The treatment of advanced prostatitis - both chronic and acute - is a complex undertaking that requires the parallel use of a number of different medications.
Each specific case individually creates the necessary list of drugs, depending on the patient's medical history, the course of the disease and a number of other important factors.
Types of drugs
The choice of cheap but effective drugs for prostatitis is based on understanding the causes of the disease and the characteristics of its manifestation, but antibiotics and anti-inflammatory drugs should be considered key aspects of any drug list.In addition, if the latter can be of a general nature, then it is advisable to prescribe antibiotic therapy, taking into account the counteraction of a certain type of pathogen identified as a result of tests.
In addition, anti-prostatitis drugs such as various types of antipyretics, pain relievers, diuretics, alpha-blockers, antispasmodics, anti-androgens and laxatives can be used in therapy.
Modern drugs can be classified not only according to their purpose, but also according to the form of release:
- injections (shots):treatment of inflammation of the prostate gland with injections is justified primarily in the case of a serious condition of the patient requiring 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 suitable for routine treatment of chronic prostatitis or as medicines for the prevention of prostatitis.In some cases, suppositories are prescribed to increase efficacy, since the absorption of the substance from the intestinal mucosa ensures its better penetration into the prostate tissue;
- tablets and capsules:these dosage forms 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 produced in this form;
- infusion:This is a rarely practiced method of treating prostatitis, the essence of which is to inject a medicinal solution into the urethra or bladder using a special syringe.The main purpose of instillations is to restore damaged mucous membranes, destroy pathogenic microflora and suppress inflammatory processes;
- micro enemas:small cold enemas reduce local swelling, inflammation and pain in the prostate gland, but at the same time disrupt the transport of drugs in its tissue.In the final stages of therapy and after recovery, courses of microenemas with solutions based on herbal preparations can be carried out.When the liquid stays in the intestine long enough, its mucosa absorbs useful substances;
- plasters:Skin patches, such as micro-enema, 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 a dosage form of the drug, you should 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 region.
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, since it is important to choose a drug that suppresses a certain type (or types) of pathogenic agents of inflammatory prostatitis.Why do doctors examine urethral swabs, urine tests, 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 blocks the spread of infection, but also actively destroys dangerous microorganisms.
Beta-lactam antibiotics, like aminoglycosides, are less preferred, although they are inexpensive.Unlike fluoroquinolones and macrolides, they are characterized by a weak ability to penetrate the tissue of the prostate gland and create the necessary concentrations of the active substance in it.
Fluoroquinolones are powerful bactericidal drugs, significantly 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 their 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, due to which their expansion is achieved with 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 genitourinary system, helping to get rid of, among other things, impotence and reduced erection.
Anti-inflammatory drugs
Prostatitis in men is treated with nonsteroidal anti-inflammatory drugs (NSAIDs/NSAIDs), which meet the requirements for 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.
After reducing the clinical severity of inflammation of the prostate, normalization of the patient's condition is noted, including lowering of body temperature, reduction of swelling of the prostate gland, removal of obstruction of the urinary tract and suppression of pain in the anogenital area.
Hormonal drugs
The use of hormonal drugs in the treatment of prostatitis is allowed only in the case of an advanced chronic course of the disease, in which antibiotics, alpha-blockers and anti-inflammatory drugs are not able to normalize the disturbed hormone levels.
Depending on the patient's goals, 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, can be prescribed.
All hormonal drugs are sold strictly by prescription and should be used exclusively according to the prescription of the attending physician, since an incorrect or untimely dose can have a harmful effect on the patient's health.
Immunomodulators
The complex course of acute prostatitis is aggravated by the development of immunosuppression, which can be intensified under the influence of a number of 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 different drugs of this type.
Do not forget that vitamins A, C and E also help to strengthen the immune system, so experts recommend actively consuming foods containing these substances in large quantities.
Analgesics
Painkillers are usually necessary in the early stages of therapy, when the treatment has not yet had time to functionally improve the state of the prostate, which is why the patient experiences pain during urination, defecation, long sitting on a hard surface or physical activity.
Usually, moderate-strength analgesics taken as prescribed one to three times a day are sufficient.
These products have many structural analogues (generics) and are produced by many companies, but doctors advise not to pay for the brand.
Muscle relaxants
From the class of muscle relaxants, in urology it is customary to prescribe antispasmodics - drugs that help relax smooth muscles that are in a state of spasm.This therapy is effective in acute prostatitis, which causes involuntary spasms of the muscles of the prostate and the entire pelvic floor.
Course use of antispasmodics is unnecessary: it is enough to take them in moderate doses during the first days or weeks of general therapy.Also, these drugs should not be abused to avoid the risk of dysfunction of the relevant organs and systems of the body.
A vegetable
Herbal remedies prescribed for prostatitis are most often dietary supplements available as rectal suppositories, capsules, or tablets.
Among the popular extracts that form the basis of such preparations are the bark of the African plum, the fruits of the creeping (or dwarf) palm and the herb of the creeping tribulus.A little less often, extract from the prostate gland of animals (cattle) is used.
There is also a group of medicines such as homeopathic medicines to treat inflammation of the prostate.
For the prevention of prostatitis
Prevention of prostatitis requires above all maintaining a healthy lifestyle, including regular sexual activity.But to maintain the tone, you can also use various drugs - as a rule, we are talking about nutritional supplements of plant origin.
Since the manufacturers of these dietary supplements claim that they can help with weakened libido, impotence, erectile dysfunction and other diseases of the male genitourinary system, they should be taken with caution as prostatitis prophylactics.
It must be remembered that many of these capsules and tablets are aphrodisiacs, which are inappropriate in a number of situations.