Levofloxacin or lomefloxacin which is more effective. What is the difference between ciprofloxacin and levofloxacin and which is more effective

Levofloxacin - synonyms

Levofloxacin eye drops have the following synonymous drugs:

• Oftakviks - eye drops;
• Signicef ​​- eye drops;
• L-Optic Rompharm - eye drops.

Levofloxacin tablets and solution for infusions have the following synonyms in the domestic pharmaceutical market:

• Vitalecin - tablets;
• Glevo - tablets;
• Ivacin - solution for infusion;
• Lebel - tablets;
• Levolet R - tablets and solution for infusion;
• Levostar - tablets;
• Levotek - tablets and solution for infusion;
• Levoflox - tablets;
• Levofloxabol - solution for infusion;
• Levofloripin - tablets;
• Leobag - solution for infusion;
• Leflobact - tablets and solution for infusion;
• Lefoktsin - tablets;
• Lefloks - solution for infusion;
• Loksof - tablets;
• Maklevo - tablets and solution for infusion;
• Remedia - tablets and solution for infusion;
• Tavanic - tablets and solution for infusion;
• Tanflomed - tablets;
• Flexid - tablets;
• Floracid - tablets;
• Hylefloks - tablets;
• Ecovid - tablets;
• Elefloks - tablets and solution for infusion.

Analogues

According to the latest medical statistics, the spread of prostatitis and its forms has recently begun to increase. The reasons for this situation can be called a lot of factors, among which, the main place is occupied by the unsatisfactory attitude of a man to his health, poor ecology, poor-quality food, etc.

Therefore, it is not surprising how seriously pharmacologists have to work to offer patients the latest and most effective drugs for the treatment of prostatitis. Among them, there is also Levofloxacin - an antibiotic of the latest generation, with a wide spectrum of action.

This type of drug, like Amoxiclav, belongs to antibiotics with a wide spectrum of action and is ideal for the systemic treatment of various diseases, including prostatitis (acute, chronic, bacterial).

The release form of the drug is tablets or solutions for injection. Any form of the drug is quickly absorbed into the blood, affects the body on cellular level, and the directed action of the agent allows you to effectively kill entire colonies of harmful microorganisms. For people suffering from infectious and bacterial diseases, it will be much cheaper to purchase such a medication than to buy other synonyms and an antibiotic substitute, which also have side effects and contraindications.

Levofloxacin analogues have the following properties:

• They have a wide and active spectrum of effects on the body.
• Able to quickly penetrate into the tissues of the prostate.
• Show a high degree of activity and directional action.

It is important to know

Before taking the medicine, you should read all the information that the instructions for taking the drug offer you. Like any other antibiotic, domestic or imported, Levofloxacin can cause side effects and individual intolerance.

Today you can choose not only Levofloxacin, analogues of this drug, similar in composition, action and form of release, are presented on the market in large quantities.

Tavanik- the same effective antibiotic that is prescribed for a variety of diseases. It is characterized by a high degree medicinal activity and impact on groups of harmful microorganisms, its use allows you to get positive results of treatment in the shortest possible time of therapy. The price of the product depends on the form of release: tablets can be bought from 600 rubles, an injection solution will cost you 1620 rubles.

Ciprofloxacin refers to active antibiotics with a wide spectrum of action. Used to treat infectious diseases internal organs and tissues, in particular, the genitourinary system. The drug is produced in various forms, for example, these are eye drops, suspensions and solutions for injections, tablets and capsules. The cost of an antibiotic is low, from 18 rubles, and any pharmacy can offer you this drug.

Along with the above Russian counterparts, there are also foreign analogues of Levofloxacin on the market that can defeat any infectious disease.

Elefloks, produced by an Indian pharmaceutical company, is actively used to treat various forms of prostatitis, inhibits the activity of harmful microorganisms. Applied in systemic treatment, in which the disease is quickly treatable.

Glevo- a product of Indian pharmacology, with a wide spectrum of action, excellent for the treatment of all forms of prostatitis.

Levofloxacin belongs to the group of fluoroquinols. To the same group with the active substance levofloxacin belong:

• Glevo.
• Elefloks.
• Ciprofloxacin.

All antibiotics of this group are very effective in the treatment of prostatitis. Therefore, your choice of a drug can only be influenced by your individual intolerance to the components of one of them, the severity of the disease, in which it is necessary to use complex treatment, in which not all antibiotics may be compatible with other drugs. All drugs have detailed instructions, after reading which, you will find out what side effect can be expected, what contraindication in your case, may affect the choice of remedy.

Tavanic or Levofloxacin which is better?

As we have already noted, both of these drugs belong to the group of fluoroquinols, with the active ingredient - levofloxacin, which quickly penetrates into the blood, then it is taken by the plasma and distributed to all tissues of the body.

The drug Levofloxacin has an active effect on various areas of tissues affected by harmful microorganisms, and it acts directly at the cellular level, which speeds up treatment and gives positive results. With prostatitis, different groups of bacteria can be present in the body that affect the organ and disease-causing: anaerobic gram-positive and gram-negative, simple microorganisms and chlamydia. With all these "pests" the drug fights very effectively.

Tavanic is an antibiotic of the latest generation with high rates of effectiveness in the treatment of diseases of various internal organs, bone tissue.

The active substance in the drug is levofloxacin, the auxiliary ones are crospovidone, cellulose, titanium dioxide, macrogol 8000, iron oxide red and yellow. When taking the drug, its concentration in the blood lasts for a rather long period.

The antibacterial drug gives the fastest and most positive results in the treatment of various forms of prostatitis, ranging from mild to chronic, as it affects tissue cells, their membranes and walls. It is especially effective in complex treatment, because. its active and active component, levofloxacin, interacts well with other drugs.

note

If we compare Tavanic or Levofloxacin, which is better, then the first drug has fewer side effects and has a faster action and the spectrum of its effects is much wider.

Comparing the cost of drugs, it can be noted that you can buy Levofloxacin at a price of 77 rubles, and Tavanic - from 590 rubles.

Most often, when the doctor has prescribed a course of treatment with this drug, the patient is prescribed 2 doses.

The average daily dose of the drug at each dose is from 500 ml to 1 g, depending on the form of the disease, the prostate gland is in. If injections are prescribed, then the daily dose of liquid is from 250 to 500 ml, depending on the severity of the disease. The medicine is taken regardless of the meal, because. mucosa quickly absorbs the substances of the drug.

It is important to know

With mild forms of prostatitis, as well as with diseases that affect the bronchi, the course of treatment can be from 14 to 28 days. In this case, the daily dose is from 500 ml to 1 g.

To decide whether Tavanic or Levofloxacin is better, the attending physician will help you, who will select the optimal antimicrobial drug for effective therapy.

Levofloxacin or Ciprofloxacin: a comparative evaluation of drugs

The drug has a wide spectrum of action, inhibits the vital activity of various microorganisms, quickly penetrates into the bloodstream, is distributed throughout the tissues of the body, and any infection is amenable to such therapy.

The doctor prescribes the drug, which calculates the daily dose of the drug.

The course of treatment can be from 1 to 4 weeks, depending on the degree of the disease.

If we consider Levofloxacin and Ciprofloxacin, the difference lies in the fact that the first is more effective, it can interact with other drugs, while Ciprofloxacin, under the influence of other drugs, can reduce its concentration and activity, which delays the course of treatment.

Both medicines, Levofloxacin and Ciprofloxacin, are antibiotics that should only be taken on the advice of a doctor, who considers each clinical case on an individual basis.

The main difference between the two antibiotics is the active substance: in the first preparation it is levofloxacin, and in the second it is ofloxacin. Under the action of Ofloxacin, not all groups of bacteria can be destroyed, since microorganisms have a different degree of sensitivity to ofloxacin, so the treatment of prostatitis may be different due to the causes of the disease and the effectiveness of treatment may also differ.

Levofloxacin Astrapharm: description of the drug and its distinctive features

Distinctive features from Levofloxacin

Levofloxacin Astrapharm is able to inhibit the activity of gram-positive and gram-negative microbes, while Levofloxacin acts on all groups of bacteria.

Most often, Levofloxacin Astrapharm is used for effective treatment bacterial chronic prostatitis.

In therapy with Levofloxacin, a positive trend is observed already in the middle of treatment, and this occurs regardless of the form of the disease.

If we talk about Levofloxacin Astrapharm blister, then it is more effective in the treatment of mild and moderate forms of prostatitis.

Regardless of what choice you make in the treatment of prostatitis, you must remember that only a systemic, well-chosen treatment can give positive dynamics and results.

Treatment of inflammation of the prostate gland is carried out in a complex manner. One way is antibiotic therapy. Ciprofloxacin helps in the shortest possible time to destroy the infection that caused prostatitis. Reviews of people who took the drug indicate that the drug is tolerated normally, in many cases there are no side effects if the dosage and duration of administration were not violated.

But no matter how effective the drug is, we must not forget that only a doctor can prescribe it!

Why the drug is popular

Prostatitis ranks first among male diseases. Every second representative of the stronger sex is diagnosed with inflammation of the prostate or adenoma. Moreover, the disease is insidious in that it can be asymptomatic.

It is imperative to carry out prevention for men who are at risk, namely, with:

• sedentary lifestyle;
• lack of regular sexual intercourse;
• promiscuous sexual life;

Particular attention to their health should be paid to men who have crossed the threshold of the 45th anniversary.

Ciprofloxacin is a broad spectrum antibiotic.

It is prescribed for the treatment of not only inflammation of the prostate gland, but also multiple pathologies of the genitourinary system caused by bacteria.

Most often, an antibacterial agent is used to treat advanced stages of prostate inflammation.

Treatment with pills helps to destroy such an infection:

• streptococci;
• coli;
• staphylococci;
• chlamydia;
• gonococci;
• gardnerella;
• mycoplasmas;
• ureaplasma.

Produced in the form of tablets, solution for injection. The drug contains the main component - ciprofloxacin hydrochloride and additional trace elements. Effective treatment in the complex, for example, tablets, physiotherapy, rectal suppositories, prostate massage.

Advantages of Ciprofloxacin:

1. During administration, the optimal therapeutic concentration in the prostate is reached.
2. Stops development and growth multiple species bacterial infection.
3. The tablets are well tolerated by men.

The action of the drug is based on the cessation of DNA synthesis in the cells that cause prostatitis. Begins to act immediately after taking the first tablet.

Another advantage of the active substance of the drug is the suppression of not only active harmful microorganisms, but those in a dormant state. This is especially true during the treatment of inflammation, which may be asymptomatic.

Ciprofloxacin has analogues that treat inflammation:

1. Tsiprolet.
2. Ciprobay.
3. Tsiprinol.
4. Alcipro.
5. Aphenoxin.
6. Basijen.
7. Betaciprol.
8. Vero Ciprofloxacin.
9. Zindolin 250.
10. Ificipro.
11. Quintor.
12. Quipro.
13. Liprokhin.

Are there any contraindications

Like any drug, Ciprofloxacin has contraindications. Being an antibacterial agent, it can cause an allergic reaction.

Antibiotic treatment is not prescribed for:

• diseases of ligaments and tendons;
• allergies to constituent components;
• simultaneous reception of Tizanidine;
• epilepsy, neuroses.

The medicine is prescribed only by a doctor.

