Antibiotics for prostatitis in men: which is best for treating chronic form

If you have prostatitis, it is likely that you will need special treatment. The bacterial disease develops in one third of patients. Required to inhibit the growth of bacteria by means of suitable medicines. Antibiotics for prostatitis are prescribed when the diagnosis was confirmed by a preliminary study. The treatment brought the desired effect by influencing the body with utmost care, choose drugs that will work best for you will help, learn how to accept them and the potential threat of use.

The benefits of antibiotic treatment

Modern medicine uses antibiotics for prostatitis or other diseases due to their capabilities:

  • quickly destroy the source of disease and eliminate inflammation;
  • to develop a substance that kills or stops the growth of bacteria and large viruses, but safe for cells of the microorganism;
  • act when applied topically (suppositories, ointments), and other routes of administration: intramuscularly, orally, intravenously;
  • to deal simultaneously with many pathogens (broad spectrum antibiotics).

The major groups of antibacterial drugs used for prostatitis

Antibiotics are a relatively new substance, discovered in the 20-ies of the last century. A long list of drugs neutralizes the virus, helping to remove the causes of prostatitis and other diseases. The different nature of the impact, the differences of the chemical structure allows to distinguish several groups of antibiotics for bacterial prostatitis: chronic or acute.


Today chemically synthesized fluoroquinolones. Active substances that affect different bacteria types, especially to treat the chronic form of the disease. Means on the basis of the fluoroquinolones are absorbed in the digestive tract as quickly as possible. From here they can be easily moved inside the cells of organs and tissues which destroy bacteria. Drugs disrupt the digestive tract and the nervous system, allergies. In rare cases, see kidney disease, musculoskeletal, cardiac, candidiasis, colitis. With prostatitis are prescribed:

  • «Ofloxacin»;
  • «Levofloxacin»;
  • «Ciprofloxacin».


In the family of the tetracyclines are broad-spectrum antibiotics, of similar composition and properties. They have the same mechanism of influence on microbes, similar characteristics and complete cross-resistance. If one drug has no effect on the body, such also will be ineffective. To achieve the result it is better to take the drugs, which have a different method of work. Tetracyclines are highly active to the bacteria that causes prostatitis but wrap hard. Urologists prescribe these drugs for prostatitis:

  • «Doxycycline»;
  • «Tetracycline».


Penicillins inhibit the synthesis of peptidoglycan, which is constructed from the cell wall of bacteria. From this they die. The mammals do not produce peptidoglycan, so the drugs are safe for humans, the only thing you may encounter by taking them Allergy. The most frequently used drugs group of penicillins prostatitis tablets:

  • «Amoxicillin»;
  • «Amoxiclav».


The bactericidal principle of action of cephalosporins for dangerous microorganisms. It damages the cell wall and leads to death. The absorption of this group of drugs from the digestive tract is weak (except for «Cephalexin»). They irritate mucous membranes, cause allergies, disorders of the kidneys, contraindicated in risk of meningitis. Used intramuscularly. Recommended antibiotics for prostatitis are:

  • «Ceftriaxone»;
  • «Cefuroxime».


Macrolides are the least toxic antibiotics of natural origin that inhibit the growth of bacteria. These drugs are rarely used, as no proven effectiveness. Patients tolerate therapy these remedies for prostatitis well. Drugs rarely contribute to the emergence of allergies, there are cases of depression, liver or kidney disease, destruction of joints, bone tissue, toxic effects. Antibiotics for infectious prostatitis:

  • «Josamycin»;
  • «Azithromycin (Sumamed»);
  • «Vil’prafena».

A regimen of antibiotics for treatment of prostatitis in men

To effectively cure the disease, it is necessary to make a diagnosis, which will show the type of bacteria that cause disease in a particular patient, their sensitivity to drugs. The results of tests the doctor decides how to treat chronic prostatitis, or acute form of the disease. A set of procedures to help relieve inflammation of the prostate gland if the disease appeared due to the penetration of bacteria. The scheme of treatment of prostatitis include:

  • taking antibiotics to eliminate the bacteria;
  • the use of drugs to improve blood circulation, reduce congestive state («Pentoxifylline» tablets);
  • adding anti-inflammatory – if you want to relieve the pain, reducing the swelling of the gland (non-steroidal «Diclofenac, Meloxicam, Nimesulide» or hormonal «Prednisone» «Prednisone,» «Solumedrol»);
  • substances that regulate the immune system («Taktivina, Timalina, Levamisol»);
  • vitamins a, B6, E, C;
  • trace elements: selenium, zinc, magnesium;
  • sedatives («afobazole», «Myuser»);
  • herbs (bilberry, elderberry, St. John’s wort, comfrey, goldenrod);
  • prostate massage – it reduces inflammation, relieves stagnant secretions;
  • exercise – stimulate the circulation.

