In modern medicine, the problem of treating prostatitis is especially relevant, since this pathology affects a very high percentage of men of reproductive age. If a few years ago several inflammatory diseases of the prostate were considered exclusively diseases of the elderly, now urologists affirm the rapid "rejuvenation" of the disease, their patients are increasingly men in their 30s or even 20s. Let us consider in more detail the main groups of drugs used in the treatment of prostatitis in different forms and stages of the course of the disease. We determine which drug is the most effective and affordable.
Consider the tools that have been tested in practice.
Antibiotics
The arsenal of drugs for prostatitis is very wide, doctors have long learned to treat this disease using various drugs for inflammation of the prostate, and drug treatment of prostatitis plays a decisive role in the fight againstthis male ailment.
The best anti-inflammatory drugs are, of course, antibiotics, but before prescribing them, the doctor always recommends a full examination to patients.
The list of antibiotics for the treatment of prostatitis is very extensive, they are used only in the case of an infectious form of acute and chronic prostatitis, which is diagnosed on the basis of laboratory tests.
Each of the remedies has its own characteristics, and the choice of a particular drug is determined taking into account many factors:
- What pathogenic microorganisms caused inflammation of the prostate gland?
- How long does the disease last and what symptoms does it have?
- How the patient responds to a particular drug.
- How active the antibiotic is against the infectious agent.
- What are the causes of inflammation?
Antibiotics are produced by the pharmaceutical industry in different dosage forms: ampoules for intravenous and intramuscular injections, powders for preparing suspensions and solutions for intravenous infusion, tablets and suppositories. Patients especially prefer the last two forms, as they can be taken at home. The dose of the drug is selected to create the appropriate maximum concentration in the body and in a particular focus of inflammation.
Antibiotics as drugs for the treatment of chronic prostatitis of an infectious nature certainly play a decisive role in therapy, but when evaluating their effectiveness, one must take into account how the pathogenic microflora reacts to a specific drug and the degree ofconcentration of the drug in the prostate.
The course of treatment of infectious prostatitis with antibiotics is on average from two weeks to a month, if during the course, according to the results of laboratory tests, a positive dynamics is not observed, themedication and a different treatment regimen should be applied. The question of which antibiotics to treat a patient is decided only by a urologist after a full examination and taking into account the patient's individual reactions to a particular drug.
Depending on the nature of the pathogen and the degree of impact on the pathogenic microflora, doctors in the treatment of acute and chronic prostatitis, as well as in case of recurrence, prescribe anti-inflammatory antibiotics of different groups:
- Fluoroquinol.
- Macrolides.
- Cephalosporins.
- Tetracycline.
- Levomycetinaceae.
- Penicillin.
The complex treatment of infectious prostatitis necessarily includes fluoroquinolols, which are the latest advances in modern pharmacology. They belong to a new generation of antibiotics and have a wide range of effects on infectious agents. These funds are used in the treatment of acute and chronic prostatitis of an infectious nature, if the symptoms of the disease in men are confirmed by laboratory tests.
Drugs in this group are very rapidly absorbed from the gastrointestinal tract and easily penetrate the cells of the prostate gland. The efficacy of fluoroquinolones, including the elimination of microorganisms, ranges from 60 to 90%.
Nonsteroidal anti-inflammatory drugs
Non-steroidal anti-inflammatory drugs (NSAIDs) are actively used in the treatment of acute and chronic non-infectious prostatitis. NSAIDs can not only relieve inflammation, but also significantly relieve pain. The dosage forms in which these drugs are produced are different: they can be ampoules for injections, tablets or suppositories.
Men can use pills and suppositories at home, but only the attending physician can determine which drugs to use and according to which scheme to take. It is especially important to explain to the patient, since the Internet is full of recipes on how to treat prostatitis independently, and uncontrolled use of non-steroidal anti-inflammatory drugs can have extremely negative consequences for the male body.
Drugs for the treatment of prostatitis in this group should be taken with caution, as they have many contraindications, even for men. They should not be prescribed to patients who have problems with the functioning of the gastrointestinal tract, especially with a stomach ulcer, as well as disorders in the liver and kidneys.