The scheme and duration of admission depends on the presence of secondary pathologies, the age of the patient, the presence of allergies, the stage and type of the disease.

In addition, to prescribe the drug, it is necessary to undergo an examination and find out which bacteria caused the inflammation.

Self-treatment can lead to complications. The set duration must be respected. Many men, after taking pills for several days and feeling relieved, reducing symptoms, stop taking them. In this case, the infection may still not be completely suppressed, the treatment will be incomplete.

Tablets have a prolonged action. Another common mistake is taking twice the dose of medication. Many believe that this will make recovery faster. But this is an absolute fallacy. Nothing but side effects, a person will not get.

It is forbidden to take alcohol while taking an antibacterial agent. Ethanol molecules completely stop the action of the components of Ciprofloxacin.

The full effect will not come, the infection will not be suppressed.

In case of an overdose, the following conditions may occur:

• stool disorder;
• nausea and vomiting;
• pain in the stomach;
• sleep disturbance;
• increased heart rate;
• allergic dermatitis on the skin, urticaria.

During treatment, in parallel, you need to take drugs that restore the intestinal microflora. The only drawback of an antibiotic is the ability to destroy, along with a pathogenic infection, beneficial bacteria in the body. It is also useful to take fermented milk products to restore the intestinal flora.

Take with caution if non-steroidal anti-inflammatory drugs (except acetylsalicylic acid) are prescribed in parallel. In this case, convulsive conditions may develop.

Opinion about the drug

Vladimir, 58 years old, Moscow

Recently got sick with prostatitis. I am taking ciprofloxacin. The tablets are well tolerated, without any side effects. Already on the third day, urination was restored, the need to get up at night to go to the toilet disappeared.

Alexander 39 years old, St. Petersburg

One of the advantages is the inexpensive cost of the drug, but at the same time it is very effective. There is no unpleasant aftertaste. The doctor prescribed during the treatment to take another drug Vitaprost.

Natalia, 41 years old, Moscow

My husband took these pills for prostatitis. I won't say anything bad. There were no side effects. I recently got sick with cystitis. I was surprised when the doctor also prescribed Ciprofloxacin for me. Symptoms of cystitis disappeared after 2 days.

Nikolay, 37 children, Moscow

In addition to the fact that the instructions for use can only be read under a magnifying glass, I can’t say anything bad about the drug. Prescription tablets are released.

Andrey Ivanovich, 48 years old, urologist, Moscow

Oksana, 39 years old, St. Petersburg

These tablets are prescribed for diseases of the genitourinary system. My husband was appointed in 2014. I drank, there were no side effects.

Eugene, 45 years old, Moscow

Before starting the treatment of prostatitis with these pills, I read the reviews and decided to take an allergy test, an antibiotic. There are no allergies, as well as side effects.

Dmitry, 41 years old, Moscow

Good antibiotic. Helped me with prostatitis.

Alexander, 44, Moscow

Tell me, can I take these pills with chronic prostatitis?

Evgeny Alexandrovich, urologist, Moscow

If inflammation occurs against the background of an infection, then the doctor may prescribe Ciprofloxacin, if the etiology is non-infectious, then there is no point in drinking an antibiotic.

Prostatitis is a common prostate disease that affects many men around the world. Inflammation of the organ is caused by a number of reasons, which is important to consider when determining the tactics of treatment for each individual patient. The scheme is drawn up on an individual basis and very often do without antibacterial drugs fails.

• List of antibiotics for prostatitis: pros and cons
  • Elefloks
  • Tavanik
  • Cifran
  • Tsiprobay
  • Tsiprinol
  • Zanocin
  • Ofloksin
  • Unidox Solutab
  • Suprax
  • Cefotaxime
  • Ceftriaxone
  • Claforan
  • Amoxiclav
  • Flemoclav Solutab
  • Augmentin
  • Flemoxin Solutab
  • Gentamicin

When is antibiotic treatment indicated?

Prostatitis can be caused by bacteria, or it can be non-infectious in nature. In the latter case, the appointment of antibiotics, as a rule, is not required. They should be taken if the prostatitis has an acute or chronic course against the background of bacterial damage to the prostate gland. In this case, the severity of the symptoms does not matter. Often, chronic bacterial prostatitis generally occurs without any signs indicating the presence of inflammation. In addition, the appointment of antibacterial agents may be due to test therapy, even against the background of abacterial inflammation.

It is very important to follow all the points of diagnosing prostatitis in order to find out the cause of inflammation, identify the pathogenic agent and determine its individual sensitivity to a particular drug:

First stage diagnostic studies. The first stage includes:

Blood sampling for clinical analysis.

Urine sampling for bacterial culture, for a three-glass sample.

Sampling of the urethral epithelium for the detection of STIs by PCR, including chlamydia, mycoplasmosis, gonorrhea, etc.

Collection of prostate secretion for a comprehensive study.

Ultrasound examination of the prostate.

Blood sampling to determine the level of PSA in it, which makes it possible to exclude prostate cancer.

The second stage of diagnostic studies: When the content of leukocytes in the prostatic secret does not exceed 25, then testing with the drug Omnic (tamsulosin) is indicated. It is taken for a week, after which the secret is taken for analysis again.

The results of the examination determine the type of prostatitis

Abacterial prostatitis. When even against the background of taking the drug Omnik, there is no leukocyte jump, and no bacteria are found in the crops, then the inflammation of the prostate gland is defined as non-bacterial. This condition is called pelvic pain syndrome, which requires symptomatic therapy.

At the same time, the patient is waiting for the result of tests for tuberculosis, which will be ready in at least 10 weeks. If they are positive, then the patient is placed in an anti-tuberculosis dispensary (in the urological department).

Tuberculous prostatitis. You can determine the disease by performing a biopsy of the prostate. The infection most often affects not only the prostate gland, but also the epididymis, urinary system, seminal vesicles. Despite the fact that in Russian Federation tuberculosis acquires an epidemic character, and not only the lungs, but also other organs are affected, the diagnosis of this disease presents certain difficulties. There is also a danger in the fact that special forms of the disease caused by therapy-resistant bacteria are becoming more common.

Tuberculosis of the genitourinary system of men often develops latently, without giving acute symptoms. Laboratory research may give a false negative result, especially if a man takes antibiotics for prostatitis from the fluoroquinlone group.

Symptoms that may indicate prostate tuberculosis are low-grade fever, aching or burning pains in the perineal region, in the lumbosacral region, and increased fatigue. The age of patients in whom tuberculous prostatitis is most often detected is in the range between 20-40 years.

Bacterial infectious prostatitis. In the event that the analysis of the secret of the prostate indicates leukocytosis with an increase in the number of leukocytes of more than 25, and taking Omnik makes this figure higher, then it makes sense to talk about bacterial or latent infectious prostatitis. Antibacterial therapy in this case is carried out without fail.

The PCR method allows a day later to identify the existing pathogens of a sexual infection, so the doctor will be able to recommend taking this or that drug at the next visit. The drug of choice remains the agent for which the established flora has maximum sensitivity, or an antibiotic is prescribed that is active against most pathogenic agents.

If there is no effect from the ongoing treatment, then it is necessary to wait for the result of bacteriological seeding, which makes it possible to more accurately determine the choice of remedy.

What antibiotics are most effective for prostatitis?

It is impossible to determine any specific antibiotic for bacterial prostatitis that would help all men without exception in the treatment. It all depends on the sensitivity of the microbes that caused the disease in each case.

Self-therapy with the use of antibacterial and other means, self-diagnosis of the disease is impossible. An effective drug can only be selected if a specific bacterial agent is known, after doctors have established its susceptibility to drugs. Only the doctor decides how long the treatment will need to be carried out, what doses medicinal product are needed for this. Most often, specialists prescribe broad-spectrum drugs.

If specific bacteria are not detected, then medication is recommended based on culture of prostate secretion. There, nonspecific streptococci and staphylococci are most often detected.

Treatment involves an integrated approach and does not last for 30-60 days:

An antibiotic is prescribed.

NSAIDs are indicated.

You should take funds aimed at normalizing blood circulation.

Immunostimulating therapy is carried out.

Vitamin complexes or monovitamins are prescribed.

In some cases, phytotherapy is prescribed.

Thermal microwave therapy, prostate massage can be performed only when tuberculosis is excluded. Otherwise, the disease may worsen, which will worsen the patient's condition.

Sedative drugs, antidepressants are recommended for men with chronic prostatitis against the background of the development of depressive moods, with a deterioration in the quality of life. In this case, psychotropic drugs are auxiliary.

Depending on which pathogen is identified, one or another antibiotic for prostatitis is selected.

The sensitivity of pathogenic microorganisms to antibacterial drugs is presented in the table:

It should not be excluded that the cause of the development of inflammation of the prostate gland are mycotic microorganisms. Therefore, in complex therapy possible appointment the following drugs: Safocid, Fluconazole, Azithromycin and Secnidazole.

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List of antibiotics for prostatitis: pros and cons

Preparations from the group of fluoroquinolones are prescribed by modern practicing urologists more often than others. They show high efficiency in the treatment of chronic bacterial prostatitis, however, they can have a negative impact on the functioning of the brain, cause mental disorders, and reduce the resistance of skin cells to ultraviolet radiation. Before starting treatment with fluoroquinolones, it is necessary to make sure that the Koch stick is absent in the body. Medicines of this group are used to treat tuberculosis, but it should be complex with the inclusion of anti-tuberculosis drugs in the therapeutic regimen. Therapy with only fluoroquinolones will lead to the fact that tuberculosis bacteria will develop drug resistance and it will be very difficult to get rid of them in the future. A situation is considered dangerous when a man underwent a course of treatment with fluoroquinolones, his condition returned to normal, and after 30-60 days it worsened again. In this case, repeated tuberculin sampling is necessary.

The following antibiotics of this group are used:

Based on Levofloxacin (Elefloks, Tavanic);

Based on Ciprofloxacin (Cifran, Tsiprobay, Tsiprinol);

Based on Ofloxacin (Zanocin, Ofloxin).

Preparations of the tetracycline group. IN last years they are used less and less, as they have a large number of side effects. The exception is Doxycycline (Unidox Solutab), which is somewhat easier for patients to tolerate.

Drugs from the group of Cephalosporins are administered intramuscularly - these are Suprax, Cefotaxime, Ceftriaxone, Kefadim, Klaforan, Cefspan and others.

From drugs penicillin series prescribe Amoxiclav, Flemoklav solutab, Augmentin, Flemoxin solutab.

As for macrolides, no studies have been conducted to confirm their effectiveness against bacterial prostatitis. However, logically speaking, macrolides are agents of low toxicity, have high activity against certain bacteria, especially against mycoplasma and chlamydia. Therefore, theoretically, their use in inflammation of the prostate is possible. These are such means as: Fromilid with the active ingredient Clarithromycin and Sumamed, or Zitrolide with the active ingredient Azithromycin.

In the treatment of prostatitis, it is very important that the drug can penetrate into the tissues of the prostate and accumulate there in the organ. Such opportunities are possessed by drugs of the group of fluoroquinolones, macrolides and aminoglycosides (Gentamicin). If the patient comes with an acute stage of inflammation, then for its speedy elimination it is possible to use several antibiotics at once for prostatitis.