In the acute form of pathology

The treatment is carried out in hospital or under medical supervision at home. Use medications affecting complex: cephalosporins («Ceftriaxone», «CTX»), tetracyclines («Randomizer», «Tetracycline»), and the reduction of inflammation fluoroquinolones (Levofloxacin, «Ofloxacin»). For quick effect urologist may prescribe two antibiotics.

The result of therapy in acute inflammation, usually visible immediately, but to stop taking the drugs, you should not. Bring 4-week course to the end and carefully follow the dosage to inhibit the inflammatory process. Otherwise it can turn into the chronic form. If you strictly implement all the recommendations of the urologist, get rid of the illness forever and never come back.

In chronic prostatitis

Slow chronic course of the disease the prostate gland is observed much more frequently. Periods of relative stability alternate with exacerbations. Treated for chronic prostatitis? The Outlook is less reassuring than in the case of acute inflammation. Results weaker therapy: pathology changes the structure of breast tissue so that the antibiotic does not stay in them for a long time. Purpose:

  1. The drugs are prescribed, given the nature and the degree of sensitivity of microflora.
  2. Highly effective medication broad-spectrum, especially tsefalosporiny («Ceftriaxone») and macrolides («Roxithromycin», «vil’prafena», «Azithromycin»), fluoroquinolones («Norfloxacin», «Ofloxacin»).
  3. The minimum course is one month, but often spend several cycles with breaks. Throw treatment to improve the condition is: the change can be deceptive.

Which antibiotics is most effective

To cure or reduce symptoms of infectious prostatitis, strictly follow the doctor’s recommendations. Start the course only after the diagnosis, when the doctor understood the nature of the disease. Self-treatment at home is fraught with disastrous consequences, the failures in the systems of the body. The table presents the list and dosages of popular antibiotics for prostatitis:

The name of the drug

Single dose

Daily dose


1 capsule (500 mg)

1 time at the same time


1-2 tablets (375-625 mg)

1 tablet (1000 mg)

3 times

2 times


2 tablets (1 g)

1 time


1 capsule (100 mg)

2 times


0,5-1 tablet (250-500 mg)

2 times


1 tablet (500 mg)

1 time


2-4 tablets (250-500 mg)

1 time at the same time


1 capsule (250 mg)

4 times every 6 hours


1-2 capsules (1-2 grams)

Intramuscularly 1 time


1 tablet (250 mg)

2 tablets (500 mg)

2 times a day

2 times a day

Are there side effects and contraindications

Often in conjunction with drugs prescribed restoring microflora of the stomach of the compositions. Describe possible reactions to the antibiotics:

  • failures of the gastrointestinal tract;
  • allergic rashes;
  • intoxication (fever, pain, diarrhea);
  • deterioration of health.

Antibiotics to treat non-infectious (congestive) inflammation do not use. To accept them is prohibited:

  • if you have allergies;
  • disorders of the kidney, liver;
  • pregnancy;
  • breastfeeding;
  • children.

Reviews about the outcome after applying

Nina, 27 years: I «inherited» a man with prostatitis, and chronic. Those who are sick prostatitis, it is not enough just to take pills and antibiotics for prostatitis. My husband did wash, something like physio plus massage and a complex of vitamins. Treatment came around 13-15 thousand But noticeably began to feel better, plus we managed to conceive what really wanted.

Oleg, 33 years: was acute prostatitis, antibiotic therapy underwent pills Tetracycline only came up because in General, few antibiotics I suitable for treatment. Almost immediately relieved. The antibiotics helped quickly. Only in the morning, had heartburn, so drinking medication to restore flora.

Igor, 29 years: the Antibiotic Levofloxacin saws along with other tablets, medicinal candles put. Not all of it fits. Head in the fog and the weakness was, and sometimes nausea, but helped to relieve chronic prostatitis. For six months the disease does not return, I hope to continue. You need to drink a lot of liquids during treatment and be sure to follow a diet, then all will be well.

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