The treatment of advanced prostatitis, both chronic and acute, is an integral event that requires the parallel use of a series of diverse medications.Each specific case individually forms the necessary list of medications, depending on the history of the patient, the course of the disease and a series of other important factors.
Types of drugs
The selection of economic but effective medicines for prostatitis is based on understanding the causes of the disease and the characteristics of its manifestation, however, antibiotics and anti -inflammatory medications should be considered the key aspects of any list of medications.In addition, if the latter can be of a general nature, then it is advisable to prescribe antibiotic therapy, taking into account the opposition of a specific type of pathogen identified as a result of the analyzes.
In addition, prostatitis medications such as various types of anti-piratas, analgesics, diuretics, alpha-blockers, antispasmodics, antiandrogens and laxatives can be used in therapy.
You can classify modern drugs not only for your planned purpose, but also in the form of release:
- Injections (injections): The treatment of inflammation of the prostate gland with injections is justified, first, in the case of a serious condition of a patient that requires immediate stabilization.As a general rule, the drugs concentrated in the ampoules are diluted until the solution is obtained, after which it is prescribed to intra -intramuscular or R intravenous infusion;
- Candles: Candles' medicines are relevant during planned chronic prostatitis or as medications for prostatitis prevention.In some cases, the suppositories are prescribed to increase the power, since the absorption of the substance of the intestinal mucosa provides its best penetration in the prostate tissue;
- Tablets and capsules: These medications are the most common in the standard treatment scheme for chronic or acute prostatitis.Tablets are easy to dose and conveniently take, most of the antibiotics, anti-inflammatories and remedies against edema (alpha-blockers or inhibitors of 5-Alpha reductase) occur in this way;
- Instillings: This is not practiced so frequently with prostatitis, whose essence is the introduction of a medicinal solution in the urethra or bladder using a special syringe.The main objective of instillation is the restoration of the damaged mucous membrane, the destruction of pathogenic microflora and the suppression of inflammatory processes;
- Microclisms: small cold enemas reduce local edema, inflammation and pain in the prostate gland, although at the same time they worsen drug transport in their tissue.In the final stages of therapy and after recovery, microcrilism courses can be performed with solutions based on plant medications.With a fairly long retention of liquid in the intestine, its mucous membrane absorbs beneficial substances;
- Panels: expensive interns, such as microclysters, belong to auxiliary measures in the treatment of a prostate and have a support effect on the body, complementing complete pharmacological therapy.
When choosing the drug dosing shape, it is also necessary to take into account, in addition to the patient's condition, their own preferences.Some patients experience problems with the swallowing of tablets, while others are contraindicated to others due to the presence of inflammatory diseases in the anorectal region.Factors such as the availability and cost of drugs also play an important role, it is not always possible to choose a high speed and economic cure for prostatitis, so you should take less effective analogues.
Antibiotics
The selection of antibiotics requires a selective approach, since it is important to choose a medication that suppresses a specific type (or species) of pathogenic pathogens of inflammatory prostatitis.Why doctors study the blows taken from the urethra, urine tests and prostatic secretion samples.
It is extremely desirable to use antibacterial antibiotics that have bacteriostatic and bactericidal effects so that the drug not only blocks the spread of infection, but also actively destroying dangerous microorganisms.
Beta-lactam antibiotics, such as aminoglycosides, are preferred to a lesser extent, although they are cheap.Unlike fluoroquinolones and macrolides, they are characterized by a weak capacity to penetrate the tissues of the prostate gland and create the necessary concentrations of the active substance in it.Forquinolones are powerful bactericidal preparations that are remarkably higher in this parameter, stopping the spread of microorganisms, drugs
Alpha-blockers
This group of funds is actively used not only for prostatitis, but also for the prostate adenoma, and its effectiveness is based on blocking alpha-adrenergic receptors to avoid contact with norepinephrine and adrenryonym.As a result, vessel receptors do not receive vasoconstrictive nerve signals, due to which its expansion is achieved with the subsequent improvement of blood circulation.
It should be noted that in urology, selective Alfa1 blockers are actively used, which affects receptors in bladder, prostate and urinary tract tissues.
A decrease in tissue inflammation not only improves the elimination of toxins and liquid waste, but also tones the entire genital system of men, which helps to get rid of the impotence and reduction of an erection.
Anti -inflammatory drugs
Prostatitis in men is treated with the use of non -steroid anti -inflammatory drugs (NSAIDs/NSAIDs) that meet efficiency requirements, but at the same time safe for the body.The task of these medications is to suppress the inflammatory process, which affected the prostate and, possibly, the seed bubbles, the bladder neck and the distal urinary tract.
After a decrease in the clinical severity of the inflammation of the prostate, the condition of the patient is observed, including a decrease in body temperature, a decrease in swelling of the prostate gland, eliminating the uric obstruction and the suppression of pain in the genital region.
Hormonal drugs
The use of hormonal drugs in the treatment of prostatitis is allowed only in the case of a chronic careless course of the disease, in which antibiotics, alpha-blockers and anti-inflammatory medications cannot normalize altered hormonal history.
Depending on the objectives, the patient can be prescribed both androgens that increase the level of male hormones (testosterone) in the blood and the estrogens that suppress the production of dihydrotestosterone, which causes the growth of the prostate's tissues.
All these medications are strictly released according to the recipe, and should be used exclusively by the prescription of the treating doctor, since the incorrect or inopportune dose can destroy the patient's health.
Immunomodulators
The complicated course of acute prostatitis is aggravated by the development of immunosuppression, which can increase under the influence of a series of antibiotics and other medications.For this reason, there is a need to strengthen the resistance (resistance) of the body in relation to the pathogenic microflora, which is carried out using immunostimulants.
Do not forget that vitamins A, C and E also contribute to the strengthening of immunity, so experts recommend actively consuming products that contain these substances in large quantities.
Analgesics
Anesthetic medications, as a rule, are necessary in the early stages of therapy, when treatment has not yet managed to functionally improve the condition of the prostate, so the patient experiences pain during urination, defecation, the long location on a hard surface or physical activity.
As a general rule, there are enough average force analgesics accepted according to the requirements of one to three times a day.The listed funds have many structural analogues (generic), and are produced by many Russian and foreign companies, but doctors advise preference to national analgesics so as not to pay excessively for the brand.
Musorelaxantes
Of the class of muscle relaxants in urology, it is customary to prescribe antispasmodics, medications that help relax smooth muscles in a state of spasm.This therapy is effective in the acute course of prostatitis, causing an involuntary spasm of the prostate muscles and the entire pelvic floor.
The use of the antispasmodic course is unnecessary: it is enough to take them in moderate doses during the first days or the week of general therapy.In addition, these medications cannot be abused to avoid the risk of a deteriorated function of the relevant organs and systems of the body.
Vegetable
Recorded plant medications for prostatitis are often dietary supplements produced in the form of rectal suppositories, capsules or tablets.Among the popular extracts that form the base of such drugs: the cortex of the African plum, the fruits of the rasted palm trees (or dwarfs).A little less used an extract of the prostatic animal gland (cattle).There is also a group of medicines such as homeopathic preparations for the treatment of prostate inflammation.
For prostatitis prevention
Prostatitis prevention requires, in the first place, to lead a healthy lifestyle, including regular sexual activity.But to keep the tone, several drugs can be used;As a rule, we are talking about biologically active additives of the plant origin.Since manufacturers of these dietary supplements are declared their ability to help weaken libido, impotence, erectile dysfunction and other work disorders of the male genitourinary system, they must be careful with caution as preventive agents for prostatitis.