Elefloks

Eleflox is an antibacterial drug from the group of fluoroquinolones with the main active ingredient Levofloxacin. The drug is available in tablets and in solution for infusion. Eleflox is the drug of choice in the treatment of prostatitis.

The main advantage of Eleflox is its high activity against gram-positive and gram-negative bacteria, which most often provoke the development of prostatitis. Among such microorganisms: E. coli, Klebsiella, Proteus mirabilis, fecal enterococcus, Pseudomonas aeruginosa, ureaplasma, chlamydia and mycoplasma. Thanks to taking the drug Elefloks, the improvement occurs after a few days.

Another advantage of the drug is its proven microbiological and clinical efficacy. It has a high pharmacokinetic profile and penetrates well into the tissues of the prostate gland, which is essential for the successful treatment of prostatitis.

Eleflox based on Levofloxacin is a second-generation fluoroquinolone drug, it is twice as well tolerated by patients than first-generation fluoroquinolones, and also shows high efficiency against penicillin-resistant bacterial strains. This is a significant plus of the drug.

It has been established that after taking the drug, its concentration in the prostate gland is 4 times higher than the concentration in the blood plasma. As a result, the bacteria inhabiting the tissues of the prostate quickly die, since Eleflox causes profound changes in the cytoplasm, membranes and cell wall of pathogenic microorganisms.

The next advantage of the drug Elefloks is that it is available both in the form of tablets and in the form of a solution for infusion. Therefore, you can choose the method of taking the drug, which will be optimal for a particular patient.

The main disadvantage of the drug is the presence of contraindications to its use. It is strictly forbidden to take it for the treatment of prostatitis in the event that a person has a suspicion of tuberculosis. The fact is that fluoroquinolones are included in the treatment regimen for tuberculosis, but effective therapy will require the simultaneous administration of several antibiotics at once. If a person infected with Koch's bacillus takes Eleflox to treat prostatitis, then further anti-tuberculosis therapy may not work. Other contraindications include epilepsy, hypersensitivity to fluoroquinolones in general, and age under 18 years of age.

One of the disadvantages of the drug is its high cost, which starts from 700 rubles and more for tablets, and from 420 rubles for a solution.

It is worth noting such a minus of the drug Elefloks as side effects that may develop against the background of its use. Among them are various allergic reactions, nausea, diarrhea, headaches, dizziness, increased heart rate, etc.

When treating with Eleflox, it should be remembered that it is able to interact with other drugs, which can also be attributed to its disadvantages. For example, when taken simultaneously with glucocorticosteroids, the risk of tendon rupture increases. Therefore, it is necessary to start treatment with this antibacterial drug only after a medical examination.

Tavanic is an antibacterial drug for the treatment of prostatitis with the main active ingredient Levofloxacin. Tavanic belongs to the fluoroquinolones.

The main advantage of Tavanic is its wide spectrum of antibacterial activity. Moreover, it is effective against most bacteria that are the causative agents of infectious prostatitis. These are not only gram-positive and gram-negative microorganisms, ureaplasmas, mycoplasmas, gonococci, but also anaerobes. Sensitivity to the drug Tavanic has Escherichia coli, which very often causes inflammation of the prostate.

Tavanic belongs to the second generation fluoroquinolone antibiotics, that is, it shows a higher activity in terms of getting rid of various bacteria and is better tolerated by patients.

The drug is produced by the well-known group of companies Sanofi Aventis, which is one of the global leaders in the field of healthcare. This means that the drug meets all international safety requirements and has passed all the necessary clinical trials.

Another advantage of Tavanic is its high ability to penetrate and accumulate in prostate tissues. Moreover, the intracellular concentration of the main active substance is 8-9 times higher than its extracellular concentration. This allows you to effectively use the drug Tavanic for the treatment of intracellular pathogens of prostatitis - chlamydia, ureaplasma and mycoplasma.

It is worth noting such a plus of the Tavanic drug as the presence of several dosage forms: it is available in tablets with various dosages and in the form of a solution for infusion.

The main disadvantage of Tavanic is the presence of contraindications to its use. These include: epilepsy, hypersensitivity to fluoroquinolones, age under 18 years, the presence of tendon damage during treatment with quinolones. Do not prescribe a drug for the treatment of prostatitis to people with suspected tuberculosis. Therefore, if there is any doubt, it is necessary to take appropriate tests.

The disadvantages of the drug include side effects. Most common: diarrhea, nausea, headache, drowsiness, sleep disturbance, asthenia, possibly increased hepatic transaminases. Other side effects are observed with less frequency - these are fever, hepatic reactions, tendon ruptures, etc.

With caution, the drug should be taken against the background of treatment with other drugs. For example, with NSAIDs, glucocorticosteroids, vitamin K antagonists, Cimetidine, etc.

The last disadvantage of the drug Tavanic can be considered its high cost. So, the price for 5 tablets with a dosage of 500 mg starts from 590 rubles. A bottle with a solution for infusion costs from 1250 rubles.

Cifran is an antibacterial drug from the group of fluoroquinolones, with the main active ingredient Ciprofloxacin. Cifran is the drug of choice in the treatment of prostatitis.

The main advantage of Cifran is its high activity against bacteria that cause inflammation of the prostate gland. It is prescribed for prostatitis caused by microbes of the intestinal group (E. coli, Klebsiella, Proteus, Enterobacter, etc.). Trichomonas, ureaplasma, Staphylococcus aureus, chlamydia trachomatis, anaerobic bacteria and other pathogenic flora that can provoke the development of inflammation of the prostate gland.

The advantage of the drug Tsifran is that it begins to act very quickly. This is possible due to the high bioavailability of the drug, which accumulates in high concentrations in the tissues of the prostate. Under such conditions, the bacteria lose their viability, and recovery occurs.

Due to the clinically proven effectiveness of the drug Cifran in the treatment of prostatitis, it is prescribed not only to get rid of acute, but also from chronic form diseases. And Tsifran more effectively fights Pseudomonas aeruginosa, compared with drugs based on Levofloxacin.

The advantages of the drug include its relatively low cost, which is about 300 rubles.

Cifran, with the main active ingredient Ciprofloxacin, belongs to the first generation fluoroquinolones, while there are already 2nd generation drugs. Therefore, when treating prostatitis with Cifran, there is a higher risk that the bacteria will become resistant to it. In addition, first-generation fluoroquinolones are worse tolerated by patients than second-generation drugs. This can be attributed to the disadvantages of the drug.

Cifran has moderate activity against atypical pathogens of inflammation in the prostate gland, which somewhat limits its scope. The disadvantages of the drug Cifran include the presence of side effects, including: nausea, diarrhea, skin rash, candidiasis of the mucous membranes, hepatitis, eosinophilia, arthralgia, headaches, sweating, urticaria, taste disturbances, etc.

The drug should not be used to treat children under 18 years of age, to treat patients with pseudomembranous colitis. It is not prescribed for people with a history of hypersensitivity to fluoroquinolones.

Tsiprobay

Tsiprobay is the antibacterial drug of choice in the treatment of prostatitis. It belongs to the group of fluoroquinolones, the main active ingredient in it is Levofloxacin.

Cyprobay is an antibacterial drug that has a detrimental effect on gram-positive and, to a greater extent, gram-negative bacteria, which are common causative agents of prostatitis. Proved it high efficiency against chlamydia, mycoplasma, ureaplasma, gram-negative bacteria of the intestinal group, anaerobes.

The drug, when taken orally, is rapidly absorbed and well distributed throughout the tissues, accumulating in high concentrations in the prostate gland. This leads to the death of the pathogenic flora and the rapid elimination of the disease.

Another advantage of the drug is two forms of release: a solution for infusion and tablets, which allows for the treatment of prostatitis more effectively, starting with intravenous administration of the drug, and then switching to oral administration.

The drug is produced by the well-known pharmaceutical company Bayer, which has been creating and selling medicines since 1863. Therefore, you can be sure that Tsiprobay is a high-quality antibiotic that has passed all the necessary clinical trials.

The price of the drug is relatively low; for a package of tablets in a dosage of 500 mg, you will have to pay about 370 rubles.

Cyprobay is a first generation fluoroquinolone. Therefore, the risk of developing resistance in bacteria to the drug is higher than to second-generation fluoroquinolones. This can be considered the main disadvantage of the drug.

The second disadvantage of the drug Tsiprobay is the presence of contraindications to its use, including: age under 18 years, epilepsy, organic lesions brain, mental illness. With caution, the drug is prescribed to the elderly.

The third disadvantage of the drug can be called the presence of side effects - these are fungal lesions of the mucous membranes, eosinophilia, loss of appetite, diarrhea and nausea, headache, taste distortion, sleep disturbance, etc.

Before starting treatment, you should definitely visit a doctor, as the drug is able to interact with other drugs, which can provoke an increase in side effects.

Tsiprinol

Tsiprinol is an antibacterial drug with the main active ingredient Ciprofloxacin. Tsiprinol belongs to the group of first-generation fluoroquinolones and is the drug of choice for the treatment of prostatitis.

The main advantage of the drug Tsiprinol is its pronounced bacteriostatic activity against most pathogens of prostatitis. The drug has a wide spectrum of action, inhibiting the enzyme DNA gyrase of bacteria, which makes it impossible to start the process of protein synthesis in their cells. As a result, the pathogenic flora dies.

The drug has low toxicity to humans, since DNA gyrase is absent in its cells.

Another plus of Tsiprinol is its high activity against bacteria that are resistant to aminoglycosides, penicillins, cephalosporins and tetracyclines. Prostatitis caused by gram-negative bacteria (enterobacteria, E. coli, shigella, pseudomonas, moxarella, legionella, listeria, etc.) responds well to treatment with Tsiprinol. Some gram-positive aerobes are sensitive to the drug: staphylococci and streptococci.

An important advantage of the drug is that it has a high bioavailability and accumulates in high concentrations in the tissues of the prostate gland. Cyprinol is able to destroy bacteria that multiply and that are at rest.

Another advantage of the drug Tsiprinol is its affordable price. So. For 10 tablets of 500 mg, you will have to pay about 120 rubles.

The main disadvantage of the drug is that some bacteria may not be sensitive to it. For example, corynebacteria, fragilis bacteroids, some types of Pseudomonas, treponema. Bacteria resistant to methicillin are resistant to Tsiprinol. The drug is a first-generation fluoroquinolone, while second-generation antibiotics have been developed that have higher antimicrobial activity and are better tolerated by patients.

Another disadvantage of the drug is that it has a number of side effects. Most often, patients complain of nausea and diarrhea, although the development of a fungal infection, pseudomembranous colitis is not excluded, sometimes allergic reactions occur, up to angioedema and anaphylactic shock. Changes are possible on the part of metabolism, on the part of the nervous system, organs of vision, etc. However, the frequency of side effects is not high and most often Tsiprinol is well tolerated by patients.

It is worth noting such a minus of the drug as contraindications to its use. It is strictly forbidden to prescribe Tsiprinol for the treatment of prostatitis in people with hypersensitivity to fluoroquinolones, in patients with chronic renal failure, in children and adolescents under 18 years of age.

Tsiprinol is able to interact with other drugs. For example, it should not be taken with tizanidine, as this can cause levels to drop. blood pressure.

Zanocin is a broad-spectrum antibacterial drug with the main active ingredient - Ofloxacin. Zanocin is a second-generation fluoroquinolone.

