions.

Cranberry tincture : grind fresh berries, add half a glass of sugar, heat to a boil, pour in a glass of vodka. Drink 50 g three times a day.

Effective recipes for folk remedies for the treatment of prostatitis

Bee products

One of the most powerful natural antibiotics is propolis . The substance is active against staphylococci, streptococci and a wide range of other pathogens. In addition, it has a pronounced anesthetic effect and enhances the effect of pharmaceutical antibiotics. For chronic prostatitis, it is used in the form of tinctures and rectal suppositories .

Vodka tincture (proportion: 50 g of propolis per 50 ml):

• Place the propolis in the refrigerator for several hours;
• Remove, wrap in cling film and crush with a hammer;
• Pour vodka and place in a dark place for 2 weeks.

Method of administration for prostatitis : dilute 40 drops in half a glass of milk or water. Drink three times a day before meals.

For a direct effect on the prostate : 30 g of propolis is melted in a glass of vegetable oil, soaked in a tampon and inserted into the anus. The minimum exposure time is 1-2 hours.

Dead bees (dry bees) have pronounced antibacterial properties For prostatitis, it is taken in the form of a tincture or decoction .

In the first case, 5-6 tablespoons are poured into 0.5 liters of vodka and left for 3 weeks. Take 20 drops in the morning after meals.

The course is 30 days, then there is a break for 2 weeks, followed by another month of continuous use.

Honey, royal jelly, and drone homogenate also have a pronounced antibacterial effect.

St. John's wort tincture

The effectiveness of St. John's wort for certain types of chronic bacterial prostatitis is due to its following properties:

1. Suppresses the growth of E. coli.
2. Is a natural antispasmodic.
3. Promotes tissue regeneration.

The most effective dosage form is tincture . To prepare it, pour a tablespoon of raw material into 1 liter of vodka, add 50 g of honey, and leave for a week. Method of administration: dilute a teaspoon of tincture in a quarter glass of water, drink twice a day. For hypertension or ulcers, the drug is not recommended.

St. John's wort tincture

Ginger

Ginger root (the best recipes with ginger for the treatment of prostatitis) was taken centuries ago as an anti-inflammatory, antibacterial, and blood thinner. In addition, it stimulates blood circulation, dilates blood vessels, relieves spasms, and contains zinc, which is necessary for the prostate. All these properties make it possible to include ginger root in the treatment of chronic prostatitis.

Tincture recipe : 10 g of grated fresh root, pour 100 g of vodka, leave for 2 weeks. Take 30 drops three times a day before meals.

The root can be added to tea either fresh or in powder . Contraindications: gastritis, ulcers, hemorrhoids.

Essential oils

Antibacterial therapy for chronic prostatitis can be supplemented with essential oils. For this purpose, the following types are usually used :

1. Fir.
2. Juniper.
3. Stone.
4. Pumpkin.

Oils are used in the form of rectal swabs or enemas (10-15 drops per 0.3 liters of water).

Recommendations for antibiotic therapy

Side effects from taking antibiotics can cause no less trouble than exacerbation of prostatitis. Characteristic disadvantages of each group of drugs :

• Penicillins: rash, dermatitis, diarrhea;
• Cephalosporins: diarrhea. Rash and fever are rarely reported;
• Macrolides: nausea, vomiting. Sometimes colitis and cholestatic jaundice occur;
• Fluoroquinolones: abdominal pain, diarrhea.

Diarrhea is the most common side effect of taking antibiotics . It is provoked by two reasons: an imbalance of intestinal microflora, excessively rapid growth of bacteria called Clostridium difficile. Diarrhea can be prevented and eliminated by parallel intake of pro- and prebiotics.

Allergist-immunologist Ermakov Georgy Aleksandrovich on the side effects of antibiotics

During antibiotic therapy, candidiasis (thrush) often occurs . Fluconazole or Intraconazole will help stop the growth of the fungus.

Dermatitis, rashes and other skin problems caused by antibiotics are eliminated with antihistamines (Loratadine, Cetrin). In case of severe discomfort, an ointment with glucocorticosteroids is prescribed.

Following the recommendations for taking each specific drug will help minimize the likelihood of side effects . It is important to consider compatibility with other substances, certain types of food, alcohol and other drinks.

Reviews

Andrey, 42 years old: “During the next exacerbation of prostatitis, after tests, they prescribed Flemoxin Solutab and Vitaprost suppositories. After a course of such combination therapy, it became much easier, but, fearing a relapse, I myself drank propolis tincture for some time.”

Dmitry, 39 years old: “Blurred symptoms in the form of problems with urination periodically bothered me, but I attributed them to exacerbations of hemorrhoids. As a result, a diagnosis of “asymptomatic bacterial prostatitis” was made. I was injected with Ceftriaxone for a long time, at the same time I put on Prostatilen suppositories, and at the end of the course, also suppositories with sea buckthorn. Overall the result is positive."

