Treatment of advanced prostatitis - both chronic and acute - is a complete event that requires parallel use of a number of various medicines.Each case individually forms the required list of medicines, depending on the patient's history, the course of the disease and a number of other important factors.
Medicines
The choice of cheap but effective prostatitis drugs is based on the understanding of the causes of the disease and the characteristics of its manifestation, but antibiotics and anti -inflammatory drugs should be considered the main aspects of any list of medicines.In addition, if the latter may be of a general nature, then it is advisable to prescribe antibiotic therapy, taking into account the opposition of a specific type of pathogen identified as a result of analysis.
In addition, such prostatitis drugs as various types of anti-pirer, painkillers, diuretics, alpha-blockers, antispasmodics, antiandrogens and laxatives can be used in therapy.
You can classify modern medicines not only for its purpose, but also in the form of release:
- Injections (injections): Treatment of prostate inflammation with injections is justified, first of all, in the case of a serious condition of a patient requiring immediate stabilization.As a rule, concentrated drugs in ampoules are diluted until the solution is obtained, after which it is prescribed intramuscularly or R intravenous infusion;
- Candles: Candles in the form of candles are important during the planned chronic prostatitis therapy or as medicines to prevent prostatitis.In some cases, suppositories are prescribed to increase potency, since the absorption of the substance of the intestinal mucosa ensures its best penetration into the tissue of the prostate;
- Tablets and capsules: These medicines are the most common in the standard treatment regimen for chronic or acute prostatitis.The tablets are easy to dosage and conveniently take, so most antibiotics, anti-inflammatory and edema drugs (alpha-blockers or 5-alpha reductase inhibitors) are obtained in this form;
- Institutes: This is not practiced as often with prostatitis, the essence of which is the introduction of a medicinal solution into the urethra or bladder, using a special syringe.The main purpose of installing is the restoration of the damaged mucosa, the destruction of the pathogenic microflora and the suppression of inflammatory processes;
- Microylisms: Small cold enemas reduce local edema, inflammation and prostate pain, although at the same time they worsen the transport of medicines to its tissue.In the final stages of therapy and after recovery, microcrilism courses with solutions based on plant drugs may be carried out.With a very long retention of the fluid in the intestine, its mucosa absorbs the favorable substances;
- Plasers: related plasters, such as microllisters, belong to ancillary measures in the treatment of prostate and have a supportive effect on the body, complementing the full drug therapy.
When choosing the dose form of the medicine, it is also necessary to take into account the patient's condition, his own preferences.Some patients have problems swallowing tablets, while others are contraindicated in others due to the presence of inflammatory diseases in the anorectal area.A significant role is also played by such factors as the availability and cost of medicines-it is not always possible to choose a high-speed and inexpensive cure for prostatitis, so you need to take less effective analogues.
Antibiotics
The choice of antibiotics requires a selective approach as it is important to choose a medicine that suppresses a specific type (or types of) pathogens of inflammatory prostatitis.Why doctors study the strokes taken from the urethra, urine tests and prostate secretion samples.
It is extremely desirable to use antibacterial antibiotics that have both bacteriostatic and bactericidal effects, so that the drug not only blocks the spread of the infection, but also actively destroy dangerous microorganisms.
Beta-lactam antibiotics, such as aminoglycosides, are preferred to a lesser extent, although they are cheap.Unlike fluoroquinolones and macrolides, they are characterized by a weak ability to penetrate the tissues of the prostate gland and to create the necessary concentrations of the active substance in it.Forchinolones are powerful bactericidal preparations that are noticeably superb in this parameter stop the spread of microorganisms, medicines
Alpha-blockers
This group of agents is actively used not only for prostatitis, but also for prostate adenoma, and their effectiveness is based on blocking alpha-adrenergic receptors to prevent their contact with norepinephrine and adrerenromimetics.As a result, the receptors in the vessels do not receive vasoconstrictive nerve signals, which causes them to extend them with subsequent improvement of blood circulation.
It should be noted that in urology, selective alpha1-blockers are actively used affecting the receptors in the tissues of the bladder, prostate and urinary tract.
Reducing tissue swelling not only improves the removal of toxins and liquid waste, but also tones the entire genital system of men, helping to get rid of impotence and reduction of erection.
Anti -inflammatory drugs
Prostatitis in men is treated with the use of non -steroidal anti -inflammatory drugs (NSAIDs/NSAIDs) that meet the requirements for effectiveness but at the same time safe for the body.The task of these drugs is to suppress the inflammatory process that affects the prostate and possibly balloons, the neck of the bladder and the distal urinary tract.
After a decrease in the clinical severity of prostate inflammation, the patient's condition is noted, including a decrease in body temperature, a decrease in prostate swelling, eliminating urine obstruction and the suppression of pain in the genital area.
Hormonal drugs
The use of hormonal drugs in the treatment of prostatitis is only allowed in the case of a neglected chronic course of the disease, in which antibiotics, alpha blockers and anti-inflammatory drugs are not able to normalize hormonal origin.
Depending on the goals, the patient may be prescribed both androgens that increase the level of male hormones (testosterone) in the blood and estrogens, which suppress the production of dihydrotestosterone, which provokes the growth of prostate tissues.
All of these drugs are strictly released according to the prescription and should be used exclusively by prescribing the doctor, as improper or untimely dose may destroy the patient's health.
Immunomodulators
The complex course of acute prostatitis worsens with the development of immunosuppression, which can be increased under the influence of a number of antibiotics and other drugs.For this reason, it is necessary to strengthen the resistance (resistance) of the body in connection with the pathogenic microflora, which is carried out with the help of disabilities.
Remember that vitamins A, C and E also contribute to the strengthening of immunity, so experts recommend actively consuming products containing these substances in large quantities.
Analgesics
Anesthetic drugs are, as a rule, needed in the early stages of therapy, when treatment has not yet been able to function the state of the prostate functionally, which is why the patient experiences pain during urination, defecation, long sitting on a hard surface or physical activity.
As a rule, there are enough medium -force analgesics, accepted according to the requirements of one to three times a day.The listed funds have many structural analogues (generic locations) and they are manufactured by many Russian and foreign companies, but doctors advise preferences for home analgesics so that they do not pay for the brand.
Monsolelaxants
In the class of muscle relaxants in urology, it is customary to prescribe antispasmodics - medicines that help to relax the smooth muscles in a state of spasm.Such therapy is effective in acute prostatitis course, causing an involuntary spasm of prostate muscles and the entire pelvic floor.
The use of the antispasmodic course is unnecessary: it is enough to take them in moderate doses in the first days or a week of general therapy.Also, these drugs cannot be abused to avoid the risk of impaired function of the respective organs and systems of the body.
Vegetable
Plant medicines prescribed for prostatitis are most often nutritional supplements made in the form of rectal suppositories, capsules or tablets.Among the popular extracts that underlie such drugs - the bark of African plums, the fruits of creeping (or dwarf) palm trees.A little more often used prostate extract of animals (cattle).There are also a group of medicines as homeopathic remedies for the treatment of prostate inflammation.
To prevent prostatitis
Prevention of prostatitis requires first and foremost leading a healthy lifestyle, including regular sexual activity.But to maintain tone, different medicines can be used - as a rule, we are talking about biologically active additives of plant origin.As the manufacturers of these nutritional supplements declare themselves to help with the weakening of libido, impotence, erectile dysfunction and other disorders in the functioning of the male genitorial system, they should be careful with caution as preventative prostatitis agents.