Zanocin is the drug of choice in the treatment of prostatitis. The main active ingredient perfectly penetrates into the tissues and secretion of the prostate gland and covers a huge range of prostatitis pathogens.

An important advantage of the drug Zanocin is its high activity against most gram-negative microbes of the intestinal group (E. coli, Klebsiella, Proteus, Enterobacter), as well as against Pseudomonas, Trichomonas, Ureaplasma, Mycoplasma and other pathogens of prostatitis. Sensitive to Zanocin strains of bacteria that are resistant to antibiotics of other groups.

The undoubted advantage of Zanocin is that it can be used during complex antibacterial therapy, that is, it is prescribed with cephalosporins, macrolides, beta-lactam antibiotics.

The drug is available in two forms: in tablets and in the form of a solution for infusion. At the same time, it has an equivalent bioavailability for oral and parenteral administration, so there is no need for dose adjustment. This is a significant plus of the drug, for example, compared with drugs based on Ciprofloxacin.

The price range of the drug is average. So, Zanocin tablets at a dosage of 400 mg can be purchased at a price of about 314 rubles.

Although Zanocin is the drug of choice for treating prostatitis, some bacterial strains may be resistant to it. For example, Escherichia coli gives resistance to Zanocin in 4.3% of cases in Russia as a whole. In some regions, this figure is higher, for example, in St. Petersburg it is 13%. Therefore, it is recommended to use preparations based on Ofloxacin in the treatment of uncomplicated prostatitis.

Another disadvantage of the drug is the presence of side effects, including: nausea, vomiting, diarrhea, fatigue, increased intracranial pressure, tachycardia, anemia, leukopenia, impaired kidney function, etc.

The next drawback of the drug is its ability to interact with other drugs, which often leads to an increase in their side effects. For example, you can not combine taking Zanocin and Theophylline, as this will lead to a sharp drop in blood pressure. And the simultaneous use of Zanocin with NSAIDs increases its side effects on the central nervous system.

Zanocin is not prescribed for the treatment of prostatitis in people with hypersensitivity to fluoroquinolones, it should not be used to treat children and adolescents under the age of 18 years.

Ofloksin

Ofloxin is a broad-spectrum antibacterial drug related to second-generation fluoroquinolones. The main active ingredient is Ofloxacin.

Another advantage of Ofloxin is its high bioavailability, which ranges from 95 to 100%. In addition, it does not differ between oral and parenteral administration, which does not require dose changes when changing the route of administration. This is quite relevant for the treatment of prostatitis, since a stepwise scheme is often used.

The next advantage of the drug is that it perfectly hits the target organs. In this case, we are talking about the tissue and the secret of the prostate gland.

Another advantage of the drug: Ofloxin does not have a pathogenic effect on bifidus and lactobacilli, and therefore does not contribute to the violation of the intestinal microflora.

It should be noted that, unlike most other fluoroquinolones, Ofloxin does not give any clinically significant phototoxic effect and does not interact with Theophylline.

The price of Ofloxin is very acceptable, for 10 tablets at a dosage of 200 mg you will need to pay about 180 rubles.

The main disadvantage of Ofloxin is the presence of side effects that occur on average in 4-8% of patients. Most often they are associated with disruption of the digestive tract, central nervous system and skin. Among them: nausea, vomiting, gastralgia, headaches, sleep disturbance, increased anxiety, skin rash and itching, urticaria, petechiae, papular rash, etc.

Another disadvantage of the drug is that it is not used to treat people with hypersensitivity to fluoroquinolones, to treat children and adolescents under 18 years of age.

Some strains of Escherichia coli are resistant to Ofloxin (about 4.3% of cases), which can lead to ineffective use of the drug for the treatment of prostatitis. Moderate resistance to Ofloksin is shown by some strains of gram-positive bacteria.

Unidox Solutab

Unidox Solutab is a broad-spectrum antibacterial drug from the tetracycline group. The main active ingredient is Doxycycline.

Unidox Solutab is practically the only drug from the tetracycline group that modern proctologists use to treat prostatitis, since it is more easily tolerated by patients than others.

Unidox Solutab has antibacterial activity against ureaplasma, mycoplasma, chlamydia, Klebsiella, enterobacteria, Pseudomonas and E. coli.

Another advantage of the drug is its high bioavailability, which is 100%. Already half an hour after the first dose, the dose of the drug substance that is necessary to provide a therapeutic effect will be concentrated in the prostate gland.

Unidox Solutab is available in the form of dispersible tablets, which makes taking the drug very convenient.

The price of the drug is not very high and is about 350 rubles for a pack of 10 tablets.

The main disadvantage of Unidox Solutab is that such possible pathogens of prostatitis as Proteus, Serrata, some strains of Pseudomonas, Acinetobacter, symbiotic enterococci are resistant to it. In addition, resistance to Unidox Solutab, which occurs in the treatment of prostatitis, will be extended to other drugs from the tetracycline group. Therefore, in some cases, it is required to replace the drug with a radically different antibiotic.

Another disadvantage of the drug is that it is not prescribed for the treatment of people with severe disorders of the kidneys and liver, with porphyrin disease, with hypersensitivity to tetracyclines.

Another disadvantage of Unidox Solutab is the side effects that may occur after taking it, including: anorexia, nausea, diarrhea, enterocolitis, allergic reactions, liver damage, anemia, eosinophilia, increased ICP, etc.

Suprax is a broad-spectrum antibacterial drug from the group of cephalosporins (3rd generation of drugs). The main active ingredient is cefixime.

The main advantage of Suprax in the treatment of prostatitis is its high antibacterial activity against gram-negative bacterial strains. Suprax allows you to get rid of prostatitis caused by gonococci, enterobacteria, Proteus, Klebsiella and E. coli.

Suprax is a drug for oral administration. It has three forms of release - in capsules, in tablets, in suspension, so it can be used for treatment not only in a hospital, but also at home.

The drug is produced by the well-known company Astellas, which is one of the 20 leading pharmaceutical companies in the world. Therefore, the drug has passed all the necessary clinical trials, which is its undoubted advantage.

Taking the drug Suprax does not have a pronounced effect on the human immune system, does not reduce the protective functions of the body, which is also its advantage over some other antibiotics.

Suprax does not have a high permeability in the prostate tissue, which is a significant disadvantage of the drug in the treatment of prostatitis.

Another drawback of the drug is the insensitivity to it of bacteria such as: ureaplasma, mycoplasma, chlamydia, enterococci, pseudomonads, seration, listeria. Therefore, if prostatitis was caused by one of these microorganisms, the therapeutic effect cannot be achieved. Or you will have to use Suprax in combination with other antibiotics.

Another disadvantage of the drug is its high cost. So, for a package with 6 capsules at a dosage of 400 mg, you will have to pay about 700-800 rubles.

It is worth noting such a drawback of the drug as the presence of side effects. Perhaps the occurrence of allergic reactions, the appearance of dry mouth, the development of diarrhea, nausea, flatulence, vomiting, dizziness and headaches.

Cefotaxime

Cefotaxime is a broad-spectrum antibiotic from the group of third-generation cephalosporins with the main active ingredient Cefotaxime.

The main advantage of Cefotaxime is its extended spectrum of action compared to previous generations of cephalosporins, as it has increased resistance to beta-lactams. Therefore, Cefotaxime may be prescribed for the treatment of complicated prostatitis.

The drug is active against most bacteria that provoke prostatitis, including: E. coli, gonococci, enterobacteria, Klebsiella, Proteus, staphylococci. Cefotaxime can help to get rid of the disease, even when there is no effect from treatment with tetracyclines, penicillins and aminoglycosides. Often it is used in the complex therapy of prostatitis.

It should also be noted such a plus of the drug as the absence of contraindications to its use, with the exception of hypersensitivity reactions to cephalosporins.

The price of the drug is not high, so a bottle with 1 g of the active substance can be purchased for 20-40 rubles.

One of the disadvantages of the drug can be called the fact that it is allowed to be used only for parenteral administration. The drug is not available in tablets or capsules, that is, oral administration is not available.

Treatment with Cefotaxime is carried out only in a hospital setting.

Another disadvantage of Cefotaxime is the presence of side effects, including: local reactions to the administration of the drug, skin rashes, disorders of the digestive tract, pseudomembranous colitis, headaches, etc.

Ceftriaxone

Ceftriaxone is a broad-spectrum antibiotic from the group of third-generation fluoroquinolones.

The main advantage of the drug is that it has a pronounced bactericidal effect. It can be used to treat prostatitis caused by Gram-positive and Gram-negative bacteria.

Another plus of Ceftriaxone is its increased resistance to beta-lactamase enzymes produced by most pathogenic microorganisms. This means that the drug will be effective even where other antibacterial agents (penicillins and even cephalosporins of previous generations) fail.

When administered parenterally, the drug penetrates well into the tissues and fluids of the prostate. Moreover, the drug has practically no contraindications, with the exception of the possibility of a hypersensitivity reaction to cephalosporins.

The price of Ceftriaxone is not high. The average cost of 1 bottle with 1 g of the active substance varies between 22-30 rubles.

One of the disadvantages of the drug is that it can only be used for parenteral use. Therefore, treatment with Ceftriaxone is carried out only in a hospital setting.

Another disadvantage of the drug is the possibility of side effects after its administration. These include: diarrhea, nausea, vomiting, eosinophilia, allergic dermatitis, urticaria, headaches, congestion in the gallbladder.

Claforan

Klaforan is a broad-spectrum antibiotic from the group of third-generation cephalosporins. The main active ingredient is Cefotaxime.

The main advantage of the drug Klaforan in the treatment of prostatitis is that it has bactericidal properties against gram-negative and gram-positive pathogenic flora. Unlike some other cephalosporins, Klaforan has a detrimental effect on bacteria that synthesize beta-lactamase. Therefore, it can be used to treat patients who have not responded to tetracycline and other antibiotic therapy.

The drug is produced by the well-known pharmaceutical company Sanofi Aventis, which means that it has a high degree of purification.

The drug has practically no contraindications. It should not be used solely for the treatment of patients with hypersensitivity to cephalosporins in general.

One of the main disadvantages of the drug is that it can be used exclusively for parenteral administration. Therefore, Klaforan treatment is carried out only in a hospital setting.

It is also worth noting such a drawback of the drug as its relatively high price compared to other 3rd generation cephalosporins. So, 1 bottle with a dosage of 1 g will cost from 155 rubles.

The disadvantages of the drug include the possibility of side effects, including: disorders of the digestive system (nausea, diarrhea, loss of appetite), allergic reactions, arrhythmia, encephalopathy, fever, pain at the injection site, etc.

Amoxiclav

Amoxiclav is a broad-spectrum antibiotic, with the main active ingredient amoxicillin + clavulanic acid. The drug belongs to the group of penicillins.

The main advantage of Amoxiclav in the treatment of prostatitis is that it effectively fights bacteria that produce beta-lactamase enzymes. This allows you to have a pronounced bactericidal effect against a wide range of pathogenic microorganisms.

To date, Amoxiclav is one of the most effective antibiotics for the treatment of prostatitis among penicillins. It allows you to get rid of such bacteria that cause prostatitis, such as: gonococci, enterobacteria, enterococci, Klebsiella, Proteus, seracia, E. coli and some others.

