In modern medicine, the problem of treating prostatitis is particularly important, as this pathology affects a very large percentage of men of reproductive age. If a few years ago, various inflammatory diseases of the prostate gland were considered exclusively diseases of the elderly, now urologists declare the rapid "renewal" of the disease, their patients are increasingly men in their 30s or even 20s. Let us examine in more detail the main groups of drugs used in the treatment of prostatitis in different forms and stages of the course of the disease. Let us determine which medicine is the most effective and the most convenient.
Let's look at the tools that have been tested in practice.
Antibiotics
The arsenal of drugs for prostate is very wide, doctors have long learned to treat this disease using various drugs for prostate inflammation, and treating prostatitis with drugs 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 comprehensive examination for 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 of the remedies has its own characteristics, and the choice of a particular drug is determined taking into account many factors:
- Which pathogenic microorganisms caused inflammation of the prostate gland?
- How long does the disease last and what are the symptoms?
- How the patient responds to a particular medicine.
- How active is the antibiotic against the infectious agent.
- What are the causes of inflammation.
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 are observed, the drug should be changed and another treatment regimen should be applied. The question of which antibiotics to treat a patient is decided only by a urologist after a thorough examination and taking into account the patient's individual reactions to a particular drug.
Depending on the nature of the cause 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 of different groups:
- Fluoroquinolones.
- Macrolide.
- Cephalosporins.
- Tetracycline.
- Levomycetinaceae.
- Penicillin.
The complex treatment of infectious prostatitis necessarily includes fluoroquinolols, 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 funds are used in the treatment of acute and chronic prostatitis of an infectious nature, if the symptoms of the disease in men are confirmed by laboratory tests.
Drugs of 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 medicines 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 the scheme they should take. This is especially important to explain to the patient, as the internet is full of recipes on how to treat prostatitis independently and uncontrolled use of non-steroidal anti-inflammatory drugs can lead to extremely negative consequences for the male body.
Medications 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 stomach ulcers, as well as with disorders in 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. Medications for prostatitis of this effect are called the second line of treatment. Alpha-blockers act on the receptors on the nerve endings of the prostate gland 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, which are 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 of the disease in men.
Alpha blockers are of two types:
- Selector.
- Not selective.
Selective drugs are more effective in treating prostatitis because they have minimal side effects. The therapeutic effect of the drug does not appear immediately, a significant improvement in the condition in men is observed after about two weeks after starting the drug.
These medications also help relieve unpleasant symptoms, tone the urethral muscles and normalize the urinary process, but they do not cause tachycardia in men.
In alpha-blocker therapy, it is very important to accurately determine the therapeutic dose, as overdose of the drug may cause side effects from the cardiovascular system and kidney function.
Hormone therapy
Prescribed by a urologist, medications for prostatitis may include hormonal medications, if indicated. Hormone therapy can aim 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 the possible side effects, of which these drugs have many. The symptoms of prostate inflammation help in the release of adrenal hormones, which also help speed up the healing process of damaged tissues.
When treating with hormones, 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 administered using electrophoresis. Male hormones to restore and stimulate erectile function can be used in the treatment of prostatitis strictly according to reasonable indications, as hormones for prostate in the form of hormones can stop their production independent of the body, which eventually leads to castrationpharmacological. It is categorically impossible to treat prostatitis with hormones without a doctor's prescription and without passing 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 they are included in a complex of therapeutic agents in order to reduce pelvic floor muscle tone. The drug relieves pain in the perineum and pelvis, improves blood circulation to the prostate and stimulates the flow of its secretion.
Preparations of other groups
Remedies for prostatitis included in the complex treatment regimen are very different. Thus, vitamins and trace elements play a very important role in the process of recovery of the patient, helping to increase 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 prostate pain. These drugs are taken in pill form, but a much greater analgesic effect is observed when using rectal microclisters and suppositories.
Suppositories are actively used as part of complex therapy, this form of medicine for prostatitis is very popular among patients, as it allows you to quickly relieve pain. Suppositories are not an independent method of treatment, they are only used as an adjunct to the main course. The composition of rectal suppositories may include anti-inflammatory drugs, analgesics, relief of hemorrhoid symptoms. The most commonly used suppositories for patients are with belladonna, as they provide faster pain relief in the pelvic and perineal region.
In addition to standard forms, medicines for prostate can be of plant origin. Homeopathic medicines are gaining popularity among doctors and patients because they have a minimum of side effects and are well tolerated by patients. In the modern pharmaceutical market, various homeopathic items for prostate are widely represented, which are used to relieve prostate inflammation and are also used for prophylactic purposes.
Despite a small number of side effects, the drops should not be used without a doctor's prescription. It should also be remembered that homeopathy can only be treated with other medications for the prostate.
It is impossible to single out the best medicine for prostatitis, each of them has its own specifics and focus. It is impossible to completely cure this disease with any medicine, only complex treatment, including drug therapy, physiotherapy and other effective methods of treatment, will lead to the desired result.