Prostatitis is a problem for many men over the age of 40. Often the disease becomes chronic. This is due to the indifference to the pathology, because men rarely see a doctor when the first symptoms appear. Prostatitis also becomes chronic under the influence of negative factors. At this stage, different drugs are prescribed for the treatment of chronic prostatitis in men, because the therapy must be long and complex.
However, in order for remission to last longer, a man must not only take all the medications prescribed for treatment, but also lead a healthy lifestyle and follow the diet prescribed by the attending physician.
Factors that provoke and aggravate prostatitis include:
- alcohol abuse;
- smoking;
- sedentary lifestyle;
- infectious and viral diseases;
- wrong diet.
Chronic prostatitis
Many men do not understand how destructive this disease is for the body. Chronic prostatitis can get worse if you do not get medical treatment on time. These complications include:
- prostate abscess;
- formation of cysts and stones in the prostate gland that can only be treated surgically;
- vesiculitis. In this disease, inflammation of the seminal vesicles occurs;
- Prostate sclerosis is most often caused by untreated prostatitis, and this complication is treated only during surgery;
- impotence;
- infinity;
- and sometimes even prostate cancer.
The symptoms and treatment of these complications are different, but all of these pathologies are severe. Often these complications are treated with surgery.
All complications can be prevented by regular visits to the urologist and proctologist. Especially after the age of 45, men should consult these doctors once a year. Take laboratory tests (total and PSA concentration).
Medications for the treatment of chronic prostatitis
How to treat prostatitis? There are several medications needed to treat chronic prostatitis because prostatitis cannot be treated with a single drug. Complex therapy includes antibiotics, anti-inflammatory drugs, antispasmodics. It is also important to take vitamins and immune-boosting medications.
Antibacterial drugs
Which drug groups will be prescribed for chronic prostatitis depends on the causes. If the infectious nature of the disease is determined, the main components of treatment will be antibacterial drugs. As a rule, they are distinguished by a wide range of actions, but sometimes others are appointed. The duration of treatment of exacerbation in chronic prostatitis depends on the severity of its manifestation. It can take 14 days or even 3 months to take antibiotics.
Prescriptions may be completely different, as appropriate laboratory tests for susceptibility to these drugs are performed before the appointment. Often antibiotics are prescribed in the form of injections, less often in the form of tablets. Because these drugs in the form of injections are faster and more effective.
Sometimes several groups of drugs are prescribed for acute inflammation.
Immunomodulators and immunostimulants
With chronic prostatitis triggered by an infection, you only need to take an immunomodulator. These drugs are taken in combination with antibiotics because they promote better penetration of the active substance into the site of inflammation and restore the balance of components in the immune system, and thus the body's own body begins to actively fight inflammation. In addition, with chronic prostatitis, it is recommended to take these drugs twice a year as a prophylactic measure.
This type of medication should only be prescribed by a doctor, as incorrect dosage and long-term use of immunomodulators can lead to side effects, ie a chronic decrease in immunity. These drugs are available as a solution for injection and rectal suppository. Often, during an exacerbation, an injection is given for a period of 5-10 days, followed by a gradual transition to suppositories.
Anti-inflammatory drugs
Non-steroidal anti-inflammatory drugs are prescribed to relieve anxiety quickly because they reduce inflammation and swelling. Thus, the pain is eliminated.
Especially in acute cases, these drugs become ineffective, and then hormonal drugs are prescribed. Sometimes hormonal anti-inflammatory drugs are used in physiotherapy procedures, ie electrophoresis, so they have a local effect on the prostate. In this case, hormonal drugs have no general effect on the body.
Alpha blockers
This type of drug is increasingly prescribed for chronic prostatitis. Alpha blockers affect the bladder and prostate gland, ie receptors. Therefore, they relax the muscles and thus facilitate urination. This means relieving pain during urination.
However, these drugs affect blood pressure, and alpha-blockers reduce it. Contraindicated in people with severe hypotension. This combination will lead to dangerous consequences.
Antispasmodics
Severe pain in the perineum often occurs during exacerbation of chronic prostatitis. In this case, spasms of the skeletal muscles occur. This means that the use of antispasmodics and muscle relaxants is required.
General tonics and tonic drugs
This group includes drugs prescribed to improve the function of the gland. And they must be prescribed as part of the main drug treatment.
Local preparations
Topical medications are especially effective in treating chronic prostatitis. In the case of prostatitis, these are rectal suppositories. In this form, pharmaceutical companies produce antispasmodics, antibiotics, non-steroidal anti-inflammatory drugs. The use of drugs in this dosage form is possible both in the acute course of the disease and in other cases, for example, after surgery.
Both suppositories and ointments injected rectally are quite effective because they act directly on the prostate. When injected into the rectum, it penetrates the walls and the prostate is adjacent to the posterior wall of the intestine. Moreover, such drugs for the treatment of prostatitis do not pass through the whole body and liver, where part of the active substance is metabolized.
It is important to note that it is forbidden to write such candles and ointments alone. Complications can occur due to overdose and overdose if a high concentration of the active substance is absorbed into the gland and used incorrectly.