Inflammation of the prostate gland is a complex, but treatable disease. When the first symptoms appear, you should immediately consult a doctor, as 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 some 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 nonbacterial prostatitis when the disease is permanent.
For the treatment of the prostate gland, a complex technique is used and several drugs belonging to different groups are prescribed depending on 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;
- hormonal and antihistamines;
- vitamin and mineral complexes;
- anticholinergic drugs.
All appointments are made by a urologist based on the results of tests and examinations. Treatment includes:
- cessation of inflammatory processes;
- relief from the patient's well-being;
- elimination of the causes due to which the disease developed.
As a rule, complex drug therapy is used, including several types of drugs, the details of which are presented in the table.
| Variety of drugs | Description | Scope |
|---|---|---|
| Antibiotics | Kill gram-negative and gram-positive bacteria that cause 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 an 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 low, 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 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 resulting from 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, convulsions 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. |
| Painkillers | Analgesics that relieve pain syndromes cause relief. The pain subsides for a while. | Downloaded for pain relief, different places, characterized as unbearable. |
| Plant-based tablets | They consist of natural substances of vegetable or animal origin. | They are used as additional medicines and for prophylactic purposes. |
Each group of drugs is described in detail below, however, it should be borne in mind that this information is for informational purposes only, any appointments are made by a urologist and the 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 a certain course of the abacterial inflammation of the prostate, the attending physician can decide on their appointment. Predominantly 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 ineffective to treat acute prostatitis without the use of antibiotics, as this disease is often caused by bacterial infections. The use of this group of drugs allows you to bring 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 expressed of the gonads, against the background of an increase in leukocytes in the secret. The course of treatment is longer, it can last 6-8 weeks. The choice of drug should be based on the indications of the antibiogram.
With asymptomatic prostatitis, antibiotics are prescribed only according to indications:
- infertility;
- 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?
Prostate inflammation is a serious disease, as a result of which the body's protective functions are significantly weakened. Especially in the case of chronic prostatitis, when the immune system is working to its limit. Preparations that stimulate its work significantly accelerate the healing process, regardless of the type and form of prostatitis. They work effectively in case of viral damage, when antibiotics are powerless.
Incorrect prescribing of immunostimulants can adversely affect the patient's health, so 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 cannot last more than two weeks. You cannot take two types of immunomodulators at the same time that have a similar effect.
For categories such as viral and allergic prostatitis, as well as diseases resulting from an attack on the body of protozoa and helminths, accompanied by a sharp and inevitable decrease in immunity, the choice and use of immunostimulating drugs is essential 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 increased tone of the muscle tissues of the genitourinary system. To remove this problem, you need to relax your muscles. For this purpose, alpha-adrenergic blockers are used, which block the release of adrenaline, smooth out muscle tissue by acting on the receptors in 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, smooth muscles of the prostate gland. As a result, the symptoms, manifested in the form of frequent and painful urination, are reduced.
The effectiveness of the drugs is 48-80%, after taking it:
- the urine outflow process is normalized;
- pain decreases;
- sexual desire returns;
- stagnation of blood in the pelvis stops;
- reduced benign hyperplasia.
Medicines of this group are used not only in urology, they 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 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 you to speed up the time for which you can cure the patient. They are especially needed for patients suffering from 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 the drug with other medicines.
Attention! The decision to link alpha blockers to therapy can only be made by the treating physician.
Nonsteroidal anti-inflammatory drugs (NSAIDs)
These drugs relieve inflammation, reduce the temperature and neutralize pain, are considered exclusively 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 flow of the glandular tissue is restored;
- calms pain and stops spasms;
- the temperature decreases, the feverish state ceases.
The appointment is made by the attending physician, in emergency cases, for example, a single independent appointment. Without complex drug treatment, these drugs, when used without a prescription, will only worsen the state of health.
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. If you feel any discomfort and discomfort caused by the use of the drug, consult a doctor immediately. The most popular in the treatment of urological diseases are drugs based on ibuprofen, ketoprofen, diclofenac, as they have the least amount of 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 ranking of popularity 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, as it affects the affected area directly. The leading positions are occupied by novocaine preparations, however, their independent use is unacceptable, since an accurate calculation of the dosage is required, 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 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 often, as this can easily lead to complications. Single reception justified to relieve unbearable pain.
Do I have to 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 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 no harm to the body. However, their reception should be coordinated with the attending urologist.
To achieve the effect, herbal preparations need to 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 requiring surgical treatment and even become the cause of oncology.
Prevention with herbal preparations
The use of herbal preparations in any form is justified when used solely as an adjunct. Good results are obtained when homeopathy is used for prevention and as a home remedy after receiving a full course of medical treatment.
Herbal preparations have the following properties:
- Uroseptic effect, they have tablets and herbal teas with tansy, centaury, bearberry. Thanks to them, the tissues of the prostate gland are cleared of bacteria, viruses and toxins arising from their vital activity.
- Suppressive inflammatory processes in the prostate gland. For the manufacture of used calendula, yarrow, bearberry, St. John's wort and sage.
- Improvement of blood circulation and elimination of congestion in the prostate is achieved with compresses based on sweet chestnuts and clover.
- Maintaining 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, dietary supplements, herbal preparations - tablets, suppositories, herbal preparations. They are 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 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 performed in a clinic or in sanatoriums.