Is there an effective cure for prostatitis?Medicines for the treatment of any type of prostatitis in men, which medicines form the basis of choice?Prostate inflammation can affect a man at any age, therefore, prostate treatment medications are used to treat acute and chronic pathologies.The feasibility of prescriptions and their use is assessed only by the 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.Special diet, physical therapy and exercises take up the major part in treating this disease.Don't forget that.
Rational antibacterial therapy
The most common reason why prostatitis occurs is the penetration of pathogenic bacteria into the gland.This is why antibiotics are the medications of choice for treating 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 bacterial culture, narrow-spectrum drugs (against the corresponding pathogen) are prescribed.If the pathogenic microorganism is not identified, which happens quite often, treatment is continued with the same broad-spectrum antibiotic, provided that there is positive dynamics during use.In exceptional cases, the antibiotic is replaced by another empirically (based on the doctor's own experience).
Let's look at which lists of medications (antibiotics) for the treatment of prostatitis in men are considered effective.
Fluoroquinolones
These are broad-spectrum medications with a high ability to accumulate directly in prostate tissue in men.Due to this property, they are highly effective in treating 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, tremor.
- Possible allergic reaction - itching, rash, Quincke's edema.
It is prohibited to prescribe fluoroquinolones for the treatment of severe cerebral atherosclerosis, deficiency of an enzyme such as glucose-6-phosphate dehydrogenase and allergic reactions to drug components.
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 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 from this group, as well as fluoroquinolones, penetrate well and accumulate in the prostate gland of men.This is the least toxic group of antibiotics, better than other medicines, as 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 antimicrobials are prescribed for treatment individually for each patient, taking into account many factors.Let's take a look at them:
- The pathogen that caused the disease.
- Form (chronic or acute) and severity of the pathology.
- Presence of contraindications for the patient.
- Side effects.
- Bioavailability of antibacterial drugs in prostate tissue.
- The method of entry of the medicine into the patient's body.
Do not try to treat prostatitis yourself, as this may 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 with another group.
Symptomatic and pathogenetic therapy
This type of treatment of prostatitis in men with medication improves the patient's quality of life and increases the speed of recovery by eliminating the symptoms of the disease.Includes the following:
- Alpha-adrenergic blockers.Medicines in this group are necessarily used in the complex treatment of prostatitis in men to facilitate urination, prevent stagnation of gland secretions and their reverse reflux.Its action is to relieve spasm of the smooth muscles of the prostate, bladder and ureteral walls.They are also used for prostate adenoma.
- Nonsteroidal anti-inflammatory drugs (NSAIDs).NSAIDs help reduce inflammation in glandular tissue, thereby improving urination and eliminating stagnation of secretions.They also eliminate pain.
- Hormonal drugs.The prostate is a hormone-dependent organ, that is, its functionality is influenced by the hormonal background of the male body.The essence of hormone therapy is taking antiandrogenic medications 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 list the main medications most used to treat prostatitis at the current stage of medical development.Remember that you should always consult your doctor before purchasing them.