Inflammation of the prostate is a complex disease, but it can be cured. When the first symptoms appear, you should immediately consult a doctor, since self-treatment leads to serious complications - infertility, impotence, oncological complications and death. Modern drugs for the treatment of prostatitis quickly and efficiently fight the disease. The drug method is the leading one in therapy and is widely used at different stages of the disease.
Medical treatment of prostatitis
The use of certain drugs and their effectiveness depends on the causative agent, the form and the degree of the course of the disease. Antibiotics are widely used to treat bacterial prostatitis in both acute and chronic forms. The drugs are also effective against nonbacterial prostatitis if the disease is permanent.
To treat the prostate, a complex technique is used and several drugs are prescribed, which belong to different groups depending on the type of exposure and therapeutic effect:
- antibiotics or other antibacterial medications;
- cramps and pain relievers;
- adrenaline blockers that reduce the tone of muscle tissue;
- Immunomodulators that stimulate the activity of the immune system;
- hormonal and antihistamines;
- vitamin and mineral complexes;
- anticholinergics.
All appointments are set by a urologist based on the results of tests and examinations. The treatment includes:
- cessation of inflammatory processes;
- relieving the well-being of the patient;
- Elimination of the causes due to which the disease developed.
As a rule, complex drug therapy is used, which includes several types of drugs, the details of which are given in Table.
| varieties of drugs | Description | Purpose |
|---|---|---|
| antibiotics | Kill gram negative and gram positive bacteria that cause the disease. The main remedy. | Effective when 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 body's protective functions, activate immunocompetent cells. | Recommended when immunity is weakened, they are almost always used to treat severe forms of prostatitis. Effective in viral, helminthic, allergic inflammation of the prostate. |
| alpha blockers | Block the possibility of interaction of adrenoceptors with adrenaline and norepinephrine. They belong to the second line of therapy. | 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. |
| Non-steroidal anti-inflammatory drugs | anti-inflammatory drugs. They block the formation of prostaglandins that cause fever, cramps and muscle pain and cause dysfunction of the urogenital system. | They are used as an additional drug for symptomatic treatment in complex drug therapy for acute and chronic diseases. |
| Painkiller | Analgesics that relieve pain syndromes provide relief. The pain subsides for a while. | Relief for pain relief, at various locations, marked as unbearable. |
| Plant-based tablets | They are made from natural substances of plant or animal origin. | They are used as additional medicines and for prophylactic purposes. |
Each group of drugs is described in detail below. However, it should be remembered that this information is for informational purposes only, all appointments are made by a urologist and treatment is carried out under his supervision.
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 accompanying infectious diseases, as well as a certain course of an abacterial inflammation of the prostate, the treating doctor can decide on its appointment. Broad-spectrum drugs are predominantly used. Taking into account 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 bring the disease under control. The duration of the course is about two weeks, the relief is noticeable from the first days.
The situation in the treatment of chronic prostatitis is much more complicated. In this case, an antibiotic is prescribed in secret depending on the indication of CFU in the exprimates of the gonads against the background of an increase in leukocytes. The course 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 by indication:
- Infertility;
- before the operation;
- before taking prostate tissue for biopsy;
- in the identification of pathogens such as gonorrhea or chlamydia.
It is also necessary to use antibiotics when non-bacterial 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 and eubiotic drugs necessary to restore the intestinal microflora.
Why are immunomodulators prescribed for the treatment of prostatitis?
Inflammation of the prostate is a serious disease that significantly weakens the body's protective functions. Especially with chronic prostatitis, when the immune system is working at its limit. Preparations that stimulate its work significantly accelerate the healing process, regardless of the type and form of prostatitis. They work effectively against viral damage when antibiotics are powerless.
Incorrect prescribing of immunostimulants can adversely affect the patient's health, so it is necessary to consult an experienced immunologist.
Important! To get 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 take two types of immunomodulators at the same time that have a similar effect.
For such categories as viral and allergic prostatitis, as well as diseases resulting from an attack on the body of protozoa and helminths, accompanied by a sharp and inevitable decrease in immunity, the selection and use of immunostimulating drugs is crucial for successful treatment.
Alpha-blockers and features of their use in the treatment of prostatitis
With the development of inflammation of the prostate, problems with urination inevitably arise, which is due to the high tone of the muscle tissue of the genitourinary system. To get rid of this problem, you need to relax the muscles. For this purpose, alpha-adrenergic blockers are used, which block the release of adrenaline and smooth muscle tissue, acting on the receptors of the bladder and prostate.
