Is there an effective cure for prostatitis?Drugs for the treatment of any type of prostatitis in men, what drugs are the basis of the choice?Inflammation of the prostate gland can strike 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 use is assessed only by a urologist after a detailed examination of the patient and diagnostic measures.
But above all, remember that in addition to the drugs described below, prostatitis in men should be treated comprehensively.Special diet, physical therapy and exercise play the lion's share 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 receiving the results of the bacterial culture, narrow-spectrum drugs (against the relevant pathogen) are prescribed.If the pathogenic microorganism is not identified, which happens quite often, the treatment continues with the same broad-spectrum antibiotic, provided there are positive dynamics during admission.In exceptional cases, the antibiotic is replaced by another empirically (based on the doctor's own experience).
Let's look at what lists 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.Thanks to this property, they are very effective in the treatment of prostatitis.
But nevertheless, these antibiotics are prescribed to men with caution, as they have the following side effects:
- From the gastrointestinal tract - heartburn, epigastric pain, nausea, diarrhea, vomiting.
- From the side of the central nervous system - ototoxicity, insomnia, drowsiness, dizziness, headache, convulsions, paresthesia, tremor.
- Possible allergic reaction - itching, rash, Quincke's edema.
It is forbidden to prescribe fluoroquinolones for the treatment of severe cerebral atherosclerosis, deficiency of an enzyme such as glucose-6-phosphate dehydrogenase and allergic reactions to the components of the drug.
Tetracyclines and macrolides
These are broad-spectrum antibiotics, but it should be borne in mind that such drugs have low activity against staphylococci, Pseudomonas aeruginosa and Escherichia coli.
Most side effects of taking tetracyclines 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 gland in men.This is the most non-toxic group of antibiotics, which is better than other drugs because it has few side effects.
Macrolides mainly have a 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 pathogen 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 lead to resistance of the pathogenic flora that caused the disease to antimicrobial agents.If there is no positive effect of treatment with antibacterial agents within 3 days, they should be replaced with another group.
Symptomatic and pathogenetic therapy
This type of treatment of prostatitis in men with drugs improves the patient's quality of life and increases the speed of recovery by eliminating the symptoms of the disease.It includes the following:
- Alpha adrenergic blockers.Medicines from this group are necessarily used in the complex treatment of prostatitis in men to facilitate urination, to prevent stagnation of secretions in the gland and its reverse reflux.Their action is to relieve the spasm of the smooth muscles of the prostate, bladder and ureter walls.They are also used for prostate adenoma.
- Nonsteroidal anti-inflammatory drugs (NSAIDs).NSAIDs help to reduce inflammation in the tissue of the gland, thereby improving urination and eliminating stagnation of secretions.They also relieve pain.
- Hormonal drugs.The prostate is a hormone-dependent organ, that is, its functionality is influenced by the hormonal background in the male body.The essence of hormone 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 modern stage of development of medicine.Remember that you should always consult your doctor before purchasing them.