Inflammation of the prostate is a problem for many men over 40 years. Quite often this disease becomes chronic. This is due to the neglect of the pathology, as men rarely go to the doctor when the first symptoms appear. Also, prostatitis becomes chronic due to the influence of negative factors. At this stage, various drugs are prescribed for the treatment of chronic prostatitis in men, as the therapy must be long and complex.
But in order for the remission to last longer, the man must not only take all the prescribed medications for treatment, but also lead a healthy lifestyle and follow a diet prescribed by the attending physician.
Factors that provoke and worsen prostatitis include:
- alcohol abuse;
- smoking;
- sedentary lifestyle;
- infectious and viral diseases;
- wrong diet.
Chronic prostatitis
Many men do not understand how destructive this disease is for their body. If you do not carry out medical therapy in time, chronic prostatitis can be complicated. These complications include:
- prostate abscess;
- formation of cysts and stones in the prostate gland, which can be treated only with surgery;
- vesiculitis. In this disease, inflammation of the seminal vesicles occurs;
- prostate sclerosis occurs most often due to untreated prostatitis and this complication is treated only with surgery;
- impotence;
- infertility;
- and sometimes even prostate cancer.
The symptoms and treatment of these complications are different, but all these pathologies are severe. Most often, these complications are treated with surgery.
All complications can be prevented if you visit a urologist and proctologist regularly. Especially men after the age of 45 should visit these doctors once a year. And take laboratory tests (total and PSA concentration).
Drugs for the treatment of chronic prostatitis
How to treat prostatitis? There are several drugs needed to treat chronic prostatitis, as prostatitis cannot be treated with one drug. Complex therapy includes antibiotics, anti-inflammatory drugs, antispasmodics. It is also very important to take vitamins and medicines that support immunity.
Antibacterial drugs
Which groups of drugs will be prescribed for chronic prostatitis depends on the reasons for its occurrence. If the infectious nature of the disease is established, then the main components of therapy will be antibacterial drugs. As a rule, they are selected with a wide range of actions, but sometimes others are appointed. The duration of treatment for exacerbation of chronic prostatitis depends on the severity of its manifestation. It can take 14 days or even 3 months to take antibiotics.
Prescriptions can be completely different, as appropriate laboratory tests for sensitivity to these drugs are performed before appointment. Most often antibiotics are prescribed in the form of injections, less often tablets. Because these drugs in the form of injections are much faster and more effective.
Occasionally, several groups of drugs are prescribed for acute inflammation.
Immunomodulators and immunostimulants
In case of chronic prostatitis provoked by infection, it is simply necessary to take immunomodulators. These drugs are taken together with antibiotics, as they promote better penetration of the active substance into the focus of inflammation and also restore the balance of the components of the immune system, thus the body's own body begins to actively fight inflammation. Also, in chronic prostatitis, it is recommended to take these drugs twice a year as a preventive measure.
This type of medicine should only be prescribed by a doctor, as incorrect dosing and prolonged use of immunomodulators can have the opposite effect, namely a chronic decrease in immunity. These medicines are available as a solution for injection and rectal suppositories. Most often in the period of exacerbation is prescribed a course of 5-10 days in the form of injections and then a gradual transition to suppositories.Anti-inflammatory drugs
Non-steroidal anti-inflammatory drugs are prescribed to quickly relieve discomfort as they reduce inflammation and swelling. In this way the pain is eliminated.
In particularly acute cases, these drugs are ineffective, then hormonal drugs are prescribed. Sometimes hormonal anti-inflammatory drugs are used in physiotherapy procedures, namely electrophoresis, thus acting locally on the prostate. In this case, the hormonal drug has no general effect on the body.
Alpha blockers
This type of medication is increasingly being prescribed today for chronic prostatitis. Alpha blockers act on the bladder and prostate gland, namely their receptors. Therefore, they relax the muscles, thus facilitating urination. This means that the pain during urination is eliminated.
But these drugs affect blood pressure, alpha-blockers lower it. They are contraindicated in people with severe hypotension. This combination will lead to dangerous consequences.
Antispasmodics
Severe pain in the perineum is common during exacerbations of chronic prostatitis. In this case, spasms of the striated muscles occur. This means that it is necessary to use antispasmodics and muscle relaxants.
Tonics and tonics
This group includes drugs that are prescribed to improve glandular function. And they must be prescribed as part of the main drug therapy.
Topical preparations
Topical drugs for the treatment of chronic prostatitis are particularly effective. In the case of prostatitis, these are rectal suppositories. In this form, pharmacological companies produce antispasmodics, antibiotics, nonsteroidal anti-inflammatory drugs. The use of drugs in such a dosage form is possible both in the acute course of the disease and in other cases, for example after surgery.
Both suppositories and ointments that are injected rectally are quite effective as they act directly on the prostate. When injected into the rectum, they are absorbed into its walls, and the prostate simply adheres to the back wall of the intestine. In addition, such drugs for the treatment of prostatitis do not pass through the whole body and liver, where part of the active substance is metabolized.
It is important to note that it is forbidden to prescribe such candles and ointments alone. Because a high concentration of the active substance is absorbed into the gland and if used improperly, overdose and complications can occur at the wrong dose.