The problem of treating prostatitis is particularly topical in modern medicine, as this pathology affects a very large proportion of men of reproductive age. If a few years ago the various inflammatory diseases of the prostate were considered exclusively a disease of the elderly, now urologists declare a rapid "rejuvenation" of the disease, their patients are increasingly men aged 30 or even 20 years. Let’s examine in more detail the main groups of drugs used to treat prostatitis in different forms and stages of the disease. Determine which drug is most effective and affordable.
Let's look at the tools we've tested in practice.
Antibiotics
The arsenal of anti-inflammatory drugs is very wide, doctors have long learned to treat this disease using a variety of drugs to treat inflammation of the prostate, and pharmacological treatment of prostatitis plays a key role in the fight against male disease.
The best anti-inflammatory drugs are, of course, antibiotics, but the doctor always recommends a comprehensive examination to patients before prescribing.
The list of antibiotics for the treatment of prostatitis is very extensive, used only for infectious forms of acute and chronic prostatitis, which are diagnosed on the basis of laboratory tests.
Each treatment has its own characteristics and the choice of a particular drug is determined by a number of factors:
- Which pathogenic microorganism caused the inflammation of the prostate gland?
- How long the disease lasts and what symptoms it has.
- How does the patient respond to a particular medication?
- How active the antibiotic is against the infectious agent.
- What are the causes of inflammation.
Antibiotics are manufactured by the pharmaceutical industry in a variety of dosage forms: ampoules for intravenous and intramuscular injections, powders for the manufacture of suspensions and solutions for intravenous infusion, tablets and suppositories. Patients particularly prefer the latter two forms as they can be taken at home. The dose of the drug is chosen to create the maximum appropriate concentration in the body and a particular focus on inflammation.
Antibiotics, as drugs used to treat infectious chronic prostatitis, certainly play a key role in therapy, but when evaluating their effectiveness, the pathogen's microflora responds to a particular drug and the level of drug concentration in the prostate.
Treatment of infectious prostatitis with antibiotics takes an average of two weeks to one month, if laboratory tests do not show positive dynamics, the drug should be changed and a different treatment regimen should be used. The question of what type of antibiotics to treat in a patient is decided by only one urologist after a thorough examination, taking into account the patient’s individual reactions to a particular drug.
Depending on the nature of the pathogen and the extent of the effect of the pathogen on the microflora, doctors prescribe anti-inflammatory antibiotics for different groups in the treatment of acute and chronic prostatitis and in relapses:
- Fluoroquinols.
- Macrolides.
- Cephalosporins.
- Tetracycline.
- Levomycetinaceae.
- Penicillin.
The complex treatment of infectious prostatitis necessarily involves fluoroquinolols, which are the latest advances in modern pharmacology. They belong to a new generation of antibiotics and have a wide range of effects on infectious agents. These funds are used to treat infectious acute and chronic prostatitis when the symptoms of the disease in men are confirmed by laboratory tests.
Drugs in this group are absorbed very quickly into the gastrointestinal tract and easily penetrate the cells of the prostate gland. The efficiency of fluoroquinolones, including the elimination of microorganisms, ranges from 60 to 90%.
Non-steroidal anti-inflammatory drugs
Drugs belonging to the group of non-steroidal anti-inflammatory drugs (NSAIDs) are actively used in the treatment of acute and chronic non-infectious prostatitis. NSAIDs can significantly relieve not only inflammation but also pain. The dosage forms in which these drugs are prepared vary: they may be ampoules, tablets or suppositories.
Men can use pills and suppositories at home, but only your doctor can determine which medications and which regimen to use. This is especially important to explain to the patient, as the Internet is full of recipes for the independent treatment of prostatitis, and the uncontrolled use of nonsteroidal anti-inflammatory drugs can have extremely negative consequences for the male body.
Medications for the treatment of prostatitis in this group should be used with caution as they have a number of contraindications, including for men. It should not be prescribed to patients who have problems with the work of the gastrointestinal tract, especially in the case of gastric ulcer and liver and kidney disease.
