In modern medicine, the problem of prostatitis treatment is especially relevant, since this pathology affects a large percentage of men of reproductive age. If a few years ago several inflammatory diseases of the prostate were considered diseases exclusively of the elderly, now urologists affirm the rapid "rejuvenation" of the disease, their patients are more and more 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 the different forms and stages of the disease course. We will determine which medicine is the most effective and affordable.
Let's look at the tools that have been tested in practice.
Antibiotics
The arsenal of drugs for prostatitis is very broad, doctors have long learned to treat this disease, using various drugs for prostate inflammation, and drug treatment of prostatitis plays a decisive role in the fight against this male disease.
The best anti-inflammatories are, of course, antibiotics, but before prescribing them, the doctor always recommends a thorough examination to patients.
The list of antibiotics for the treatment of prostatitis is very long, they are used only in the case of an infectious form of acute and chronic prostatitis, which is diagnosed based on laboratory tests.
Each remedy has its own characteristics, and the choice of a particular medication is determined taking into account many factors:
- Which pathogenic microorganisms caused inflammation of the prostate?
- How long the disease lasts and what are the symptoms.
- How the patient responds to a particular medication.
- How active the antibiotic is against the infectious agent.
- What are the causes of inflammation.
Antibiotics are produced by the pharmaceutical industry in different dosage forms: ampoules for intravenous and intramuscular injections, powders for preparing suspensions and solutions for intravenous infusion, tablets and suppositories. The latter two forms are preferred by patients, especially as they can be taken at home. The dose of the drug is selected in order to create the maximum appropriate concentration in the body and at a given point of inflammation.
Antibiotics as drugs for the treatment of infectious chronic prostatitis certainly play a decisive role in therapy, but when evaluating their effectiveness, one must take into account how the pathogenic microflora reacts to a specific drug and the degree of concentrationof the drug 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, positive dynamics are not observed, the medication must be changed and a regimendifferent treatment should be applied. The question of what type of 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 impact on pathogenic microflora, doctors in the treatment of acute and chronic prostatitis, as well as in case of their recurrences, prescribe anti-inflammatory antibiotics of different groups:
- Fluoroquinols.
- Macrolides.
- Cephalosporins.
- Tetracycline.
- Levomycetinaceae.
- Penicillin.
The complex treatment of infectious prostatitis necessarily includes fluoroquinolols, which are the most recent developments in modern pharmacology. They belong to a new generation of antibiotics and have a wide range of effects on infectious agents. These resources are used to treat acute and chronic prostatitis of an infectious nature, if the symptoms of the disease in men are confirmed by laboratory tests.
The drugs in this group are quickly absorbed into the gastrointestinal tract and easily penetrate prostate cells. The effectiveness of fluoroquinolones, including the elimination of microorganisms, varies from 60 to 90%.
Nonsteroidal anti-inflammatory drugs
Medicines from the group of non-steroidal anti-inflammatory drugs (NSAIDs) are actively used in the treatment of acute and chronic non-infectious prostatitis. NSAIDs not only relieve inflammation, they also significantly relieve pain. The pharmaceutical forms in which these drugs are produced are different: they can be ampoules for injections, tablets or suppositories.
Men can use pills and suppositories at home, but only the attending physician can determine which medications to use and according to which regimen to take. This is especially important to explain to the patient, since the internet is full of recipes on how to treat prostatitis independently, and the uncontrolled use of non-steroidal anti-inflammatory drugs can lead to extremely negative consequences for the male body.
Medicines for the treatment of prostatitis in this group should be taken with caution, as they have many contraindications, including for men. They should not be prescribed to patients with problems with the functioning of the gastrointestinal tract, especially stomach ulcers, as well as disorders of the functioning of the liver and kidneys.
Alpha blockers
Medical treatment of prostatitis aims not only to directly treat inflammation in men, but also to alleviate the symptoms that accompany this disease. Prostatitis drugs with this effect are called the second line of treatment. Alpha-blockers act on the receptors of nerve endings in the prostate muscles, which, when the prostate is inflamed, cause spasm of the urethra and bladder. These spasms interfere with normal urination in men and cause difficulty in urine flow and pain - the main symptoms of the disease. Alpha blockers cannot treat prostatitis on their own, but are involved in complex therapy, significantly reducing the risk of disease recurrence in men.
Alpha blockers are of two types:
- Selective.
- Non-selective.
Selective drugs are more effective in treating prostatitis because they have minimal side effects. The therapeutic effect of the drugs does not appear immediately, a noticeable improvement in the condition in men is noticeable after about two weeks after starting the drug.
These medications also help to alleviate unpleasant symptoms, tone the urethra muscles and normalize the urination process, but do not cause tachycardia in men.
In therapy with alpha-blockers, it is very important to correctly determine the therapeutic dose, as exceeding the dosage of the medication can cause side effects on the cardiovascular system and kidney function.
Hormone therapy
Prescribed by a urologist, prostatitis medications may include hormonal medications, if indicated. Hormone therapy can aim to relieve inflammatory symptoms and restore erectile function in men. It is necessary to treat inflammation of the prostate with hormones, taking into account all possible side effects, of which these drugs are numerous. Symptoms of prostate inflammation help to release adrenal hormones, which also help to speed up the healing process of damaged tissues.
In hormone treatment, 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 administered through electrophoresis. Male hormones to restore and stimulate erectile function can be used to treat prostatitis strictly according to reasonable indications, since hormone prostatitis drugs can interrupt their independent production by the body, which ends upleading to pharmacological castration. It is absolutely 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 flow of its secretion.
Preparations from other groups
The drugs for prostatitis included in the complex treatment regimen are very diverse. Thus, vitamins and microelements play a very important role in the patient's recovery process, which increases immunity, since the body, weakened by inflammation and infection, needs additional protective equipment. For these purposes, doctors often prescribe vitamin complexes.
Analgesics are prescribed to relieve pain in prostatitis. These drugs are taken in the form of pills, but a much greater analgesic effect is seen when using microclysters and rectal suppositories.
Suppositories are actively used as part of a complex therapy, this form of medication for prostatitis is very popular with patients as it allows to relieve pain quickly. Suppositories are not an independent treatment method, they are used only as a complement to the main course. The composition of rectal suppositories can include anti-inflammatory drugs, pain relievers, hemorrhoid relief symptoms. The most common suppositories used by patients are those of belladonna, as they provide the fastest relief of pain in the pelvic and perineal region.
In addition to the standard forms, prostatitis drugs can be of plant origin. Homeopathic medicines are gaining popularity among doctors and patients because they have minimal side effects and are well tolerated by patients. In the modern pharmaceutical market, several homeopathic eye drops for prostatitis, used to relieve inflammation of the prostate, and also for prophylactic purposes, are widely represented.
Despite a small number of side effects, eye drops should not be used without a prescription. It should also be remembered that homeopathy can only be treated with other drugs for prostatitis.
It is impossible to highlight the best remedy for prostatitis, each of them has its specificities and focus. It is impossible to completely cure this disease with any medication, only a complex treatment, including drug therapy, physical therapy and other effective methods of treatment, will lead to the desired result.