Inflammation of the prostate is a complex but curable disease. When the first symptoms appear, you should immediately consult a doctor, since self-treatment leads to serious complications: infertility, impotence, oncological complications, and can lead to death. Modern drugs for the treatment of prostatitis fight the disease quickly and efficiently. The pharmacological method is the main one in therapy and is 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 degree of the course of the disease. Antibiotics are widely used to treat acute and chronic bacterial prostatitis. The drugs are also effective against abacterial prostatitis, when the disease is permanent.
For the treatment of the prostate gland, a complex technique is used and various drugs are prescribed that belong to different groups depending on the method of exposure and therapeutic effect:
- antibiotics or other antibacterial drugs;
- spasms and pain relievers;
- adrenaline blockers that 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 tests and exams. Treatment includes:
- cessation of inflammatory processes;
- relief of the patient's well-being;
- elimination of the causes for which the disease developed.
As a rule, complex drug therapy is used, which includes several types of drugs, the details of which are presented in the table.
| varieties of drugs | Description | Aim |
|---|---|---|
| antibiotics | It kills the gram-negative and gram-positive bacteria that cause the disease. The main remedy | Effective in case of detection of a bacterial infection. They are prescribed on the basis of the analysis of the secret and the antibiogram, which determines the sensitivity of the microbe to the drug. |
| Immunomodulators | Restores the protective functions of the body, activates immunocompetent cells. | Recommended when immunity is reduced, they are almost always used to treat severe forms of prostatitis. Effective for viral, helminthic and allergic inflammation of the prostate. |
| alpha blockers | It blocks 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. |
| Non-steroidal anti-inflammatory drugs | Anti-inflammatory drugs. They block the formation of prostaglandins, which cause fever, seizures and muscle pain, causing dysfunction of the genitourinary system. | They are used as an additional drug for symptomatic treatment in complex drug therapy for acute and chronic diseases. |
| Analgesics | Analgesics that relieve pain syndromes bring relief. The pain subsides for a while. | Shocks to relieve pain, in different locations, characterized as unbearable. |
| Herbal 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, however, it should be noted 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 mainstay of medical treatment for bacterial prostatitis. Depending on the pathogen, the presence or absence of accompanying infectious diseases, as well as with a certain course of non-bacterial inflammation of the prostate, the attending physician may decide on your appointment. Broad-spectrum drugs are predominantly 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 ineffective to treat acute prostatitis without the use of antibiotics, since this disease is most often caused by bacterial infections. The use of this group of drugs allows you to control the disease. The duration of the course is about two weeks, 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 according to the indication of CFU in the smears of the gonads, against the background of an increase in leukocytes in the secret. The course of treatment is longer, it can be from 6 to 8 weeks. The choice of drug should be based on the antibiogram indications.
With asymptomatic prostatitis, antibiotics are prescribed only according to indications:
- sterility;
- before the operation;
- 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 must be accompanied by antifungal and eubiotic drugs 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 that stimulate their work significantly accelerate the healing process, regardless of the type and form of prostatitis. They work effectively in cases of viral damage, when antibiotics are powerless.
Incorrect prescription of immunostimulants can adversely affect the health of the patient, therefore it is necessary to consult an experienced immunologist.
Important! To obtain accurate information about the state of the immune system, an immunogram is recommended.
The course of treatment can last no more than two weeks. You can not simultaneously take two types of immunomodulators that have a similar effect.
For categories such as viral and allergic prostatitis, as well as diseases resulting from the attack on the body of protozoa and helminths, accompanied by a strong and inevitable decrease in immunity, the choice and use of immunostimulating drugs is essential for the success of 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 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 the muscle tissue by acting on the receptors of the bladder and prostate.
Alpha blockers belong to the second line of drugs and are used in complex drug therapy as symptomatic treatment. Its action is aimed at normalizing intraurethral pressure, reducing the tone of the bladder and its neck, smooth muscles of the prostate gland. As a result, the symptoms are reduced, manifesting in the form of frequent and painful urination.
The effectiveness of drugs is 48-80%, after taking them:
- the process of urine output is normalized;
- the pain decreases;
- sexual desire returns;
- stagnation of blood in the pelvis stops;
- reduced benign hyperplasia.
Drugs 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 minimum number of side effects. It selectively blocks alpha-1-adrenergic receptors located in the bladder and prostate. They usually 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 you to speed up the time during which you can cure the patient. They are especially necessary for patients suffering along with prostatitis hypertension.
There are contraindications to 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 the drug with other drugs.
Attention! The decision to connect alpha blockers to therapy can only be made by the attending physician.
Non-steroidal anti-inflammatory drugs (NSAIDs)
These drugs relieve inflammation, reduce temperature and neutralize pain, they are considered solely as auxiliary 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 the glandular tissue is restored;
- relieves pain and stops spasms;
- the temperature decreases, the feverish state stops.
The appointment is made by the attending physician, in emergency cases, for example, a single independent appointment. Without complex drug treatment, these drugs, if used without a prescription, will only worsen the state of health.
Nonsteroidal anti-inflammatory drugs are available in the following dosage forms:
- tablets;
- 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, since they have the fewest side effects, while their effectiveness is especially 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 to use in the treatment of prostatitis are pain relievers.
Another dosage form - suppositories - is more effective than tablets, since it has a direct effect on the affected area. The leading positions are occupied by novocaine preparations, however, their independent use is unacceptable, since an accurate calculation of the dosage is necessary, otherwise allergic reactions may occur. 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.
It is extremely dangerous to use painkillers frequently, as this can easily lead to complications. Justified single reception to relieve excruciating pain.
Should I take herbal pills?
Medicines made on the basis of natural raw materials differ significantly from their "synthetic counterparts". The advantages of herbal drugs are: a unique composition rich in native (unchanged) biologically active drugs, high bioavailability of drugs, low allergenicity, and environmental friendliness.
Homeopathic and herbal preparations are gaining great 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, its reception must be coordinated with the treating urologist.
To achieve the effect, herbal preparations must be taken for many months, during which time acute prostatitis can develop into a chronic stage, and advanced forms can become complicated and develop into diseases requiring surgical treatment and even become the cause. of oncology.
Prevention with herbal preparations.
The use of herbal preparations in any form is justified if it is used exclusively as an additional means. Good results are achieved in cases where homeopathy is used for prevention and as home use after receiving a full course of medical treatment.
Herbal preparations have the following properties:
- Uroseptic effect, has tablets and teas with tansy, centaury, bearberry. Thanks to them, the tissues of the prostate are cleaned of bacteria, viruses and toxins derived from its vital activity.
- Suppressive inflammatory processes in the prostate gland. For the manufacture of calendula, yarrow, bearberry, St. John's wort and sage.
- The chestnut and sweet clover-based tablets manage to improve blood circulation and eliminate congestion in the prostate.
- 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-mineral complexes, dietary supplements, herbal preparations: tablets, suppositories, herbal preparations. They are also suitable for restoring health and potency after drug treatment.
Preventive agents may have a limited target or have a broad spectrum of action. As with medicinal purposes, all prescriptions for disease prevention are made by a physician. Even the most harmless products can harm your health if used incorrectly.
Rehabilitation after an 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 sanatoriums.