Prostatitis treatment prescribed does not help

Prostatitis. Why didn't antibiotics help?

Why didn't antibiotics help? Prostatitis.

Despite the fact that the prostate gland is small (no bigger than a walnut), it can lead to big problems, and often requires long-term Antibiotic treatment. One in five men over the age of 25 suffer from prostatitis . To fight this disease, you need to know its ins and outs, which Alexander Guskov, head of the Sanos Moscow center, will tell us about.

Distinguish between infectious and congestive prostatitis. The first of these causes symptoms associated with inflammation. This is swelling, pus, soreness. The infection can be introduced from a sexual partner or if hygiene rules are not followed. But with age, infectious prostatitis is already associated with bladder or kidney disease. Congestive prostatitis develops due to the fact that a man abuses alcohol, leads a sedentary lifestyle, fatty, spicy, salty foods, suffers from constipation.

Prostatitis is widespread among males and is sometimes asymptomatic. It is on prostatitis that the problems of accelerated ejaculation and erectile dysfunction are often blamed, although they are in no way interconnected with each other and are not able to influence each other.

The very first symptoms of prostatitis may be increased urge to urinate, a feeling of heaviness in the lower abdomen, weakening of erection and incomplete emptying of the bladder. Men often do not pay any attention to them. Because of this, the disease passes into the follicular stage, when the ducts of the prostate lobules become inflamed. The epithelium moves away from the walls and accumulates along with the mucus in the canals, which leads to difficulty in the outflow of the secret.

Over time, plugs form in the channels, which do not allow the secret to stand out. This leads to the formation of micro abscesses. Pus gives it a drop-like, and then bag-like appearance, which leads to disruption of the functioning of the lobules and the entire prostate gland. Urine begins to pass through the canal very badly, and this makes men see a doctor.

Worse only when the tests are better.

None of the diagnostic methods can give an accurate result and assess the condition of the gland. What can be said about micro abscesses? According to the analyzes, doctors usually judge the patient's condition, but sometimes they can be misleading. For example, this happens quite often in chronic prostatitis. They analyze the secret, which is examined under a microscope, and if the leukocytes are normal, then the patient is healthy, if they are more diagnosed with prostatitis!

However, such a procedure does not yet give a reliable result, since, according to statistics, an increased number of leukocytes occurs only in a third of patients. The better the analysis, the more likely it is to have a purulent form of Chronic prostatitis, alas, this often happens. This form of prostatitis is inherent in those who experience pain during urination and frequent urination. When massaging the secret, it is taken (squeezed out) from healthy lobules, and not healthy ones are simply clogged, which does not allow the specialist to be aware of the purulent processes going on in the prostate.

What a dead poultice

Means applicable in the treatment of chronic prostatitis may be useless (but not always) in the fight against the purulent process of inflammation.

Antibiotics, which are supposed to extinguish the inflammatory process and kill microbes, are useless in the fight against infection, since the site of the abscess is veiled (clogged) with traffic jams. Therefore, they only upset the gastrointestinal tract, and do not treat the disease. Such treatment can lead to dysbacteriosis, beriberi, liver diseases and allergies.

Finger massage will not help here either, since pus is squeezed out onto healthy lobules, infecting them too. This can lead to inflammation of the kidneys, pelvis, rectum, accompanied by high fever, severe pain and other symptoms.

Physiotherapy also contributes to the growth of bacteria:

The only thing left is the operation, which also has its own nuances. However, there are many lobules, and it is impossible to determine exactly where the inflammatory process is going on. which means that the degradation of the prostate continues, which leads to a new operation.

We conclude: by any means (exercises, herbs, devices for the treatment of prostatitis, medications that support the tone of the gland) - we disperse the swelling around the prostate gland. We do it in a sparing mode, listening to the result. Trying not to hurt yourself.

We do this in order to restore blood circulation in the pelvic area, and only then, with blood flow, drugs (in particular antibiotics) will get into the inflamed area. And only then can we talk about a significant result.

Antibiotics may not help if you ran into a fake, low-quality product, antibiotics with an expired shelf life, an antibiotic "dummy".

