The opinions of doctors about what can be called the most effective antibiotics for treating prostatitis differ. In pharmacies, a huge variety of medicinal formulations is presented, and only a qualified doctor can choose among the suitable option. Some doubt whether it is worth using antimicrobials with prostatitis. If the tests show the presence of pathological microflora, and the doctor recommends taking a course of antibiotics, you should not neglect his advice. Currently, there are several main varieties of medications that effectively eliminate colonies of pathological microflora.
General information about the disease
Before understanding what to take and with what antibiotics treatment of prostatitis proceeds as quickly and efficiently as possible, attention should be paid to the characteristics of the disease. Prostatitis is commonly referred to as inflammatory processes localized in the prostate gland. The disease can be accompanied by an infection, which makes it possible to classify the case as infectious. Perhaps the development of prostatitis against a background of bacterial invasion, which is why the case is called bacterial and the features of the flora that develops in organic tissues are determined. Both varieties can be treated with antibiotics. Without the right therapeutic course, the patient's condition gradually worsens.
It is possible to suspect that the time has come to take antibiotics for the treatment of prostatitis in men, if the heat is disturbing up to 39 degrees, the inguinal region hurts, and the sensations become especially strong when urinating. Ejaculation is accompanied by pain, and the excreted urine contains inclusions of pus and blood. Sperm becomes thinner, blood cells and greenish streaks appear in it. Reproductive organs swell. It is painful for the patient to sit and move. Patients noted an increase in the frequency of urination, but each time urine is separated in only small portions. With such symptoms, acute prostatitis is likely to be detected.
Signs and Phenomena
The need for treatment of prostatitis with tablets (antibiotics, antimicrobials, anti-inflammatory and other means) may indicate discomfort in the inguinal region, which appears after the completion of the acute stage of the disease. The chronic form appears as a complication, develops for a long time and is characterized by lubricated symptoms. If the acute stage usually exhausts itself in a couple of weeks or months, the chronicle lasts for years, especially without the right treatment.
The need for a course of treatment of prostatitis with antibiotics will indicate the difficulty, pain of urination. The patient has a deterioration in potency, and the discharge contains extraneous inclusions. The lower abdomen is disturbed by pain, with the release of urine or ejaculate, discomfort appears.
Choice of funds: how is it going?
To understand which antibiotics are used to treat adenomas, prostatitis, you must first examine the patient's condition. At the reception, the doctor receives samples of organic tissues from the urethra for subsequent laboratory culture. For several days, experts observe the development of colonies, after which they report exactly what forms of pathological microorganisms caused the disease. Studies allow you to identify sensitivity to a specific group of antimicrobial compounds. Based on this information, it will be possible to select specific products.
It is almost impossible to independently understand what antibiotics should be taken to treat acute prostatitis, and it’s not worth the risk. Only after laboratory tests can therapy be prescribed, self-medication is contraindicated and strictly prohibited. The unsystematic use of antimicrobials can provoke the resistance of pathological microflora to drugs, which means that it will be extremely difficult to cope with prostatitis. The disease will actively progress, bringing a person many inconveniences.
The following is a list of the most effective medications with a brief description of their properties aimed at treating prostatitis.
Amikacin
It is this remedy that the doctor can recommend as part of a course of effective treatment of prostatitis with antibiotics. The active substance belongs to the category of half-synthetic aminoglycosides, belongs to the third generation of this group of medicines. The tool is intended for the treatment of a wide range of diseases, infections. For sale, it is presented in the form of solutions injected into a vein or muscle tissue. It is necessary to infuse the agent very slowly. Often, they resort to droppers for the procedure.
The antibiotic used in the treatment of bacterial prostatitis is rapidly and effectively absorbed into the circulatory system. The drug is effective against puffiness, stops the activity of the inflammatory focus. On average, 10 hours after the initial intake of the drug, the active substance accumulates in a concentration sufficient to obtain a therapeutic effect. The tool is effective against the main part of known pathogens.