Alpha-blockers belong to the second line of drugs and are used in complex drug therapy as symptomatic treatment. Their action is aimed at normalizing intraurethral pressure and reducing the tone of the bladder and its neck, as well as smooth muscle of the prostate. This reduces the symptoms, which manifest themselves in the form of frequent and painful urination.
The effectiveness of drugs is 48-80% after taking:
- the process of outflow of urine is normalized;
- pain decreases;
- sexual desire returns;
- stagnation of blood in the pelvis stops;
- reduced benign hyperplasia.
Medicines of this group are used not only in urology, but are also widely used in the treatment of other diseases. The duration of treatment is determined by the attending physician.
All drugs alpha-blockers are divided into two groups:
- Selectively, with a minimal number of side effects. Selectively block alpha-1 adrenergic receptors in the bladder and prostate. Often causes retrograde ejaculation.
- Non-selective, affects the sensitivity of all alpha-receptors, has a pronounced effect not only on the urogenital 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 and allows you to reduce the time for which you can cure the patient. They are especially necessary for patients who suffer from high blood pressure along with prostatitis.
There are contraindications to use, ignoring which can lead to the development of orthostatic collapse and other serious consequences. It is equally important to follow the rules for combining the drug with other drugs.
Attention! The decision to add alpha blockers to the therapy can only be made by the attending physician.
Nonsteroidal anti-inflammatory drugs (NSAIDs)
These drugs reduce inflammation, reduce temperature and neutralize pain and are considered exclusively auxiliary drugs. As a result of 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 blood flow to glandular tissue is restored;
- relieves pain and stops spasms;
- the temperature drops, the feverish state ceases.
The appointment is made by the treating doctor, in emergencies, for example, a one-time independent appointment. Without expensive drug treatment, these drugs only worsen the state of health when used without a prescription.
Nonsteroidal anti-inflammatory drugs are available in the following dosage forms:
- pills;
- candles;
- injections.
Relief after taking the desired medication occurs within 10-30 minutes. In case of discomfort and discomfort caused by taking 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 and at the same time are especially effective.
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.
Painkillers for prostatitis
The most popular painkillers used to treat prostatitis are analgesics.
Another form of administration - suppositories - is more effective than tablets because it acts directly on the affected area. The leading positions are occupied by novocaine preparations, but their independent use is unacceptable, since an accurate calculation of the dosage is required, otherwise allergic reactions may occur. Also, an overdose is possible, accompanied by nausea and vomiting, hallucinations, convulsions, anxiety, panic, etc.
Candles with belladonna not only sedate, but also have an antispasmodic and anti-inflammatory effect. Effective means that are 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 use painkillers frequently, as it can easily lead to complications. Justified one-time reception to relieve unbearable pain.
Should I take herbal pills?
Drugs based on natural raw materials are significantly different from their "synthetic counterparts". The advantages of herbal drugs are: a unique composition rich in native (unmodified) biologically active drugs, high bioavailability of drugs, low allergenicity and environmental friendliness.
Homeopathic and herbal preparations are very popular, but using them instead of antibiotics and anti-inflammatory drugs is not only ineffective, but also harmful to health.
As part of complex therapy, these drugs are safe and do not harm the body. However, their admission should be coordinated with the treating urologist.
To achieve the effect, herbal preparations must be taken for many months, during which acute prostatitis can turn into a chronic stage, and advanced forms can become complicated and develop into diseases that require surgical treatment and even become the cause of oncologybecome.
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 prevention and as a home use after full medical treatment.
Herbal preparations have the following properties:
- Uroseptic effect, have tablets and teas with tansy, centaury, bearberry. Thanks to them, the prostate tissue is cleaned of bacteria, viruses and toxins resulting from their vital activity.
- Suppression of inflammatory processes in the prostate. Calendula, yarrow, bearberry, St. John's wort and sage are used to make it.
- Improving blood circulation and removing congestion in the prostate is achieved by tablets based on chestnut and sweet clover.
- Maintaining the immune system is carried out with the help of ginger, ginseng, mint and lemon.
For men at risk, it is recommended to take special preventive drugs: vitamin and 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 medicinal purposes, all prescriptions for the prevention of disease are written by a doctor. Even the most harmless products can be harmful to your health if used incorrectly.
Rehabilitation after an illness does not require hospitalization and the patient stays at home. Subject to the appointment of medical procedures, they can be carried out in a clinic or in sanatoriums.