The treatment of advanced prostatitis - both chronic and acute - is a comprehensive event that requires parallel use of a number of diverse medicines.Each specific case individually forms 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 inexpensive, but effective drugs for prostatitis is based on understanding the causes of the disease and the features of its manifestation, however, antibiotics and anti -inflammatory drugs should be considered the key aspects of any list of medicines.Moreover, if the latter can be of a general nature, then it is advisable to prescribe antibiotic therapy, taking into account the opposition of a specific type of pathogen identified as a result of analyzes.
Additionally, such drugs against prostatitis as various kinds of anti-pireers, painkillers, diuretics, alpha-blockers, antispasmodics, antiandrogens and laxatives can be used in therapy.
You can classify modern drugs not only for its intended purpose, but also in the form of release:
- Injections (injections): treatment of inflammation of the prostate gland with injections is justified, first of all, in the case of a serious condition of a patient requiring immediate stabilization.As a rule, concentrated drugs in ampoules are diluted until the solution is obtained, after which it is prescribed to intramuscularly or R intravenous infusion;
- Candles: Medicines in the form of candles are relevant during planned therapy of chronic prostatitis or as drugs for the prevention of prostatitis.In some cases, suppositories are prescribed to increase potency, since absorption of the substance of the intestinal mucosa provides its best penetration into the tissue of the prostate;
- Tablets and capsules: these drugs are the most common in the standard treatment scheme for chronic or acute prostatitis.The tablets are easy to dose and conveniently take, therefore, most of the antibiotics, anti-inflammatory and remedies against edema (alpha-blockers or inhibitors of 5-alpha reductase) are produced in this form;
- Instillations: this is not so often practiced with prostatitis, the essence of which is the introduction of a medicinal solution into the urethra or bladder using a special syringe.The main goal of instillation is the restoration of the damaged mucous membrane, the destruction of pathogenic microflora and the suppression of inflammatory processes;
- Microclisms: small cold enemas reduce local edema, inflammation and pain in the prostate gland, although at the same time they worsen the transport of drugs in its tissue.At the final stages of therapy and after recovery, there may be conducted microcrilism courses with solutions based on plant drugs.With a fairly long retention of fluid in the intestine, its mucous membrane absorbs beneficial substances;
- Plasters: Costous plasters, like microclysters, belong to auxiliary measures in the treatment of a prostate, and have a supporting effect on the body, complementing the full -fledged drug therapy.
When choosing the dosage form of the drug, it is also necessary to take into account, in addition to the condition of the patient, his own preferences.Some patients experience problems with swallowing tablets, while others are contraindicated to others due to the presence of inflammatory diseases in the anorectal region.A significant role is also played by such factors as the availability and cost of drugs-it is not always possible to choose a high-speed and inexpensive cure for prostatitis, which is why you have to take less effective analogues.
Antibiotics
The selection of antibiotics requires a selective approach, since it is important to choose a medicine that suppresses a specific type (or species) of pathogenic pathogens of inflammatory prostatitis.Why doctors study the strokes taken from the urethra, urine tests and samples of prostatic secretion.
It is extremely desirable to use antibacterial antibiotics that have both bacteriostatic and bactericidal effects so that the drug not only blocks the spread of the infection, but also actively destroy dangerous microorganisms.
Beta-lactam antibiotics, like aminoglycosides, is preferred to a lesser extent, although they are cheap.Unlike fluoroquinolons and macrolides, they are characterized by a weak ability to penetrate the tissues of the prostate gland and create the necessary concentrations of the active substance in it.Forchinolones are powerful bactericidal preparations that are noticeably superior in this parameter, stopping the propagation of microorganisms, drugs
Alpha-blockers
This group of funds is actively used not only for prostatitis, but also for prostate adenoma, and their effectiveness is based on blocking alpha-adrenergic receptors in order to prevent their contact with norepinephrine and adrenromimetics.As a result, the receptors in the vessels do not receive vasoconstrictive nerve signals, due to which their expansion is achieved with the subsequent improvement of blood circulation ..
It should be noted that in urology, selective alpha1-blockers are actively used, affecting receptors in the tissues of the bladder, prostate and urinary tract.
A decrease in tissue swelling not only improves the removal of toxins and liquid waste, but also tones the entire men's genital system, helping to get rid of the impotence and reduction of an erection.
Anti -inflammatory drugs
Prostatitis in men is treated with the use of non -steroidal anti -inflammatory drugs (NSAIDs/NSAIDs) that meet the requirements of efficiency, but at the same time safe for the body.The task of these drugs is to suppress the inflammatory process, which affected the prostate and, possibly, seed bubbles, the neck of the bladder and the distal urinary tract.
Following a decrease in the clinical severity of inflammation of the prostate, the patient’s condition is noted, including a decrease in body temperature, a decrease in the swelling of the prostate gland, eliminating uric obstruction and the suppression of the pain in the genital region.
Hormonal drugs
The use of hormonal drugs in the treatment of prostatitis is allowed only in the case of a neglected chronic course of the disease, in which antibiotics, alpha-blockers and anti-inflammatory drugs are not able to normalize disturbed hormonal background.
Depending on the goals, the patient can be prescribed both androgens that increase the level of male hormones (testosterone) in the blood and estrogens that suppress the production of dihydrotestosterone, which provokes the growth of prostate tissues.
All these drugs are released strictly according to the prescription, and should be used exclusively by the prescription of the attending physician, since the incorrect or untimely dosage can destroy the patient's health.
Immunomodulators
The complicated course of acute prostatitis is aggravated with the development of immunosuppression, which can increase under the influence of a number of antibiotics and other drugs.For this reason, there is a need to strengthen the resistance (resistance) of the body in relation to pathogenic microflora, which is carried out using immunostimulants.
Do not forget that vitamins A, C and E also contribute to the strengthening of immunity, so experts recommend actively consuming products containing these substances in large quantities.
Analgesics
Anesthetic drugs, as a rule, are needed in the early stages of therapy, when treatment has not yet managed to functionally improve the condition of the prostate, which is why the patient experiences pain during urination, defecation, long sitting on a hard surface or physical activity.
As a rule, there are enough analgesics of medium force accepted according to the requirements from one to three times a day.The listed funds have many structural analogues (generics), and they are produced by many Russian and foreign companies, but doctors advise preference to domestic analgesics so as not to overpay for the brand.
Musorelaxants
From the class of muscle relaxants in urology, it is customary to prescribe antispasmodics - drugs that help to relax the smooth muscles in a state of spasm.Such therapy is effective in the acute course of prostatitis, causing an involuntary spasm of the muscles of the prostate and the entire pelvic floor.
The course use of antispasmodics is unnecessary: it is enough to take them in moderate doses during the first days or week of general therapy.Also, these drugs cannot be abused to avoid the risk of impaired function of the relevant organs and systems of the body.
Vegetable
Plant drugs prescribed for prostatitis are most often dietary supplements produced in the form of rectal suppositories, capsules or tablets.Among the popular extracts that form the basis of such drugs - the cortex of the African plum, the fruits of creeping (or dwarf) palm trees.A little less often used an extract from the prostate gland of animals (cattle).There is also such a group of medications as homeopathic preparations for the treatment of inflammation of the prostate.
For the prevention of prostatitis
The prevention of prostatitis requires, first of all, to lead a healthy lifestyle, including regular sexual activity.But to maintain tone, various drugs can be used - as a rule, we are talking about biologically active additives of plant origin.Since the manufacturers of these dietary supplements are declared their ability to help with weakening libido, impotence, erectile dysfunction and other disorders in the work of the male genitourinary system, they should be careful with caution as preventive agents for prostatitis.