In modern medicine, the problem of treatment of prostatitis is especially relevant, because this pathology affects a very large proportion of men of reproductive age. Whereas a few years ago, various inflammatory diseases of the prostate were considered exclusively diseases of the elderly, now urologists say that the disease is rapidly "rejuvenating", and their patients are increasingly men in their 30s or 20s. Let's take a closer look at the main groups of drugs used in the treatment of prostatitis in different forms and stages of the disease. Let's determine which drug is the most effective and profitable.
Let's look at tools that have been tested in practice.
Antibiotics
The arsenal of prostatitis drugs is very wide, doctors have long studied this disease using various drugs for inflammation of the prostate, and drug treatment of prostatitis plays a crucial role in the fight against this male disease.
The list of antibiotics for the treatment of prostatitis is very extensive, they are used only in an infectious form of acute and chronic prostatitis, diagnosed on the basis of laboratory tests.The best anti-inflammatory drugs are, of course, antibiotics, but before prescribing them, the doctor always recommends a thorough examination of patients.
Each of the drugs treated has its own characteristics, and the choice of a particular drug is determined by many factors:
- Which pathogenic microorganisms caused inflammation of the prostate gland.
- How long does the disease last and what are the symptoms?
- How the patient takes a particular medication.
- How active the antibiotic is against the infectious agent.
- What are the causes of inflammation?
Antibiotics are produced by the pharmaceutical industry in various dosages: ampoules for intravenous and intramuscular injection, powders for suspensions and solutions for intravenous infusion, tablets and suppositories. Patients especially prefer the last two forms because they can be carried out at home. The dose of the drug is selected to create the maximum adequate concentration in the body and in a particular inflammatory center.
Antibiotics, as a drug for the treatment of infectious chronic prostatitis, are of course crucial in therapy, but when evaluating their effectiveness, it is necessary to take into account how the pathogenic microflora reacts to a particular drug and the degree of drug concentration in the prostate.
The course of treatment of infectious prostatitis with antibiotics is on average two weeks to one month, if during the course there is no positive dynamics based on the results of laboratory tests, the drug should be changed and a different treatment regimen. The question of which antibiotics to treat a patient is decided by a urologist only 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 prescribe different groups of anti-inflammatory antibiotics in the treatment of acute and chronic prostatitis, as well as in case of relapse:
- Fluoroquinols.
- Macrolides.
- Cephalosporins.
- Tetracycline.
- Levomycetinaceae.
- Penicillin.
Complex treatment of infectious prostatitis necessarily includes fluoroquinolones, which are the latest developments in modern pharmacology. They belong to a new generation of antibiotics and have a very broad effect 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 men are confirmed by laboratory tests.
Drugs of this group are rapidly absorbed into the gastrointestinal tract and easily penetrate into the cells of the prostate gland. The effectiveness of fluoroquinolones, including the removal of microorganisms, is between 60-90%.
Non-steroidal anti-inflammatory drugs
Nonsteroidal anti-inflammatory drugs (NSAIDs) are actively used in the treatment of acute and chronic non-infectious prostatitis. In addition to eliminating inflammation, NSAIDs also significantly reduce pain. Dosage forms in which these drugs are produced are different: they can be ampoules for injection, tablets or suppositories.
Men can use pills and suppositories at home, but only the attending physician can determine which medications to use and which regimen to take. This is especially important to explain to the patient, because the Internet is full of recipes on how to treat prostatitis independently, and uncontrolled use of non-steroidal anti-inflammatory drugs can lead to extremely negative consequences for the male body.
Medications for the treatment of prostatitis in this group should be taken with caution, as they have many contraindications, including men. It should not be prescribed to patients with disorders of the gastrointestinal tract, especially gastric ulcers, as well as liver and kidneys.
Alpha blockers
Medical treatment of prostatitis is not directly aimed at treating inflammation in men, but also to eliminate the symptoms that accompany the disease. Drugs against prostatitis of this effect are called the second line of treatment. Alpha-blockers act on the receptors on the nerve endings of the prostate gland muscles, causing spasm of the urethra and bladder when the prostate becomes inflamed. These spasms interfere with normal urination in men and cause difficulty in urination and pain, which are the main symptoms of the disease. Alpha-blockers cannot treat prostatitis alone, but they can be used in combination therapy to significantly reduce the risk of recurrence in men.
There are two types of alpha-blockers:
- Selection.
- Not selective.
Selective drugs are most effective in the treatment of prostatitis because they have minimal side effects. The therapeutic effect of the drug is not immediately visible, in men, a significant improvement in the condition is noticeable about two weeks after administration of the drug.
These drugs help relieve unpleasant symptoms, tone the muscles of the urethra and normalize urinary excretion, but do not cause tachycardia in men.
In alpha-blocker therapy, it is very important to determine the correct therapeutic dose, as overdose can lead to side effects on the cardiovascular system and renal function.
Hormone therapy
Prostatitis medications prescribed by a urologist can also take hormonal medications if indicated. Hormone therapy can be aimed at relieving the symptoms of inflammation, as well as restoring erectile function in men. Given all the possible side effects of these drugs, inflammation of the prostate gland should be treated with hormones. Symptoms of prostatitis help release adrenal hormones, which help speed up the healing process of damaged tissues.
When treated with hormones, it is necessary to act without affecting other organs, especially in the prostate gland, and not to change the hormonal background of the male body in general. To do this, drugs are applied electrophoresis. To restore and stimulate erectile function, male hormones can be used in the treatment of prostatitis with absolutely reasonable indications, because drugs for prostatitis in the form of hormones can stop the body's independent production, which leads to pharmacological castration. It is completely impossible to treat prostatitis with hormones without a doctor's appointment and all the necessary research, which can lead to irreversible consequences for men.
Antispasmodics
Antispasmodics or muscle relaxants are not an independent method in the treatment of acute or chronic prostatitis, but include a number of therapeutic agents to reduce pelvic muscle tone. The drugs relieve pain in the perineum and small pelvis, improve blood circulation in the prostate and stimulate the excretion of secretions.
Preparations of other groups
There are many different types of prostatitis medications included in the complex treatment regimen. Thus, vitamins and micronutrients play a very important role in increasing the patient's immunity in the recovery process, because the body, which is weakened by inflammation and infection, needs additional protective equipment. For this purpose, doctors prescribe the most vitamin complexes.
Analgesics are prescribed to reduce pain in prostatitis. These drugs are taken in pill form, but a more analgesic effect is observed when using microclusters and rectal suppositories.
Dairy products are actively used as part of complex therapy, this form of medication for prostatitis is very popular among patients because it allows you to quickly relieve pain. Dairy products are not an independent treatment, they are used only in addition to the main meal. The composition of rectal suppositories may include anti-inflammatory drugs, analgesics, to relieve the symptoms of hemorrhoids. Belladonna is the most commonly used suppository for patients because it provides the fastest relief for pain in the pelvic and perineal region.
In addition to standard forms, prostatitis medications can be herbal. Homeopathic medicines are gaining popularity among 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, which are used to relieve inflammation of the prostate and are used for prophylactic purposes, are widely represented.
Despite the small number of side effects, the drops should not be used without a doctor's prescription. We must also remember that homeopathy can only be treated with other drugs for prostatitis.
It is impossible to distinguish the best medicine for prostatitis, each has its own characteristics and focus. It is not possible to completely cure this disease with one drug, only a complex treatment, including drug therapy, physiotherapy and other effective treatments, will lead to the desired result.