Inflammation of the prostate is a problem for many men over 40 years of age. Most often, this disease becomes chronic. This is due to the neglect of pathology, since men rarely go to the doctor when the first symptoms appear. Also, prostatitis becomes chronic due to the influence of negative factors. At this stage, different drugs are prescribed for the treatment of chronic prostatitis in men, since the therapy must be long and complex.
But in order for the remission in case of an illness to last longer, a man must not only take all the prescribed drugs for treatment, but also lead a healthy lifestyle and follow a diet prescribed by the attending physician.
Factors that cause and worsen prostatitis include:
- alcohol abuse;
- smoking;
- sedentary lifestyle;
- infectious and viral diseases;
- wrong diet.
Chronic prostatitis
Many men do not understand how destructive this disease is to their body. If you do not carry out medical therapy in time, chronic prostatitis can get complicated. These complications include:
- prostate abscess;
- formation of cysts and stones in the prostate gland, which can only be treated with surgery;
- vesiculitis. In this disease, an inflammation of the seminal vesicles takes place;
- prostate sclerosis occurs most often due to untreated prostatitis, and the treatment of this complication is carried out only during surgery;
- impotence;
- infertility;
- and sometimes even prostate cancer.
The symptoms and treatment of these complications are different, but all of these conditions are serious. Most of the time, these complications are treated with surgery.
All complications can be prevented with regular visits to the urologist and proctologist. Especially men after 45 years need to see these doctors once a year. And perform laboratory tests (general and PSA concentration).
Medicines for the treatment of chronic prostatitis
How to treat prostatitis? There are several medications required for the treatment of chronic prostatitis, as prostatitis cannot be treated with just one drug. Complex therapy includes antibiotics, anti-inflammatory drugs, antispasmodics. It is also very important to take vitamins and medications that support immunity.
Antibacterial drugs
The groups of drugs to be prescribed for chronic prostatitis depend on the causes of its occurrence. If the infectious nature of the disease is identified, the main components of therapy will be antibacterial drugs. As a rule, they are selected with a wide range of actions, but sometimes others are designated. The duration of treatment for exacerbation of chronic prostatitis depends on the severity of its manifestation. It can take 14 days or even 3 months to take antibiotics.
Prescriptions can be completely different, as proper laboratory tests to determine sensitivity to these medications are performed prior to the appointment. Most of the time, antibiotics are prescribed in the form of injections, less often in tablets. Since these drugs in the form of injections are much faster and more effective.
Medicines of various groups are sometimes prescribed for acute inflammation.
Immunomodulators and immunostimulants
In case of chronic prostatitis, which is caused by an infection, it is simply necessary to take immunomodulators. These drugs are taken together with antibiotics, as they promote a better penetration of the active substance into the focus of inflammation, and also restore the balance of the components of the immune system, due to which the body itself begins to actively fight inflammation. Also, with chronic prostatitis, it is recommended to take these drugs 2 times a year as a preventive measure.
This type of medicine should be prescribed only by a doctor, since the wrong dose and long-term use of immunomodulators can lead to the opposite effect, that is, a chronic decrease in immunity. These medications are available in the form of injectable solution and rectal suppositories. Most often, in the period of exacerbation, a course of 5-10 days is prescribed in the form of injections, and then a gradual transition to suppositories.
Anti-inflammatory drugs
Non-steroidal anti-inflammatory drugs are prescribed to quickly relieve discomfort by reducing inflammation and swelling. Thus, the pain is eliminated.
In especially acute cases, these drugs are not effective, then hormonal drugs are prescribed. Sometimes hormonal anti-inflammatory drugs are used in physiotherapeutic procedures, namely electrophoresis, which act locally on the prostate. In this case, the hormonal drug does not have a general effect on the body.
Alpha Blockers
This type of drug is increasingly prescribed today for chronic prostatitis. Alpha-blockers act on the bladder and prostate, that is, their receptors. Therefore, they relax the muscles, which makes urination easier. This means that pain when urinating is eliminated.
But these drugs affect blood pressure indicators, alpha blockers lower it. They are contraindicated in people with severe hypotension. This combination will lead to dangerous consequences.
Antispasmodics
Severe pain in the perineum is common during exacerbation of chronic prostatitis. In this case, spasms of the striated muscles occur. This means that the use of antispasmodics and muscle relaxants is required.
Tonic drugs and general tonics
This group includes drugs that are prescribed to improve the functioning of the gland. And they must necessarily be prescribed as part of the main drug therapy.
Topical preparations
Topical medications for treating chronic prostatitis are especially effective. In the case of prostatitis, these are rectal suppositories. In this way, drug companies produce antispasmodics, antibiotics, non-steroidal anti-inflammatory drugs. The use of drugs in such a dosage form is possible both in the acute course of the disease and in other cases, for example, after an operation.
Both suppositories and ointments that are injected rectally are effective enough as they act directly on the prostate. When injected into the rectum, they are absorbed into its walls and the prostate joins the back wall of the intestine. In addition, these drugs for the treatment of prostatitis do not pass through the whole body and the liver, where part of the active substance is metabolized.
It is important to note that it is forbidden to prescribe candles and ointments on your own. Since a high concentration of the active substance is absorbed into the gland, and if it is used incorrectly, an overdose and complications can occur with the wrong dose.