They may also not help if your healing is passive: ie. You do not do the appropriate procedures, do not care about immunity, intestinal microflora, do not harden. Moreover, if you do not have an integrated approach to treatment, your immunity may weaken and after a course of antibiotics, you can already get more infections to the existing sores, curse the hour when you were born, the routine, the fight against diseases will begin.

Basic rules for the prevention of prostatitis:

1. Choose only cotton, loose and warm clothing.

2. Don't make random connections.

3. If you have a sedentary job, get up occasionally and stretch.

4. Follow the rules of hygiene.

5. Perform special exercises that help contract the muscles of the perineum. The circulation of the small pelvis improves.

6. If you spend a lot of time behind the wheel, use a special seat that is well ventilated and softens the shock.

7. The most pleasant way to prevent prostatitis is sexual intercourse.

And also, read the materials of my site and you will find many useful tips for the treatment of prostatitis.

If antibiotics do not help with prostatitis

Inflammation of the prostate gland is a common disease among men of different ages, especially often the pathology is diagnosed in patients over 50 years of age. The disease greatly impairs the quality of life, it leads to impaired urination, fertility and potency, and also causes pain.

It is necessary to treat prostatitis in a timely and comprehensive manner. For this, the patient is prescribed medications, physiotherapy, a healthy lifestyle. Antibiotics for bacterial prostatitis are one of the main methods of treatment, but it is very important to choose the right drugs and dosages for the therapy to be effective.

Indications for prescribing antibiotics for prostatitis

Before thinking about which antibiotics to take for prostatitis, you need to understand the cause of its occurrence. Contrary to the opinion of many patients, prostate inflammation occurs not only due to infection, but also due to degenerative disorders in the organ. In the latter case, non-infectious prostatitis is detected.

To diagnose the disease, a tank is seeded, or a PRC analysis is performed, with the help of which the doctor will detect the pathogen. If bacteria have not been identified, then antibiotics are not necessary. In this case, symptomatic therapy, diet, exercise therapy and proper sexual activity are indicated.

If leukocytes were found in the secretion of the prostate, and the pathogen was also identified, then bacterial or tuberculous prostatitis is diagnosed. Both types of disease require specific antibiotic treatment.

Often, a PRP analysis is enough, which gives the result the very next day. After identifying the bacteria, the doctor prescribes the appropriate antibiotic for prostatitis. If the treatment is ineffective, then you will have to carry out a tank of prostate juice to detect sensitivity to an antibacterial agent.

Groups of antibiotics

Only a doctor can answer for sure which antibiotics to drink for prostatitis. Because the first thing you need to do is find the bacterium. If you self-medicate, there is a high risk of not guessing the group of drugs and turning the disease into a chronic form, which will greatly complicate the treatment process.

You also need to understand that the cause of prostatitis may be a fungal infection, not a bacterial one. In this case, antibiotics will not help, you will need to take a drug with an antifungal effect.

Treatment of acute and chronic prostatitis with antibiotics is carried out using the following groups of drugs:

• Tetracyclines. Prescribed if bacteria are found: ureaplasma, mycoplasma, enterobacteria, chlamydia, klibsiella, enterococci, pseudomanada, seration, E. coli.
• Fluoroquinolone. It is prescribed for the following bacteria: ureaplasma, mycoplasma, gonococci, chlamydia, proteus, Klebsiella, Escherichia coli and Koch's bacillus.
• Penicillin. Shown if found: gonococci, enterobacteria, enterococci, Klebsiella, Proteus, seracia, Escherichia coli.
• Cephalosporins. It is prescribed for such bacteria: enterobacteria, enterococci, Klebsiella, Proteus, Escherichia coli.
• Macrolides. Shown if found: gonococci, chlamydia, ureaplasma, mycoplasma.
• Aminoglycosides. It is prescribed for such bacteria: Klebsiella, Enterobacterium, Pseudomonas.
• Oxyquinolines. Effective against such bacteria: ureaplasma, mycoplasma, Trichomonas, Klibsiella, Escherichia coli, etc.

The most commonly prescribed drugs are from the group of penicillins and cephalosporins. Macrolides are used extremely rarely, as they are not particularly effective for prostatitis. Tetracyclines have Side effects, so they are rarely prescribed if other antibiotics cannot be taken for prostatitis.

