Treatment of advanced prostatitis, whether chronic or acute, is a complex undertaking requiring the parallel use of numerous different medications.
Each specific case individually creates the necessary list of drugs, depending on the patient's medical history, the course of the disease and a number of other important factors.
Types of drugs
The selection of cheap but effective drugs for prostatitis is based on understanding the causes of the disease and the characteristics of its manifestation, however, antibiotics and anti-inflammatory drugs should be considered key aspects of any list of drugs.Furthermore, if the latter may be of a general nature, it is advisable to prescribe antibiotic therapy taking into account the reaction to a specific type of pathogen identified as a result of the tests.
Furthermore, anti-prostatitis drugs such as various types of antipyretics, painkillers, diuretics, alpha-blockers, antispasmodics, antiandrogens and laxatives can be used in the therapy.
Modern drugs can be classified not only by their intended purpose, but also by the form of release:
- injections (shots):Treatment of prostate inflammation with injections is justified, first of all, in the case of serious patient conditions that require immediate stabilization.As a rule, concentrated drugs in ampoules are diluted to obtain a solution, after which they are prescribed for intramuscular or intravenous infusion;
- candles:Medicines in the form of suppositories are useful in the routine treatment of chronic prostatitis or as drugs for the prevention of prostatitis.In some cases, suppositories are prescribed to increase potency, since the absorption of the substance by the intestinal mucosa guarantees better penetration into the prostatic tissue;
- tablets and capsules:these medicinal forms are the most common in the standard therapeutic regimen for chronic or acute prostatitis.Tablets are easy to dose and convenient to take, so most antibiotics, anti-inflammatories and decongestants (alpha blockers or 5-alpha-reductase inhibitors) are produced in this form;
- instillation:This is a not often practiced method of treatment for prostatitis, the essence of which is to inject a medicinal solution into the urethra or bladder using a special syringe.The main goal of instillations is to restore damaged mucous membranes, destroy pathogenic microflora and suppress inflammatory processes;
- microenemas:small cold enemas reduce local swelling, inflammation and pain of the prostate gland, but at the same time hinder the transport of drugs into its tissues.In the final phases of therapy and after recovery, cycles of microenemas can be carried out with solutions based on herbal preparations.When the liquid is retained in the intestine for a sufficiently long time, its mucosa absorbs useful substances;
- plasters:Skin patches, like microenemas, are auxiliary measures in the treatment of the prostate and rather have a supporting effect on the body, complementing full-fledged drug therapy.
When choosing the dosage form of the drug, it is necessary to take into account, in addition to the patient's condition, also his preferences.
Some patients have difficulty swallowing tablets, while others are contraindicated for rectal suppositories due to the presence of inflammatory diseases in the anorectal area.
Factors such as availability and cost of drugs also play a significant role: it is not always possible to find a fast-acting and cheap medicine for prostatitis, which is why it is necessary to take less effective analogues.
Antibiotics
The choice of antibiotics requires a selective approach, since it is important to choose a drug that suppresses one or more specific types of inflammatory prostatitis pathogens.Why do doctors study smears taken from the urethra, urine tests and samples of prostatic secretions?
It is highly desirable to use antibacterial antibiotics that have both bacteriostatic and bactericidal effects, so that the drug not only blocks the spread of infection, but also actively destroys dangerous microorganisms.
Beta-lactam antibiotics, such as aminoglycosides, are less preferred, although they are inexpensive.Unlike fluoroquinolones and macrolides, they are characterized by a weak ability to penetrate the tissue of the prostate gland and create the necessary concentrations of the active ingredient in it.
Fluoroquinolones are potent bactericidal drugs, significantly superior to bacteriostatic agents in this parameter.
Alpha blockers
This group of drugs is actively used not only for prostatitis, but also for prostatic adenoma, and their effectiveness is based on blocking alpha-adrenergic receptors in order to prevent their contact with norepinephrine and adrenergic agonists.As a result, the receptors in the vessels do not receive vasoconstrictor nerve signals, due to which their expansion is achieved resulting in improved blood circulation.