Alpha blockers
Medical treatment for prostatitis is not only aimed at treating inflammation in men, but also at relieving the symptoms that accompany the disease. Drugs for prostatitis that have this effect are called the second line of treatment. Alpha-blockers act on receptors on the nerve endings in the muscles of the prostate gland, which cause urethral and bladder spasms when the prostate is inflamed. These cramps interfere with men’s normal urination and cause difficulty and pain in the flow of urine, which are the main symptoms of the disease. Alpha-blockers are not able to treat prostatitis on their own, but they are involved in complex therapy, significantly reducing the risk of disease recurrence in men.
There are two types of alpha-blockers:
- Selective.
- Not selective.
Selective drugs are most effective in treating prostatitis because they have minimal side effects. The therapeutic effect of the drugs does not appear immediately, a noticeable improvement in the condition of men can be seen about two weeks after starting the drug.
These medications help relieve unpleasant symptoms, soften the urethral muscles, and normalize the urination process, but do not cause tachycardia in men.
In therapy with alpha-blockers, it is very important to determine the correct therapeutic dose, as exceeding the dose of the drug can cause side effects on the cardiovascular system and kidney function.
Hormone therapy
Medicines prescribed by a urologist for the treatment of prostatitis may also contain hormonal drugs if appropriate. Hormone therapy can be aimed at both relieving inflammatory symptoms and restoring erectile function in men. It is necessary to treat inflammation of the prostate gland with hormones, taking into account all the possible side effects of which these drugs are very many. Symptoms of prostatitis promote the release of adrenal hormones, which also accelerate the healing process of damaged tissues.
Treatment with hormones should specifically affect the prostate without affecting other organs and should not alter the hormonal background of the male body as a whole. For this, the drugs are administered by electrophoresis. Male hormones to restore and stimulate erectile function are strictly reasonable indications for the treatment of prostatitis, as anti-prostatitis drugs in the form of hormones can stop the body from producing on its own, eventually leading to pharmacological castration. It is absolutely impossible to treat prostatitis with hormones without a doctor’s prescription and without all the necessary studies being done, this can have irreversible consequences for men.
Anticonvulsants
Anticonvulsants or muscle relaxants are not stand-alone methods for treating acute or chronic prostatitis, but are part of a complex of therapeutic agents to reduce pelvic floor muscle tone. The medications relieve pain in the perineum and pelvis, improve blood circulation to the prostate, and stimulate the outflow of secretions.
Prepare other groups
There are many types of drugs for prostatitis that are part of a complex treatment regimen. Thus, vitamins and micronutrients play a very important role in the patient’s healing process, which enhances immunity as the body weakened by inflammation and infection needs additional protective equipment. For these purposes, doctors most often prescribe vitamin complexes.
Analgesics are prescribed to relieve the pain of prostatitis. These drugs are taken in the form of tablets, but a much greater analgesic effect is observed with the use of microclickers and suppositories.
suppositories are actively used as part of a complex therapy, this anti-prostatitis drug is very popular among patients as it allows for rapid pain relief. Suppositories are not independent treatment methods, they are only used as a supplement to the main course. The composition of rectal suppositories may include anti-inflammatory drugs, analgesics, relief of symptoms of hemorrhoids. For patients, the most commonly used suppositories are belladonna, as they provide the fastest pain in the pelvic and perineal region.
In addition to the usual forms, anti-prostatitis drugs can be of plant origin. Homeopathic medicines are becoming more and more popular among doctors and patients because they have minimal side effects and are well tolerated by patients. Various homeopathic drops of prostatitis, which are used to alleviate prostatitis and are also used for prophylactic purposes, are widely represented in the modern pharmaceutical market.
Despite the small number of side effects, the drops should not be used without a doctor's prescription. It should also be recalled that homeopathy can only be treated with other anti-inflammatory drugs.
It is impossible to single out the best medicine for prostatitis, each with its own specificity and focus. It is impossible to completely cure this disease with a single drug, only complex treatment, including drug therapy, physiotherapy and other effective treatments, will lead to the desired result.