Inflammation of the prostate gland is a complex disease, but it can be cured. When the first symptoms appear, you should immediately see a doctor, because self-treatment leads to serious complications - infertility, impotence, oncological complications and can lead to death. Modern drugs for the treatment of prostatitis quickly and efficiently fight this disease. Drug methods are the main ones in therapy and are widely used at different stages of the disease.
Medical treatment of prostatitis
The use of certain drugs, as well as their effectiveness, depends on the pathogen, the form and stage of the course of the disease. Antibiotics are widely used to treat acute and chronic bacterial prostatitis. Medicines are also effective against abacterial prostatitis, when the disease remains.
For the treatment of the prostate gland, complex techniques are used and several drugs are prescribed that belong to different groups 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;
- hormones and antihistamines;
- vitamin and mineral complex;
- anticholinergic drugs.
All appointments are made by a urologist based on the results of tests and examinations. Treatment includes:
- cessation of the inflammatory process;
- relieve the patient's well-being;
- elimination of the causes that cause the disease to develop.
As a rule, complex drug therapy is used, including several types of drugs, the details of which are presented in the table.
| Various drugs | Description | Purpose |
|---|---|---|
| Antibiotics | Kills gram-negative and gram-positive bacteria that cause the disease. The main drug. | Effective in the case of bacterial infection detection. They are prescribed on the basis of secretory analysis and antibiogram, which determines the sensitivity of microbes to drugs. |
| Immunomodulators | Restore the body's protective function, activate immunocompetent cells. | Recommended when immunity is reduced, it is almost always used to treat severe forms of prostatitis. Effective for viral, helminthic, allergic prostate inflammation. |
| Alpha blockers | Block the possible 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 formation of prostaglandins, which cause fever, convulsions and muscle pain, causing dysfunction of the genitourinary system. | They are used as additional drugs for symptomatic treatment in complex drug therapy for acute and chronic diseases. |
| Pain reliever | Analgesics that relieve pain syndromes cause relief. The pain subsided momentarily. | Released to relieve pain, different locations, characterized as unbearable. |
| Plant Based Tablets | It is made from natural materials that come from plants or animals. | It is used as an additional medicine and for prophylactic purposes. |
Each drug group is described in detail below, however, it should be remembered that this information is for informational purposes only, any appointment is made by a urologist, and treatment is carried out under his supervision.
Antibiotics in the treatment of prostatitis
Antibiotics are the main medical treatment for bacterial prostatitis. Depending on the pathogen, the presence or absence of accompanying infectious diseases, as well as with the specific course of abacterial inflammation of the prostate, the attending physician can decide on their appointment. Most 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.
It is not effective to treat acute prostatitis without using antibiotics, because this disease is most often caused by a bacterial infection. The use of this group of drugs allows you to control the disease. The duration of the course is about two weeks, relief is already felt in the first days.
The situation with the treatment of chronic prostatitis is more complicated. In this case, antibiotics are prescribed depending on the indication of CFU in gonadal excretion, against the background of increased leukocytes in secretions. The course of treatment is longer, it can be 6-8 weeks. The choice of drugs should be based on antibiogram indications.
With asymptomatic prostatitis, antibiotics are prescribed only according to the signs:
- 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 a parasitic or fungal infection, occurs against the background of other bacterial diseases, etc.
Important! Antibiotic treatment should be accompanied by antifungal and eubiotic drugs necessary to restore the intestinal microflora.
Why are immunomodulators prescribed for the treatment of prostatitis?
Prostate inflammation is a serious disease, as a result of which the body's protective function is significantly weakened. Especially in the case of chronic prostatitis, when the immune system works at its limit. The preparation stimulates its work and significantly accelerates the healing process, regardless of the type and form of prostatitis. They work effectively in the case of viral damage, when antibiotics are not powerful.
The wrong prescription of immunostimulants can affect the patient's health, so it is necessary to consult an experienced immunologist.
Important! To get accurate information about the state of the immune system, an immunogram is recommended.
The course of treatment should not last more than two weeks. You can not take two types of immunomodulators simultaneously that have the same effect.
For categories such as viral and allergic prostatitis, as well as diseases due to attacks on the body by protozoa and helminths, accompanied by a sudden and inevitable decrease in immunity, the choice and use of immunostimulating drugs is important for successful treatment.
Alpha blockers and features of their use in the treatment of prostatitis
In the process of developing inflammation of the prostate gland, problems with urination inevitably arise, this is due to the high tone of the muscle tissue of the genitourinary system. To eliminate this problem, you need to relax the muscles. For this purpose, alpha-adrenergic blockers are used, blocking the release of adrenaline, smoothing 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 a symptomatic treatment. Their action is aimed at normalizing intraurethral pressure, reducing the tone of the bladder and its neck, the smooth muscles of the prostate gland. As a result, symptoms decrease, manifested in the form of frequent and painful urination.