Aminoglycosides are effective in acute prostatitis.They penetrate the prostate and accumulate in it, which allows you to get rid of the infection. For the treatment of chronic prostatitis, such an antibiotic is usually not prescribed, since it is not possible to achieve the desired concentration of the substance in the gland.

When choosing antibiotics for chronic bacterial prostatitis, doctors most often stop at the group of fluoroquinolones. With inflammation of the prostate gland, they are the most effective.

But it is worth noting that fluoroquinolones have serious side effects, and they are also prohibited from taking until tuberculosis is diagnosed. Such drugs for prostate tuberculosis should be taken in combination with other antibiotics, otherwise the treatment will be ineffective, the patient will only lose time.

List of antibiotics for prostatitis

The best antibiotics for prostatitis are those that were selected according to the results of the examination by an experienced doctor. There is no magic pill for all diseases, all drugs are effective in one way or another. It is very important to choose exactly the antibiotic that is suitable for the treatment of a particular type of prostatitis from the identified pathogen.

A huge range of preparations of each group of antibiotics is presented on the pharmaceutical market. Consider the most popular of them.

Penicillins:

Preparations of the cephalosporin group:

Medicines of the aminoglycoside group:

Preparations of the tetracycline group are rarely prescribed, mainly Doxycycline is used. Macrolides are shown mainly in the fight against mycoplasma and chlamydia. The following drugs may be prescribed:

One of the most effective drugs for the treatment of prostatitis is 5-NOC. This remedy belongs to the group of oxyquinolines. The tool helps to get rid of most of the microorganisms that cause inflammation of the prostate and urinary tract, and the drug also has an antifungal effect.

Dosages of antibiotics for the treatment of prostatitis in men are prescribed individually, depending on the cause of the pathology, the characteristics of taking a particular drug and its form of release.

For example, the antibiotic Amoxiclav is prescribed to drink 3 tablets a day, in the morning at lunchtime and in the evening. And Ceftriaxone can be prescribed to inject 1 ampoule per day intramuscularly, at the same time. The treatment is carried out in a course, it is impossible to cancel the drug ahead of time even if improvements appear.

Conclusion

Each patient should remember that antibiotics are very serious drugs, the uncontrolled use of which can lead to complications. Therefore, if a man has symptoms of prostatitis, he needs to consult a urologist-andrologist as soon as possible and get tested. Only on the basis of an accurate diagnosis can antibiotics be prescribed.

Prostatitis worries many middle-aged and older men. In the structure of inflammatory processes of the genitourinary system, this disease occupies one of the first places after urethritis and cystitis. The prostate gland plays an important role in the body, as it produces a secret that is a component of semen, and also closes the lumen of the exit from the bladder during erection and ejaculation. Therefore, with prostatitis, not only typical symptoms of inflammation appear, but also violations of sexual and urinary functions. In most cases, various bacteria are the cause of the disease. Then antibiotics of various groups of drugs are used for treatment.

Antibiotics for acute prostatitis

Most of the pathogens that cause acute prostatitis are common for inflammation of the human genitourinary system - Escherichia, Proteus, Klebsiella, Enterococcus and Staphylococcus aureus. Sometimes there are cases of viral or tuberculous lesions of this glandular organ, in which antibiotics for prostatitis in men are either not used at all, or only in combination with other drugs.

Before treating a patient, an experienced urologist must verify the diagnosis. To do this, he not only collects anamnesis, conducts a physical examination, but also prescribes a number of laboratory and instrumental tests: general blood and urine tests, biochemical parameters of liver and kidney function, ultrasound, computed tomography (if necessary), sowing of prostatic secretion for bacteriology and resistance of microorganisms to antibacterial drugs. In difficult diagnostic situations, a puncture biopsy of the prostate and blood cultures are also performed (if a generalization of the process is suspected).

Antibiotic treatment of acute prostatitis is usually carried out in a hospital setting. This is due to the peculiarities of the pathological process and complications that often occur during treatment. In this case, the patient is first administered drugs intravenously, and after the elimination of the main clinical signs, they are transferred to a tablet form.An important feature of the treatment of acute prostatitis is the duration of the course of antibiotic therapy, which is often 4 or more weeks. Only with a mild form of the disease, the patient can be treated at home for up to 10 days.

