Inflammation of the prostate gland is a complex disease, but treatable. When the first symptoms appear, you should immediately consult a doctor, 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 medicinal method is leading in therapy and is widely used in various stages of the disease.
Drug treatment of prostatitis
The use of certain drugs, as well as their effectiveness, depends on the pathogen, the form and the degree of the course of the disease. Antibiotics are widely used to treat bacterial prostatitis in acute and chronic form. Medicines are also effective against abacterial prostatitis when the disease is permanent.
For the treatment of the prostate gland, a complex technique is used and several drugs are prescribed that belong to different groups according to the method of action and the therapeutic effect:
- antibiotics or other antibacterial drugs;
- spasms and pain relievers;
- adrenaline blockers, which reduce the tone of muscle tissue;
- immunomodulators that stimulate the activity of the immune system;
- hormonal and antihistamines;
- vitamin and mineral complexes;
- anticholinergic drugs.
All appointments are made by a urologist based on the results of examinations and tests. Treatment includes:
- stop inflammatory processes;
- improving the patient's well-being;
- eliminating the reasons why the disease developed.
As a rule, complex drug therapy is used, including several types of drugs, details of which are presented in the table.
| Types of drugs | Description | Purpose |
|---|---|---|
| antibiotics | Kill the gram-negative and gram-positive bacteria that cause the disease. The main means of protection. | Effective in detecting bacterial infection. They are prescribed based on the analysis of the secretion and the antibiogram, which determines the sensitivity of the microbe to the drug. |
| Immunomodulators | Restores the body's protective functions, activates immunocompetent cells. | They are recommended for reduced immunity, 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 adrenoceptors 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 as a result of an imbalance between the sympathetic and parasympathetic nervous systems. |
| Nonsteroidal anti-inflammatory drugs | Anti-inflammatory drugs. They block the formation of prostaglandins, which provoke fever, convulsions and muscle pain, causing dysfunction of the genitourinary system. | They are used as an additional drug for symptomatic treatment in the complex drug therapy of acute and chronic diseases. |
| Pain relievers | Analgesics that relieve pain syndromes cause relief. The pain subsides for a while. | It is prescribed to relieve pain, in various places, characterized as unbearable. |
| Plant-based 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, but 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 of medical treatment for bacterial prostatitis. Depending on the pathogen, the presence or absence of concomitant infectious diseases, as well as with a certain course of abacterial inflammation of the prostate, the attending physician 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 antibiotics is ineffective, since 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, the relief is felt already in the first days.
The situation with the treatment of chronic prostatitis is much more complicated. In this case, an antibiotic is prescribed depending on the indication of CFU in the gonads' exprimates, against the background of an increase in leukocytes in the secret. The course of treatment is longer, it can be 6-8 weeks. The choice of 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! Antibiotic treatment should be accompanied 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, as a result of which the protective functions of the body are significantly weakened. Especially in the case of chronic prostatitis, when the immune system is working at its limit. Preparations stimulating its work significantly accelerate the healing process, regardless of the type and shape of prostatitis. They work effectively in viral damage when antibiotics are powerless.
Improper prescription of immunostimulants can adversely affect the patient's health, so consultation with an experienced immunologist is necessary.
important! To obtain accurate information about the state of the immune system, an immunogram is recommended.
The course of treatment cannot last more 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 caused by the attack of protozoa and helminths on the body, accompanied by a sharp and inevitable decrease in immunity, the selection and use of immunostimulating drugs is essential for successful treatment.
Alpha-blockers and characteristics of their use in the treatment of prostatitis
In the process of developing inflammation of the prostate gland, problems with urination inevitably arise, which is due to the high tone of the muscle tissues of the genitourinary system. To eliminate this problem, you need to relax the muscles. For these purposes, alpha-adrenergic blockers are used, blocking the release of adrenaline, smoothing muscle tissue by affecting the receptors of the bladder and prostate.
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, the symptoms decrease, manifesting in the form of frequent and painful urination.
The effectiveness of the drug is 48-80%, after taking it:
- the process of urine leakage is normalized;
- pain decreases;
- sexual desire returns;
- stagnation of blood in the pelvis stops;
- decreased benign hyperplasia.
Medicines from 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-blocker drugs are divided into two groups:
- Selective, with a minimal number of side effects. It selectively blocks alpha-1-adrenergic receptors located in the bladder and prostate. They often cause 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, allows to speed up the time for which you can cure the patient. They are especially necessary for patients suffering from prostatitis hypertension.
There are contraindications for use, neglecting them 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 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, they are considered only auxiliary drugs. As a result of their 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 circulation of the glandular tissue is restored;
- relieves pain and stops spasms;
- the temperature decreases, the febrile state stops.
The appointment is made by the attending physician, in urgent cases, for example, a single 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;
- 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, you should immediately consult a doctor. The most popular in the treatment of urological diseases are drugs based on ibuprofen, ketoprofen, diclofenac, because they have the least side effects, while their effectiveness is particularly high.
Combined rectal suppositories (candles melted by 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 popularity rating of drugs based on diclofenac.
Pain relievers for prostatitis
The most popular pain relievers for the treatment of prostatitis are analgesics.
Another medicinal form - suppositories, is more effective than tablets, as it has an effect directly on the affected area. The leading positions are occupied by novocaine preparations, but their independent use is unacceptable, since 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. Effective means that are available in the form of suppositories, tablets and injections.
Many anti-inflammatory drugs, including rectal suppositories, have an analgesic effect.
The frequent use of painkillers is extremely dangerous, as this can easily lead to complications. Justified single intake for relief of unbearable pain.
Should I take herbal pills?
Medicines produced 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 friendliness.
Homeopathic and herbal preparations are gaining great popularity, but using them 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 agreed with the attending urologist.
In order to achieve an effect, herbal preparations must be taken for many months, during which time acute prostatitis can turn into a chronic stage, and advanced forms can become complicated and develop into diseases that require surgical treatment and evento become a cause of oncology.
Prevention with herbal preparations
The use of herbal preparations in any form is justified if used exclusively as an additional means. Good results are achieved in cases where homeopathy is used for prevention and as home use after a full course of treatment.
Herbal preparations have the following properties:
- Tablets and teas with tansy, elderberry, bearberry have a uroseptic effect. Thanks to them, the tissues of the prostate are cleaned of bacteria, viruses and toxins resulting from their vital activity.
- Suppression of inflammatory processes in the prostate gland. For the production use calendula, yarrow, gooseberry, St. John's wort and sage.
- Improving blood circulation and removing congestion in the prostate is achieved with tablets based on chestnut and sweet clover.
- The maintenance of the immune system is carried out with the help of ginger, ginseng, mint and lemon.
For men at risk, it is recommended to take specialized preventive drugs: vitamin and mineral complexes, nutritional supplements, herbal preparations - tablets, suppositories, herbal preparations. They are also suitable for restoring health and potency after medical treatment.
Preventive measures 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.
Rehabilitation after illness does not require hospitalization and the patient stays at home. When medical procedures are appointed, they can be carried out in a clinic or in sanatoriums.