The effectiveness of the drug is 48-80%, after taking it:
- the process of urine outflow is normalized;
- pain decreases;
- sexual desire returns;
- blood stagnation in the pelvis stops;
- reduce benign hyperplasia.
Medicines of this group are used not only in urology, but are also widely used to treat other diseases. The duration of treatment is determined by the attending physician.
All alpha-blocking drugs are divided into two groups:
- Selective, with a minimum number of side effects. Selectively block alpha-1-adrenergic receptors located in the bladder and prostate. Often causes retrograde ejaculation.
- Non-selective, affects the sensitivity of all alpha receptors, has 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, allowing you to speed up the time you can cure the patient. They are indispensable for patients who suffer along with prostatitis hypertension.
There are contraindications for use, ignoring them can lead to the development of orthostatic collapse and other serious consequences. It is equally important to follow the rules for combining drugs with other drugs.
Attention! The decision to connect alpha blockers to therapy can only be made by the attending physician.
Nonsteroidal anti-inflammatory drugs (NSAIDs)
These drugs relieve inflammation, reduce temperature and neutralize pain, considered solely as additional drugs. As a result of its use, the production of prostaglandins 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 glandular tissue is restored;
- relieves pain and stops spasms;
- the temperature drops, the fever stops.
The appointment is made by the attending physician, in case of emergency, for example, an independent appointment. Without complex drug treatment, these drugs, if used without a prescription, will only worsen the health condition.
Nonsteroidal anti-inflammatory drugs are available in the following dosage forms:
- pills;
- candles;
- injection.
Relief after taking the desired drug occurs within 10-30 minutes. In case of discomfort and discomfort caused by the use of the drug, you should immediately see a doctor. The most popular in the treatment of urological diseases are drugs based on ibuprofen, ketoprofen, diclofenac, because they have the fewest side effects, while their effectiveness is very high.
Combined rectal suppositories (wax melted by body temperature), which may include antibacterial, analgesic and anti-inflammatory substances, have a significant effect on the course of the disease.
First place in the popularity rating of drugs based on diclofenac.
Painkillers for prostatitis
The most popular painkillers to use in the treatment of prostatitis are analgesics.
Another dosage form - suppositories, is more effective than tablets, because it has a direct effect on the affected area. The leading position is occupied by novocaine preparations, however, its independent use is unacceptable, since accurate dosage calculation is required, otherwise an allergic reaction may follow. Overdose is also possible, accompanied by nausea and vomiting, hallucinations, seizures, fear, panic, etc.
Candles with belladonna not only anesthetize, but also have antispasmodic and anti-inflammatory effects. Effective means that are available in the form of suppositories, tablets and injections.
Many anti-inflammatory drugs, including rectal suppositories, have an analgesic effect.
It is very dangerous to use painkillers regularly, as this can easily cause complications. The only reasonable admission for the relief of unbearable pain.
Do I need to take herbal pills?
Medicines made on the basis of natural raw materials differ significantly from their "synthetic counterparts". The advantages of herbal medicine are: a unique composition rich in natural (unaltered) biologically active drugs, high bioavailability of the drug, low allergenicity and environmental friendliness.
Homeopathic and herbal preparations are gaining 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 reception should be coordinated with the attending urologist.
To achieve its effect, herbal preparations must be taken for several months, during which acute prostatitis can turn into a chronic stage, and the advanced form can become complicated and develop into a disease that requires surgical treatment and even become a cause of oncology.
Prevention with herbal preparations
The use of herbal preparations in any form is desirable if used exclusively as an adjunct. Good results are achieved in cases where homeopathy is used for prevention and as home use after receiving full medical treatment.
Herbal preparations have the following characteristics:
- Uroseptic effect, have tablets and tea with tansy, centaury, bearberry. Thanks to them, the prostate tissue is cleaned of bacteria, viruses and toxins as a result of their vital activity.
- Suppressive inflammatory process in the prostate gland. For manufacturing use calendula, yarrow, bearberry, wort St. John and sage.
- Improving blood circulation and eliminating 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 special preventive drugs: vitamin and mineral complexes, food supplements, herbal preparations - tablets, suppositories, herbal preparations. It is also suitable for restoring health and potency after drug treatment.
Preventive agents can be narrowly targeted or have a broad spectrum of action. As with medical purposes, all prescriptions for disease prevention are made by a doctor. Even the most harmless products can harm your health if used incorrectly.
Recovery after illness does not require hospitalization and the patient stays at home. Subject to the appointment of medical procedures, they can be carried out in a clinic or in a sanatorium.