It should be noted that in urology, selective alpha1-adrenergic blockers are actively used, which act on receptors in the tissues of the bladder, prostate and urinary tract.
Reducing tissue swelling not only improves urodynamics, but also tones the entire male genitourinary system, helping to get rid of, among other things, impotence and decreased erection.
Anti-inflammatory drugs
Prostatitis in men is treated with the use of non-steroidal anti-inflammatory drugs (NSAIDs/NSAIDs), which meet the requirements for effectiveness, but at the same time are safe for the body.
The purpose of these drugs is to suppress the inflammatory process affecting the prostate and possibly the seminal vesicles, the bladder neck and the distal urinary tract.
After a decrease in the clinical severity of inflammation of the prostate, the normalization of the patient's condition is noted, including a decrease in body temperature, a decrease in swelling of the prostate gland, elimination of obstruction of the urinary tract and suppression of pain in the anogenital area.
Hormonal drugs
The use of hormonal drugs in the treatment of prostatitis is allowed only in case of advanced chronic course of the disease, in which antibiotics, alpha-blockers and anti-inflammatory drugs are unable to normalize disturbed hormonal levels.
Depending on the goals, the patient may be prescribed both androgens, which increase the level of male hormones (testosterone) in the blood, and estrogens, which suppress the production of dihydrotestosterone, which causes the proliferation of prostate tissue.
All hormonal drugs are sold strictly on prescription and should be used only as prescribed by the attending physician, since incorrect or premature dosage can have a harmful effect on the patient's health.
Immunomodulators
The complicated course of acute prostatitis is aggravated by the development of immunosuppression, which can intensify under the influence of numerous antibiotics and other drugs.For this reason it is necessary to strengthen the body's resistance to pathogenic microflora, which is carried out with the help of immunostimulants.
There are many different drugs of this type.
Do not forget that vitamins A, C and E also help strengthen the immune system, so experts recommend actively consuming foods containing these substances in large quantities.
Analgesics
Painkillers are usually needed in the early stages of therapy, when the treatment has not yet had time to functionally improve the condition of the prostate, which is why the patient feels pain when urinating, defecating, sitting for a long time on a hard surface or during physical activity.
Typically, moderate-intensity pain relievers taken as prescribed one to three times a day are sufficient.
These products have many structural (generic) analogues and are produced by many companies, but doctors advise not to overpay for the brand.
Muscle relaxants
From the class of muscle relaxants, in urology it is customary to prescribe antispasmodics - drugs that help relax smooth muscles that are in a state of spasm.This therapy is effective in acute prostatitis, which causes involuntary spasms of the prostate muscles and the entire pelvic floor.
Of course, the use of antispasmodics is not necessary: it is sufficient to take them in moderate doses during the first days or weeks of general therapy.Furthermore, these drugs should not be abused to avoid the risk of dysfunction of the relevant organs and systems of the body.
Vegetables
Herbal medicines prescribed for prostatitis are often dietary supplements, available in the form of suppositories, capsules or rectal tablets.
Popular extracts that form the basis of such preparations include the bark of the African plum, the fruits of the creeping (or dwarf) palm and the herb of the creeping Tribulus.Slightly less commonly used is an extract of the prostate gland of animals (bovines).
There is also a group of drugs such as homeopathic medicines for the treatment of inflammation of the prostate.
For the prevention of prostatitis
Prevention of prostatitis first requires maintaining a healthy lifestyle, including regular sexual activity.But to maintain the tone, you can also use various drugs: as a rule, we are talking about food supplements of plant origin.
Since the manufacturers of these dietary supplements claim their ability to help with decreased libido, impotence, erectile dysfunction and other disorders of the male genitourinary system, they should be taken with caution as prophylactic agents for prostatitis.
It should be remembered that many of these capsules and tablets are aphrodisiacs, which is inappropriate in numerous situations.