Features of use
The indicated antibiotic for the treatment of prostatitis and prostate adenoma is used only in the absence of contraindications. Limitations for the therapeutic course are increased sensitivity and intolerance to the compounds present in the medication. Amikacin cannot be used if in the past any drug from the aminoglycoside class caused an allergic reaction. The tool is not used against the background of insufficient functioning of the kidneys, inflammatory processes in the auditory nerve.
The antibiotic Gentamicin, widely used for the treatment of prostatitis and prostate adenoma, has similar qualities. On sale, the drug is presented in the form of solutions, as well as funds for local use. There are suppositories and ointments with an active antibacterial compound.
Roxithromycin
This antibiotic for the treatment of prostatitis belongs to the class of macrolides. The tool is widely used in the treatment of various pathologies of the reproductive and urinary system, and is used for infection of soft tissues. It is allowed to appoint the composition to elderly people and people who have kidney failure. On sale, the medicine is in the form of tablets used twice a day, piece by piece. With insufficient functioning of the kidneys, the dosage is halved.
The indicated antibiotic for the treatment of prostatitis gives the best results if the disease is caused by an invasion of chlamydia, myco-, ureaplasma, legionella. It is forbidden to use these tablets in combination with ergotamines, since this can provoke intoxication with alkaloids, as a result - necrotic processes in the tissues of the limbs. In pharmacies, there are compounds similar to the described medication - Roxibide, Josamycin. Self-replacement with analogues is not allowed, as this can cause an undesirable side effect and the failure of the course as a whole. Sometimes a doctor, recommending an analogue of the prescribed composition, may advise taking a closer look at the “Rulil” tablets.
Amoxicillin
This antibiotic widely used for the treatment of prostatitis is sold in capsules, tablets, injectable solutions, and granules on the basis of which the suspension is made. The tool belongs to the group of semisynthetic penicillin medicines. Effectively fights pathological cocci of various types and species, rods, as well as anaerobic life forms. It is used if laboratory tests have shown the sensitivity of pathological microflora to penicillin.
The indicated antibiotic is used to treat prostatitis, including chronic, due to bacterial invasion. The drug is prescribed for acute infection of the reproductive, urinary systems, with chlamydia and gonorrhea. Amoxicillin can be used if sepsis is established, foci of suppuration have formed in organic tissues. You can not use the composition in the presence of an allergic reaction to any drug of the penicillin series. Against the background of the use of the composition, stool is disturbed in some, rashes appear on the skin.
Cefotaxime
This medicine is used to combat the acute form of the disease, for the treatment of chronic prostatitis. The antibiotic belongs to the class of cephalosporins, belongs to the third generation of this type of medication. In medical practice, its use is widespread with prolonged severe form of the chronicle. Often, this tool is used in the second stage of the antibacterial course, when the primary approach did not give a pronounced result. "Cefotaxime" shows itself well if penicillins, sulfonamides, aminoglycosides were ineffective.
The antibiotic used to treat chronic prostatitis is on sale in powder form, intended for dilution with a special liquid (saline, distilled water). The drug must be injected into muscle tissue or a vein. In plasma, the drug persists for up to 12 hours. Excellent ability to penetrate into soft tissues is noted. Under the influence of the drug, the amount of pathological microflora soon decreases, the vital activity of bacteria is effectively inhibited.
Doxycycline
This tool belongs to the class of the most popular and widely used antibiotics. Belongs to the group of tetracycline drugs. Available in capsules. The active compound is absorbed through the gastric mucosa into the circulatory system. It has a negative effect on the stomach and intestines, so the therapeutic course must be supplemented with drugs normalizing the composition of the microflora of the digestive system.
"Doxycycline" is recommended for use in case of prostatitis of an infectious and bacterial nature, in the presence of foci of suppuration in the urinary and reproductive system. The drug has proven itself when it is necessary to treat mycoplasmosis, chlamydia. It is used as the main element of the antitumor therapeutic course. With prostatitis, it is allowed to use "Doxycycline" in both acute and chronic forms of the disease.
