In modern medicine, the problem of treating prostatitis is especially relevant, as this pathology affects a very large percentage of men of reproductive age. If a few years ago various inflammatory diseases of the prostate were considered exclusively diseases of the elderly, now urologists say the rapid "rejuvenation" of the disease, their patients are increasingly men aged 30 or even 20 years. Let's take a closer look at the main groups of drugs used in the treatment of prostatitis in different forms and stages of the disease. Let's determine which drug is the most effective and affordable.
Let's look at tools that have been tested in practice.
Antibiotics
The arsenal of drugs for prostatitis is very wide, doctors have long learned to treat this disease using various drugs for inflammation of the prostate, and drug treatment of prostatitis plays a crucial role in the fight against this male disease.
The best anti-inflammatory drugs are, of course, antibiotics, but before prescribing them, the doctor always recommends a thorough examination of patients.
The list of antibiotics for the treatment of prostatitis is very extensive, they are used only in the case of an infectious form of acute and chronic prostatitis, which is diagnosed on the basis of laboratory tests.
Each drug has its own characteristics and the choice of a specific drug is determined taking into account many factors:
- Which pathogens have caused inflammation of the prostate gland?
- How long the disease lasts and what symptoms it has.
- How the patient responds to a particular medicine.
- How active is the antibiotic against the infectious agent.
- What are the causes of inflammation.
Antibiotics are produced by the pharmaceutical industry in various dosage forms: ampoules for intravenous and intramuscular injection, powders for suspension and solutions for intravenous infusion, tablets and suppositories. Patients prefer the latter two forms especially as they can be taken at home. The dose of the drug is selected so as to create the maximum adequate concentration in the body and in a certain focus of inflammation.
Antibiotics as drugs for the treatment of chronic prostatitis with an infectious nature certainly play a crucial role in therapy, but when evaluating their effectiveness, one must take into account how the pathogenic microflora responds to a particular drug and the degree of drug concentration 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, no positive dynamics is observed, the drug should be changed and another treatment regimen applied. . The question of which antibiotics to treat a patient with 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 pathogen and the degree of impact on the pathogenic microflora, doctors in the treatment of acute and chronic prostatitis, as well as in case of its recurrence, prescribe anti-inflammatory antibiotics from different groups:
- Fluoroquinols.
- Macrolides.
- Cephalosporins.
- Tetracycline.
- Levomycetinaceae. Penicillin.
The complex treatment of infectious prostatitis necessarily includes fluoroquinololes, which are the latest developments in modern pharmacology. They belong to a new generation of antibiotics and have a very wide range of effects on infectious agents. These drugs are used in the treatment of acute and chronic prostatitis of infectious nature, if the symptoms of the disease in men are confirmed by laboratory tests.
Drugs from this group are absorbed very quickly in the gastrointestinal tract and easily penetrate into the cells of the prostate gland. The effectiveness of fluoroquinolones, including the elimination of microorganisms, varies from 60 to 90%.
Non-steroidal anti-inflammatory drugs
Non-steroidal anti-inflammatory drugs (NSAIDs) are actively used in the treatment of acute and chronic non-infectious prostatitis. NSAIDs can not only relieve inflammation, but also significantly relieve pain. The dosage 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 doctor can determine which medications to use and according to which regimen to take. This is especially important to explain to the patient, as the Internet is full of prescriptions on how to treat prostatitis on their own, and the uncontrolled use of nonsteroidal 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 who have problems with the functioning of the gastrointestinal tract, especially with a stomach ulcer, as well as with disorders of the liver and kidneys.
Alpha blockers
Medical treatment of prostatitis is aimed not only directly at treating inflammation in men, but also at relieving the symptoms that accompany this disease. Drugs for prostatitis with this effect are called the second line of treatment. Alpha-blockers act on the receptors on the nerve endings of the muscles of the prostate gland, which in inflammation of the prostate cause spasm of the urethra and bladder. These spasms interfere with normal urination in men and cause difficulty urinating and pain - the main symptoms of the disease. Alpha-blockers cannot treat prostatitis on their own, but they are involved in complex therapies, significantly reducing the risk of recurrence in men.
There are two types of alpha-blockers:
- Selective.
- Non-selective.
Selective drugs are most effective in treating prostatitis because they have minimal side effects. The therapeutic effect of the drugs does not appear immediately, a noticeable improvement in men is observed after about two weeks after starting treatment.
These drugs also help relieve unpleasant symptoms, tone the muscles of the urethra and normalize the process of urination, but they do not cause tachycardia in men.
In alpha-blocker therapy, it is very important to correctly determine the therapeutic dose, as overdosing can cause side effects from the cardiovascular system and renal function.
Hormone therapy
Prescribed by a urologist, prostatitis medications may include hormonal medications if indicated. Hormone therapy can be aimed at both relieving inflammatory symptoms and restoring erectile function in men. It is necessary to treat inflammation of the prostate gland with hormones, taking into account all possible side effects, of which these drugs have many. The symptoms of prostate inflammation help to release adrenal hormones, which also help speed up the healing process of damaged tissues.
In hormone treatment it is necessary to act specifically on the prostate gland without affecting other organs and not to change the hormonal background of the male body as a whole. For this, drugs are applied using electrophoresis. Male hormones to restore and stimulate erectile function can be used in the treatment of prostatitis strictly according to reasonable indications, as drugs for prostatitis in the form of hormones can stop their independent production by the body, which ultimately leads to pharmacological castration. It is absolutely impossible to treat prostatitis with hormones without a doctor's prescription and without going through all the necessary tests, this can lead to irreversible consequences for men.
Antispasmodics
Antispasmodics or muscle relaxants are not an independent method for the treatment of 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 pelvis, improve blood circulation in the prostate and stimulate the outflow of its secretion.
Prepare other groups
The drugs for prostatitis included in the complex treatment regimen are very diverse. Thus, vitamins and trace elements play a very important role in the patient's recovery process, which increases immunity, as the body, weakened by inflammation and infection, needs additional protective equipment. For these purposes, doctors most often prescribe vitamin complexes.
Analgesics are prescribed to relieve the pain of prostatitis. These drugs are taken in pill form, but there is a much greater analgesic effect when using microenemas and rectal suppositories.
Suppositories are actively used as part of complex therapy, this form of prostatitis drug is very popular among patients because it allows you to quickly relieve pain. Suppositories are not an independent method of treatment, they are used only as an adjunct to the main dish. The composition of rectal suppositories may include anti-inflammatory drugs, analgesics, relieving the symptoms of hemorrhoids. The most commonly used suppositories for patients are with belladonna, as they provide the fastest relief of pain in the pelvis and perineum.
In addition to the standard forms, prostatitis drugs can be of herbal origin. Homeopathic remedies are gaining popularity among doctors and patients because they have minimal side effects and are well tolerated by patients. Various homeopathic prostatitis drops are widely available on the modern pharmaceutical market, which are used to relieve inflammation of the prostate, as well as for prophylactic purposes.
Despite the small number of side effects, the drops should not be used without a prescription. It should also be remembered that homeopathy can only be treated with other medicines for prostatitis.
It is impossible to single out the best medicine for prostatitis, each of them has its own specificity and focus. It is impossible to completely cure this disease with any drug, only the complex treatment, including drug therapy, physiotherapy and other effective methods of treatment, will lead to the desired result.