The treatment of advanced prostatitis, both chronic and acute, is a complex task that requires the parallel use of various medications.
Each specific case individually creates the necessary list of medications, depending on the patient's medical history, the course of the disease and a number of other important factors.
types of drugs
The selection of inexpensive but effective drugs for prostatitis is based on understanding the causes of the disease and the features of its manifestation;however, antibiotics and anti-inflammatories should be considered key aspects of any medication list.Furthermore, if the latter can be of a general nature, it is advisable to prescribe antibiotic therapy taking into account the fight against a specific type of pathogen identified as a result of the tests.
Additionally, anti-prostatitis medications can be used in therapy, such as various types of antipyretics, analgesics, diuretics, alpha-blockers, antispasmodics, antiandrogens and laxatives.
Modern drugs can be classified not only according to their intended purpose, but also according to the form of release:
- injections (injections):Treatment of inflammation of the prostate with injections is justified, first of all, in the case of a serious condition of the patient that requires immediate stabilization.As a rule, concentrated drugs in ampoules are diluted to obtain a solution, after which they are prescribed for intramuscular or intravenous infusion;
- candles:Medicines in the form of suppositories are relevant during the routine treatment of chronic prostatitis or as medicines for the prevention of prostatitis.In some cases, suppositories are prescribed to increase potency, since the absorption of the substance by the intestinal mucosa ensures its better penetration into the prostate tissue;
- tablets and capsules:These medicinal forms are the most common in the standard treatment regimen for chronic or acute prostatitis.The tablets are easy to dose and convenient to take, which is why most antibiotics, anti-inflammatories and decongestants (alpha blockers or 5-alpha-reductase inhibitors) are produced in this form;
- instillation:This is a not often practiced method of treatment for prostatitis, the essence of which is to inject a medicinal solution into the urethra or bladder with a special syringe.The main goal of instillations is to restore damaged mucous membranes, destroy pathogenic microflora and suppress inflammatory processes;
- microenemas:Small cold enemas reduce swelling, inflammation and local pain in the prostate, although at the same time they make it difficult to transport drugs to its tissue.In the final stages of therapy and after recovery, microenema cycles can be carried out with solutions based on herbal preparations.When liquid is retained in the intestine for a long enough time, its mucous membrane absorbs useful substances;
- plasters:Skin patches, like microenemas, are auxiliary measures in the treatment of the prostate and, rather, have a supporting effect on the body, complementing full drug therapy.
When choosing a pharmaceutical form of a drug, in addition to the patient's condition, one should also take into account his own preferences.
Some patients have problems swallowing tablets, while for others rectal suppositories are contraindicated due to the presence of inflammatory diseases in the anorectal area.
Factors such as the availability and cost of drugs also play an important role: it is not always possible to find an inexpensive and fast-acting drug for prostatitis, so it is necessary to take less effective analogues.
antibiotics
The selection of antibiotics requires a selective approach, since it is important to choose a drug that suppresses one or several specific types of pathogens of inflammatory prostatitis.Why do doctors study urethral swabs, urinalysis, and prostate secretion samples?
It is highly advisable to use antibacterial antibiotics that have bacteriostatic and bactericidal effects, so that the drug not only blocks the spread of infection, but also actively destroys dangerous microorganisms.
Beta-lactam antibiotics, such as aminoglycosides, are less preferred, although they are inexpensive.Unlike fluoroquinolones and macrolides, they are characterized by a weak ability to penetrate the prostate tissue and create the necessary concentrations of the active substance in it.
Fluoroquinolones are potent bactericidal drugs, significantly superior to bacteriostatic agents in this parameter.
Alpha blockers
This group of drugs is actively used not only for prostatitis, but also for prostate adenoma, and its effectiveness is based on blocking alpha-adrenergic receptors to prevent their contact with norepinephrine and adrenergic agonists.As a result, the receptors in the vessels do not receive vasoconstrictive nerve signals, so their expansion is achieved with subsequent improvement in blood circulation.
