Antibiotics are the necessary remedy in cases of prostatitis of bacterial origin. Drugs are prescribed by a doctor according to the results of bacterial culture of prostate secretion. There are preparations of fluoroquinolone group prescribed as an alternative to antibiotics. One of the most effective drugs for prostatitis is levaquin.
Levaquin (often referred to as levofloxacin) is related to the fluoroquinolone group. The drug has a pronounced bactericidal effect and is active against a number of pathogenic microorganisms – the causative agents of prostate inflammation. It acts like an antibiotic, but it is not. The main difference of fluoroquinolones from antibacterial drugs is that these preparations have no natural analogues.
The active ingredient of the medicine is a levofloxacin hemihydrate. The form of production is tablets of various dosages and infusion solutions. As far as the treatment of prostatitis is concerned, it is tablet form of the drug that is used. The tablets are available in packs of 5 or 10 pieces, the dosage is 250 or 500 mg in a single tablet. Levofloxacin is produced by various pharmaceutical companies, both domestic and foreign. This affects the cost and the form of drug production. Thus, the Israeli pharmaceutical company produces the drug in 7 and 14 capsules. The average price per pack of 10 tablets 500 mg is 300-650 rubles and 90-200 hryvnia, depending on the producer.
Effect of the Drug
It is only a doctor who can prescribe levofloxacin for prostatitis. The drug is active against a number of aerobic microorganisms. Before the course of treatment it is essential to carry out a bacterial culture of prostate secretion and urine in order to determine the sensitivity of pathogenic agents to the active ingredient of the medicine.
The advantage of this drug is its effect on bacterial cells at any stage of development. The combined effect helps to prevent further reproduction of pathogenic microorganisms and create conditions for their complete elimination. Doctors prescribe levaquin for chronic prostatitis of infectious nature, as well as for acute prostatitis.
Proper Use of Levaquin for Prostatitis
The dosage is to be 500 mg daily, the course of treatment is rather continuous, it is 4 weeks. The recommended daily dose can be divided into two stages – this does not affect the efficacy of the drug.
Levaquin is taken regardless of the meal. However, it is recommended to take a pill one hour before eating or an hour after your last meal. This will speed up the absorption of the active ingredient by the gastric mucosa. The tablet is to be swallowed without chewing. It is advisable to take the drug at the same time, even if a daily dose is divided into two intakes.
The drug is rapidly absorbed, with one hundred percent bioavailability of the active substance after a few hours after taking the medicine. A distinctive feature of levofloxacin is its rapid penetration into the organs of genitourinary system and prostate gland after oral intake of the pill.
If a patient suffers from pathology of liver, dose adjustment is not required, since the metabolism of the active substance in this organ is insignificant. In cases of renal disorder the dosage of medication has to be reduced or divided into 3-4 intakes. In that event the medical consultation and periodic examinations of the liver are required.
Side effects can be divided into three groups according to the frequency of complaints of patients.
- Frequently observed: disorders of the gastrointestinal tract (diarrhea, constipation, nausea, bloating of abdomen), moderately severe headache, dizziness, asthenic syndrome.
- Rarely observed: colitis, allergic skin reactions, anxiety, tremor of fingers, hypotension, rapid pulse.
- Very rarely you may experience the following reactions: increased blood pressure, blurred vision and eye sensitivity, tendinitis, myalgia, pain in the joints.
Levofloxacin can adversely affect the reliability of blood test and prostate secretion as one of the side effects is increase of the level of leukocytes and erythrocytes. Patients with diabetes are to consider that in rare cases treatment with levofloxacin triggers the development of hypoglycemia.
Attention!The preparation is contraindicated to patients under 18. Levaquin must not be taken by those suffering from epilepsy, and in cases of the individual intolerance of quinolones or other components of the composition.
The tablets are not to be taken with corticosteroids, magnesium, iron-containing medicines and drugs for normalizing the function of kidneys. The peculiarities of drug interactions are shown in detail in the instruction, they are necessary to read before the start of the drug treatment.
In cases of non-infectious prostatitis levofloxacin is not prescribed. Any changes in the regimen of tablets should be discussed with your doctor.