Treatment of progressive prostatitis - both chronic and acute - is a complex measure that requires parallel use of many different drugs.
Each specific case will make a list of necessary drugs, depending on the patient's history, the course of the disease and a number of other important factors.
The selection of inexpensive but effective drugs for prostatitis is based on an understanding of the cause and manifestation of the disease, however, antibiotics and anti-inflammatory drugs should be considered. are the key aspects in any drug list. Furthermore, if the latter may be of a general nature, antibiotic therapy should be prescribed, taking into account its effect on a particular pathogen as determined by the results of the analysis.
In addition, prostate anti-inflammatory drugs such as antipyretics, pain relievers, diuretics, alpha blockers, antispasmodics, anti-hormonal drugs, and laxatives may be used.
Modern drugs can be classified not only according to their intended purpose but also according to the form of release:
- injection (injection):for the treatment of prostatitis with injections is justified, first of all, in the case of a serious condition, it is necessary to stabilize immediately. As a rule, concentrated drugs in ampoules are diluted to obtain a solution, after which they are prescribed for intramuscular or intravenous infusion;
- suppositories: drug in suppository form is associated with conventional treatment for chronic prostatitis or for the prevention of prostatitis. In some cases, suppositories are prescribed for increased potency, since the absorption of this substance by the intestinal mucosa ensures better penetration of prostate tissue;
- Tablets and Capsules:These types of drugs are most common in the standard treatment regimen for acute or chronic prostatitis. The tablets are easy to dose and convenient to take, so most antibiotics, anti-inflammatory and decongestants (alpha blockers or 5-alpha-reductase inhibitors) are made in this form;
- Drops:This is not a commonly used treatment for prostatitis, the essence of which is to use a special syringe to administer the solution. fluid into the urethra or bladder. The main purpose of instillation is to restore damaged mucous membranes, destroy pathogenic microflora and suppress inflammatory processes;
- microclysters:Cryotherapy reduces local edema, inflammation and pain in the prostate gland, while also reducing drug transport in its tissues. At the end of therapy and after recovery, it is possible to conduct microbial therapies with solutions based on herbal preparations. With a long enough retention of fluid in the intestine, its mucous membranes will absorb useful substances; The
- :skin patch, like microchips, refers to adjuvant remedies in the treatment of prostate glands, and rather helps the body andComplementary to formal drug therapy.
When choosing the dosage form of the drug, one should also take into account the patient's condition, his or her preferences.
Some patients have difficulty swallowing the drug, while others are contraindicated to rectal suppositories due to inflammatory diseases in the anal rectal area.
Factors like drug availability and cost also play an important role - it's not always possible to find a quick-acting and inexpensive drug for prostatitis, that isThat is why you must take the same less effective drugs.
The choice of an antibiotic requires a selective approach, since it is important to choose a drug that blocks a specific type (or types) of pathogen of prostatitis. Why do doctors examine urethral specimens, test urine and collect prostate secretions?
It is highly desirable to use an antibacterial antibiotic that has a bacteriostatic and bactericidal effect, so that the drug not only prevents the spread of infection but also actively kills dangerous microorganisms.
Beta-lactam antibiotics, like aminoglycosides, are less popular, although they are cheap. Unlike fluoroquinolones and macrolides, they are characterized by a weak ability to penetrate the tissues of the prostate gland and create the required concentration of the active substance in them.
Fluoroquinolones is a powerful bactericidal agent that outperforms the bacteriostatic agent.
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 to block their exposure. with norepinephrine and adrenergic agonists. As a result, the receptors in the vessels do not receive the vasoconstrictor nerve signal, so their dilation is achieved with a subsequent improvement in blood circulation.
It should be noted that selective alpha1 blockers are actively used in urology, acting on receptors in the tissues of the bladder, prostate and urinary tract.
Reducing tissue swelling not only improves urinary condition but also firm the entire male genitourinary system, eliminating impotence and reducing erection.
Prostatitis in men treated with nonsteroidal anti-inflammatory drugs (NSAIDs / NSAIDs) fulfills requirements for efficacy but at the same time being safe for the body.
The purpose of these medications is to prevent inflammation from affecting the prostate gland and possibly the seminal vesicles, bladder neck, and distal urinary tract.
After reducing the clinical severity of prostatitis, the patient's condition is normalized, including a decrease in body temperature, a decrease in swelling of the prostate gland, elimination of urinary tract obstruction, andRelieve pain in the anal genital area.
Hormonal drugs are only allowed in the treatment of prostatitis in cases where the disease progresses to a chronic stage, in which antibiotics, alpha blockers and anti-inflammatory drugs cannot normalize the endocrine backgroundbe disturbed.
Depending on the goal, the patient may be prescribed both androgens, which increase the level of male hormones (testosterone) in the blood and estrogen, block the production of dihydrotestosterone, stimulate proliferation ofprostate tissue.
All hormonal drugs are strictly prescribed and should only be used as directed by your healthcare professional, as inaccurate or untimely dosage can be harmful. for the patient's health.
Complicated course of acute prostatitis, exacerbated by the development of immunosuppression, may be exacerbated by certain antibiotics and other drugs. For this reason, it is necessary to strengthen the body's resistance (resistance) in relation to pathogenic microflora, which is carried out with the help of immunostimulants.
There are different drugs of this type.
Don't forget that vitamins A, C and E also contribute to boosting the immune system, so experts recommend actively consuming products containing these substances in large quantities.
Pain relievers are often needed in the early stages of treatment, there is no time to improve the function of the prostate gland, causing pain when urinating, defecating, or sitting. long on hard surfaces or physical activity.
A medium pain reliever, prescribed one to three times a day, is usually sufficient.
These funds have many generics and they are manufactured by many companies, but doctors advise not to pay too much for the brand.
From the muscle relaxant in urology, people often prescribe an antispasmodic - which relaxes smooth muscles during contractions. This therapy is effective in the acute phase of prostatitis, causing involuntary spasms of the muscles of the prostate gland and the entire pelvic floor.
The use of an antispasmodic drug of course is not necessary: it is only necessary to take in a moderate dose during the first days or weeks of general therapy. In addition, these drugs should not be misused in order to avoid the risk of dysfunction of the concerned organs and the body system.
Herbal medications prescribed for prostatitis are usually supplements that are made in the form of rectal suppositories, capsules, or tablets.
The common extracts that make up the basis of such preparations are the bark of the African plum, the fruit of the climbing palm (or dwarf tree), and the herb of the tribulus tree. Slightly less commonly used is an extract from an animal (cattle) prostate gland.
There is also a class of drugs such as homeopathic drugs for the treatment of prostatitis.
For the prevention of prostatitis
Prevention of prostatitis first of all requires a healthy lifestyle, including regular sexual activity. But in order to maintain the tone, different preparations can also be used - as a rule, we are talking about plant-based supplements.
Because the manufacturers of these supplements claim that they have the ability to help weaken libido, impotence, erectile dysfunction and other disorders in the work of the reproductive system. For men, they should be cautious as a preventive measure for prostatitis.
Keep in mind that many of these capsules and tablets are an aphrodisiac, not suitable in some cases.