It should be noted that selective alpha1-adrenergic blockers are actively used in urology, which act on the receptors of the tissues of the bladder, prostate and urinary tract.
Reducing tissue inflammation not only improves urodynamics, but also tones the entire male genitourinary system, helping to eliminate, among other things, impotence and decreased erection.
Anti-inflammatory medications
Prostatitis in men is treated with the use of non-steroidal anti-inflammatory drugs (NSAIDs/NSAIDs), which meet the requirements for effectiveness, but at the same time are safe for the body.
The goal of these drugs is to suppress the inflammatory process that affects the prostate and, possibly, the seminal vesicles, the bladder neck, and the distal urinary tract.
After a decrease in the clinical severity of inflammation of the prostate, a normalization of the patient's condition is observed, including a decrease in body temperature, a decrease in inflammation of the prostate, elimination of urinary tract obstruction and suppression of pain in the anogenital zone.
Hormonal drugs
The use of hormonal drugs in the treatment of prostatitis is allowed only in the case of an advanced chronic course of the disease, in which antibiotics, alpha-blockers and anti-inflammatories are not able to normalize disturbed hormonal levels.
Depending on the goals, the patient may be prescribed both androgens, which increase the level of male hormones (testosterone) in the blood, and estrogens, which suppress the production of dihydrotestosterone, which causes the proliferation of prostate tissue.
All hormonal drugs are sold strictly by prescription and should be used exclusively as prescribed by the attending physician, since an incorrect or untimely dosage can have a detrimental effect on the patient's health.
Immunomodulators
The complicated course of acute prostatitis is aggravated by the development of immunosuppression, which can intensify under the influence of various antibiotics and other drugs.For this reason, there is a need to strengthen the body's resistance to pathogenic microflora, which is carried out with the help of immunostimulants.
There are many different medications of this type.
Do not forget that vitamins A, C and E also help to strengthen the immune system, so experts recommend actively consuming foods containing these substances in large quantities.
Painkillers
Analgesics are usually needed in the early stages of therapy, when the treatment has not yet managed to functionally improve the condition of the prostate, so the patient feels pain when urinating, defecating, sitting for a long time on a hard surface or engaging in physical activity.
Moderate-strength pain relievers taken as prescribed one to three times a day are usually sufficient.
These products have many structural analogues (generic) and are produced by many companies, but doctors recommend not to overpay for the brand.
muscle relaxants
From the class of muscle relaxants, in urology it is customary to prescribe antispasmodics, drugs that help relax smooth muscles that are in a state of spasm.This therapy is effective for acute prostatitis, which causes involuntary spasms of the muscles of the prostate and the entire pelvic floor.
The continuous use of antispasmodics is unnecessary: it is enough to take them in moderate doses during the first days or weeks of general therapy.Furthermore, these medications should not be abused to avoid the risk of dysfunction of the relevant organs and systems of the body.
vegetable
Herbal medications prescribed for prostatitis are usually dietary supplements, available in the form of rectal suppositories, capsules, or tablets.
Among the popular extracts that form the basis of such preparations are the bark of the African plum, the fruits of the creeping (or dwarf) palm, and the herb of the creeping tribulus.A little less used is an extract from the prostate gland of animals (bovines).
There is also a group of medicines such as homeopathic medicines for the treatment of prostate inflammation.
For the prevention of prostatitis.
Preventing prostatitis requires, first of all, maintaining a healthy lifestyle, including regular sexual activity.But to maintain tone, various medications can also be used;As a rule, we are talking about dietary supplements of plant origin.
Since the manufacturers of these dietary supplements claim their ability to help with weakened libido, impotence, erectile dysfunction and other disorders of the male genitourinary system, they should be taken with caution as prophylactic agents for prostatitis.
It must be remembered that many of these capsules and tablets are aphrodisiacs, which is inappropriate in various situations.