Modern recommendations provide an answer to the question of which antibiotics should be used for acute prostatitis:

• fluoroquinolones (ciprofloxacin, ofloxacin, levofloxacin, pefloxacin);
• cephalosporins (cefotaxime, ceftriaxone, cefaclor, cefixime);
• penicillins (ampicillin in combination with sulbactam);
• maclolides (erythromycin, clarithromycin, roxithromycin);
• tetracyclines (doxycycline).

Antibiotic therapy for complications of acute prostatitis

In some cases, with the progression of the inflammatory process, inadequately selected drug therapy and untimely patient seeking medical help, complications of prostatitis develop that require immediate surgical intervention. Among them, paraprostatic phlegmon and prostate abscess are the most common. In these conditions, antibiotic therapy is often corrected. For example, aminoglycosides (tobramycin, amikacin) are added to beta-lactam preparations. In the presence of conditions that threaten the life of the patient, carbapenems (meropenem) or 4th generation cephalosporins (cefepime, cefpiron) are prescribed.

Antibiotics for chronic prostatitis

Chronic prostatitis is characterized by pain in the pelvic area for at least 3 months. In this case, disorders of the genitourinary system may be absent. To confirm the diagnosis, a puncture biopsy of the prostate tissue is used. Before prescribing treatment, it is imperative to conduct a bacteriological examination of the prostate secretion, since empirical antibiotic therapy is ineffective in most cases.

The drugs of choice for this variant of the disease are fluoroquinolones (norfloxacin, pefloxacin and ciprofloxacin). With their ineffectiveness, combination therapy of amoxicillin with clavulanic acid and clindamycin is prescribed. Preference is also often given to macrolides (clarithromycin). The same drugs are used to prevent the development of relapses of the disease.

At the same time, the use of antibiotics is supplemented with non-specific methods of preventing exacerbations:

• avoiding hypothermia;
• active lifestyle;
• wearing comfortable underwear;
• sanation of chronic infections in other systems and organs;
• sexual intercourse only with personal hygiene;
• antibiotic prophylaxis for all transurethral procedures.

The use of certain groups of drugs for prostatitis

Fluoroquinolones

This group of drugs is similar to nalidixic acid and has a bactericidal effect on microorganisms. Fluoroquinolones after their prema violate the integrity of the cell membrane of bacteria, which leads to their death.

After oral administration, the therapeutic concentration occurs after 60 minutes and lasts 6-10 hours. These drugs are excreted from the body almost completely by the kidneys.

Fluoroquinolones are the drugs of choice in the treatment of acute and chronic prostatitis for most patients. This is due to the peculiarities of their metabolism. They not only penetrate well into the tissue of the prostate gland, but also accumulate there in an amount that exceeds their concentration in the blood by several times.

The following drugs are most often prescribed:

• norfloxacin ("Normax", "Nolicin");
• Ofloxacin ("Zoflox", "Ofloxin", "Zanocin");
• pefloxacin ("Yunikpef", "Abaktal");
• levofloxacin ("Zolef", "Abifloks", "Levaxela", "Levoks", "Remedia");
• ciprofloxacin ("Ciprolet", "Cifran", "Ciprinol").

Levofloxacin and pefloxacin are prescribed 400 mg, ofloxacin and levofloxacin 500 mg 2 times a day. The duration of the course of therapy is up to 4 weeks.

Side effects of fluoroquinolones appear in a certain percentage of patients, which leads to the abolition of their use. The most common are dyspeptic symptoms, transient anemia, drug hypersensitivity, neurotoxicity, transient nephritis, and muscle pain. Most symptoms disappear after discontinuation of treatment or switching to other medications.

Cephalosporins

Cephalosporins belong to the group of beta-lactam antibiotics. They also produce a bactericidal effect.

But unlike fluoroquinolones, they have fewer contraindications and side effects, which allows them to be taken by patients with chronic kidney and liver pathologies, and also regardless of age.

In practical urology, preparations of the 2nd and 3rd generations are mainly used, which are the most effective against typical pathogens of acute prostatitis.In the chronic course of the disease, these drugs are rarely used. Today, the following drugs are prescribed for therapy:

• cefuroxime ("Zocef", "Zinnat", "Cefuroxime Sandoz");
• cefixime ("Ceforal", "Supraks", "Pancef");
• Ceftriaxone ("Lendacin", "Norakson", "Cefogram", "Effectal", "Procef").

