In modern medicine, the problem of the treatment of prostatitis is particularly relevant, since this pathology affects a very large percentage of men of childbearing age. While a few years ago various inflammatory prostate diseases were considered exclusively diseases of the elderly, urologists now claim the rapid "rejuvenation" of the disease, with their patients increasingly being men aged 30 or even 20. years. Let us consider 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's figure out which drug is the most effective and the most affordable.
Let's look at the tools that have been tested in practice.
Antibiotics
The arsenal of drugs for prostatitis is very wide, doctors have long learned to treat this disease using various drugs for inflammation of the prostate, and drug treatment of prostatitis plays a decisive role in the fightagainst this male disease.
The best anti-inflammatory drugs are, of course, antibiotics, but before prescribing them, the doctor always recommends a full examination for patients.
The list of antibiotics for the treatment of prostatitis is very long, they are used only in the case of an infectious form of acute and chronic prostatitis, diagnosed on the basis of laboratory tests.
Each remedy 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?
- How long does the disease last and what symptoms it presents.
- How the patient responds to a particular drug.
- What is the activity of the antibiotic against the infectious agent.
- What are the causes of inflammation.
Antibiotics are produced by the pharmaceutical industry in various dosage forms: ampoules for intravenous and intramuscular injections, powders for the preparation of suspensions and solutions for intravenous infusion, tablets and suppositories. Patients especially prefer the latter two forms, as they can be taken at home. The dose of the drug is chosen so as to create the maximum adequate concentration in the body and in a particular focus of inflammation.
Antibiotics as drugs for the treatment of chronic prostatitis of an infectious nature certainly play a decisive role in the treatment, but when assessing their effectiveness, the reaction of the pathogenic microflora should be taken into accountto a specific drug and the degree of drug concentration in the prostate.
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 bechanged and a different treatment regimen should be applied. The question of which antibiotics to treat a patient with 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 pathogen and the degree of impact on the pathogenic microflora, doctors in the treatment of acute and chronic prostatitis, as well as with recurrence, prescribe anti-inflammatory antibioticsfrom different groups:
- Fluoroquinols.
- Macrolides.
- 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 humans are confirmed by laboratory tests.
Drugs in this group are absorbed very quickly from the gastrointestinal tract and easily enter the cells of the prostate. The effectiveness of fluoroquinolones, including the removal of microorganisms, ranges from 60 to 90%.
Nonsteroidal anti-inflammatory drugs
Nonsteroidal 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 provide significant pain relief. The dosage forms in which these drugs are produced are different: they can be ampoules for injections, tablets or suppositories.
Men can use pills and suppositories at home, but which medications to use and which schedule to take can only be determined by the attending physician. This is especially important to explain to the patient, because the Internet is full of recipes on how to independently treat prostatitis, and the uncontrolled use of non-steroidal anti-inflammatory drugs can have extremely negative consequences for the male body.
Preparations for the treatment of prostatitis in this group should be taken with caution, since they have many contraindications, including for men. They should not be prescribed to patients with problems with the functioning of the gastrointestinal tract, especially stomach ulcers, as well as liver and kidney problems.
Alpha Blockers
The medical treatment of prostatitis is aimed not only at directly treating inflammation in humans, but also relieving the symptoms that accompany this disease. Medicines for prostatitis for this effect are called the second line of treatment. Alpha-adrenergic blockers work on nerve end receptors in the muscles of the prostate, which, when the prostate is inflamed, causes the urethra and bladder to spasm. These spasms interfere with normal urination in men and cause difficulty in urine flow and pain - the main symptoms of the disease. Alpha-blockers cannot independently treat prostatitis, but they are involved in complex therapy, significantly reducing the risk of recurrence of the disease in men.
Alpha-blockers are of two types:
- selective.
- Non-selective.
Selective drugs are most effective in the treatment of prostatitis because they have minimal side effects. The therapeutic effect of drugs does not appear immediately, a noticeable improvement in the state of health in men is noticeable about two weeks after the start of the drug.
These drugs also help relieve unpleasant symptoms, soften the muscles of the urethra, and normalize the urination process, but they do not cause tachycardia in men.
In therapy with alpha-blockers, it is very important to correctly determine the therapeutic dose, since exceeding the dose of the drug can cause side effects of the cardiovascular system and renal function.
Hormone therapy
Prescribed by a urologist, drugs for prostatitis may include hormonal drugs, if needed. Hormone therapy can be aimed at both relieving inflammatory symptoms and restoring erectile function in men. It is necessary to treat the inflammation of the prostate gland with hormones taking into account all the possible side effects, which these drugs have a lot. Symptoms of inflamed prostate help release adrenal hormones, which also help speed up the healing process of damaged tissue.
During hormonal treatment, it is necessary to act specifically on the prostate, without affecting other organs, and not to modify the hormonal background of the male body as a whole. For this, drugs are administered by electrophoresis. Male hormones to restore and stimulate erectile function can be used in the treatment of prostatitis strictly according to reasonable indications, since drugs for prostatitis in the form of hormones can stop their independent production by the body, which ultimately leads topharmacological castration. It is categorically impossible to treat prostatitis with hormones without a medical prescription and without going through all the necessary studies, it can lead to irreversible consequences for men.
Antispasmodics
Antispasmodics, or muscle relaxers, are not an independent method of treating acute or chronic prostatitis, but they are included in a complex of therapeutic agents to reduce the tone of the pelvic muscles. The drugs relieve pain in the perineum and small pelvis, improve blood circulation in the prostate and stimulate the outflow of its secretion.
Preparations from other groups
Drugs for prostatitis included in the complex treatment regimen are very diverse. So, vitamins and microelements play a very important role in the recovery process of the patient, which strengthens immunity, since the body, weakened by inflammation and infection, needs the equipment ofadditional protection. For these purposes, doctors most often prescribe vitamin complexes.
Analgesics are prescribed to relieve the pain of prostatitis. These drugs are taken in the form of tablets, but a much greater analgesic effect is observed when using microclysters and rectal suppositories.
Suppositories are actively used as part of complex therapy, this form of the drug for prostatitis is very popular among patients, because it allows you to quickly relieve pain. Suppositories are not an independent method of treatment, they are used only as a supplement to the main course. The composition of rectal suppositories can include anti-inflammatory drugs, analgesics, relieving symptoms of hemorrhoids. The most common suppositories used in patients are belladonna, as they provide pain relief in the pelvic and perineal area the fastest.
In addition to the standard forms, drugs for prostatitis can be of plant origin. Homeopathic medicines are gaining popularity with doctors and patients because they have minimal side effects and are well tolerated by patients. In the modern pharmaceutical market, various homeopathic drops for prostatitis are widely represented, used to relieve inflammation of the prostate, 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 drugs for prostatitis.
It is impossible to choose the best drug for prostatitis, each of them has its own specifics and goals. It is impossible to completely cure this disease with just one drug, only complex treatment, including drug therapy, physiotherapy and other effective treatment methods, will lead to the desired result.