In modern medicine, the problem of treating prostatitis is especially relevant, because this pathology affects a very large percentage of men of reproductive age. If a few years ago various inflammatory diseases of the prostate were considered exclusively diseases of the elderly, now urologists state the rapid "rejuvenation" of the disease, their patients are increasingly men aged 30 or even 20 years. 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. Let’s determine which drug is the most effective and affordable.
Let's look at 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 with various drugs against inflammation of the prostate, and the treatment of prostatitis drugs has a decisive role in combating this male disease.
The best anti-inflammatory drugs are, of course, antibiotics, but before prescribing them, the doctor always recommends a comprehensive examination to patients.
The list of antibiotics for the treatment of prostatitis is very extensive, they are used only in the case of infectious forms of acute and chronic prostatitis, which is diagnosed on the basis of laboratory tests.
Each of the drugs has its own characteristics, and the choice of a particular drug is determined taking into account many factors:
- What pathogenic microorganisms caused prostate inflammation?
- How long the disease lasts and what symptoms it has.
- How a patient responds to a particular drug.
- How active is the antibiotic against infectious agents.
- What are the causes of inflammation.
The pharmaceutical industry produces antibiotics in various dosage forms: ampoules for intravenous and intramuscular injections, powders for the preparation of suspensions and solutions for intravenous infusion, tablets and suppositories. Patients especially like the last two forms, because they can be taken at home. The dose of the drug is selected so as to create the maximum appropriate 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 crucial role in therapy, but when assessing their effectiveness one should take into account how the pathogenic microflora responds to a particular drug and the degree of drug concentration 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, no positive dynamics is observed, the drug must be changed and a different treatment regimen applied. The question of which antibiotics to treat a patient is decided only by a urologist after a thorough examination and taking into account the individual reactions of the patient to a particular drug.
Depending on the nature of the causative agent and the degree of influence on the pathogenic microflora, doctors in the treatment of acute and chronic prostatitis, as well as in case of its recurrence, prescribe anti-inflammatory antibiotics of different groups:
- Fluoroquinolones. Macrolides.
- Cephalosporins.
- Tetracycline.
- Levomycetinaceae. Penicillin.
Complex treatment of infectious prostatitis necessarily includes fluoroquinololes, which are the latest achievements of modern pharmacology. They belong to a new generation of antibiotics and have a very wide range of effects on infectious agents. These agents 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 of this group are very quickly absorbed in the gastrointestinal tract and easily penetrate into prostate cells. The efficiency of fluoroquinolones, including the elimination of microorganisms, ranges from 60 to 90%.
Nonsteroidal anti-inflammatory drugs
Nonsteroidal anti-inflammatory drugs (NSAIDs) are actively used in the treatment of acute and chronic non-infectious prostatitis. NSAIDs can not only alleviate inflammation, but also significantly alleviate pain. The dosage forms in which these drugs are produced are different: they can be ampoules for injections, tablets or suppositories.
Men can use tablets and suppositories at home, but which medications to use and according to which scheme to take can only be determined by the attending physician. This is especially important to explain to the patient, because the Internet is full of recipes on how to treat prostatitis on their own, and the uncontrolled use of non-steroidal anti-inflammatory drugs can lead to extremely negative consequences for the male body.
Medications for the treatment of prostatitis in this group should be taken with caution, as they have a number of contraindications, including men. They should not be prescribed to patients who have problems with the work of the gastrointestinal tract, especially with stomach ulcers, as well as with disorders of the liver and kidneys.
Alpha blockers
Medical treatment of prostatitis is not only aimed at directly treating inflammation in men, but also at alleviating the symptoms that accompany this disease. Drugs against prostatitis of this effect are called second-line treatment. Alpha-adrenergic blockers act on receptors on the nerve endings of the prostate muscle, which when the prostate is inflamed cause spasms of the urethra and bladder. These cramps interfere with normal urination in men and cause difficulties in the flow of urine and pain - the main symptoms of the disease. Alpha-blockers cannot treat prostatitis on their own, but they are included in complex therapy, which significantly reduces the risk of recurrence of the disease in men.
Alpha-blockers are of two types:
- Selective.
- Nonselective.
Selective drugs are most effective in treating prostatitis because they have minimal side effects. The therapeutic effect of the drug does not appear immediately, a marked improvement in the condition in men is noticeable after approximately two weeks after the start of drug administration.
These drugs also help relieve unpleasant symptoms, shrink urethral muscles and normalize the urination process, but do not cause tachycardia in men.
In alpha-blocker therapy, it is very important to correctly determine the therapeutic dose, because exceeding the dose of the drug can cause side effects of the cardiovascular system and renal function.
Hormone therapy
Prescribed by a urologist, prostatitis medications may include hormonal medications, if indicated. Hormone therapy can also be aimed at relieving inflammatory symptoms and restoring erectile function in men. It is necessary to treat prostate inflammation with hormones, taking into account all possible side effects, of which there are many of these drugs. Symptoms of prostate inflammation help in the release of adrenal hormones, which also help speed up the healing process of damaged tissues.
When treated with hormones, it is necessary to act specifically on the prostate, without affecting other organs, and not to change the hormonal background of the male body as a whole. For this, the drugs are applied by electrophoresis. Male hormones to restore and stimulate erectile function can be used in the treatment of prostatitis strictly according to reasonable indications, because hormone prostatitis drugs in the form of hormones can stop their independent production in the body, ultimately leading to pharmacological castration. It is categorically impossible to treat prostatitis with hormones without a prescription and without going through all the necessary studies this can lead to 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. The drugs relieve pain in the perineum and small pelvis, improve blood circulation in the prostate and stimulate the outflow of its secretion.
Preparations of other groups
Medications for prostatitis involved in a complex treatment regimen are very diverse. Thus, vitamins and microelements play a very important role in the patient's recovery, which strengthens the immunity, because the body, weakened by inflammation and infection, needs additional protective equipment. For these purposes, doctors usually prescribe vitamin complexes.
Analgesics are prescribed to relieve pain in prostatitis. These drugs are taken in tablet form, but a much greater analgesic effect is observed when microclysters and rectal suppositories are used.
Suppositories are actively used as part of a complex therapy, this form of medicine for prostatitis is very popular among patients, because it allows you to quickly relieve pain. Suppositories are not an independent method of treatment, but are used only as an adjunct to the main dish. The composition of rectal suppositories may include anti-inflammatory drugs, analgesics, relieving the symptoms of hemorrhoids. The most common suppositories that patients use are belladonna, because they provide the fastest relief of pain in the pelvic and perineal area.
In addition to the standard forms, prostatitis medications can also be of herbal origin. Homeopathic remedies are gaining popularity among doctors 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 used, which are used to alleviate prostate inflammation, and are also used for prophylactic purposes.
Despite the small number of side effects, the drops should not be used without a prescription. It should also be borne in mind that homeopathy can only be treated with other drugs against prostatitis.
It is impossible to single out the best cure for prostatitis, each of them has its own specificity and focus. 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.