In modern medicine, the problem of treating prostatitis is particularly relevant, since this pathology affects a very large percentage of men of childbearing age. If a few years ago various inflammatory diseases of the prostate were viewed exclusively as diseases of the elderly, today urologists indicate the rapid "rejuvenation" of the disease, their patients are increasingly men aged 30 or even 20 years. Let's consider in more detail the main groups of drugs that are used in the treatment of prostatitis in different forms and stages of the course of the disease. Let's find out which drug is the most effective and affordable.
Let's take a look at the tools that have been tested in practice.
Antibiotics
The arsenal of drugs for prostatitis is very broad, doctors have long learned to treat this disease with various drugs for inflammation of the prostate, and drug treatment for prostatitis plays a crucial role in the fight against this male disease.
The best anti-inflammatory drugs are, of course, antibiotics, but the doctor always recommends a full evaluation for patients before prescribing them.
The list of antibiotics used to treat prostatitis is very extensive. They are only used for an infectious form of acute and chronic prostatitis, which is diagnosed using laboratory tests.
Each of the medicines has its own properties, and the choice of a particular medicine is determined taking into account many factors:
- What pathogenic microorganisms caused inflammation of the prostate.
- How long does the disease last and what are the symptoms?
- How the patient reacts to a certain drug.
- How active the antibiotic is against the infectious agent.
- What are the causes of the inflammation?
Antibiotics are manufactured by the pharmaceutical industry in various dosage forms: ampoules for intravenous and intramuscular injections, powders for the preparation of suspensions and solutions for intravenous infusions, tablets and suppositories. Patients particularly prefer the latter two forms as they can be taken at home. The dose of the drug is chosen so that the maximum sufficient concentration in the body and in a certain focus of inflammation is achieved.
Antibiotics as drugs for the treatment of chronic prostatitis of an infectious nature certainly play a decisive role in therapy. However, when assessing their effectiveness, account should be taken of how the pathogenic microflora reacts to a particular drug and how high the drug concentration is in the prostate.
The course of treatment for infectious prostatitis with antibiotics is an average of two weeks to a month, if during the course, according to the results of laboratory tests, no positive dynamics are observed, the drug needs to be changed, and another treatment regimen should be used. The question of what type of 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 type of pathogen and the degree of impact on the pathogenic microflora, doctors prescribe anti-inflammatory antibiotics of various groups in the treatment of acute and chronic prostatitis and relapses:
- 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 wide range of effects on infectious agents. These funds are used to treat acute and chronic prostatitis of an infectious nature, when the symptoms of the disease in men are confirmed by laboratory tests.
The drugs in this group are absorbed very quickly into the gastrointestinal tract and easily penetrate the cells of the prostate. The effectiveness of fluoroquinolones, including eliminating microorganisms, is between 60 and 90%.
Nonsteroidal anti-inflammatory drugs
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) are actively used in the treatment of acute and chronic non-infectious prostatitis. As well as reducing inflammation, NSAIDs can 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 take pills and suppositories at home, but only the attending physician can determine what medication and according to which scheme to take. This is especially important to explain to the patient because the internet is full of prescriptions for the independent treatment of prostatitis and uncontrolled use of nonsteroidal anti-inflammatory drugs can lead to extremely negative consequences for the male body.
Preparations for the treatment of prostatitis in this group should be made with caution, as they have many contraindications, including for men. They should not be prescribed to patients who have problems with the work of the gastrointestinal tract, especially gastric ulcer, as well as disorders of the liver and kidneys.
Alpha blockers
Medical treatment for prostatitis is not only aimed directly at treating inflammation in men, but also at alleviating the symptoms associated with the disease. Medicines for prostatitis of this effect are called the second line of treatment. Alpha-adrenergic blockers act on the receptors on the nerve endings of the muscles of the prostate, which when the prostate is inflamed, cause urethral and bladder spasm. These cramps interfere with normal urination in men, causing difficulty in urine flow and pain - the main symptoms of the disease. Alpha blockers cannot treat prostatitis on their own, but they are involved in complex therapy, which significantly reduces the risk of the disease recurring in men.
There are two types of alpha blockers:
- Selective.
- Not selective.
Selective drugs are most effective in treating prostatitis because they have minimal side effects. The therapeutic effect of drugs does not appear immediately, a noticeable improvement in the condition in men is felt about two weeks after the start of the drug.
These drugs also relieve unpleasant symptoms, tighten the muscles of the urethra and normalize the process of urination. However, they do not cause tachycardia in men.
In therapy with alpha blockers, it is very important to correctly determine the therapeutic dose, as an overdose of the drug can cause side effects of the cardiovascular system and kidney function.
hormone therapy
Prescribed by a urologist for prostatitis, may contain hormonal medication if indicated. Hormone therapy can be aimed at both relieving inflammatory symptoms and restoring erectile function in men. It is necessary to treat inflammation of the prostate with hormones, taking into account all possible side effects, of which these drugs have a lot. The symptoms of inflammation of the prostate contribute to the release of adrenal hormones, which also accelerate the healing process of damaged tissues.
When treating with hormones, it is necessary to act specifically on the prostate without affecting other organs, and not to change the hormonal background of the entire male body. For this purpose, drugs are administered using electrophoresis. Male hormones for restoring and stimulating erectile function can be used strictly according to reasonable indications in the treatment of prostatitis, since drugs for prostatitis in the form of hormones can stop their independent production by the body, which ultimately leads to pharmacological castration. It is absolutely impossible to treat prostatitis with hormones without a doctor's prescription, and without going through all the necessary studies, it can lead to irreversible consequences for men.
Antispasmodics
Antispasmodics or muscle relaxants are not an independent method for the treatment of acute or chronic prostatitis, but are included in the complex of therapeutic agents in order to reduce the tone of the pelvic muscles. The drugs relieve pain in the perineum and pelvis, improve blood flow to the prostate and stimulate the outflow of its secretion.
Preparations by other groups
Drugs for prostatitis, which have been included in the complex treatment regimen, are very diverse. Therefore, vitamins and microelements play a very important role in the patient's recovery process, which strengthens immunity, since the body, weakened by inflammation and infection, needs additional protective equipment. For this purpose, doctors most often prescribe vitamin complexes.
Analgesics are prescribed to relieve pain in prostatitis. These drugs are taken in pill form, but a much stronger analgesic effect is observed with the use of microclysters and rectal suppositories.
Suppositories are actively used as part of a complex therapy. This form of prostatitis medicine is very popular with patients because it can help you relieve pain quickly. Suppositories are not an independent treatment method, but are only used as a supplement to the main course. The composition of rectal suppositories may include anti-inflammatory drugs, analgesics and symptoms of hemorrhoids. The most common suppositories used by patients are belladonna because they provide the fastest pain relief in the pelvic and perineal areas.
In addition to standard forms, drugs for prostatitis can be of plant origin. Homeopathic medicines are becoming increasingly popular with doctors and patients because they have minimal side effects and are well tolerated by patients. Various homeopathic drops for prostatitis, which are used to relieve inflammation of the prostate and also for prophylactic purposes, are widely used in the modern pharmaceutical market.
Despite a small number of side effects, drops should not be used without a doctor's prescription. It should also be noted that homeopathy can only be treated with other drugs for prostatitis.
It is impossible to find out the best drug for prostatitis, each of them has its own peculiarities and focuses. It is impossible to completely cure this disease with a single drug. Only complex treatment, including drug therapy, physiotherapy and other effective methods of treatment, will lead to the desired result.