Treatment of advanced prostatitis - both chronic and acute - is a complex undertaking that requires the parallel use of several diverse drugs.
Each specific case individually creates a list of necessary drugs, depending on the patient's medical history, the course of the disease and several other important factors.
Types of drugs
The selection of cheap but effective drugs for prostatitis is based on an understanding of the cause of the disease and the characteristics of its manifestations, however, antibiotics and anti-inflammatory drugs should be considered as the main aspects of any drug list.Moreover, if the latter can be general, then it is advisable to prescribe antibiotic therapy taking into account the response to the specific type of pathogen identified as a result of the test.
In addition, drugs against prostatitis such as various antipyretics, pain relievers, diuretics, alpha blockers, antispasmodics, antiandrogens and laxatives can be used in therapy.
Modern drugs can be classified not only according to their intended purpose, but also according to the form of release:
- injection (shot):treatment of inflammation of the prostate gland with injections is justified, first of all, in the case of a serious patient condition that requires immediate stabilization.As a rule, concentrated drugs 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 routine treatment of chronic prostatitis or as a medicine for the prevention of prostatitis.In some cases, suppositories are prescribed to increase potency, because the absorption of the substance by the intestinal mucosa ensures its better penetration into the prostate tissue;
- tablets and capsules:This form of medicine is the most common in the standard treatment regimen for chronic or acute prostatitis.Tablets are easy to dose and easy to take, so most antibiotics, anti-inflammatories and decongestants (alpha-blockers or 5-alpha-reductase inhibitors) are produced in this form;
- sowing:This is a method of treatment that is not always practiced for prostatitis, the essence of which is to inject a medicinal solution into the urethra or bladder using a special syringe.The main goal of instillation is to restore the damaged mucous membrane, destroy the pathogenic microflora and suppress the inflammatory process;
- microenemas:Small cold enemas reduce local swelling, inflammation and pain in the prostate gland, although at the same time they affect the transport of drugs into its tissues.At the final stage of therapy and after recovery, a course of microenemas with solutions based on herbal preparations can be carried out.When the liquid is kept in the intestine for a long enough time, its mucous membrane absorbs useful substances;
- plaster:Skin patches, such as microenemas, are an additional step in the treatment of the prostate, and instead have a supportive effect on the body, fully complementing drug therapy.
When choosing the dosage form of the drug, you must also take into account, in addition to the patient's condition, his 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 cost of drugs also play an important role - it is not always possible to find a fast-acting and cheap drug for prostatitis, which is why 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 specific type (or types) of the pathogenic agent of inflammatory prostatitis.Why do doctors study smears taken from the urethra, urine tests and prostate secretion samples?
It is very desirable to use antibacterial antibiotics that have both bacteriostatic and bactericidal effects, so that the drug not only prevents the spread of infection, but also actively destroys harmful microorganisms.
Beta-lactam antibiotics, such as aminoglycosides, are less preferred, although they are inexpensive.Unlike fluoroquinolones and macrolides, they are characterized by a poor ability to penetrate into the tissue of the prostate gland and create the necessary concentration of active substances in it.
Fluoroquinolones are powerful bactericidal drugs, far superior to bacteriostatic agents in this parameter.
Alpha blockers
This group of drugs is actively used not only for prostatitis, but also for prostate adenoma, and its effectiveness is based on blocking alpha-adrenergic receptors to prevent their contact with norepinephrine and adrenergic agonists.As a result, the receptors in the vessels do not receive vasoconstrictor nerve signals, the expansion of which is achieved with the subsequent increase in blood circulation.
It should be noted that in urology, selective alpha1-adrenergic blockers are actively used, acting on receptors in the tissues of the bladder, prostate and urinary tract.
Reducing tissue swelling not only improves urodynamics, but also the tone of the entire male genitourinary system, helping to eliminate, among other things, impotence and decreased erection.
Anti-inflammatory drugs
Prostatitis in men is treated with the use of non-steroidal anti-inflammatory drugs (NSAIDs/NSAIDs), which 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 and, possibly, the seminal vesicles, bladder neck and distal urinary tract.
Following a decrease in the clinical severity of prostate inflammation, the normalization of the patient's condition was observed, 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 area.
Hormonal drugs
The use of hormonal drugs in the treatment of prostatitis is only allowed in cases of advanced chronic disease, where antibiotics, alpha blockers and anti-inflammatory drugs cannot normalize the disturbed hormone levels.
Depending on the goal, patients can be prescribed both androgens, which increase the level of male hormones (testosterone) in the blood, and estrogens, which block the production of dihydrotestosterone, which causes the proliferation of prostate tissue.
All hormonal drugs are sold strictly according to the prescription and should be used exclusively as prescribed by the attending physician, because the wrong or untimely dosage can adversely affect the patient's health.
Immunomodulators
The complicated course of acute prostatitis is aggravated by the development of immunosuppression, which can increase under the influence of some antibiotics and other drugs.For this reason, there is a need to strengthen the body's resistance to pathogenic microflora, which is carried out with the help of immunostimulants.
There are many 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.
Analgesic
Painkillers are usually needed at the initial stage of therapy, when the treatment has not yet had time to functionally improve the state of the prostate, which is why patients experience pain during urination, defecation, sitting for a long time on a hard surface or physical activity.
Usually, moderate-strength analgesics taken as prescribed one to three times a day are sufficient.
This product has many structural analogues (generics), and it is produced by many companies, but doctors advise not to overpay for the brand.
Relax the muscles
From the class of muscle relaxants, in urology it is customary to prescribe antispasmodics - drugs that help relax smooth muscles that are in spasm.This therapy is effective for acute prostatitis, which causes muscle spasms of the prostate and the entire pelvic floor.
The use of antispasmodic courses is not necessary: it is enough to take them in moderate doses during the first day or week of general therapy.Also, these drugs should not be abused to avoid the risk of dysfunction of related organs and body systems.
vegetables
Herbal remedies prescribed for prostatitis are most often dietary supplements, available in the form of rectal suppositories, capsules or tablets.
Among the popular extracts on which such preparations are based are the skin of the African plum, the fruits of the creeping (or dwarf) palm, and the creeping herb Tribulus.Slightly less commonly used is an extract from the prostate gland of an animal (bovine).
There is also a group of medicines such as homeopathic medicines for the treatment of prostate inflammation.
For the prevention of prostatitis
Prostatitis prevention requires, first of all, maintaining a healthy lifestyle, including regular sexual activity.But to maintain tone, you can also use various drugs - as a rule, we are talking about dietary supplements of plant origin.
Since the manufacturers of these supplements claim their ability to help with low libido, impotence, erectile dysfunction and other disorders in the male genitourinary system, they should be taken with caution as prophylactic agents for prostatitis.
Keep in mind that most of these capsules and tablets are aphrodisiacs, which are not appropriate in some situations.