The treatment of advanced prostatitis - both chronic and acute - is a complex task that requires the simultaneous use of many different drugs.
Each case compiles the list of necessary drugs individually, depending on the patient's medical history, the course of the disease and many other important factors.
Types of drugs
The selection of inexpensive but effective drugs for prostatitis is based on an understanding of the causes and manifestations of the disease, but antibiotics and anti-inflammatory agents should be considered a key consideration 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 counter-effect against the specific type of pathogen identified as a result of the tests.
In addition, prostatitis medications such as various antipyretics, pain relievers, diuretics, alpha-blockers, anticonvulsants, antiandrogens, and laxatives may be used in therapy.
Modern medicines can be classified not only according to their purpose, but also according to the form of release:
- injections (shots):the treatment of prostatitis with injections is justified above all in the case of a serious patient requiring immediate stabilization.Concentrated drugs in ampoules are usually diluted to make a solution and then prescribed for intramuscular or intravenous infusion;
- candles:Medicines in the form of suppositories are important in the routine treatment of chronic prostatitis or as medicines for the prevention of prostatitis.In some cases, suppositories are prescribed to increase potency, since the absorption of the substance through the intestinal mucosa ensures its better penetration into the prostate tissue;
- tablets and capsules:these forms of medication are the 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 made in this form;
- instillation:This is an infrequently used method for the treatment of prostatitis, the essence of which is to inject a medicinal solution into the urethra or bladder with a special syringe.The main purpose of instillations is to restore damaged mucous membranes, destroy pathogenic microflora and suppress inflammatory processes;
- microinjection:a small cold enema reduces local swelling, inflammation and pain in the prostate gland, although it also worsens the penetration of drugs into its tissue.At the last stage of therapy and after recovery, microenema courses can be carried out with solutions based on herbal preparations.If the liquid remains in the intestine for a long enough time, its mucous membrane absorbs the useful substances;
- plasters:Skin patches, like microenema, are auxiliary measures in the treatment of the prostate and rather have a supporting effect on the body, complementing full-fledged drug therapy.
When choosing the dosage form of the drug, in addition to the patient's condition, you must also take into account your own preferences.
Some patients have problems swallowing pills, while others are contraindicated to use rectal suppositories due to inflammatory diseases in the anorectal area.
Factors such as the availability and cost of drugs also play a significant role - it is not always possible to find a fast-acting and cheap drug for prostatitis, so you have to take less effective analogues.
Antibiotics
The choice of antibiotics requires a selective approach, since it is important to choose a drug that suppresses the specific type (or types) of inflammatory prostatitis.Why do doctors examine urethral swabs, urinalysis, and prostate secretion samples?
It is highly 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 dangerous microorganisms.
Beta-lactam antibiotics, such as aminoglycosides, are less beneficial, although they are inexpensive.Unlike fluoroquinolones and macrolides, they have a weak ability to penetrate the prostate tissue and create the necessary concentration of the active substance.
Fluoroquinolones are strong bactericidal agents, significantly better than bacteriostatic agents in this parameter.
Alpha blockers
This group of drugs is actively used not only for prostatitis, but also for prostate adenoma, and their effectiveness is based on blocking alpha-adrenergic receptors to prevent its contact with norepinephrine and adrenergic agonists.As a result, the receptors in the vessels do not receive vasoconstrictor nerve signals, causing them to dilate with the subsequent improvement of blood circulation.
It should be noted that selective alpha1-adrenergic blockers are actively used in urology, which act on receptors in the tissues of the bladder, prostate and urinary tract.
Reducing tissue swelling not only improves urodynamics, but also tones the entire male urinary system, helping to get rid of impotence and reduced erection, among other things.
Anti-inflammatory drugs
In men, prostatitis is treated with non-steroidal anti-inflammatory drugs (NSAIDs), which meet the requirements of effectiveness and are safe for the body.
The purpose of these drugs is to suppress inflammatory processes affecting the prostate and possibly the bladder, bladder neck, and distal urinary tract.
After the decrease in the clinical severity of prostatitis, the patient's condition is normalized, including a decrease in body temperature, a decrease in the swelling of the prostate gland, the elimination of urinary tract obstruction, and the suppression of pain in the anogenital area.
Hormonal drugs
The use of hormonal drugs in the treatment of prostatitis is allowed only in the advanced chronic course of the disease, when antibiotics, alpha-blockers and anti-inflammatories are not able to normalize the disturbed hormone levels.
Depending on the goal, 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 provokes the proliferation of prostate tissue.
All hormonal drugs are sold strictly on prescription and should only be used as prescribed by the attending physician, as incorrect or untimely administration can have a detrimental effect on the patient's health.
Immunomodulators
The complex course of acute prostatitis is aggravated by the development of immunosuppression, which can be exacerbated by many antibiotics and other drugs.For this reason, it is necessary to strengthen the body's resistance to pathogenic microflora, which is carried out with the help of immunostimulants.
There are many types of this medicine.
Do not forget that vitamins A, C and E also contribute to strengthening the immune system, so experts recommend the active consumption of foods containing these substances in large quantities.
Pain relievers
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, so the patient feels pain when urinating, defecating, sitting on a hard surface for a long time, or physically.
Moderate pain relievers, taken one to three times a day as prescribed, are usually sufficient.
These products have many structural analogues (generics) and are produced by many companies, but doctors advise not to overpay for the brand.
Muscle relaxants
From the class of muscle relaxants, antispasmodics are usually prescribed in urology - drugs that help to relax spasmodic smooth muscles.This therapy is effective for acute prostatitis, which causes involuntary spasms of the prostate muscles and the entire pelvic floor.
Anticonvulsants are of course not necessary: it is enough to take them in moderate doses during the first days or weeks of general therapy.In addition, these drugs should not be abused to avoid the risk of malfunctioning of the corresponding organs and body systems.
Vegetable
Herbal preparations prescribed for prostatitis are most often available in the form of dietary supplements, rectal suppositories, capsules or tablets.
Popular extracts that form the basis of such preparations include the bark of the African plum, the fruit of the creeping (or dwarf) palm, and the herb of creeping tribulus.The extract of the prostate gland of animals (cattle) is used somewhat less often.
There is also a group of medicines for the treatment of prostatitis, such as homeopathic medicines.
To prevent prostatitis
Prevention of prostatitis requires, above all, maintaining a healthy lifestyle, including regular sexual activity.But to maintain the voice, you can also use various medicines - usually we are talking about dietary supplements of plant origin.
Since the manufacturers of these dietary supplements claim to be able to help with low libido, impotence, erectile dysfunction and other disorders of the male urogenital system, they should be taken with caution to prevent prostatitis.
It should not be forgotten that many of these capsules and tablets are aphrodisiacs, which are inappropriate in many situations.