Treating advanced prostatitis – both chronic and acute – is a complex undertaking that requires the concurrent use of a number of diverse medications.
Each specific case individually creates the necessary list of medications, based on the patient's medical history, the course of the disease and a number of other important factors.
Types of medications
The selection of inexpensive but effective drugs for prostatitis is based on understanding the causes of the disease and the features of its manifestation.However, antibiotics and anti-inflammatories should be considered key aspects of any medication list.In addition, if the latter can be of a general nature, then it is appropriate to prescribe antibiotic therapy taking into account the fight against a specific type of pathogen identified following tests.
In addition, drugs for prostatitis, such as various types of antipyretics, analgesics, diuretics, alpha-blockers, antispasmodics, antiandrogens 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 prostate inflammation with injections is justified, first of all, in the case of a serious condition of the patient requiring immediate stabilization.As a rule, drugs concentrated 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 relevant during routine treatment of chronic prostatitis or as drugs 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 medicinal forms are the most common in the standard treatment regimen for chronic or acute prostatitis.The tablets are easy to dose and convenient to take, which is why most antibiotics, anti-inflammatories and decongestants (alpha-blockers or 5-alpha-reductase inhibitors) are produced in this form;
- instillation:This is a little-practiced method of treatment for prostatitis, the essence of which is to inject a drug solution into the urethra or bladder using a special syringe.The main goal of instillations is to restore damaged mucous membranes, destroy pathogenic microflora and suppress inflammatory processes;
- microenemas:small cold enemas reduce local swelling, inflammation and pain in the prostate, while impairing the transport of drugs into its tissues.At the final stages of treatment and after recovery, courses of microenemas with solutions based on herbal preparations can be carried out.When fluid is retained in the intestine for a sufficiently long period, its mucous membrane absorbs useful substances;
- plasters:Skin patches, like microenemas, are auxiliary measures in the treatment of the prostate and rather have a supportive effect on the body, thus complementing full-fledged drug treatment.
When choosing a dosage form of a drug, you should also take into account, in addition to the patient's condition, his own preferences.
Some patients have difficulty 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 inexpensive drug for prostatitis, which is why you have to take less effective analogues.
Antibiotics
The selection of antibiotics requires a selective approach, since it is important to choose a drug that suppresses one or more specific types of pathogens of inflammatory prostatitis.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 the drug not only blocks the spread of infection, but also actively destroys dangerous microorganisms.
Beta-lactam antibiotics, such as aminoglycosides, are less preferred, although they are inexpensive.Unlike fluoroquinolones and macrolides, they are characterized by a low ability to penetrate the tissues of the prostate and create the necessary concentrations of the active substance there.
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 in order 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 in 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 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 using nonsteroidal anti-inflammatory drugs (NSAIDs / NSAIDs), which meet the requirements for effectiveness, but at the same time, are safe for the body.
The goal of these drugs is to suppress the inflammatory process affecting the prostate and, possibly, the seminal vesicles, bladder neck and distal urinary tract.
Following a decrease in the clinical severity of prostate inflammation, a normalization of the patient's condition is noted, including a decrease in body temperature, a reduction in prostate swelling, elimination of obstruction of the urinary tract and removal of pain in the anogenital region.
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-inflammatories are not able to normalize 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 causes the proliferation of prostate tissue.
All hormonal drugs are sold strictly by prescription and should be used exclusively as prescribed by the attending physician, since incorrect or untimely dosage can have a detrimental effect on the patient's health.
Immunomodulators
The complicated course of acute prostatitis is aggravated by the development of immunosuppression, which can intensify 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 achieved with the help of immunostimulants.
There are many different medications of this type.
Remember that vitamins A, C and E also help strengthen the immune system, so experts recommend actively consuming foods containing these substances in large quantities.
Painkillers
Painkillers are usually needed at the early stages of treatment, when the treatment has not yet had time to functionally improve the condition of the prostate, which is why the patient experiences pain during urination, defecation, prolonged sitting on a hard surface or physical activity.
Typically, moderate-strength pain relievers 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 overpay for the brand.
Muscle relaxers
From the class of muscle relaxants, in urology it is customary to prescribe antispasmodics - drugs that help relax smooth muscles in a state of spasm.This therapy is effective for acute prostatitis, which causes involuntary spasms of the prostate muscles and the entire pelvic floor.
The curative 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, one should not abuse these drugs in order to avoid the risk of dysfunction of the relevant organs and systems of the body.
Vegetable
Herbal medications prescribed for prostatitis are most often dietary supplements, available in the form of rectal suppositories, capsules or tablets.
Popular extracts that form the basis of these preparations include the bark of the African plum, the fruits of the creeping (or dwarf) palm, and the herb of the creeping tribulus.An extract from the prostate of animals (cattle) is somewhat less commonly used.
There is also a group of medicines such as homeopathic medicines for the treatment of prostate inflammation.
For the prevention of prostatitis
Preventing prostatitis requires, above all, maintaining a healthy lifestyle, including regular sexual activity.But to maintain tone, you can also use various medications - as a rule, we are talking about dietary supplements of plant origin.
Since the manufacturers of these dietary supplements claim their ability to combat weakening libido, impotence, erectile dysfunction and other disorders of the male genitourinary system, they should be taken with caution as prophylactic agents against prostatitis.
It should be remembered that many of these capsules and tablets are aphrodisiacs, inappropriate in a number of situations.