Among the side effects, it is necessary to highlight possible allergic reactions (cross-sensitivity to penicillins), dyspeptic disorders, pseudomembranous colitis and Stevens-Johnson syndrome.

Ceftriaxone preparations are administered intravenously 2 or 3 times a day, 1.0 g of the active substance, after dissolving the vial in 3-4 ml of injection solution. Cefaxime is prescribed orally at a dose of 0.4 g 1 time per day.

Gradually, macrolides come out on top in terms of frequency of prescriptions for acute and chronic prostatitis. These are bacteriostatic drugs that inhibit protein synthesis in bacteria, which leads to the impossibility of their reproduction. The advantages of their use include high sensitivity of microflora, as well as safety during prolonged use. These drugs are able to penetrate into the cells of the prostate gland, which increases their effectiveness. Macrolides do not have nephro- or hepatotoxic effects, their intake is not accompanied by photosensitivity. Allergic reactions to these drugs are also rarely observed.

The most common drugs are:

• erythromycin ("Altrocin");
• clarithromycin ("Clabax", "Clarimax", "Clarith", "Klacid");
• azithromycin ("Azimed", "Azitral", "Zitrotsin", "Sumamed").

Erythromycin is prescribed 0.5 g 1 time, and azithromycin 1.0 g 4 times a day.

Tetracyclines

Tetracyclines have a bacteriostatic effect. These antibiotics for prostatitis belong to the reserve group. It is used primarily for the treatment of the chronic form, the causative agent of which is often chlamydia or gonococci. The advantage of tetracyclines is also that usually microorganisms that have acquired resistance against macrolides and fluoroquinolones remain sensitive to this group of drugs.

Doxycycline (Vibramycin, Doxycycline Solutab, Unidox) is used to treat prostatitis. It is taken orally at 0.1 g of the drug 2 times a day.

Among the disadvantages of doxycycline are the presence of many side effects (although it is the safest drug in its group):

• inhibition of the process of hematopoiesis (anemia, leukocytopenia, thrombocytopenia);
• the ability to accumulate in the form of salts in bone tissue and enamel;
• neurotoxicity;
• benign CSF hypertension;
• development of superinfections;
• allergic reactions.

Prostatitis is a disease that most often affects middle-aged men when, for various reasons, inflammation of the prostate gland occurs. Depending on the course, duration of the disease, causes, individual sensitivity of the man, the doctor, according to indications, selects an individual treatment of prostatitis with antibiotics. Since in some cases antibiotic therapy is indispensable.

When is antibiotic treatment indicated?

Prostatitis is classified into two groups - bacterial (infectious) and non-bacterial. Moreover, for the treatment of the latter, the use of antimicrobial agents is not indicated. Antibiotics are necessary for acute and chronic bacterial prostatitis, even if it is asymptomatic, and also as a trial therapy for the non-infectious nature of the occurrence of prostatitis, as a test therapy. To determine the need for antibiotic treatment of prostatitis, the doctor must adhere to the following examination scheme to determine the true cause and causative agent of the disease:

1 Examination stage

• Clinical blood test
• Urine analysis (three glass sample)
• Urine culture
• PCR of the epithelium of the urethra (scraping) for infections of genital infections (chlamydia, gonococci, mycoplasmas, Trichomonas, etc.)
• Prostatic secretion analysis
• Prostate ultrasound
• Blood PSA (prostate cancer differential diagnosis)

Search stage 2

If the leukocytes in the secretion of the prostate are below 25, then test therapy with Omnic (tamsulosin) is carried out for a week, then the secretion is re-analyzed.

The results of the examination determine the type of disease

Non-infectious prostatitis

According to the result of the tests, if the leukocytes do not increase, all the cultures are negative, then the prostatitis is determined as non-infectious. It is also called chronic pelvic pain syndrome and only symptomatic treatment is carried out. However, the results of cultures for tuberculosis have to be expected in 10-12 weeks, and in case of positive tests, the patient is referred for treatment to the urological department of the anti-tuberculosis dispensary.

