Treatment of progressive prostatitis - both chronic and acute - is a complex undertaking that requires the parallel use of several different drugs.
Each specific case will create a list of necessary medications, depending on the patient's medical history, progression of the disease and a number of other important factors.
Medicines
The choice of inexpensive but effective drugs for the treatment of prostatitis is based on an understanding of the causes of the disease and the characteristics of its manifestations, however, antibiotics and anti-inflammatory drugs should be considered the main aspect of any medication list.Moreover, if the latter may be of a general nature, then antibiotic therapy should be prescribed taking into account the ability to fight a specific pathogen determined by test results.
In addition, antiprostatitis drugs such as antipyretics, analgesics, diuretics, alpha blockers, antispasmodics, anticancer drugs and laxatives can be used in therapy.
Modern drugs can be classified not only by purpose of use, but also by form of release:
- injection (injection):Treatment of prostatitis with injections is justified first of all in cases where the patient's condition is severe and 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 injection;
- candle:The drug in the form of suppositories is 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, since absorption of the substance through the intestinal mucosa ensures better penetration of the substance into prostate tissue;
- Tablets and capsules:These forms of medication are most common in standard treatment regimens for chronic or acute prostatitis.Tablets are easy to dose and convenient to use, so most antibiotics, anti-inflammatory drugs, and decongestants (alpha blockers or 5-alpha-reductase inhibitors) are produced in this form;
- drops:This is a rarely used treatment method for prostatitis. The essence of this method is to inject a drug solution into the urethra or bladder with a special syringe.The main goal of instillation is to restore damaged mucous membranes, destroy pathogenic microflora and inhibit the inflammatory process;
- bacteria:Small cold enemas reduce local swelling, inflammation and pain in the prostate, although at the same time they reduce its ability to deliver drugs into the tissue.At the final stage of therapy and after recovery, it is possible to carry out micro-treatment courses with solutions based on herbal preparations.When liquid is retained in the intestine long enough, its mucous membrane absorbs useful substances;
- plaster:Skin patches, like microenemas, are auxiliary measures in the treatment of prostatitis, and rather have a supporting effect on the body, complementing full drug therapy.
When choosing the dosage form of the drug, in addition to the patient's condition, the patient's preferences must also be taken into account.
Some patients have difficulty swallowing tablets, while other patients are contraindicated to use rectal suppositories due to inflammatory diseases in the anorectal area.
Factors such as the availability and cost of the drug also play an important role - it is not always possible to find a drug for prostatitis that acts quickly and cheaply, which is why you have to resort to less effective analogues.
Antibiotics
The choice of antibiotic requires a selective approach, since it is important to choose a drug that inhibits a specific type (or types) of prostatitis pathogens.Why do doctors study urethral smears, 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 prevents the spread of infection, but also actively destroys dangerous microorganisms.
Beta-lactam antibiotics, such as aminoglycosides, are less popular even though they are cheap.Unlike fluoroquinolones and macrolides, they are characterized by a weak ability to penetrate the tissue of the prostate and create the necessary concentration of the active substance in it.
Fluoroquinolones are powerful bactericides, 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 exposure to norepinephrine and adrenergic agonists.As a result, the receptors in the vessels do not receive vasoconstrictor nerve signals, so their expansion is achieved thanks to the subsequent improvement of 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 hemodynamics but also tones the entire male reproductive system, helping to eliminate impotence and reduced erections, among other problems.
Anti-inflammatory drugs
Prostatitis in men is treated with the use of nonsteroidal 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 medications is to suppress the inflammatory process that affects the prostate and possibly the seminal vesicles, bladder neck, and distal urinary tract.
After reducing the clinical severity of prostatitis, the patient's condition normalized, including a decrease in body temperature, a decrease in prostate swelling, elimination of urinary tract obstruction, and a decrease in pain in the genital area.
Hormonal drugs
The use of hormonal drugs in the treatment of prostatitis is allowed only in cases of chronic progression of the disease, in which antibiotics, alpha blockers and anti-inflammatory drugs cannot normalize the disturbed hormonal levels.
Depending on the goals, the patient may be prescribed both androgens, which increase the level of male hormones (testosterone) in the blood, and estrogens, which suppress the production of dihydrotestosterone, which stimulates the growth of prostate tissue.
All hormonal drugs are sold by prescription and should only be used as prescribed by the treating physician, because incorrect or untimely dosage can have a negative effect on the patient's health.
immune regulation
The complex course of acute prostatitis is aggravated by the development of immunosuppression, which can be enhanced under the influence of certain antibiotics and other drugs.For this reason, it is necessary to strengthen the body's resistance to pathogenic microflora, which is done with the help of immunostimulants.
There are many different drugs that fall into this category.
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 often needed in the early stages of treatment, when the treatment has not yet had time to improve the functional condition of the prostate, which is why patients feel pain when urinating, defecating, sitting for a long time on a hard surface or during physical activity.
Usually, moderate-intensity pain relievers taken as prescribed one to three times per day are sufficient.
These products have many structural similarities (generic drugs) and are produced by many companies, but doctors advise against paying too much for the brand.
Muscle relaxants
From the group of muscle relaxants, in urology people often prescribe antispasmodics - drugs that help relax smooth muscles that are in a state of spasm.This therapy is effective for acute prostatitis, which causes involuntary contractions of the prostate muscles and the entire pelvic floor.
The use of antispasmodics is 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 dysfunction of related organs and systems of the body.
vegetable
Herbal medicines prescribed for prostatitis are often dietary supplements, available in rectal suppositories, capsules or tablets.
Among the popular extracts as a basis for such preparations are the bark of the African plum tree, the fruit of the palm tree (or dwarf tree) and tribulus.Slightly less commonly used is extract from the prostate of animals (cattle).
There is also a group of drugs such as homeopathic medicines for the treatment of prostatitis.
To prevent prostatitis
Preventing prostatitis first requires maintaining a healthy lifestyle, including regular sexual activity.But to maintain muscle tone, you can also use various drugs - as a rule, we are talking about dietary supplements of plant origin.
Since the manufacturers of these dietary supplements claim their ability to help reduce libido, impotence, erectile dysfunction and other disorders of the male reproductive system, caution should be exercised when using them as prostatitis prophylactic agents.
It must be remembered that many of these capsules and tablets are aphrodisiacs, which are not suitable in some cases.