The drug was developed by the famous pharmaceutical company SmithKline Beecham Pharmaceuticals. Therefore, you can not worry about the quality and safety of the drug.

Another advantage of Amoxiclav is its selective activity against bacterial cells. That is, it recognizes pathogenic cells and destroys them, while healthy tissues are not damaged.

The advantage of the drug is its relatively low price. So, a package of Amoxiclav tablets 20 pieces in a dosage of 500 mg can be purchased for 300-400 rubles.

The main disadvantage of the drug in the treatment of prostatitis can be considered its low efficiency against bacterial strains such as: ureaplasma, mycoplasma, chlamydia and pseudomonads. Therefore, although Amoxiclav is a clavulanic acid protected semi-synthetic aminopenicillin, it may not be effective in the treatment of prostatitis caused by atypical or resistant flora.

Another obvious disadvantage of Amoxiclav is that it can provoke a number of side effects, including: nausea, diarrhea, vomiting, heartburn, liver and kidney disorders, allergic reactions, fungal infection, etc.

Flemoclav Solutab

Flemoclav Solutab is an antibiotic from the penicillin group with the main active ingredient Amoxicillin + potassium clavulanate.

Flemoklav Solutab, like Amoxiclav, is a protected penicillin, which ensures its high antibacterial activity against most bacteria that can provoke the development of prostatitis.

An important advantage of the drug Flemoklav solutab is that it is available in the form of dispersible tablets. This makes it convenient to take for some groups of patients. Moreover, this form of release has a gentle effect on the gastric mucosa and is more easily absorbed by the body.

It is impossible not to mention such a plus of the drug Flemoklav solutab, as its ability to fight beta-lactamase strains of bacteria that are resistant to a number of other antibiotics.

Among the disadvantages of the drug Flemoklav solutab is its high cost compared to other forms of penicillins with clavulanic acid. So, for the packaging of the drug, it will be necessary to pay 400-500 rubles.

Also, the disadvantages of the drug include the presence of contraindications to its use, including: hypersensitivity to the components of the drug, jaundice, abnormal liver function, Infectious mononucleosis, lymphocytic leukemia.

It is worth noting such a minus of the drug as the presence of side effects that may occur while taking it. Most often, patients suffer from diarrhea and nausea, as well as fungal infections that occur against the background of dysbacteriosis. It is also possible to develop allergic reactions, exanthema, candidiasis, hepatitis and other undesirable reactions.

Augmentin

Augmentin is a broad-spectrum antibiotic containing Amoxiclav and clavulanic acid.

The main advantage of Augmentin is its resistance to bacteria that produce beta-lactamase enzymes, which is possible due to clavulanic acid in its composition. Augmentin acts against many strains of gram-positive and gram-negative bacteria that can provoke the development of prostatitis.

The drug is available in tablets, in the form of a powder for the preparation of a suspension, in the form of a powder for intravenous and intramuscular administration. This is also an important advantage of the drug Augmentin, as it makes it possible to use it for different groups of patients.

One of the disadvantages of the drug is its high cost, which, depending on the form of release of the drug, can reach 1800 rubles.

The disadvantages of Augmentin include its resistance to some atypical pathogens of prostatitis, including strains of mycoplasma, ureaplasma, chlamydia, pseudomonas, as well as some gram-negative anaerobes.

Separately, it should be noted the side effects that may occur while taking Augmentin. Most often, patients complain of diarrhea, a feeling of nausea and fungal infections. Although there may be a violation of the work of such organs and systems as: the central nervous system, lymphatic system, the immune system, liver, gallbladder, vessels, urinary tract, skin.

Flemoxin Solutab

Flemoxin Solutab is a broad-spectrum antibiotic based on Amoxicillin. The drug belongs to the group of penicillins.

Flemoxin Solutab has activity against a number of gram-negative and gram-positive bacteria that can cause prostatitis. These are some strains of staphylococci, streptococci. Moderate activity shows the drug against enterococci, Proteus, Salmonella, Shigella.

The drug is released in the form of dispersible tablets, which makes it convenient to take it for some categories of patients. In addition, the trihydrate is better absorbed by the gastrointestinal tract and does not irritate the gastric mucosa.

The drug is produced by Astellas, which has positively proven itself in pharmacological market. This means that the drug meets all global safety standards.

The drug is in the middle price range. It can be purchased at a price of 230 rubles and above, depending on the dosage.

The drug is not effective against bacteria producing beta-lactamase enzymes, against Pseudomonas, Enterobacter, Ureaplasma, Mycoplasma, Chlamydia and some other pathogenic microorganisms. Therefore, the treatment of prostatitis with Flemoxin Solutab alone may not be effective. This is the main disadvantage of the drug.

It is also worth noting the presence of side effects that may occur when taking it: a change in taste, vomiting, diarrhea, nephritis, agranulocytosis, skin reactions, etc.

Gentamicin

Gentamicin is a broad-spectrum antibacterial drug from the group of aminoglycosides.

The main advantage of the drug is its high antibacterial activity against gram-negative flora, which can provoke the development of prostatitis, for example, against Salmonella, Enterobacter, Klebsiella, Proteus, Pseudomonas, etc.

The drug is rapidly absorbed into the blood and already an hour after its administration in plasma, its therapeutic concentration is observed.

A significant advantage of the drug is its low price. So, a package of 10 ampoules can be purchased for only 40-50 rubles.

One of the significant disadvantages of the drug Gentamicin is its limited spectrum of action, that is, it will be ineffective against some strains of bacteria that cause prostatitis. Therefore, it is most often used in a complex treatment regimen for inflammation of the prostate.

The disadvantages of the drug include the fact that it is administered only parenterally. Oral administration of the drug is not available.

Also a minus of Gentamicin are its numerous side effects, including: vomiting, nausea, anemia, leukopenia, oliguria, renal failure, headaches, increased drowsiness, hearing impairment, etc.

The drug has contraindications for use, for example, neuritis of the auditory nerve, impaired renal function.

Fluoroquinolone for chronic bacterial prostatitis

Good pharmacokinetics, high concentration in prostate tissue, good bioavailability. Equivalent pharmacokinetics for oral and parenteral administration (for ciprofloxacin, ofloxacin, levofloxacin, sparfloxacin). Ciprofloxacin and ofloxacin have a prolonged release form - OD tablets, which allow the active substance to be released evenly throughout the day and thereby maintain the equilibrium concentration of the drug. Levofloxacin (floracid), ciprofloxacin, sparfloxacin (especially in association with intracellular sexually transmitted infections), and to a lesser extent, norfloxacin should be considered optimal for prostatitis.

All fluoroquinolones showed high activity against typical and atypical pathogens, including Pseudomonas aeruginosa. Disadvantages include photo- and neurotoxicity. In general, fluoroquinolones can be considered as first-line drugs in the treatment of patients with chronic prostatitis, but only after exclusion of tuberculosis.

• levofloxacin (tavanic, floracid, eleflox) 500 mg/day;
• ciprofloxacin (cyprobay, cyprinol) 500 mg/day;
• ciprofloxacin (tsifran OD) 1,000 mg/day;
• ofloxacin (zanocin OD, ofloxin) 800 mg/day;
• sparfloxacin (sparflo) 200 mg twice a day.

Trimethoprim

It penetrates well into the prostate parenchyma. Along with tablets, there is a form of the drug for intravenous administration. IN modern conditions the advantages include the low cost of trimethoprim. However, although the drug is active against the most significant pathogens, it does not act on Pseudomonas spp., some enterococci and some representatives of the genus Enterobacteriaceae, which limits the use of this drug in patients with chronic prostatitis. Trimethoprim is available in combination with sulfamethoxazole (400 or 800 mg of sulfamethoxazole + 80 or 160 mg of trimethoprim; respectively, the combined drug tablet contains 480 or 960 mg of the active substance).

• co-trimaxazole (biseptol 480) 2 tablets twice a day.

Tetracyclines

Also available in two forms of administration, highly active against chlamydia and mycoplasmas, so their effectiveness is higher in chronic prostatitis associated with sexually transmitted diseases. Optimal is doxycycline (Unidox Solutab), which has the best pharmacokinetic data and tolerability.

• doxycycline (unidox solutab) - 200 mg / day.

Macrolides

Macrolides (including azalides) should only be used under certain conditions, as there are few scientific studies supporting their effectiveness in prostatitis and this group of antibiotics has little activity against Gram-negative bacteria. But you should not completely abandon the use of macrolides, since they are quite active against gram-positive bacteria and chlamydia; accumulate in the prostate parenchyma in high concentrations and are relatively non-toxic. The optimal drugs in this group are clarithromycin (fromilid) and azithromycin. Recommended doses:

• azithromycin (sumamed, zitrolide) 1000 mg/day for the first 1-3 days of treatment (depending on the severity of the disease), then 500 mg/day;
• clarithromycin (fromilid) 500-750 mg twice a day.

Other drugs

Can recommend combination drug safocide. Its uniqueness lies in the fact that it contains a full combined one-day course of treatment in one blister (4 tablets): 1 tab. fluconazole (150 mg), 1 tablet of azithromycin (1.0 g) and 2 tablets of secnidazole A 1.0 g each. This combination, taken simultaneously, allows you to achieve a bactericidal effect against Trichomonas vaginalis, gram-positive and gram-negative anaerobes, including Gardnerella vaginalis (secnidazole), against Chl trachomatis, Mycoplasma genitalium, gram-positive and gram-negative microflora (azithromycin), as well as against fungi of the genus Candida (fluconazole).

Thus, safocid meets all WHO requirements for drugs used to treat sexually transmitted infections, including the treatment of chronic prostatitis: efficiency of at least 95%, low toxicity and good tolerance, the possibility of a single dose, oral administration, slow development of resistance to ongoing therapy.

Indications for taking safocide: combined uncomplicated sexually transmitted infections of the genitourinary tract, such as gonorrhea, trichomoniasis, chlamydia and fungal infections, accompanying specific cystitis, urethritis, vulvovaginitis and cervicitis.

In an acute uncomplicated disease, a single dose of the safocid complex is sufficient; in a chronic process, a full set is required for 5 days.

European recommendations for the management of patients with infections of the kidneys, urinary tract and male genital organs, compiled by a team of authors led by Naber K.G., insist that in case of bacterial chronic prostatitis, as well as in chronic prostatitis with signs of inflammation (categories II and III A), antibiotics should be appoint for 2 weeks after the establishment of the primary diagnosis. After that, a re-evaluation of the patient's condition is carried out, and antibiotic therapy is continued only if a positive result culture material taken before treatment, or if the patient shows a marked improvement against the background of antibiotic treatment. The recommended total duration of treatment is 4-6 weeks. Oral therapy is preferred, but antibiotic doses should be high.

The effectiveness of antibiotics in the so-called inflammatory syndrome of chronic pelvic pain (what we consider as latent chronic prostatitis) by the authors of the guide, with reference to the studies of Krieger J.N. et al. is also explained by the likely presence of bacterial microflora not detected by conventional diagnostic methods.

Here are several options for the basic treatment of patients with acute prostatitis CIP and latent CIP.

