Treatment of advanced prostatitis - both chronic and acute - is a complex matter that requires the parallel use of many different drugs.
Each specific case individually creates a necessary list of drugs, depending on the patient's medical history, course of the disease and other important factors.
Types of drugs
The selection of inexpensive but effective drugs for prostatitis is based on the causes of the disease and the characteristics of its manifestations, although antibiotics and anti-inflammatory drugs should be considered the main aspects of any list of drugs.Moreover, if the latter can be of a general nature, then it is advisable to prescribe antibiotic therapy, taking into account the resistance to the specific type of pathogen identified as a result of the tests.
In addition, anti-prostatitis medications such as various antipyretics, pain relievers, diuretics, alpha-blockers, antispasmodics, antiandrogens, and laxatives can be used in therapy.
Modern medicines can be classified not only according to their purpose, but also according to the form of release:
- Injections (shots):Treatment of inflammation of the prostate gland with injections is justified, first of all, in the case of a serious patient's condition that requires immediate stabilization.As a rule, concentrated preparations in an ampoule are dissolved to obtain a solution, after which it is prescribed for intramuscular or intravenous infusion;
- Candles:Medicines in the form of suppositories are relevant during the routine treatment of chronic prostatitis or 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 forms of treatment are the most common in the standard scheme of treatment of chronic or acute prostatitis.Tablets are easy to dose and convenient, so most antibiotics, anti-inflammatories and decongestants (alpha-blockers or 5-alpha-reductase inhibitors) are produced in this form;
- Instillation:This is a treatment method for prostatitis, the essence of which is to inject a medicinal solution into the urethra or bladder using a special syringe.The main goal of instillations is to restore damaged mucous membranes, destroy pathogenic microflora and suppress inflammatory processes;
- Microlenses:Small cold enemas reduce local swelling, inflammation and pain in the prostate gland, while at the same time inhibiting the transport of drugs into its tissue.In the last stages of therapy and after recovery, courses of microneedling with solutions based on herbal preparations can be carried out.When the liquid remains in the intestine for a long enough time, its mucous membrane absorbs useful substances;
- Plasters:Skin spots, like microelema, are an auxiliary measure in prostate treatment and have a more supportive effect on the body, complementing full-fledged drug therapy.
When choosing the dosage form of the drug, in addition to the patient's condition, you should also consider his own preferences.
Some patients have problems swallowing tablets, and others are contraindicated for rectal suppositories 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 a fast-acting and cheap drug for prostatitis, which is why you have to take less effective analogues.
Antibiotics
The selection of antibiotics requires a selective approach, since it is important to choose a drug that inhibits a specific type (or types) of pathogenic agents of inflammatory prostatitis.Why do doctors study urethral swabs, urine tests, and prostate secretion samples?
It is highly recommended to use antibacterial antibiotics that have both bacteriostatic and bactericidal effects, so that the drug not only blocks the spread of infection, but also actively destroys dangerous microorganisms.
Beta-lactam antibiotics, like aminoglycosides, are less desirable, although they are cheaper.Unlike fluoroquinolones and macrolides, they are characterized by a weak ability to penetrate the tissue of the prostate gland and achieve the necessary concentrations of the active substance in it.
Fluoroquinolones are powerful bactericidal drugs that are significantly superior to bacteriostatic agents in this respect.
alpha blockers
This group of drugs is actively used not only for prostatitis, but also for prostate adenoma, and their effectiveness is based on blocking alpha-adrenergic receptors to prevent their contact with norepinephrine and adrenergic agonists.As a result, the receptors of the vessels do not receive vasoconstrictor nerve signals, due to which their expansion is achieved with further improvement of blood circulation.
It should be noted that selective alpha1-adrenergic blockers are actively used in urology, which act on receptors in the tissues of the urinary bladder, prostate and urinary tract.
Reducing tissue swelling not only improves urodynamics, but also tones the entire male reproductive system, which helps, among other things, to get rid of impotence and erectile dysfunction.
Anti-inflammatory drugs
Prostatitis in men is treated using non-steroidal anti-inflammatory drugs (NSAIDs), which meet the requirements of effectiveness, but at the same time, are safe for the body.
The purpose of these drugs is to suppress the inflammatory process affecting the prostate and possibly the seminal vesicles, bladder neck, and distal urinary tract.
After reducing the clinical severity of prostatitis, the patient's condition is normalized, including a decrease in body temperature, a decrease in swelling of the prostate gland, elimination of urinary tract obstruction, and suppression of pain in the anogenital area.
Hormonal drugs
The use of hormonal drugs for the treatment of prostatitis is allowed only in the case of an advanced chronic course of the disease, during which antibiotics, alpha-blockers and anti-inflammatory drugs are not able to normalize the disturbed level of hormones.
Depending on the goals, the patient can 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 only under the prescription of the attending physician, because the wrong or untimely dosage can have a harmful effect on the patient's health.
immunomodulators
The complicated course of acute prostatitis is aggravated by the development of immunosuppression, which can be intensified under the influence of a number of antibiotics and other drugs.For this reason, it is necessary to strengthen the body's resistance to pathogenic microflora, which is carried out with the help of immunostimulators.
There are many different drugs of this type.
Do not forget that vitamins A, C and E also help strengthen the immune system, so experts recommend the active use of foods containing these substances in large quantities.
Analgesics
Painkillers are usually needed in the early stages of therapy, when the treatment has not yet had time to functionally improve the condition of the prostate, which is why the patient experiences pain during urination, defecation, sitting for a long time on a hard surface, or during physical activity.
As a rule, analgesics of moderate strength, taken as prescribed three times a day, are sufficient.
These products have many structural analogues (generics) and are produced by many companies, but doctors recommend not to pay too much for a brand.
Muscle relaxants
From the class of muscle relaxants, antispasmodics are usually prescribed in urology - drugs that help smooth muscles in a state of spasm.This therapy is effective in acute prostatitis, which causes involuntary spasm of the prostate muscles and the entire pelvic floor.
The use of a course of antispasmodics is unnecessary: it is enough to take them in moderate doses during the first days or weeks of general therapy.Also, these drugs cannot be abused in order to avoid the risk of dysfunction of the relevant organs and systems of the body.
vegetables
Herbal medicines prescribed for prostatitis are most often dietary supplements available as rectal suppositories, capsules or tablets.
Among the popular extracts that form the basis of such preparations are the bark of the African plum, the fruit of the creeping (or dwarf) palm and the creeping tribulus herb.The extract of the prostate gland of animals (cattle) is used a little less.
There is also a group of medicines such as homeopathic medicines to treat prostatitis.
For the prevention of prostatitis
Prevention of prostatitis requires, first of all, maintaining a healthy lifestyle, including regular sexual activity.But to maintain tone, you can also use various drugs - usually we are talking about dietary supplements of herbal origin.
Since the manufacturers of these dietary supplements claim that they can help with decreased libido, impotence, erectile dysfunction and other disorders in the male reproductive system, they should be taken with caution as preventive agents for prostatitis.
It should be remembered that many of these capsules and tablets are aphrodisiacs, which are inappropriate in a number of situations.