Prostatitis is a complex disease, but curable. When the first symptoms appear, consult a doctor immediately, because self-medication leads to serious complications - infertility, impotence, oncological complications and can cause death. Modern drugs for the treatment of prostatitis quickly and effectively fight the disease. The drug method is the leader in therapy and is widely used in various stages of the disease.
Medical treatment of prostatitis
The use of certain drugs, as well as their effectiveness, depends on the causative agent of the disease, the form and degree of the course of the disease. Antibiotics are widely used to treat bacterial prostatitis in acute and chronic forms. Medicines are also effective against abacterial prostatitis, when the disease is permanent.
A complex technique is used for the treatment of the prostate and several drugs belonging to different groups are prescribed according to the method of exposure and therapeutic effect:
- antibiotics or other antibacterial drugs;
- spasms and painkillers;
- 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 scheduled by the urologist based on the results of tests and examinations. Treatment includes:
- cessation of inflammatory processes;
- facilitating the patient's well-being;
- eliminating the causes that caused the disease to develop.
As a rule, complex drug therapy is used, including several types of drugs, the details of which are shown in the table.
| Types of drugs | Description | Purpose |
|---|---|---|
| Antibiotics | Kill disease-causing gram-negative and gram-positive bacteria. The main remedy. | Effective in case of detection of bacterial infection. They are prescribed on the basis of secret analysis and antibiogram, which determines the sensitivity of microbes to the drug. |
| Immunomodulators | They restore the body's protective functions, activate immunocompetent cells. | They are recommended when immunity is reduced, 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 adrenoreceptors 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 due to an imbalance between the sympathetic and parasympathetic nervous systems. |
| Nonsteroidal anti-inflammatory drugs | Anti-inflammatory drugs. They block the production of prostaglandins, which cause fever, convulsions and muscle pain, causing dysfunction of the genitourinary system. | They are used as an additional drug for symptomatic treatment in complex drug therapy of acute and chronic diseases. |
| Painkillers | Analgesics that relieve pain syndromes cause relief. The pain subsided for a while. | Discharged for pain relief, various locations, characterized as intolerable. |
| Herbal tablets | They are made from natural substances of plant or animal origin. | They are used as additional drugs 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 his supervision.
Antibiotics in the treatment of prostatitis
Antibiotics are the mainstay in the treatment of bacterial prostatitis. Depending on the causative agent of the disease, the presence or absence of accompanying infectious diseases, as well as with a certain course of abacterial inflammation of the prostate, the doctor can decide on their appointment. Mostly broad-spectrum drugs are 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.
Treatment of acute prostatitis without the use of antibiotics is ineffective, because this disease is most often caused by bacterial infections. The use of this group of drugs allows you to take the disease under control. The duration of the course is about two weeks, relief is felt already in the first days.
The situation with the treatment of chronic prostatitis is much more complex. In this case, the antibiotic is prescribed depending on the indication of the CFU in the gonad extracts, against the background of an increase in leukocytes in the secret. The course of treatment is longer, it can last 6-8 weeks. The selection of the drug should be based on the indications of the antibiogram.
In asymptomatic prostatitis, antibiotics are prescribed only according to indications:
- infertility;
- before surgery;
- before taking prostate tissue for biopsy;
- when identifying pathogens such as gonorrhea or chlamydia.
It is also necessary to use antibiotics if non-bacterial prostatitis is caused by parasitic or fungal infections, occurs against the background of other bacterial diseases, etc.
Important! Treatment with antibiotics should be followed by antifungal drugs and eubiotics necessary to restore the intestinal microflora.
Why are immunomodulators prescribed for the treatment of prostatitis?
Inflammation of the prostate is a serious disease, due to which the protective functions of the body are significantly weakened. Especially in the case of chronic prostatitis, when the immune system works at its limit. Preparations that stimulate its work significantly accelerate the healing process, regardless of the type and form of prostatitis. They work effectively in cases of viral damage, when antibiotics are powerless.
Improper prescription of immunostimulants can negatively affect the patient's health, so consultation with an experienced immunologist is necessary.
Important! In order to get accurate information about the state of the immune system, an immunogram is recommended.
The course of treatment cannot last longer 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 attacks on the body by protozoa and helminths, followed by a sudden and inevitable decrease in immunity, the selection and application of immunostimulating drugs is essential for successful treatment.
