Inflammation of the prostate is a complex but curable disease. When the first symptoms appear, you should immediately consult a doctor, since self-treatment leads to serious complications - infertility, impotence, oncological complications and can lead to death. Modern drugs for the treatment of prostatitis quickly and effectively fight the disease. The drug method is the main therapy and is widely used at different stages of the disease.
Medical treatment of prostatitis
The use of certain drugs, as well as their effectiveness, depends on the pathogen, the form and the degree of course of the disease. Antibiotics are widely used to treat bacterial prostatitis in both acute and chronic forms. Medicines are also effective against abacterial prostatitis, when the disease is permanent.
For the treatment of the prostate, a complex technique is used and several drugs are prescribed that belong to different groups depending on the method of exposure and therapeutic effect:
- antibiotics or other antibacterial drugs;
- spasms and painkillers;
- adrenaline blockers that reduce muscle tissue tone;
- immunomodulators that stimulate the activity of the immune system;
- hormonal and antihistamines;
- vitamin and mineral complexes;
- anticholinergic drugs.
All appointments are made by a urologist based on the results of tests and examinations. Treatment includes:
- cessation of inflammatory processes;
- relief of the patient's well-being;
- elimination of the root causes of the disease.
As a rule, complex pharmacotherapy is used, including several types of drugs, the details of which are presented in the table.
| Varieties of drugs | Description | Aim |
|---|---|---|
| Antibiotics | Kill gram-negative and gram-positive bacteria that cause disease. The main remedy. | Effective if a bacterial infection is detected. They are prescribed on the basis of the analysis of the secret and the antibiogram, which determines the sensitivity of the microbe to the drug. |
| Immunomodulators | Restore the protective functions of the body, activate immunocompetent cells. | Recommended when immunity is diminished, they are almost always used to treat severe forms of prostatitis. Effective for viral, helminthic and allergic inflammations of the prostate. |
| Alpha blockers | Block the possibility of interaction of adrenergic receptors with adrenaline and noradrenaline. They belong to the second line of treatment. | They are prescribed to reduce the tone of the prostate, blood vessels and bladder resulting from an imbalance between the sympathetic and parasympathetic nervous systems. |
| Nonsteroidal anti-inflammatory drugs | Anti-inflammatory drugs. They block the formation of prostaglandins, which cause fever, seizures and muscle aches, resulting in dysfunction of the genitourinary system. | They are used as an additional drug for symptomatic treatment in the complex drug treatment of acute and chronic diseases. |
| Painkillers | Analgesics that relieve pain syndromes cause relief. The pain subsides for a moment. | Unloaded to relieve pain, different places, characterized as unbearable. |
| herbal tablets | They are made from natural substances of vegetable or animal origin. | They are used as complementary medicines and for prophylactic purposes. |
Each group of drugs is described in detail below, however, it should be borne in mind that this information is for informational purposes only, all appointments are made by a urologist and treatment is carried out under hismonitoring.
Antibiotics in the treatment of prostatitis
Antibiotics are the mainstay of medical treatment for bacterial prostatitis. Depending on the pathogen, the presence or absence of associated infectious diseases, as well as a certain course of abacterial inflammation of the prostate, the attending physician can decide on their appointment. Mainly broad-spectrum drugs are used. Given the severity of the course of the disease, drugs are prescribed in the form of tablets, intramuscular or intravenous injections, droppers.
It is ineffective to treat acute prostatitis without the use of antibiotics, since this disease is most often caused by bacterial infections. The use of this group of drugs allows you to control the disease. The duration of the course is about two weeks, the relief is felt already in the first days.
The situation with the treatment of chronic prostatitis is much more complicated. In this case, an antibiotic is prescribed depending on the indication of CFU in the expresses of the gonads, against the background of an increase in leukocytes in the secret. The duration of treatment is longer, it can last 6-8 weeks. The choice of drug should be based on the indications of the antibiogram.
With asymptomatic prostatitis, antibiotics are prescribed only as indicated:
- infertility;
- before the operation;
- before removing prostate tissue for biopsy;
- when identifying pathogens such as gonorrhea or chlamydia.
It is also necessary to use antibiotics if nonbacterial prostatitis is caused by parasitic or fungal infections, occurs against the background of other bacterial diseases, etc.
Important! Antibiotic treatment should be accompanied by antifungal drugs and eubiotics necessary for the restoration of the intestinal microflora.
Why are immunomodulators prescribed for the treatment of prostatitis?
Inflammation of the prostate is a serious disease that significantly weakens the protective functions of the body. Especially in the case of chronic prostatitis, when the immune system is working at its limit. Preparations stimulating its work significantly accelerate the healing process, regardless of the type and form of prostatitis. They act effectively in case of viral lesions, when antibiotics are powerless.
Incorrect prescription of immunostimulants can adversely affect the patient's health, therefore it is necessary to consult an experienced immunologist.
Important! To obtain accurate information about the state of the immune system, an immunogram is recommended.
The course of treatment can last no more than two weeks. You cannot simultaneously take two types of immunomodulators that have a similar effect.
For categories such as viral and allergic prostatitis, as well as diseases resulting from an attack on the body by protozoa and helminths, accompanied by a sharp and inevitable decrease in immunity, the choice and useimmunostimulating drugs are essential for successful treatment.
Alpha-blockers and features of their use in the treatment of prostatitis
When developing inflammation of the prostate gland, problems with urination inevitably arise, due to the high tone of the muscle tissues of the genitourinary system. To eliminate this problem, you need to relax the muscles. For these purposes, alpha-blockers are used, blocking the release of adrenaline, smoothing muscle tissue by acting on receptors in the bladder and prostate.