Alpha Blockers
The medical treatment of prostatitis aims not only to directly treat inflammation in men, but also to alleviate the symptoms that accompany this disease. Medicines for prostatitis of this effect are called second-line treatment. Alpha-blockers act on receptors on nerve endings in the musculature of the prostate gland that, when the prostate is inflamed, cause spasms of the urethra and bladder. These spasms interfere with normal urination in men and cause difficulty in urine flow and pain, the main symptoms of the disease. Alpha-blockers cannot treat prostatitis on their own, but they are involved in complex therapy, significantly reducing the risk of disease recurrence in men.
Alpha blockers are of two types:
- Selective.
- Non-selective.
Selective medications are most effective in treating prostatitis because they have minimal side effects. The therapeutic effect of the drugs does not appear immediately, a noticeable improvement in the condition in men is noted after about two weeks after starting the drug.
These drugs also help relieve unpleasant symptoms, tone the muscles of the urethra, and normalize the urination process, but they do not cause tachycardia in men.
In alpha-blocker therapy, it is very important to correctly determine the therapeutic dose, since exceeding the dose of the drug can cause side effects on the cardiovascular system and renal function.
Hormone therapy
Prescribed by a urologist, medications for prostatitis may include hormonal medications, if indicated. Hormone therapy can be aimed at both relieving inflammatory symptoms and restoring erectile function in men. It is necessary to treat the inflammation of the prostate with hormones taking into account all the possible side effects, of which these drugs have many. The symptoms of inflammation of the prostate help to release adrenal hormones, which also help speed up the healing process of damaged tissues.
When it comes to hormones, it is necessary to act specifically on the prostate gland, without affecting other organs, and not to change the hormonal background of the male body as a whole. For this, the drugs are administered by electrophoresis. Male hormones to restore and stimulate erectile function can be used in the treatment of prostatitis strictly according to reasonable indications, since drugs for prostatitis in the form of hormones can stop their independent production by the body, which ultimatelyleads to drug castration. It is absolutely impossible to treat prostatitis with hormones without a prescription and without going through all the necessary studies, this can have irreversible consequences for men.
Antispasmodics
Antispasmodics, or muscle relaxants, are not an independent method of treating acute or chronic prostatitis, but are included in a complex of therapeutic agents to reduce pelvic muscle tone. Medications relieve pain in the perineum and small pelvis, improve blood circulation in the prostate and stimulate the discharge of its secretion.
Preparations of other groups
The prostatitis drugs included in the complex treatment regimen are very diverse. Thus, vitamins and microelements play a very important role in the patient's recovery process, boosting immunity, since the body, weakened by inflammation and infection, needs additional protective equipment. For these purposes, doctors often prescribe vitamin complexes.
Pain relievers are prescribed to relieve pain in prostatitis. These medications are taken in pill form, but a much greater pain-relieving effect is seen when microclysters and rectal suppositories are used.
Suppositories are actively used as part of complex therapy, this form of drug for prostatitis is very popular among patients, as it allows you to quickly relieve pain. Suppositories are not an independent treatment method, they are used only as an addition to the main dish. The composition of rectal suppositories can include anti-inflammatory drugs, analgesics that relieve the symptoms of hemorrhoids. The most common suppositories that patients use are the belladonna suppositories, as they provide the fastest relief for pain in the pelvic and perineal region.
In addition to the standard forms, medications for prostatitis can be of plant origin. Homeopathic medicines are gaining popularity among physicians and patients because they have minimal side effects and are well tolerated by patients. In the modern pharmaceutical market, various homeopathic drops for prostatitis are widely represented, which are used to relieve inflammation of the prostate and are also used for prophylactic purposes.
Despite a small number of side effects, the drops should not be used without a prescription. It should also be remembered that homeopathy can only be treated with other drugs for prostatitis.
It is impossible to select the best drug for prostatitis, each of them has its own details and approach. It is impossible to completely cure this disease with a single drug, only complex treatment, including drug therapy, physiotherapy and other effective methods of treatment, will lead to the desired result.