Is Azithromycin Effective in the Treatment of Prostatitis?

As we know, it is very important to choose antibiotics reasonably to treat chronic prostatitis, which is the commonly used method to treat prostatitis. Antibiotic drugs diffuse into the prostatic fluid from plasma, most of them are effective for bacteria causing urinary tract infection, but the therapeutic effect is not ideal because they can not pass through the prostatic capsule and enter into prostatic acinus to achieve a therapeutic effect.

The following principles should be followed in the selection of antibiotics for the treatment of prostate: drugs are highly sensitive to bacteria, and drugs must be used strictly in accordance with bacterial culture and drug sensitivity test; drugs with high liposoluble, high permeability, low binding rate with plasma protein and high dissociation degree should be used as the standard.

More than two drugs with synergistic effects should be used in combination; one drug should be used for treatment. If there is no obvious effect after 15 days of treatment, other drugs should be used; at the same time, liver and kidney functions should be checked regularly, and antibiotics should be stopped if there is any abnormality.

Because the prostaglandin has a dense capsule, it is not easy for drugs to penetrate into it, resulting in the unsatisfactory therapeutic effect of drugs, especially for chronic prostatitis; there are many existing methods for the treatment of prostatitis, mainly drug treatment:

1. Quinolones, sulfanilamide, tetracyclines (tetracycline, azithromycin) can be selected for the treatment of acute prostatitis for 2-3 weeks. Azithromycin can penetrate the prostate capsule and enter the prostate to act on the bacteria in the prostate, achieving a good therapeutic effect. Other antibiotics can rarely enter the prostate for anti-inflammatory purposes. It is recommended to take azithromycin 0.5mg every time, once a night, orally for 10-14 days. Azithromycin can reach the prostate.

2. Chronic bacterial prostatitis is a non-acute infection of the prostate caused by one or more pathogens. As with acute bacterial prostatitis, the pathogenic bacteria are Gram-negative aerobic bacteria, such as Escherichia coli and Pseudomonas aeruginosa.

The main antibiotics that can penetrate the prostate capsule are sulfonamides and macrolides. Clarithromycin, azithromycin, roxithromycin, ofloxacin, norfloxacin, and other antibiotics are commonly used in the clinic. The course of treatment was extended to 8-12 weeks, and 2-3 weeks after recurrence, plus α - receptor blocker to prevent urine reflux, the course of treatment was at least six months.

For chronic prostatitis caused by Staphylococcus, Azithromycin Dispersible Tablet, an antibacterial drug, can effectively penetrate the prostate capsule to kill bacteria inside, so Azithromycin Dispersible Tablet can penetrate the prostate for prostate treatment. But if it is caused by E.coli, Pseudomonas aeruginosa, Streptococcus, and other infections, in this case, it is better to use levofloxacin capsule or cephalosporin antibiotics.

If it is chronic non-bacterial prostatitis, antibiotics are not recommended in this case. You can try taking traditional Chinese herbal medicine, such as the common Diuretic and Anti-inflammatory Pill, to achieve the effect of the broad-spectrum property of antibiotics.

In addition, it also has the effect of clearing away heat and detoxification, promoting blood circulation and Qi to relieve pain, promoting diuresis and relieving stranguria, which can effectively treat the disease, and the channel ushering drug in the formula can make the effect reach the focus directly. At the same time, it can also help patients to enhance immunity, and finally achieve the effect of curing disease and preventing disease recurrence.

Moreover, patients can also use plant extracts, external medicine, and other treatment. The recurrence rate of prostatitis is relatively high, and drug therapy alone can not completely solve the problem. It is necessary to cooperate with some physical therapy and adjust living and eating habits at the same time to achieve better results.

At the same time, it should be assisted with preventive treatment, such as a warm sitz bath every night, and take prostate massage once a week, and remember not to sit long at ordinary times or stay up late. Keeping a light diet and drinking more water is conducive to your recovery.

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