Is there an effective cure for prostatitis?Medicines for the treatment of any type of prostatitis in men, which medicines form the basis of the choice?Inflammation of the prostate can affect a man at any age, so drugs for the treatment of the prostate are used to treat both acute and chronic pathologies.Feasibility of prescriptions and their application is assessed only by a urologist after a detailed examination of the patient and diagnostic measures.
But above all, remember that with the drugs described below, prostatitis in men must be treated comprehensively.Special nutrition, physiotherapy and exercises play a major role in the treatment of this disease.Don't forget this.
Rational antibacterial therapy
The most common cause of prostatitis is the penetration of pathogenic bacteria into the gland.That is why antibiotics are the drugs of choice for the treatment of acute and chronic prostatitis in men.
First of all, for the treatment of prostatitis, broad-spectrum drugs are prescribed, and after obtaining the results of the bacterial culture, narrow-spectrum drugs (against the corresponding pathogen) are prescribed.If the pathogenic microorganism is not identified, which happens quite often, treatment with the same broad-spectrum antibiotic is continued, provided there is a positive dynamic in taking it.In exceptional cases, the antibiotic is replaced by another empirically (based on the doctor's own experience).
Let's see which list of drugs (antibiotics) for the treatment of prostatitis in men are considered effective.
Fluoroquinolones
These are broad-spectrum drugs that have a high ability to accumulate directly in the prostate tissue in men.Due to this property, they are very effective in the treatment of prostatitis.
But despite this, these antibiotics are prescribed to men with caution, because they have the following side effects:
- From the gastrointestinal tract - heartburn, pain in the epigastrium, nausea, diarrhea, vomiting.
- From the side of the central nervous system - ototoxicity, insomnia, drowsiness, dizziness, headache, convulsions, paresthesias, tremors.
- Possible allergic reaction - itching, rash, Quincke's edema.
It is prohibited to prescribe fluoroquinolones for the treatment of severe cerebral atherosclerosis, deficiency of enzymes such as glucose-6-phosphate dehydrogenase, and allergic reactions to drug components.
Tetracyclines and macrolides
These are broad-spectrum antibiotics, but it should be remembered that such drugs have low activity against staphylococcus, Pseudomonas aeruginosa and Escherichia coli.
Most of the side effects from taking tetracycline are related to gastrointestinal disorders - nausea, vomiting, heartburn.In large doses, these antibiotics are hepato- and nephrotoxic.
Antibacterial agents for prostate treatment of this group, as well as fluoroquinolones, penetrate well and accumulate in the prostate in men.This is the most non-toxic group of antibiotics, which is better than other drugs in that it has few side effects.
Macrolides have a predominantly bacteriostatic effect.They show good activity against gram-positive bacteria and intracellular parasites (chlamydia, legionella, mycoplasma).
Criteria for choosing antibacterial agents
Remember that antimicrobial agents are prescribed for treatment individually for each patient, taking into account various factors.Let's take a closer look at them:
- The agent that caused the disease.
- Form (chronic or acute) and severity of pathology.
- Presence of contraindications for the patient.
- Side effects.
- Bioavailability of antibacterial drugs in prostate tissue.
- The way the drug enters the patient's body.
Do not try to treat prostatitis yourself, as this can harm you and cause the pathogenic flora that caused the disease to become resistant to antimicrobial agents.If there is no positive effect from treatment with antibacterial agents within 3 days, they must be replaced by another group.
Symptomatic and pathogenetic therapy
This type of treatment of prostatitis in men with drugs improves the quality of life of patients and increases the speed of recovery by eliminating the symptoms of the disease.It includes the following:
- Alpha adrenergic blockers.Medicines of this group are necessarily used in the complex treatment of prostatitis in men in order to facilitate urination, prevent stagnation of secretions in the gland and its return reflux.Their effect is to relieve spasms of the smooth muscles of the prostate, bladder and ureter walls.They are also used for prostate adenoma.
- Non-steroidal anti-inflammatory drugs (NSAIDs).NSAIDs help reduce inflammation in the gland tissue, which improves urination and eliminates secretion stagnation.They also relieve pain.
- Hormonal drugs.The prostate is a hormone-dependent organ, that is, its functionality is affected by the hormonal background in the male body.The essence of hormonal therapy is taking antiandrogen drugs that reduce the amount of male sex hormones in the patient's body.This helps reduce inflammation and the amount of glandular tissue in the prostate.
We have listed the main drugs that are best used for the treatment of prostatitis at the current stage of medical development.Keep in mind that you should always consult your doctor before purchasing them.