Patient's question:
How is prostatitis treated?Doctor's answer:
General antimicrobial drugs are not easily absorbed into prostate tissue, which is one of the reasons why clinical treatment is relatively difficult. An ideal antimicrobial drug should meet three conditions: ① lipophilic basic drugs; ② low binding to plasma proteins; ③ high dissociation degree. Currently, the commonly used drugs in clinical practice include:Trimethoprim-sulfamethoxazole 1.0 g twice daily
Doxycycline 0.1 g twice daily
Trimethoprim (TMP) 0.1 g twice daily
Ciprofloxacin 0.2 g three times daily
Urological 0.2 g three times daily
Sifrol 0.5 g twice daily
Erythromycin 0.25 g four times daily
Nitrofurantoin 0.1 g four times daily
Rifampicin 300 mg + TMP 80 mg combined into tablets, take 2 tablets at bedtime for 15 days, then reduce to 1 tablet for 90 days. It has been reported that the cure rate is relatively high, but it may cause certain damage to hearing and kidney function.
The above drugs can be used in combination of 2 to 3, or selected based on bacterial culture of prostatic fluid and drug sensitivity test results.