Treatment regimen for acute prostatitis

• ceftriaxone 1.0 g per 200 ml sodium chloride solution 0.9% intravenously drip 2 times a day for 5 days, then 5 days intramuscularly;
• furazidin (Furamag) 100 mg three times a day for 10 days;
• paracetamol (perfalgan) 100 ml intravenously at night daily for 5 days;
• meglumine sodium succinate (Reamberin) 200 ml intravenously every other day, 4 infusions in total;
• tamsulosin 0.4 mg daily;
• other symptomatic therapy - individually according to indications.

Treatment regimen for chronic infectious and latent infectious prostatitis

Important - at the initial appointment, the examination algorithm must be maintained. First, a 3-glass urine sample with its bacteriological examination, then a digital rectal examination, obtaining a prostate secretion for its microscopy and seeding. Sowing is designed to identify nonspecific microflora and Mycobacterium tuberculosis; according to indications - sexually transmitted infections. If less than 25 leukocytes are found in the prostate secretion in the field of view, test therapy with tamsulosin (omnic) should be performed for 5-7 days with repeated massage of the prostate and re-examination of its secretion. If the number of leukocytes does not increase, and the cultures are negative, the disease should be attributed to non-infectious prostatitis (chronic pelvic pain syndrome) and appropriate pathogenetic and symptomatic therapy should be carried out. If more than 25 leukocytes per field of view are visualized during the initial analysis or their number increases after test therapy, the disease should be considered as infectious or latent infectious. In this case, antibiotic therapy becomes the basis of treatment - empirical at the beginning, and corrected after receiving the results of bacteriological examination.

Inflammation of the prostate is often caused by sexually transmitted infections. Accordingly, drug therapy is based on the use of antibacterial agents. Basically, the patient is offered anti-inflammatory therapy, which will destroy the root cause of prostate infection. Treatment of acute and chronic prostatitis is fundamentally different. Adaptive and competent treatment can only be prescribed by a qualified urologist who knows the patient's history.

What are the antibiotics for the treatment of prostatitis in men, what characterizes the course of the disease in chronic prostatitis, a list effective drugs from prostatitis, you will learn in this article.

Antibiotics for prostatitis in men: the role of drugs

Most men think that prostatitis is very difficult to treat, and drugs adversely affect the state of the body as a whole. In part, this is true if the disease is not treated in time. Acute prostatitis can be treated for up to two weeks, chronic with untimely treatment 14-28 days.

The role of antibiotics in the treatment of inflammation of the prostate gland is huge. According to statistics, in 95% of cases, prostatitis is caused by an infection (virus, bacterium). It is the antibiotic that can destroy the pathogenic microflora. Basically, when diagnosing a disease, antibiotics of a narrow group are prescribed. If the doctor could not establish the root cause of the disease, then for a start, the patient is prescribed a broad-spectrum remedy.

The antibiotic helps to inhibit the pathogens that caused inflammation. It should be noted right away that such drugs really affect the functioning of the liver, kidneys, and heart. It is for this reason that it is worth first undergoing a detailed examination of the body, and then prescribing therapy.

Along with antibiotic treatment, the doctor without fail prescribes vitamin complex For better job Gastrointestinal tract, liver and kidneys, as antibiotics have a lot of side effects.

But with the right course, you can cure prostatitis without loss and not acquire new pathologies.

Antibiotic treatment of chronic prostatitis: how to start therapy

Of course, the treatment course begins with the diagnosis. Why can't you self-medicate? The nature of inflammation of the prostate can be different. Infections are also different. Inflammation of the prostate can be caused by:

• Escherichia coli;
• Staphylococci, gonococci, chlamydia (venereal microorganisms);
• Fungi.

When diagnosing, the patient is invited to undergo a PCR examination. It helps to establish which pathogenic microbe led to inflammation. And only after identifying it, antibiotic therapy of a narrow profile is prescribed, and in particular the drug to which the detected bacteria are most sensitive.

The urologist also additionally prescribes a blood test, urine test, the patient should take a bakposev, etc. Only after a well-conducted diagnosis, antibacterial drugs are selected that locally affect the root cause of the causative agent of inflammation. After all, today there are a lot of drugs of the antibacterial group, which we will discuss later.

Treatment of prostatitis with antibiotics: how to treat

Antibiotics are the most effective means in the fight against prostatitis.

Taking this kind of medication, the patient may feel relief the very next day, because the drugs quickly act on the affected focus, relieve swelling, lower the temperature, and improve urination.

But do not forget about some rules that should not be neglected in the treatment of diseases with antibiotics:

• You can not interrupt the course of treatment. Orders must be followed until the last day. Many men, feeling better for 5-7 days, refuse to take pills. In this case, the patient is guaranteed a relapse;
• If the selected antibiotic does not alleviate the condition on the third day, you should immediately contact your doctor to replace the drug with another one. The advantage of antibiotics is that the result of treatment is visible almost from the first days of taking the course;
• If the patient seeks a second course of treatment for prostatitis, then the previously prescribed antibiotic can no longer be used. Therefore, it is worth remembering the names of medicines in order to provide the correct information.

Treatment of chronic prostatitis is not an easy task, because you need to choose the right antibiotic that will most intensively affect the desired pathogenic microorganism. We provide a list of drugs that contribute to the speedy recovery of the patient.

His effective composition It has anti-inflammatory, antimicrobial and soothing effects. Thanks to bee venom improves blood circulation and enhances cell regeneration. "Cream Wax Zdorov" is absolutely safe, has no side effects and enhances the effectiveness of drug treatment.

Azithromycin for prostatitis

The active substance is azithromycin dihydrate. It is a broad spectrum antibiotic. It is used for ENT infections, bronchitis, cystitis. Azithromycin is also indicated for prostatitis of any form. This medicine, when it enters the body, immediately affects the pathogenic microflora, destroying pathogenic bacteria. But he has contraindications:

• kidney disease;
• Heart failure;
• Liver disease.

In other cases, this effective remedy in the fight against microorganisms that caused inflammation.

Amoxiclav

The drug is also often prescribed by a doctor in the treatment of chronic prostatitis. This tool belongs to the group of penicillins. It effectively affects the inflammatory focus, eliminating swelling of the gland, relieving irritation. Amoxiclav with prostatitis is taken 1 tablet twice a day. It is also quite cheap compared to other antibiotics of the penicillin group.

Amoxicillin

This drug is also penicillin group and is used everywhere. This is the disadvantage of this drug. Pathogenic bacteria have become more resistant to amoxicillin due to its frequent use. Doctors rarely prescribe the presented drug, since it is an irrational remedy in the fight against such a pathology.

Doxycycline

It belongs to the group of tetracyclines and is used if the patient has an allergic reaction to penicillins. Doxycycline for prostatitis is prescribed when the causative agents are chlamydia or mycoplasma microorganisms. Moreover, this remedy is indicated for those who have been diagnosed with kidney failure during the diagnosis. This drug gently affects the internal microflora of the intestine, destroying pathogenic microbes.

Levofloxacin for prostatitis

It is a broad spectrum antibiotic. Levofloxacin for prostatitis is used for any of its forms (acute, chronic). It is prescribed when other means do not bring the desired effect, because this drug increases the chances of destroying microorganisms that have adapted to other antibiotics. Moreover, it effectively affects a wide range of harmful bacteria. After 1.5 hours, the components of the product penetrate into the focus of inflammation, relieving symptoms and killing microbes.

Ceftriaxone for prostatitis

This drug effectively fights the bacterial nature of prostatitis. It is he who is the fastest medicine in the treatment of such a pathology. Ceftriaxone for prostatitis has a wide range of actions:

• Almost with the first dose, it relieves acute inflammation.
• It is also used to treat chronic inflammation.
• Treats purulent inflammation.
• Removes puffiness, kills disease-causing agents.

Ceftriaxone for prostatitis is available in ampoule form. The only negative is the pain of injections, but the result of the drug appears after a day.

It is worth noting that it has a strong effect on the microflora of the gastrointestinal tract, so active ingredients (yogurts, linex) should be taken to normalize the intestinal tract.

Monural with prostatitis

Monural with prostatitis is available in powder form. It is used for difficult urination, as well as to eliminate burning in the urethra. The drug is used in combination and is not an independent drug. It helps to relieve the symptoms of inflammation.

Tavanic for prostatitis

This is a German antibacterial drug that affects gram-positive microorganisms (staphylococci, enterococci), etc. also effectively destroys gram-negative bacteria (E. coli). It is used quite often, as it quickly affects the focus of inflammation.

Tsiprolet with prostatitis

This tool also belongs to the antibacterial group that can cope with E. coli, staphylococci, gonococci, etc. Ciprolet with prostatitis is very effective if the cause of inflammation is the pathogen described above. The drug has bactericidal and anti-inflammatory properties, therefore it is also used for acute and chronic prostatitis.

Ciprofloxacin for prostatitis

This drug stops the growth of pathogenic organisms, has a qualitative effect on gram-positive and negative bacteria, and has an excellent therapeutic effect in the prostate. The main feature of the drug is the minimum side effects.

Natural remedy for the prevention and disposal of prostatitis

This the best remedy from prostatitis, which strikes the disease from two sides at once. Due to the unique formula and concentration of active ingredients, vitamins, inflammation is removed, erection is restored, prostatitis does not return. The male body works like a Swiss watch.

One of the most important directions in the treatment of urological pathology of the male gland is the use of antibiotics. A huge breakthrough for doctors and patients was the invention of fluoroquinolones - a special class of antibacterial agents, with the ability to penetrate directly into the tissue of the damaged organ.

At the moment, levofloxacin for prostatitis is considered the gold standard in its treatment.

A new generation of antimicrobial agents has been driven by the wrong approach to use similar drugs in past. Inadequate dosages, too short courses of therapy, the choice of the wrong group of drugs ensured the emergence of a mass of resistant bacterial strains.

It is when the usual antibiotic does not help, you need to choose Levofloxacin. Its main advantages are:

1. Wide spectrum of therapeutic action (Streptococcus agalactiae, Staphylococcus epidermidis, Staphylococcusaureus, Streptococcus pneumoniae, Streptococcus pyogenes, Listeria monocytogenes, Chlamydiapneumoniae and many others).
2. Better penetration directly into the prostate tissue. Approximately 92% of the dose accumulates in the gland.
3. Excellent bioavailability and speed of action. The maximum concentration in the blood is reached after 1.5 hours.
4. The same dosage of the drug for oral and parenteral administration.
5. Intracellular action, which makes it possible to destroy atypical microbes.

Thanks to these properties, fluoroquinolone becomes the basis of healing from prostatitis. He gained his effectiveness thanks to a special left-handed formula and the ability to block the enzyme DNA-gyrase of a microbial cell.

As a result, the bacterium is unable to correctly reproduce the genetic structure, damage to the cytoplasm occurs, the membranes and the microorganism dies.

The drug has a very wide range of applications in addition to inflammation of the male organ. It perfectly helps with bacterial diseases of the urinary system, organs abdominal cavity, community-acquired pneumonia, sepsis and other infectious processes.

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Levofloxacin for prostatitis is most commonly used in tablets with a dosage of 0.25-0.5 g or infusions in 100 mg vials, which contain 0.5 g of the active substance.

After therapy with this drug, the following effects are observed:

• Suppression of the focus of inflammation;
• Decreased edema;
• Regression of pain sensations;
• Normalization of local and general body temperature;
• Elimination of pathological microflora from the gland tissue.

Treatment of prostatitis with Levofloxacin is most convenient for patients in the form of oral tablets. Daily dose the drug is 500 mg.