The nuances of the treatment program
The dosage is selected individually, focusing on the characteristics of the disease, the age of the patient and weight. As a rule, "Doxycycline" is taken up to two weeks, but you can extend the course if the doctor sees a reason for this. You can combine the tool with "Gentamicin."
The most affordable alternative to the composition under consideration is the tetracycline tablet. The Dutch Unidox Solutab, which reviews indicate a minimum incidence of side effects in comparison with cheaper drugs, is somewhat more expensive. The Netherlands medication has a rapidly developing antibacterial effect, which reduces the treatment program to ten days.
Sparfloxacin
This antimicrobial composition belongs to the class of quinols, belongs to the third generation. The use of the drug for chronic infection and against acute diseases is widespread. Most often, the drug is prescribed for foci of infection of the urinary, reproductive system. Can be used against bacterial and infectious prostatitis. Allowed the treatment of persons suffering from combined diseases - infection with chlamydia, tuberculosis. Often, "Sparfloxacin" is used, if necessary, to prevent complications of an infectious, bacterial nature during surgery, injuries of the reproductive system.
During the use of the composition, there is a high probability of upset stool and soreness in the stomach, some vomiting and nausea. There is a risk of vascular expansion, anxiety. Patients may be sick and dizzy. Skin reactions in the form of foci of rash, burning are possible. There is a risk of impaired mobility of the leg tendons. Some have worse sleep. You can not use "Sparfloxacin" at a minor age and against the background of increased sensitivity to light.
Nitroxaline
The medicine belongs to the class of oxyquinolines, it is characterized by extensive effectiveness. You can use the drug with bacterial infection, infection of the tissues of the prostate gland. The practice of prescribing medication in cases complicated by fungi. It is allowed to use Nitroxalin for the treatment of not only adult men, but also adolescents and children. Sometimes a tablet form is prescribed as an element of a preventive course.
In the chronic form of the disease, Nitroxaline is practiced in several approaches. The first stage lasts two weeks, after which they take a break similar in duration and use the composition for a couple of weeks. Nitroxaline has proven itself: the drug is well tolerated by most patients. Among the rather common adverse reactions, it is worth noting a skin rash. Alternatives to the drug are Ofloxacin, Tarivid, Lomefloxacin.
The nuances of treatment
If the doctor recommends an antibacterial course, the patient must inform the doctor about all the formulations that he has been using recently. In the presence of chronic and acute pathologies, a specialist is notified of all diseases. Especially important is information on renal, endocrine, allergy, and diabetes.
In the acute inflammatory process, the patient can be referred for treatment to a hospital. Antibacterial drugs are used intravenously, which helps to achieve the maximum level of effectiveness, a high content in blood plasma. The tool quickly reaches the lesion and affects pathological microorganisms. The effectiveness of injections is significantly higher than any form for oral use.
Most often, the doctor recommends aminoglycosides, tetracyclines - these drugs have been tested for decades, have proven themselves, and are affordable. Upon completion of the main treatment program for injections, therapy is continued with tablets. The duration of the course often reaches a month, and in certain cases can be extended for six months. Such treatment will prevent the transition of the disease to the chronicle.
Chronic disease: subtleties
Treatment of chronic prostatitis requires continued use of antibacterial agents. Prescribe penicillin preparations and tetracycline, macrolides, aminoglycosides. Cephalosporin medicines are popular. Fluoroquinolones are resorted to if more effective drugs cannot be used due to contraindications, especially the condition. It was established that the ability to penetrate into the tissues of the prostate gland for this group of antibiotics is lower than for other agents.
The duration of treatment for most patients is a couple of weeks or more. If monitoring the patient for some time does not show improvement, the medication is changed. Antibiotics will only help if you strictly follow the prescribed program. Violation of the scheme leads to drug inefficiency. To increase the effectiveness of treatment, the patient is recommended to regularly do prostate massage.