The treatment of advanced prostatitis - both chronic and acute - is a complex undertaking that requires the simultaneous use of a number of different drugs.
Each specific case separately 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 choice 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 drug list.In addition, if the latter can be of a general nature, then it is appropriate to prescribe antibiotic therapy, taking into account the treatment of a specific type of pathogen identified as a result of the tests.
In addition, anti-prostatitis medications such as various types of antipyretics, pain relievers, diuretics, alpha-blockers, anticonvulsants, antiandrogens, and laxatives can be used in treatment.
Modern drugs can be classified not only according to their purpose, but also according to the form of release:
- injections (injections):the treatment of prostate inflammation with injections is justified, first of all, in the case of a serious patient condition 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 in the usual treatment of chronic prostatitis or as medicines for the prevention of prostatitis.In some cases, suppositories are prescribed to increase potency, as absorption of the substance from the intestinal mucosa ensures better penetration into the prostate tissue.
- tablets and capsules:These pharmaceutical forms 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-inflammatories 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 applied for prostatitis, the essence of which is the injection of 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 in the prostate gland, although at the same time they prevent the transport of drugs into its tissue.In the final stages of treatment and after recovery, courses of microenema with solutions based on herbal preparations can be carried out.When the liquid is kept in the intestine for a long enough time, its mucous membrane absorbs useful substances.
- plasters:Skin patches, like micro-enemas, are auxiliary measures in the treatment of the prostate and probably have a supportive effect on the body, complementing the full drug treatment.
When choosing a dosage form of a drug, you must also 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 anus area.
Factors such as the availability and cost of drugs also play an important role - it is not always possible to find a fast-acting and cheap drug for prostatitis, so you have to take less effective analogues.
Antibiotics
The choice of antibiotics requires a selective approach, as it is important to choose a drug that suppresses a specific type (or types) of inflammatory prostatitis pathogens.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 prevents 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 substance in it.
Fluoroquinolones are powerful 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 prostate 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 with a subsequent improvement in blood circulation.
It should be noted that selective α1-adrenergic blockers that act on receptors in the tissues of the bladder, prostate and urinary system are actively used in urology.
Reducing tissue swelling not only improves urodynamics, but also stimulates the entire genitourinary system of men, 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/NSAIDs), which meet the requirements of 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 peripheral urinary system.
After a decrease in the clinical severity of prostate inflammation, a normalization of the patient's condition is observed, including a decrease in body temperature, a decrease in 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 case of an advanced chronic course of the disease, in which antibiotics, alpha-blockers and anti-inflammatory drugs cannot normalize the 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 with a medical prescription and should be used exclusively according to the instructions of the attending physician, since the wrong or untimely dosage can have negative effects on the patient's health.
Immunomodulators
The complex course of acute prostatitis is aggravated by the development of immunosuppression, which can be intensified under the influence of certain 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 drugs of this type.
Do not forget that vitamins A, C and E also help to strengthen the immune system, so experts recommend the active consumption of foods containing these substances in large quantities.
Analgesics
Painkillers are usually needed in the initial stages of treatment, when the treatment has not yet had time to functionally improve the state of the prostate, which is why the patient feels pain during urination, defecation, sitting for a long time on a hard surface or physical activity.
Typically, moderate-strength pain relievers taken as directed 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 category of muscle relaxants, in urology it is customary to prescribe antispasmodics - drugs that help relax smooth muscles that are in spasm.This treatment is effective for acute prostatitis, which causes involuntary spasm of the muscles of the prostate and the entire pelvic floor.
The use of anticonvulsant drugs is not necessary: it is enough to take them in moderate doses during the first days or weeks of general treatment.Also, these drugs should not be abused in order to avoid the risk of malfunctioning of the relevant organs and systems of the body.
Vegetables
Herbal medicines prescribed for prostatitis are usually 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 herb Tribulus.Slightly less often an extract from the prostate gland of animals (cattle) is used.
There is also a group of medicines such as homeopathic medicines for the treatment of prostate inflammation.
To prevent prostatitis
Prevention of prostatitis requires, first of all, maintaining a healthy lifestyle, including regular sexual activity.But to maintain tone, you can also use various drugs - as a rule, we are talking about dietary supplements of plant origin.
Since the manufacturers of these dietary supplements claim their ability to 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.
We must remember that many of these capsules and tablets are aphrodisiacs, which are inappropriate in many cases.