Prostate tuberculosis

The diagnosis is made on the basis of a biopsy of the prostate (examination of the punctate gland). It is rarely isolated, since it is most often combined with lesions of the urinary tract, epididymis, seminal vesicles

The insidiousness of tuberculosis of the genitourinary system in men lies in the fact that very rarely this disease develops acutely, most often it is a chronic disease with periods of remission and exacerbations, and even crops for tuberculosis sometimes give false-negative results, especially when taking fluoroquinolones, which are active in against Mycobacterium tuberculosis.

Complaints of a patient with prostate tuberculosis may be associated with symptoms of general intoxication - subfebrile temperature, weakness, rarely a man may experience aching or burning pain in the perineum, anus, sacrum. The disease is more common in middle-aged men 20-40 years old, with the highest functional activity of the prostate.

Bacterial, infectious prostatitis

If during the first analysis the number of leukocytes exceeds 25 or they increase after taking Omnic, then the prostatitis is classified as bacterial or latent infectious. In this case, antibiotic treatment is necessary.

Since PCR diagnostics for the causative agents of the main sexual infections is carried out within a day from the moment of treatment (most often, a scraping of the urethral epithelium is taken at the first appointment), antibiotics are prescribed a day after the first treatment. In this case, the drug is selected, to which pathogens are most sensitive. Otherwise, a broad-spectrum antibiotic is chosen.

If the flora is insensitive (no result of treatment), they wait for the result of bakposev with the determination of sensitivity to antibiotics and prescribe drugs more specifically.

What antibiotics are most effective for prostatitis?

We cannot say that there is any best antibiotic for prostatitis, since any antimicrobial therapy should be based on the individual sensitivity of bacteria in each case.

You can not engage in self-diagnosis and self-treatment with antibacterial and other drugs. The choice of drug depends on the identified pathogen, as well as its resistance or sensitivity to antibiotics. The duration of the course, the dosage are selected only by the doctor, taking into account the severity of the process (chronic or acute), most often broad-spectrum antibiotics are used.

If specific infections are not detected, drugs are prescribed based on the culture of prostatic secretions (more often these are nonspecific staphylococci or streptococci).

On average, the course prescribed by a doctor is 1-2 months, and the treatment of chronic prostatitis with antibiotics must be combined with other medical procedures and medicines, namely:

• Antibiotics
• Non-steroidal anti-inflammatory drugs
• Medicines that normalize blood circulation
• Vitamin Therapy
• Immunostimulating drugs
• Phytotherapy
• Massage of the prostate gland, manual massage, thermal microwave therapy are indicated only after exclusion of tuberculosis, since both massage and thermal exposure lead to a sharp exacerbation of the tuberculosis process, in which these procedures are categorically contraindicated.
• Sedatives and antidepressants - Antidepressants and sedatives are used in patients with severe chronic forms of prostatitis, which causes depressive disorders and prevents a person from living a normal and quality life. These are not first-line drugs, not etiotropic drugs, but used as auxiliary drugs in the treatment of prostatitis.

The main groups of antibiotics used to treat prostatitis, taking into account generally accepted information about the sensitivity of the main pathogens of bacterial prostatitis, are presented in the table:

In addition to these pathogenic microorganisms, fungal agents can influence the inflammatory process in the prostate gland or urinary system. Therefore, the use of the new combination drug Safocid, containing both the drug for the treatment of thrush Fluconazole, Secnidazole, and Azithromycin, can be prescribed by a doctor according to indications. Its use is recommended for uncomplicated genitourinary infections and for the treatment of bacterial prostatitis.

List of groups of antimicrobials used in the treatment of prostatitis

• Fluoroquinolones are by far the most highly effective drugs, especially for the treatment of chronic bacterial prostatitis, but in addition to other side effects of all antibiotics, they have neurotoxicity and phototoxicity. And they are used only after the exclusion of tuberculous etiology of the inflammatory process.Fluoroquinolones are included in the complex treatment of all forms of tuberculosis, and if the patient is waiting for the result of seeding for tuberculosis, fluoroquinolones should not be used. Treatment of tuberculosis involves taking at least 4 anti-tuberculosis drugs, and therapy with only one antibiotic causes drug resistance of Mycobacterium tuberculosis to this antibiotic and further leads to chronic, refractory tuberculosis of the genitourinary system, which is extremely dangerous. If a man shows significant improvement while taking fluoroquinolones, and after discontinuation of the drug, a relapse occurs again after 1-2 months, you should contact a tuberculosis dispensary for a more thorough examination, tuberculin tests and re-testing.

