Treatment of advanced prostatitis - both chronic and acute - is a complex task that requires the simultaneous use of a number of different drugs.
Each specific case individually creates a list of necessary drugs depending on the patient's medical history, the course of the disease and a number of other important factors.
Types of drugs
Choosing inexpensive but effective drugs for prostatitis is based on understanding the causes of the disease and the characteristics of its manifestation, but antibiotics and anti-inflammatory drugs should be considered the main aspects in any drug list.Moreover, 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.
In addition, anti-prostatitis medications such as antipyretics, pain relievers, diuretics, alpha-blockers, antispasmodics, antiandrogens, and laxatives may be used in therapy.
Modern drugs can be classified not only according to their purpose, but also according to the form of release:
- injections (needles):injection treatment of inflammation of the prostate gland is justified primarily in the case of a serious patient who requires urgent stabilization.As a rule, drugs concentrated 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 regular treatment of chronic prostatitis or as a medicine for the prevention of prostatitis.In some cases, suppositories are prescribed to increase the potency, because absorption of the substance by the intestinal mucosa ensures better penetration into the prostate tissue;
- tablets and capsules:these forms of medication are most common in the standard treatment regimen for chronic or acute prostatitis.Tablets are easy to dose and convenient to take, so most antibiotics, anti-inflammatories and decongestants (alpha-blockers or 5-alpha-reductase inhibitors) are produced in this form;
- drip:This is an infrequent 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 purpose of instillations is to restore damaged mucous membranes, destroy pathogenic microflora and suppress inflammatory processes;
- microenemas:small cold enemas reduce local swelling, inflammation and pain in the prostate gland, although at the same time they disrupt the transport of drugs into its tissue.In the final stages of therapy and after recovery, courses of microenema with solutions based on herbal preparations can be carried out.When the liquid is stored 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 prostate, and more precisely, they have a supporting effect on the body that complements full-fledged drug treatment.
When choosing a dosage form of a drug, in addition to the patient's condition, you should also consider your own preferences.
Some patients have problems swallowing tablets, while others are contraindicated for rectal suppositories due to the presence of inflammatory diseases in the anorectal area.
Factors such as the availability and price of drugs also play an important role - it is not always possible to find a quick and cheap drug for prostatitis, so you have to take less effective analogues.
Antibiotics
The choice of antibiotics requires a selective approach, because it is important to choose a drug that suppresses a certain type (or types) of pathogenic agents of inflammatory prostatitis.Why do doctors study urethral swabs, urine tests, and prostate gland secretion samples?
It is highly desirable to use antibacterial antibiotics with 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 such as aminoglycosides are less preferred, although they are cheaper.Unlike fluoroquinolones and macrolides, they are characterized by a weak ability to penetrate the tissue of the prostate gland and create the necessary concentrations of the active substance there.
Fluoroquinolones are potent bactericidal drugs that are significantly superior to bacteriostatic agents in this setting.
Alpha blockers
This group of drugs is actively used not only for prostatitis, but also for prostate adenoma, and their effectiveness is based on the blocking of alpha-adrenergic receptors to prevent contact with norepinephrine and adrenergic agonists.As a result, the receptors in the vessels do not receive vasoconstrictor nerve signals, thanks to which their expansion is achieved with the subsequent improvement of blood circulation.
It should be noted that in urology, selective alpha1-adrenergic blockers, which act on receptors in the tissues of the bladder, prostate gland and urinary tract, are actively used.
Reducing tissue swelling not only improves urodynamics, but also tones the entire male genitourinary system, helping to get rid of impotence and decreased erection, among other things.
Anti-inflammatory drugs
Prostatitis in men is treated with the use of non-steroidal anti-inflammatory drugs (NSAIDs/NSAIDs) that 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 gland and possibly the seminal vesicles, bladder neck, and distal urinary tract.
After the decrease in the clinical severity of prostate inflammation, 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 region.
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, when antibiotics, alpha-blockers and anti-inflammatory drugs cannot normalize the concerned hormonal levels.
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 as prescribed by the attending physician, since incorrect or untimely doses can have a harmful effect on the patient's health.
Immunomodulators
The complex 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, there is a need to strengthen the body's resistance to pathogenic microflora with the help of immunostimulants.
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 actively consuming 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, so the patient feels pain during urination, defecation, sitting for a long time on a hard surface, or during physical activity.
Typically, moderate-strength analgesics taken as prescribed one to three times a day are sufficient.
There are many structural analogues (generics) of these products and they are produced by many companies, but doctors advise 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 in a state of spasm.This therapy is effective for acute prostatitis, which causes involuntary spasm of the prostate muscles and the entire pelvic floor.
Course use of antispasmodics is unnecessary: in the first days or weeks of general therapy, it is enough to take them in moderate doses.Also, these drugs should not be abused to avoid the risk of dysfunction of the relevant organs and systems of the body.
Vegetables
Herbal medicines prescribed for prostatitis are dietary supplements, most commonly 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 fruits of the creeping (or dwarf) date and the creeping herb Tribulus.A little less used is the extract from the prostate gland of animals (cattle).
For the treatment of inflammation of the prostate, there is a group of medicines such as homeopathic medicines.
For the prevention of prostatitis
Prevention of prostatitis requires, first of all, maintaining a healthy lifestyle, including regular sexual activity.But you can also use various drugs to maintain tone - as a rule, we are talking about herbal dietary supplements.
As the manufacturers of these dietary supplements claim their ability to help with weakened libido, impotence, erectile dysfunction and other disorders in the male genitourinary system, they should be taken with caution as prostatitis prevention agents.
It should be remembered that many of these capsules and tablets are aphrodisiacs and are not suitable in a number of cases.