Treatment of advanced prostatitis - both chronic and acute - is a complex undertaking that requires the parallel application of a number of different drugs.
Each specific case individually creates the necessary list of drugs, depending on the patient's 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 cause of the disease and the characteristics of its manifestation, however, antibiotics and anti-inflammatory drugs should be considered key aspects of any drug list.Moreover, if the latter can be of a general nature, then it is advisable to prescribe antibiotic therapy taking into account the opposition to the specific type of pathogen identified as a result of the tests.
In addition, prostatitis drugs such as various types of antipyretics, painkillers, diuretics, alpha-blockers, antispasmodics, antiandrogens and laxatives can be used in therapy.
Modern drugs can be classified not only according to purpose, but also according to the form of release:
- injection(s):treatment of inflammation of the prostate with injections is justified, first of all, in the case of a serious condition of the patient that requires 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 relevant for the routine treatment of chronic prostatitis or as medicines for the prevention of prostatitis.In some cases, suppositories are prescribed to increase potency, because the absorption of the substance by the intestinal mucosa ensures its better penetration into the prostate tissue;
- tablets and capsules:these forms of medication are the most common in the standard treatment regimen for chronic or acute prostatitis.Tablets are easy to dose and convenient to take, so most antibiotics, anti-inflammatory and decongestants (alpha-blockers or 5-alpha-reductase inhibitors) are produced in this form;
- instillation:This is a method of treatment that is not often practiced 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 mucosa, destroy pathogenic microflora and suppress inflammatory processes;
- microenema:small cold enemas reduce local swelling, inflammation and pain in the prostate, but at the same time hinder the transport of drugs into its tissue.In the final stages of therapy and after recovery, courses of microenemas with solutions based on herbal preparations can be carried out.When the liquid stays in the intestine long enough, its mucosa absorbs useful substances;
- patches:Spots on the skin, like microenemas, are auxiliary measures in prostate treatment, and rather have a supportive effect on the body, complementing full-fledged drug therapy.
When choosing the dosage form of the drug, you must take into account, in addition to the patient's condition, his own preferences.
Some patients have problems swallowing tablets, while others are contraindicated for rectal suppositories due to the presence of inflammatory diseases in the anorectal area.
Factors such as the availability and price of drugs also play a significant role - it is not always possible to find a fast-acting and cheap drug for prostatitis, which is why you have to take less effective analogues.
Antibiotics
Choosing an antibiotic requires a selective approach, because it is important to choose a drug that suppresses a specific type (or types) of the pathogen of inflammatory prostatitis.Why do doctors study urethral swabs, urine tests, and prostate secretion samples?
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 desirable, although they are inexpensive.Unlike fluoroquinolones and macrolides, they are characterized by a weak ability to penetrate the prostate tissue and create the necessary concentrations of the active substance in it.
Fluoroquinolones are powerful bactericidal drugs, significantly better than bacteriostatic agents in this parameter.
Alpha blockers
This group of drugs is actively used not only for prostatitis, but also for prostate adenoma, and their effectiveness is based on blocking alpha-adrenergic receptors to prevent their contact with noradrenaline and adrenergic agonists.As a result, the receptors in the vessels do not receive vasoconstrictor nerve signals, due to which their expansion is achieved with the subsequent improvement of blood circulation.
It should be noted that selective alpha1-adrenergic blockers that act on receptors in the tissues of the bladder, prostate and urinary tract are actively used in urology.
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 reduced erection.
Anti-inflammatory drugs
Prostatitis in men is treated with the use of non-steroidal anti-inflammatory drugs (NSAIDs), which meet the requirements of efficiency, but are also safe for the body.
The purpose of these drugs is to suppress the inflammatory process that affects the prostate and, eventually, the seminal vesicles, the bladder neck and the distal urinary tract.
After reducing the clinical severity of prostatitis, normalization of the patient's condition is observed, including a decrease in body temperature, reduction of prostate swelling, elimination of urinary tract obstruction and suppression of pain in the anogenital area.
Hormonal drugs
The use of hormonal drugs in the treatment of prostatitis is allowed only in the case of an advanced chronic course of the disease, in which antibiotics, alpha-blockers and anti-inflammatory drugs are unable to normalize the disturbed hormonal level.
Depending on the goals, the patient may be prescribed 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 only by prescription and should be used only according to the doctor's recommendation, because an incorrect or untimely dose can adversely affect the patient's health.
Immunomodulators
The complicated course of acute prostatitis worsens the development of immunosuppression, which can intensify under the influence of a number of antibiotics and other drugs.For this reason, there is a need to strengthen the body's resistance to pathogenic microflora, which is carried out with the help of immunostimulants.
There are many different medicines of this type.
Do not forget that vitamins A, C and E also help to strengthen the immune system, so experts recommend actively consuming foods that contain these substances in large quantities.
Analgesics
Painkillers are usually needed in the early stages of therapy, when the treatment has not yet reached a functional improvement in the state of the prostate, which is why the patient feels pain during urination, defecation, prolonged sitting on a hard surface or physical activity.
Typically, moderate-strength analgesics taken as prescribed one to three times a day are sufficient.
These products have many structural analogues (generics), 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 common to prescribe antispasmodics - drugs that help relax smooth muscles that are in spasm.This therapy is effective in acute prostatitis, which causes involuntary spasm of the prostate muscles and the entire pelvic floor.
Course use of antispasmodics is unnecessary: it is enough to take them in moderate doses during the first days or weeks of general therapy.Also, these drugs should not be abused in order to avoid the risk of dysfunction of relevant organs and systems in the body.
Vegetables
Herbal medicines prescribed for prostatitis are most often dietary supplements, available in the form of rectal suppositories, capsules or tablets.
Among the popular extracts that form the basis of such preparations are the bark of the African plum, the fruits of the creeping (or dwarf) palm and the creeping Tribulus plant.An extract from the prostate of animals (cattle) is used somewhat less often.
There is also a group of medicines such as homeopathic medicines for the treatment of prostatitis.
For the prevention of prostatitis
Prostatitis prevention requires, above all, maintaining a healthy lifestyle, including regular sexual activity.But you can also use various medicines to maintain tone - as a rule, we are talking about nutritional supplements of plant origin.
Since the manufacturers of these dietary supplements claim that they can help with weakened libido, impotence, erectile dysfunction and other disorders in 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 are inappropriate in many situations.