Trade names of fluoroquinolones: Tavanic, Eleflox, - levofloxacin Cyprinol, Tsiprobay - ciprofloxacin Cifran - ciprofloxacin Ofloxin, Zanocin - ofloxacin Tetracyclines - their use has recently been significantly reduced, only Doxycilin can be used, which is relatively easier to tolerate than other tetracycline antibiotics row - trade name Unidox Solutab. Penicillins - the combined drug Amoxicillin with Clavulanic acid, which has a stronger antibacterial effect, is now widely used - the trade name Amoxiclav, Flemoxina solutab, Augmentin, Flemoklav solutab. Cephalosporins - drugs for intramuscular administration, trade names - Kefadim, Klaforan, Cefspan, Suprax, Ceftriaxone, Cefotaxime, etc. Macrolides - they are not often used, since there are no studies confirming the appropriateness of their use in prostatitis, however, they are low toxic and very active in against a number of bacteria, especially chlamydia and mycoplasma. Trade names of antibiotics of this group: azithromycin (Zitrolide, Sumamed), clarithromycin (Fromilid). When choosing an antibiotic for prostatitis, it should be borne in mind that few of them are able to accumulate in the desired concentration in the tissues of the prostate, which is very important for prostatitis. Therefore, the use of macrolides, fluoroquinolones, aminoglycosides (Gentamicin) is most preferable, and in acute bacterial prostatitis, it is possible to prescribe two antibacterial agents at the same time to more quickly relieve acute inflammation.

After years of incurable prostatitis, I defeated it.

1 MaybeWiz

Members User 11399

Hello everyone!

I want to share my success in the fight against prostatitis, for those who have not been helped by conventional treatment (that is, medication under the supervision of a doctor. And not self-medication and the use of shamanic potions). The recipe will be very expensive, but for someone it can be a salvation.

In general, the problem was this:

Frequent masturbation and watching porn have led to stagnant conditions and, as a result, the creation of a favorable environment for the reproduction of microorganisms in the prostate.

He was treated with antibiotics and abstinence. But with breakdowns and marathons, the state returned.

Exploring this area, I found several reasons why prostatitis does not go away:

1. Constant acts of arousal and sexual stimulation.

2. The inability of the body to defeat the infection even with the help of drugs.

3. Displacement of the vertebrae in the lumbar region, as a result of pinched nerve endings, and as a result, a violation of the interaction between the brain and the part of the body where the nerve passes.

(!) In the queue to the massage therapist, I met a guy who had been treating a very serious form of prostatitis for 3 years. I went to the capital, lay in paid clinics, spent a lot of money and nothing helped. After visiting the clinic for rehabilitation of the spine, prostatitis began to quickly recede. And it happens.

In the next entry of abstinence, I decided to overcome the problem once and for all. Finding out what kind of infection sits in the prostate (prostate secretion analysis). And having found out to which antibiotics this infection has immunity, I found a suitable antibiotic.

Then I found a drug that, while taking antibiotics, increases one's own immunity (and does not stimulate and exhaust, like many drugs of this series). And finally it's all over. Even chronic inflammation of the tonsils and sinuses has passed). I am writing the active substance, not the name of the drug, so that they would not be considered an advertisement: sodium deoxyribonucleate. You will find and choose the preparations yourself.

Here is the recipe:

1. You pass the analysis of the prostate (ultrasound and secret).

2. Go to the doctor and ask for advice on which antibiotic to drink.

3. You drink an antibiotic and inject sodium deoxyribonucleate.

In my case, sodium deoxyribonucleate began to inject 5 days in a row, then connected the prescribed antibiotic against the background of it, pierced 5 more injections, then 5 more every other day.

4. Before treatment, visit a certified chiropractor who will adjust your spine if necessary. And a massage therapist who will bring your back muscles to the desired tone.