Is there an effective cure for prostatitis?Medicines for the treatment of any type of prostatitis in men, which medicines are the basis of choice?Inflammation of the prostate gland can strike a man at any age, so medications for the treatment of the prostate are used to treat acute and chronic pathologies.The feasibility of prescriptions and their use is assessed only by a urologist after a detailed examination of the patient and diagnostic measures.
But first of all, remember that in addition to the medications described below, prostatitis in men must be treated comprehensively.A special diet, physiotherapy and exercises take the lion's share in the treatment of this disease.Don't forget this.
Rational antibacterial therapy
The most common reason why prostatitis appears is the penetration of pathogenic bacteria into the gland.This 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 is continued with the same broad-spectrum antibiotic, provided that there are positive dynamics during its reception.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 prostate tissue in men.Due to this property, they are very effective for the treatment of prostatitis.
But, despite this, 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, tremors.
- Possible allergic reaction - itching, rash, Quincke's edema.
It is forbidden to prescribe fluoroquinolones for the treatment of severe cerebral atherosclerosis, lack of an enzyme such as glucose-6-phosphate dehydrogenase, and allergic reactions to the drug's components.
Tetracyclines and macrolides
These are broad-spectrum antibiotics, but it should be borne in mind that such drugs have low activity against staphylococcus, Pseudomonas aeruginosa and Escherichia coli.
Most of the side effects from taking tetracyclines are associated with 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 in that it has few side effects.
Macrolides have a mainly bacteriostatic effect.They show good activity against gram-positive bacteria and intracellular parasites (chlamydia, legionella, mycoplasma).
Criteria for the selection of 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.
- The form (chronic or acute) and the severity of the pathology.
- The presence of contraindications for the patient.
- Side effects.
- Bioavailability of antibacterial drugs in prostate tissue.
- The method of drug entry into 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 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 of 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 spasm of the smooth muscles of the walls of the prostate, bladder and ureter.They are also used for prostate adenoma.
- Nonsteroidal anti-inflammatory drugs (NSAIDs).NSAIDs help reduce inflammation in the glandular tissue, thus improving urination and eliminating secretion stagnation.They also eliminate 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 current stage of medical development.Remember that you should always consult your doctor before buying them.