In modern medicine, the problem of treating prostatitis is especially relevant, since this pathology affects a very large percentage of men of reproductive age. If a few years ago, various inflammatory diseases of the prostate were considered exclusively diseases of the elderly, now urologists state the rapid "rejuvenation" of the disease, their patients are increasingly being men aged 30 or even 20 years. Let us consider in more detail the main groups of drugs used in the treatment of prostatitis in different forms and stages of the course of the disease. Let's determine which medicine is the most effective and affordable.
Let's look at the tools that have been tested in practice.
Antibiotics
The arsenal of drugs for prostatitis is very wide, doctors have long learned to treat this disease using various drugs for inflammation of the prostate, and drug treatment of prostatitis plays a decisive role in the fight against this male ailment.
The best anti-inflammatory drugs are, of course, antibiotics, but before prescribing them, the doctor always recommends a comprehensive examination to patients.
The list of antibiotics for the treatment of prostatitis is very extensive, they are used only in the case of an infectious form of acute and chronic prostatitis, which is diagnosed on the basis of laboratory tests.
Each of the remedies has its own characteristics, and the choice of a particular drug is determined taking into account many factors:
- Which pathogenic microorganisms caused inflammation of the prostate gland?
- How long does the disease last and what symptoms it has.
- How the patient responds to a particular drug.
- How active the antibiotic is against the infectious agent.
- What are the causes of the inflammation.
Antibiotics are produced by the pharmaceutical industry in different dosage forms: ampoules for intravenous and intramuscular injections, powders for preparing suspensions and solutions for intravenous infusion, tablets and suppositories. Patients prefer the latter two forms especially, since they can be taken at home. The dose of the drug is selected so as to create the maximum adequate concentration in the body and in a particular focus of inflammation.
Antibiotics as drugs for the treatment of chronic prostatitis of an infectious nature certainly play a decisive role in therapy, but when assessing their effectiveness, one should take into account how the pathogenic microflora reacts to a specific drug and the degree of drug concentration in the prostate.
The course of treatment of infectious prostatitis with antibiotics is on average from two weeks to a month, if during the course, according to the results of laboratory tests, no positive dynamics is observed, the drug must be changed and a different treatment regimen should be applied. The question of what kind of antibiotics to treat a patient is decided only by a urologist 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 in the treatment of acute and chronic prostatitis, as well as in case of its recurrence, prescribe anti-inflammatory antibiotics of different groups:
- Fluoroquinols.
- Macrolides.
- Cephalosporins.
- Tetracycline.
- Levomycetinaceae.
- Penicillin.
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 very wide range of effects 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.
The drugs of this group are very quickly absorbed into the gastrointestinal tract and easily penetrate the cells of the prostate gland. The effectiveness of fluoroquinolones, including the elimination of microorganisms, ranges from 60 to 90%.
Non-steroidal anti-inflammatory drugs
Non-steroidal anti-inflammatory drugs (NSAIDs) are actively used in the treatment of acute and chronic non-infectious prostatitis. NSAIDs can not only relieve inflammation, but also significantly relieve pain. The dosage forms in which these drugs are produced are different: they can be ampoules for injections, tablets or suppositories.
Men can use pills and suppositories at home, but only the attending physician can determine which drugs to use and according to which scheme to take. This is especially important to explain to the patient, since the Internet is full of recipes on how to independently treat prostatitis, and the uncontrolled use of non-steroidal anti-inflammatory drugs can lead to extremely negative consequences for the male body.
Drugs for the treatment of prostatitis in this group should be taken 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 with stomach ulcers, as well as with disorders in the liver and kidneys.
Alpha blockers
Medical treatment of prostatitis is aimed not only directly at treating inflammation in men, but also at relieving the symptoms that accompany this disease. Medicines for prostatitis of this effect are called the second line of treatment. Alpha-blockers act on the receptors of the nerve endings of the musculature of the prostate gland, which, when the prostate is inflamed, cause spasm of the urethra and bladder. These spasms interfere with normal urination in men and cause difficulty in urine flow and pain - the main symptoms of the disease. Alpha-blockers cannot treat prostatitis on their own, but they participate in complex therapy, significantly reducing the risk of recurrence of the disease in men.
Alpha-blockers are of two types:
- Selective.
- Non-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 noticeable after about two weeks after starting the drug.
These drugs also help relieve unpleasant symptoms, tone down the muscles of the urethra and normalize the urination process, but they do not cause tachycardia in men.
In therapy with alpha-blockers, it is very important to correctly determine the therapeutic dose, since exceeding the dosage of the drug can cause side effects from the cardiovascular system and kidney function.
Hormone therapy
Prescribed by a urologist, medications for prostatitis may include hormonal medications, if indicated. Hormone therapy can be aimed both at relieving inflammatory symptoms and at restoring erectile function in men. It is necessary to treat inflammation of the prostate gland with hormones taking into account all the possible side effects, of which these drugs have a lot. Prostate inflammation symptoms help release adrenal hormones, which also help speed up the healing process of damaged tissues.
When treating with hormones, it is necessary to act specifically on the prostate gland, without affecting other organs, and not to change the hormonal background of the male body as a whole. For this, drugs are administered using electrophoresis. Male hormones to restore and stimulate erectile function can be used in the treatment of prostatitis strictly according to reasonable indications, 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, this can lead to irreversible consequences for men.
Antispasmodics
Antispasmodics, or muscle relaxants, are not an independent method of treating acute or chronic prostatitis, but they are included in a complex of therapeutic agents in order to reduce the tone of the pelvic muscles. The drugs relieve pain in the perineum and small pelvis, improve blood circulation in the prostate and stimulate the outflow of its secretion.
Preparations of other groups
Medicines for prostatitis included in the complex treatment regimen are very diverse. Thus, vitamins and microelements play a very important role in the patient's recovery process, which enhance immunity, since the body, weakened by inflammation and infection, needs additional protective equipment. For these purposes, doctors most often prescribe vitamin complexes.
Analgesics are prescribed to relieve pain in prostatitis. These drugs are taken in pill form, but a much greater analgesic effect is observed when using microclysters and rectal suppositories.
Suppositories are actively used as part of complex therapy, this form of medicine for prostatitis is very popular among patients, since it allows you to quickly relieve pain. Suppositories are not an independent method of treatment, they are used only as an addition to the main course. The composition of rectal suppositories may include anti-inflammatory drugs, analgesics, relieving symptoms of hemorrhoids. The most commonly used suppositories for patients are with belladonna, since they provide the fastest relief for pain in the pelvic and perineal region.
In addition to standard forms, drugs for prostatitis can be of plant origin. Homeopathic medicines are gaining popularity among doctors and patients because they have a minimum of side effects and are well tolerated by patients. On the modern pharmaceutical market, various homeopathic drops for prostatitis are widely represented, which are used to relieve inflammation of the prostate, and are also used for prophylactic purposes.
Despite a small number of side effects, drops should not be used without a doctor's prescription. It should also be remembered that homeopathy can only be treated with other medicines for prostatitis.
It is impossible to single out the best medicine for prostatitis, each of them has its own specifics and focus. It is impossible to completely cure this disease with some one drug, only complex treatment, including drug therapy, physiotherapy and other effective methods of treatment, will lead to the desired result.