Is there an effective way to treat prostatitis?Medicines to treat prostatitis in men, which medicine is the basis of choice?Prostatitis can strike men of any age, so prostate medications are used to treat both acute and chronic conditions.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 drugs described below, prostatitis in men must be treated comprehensively.A special diet, physical therapy and exercise play an important role in the treatment of this disease.Don't forget this.
Appropriate antibacterial therapy
The most common reason why prostatitis occurs is the penetration of pathogenic bacteria into the gland.That's why antibiotics are the drugs of choice for treating acute and chronic prostatitis in men.
First of all, to treat prostatitis, broad-spectrum drugs are prescribed, and after the results of bacterial cultures are obtained, narrow-spectrum drugs (against the corresponding pathogen) are prescribed.If the causative microorganism cannot be identified, which happens quite often, treatment is continued with the same broad-spectrum antibiotic, provided that there is a positive dynamic while taking the drug.In special cases, this antibiotic is replaced by another empirical antibiotic (based on the doctor's own experience).
Let's look at the list of drugs (antibiotics) for the treatment of prostatitis in men that are considered effective.
Fluoroquinolone
These are drugs with a broad spectrum of action, with a high ability to directly accumulate in prostate tissue in men.Because of this property, they are highly effective in treating prostatitis.
However, despite this, these antibiotics are prescribed to men with caution because they have the following side effects:
- From the digestive tract - heartburn, epigastric pain, nausea, diarrhea, vomiting.
- From the side of the central nervous system - ototoxicity, insomnia, drowsiness, dizziness, headache, convulsions, paresthesias, tremors.
- Allergic reactions may occur - itching, rash, Quincke's edema.
It is forbidden to prescribe fluoroquinolone for the treatment of severe cerebral atherosclerosis, deficiency of enzymes such as glucose-6-phosphate dehydrogenase and allergic reactions to drug components.
Tetracycline and macrolides
These are broad-spectrum antibiotics, but it should be noted that these drugs have low activity against staphylococcus, Pseudomonas aeruginosa and Escherichia coli.
Most side effects when taking tetracycline are related to digestive disorders - nausea, vomiting, heartburn.In large doses, these antibiotics are toxic to the liver and kidneys.
Antibacterial agents for the treatment of the prostate belong to this group, as well as fluoroquinolones, which penetrate well and accumulate in the prostate in men.This is the most non-toxic group of antibiotics, better than other drugs in that they have few side effects.
Macrolides have a primarily bacteriostatic effect.They show good activity against gram-positive bacteria and intracellular parasites (chlamydia, Legionella, Mycoplasma).
Criteria for selecting antibacterial agents
Remember that antimicrobials are prescribed for individual treatment of each patient, taking into account various factors.Let's take a closer look at them:
- Pathogens.
- Form (chronic or acute) and severity of pathology.
- Presence of contraindications for the patient.
- Side effects.
- Bioavailability of antibacterial drugs in prostate tissue.
- Method of delivering drugs into the patient's body.
Do not try to treat prostatitis yourself, as this can harm you and cause the pathogenic microflora to become resistant to antibiotics.If there is no positive effect when treated with antibacterial drugs within 3 days, it must be replaced with another group.
Treatment of symptoms and pathogenesis
This type of drug treatment of prostatitis in men improves the patient's quality of life and speeds up recovery by eliminating the symptoms of the disease.It includes the following:
- Alpha adrenergic blockers.Drugs from this group are necessarily used in the complex treatment of prostatitis in men to facilitate urination, prevent stagnation of secretions in the gland and its reflux.Their action is to relieve spasms of the smooth muscles of the prostate, bladder and ureteral walls.They are also used for prostate tumors.
- Nonsteroidal anti-inflammatory drugs (NSAIDs).NSAIDs help reduce inflammation in glandular tissue, thereby improving urination and eliminating secretion stasis.They also eliminate pain.
- Hormonal drugs.The prostate is a hormone-dependent organ, that is, its function is influenced by the hormonal background in the male body.The essence of hormonal therapy is to use anti-androgen drugs to 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 to treat prostatitis at the current stage of medical development.Remember that you should always consult your doctor before purchasing them.