Criteria for choosing antibiotics for the treatment of chronic prostatitis

The advisability of prescribing these drugs for the treatment of a latent form is determined by the test results. The presence of bacterial flora can be indicated by the hanging number of leukocytes and the identification of microorganisms in the secretion of the gland or in pyospermia. The choice of antibiotics for prostatitis is made after testing secretions or semen


Features of choice

Various antibiotics are used to treat inflammation in men. When choosing, it is important to give preference to those that have the ability to accumulate in the tissues of the gland. This is the main selection criterion for the treatment of prostatitis. For this purpose, fluoroquinolones, aminoglycosides, macrolides, and so on are prescribed.

In order to choose antibiotics wisely, it is important to consult a doctor. In this situation, if a bacterial flora is suspected, an analysis is performed to identify the type of pathogen. At the same time, its sensitivity to existing active substances is determined. Only on this basis is preference given to one or another drug.

It is important to note that the symptoms of chronic prostatitis are usually mild. For this reason, the patient and the doctor have the opportunity to wait for the test results and choose an antibiotic that will have a guaranteed effect. Antibiotics should only be prescribed by a doctor and after conducting the necessary research.

Fluoroquinolones for prostatitis

These antibiotics have many advantages:

  • rapid achievement of high concentrations in tissues;
  • minimal number of side effects;
  • effectiveness of both oral and parenteral forms;
  • excellent bioavailability.

An important feature is that drugs in this group have a prolonged effect. After ingestion, the active substance is released within 24 hours. For this reason, the concentration of the substance is maintained until the next dose.

Synthetic broad-spectrum antibacterial drugs are especially often used for treatment. They show the most pronounced effect in the presence of intracellular infection. In addition, this particular group of drugs should be prescribed for prostatitis that occurs as a complication of a sexually transmitted disease. The fluoroquinolone group of drugs have almost no side effects and are well absorbed

All fluoroquinolones, without exception, show high effectiveness in the treatment of typical infections. The only downside is neurotoxicity. Drugs are used only after excluding the presence of tuberculosis of any localization.

Prostatitis and the choice of antibiotics for its treatment

The dosage directly depends on the name of the drug and the concentration of the active substance. In general, fluoroquinolones are taken at 500-1000 milligrams per day.

Tetracycline drugs

Quite often, a synthetic antibacterial agent is prescribed to treat a disease; the main feature of the drug is its ability to penetrate the gland tissue, accumulating in maximum quantities. Moreover, such drugs are affordable and available in a wide selection of release forms.

Antibacterial drugs are ineffective against some enterococci. For this reason, they are prescribed only after sensitivity has been determined.

To treat the pathology, the antibiotic is prescribed in the amount of two tablets per day. The duration of therapy is determined individually.

The drug may be prescribed after a sensitivity test.

Tetracycline antibiotics are effective against mycoplasmas, chlamydia and other infections. They are easily tolerated and have high activity. Used in a dosage of no more than two hundred milligrams per day.

Along with well-known drugs, macrolides are used. Use 500-1000 milligrams per day. As a rule, the maximum dosage is used within three days after the start of treatment. Then the number of tablets is reduced by half.

When using macrolides, it is important to consider that these drugs have not been fully studied. At the same time, it is known that they are low-toxic, quickly accumulate in the tissues of the gland and effectively cope with a large number of bacteria.

Drugs of other groups

To treat inflammation, you can use a combination kit containing an antifungal drug, an antibiotic and an antibacterial drug with antiprotozoal activity. This drug is very important for men and has also shown high effectiveness in the treatment of prostatitis. One blister contains from 6 to 15 tablets of different drugs. They are selected in daily dosage and taken all at the same time.

The antifungal agent is effective against most prostatitis pathogens

This composition makes it possible to eliminate inflammation when identifying pathogens such as Trichomonas, anaerobes, Gardinella, mycoplasma, and so on. But what is especially beneficial is that this antibiotic is effective in the presence of Candida fungi.

According to WHO requirements, this is an ideal drug for the treatment of prostatitis. When used, the effectiveness reaches 95% even in the presence of advanced prostatitis with stable microflora. At the same time, the antibiotic has minimal toxicity, is easily tolerated, is easy to use due to a single dosage, and also causes a minimal degree of resistance in microorganisms.

Indications for the use of such an antibiotic are uncomplicated prostatitis, inflammation caused by STIs, as well as a combination of prostatitis with urethritis. In the absence of pronounced symptoms, a single application is sufficient. In men with frequent relapses, a course of five days at full dosage is required.

Standards of treatment

Specialists from a large number of countries are working to create an effective method for treating recurrent prostatitis. Most are inclined to believe that in men the duration of treatment should be at least two weeks. After this, the patient’s condition and test results are assessed. As a rule, therapy continues after this. In general, the course should be at least 4-6 weeks.

To cope with prostatitis, you must adhere to the prescribed regimen and course of therapy.

In the chronic form of prostatitis, preference is given to antibiotics in tablets and capsules. In this case, the dosage should be as high as possible. This is the only way to achieve lasting results.

The latent form of prostatitis is considered separately. In most cases, laboratory analysis does not detect bacterial flora, but this does not guarantee its absence. This is precisely what explains the fact that when using antibiotics in men, pelvic pain syndrome is eliminated and the general condition improves.

At the same time, it is important to remember that it is simply impossible to create a specific treatment regimen for the disease. This is explained by the individual characteristics of patients and the variety of forms of pathology. This is why you should not take antibiotics on your own, which have shown excellent results in other men. Only a doctor can choose the most appropriate treatment option in your particular case.