Alpha-blockers and features of their application in the treatment of prostatitis
During the development of prostate inflammation, problems with urination inevitably occur, which is due to the high tone of the muscle tissue of the genitourinary system. To eliminate this problem, you need to relax your muscles. For these purposes, alpha-adrenergic blockers are used, which block the release of adrenaline, smooth muscle tissue by acting on bladder and prostate receptors.
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, reducing the tone of the bladder and its neck, smooth muscles of the prostate. As a result, the symptoms decrease, they manifest in the form of frequent and painful urination.
The effectiveness of drugs is 48-80%, after taking:
- the process of urine outflow 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 for the treatment of 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. It selectively blocks alpha-1-adrenergic receptors located in the bladder and prostate. They often cause retrograde ejaculation.
- Non-selective, affect the sensitivity of all alpha receptors, have 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 for which you can cure the patient. They are especially necessary for patients who suffer from hypertension along with prostatitis.
There are contraindications for use, their neglect 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 combine alpha-blockers with therapy can only be made by a doctor.
Nonsteroidal anti-inflammatory drugs (NSAIDs)
These drugs relieve inflammation, lower the temperature and neutralize the pain, they are considered exclusively auxiliary drugs. As a result of their use, the production of prostaglandins, which are 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 the glandular tissue is restored;
- soothes pain and stops spasms;
- the temperature decreases, the febrile condition stops.
The appointment is made by the attending physician, in emergency cases, for example, one independent examination. Without complex drug treatment, these drugs, if used without a prescription, will only worsen the health condition.
NSAIDs 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, immediately consult a doctor. The most popular in the treatment of urological diseases are drugs based on ibuprofen, ketoprofen, and diclofenac, because they have the fewest side effects, while their effectiveness is particularly high.
Combined rectal suppositories (candles melted at body temperature), which may include antibacterial, analgesic and anti-inflammatory substances, have a significant impact on the course of the disease.
First place in the evaluation of the popularity of drugs based on diclofenac.
Painkillers for prostatitis
The most popular painkillers used in the treatment of prostatitis are analgesics.
Another form of dosage - suppositories, is more effective than tablets, because it acts directly on the affected area. The leading positions are occupied by novocaine preparations, however, their independent use is unacceptable, because accurate calculation of the dose is necessary, otherwise allergic reactions may follow. An overdose is also possible, accompanied by nausea and vomiting, hallucinations, convulsions, fear, panic, etc.
Candles with belladonna not only anesthetize, but also have an antispasmodic and anti-inflammatory effect. Active agents 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 this can easily lead to complications. Justified individual admission for relief of unbearable pain.
Should I take herbal tablets?
Medicines made on the basis of natural raw materials differ significantly from their "synthetic counterparts". The advantages of herbal medicines are: a unique composition rich in natural (unaltered) biologically active medicines, high bioavailability of medicines, low allergenicity and environmental acceptability.
Homeopathic and herbal preparations are gaining great popularity, but their use 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 attending urologist.
In order to achieve an effect, herbal preparations must be taken for several months, during which time acute prostatitis can turn into a chronic phase, and advanced forms can become complicated and develop into diseases that require surgical treatment, and even 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 additional means. Good results are achieved in cases where homeopathy is used for prevention and as home use after complete treatment.
Herbal preparations have the following properties:
- Tablets and teas with tansy, centaury, bearberry have an uroseptic effect. Thanks to them, prostate tissues are cleaned of bacteria, viruses and toxins that are the result of their vital activity.
- Suppressive inflammatory processes in the prostate. Calendula, yarrow, bearberry, St. John's wort and sage are used for production.
- Improvement of circulation and removal of congestion in the prostate is achieved with tablets based on chestnut and sweet clover.
- Maintaining the immune system is done with the help of ginger, ginseng, mint and lemon.
For men at risk, it is recommended to take specialized preventive medicines: vitamin-mineral complexes, nutritional 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 for medical purposes, all prescriptions for disease prevention are given by a doctor. Even the most harmless products can harm your health if used improperly.
Rehabilitation after illness does not require hospitalization and the patient stays at home. Depending on the appointment of medical procedures, they can be carried out in a clinic or in sanatoriums.