The medicine is inactive in relation to food, so it practically does not matter when exactly to drink it, but it is recommended to use it between lunch and dinner once or 2 times a day - it all depends on the stage of neglect of the disease that the patient has acquired. Be sure to drink 0.5 or 1 glass of water.

The tablets must not be chewed. The course of treatment is 28 days.

Injections have the same mode of use, but due to the constant need for injections, they remain unclaimed by patients with inflammation of the prostate gland.

Particular attention should be paid to situations where the patient has concomitant renal failure or other diseases of this system. Since 75% medication excreted in the urine, violations of this process can significantly aggravate the course of the underlying disease.

For such people, reduce the dose by half while maintaining the antibiotic regimen and observe the occurrence of any negative changes in dynamics.

Levofloxacin for chronic prostatitis or any other form of illness is one of the safest remedies.

However, in rare cases, such negative reactions may occur:

1. Nausea, diarrhea, vomiting;
2. Drop in blood pressure, tachycardia;
3. Dizziness, headache, general weakness, sleep disturbances;
4. tremor, anxiety, depression;
5. Muscle and joint pain, tendovaginitis.

In addition, there are a number of contraindications for the use of this antibacterial drug:

1. Problems with tendons and joints after the use of any fluoroquinolones in history;
2. The patient's age is up to 18 years;
3. Epileptic seizures, Jacksonian epilepsy;
4. Allergic reactions to the constituent components of the drug;
5. Renal failure stage IV-V.

Levofloxacin is one of the best options for the etiological treatment of bacterial prostatitis. However, self-medication is highly undesirable. Before use, it is imperative to undergo an examination of the whole body and consult a specialist to select an adequate dose and regimen of therapy.

With bacterial prostatitis, it is impossible to get rid of the pathology without eliminating the pathogens that provoked the inflammatory process. Despite the biased attitude of patients towards the use of antibiotics, only well-chosen antibiotic therapy helps to get rid of the male pathology of an infectious nature.

The only way to treat bacterial prostatitis is with antibiotics.

How to choose the right antibiotic

Agents provocateurs in prostatitis can be completely different pathogenic, as well as conditionally pathogenic organisms. They are able to multiply rapidly and cause inflammatory reactions in the organ. To suppress the vital activity of such particles, antimicrobial drugs are used.

However, the action of medications is designed to destroy certain groups of bacteria. To choose the right effective remedy with prostatitis, it is necessary to determine the type of microbes and their sensitivity to antibacterial drugs.

To do this, a bakposev of the secret of the prostate gland is performed. Based on the results obtained, an appropriate antibiotic can be selected.

• anaerobic gram-positive bacteria;
• anaerobic gram-negative agents;
• simple anaerobic microorganisms;
• other bacteria.

For the treatment of prostatitis, a course with Levofloxacin is prescribed.

Levofloxacin shows good results, as in the treatment acute forms pathology, and in chronic bacterial prostatitis.

Levofloxacin, due to its ability to kill pathogenic particles at any stage of development, is an effective bactericidal drug. Unlike bacteriostatic drugs that stop the reproduction of microbes, that is, affecting only cell division, Levofloxacin destroys cells, both dividing and growing, and at rest. Therefore, the drug is considered quite effective, having a wide range of action.

The mechanisms of the drug work correspond to the main properties of the group of quinols, fluoroquinols. The drug, penetrating into disease-causing cells, blocks the activity of certain enzymes involved in the formation of DNA. Thanks to pathological changes in the cell, processes develop that are incompatible with the life of microbes.

In this case, the bacteria not only lose their ability to reproduce, but also finally die. Thus, the drug is able to have a detrimental effect on most pathogenic particles found in prostatitis.

The drug is effective in the fight against bacteria

The drug is often prescribed for exacerbations of pathology, the chronic course of the disease, since, penetrating into the places of the greatest accumulation of pathogenic agents, it is able to effectively eliminate them and contribute to a complete cure.

The lack of effect can only be observed in the treatment of a disease caused by bacteria that do not belong to the group of sensitive agents to levofloxacin.

Levofloxacin is available in the form of a tablet preparation and an injection solution.

The medicinal solution contains 0.5% of the active ingredient, supplemented with:

• disodium edetate dihydrate;
• sodium chloride;
• deionized water.

The solution is clear with a yellowish or yellow-green tint.

The drug is available in various forms

The tablet form of the drug is found with a content of 500 mg of the medicinal substance. You can also find tablets with 250 mg of the main ingredient and additives in the form of:

• microcrystalline cellulose;
• hypromelloses;
• iron oxide;
• titanium dioxide;
• primelloses;
• calcium stearate.

Tablets are round-shaped with a white upper shell.

In the treatment of prostatitis caused by various pathogens, Levofloxacin is often used. It is allowed to use both a tablet preparation and in the form of intravenous administration of solutions. Regardless of the chosen method of using the drug, therapy for prostatitis is carried out for 28 days.

For the treatment of severe prostatitis, the drug is used in the form of injections.

So, with severe prostatitis, Levofloxacin is administered intravenously for the first week of treatment, or even 10 days. A single dosage is prescribed up to 500 ml daily. Further therapy continues with tablets. It is recommended to take 1 tablet daily containing 500 mg of the therapeutic component. The course should be 4 weeks in total with intravenous administration of the drug.

You can treat prostatitis without injections. With this type of therapy, tablets are taken throughout the course. Men with prostatitis are prescribed a daily pill containing 500 mg of the drug.

Attention! In the absence of significant improvements, it is advisable to re-bacterize to determine the sensitivity of bacteria to the drug.

• with personal intolerance to the ingredients of the drug;
• in the presence of allergic reactions;
• with renal failure;
• patients under 18 years of age;
• if inflammation of the tendons was previously observed with previous intakes of such drugs;
• patients with epilepsy.

Renal failure is the reason for refusal of treatment with Levofloxacin

There are also relative contraindications. The drug should be administered with caution when:

• severe renal dysfunction;
• glucose-6-phosphate dehydrogenated deficiency.

Such pathologies require careful monitoring of physicians during therapy with levofloxacin for prostatitis.

Taking Levofloxacin, you must strictly adhere to the dosages recommended by doctors. With uncontrolled use of the drug in excess of safe doses, the following may occur:

• confusion and convulsions;
• dizziness and loss of consciousness;
• nausea;
• erosion of mucous membranes;
• changes in heart rate.

An overdose of the drug may disrupt the heart rhythm

In case of overdose, treatment is used to eliminate the corresponding symptoms. Any methods of accelerating the withdrawal of the drug do not bring results.

Attention! Long-term use of levofloxacin can cause dysbacteriosis and contribute to the rapid reproduction of fungal organisms. To prevent such pathologies, it is recommended to take products containing beneficial bacteria and antifungal drugs.

In the form of negative consequences, symptoms can often be observed in the form of:

• diarrhea;
• nausea;
• increased activity of liver enzymes.

A side effect of the drug can manifest itself in the form of diarrhea.

Less common signs of complications are:

• skin itching or redness;
• digestive abnormalities in the form of lack of appetite, belching, heartburn, vomiting;
• soreness in the abdomen;
• headaches or dizziness;
• numbness or drowsiness;
• general weakness and sleep disturbances.

Quite rarely, reactions in the form of:

• urticaria;
• shock state;
• bronchospasm and suffocation;

  Less often, when taking the drug, problems with pressure can be observed.

  If any signs of side effects appear, the drug should be stopped immediately until consulting a doctor. With the appearance of alarming symptoms that threaten life, an urgent appeal to doctors is required.

  With the simultaneous administration of Levofloxacillin with anti-inflammatory non-steroidal drugs in the form of Ibuprofen, Nimesulide, Paracetamol, Aspirin, the risk of seizures increases. Such a reaction is observed with the combined use of Fenbufnom, Theophylline.

  The effectiveness of the drug is affected by antacids in the form of Almagel, Renia, Phosphalugel, as well as iron salts. It is recommended to take these drugs with a time difference of at least 2 hours.

  Take other medicines in parallel with Levofloxacillin should be used with caution

  When taking glucocorticoid drugs in the form of Hydrocortisone, Prednisolone, Methylprednisolone, Dexamethasone, Betamethasone, tendon ruptures may occur against the background of Levofloxacin.

  Attention! It is strictly forbidden to take alcohol-containing drinks together with an antibacterial drug. This combination provokes an increase in side effects associated with the functioning of the central nervous system.

  Treatment of prostatitis with antibacterial drugs can save a man from provoking factors in the form of pathogens, but does not eliminate stagnant effects that no less affect the development of pathology.

  More information about the drug can be found in the video:

  With prostatitis, it is customary to use a large number of drugs, because. there is a need for a large number of therapeutic actions. It is required to improve blood circulation, facilitate urination, increase potency, etc. When the disease has an infectious nature, first of all they try to limit the reproduction of pathogenic microorganisms and destroy them. Levofloxacin just has a similar effect. It is used when a man experiences these symptoms:

  • Pain when urinating
  • Frequent urination, especially at night
  • painful ejaculation
  • Erection weakening
  • Temperature increase (from 37 to 40 degrees)
  • General weakness

  The stronger the inflammatory process, the brighter these symptoms manifest themselves. At the stage of exacerbation, the patient may even be hospitalized, because. tablets alone can not cope with acute urinary retention or pain. Antibiotics are resorted to after tests that will show which pathogens have appeared in the prostate gland.

  Levofloxacin has a wide spectrum of action, effective against a large number of bacteria. The patient can get it only with a prescription from the attending physician.

  Reviews about Levofloxacin for prostatitis are mostly positive, both from patients and from specialists. He copes well with the declared diseases, in the instructions for admission he has the following indications:

  1. Infectious pathologies of the abdominal region
  2. Chronic bronchitis and its exacerbation
  3. Pneumonia
  4. prostatitis, urethritis
  5. Pyelonephritis
  6. Skin and soft tissue infections

  For some infections, the use of Levofloxacin is possible only when other antibiotics have been ineffective, because. it has a very powerful effect. In the form of eye drops, it can be prescribed for superficial eye infections, to prevent complications after surgical intervention or eye procedures.

  Levofloxacin is a fluoroquinolone antibiotic, which means that it has a bactericidal rather than a bacteriostatic effect on microorganisms. The difference between them is that in the first case, the bacteria are destroyed, while in the second, their reproduction and growth stops. The mechanism of the drug’s work looks like this: the DNA synthesis of a pathogenic cell is disrupted, its genetic code is violated, and it dies. Moreover, the destruction occurs to such an extent that it has no opportunity to recover. They also have the ability to influence the “copying” of cells, which becomes impossible after exposure to one enzyme.

  Thus, the likelihood of bacteria developing resistance to the drug is significantly reduced, because they cannot multiply. Among affirmative action Levofloxacin also includes:

  • Excellent penetration into organ tissues, inside cells
  • Destruction of pathogens with minimal release of toxins from them
  • Puffiness reduction, pain relief, temperature normalization
  • Good combination with other antibiotics (macrolides, penicillins)
  • Long elimination period (allows taking 1 tablet per day)

  Among various pathogens, anaerobic gram-positive and gram-negative bacteria and microorganisms are the least resistant to the drug. These include:

  1. Staphylococci
  2. streptococci
  3. Haemophilus influenzae
  4. Peptostreptococci
  5. The bacterium Moraxella catarrhalis

  Chlamydia, legionella, mycoplasma, ureaplasma are also considered sensitive. A course of treatment with Levofloxacin for prostatitis may be possible if the disease is caused by enterococci, enterobacteria, Pseudomonas aeruginosa, Morgan's bacterium, but they can become resistant to the main drug substance, levofloxacin hemihydrate. It is absorbed into the body very quickly, absorption is not affected by food intake.