Alpha-blockers belong to the second line of drugs and are used in complex pharmacotherapy as a symptomatic treatment. Their action is aimed at normalizing intraurethral pressure, reducing the tone of the bladder and its neck, smooth muscles of the prostate. As a result, the symptoms are reduced, manifesting in frequent and painful urination.
The effectiveness of drugs is 48-80%, after taking it:
- the process of urine outflow is normalized;
- the pain decreases;
- sexual desire returns;
- stagnation of blood in the pelvis stops;
- reduced benign hyperplasia.
Drugs of this group are used not only in urology, but are also widely used to treat other diseases. The duration of treatment is determined by the attending physician.
All alpha-blocker drugs are divided into two groups:
- Selective, with minimal side effects. Selectively block alpha-1-adrenergic receptors located in the bladder and prostate. Often cause retrograde ejaculation.
- Non-selective, affects the sensitivity of all alpha receptors, has a pronounced effect not only on the genitourinary organs, but also on the central nervous system.
The use of alpha-blockers in the treatment of prostatitis significantly increases the effectiveness of antibiotics and anti-inflammatory drugs, allows you to speed up the time during which you can cure the patient. They are especially necessary for patients with prostatitis hypertension.
There are contraindications to use, ignoring them can lead to the development of orthostatic collapse and other serious consequences. It is also important to follow the rules for combining the drug with other drugs.
Attention! The decision to combine alpha-blockers with treatment can only be made by the attending physician.
Nonsteroidal anti-inflammatory drugs (NSAIDs)
These drugs relieve inflammation, reduce temperature and neutralize pain, are considered only auxiliary drugs. Due to their use, the production of prostaglandins involved in the development of inflammation is suppressed. After taking NSAIDs, the intensity of the inflammatory process is significantly reduced, as well as:
- hyperemia decreases and the blood flow of glandular tissue is restored;
- soothes pain and stops spasms;
- the temperature decreases, the feverish state stops.
The appointment is made by the attending physician, in an emergency, for example, only one independent appointment. Without complex drug therapy, these drugs, if used without a prescription, will only aggravate the state of health.
Nonsteroidal anti-inflammatory drugs are available in the following dosage forms:
- pills;
- candles;
- injections.
Relief after taking the desired drug occurs within 10-30 minutes. In case of discomfort and discomfort caused by the use of the drug, you should immediately consult a doctor. The most popular in the treatment of urological diseases are drugs based on ibuprofen, ketoprofen, diclofenac, since they have the fewest side effects, while their effectiveness is especially high.
Combined rectal suppositories (candles melted by body temperature), which may contain antibacterial, analgesic and anti-inflammatory substances, have a significant impact on the course of the disease.
First place in the popularity rating of drugs based on diclofenac.
Analgesics for prostatitis
The most popular painkillers to use in the treatment of prostatitis are analgesics.
Another dosage form - suppositories, is more effective than tablets, since it acts directly on the affected area. Leading positions are occupied by novocaine preparations, however, their independent use is unacceptable, since an accurate calculation of the dosage is necessary, otherwise allergic reactions may ensue. Overdose is also possible, accompanied by nausea and vomiting, hallucinations, convulsions, fear, panic, etc.
Belladonna candles not only anesthetize, but also have an antispasmodic and anti-inflammatory effect. Effective means available in the form of suppositories, tablets and injections.
Many anti-inflammatory drugs, including rectal suppositories, have an analgesic effect.
It is extremely dangerous to often use painkillers, as this can easily lead to complications. Unique home justified to relieve unbearable pain.
Should I take herbal pills?
Medicines made on the basis of natural raw materials differ significantly from their "synthetic counterparts". The advantages of herbal medicines are: unique composition rich in native (unchanged) biologically active medicines, high bioavailability of medicines, low allergenicity and environmental friendliness.
Homeopathic and herbal preparations are gaining popularity, but their use instead of antibiotics and anti-inflammatory drugs is not only ineffective, but also detrimental to health.
As part of a complex therapy, these drugs are safe and do not harm the body. However, their reception should be coordinated with the attending urologist.
To achieve the effect, herbal preparations should be taken for several months, during which time acute prostatitis can turn into a chronic stage, and advanced forms can complicate and develop into diseases requiring surgical treatment andeven become the cause of oncology.
Prevention with herbal preparations
The use of herbal preparations in any form is justified if they are used exclusively as an additional means. Good results are obtained in cases where homeopathy is used for preventive purposes and at home after receiving comprehensive medical treatment.
Herbal preparations have the following properties:
- Uroseptic effect, have tablets and teas with tansy, centaury, bearberry. Thanks to them, the prostate tissues are cleared of bacteria, viruses and toxins resulting from their vital activity.
- Suppressive inflammatory processes in the prostate. For making calendula, yarrow, bearberry, St. John's wort and sage.
- The improvement of blood circulation and the elimination of prostate congestion are achieved thanks to tablets based on chestnut and sweet clover.
- The maintenance of the immune system is carried out with the help of ginger, ginseng, mint and lemon.
For men at risk, it is recommended to take specialized preventive drugs: vitamin-mineral complexes, dietary supplements, herbal preparations - tablets, suppositories, herbal preparations. They are also suitable for restoring health and potency after drug treatment.
Preventive agents can be narrowly targeted or have a broad spectrum of action. As with medical purposes, all prescriptions for disease prevention are made by a physician. Even the most harmless products can harm your health if used incorrectly.
Rehabilitation after an illness does not require hospitalization, and the patient remains at home. Subject to the designation of medical procedures, they can be performed in a clinic or in sanatoria.