Sergei, 40 years old: “During an exacerbation of chronic prostatitis, Gentamicin injections were prescribed, after which the leg and gluteal muscles ached greatly, but the effect was felt almost immediately. At the end of the course, I put on Uroprost suppositories and took immunomodulators. So far the prostate doesn’t remind me of itself, although six months have passed.”

Conclusion

The cause of chronic prostatitis is stagnant processes, poorly functioning prostate tissue that has not recovered from inflammation. As a result, almost any pathogens entering from outside can provoke an exacerbation.

Antibiotics are the only effective measure to stop it, provided they are selected correctly. The course can last from 2 to 12 weeks depending on the type of chronic prostatitis.

To enhance the effect, combined treatment regimens are used in the form of a combination of different types of antibiotics.

Source: https://muzhchina.info/prostata/prostatit/antibiotiki-pri-hronicheskom-prostatite

The most effective antibiotics for prostatitis

Inflammation of the prostate gland causes pain, problems with urination, and erectile dysfunction. In the presence of complications, prostatitis becomes the cause of impotence and infertility.

Treatment of the disease is aimed at eliminating unpleasant symptoms and restoring the functioning of the gland.

In cases where the cause of the inflammatory process is pathogenic microorganisms, the treatment regimen for prostatitis necessarily includes taking one or more antibacterial drugs. What antibiotics are considered the best for the treatment of prostatitis and how to take them correctly?

IT IS IMPORTANT TO KNOW! Doctors are dumbfounded! An effective way to CURE PROSTATITIS! You just need to take… READ MORE

Treatment of bacterial prostatitis with antibiotics: basic principles and advantages

Quite often, men have questions: “What are antibiotics?”, “Why is it necessary to take antibacterial agents for inflammation of the prostate?”

The main difference between antibiotics and other drugs is their ability to suppress the growth of bacteria that cause infectious diseases.

At the same time, the active substances of the drug inhibit only pathogenic microflora, with virtually no effect on ordinary cells of the body.

The need for antibacterial therapy is established at the diagnostic stage. If the patient has symptoms characteristic of prostatitis, the doctor prescribes a series of diagnostic tests to identify the causes of the pathology.

At the initial stage, an analysis of urine, seminal fluid and scrapings of the epithelium from the urethra is performed. If pathogenic microflora is detected, the patient is diagnosed with “bacterial prostatitis”. Next, a test is carried out to determine the sensitivity of the pathogenic agent to the main types of antimicrobial drugs.

In this way, it is established which antibacterial drugs will be effective for a particular patient.

Treatment of prostatitis with antibiotics has several important advantages:

• There is a rapid elimination of pathogenic microbes that cause the inflammatory process.
• The body begins to produce substances that prevent the further proliferation of pathogenic bacteria. In this way, it is possible to avoid complications and reduce the likelihood of exacerbations in the chronic form of the pathology.
• The availability of various forms of drugs (injectable solutions, tablets, suppositories) makes it possible to select suitable medications for each patient.
• Complex antibacterial therapy allows you to get rid of all types of pathogenic agents and ensure complete recovery. In this case, several types of different drugs can be used, as well as broad-spectrum antibiotics of the new generation, developed for use in urology.

It is important to remember that there is no universal cure for prostatitis yet. Self-administration of any medications can lead to a worsening of the condition and the inflammation becoming chronic.

What antibiotics to take for prostatitis in men

In modern medicine, several classes of antibacterial agents are used, differing in chemical structure and ability to suppress the growth of certain types of pathogens.

Urological antibiotics for men are used to treat inflammation of the prostate gland. Let us consider in more detail the groups of urological drugs and their clinical significance.

Classes	Possibility of application
Penicillin group (amoxiclav, flemoxin)	Inexpensive antibacterial agents that are prescribed during the initial diagnosis. Amoxicillin, chloramphenicol are ineffective for chronic or acute prostatitis with complications.
Macrolides (clarithromycin, sumamed)	The least toxic to the body products with a wide spectrum of action.
Tetracyclines	Most often, tetracycline and other similar drugs for prostatitis are prescribed when the inflammation is chronic and caused by the presence of intracellular pathogens (chlamydia, gonococci, mycoplasma).
Fluoroquinolones (ciprofloxacin, norbactin)	The drugs are included in the course for acute inflammation and the need to quickly relieve symptoms.
Cephalosporins (ceftriaxone, cefotaxime)	The most powerful drugs that eliminate almost all types of pathogenic microorganisms. Taking cephalosporins is indicated for acute infectious prostatitis.

Some of the listed drugs are used as antibiotics for benign prostate adenoma in case of complications of the pathology by an inflammatory process of infectious etiology.

The most effective antibiotics for the treatment of prostatitis

The main problem in the presence of any infectious disease is bacterial resistance to first-generation antibiotics. In this regard, pharmacologists are constantly improving existing drugs, creating on their basis stronger drugs of the second, third and fourth generations.