  The maximum concentration of the element is reached after 1-2 hours and is excreted in about 16 hours, completely leaves the body with urine after 2 days. The higher the dosage, the longer it takes.

  The route of administration of the drug may be oral or intravenous. Levofloxacin tablets contain 250 or 500 mg of the active substance, an ampoule with a solution of 100 ml. Instructions for use states that the capsules must be taken as follows:

  • Half or whole tablet (250-500 mg) 1 time per day
  • Preferably taken before or after meals
  • Drink at least half a glass of water

  Continue taking from 3 days to 2-4 weeks. With pneumonia or bronchitis, it can be from 7 to 14 days, with skin infections - the same amount, and with urinary tract infections - from 3 to 10 days. It is undesirable to start taking pills until the body temperature has stabilized. It is recommended to repeat the reception always at the same time.

  The likelihood that Levofloxacin does not help with prostatitis is very small. The drug is too strong not to respond to pathogens, and if they were immediately resistant to it, the doctor should have initially prescribed another drug.

  Restrictions to taking Levofloxacin are indications that apply to almost all antibiotics - hypersensitivity to the components, childhood, pregnancy and lactation. However, due to the high toxicity of this tool You can add a few more items:

  1. Presence of epilepsy
  2. Tendon injuries due to other fluoroquinolones
  3. Pseudoparalytic myasthenia gravis

  Restrictions on admission may occur in patients with a predisposition to seizures, glucose-6-phosphate dehydrogenase deficiency, impaired renal or hepatic function, and the elderly. Treatment of prostatitis with Levofloxacin may be contraindicated in men with diabetes, psychosis, cardiovascular diseases. Side effects on the use of tablets or the introduction of a solution may appear both at standard dosages and when they are exceeded. More often than others appear:

  • Nausea and vomiting
  • Diarrhea
  • Headache
  • Drowsiness
  • Lowering blood pressure
  • General weakness

  Side effects also include increased heart rate, convulsions and tremors, impaired sense of smell, vision, and hearing. Rarely, dyspepsia and abdominal pain, allergic reactions occur. The latter are characterized by rashes and urticaria, itching and burning. With an unknown frequency, photosensitivity may increase, hypo- or hyperglycemia, vascular collapse may occur. At intravenous administration possible short pain at the injection site, inflammation, increased sweating.

  In case of an overdose, symptoms such as nausea and vomiting, confusion, convulsions occur. If you find them, call ambulance or contact a specialist immediately.

  It is undesirable to combine the course of Levofloxacin with prostatitis with such drugs as antacids (aluminum- and magnesium-containing), products with iron in the composition - they reduce the effectiveness of the antibiotic. If it is necessary to take them, it is recommended to make an interval between doses of at least 2 hours. Deterioration of work is observed when the drug is combined with other quinolones, anticonvulsants, non-steroidal anti-inflammatory drugs. With simultaneous use with anticoagulants, the risk of bleeding increases, and together with insulin, hypo- and hyperglycemic conditions.

  Therefore, for patients with diabetes, it is necessary to constantly monitor the level of glucose in the blood and follow the correct dosage. Due to the fact that Levofloxacin can cause severe allergic reactions, up to anaphylactic shock, you should be very careful when taking it for the first time and, if necessary, immediately consult a doctor. In case of renal or hepatic insufficiency, it is worth stopping the intake if symptoms of a deterioration in the patient's condition appear.

  The drug does not interact with food, but it is forbidden to take it together with alcohol (most often, an aggravation of side effects from the central nervous system, such as dizziness or numbness, is noticed). It is necessary to store the package in a dry place where there is no access to sunlight. The shelf life of the tablets is 3 years, they are available from the pharmacy only by prescription.

  An excellent video about taking Levofloxacin for inflammation of the prostate is located below. In it, the specialist talks about the results of treatment, possible complications, analogues of the drug.

  Treatment of inflammation of the prostate gland is carried out using a whole range of methods. Drug therapy is only one of them, but along with it, it is necessary that the patient undergoes physiotherapy, diet and physical therapy. Another technique, surgery, is used in extreme cases when medications have failed to help. Drugs for prostatitis are taken only after determining the cause of its development. If they were the causative agents of the infection, antibiotics like Levofloxacin are used, when blood stasis or trauma is the culprit, they resort to other means.

  Typical for getting rid of prostatitis are non-steroidal anti-inflammatory drugs, adrenolytics, muscle relaxants, hormonal preparations, painkillers and vitamin complexes.

  One of the main tasks in the treatment is to fill the gap useful substances in the body to boost immunity and help the prostate tissue regenerate. For this purpose, rectal suppositories are often used, because. it is easiest for them to convey substances to the prostate gland. What candles are popular for prostatitis:

  1. Prostatilen
  2. Prostopin
  3. Vitaprost
  4. Propolis DN
  5. Tykveol
  6. Genferon

  Candles can have a wide range of therapeutic properties, which is why they are used so often. Only the procedure from use is unpleasant, but for recovery it is worth suffering. To strengthen the immune system, it is equally useful to start eating right, limiting or eliminating alcohol and cigarettes from your life. The patient's menu should contain fresh fruits and vegetables, herbs and dried fruits. The greatest benefit for men, both healthy and sick, will bring seafood, onions and garlic, parsley, cabbage, lean meats, fresh juices.

  It is better to refuse strong tea and coffee, because. they can negatively affect potency. In the same way, semi-finished products, food fast food, canned food, too fatty, salty or spicy food. Sports will also affect immunity, but only regular ones. A set of exercises for prostatitis is easy to find on the Internet.

  Taking Levofloxacin for prostatitis with a course of treatment according to the appointment of a leading specialist, you can cure the disease and get rid of unpleasant symptoms. Prostatitis is a men's problem childbearing age. A disease associated with urination and sexual dysfunction causes psychological problems. Therefore, its treatment is of great importance.

  The occurrence of acute or chronic prostatitis is characterized by symptoms:

  1. Pain in the perineum.
  2. Urination disorder.
  3. Sexual dysfunction.

  Prostatitis is divided into three conditional groups:

  • spicy;
  • chronic;
  • asymptomatic.

  Often prostatitis is a complication after inflammatory processes in the bladder. Before prescribing drugs for the treatment of prostatitis, it is necessary to examine the secret of the prostate to determine the causative agent of the inflammatory process.

  When examining patients with chronic prostatitis, they find:

  1. Ureaplasma.
  2. Mycoplasmas.
  3. Chlamydia.
  4. Trichomonas.
  5. Gardnerella.
  6. Anaerobes.
  7. Mushroom Candida.

  Unfortunately the results bacteriological research can be obtained no earlier than 5 days from the date of the analysis. To prevent the patient from suffering, he is prescribed antibiotics that act on most of the bacteria that cause prostatitis. These drugs include Levofloxacin. When the patient's condition improves, treatment with the drug is continued for 2 weeks. If there is no improvement, the antibiotic is changed, taking into account the results of microbiological studies.

  There are many pathogens that cause prostatitis. It is necessary to choose the right antibiotic to cure the disease. The wrong choice of antibiotic or interrupted treatment of prostatitis can have negative health consequences. Under such conditions, resistance to a particular type of antibiotic is often developed. Prostatitis therapy is carried out for a long time, sometimes up to 8 weeks.

  It is necessary to treat chronic prostatitis with antimicrobial agents. They are prescribed, even if no infection is found in the secretion of the prostate.

  In such cases, the choice of the drug is determined by its pharmacological properties:

  1. Penetration of the drug into the prostate tissue.
  2. Creation of the necessary concentrations of the drug in the gland.

  Such properties are possessed by drugs of the fluoroquinolone group, in particular, Levofloxacin.

  The drug has the following properties:

  1. It has a wide range of antibacterial effects.
  2. It penetrates well into the prostate tissue.
  3. In large quantities reaches the prostate gland.
  4. It can be administered to the body in the form of tablets or infusions.
  5. It has good activity against pathogenic bacteria.

  Fluoroquinolones expand the possibility of treating prostatitis caused by bacteria and microorganisms. They are used in case of not detecting microbes in the prostate.

  Levofloxacin is a universal drug for the treatment of inflammatory processes.

  Levofloxacin treats almost all inflammatory bacterial diseases of the genitourinary system of men:

  1. Urinary tract infections.
  2. Bacterial prostatitis.
  3. Urethritis (inflammatory processes in the urethra).
  4. Orchitis (disease of the testicles).
  5. Epididymitis (inflammation of the epididymis).

  Its clinical activity is 75%. The combination of an antibiotic in the treatment of prostatitis and a drug from the group of alpha-blockers gives a result of about 90%.

  Scope of application:

  1. Levofloxacin is able to destroy pathogenic bacteria sensitive to it in any organs. In addition to the treatment of infections associated with the genitourinary system, it is used to treat infections in other areas:
  2. Respiratory organs and ENT: tonsillitis, bronchitis, tracheitis, pneumonia, otitis media.
  3. Skin diseases: boils, bedsores, erysipelas.
  4. Peritonitis.
  5. Sepsis.

  The action is aimed at blocking the process of bacterial DNA synthesis. Changes in the bacterial cell are incompatible with its vital activity. Under such conditions, microbes die. The drug is effective against a number of microorganisms.

  Each infectious pathology is determined by one type of bacteria and is localized in one specific organ or system. To combat such a pathology, a drug is needed that acts specifically on this type of bacteria. Broad-spectrum drugs act depressingly on several groups of such bacteria.

  The therapeutic effect in the treatment of prostate with Levofloxacin is achieved due to the continuation of its antimicrobial action on microorganisms, after its complete withdrawal from the body. Of course, this depends on the type of microbes and the concentration of the resulting drug.

  The medicine is taken once a day. It is convenient, creates an advantage over other drugs.

  But, like most of these drugs, it has side effects:

  • nausea;
  • diarrhea;
  • dizziness;
  • insomnia.

  After the drug is discontinued, all side effects disappear. While taking it, it is not recommended to be in the sun or visit a solarium. Negatively affects the speed of psychomotor reactions. From driving a car, for the duration of treatment, must be abandoned.

  The most popular include such drugs:

  1. Levofloxacin is a third generation antibiotic. It is used in cases of infections of moderate severity. Release form: tablets, solution for infusion, eye drops.
  2. Moxifloxacin is a fourth generation antibiotic. It has a broader antibacterial effect. It is used in cases of very severe infections. This type of antibiotic should not be prescribed immediately after diagnosing an infection. Frequent use will lead to the development of a resistant species of bacteria to this group. Release form: solution for infusion.

  Levofloxacin is indicated for the treatment of prostatitis of any form. The greatest convenience in use is taking a pill once a day. The course of treatment with the drug depends on the severity of the infection and its nature. The drug should not be stopped before the full course. In case of accidental omission, the medicine should be taken immediately, then be guided by the usual scheme.

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