Carrying out bacterial culture and determining the sensitivity of microorganisms makes it possible to determine the most effective antibiotics for prostatitis.

Currently, many urologists introduce the following drugs containing antibiotics:

• Tavanik . Second generation fluoroquinolone with good penetrating ability. Due to the high concentration of the active substance in the cells, it is active against most intracellular pathogens.
• Unidox . A product from the group of tetracyclines with a wide spectrum of action. The maximum concentration of the drug in the prostate is observed within 30 minutes after administration, which is very important if a rapid therapeutic effect is needed during exacerbations. These antibiotics for prostatitis, relatively inexpensive and effective, have minimal negative effects on the patient's body.
• Suprax . Third generation cephalosporin with high antibacterial activity against bacteria such as Escherichia coli, gonococcus, Proteus, Enterobacter.
• Augmentin . Effective in the presence of most types of pathogens. The introduction of clavulanic acid into the composition of the drug ensures its resistance to bacterial enzymes.
• Flemoxin solutab . Contains amoxicillin. Recommended for prostatitis caused by gram-positive and gram-negative bacteria.
• Gentamicin . Aminoglycoside to eliminate most gram-negative bacteria. It penetrates into the source of inflammation within 50-60 minutes, relieving the main symptoms at the acute stage of the disease.
• Clindamycin . A drug from the lincosamide group to eliminate gram-positive bacteria and parasitic protozoa.

Each of the listed drugs has its own advantages, so only a urologist can determine the best antibiotics for prostatitis.

Features of treatment of acute and chronic forms

Prostatitis can be acute or sluggish with alternating periods of exacerbation and remission. When prescribing medications, the form of the disease must be taken into account.

Thus, with the rapid development of the inflammatory process with a significant deterioration in the patient’s well-being, hospitalization is required.

To quickly deliver the active ingredients to the inflamed tissues, antibiotics are administered by intravenous infusion or injection.

Antibiotics for chronic infectious prostatitis should be taken over a longer period of time. The general course is divided into several cycles with possible replacement of medications in the absence of positive dynamics.

The patient is prescribed injections or tablets. Antibiotics for asymptomatic prostatitis are also used in the form of suppositories.

A man may be prescribed anti-inflammatory and antipyretic suppositories (for example, Vitaprost with an antibiotic).

Natural remedy for PREVENTION and RIDAL OF PROSTATITIS “Predstanol”. Its effective composition has anti-inflammatory, antimicrobial and soothing effects. Thanks to extracts of sabal palm fruit and pygeum bark, blood circulation is improved and cell regeneration is enhanced. Predstanol is absolutely safe, has no side effects and helps enhance the effectiveness of drug treatment.

In what cases is antibiotic treatment contraindicated?

When choosing a medicine for prostate inflammation, the doctor must take into account the characteristics of the patient’s body, the presence of allergies and related diagnoses.

In some cases, taking antibacterial agents is contraindicated due to individual intolerance to their components. Antibiotics are also not prescribed to patients with serious abnormalities in kidney function. They are used with caution in the presence of certain diseases of the digestive tract.

When selecting medications, the patient’s age must be taken into account. Thus, an antibiotic for prostatitis is prescribed to an adult man without age restrictions; in adolescence, natural analogues of synthetic drugs are selected.

Is it possible to cure prostatitis without antibiotics?

Despite the high effectiveness of antibacterial drugs, their use has a certain negative effect on the body. Is it possible to do without synthetic bactericides or replace them with safer natural analogues?

Unfortunately, with a bacterial form of the disease, this is the only way to quickly improve the patient’s condition and completely get rid of infectious pathogens. Treatment of prostatitis without antibiotics is impossible.

General recommendations for antibacterial therapy

The success of treatment depends not only on the correct selection of medications. An important factor is the patient’s compliance with several basic rules during the therapeutic course and during the rehabilitation period.

1. Antibiotics for inflammation of the prostate should be taken only as prescribed by a specialist.
2. The duration of therapy is determined taking into account the type of pathogen and the stage of the disease, therefore, for complete recovery it is necessary to complete the recommended course of treatment for prostatitis in full. Premature withdrawal of drugs will lead to the need to use stronger antibiotics in the future.
3. During antibacterial therapy, a diet is necessary with the exception of spices, fatty foods, pickles, and sweets.
4. For certain reactions of the body to antibiotics, the list of drugs is supplemented with hepatoprotectors, probiotics and antiallergic drugs. Since the beneficial microflora is partially damaged when using bactericides, taking an antifungal drug (Nystatin) is indicated during antibacterial therapy.

Antibiotics affect the number and activity of sperm, and therefore the ability to conceive is restored no earlier than 3-4 months after recovery.

Currently, antibiotics are the only effective means in the treatment of infectious prostatitis. The correct combination of drugs and compliance with the recommendations of the attending physician are the main conditions for restoring the functioning of the prostate gland.

Source: https://men-zdrav.ru/bolezni-prostaty/antibiotiki-dlya-lecheniya-prostatita.html