Inflammation of the prostate is a problem for many men over the age of 40. Often this disease becomes chronic. This is due to the neglect of the pathology, as men rarely see a doctor when the first symptoms appear. In addition, prostatitis becomes chronic due to the effect of negative factors. At this stage, various medications are prescribed for the treatment of chronic prostatitis in men, as the therapy must be long and complex.
But in order for remission to last longer in a disease, a person must not only take all the prescribed medications for treatment, but also lead a healthy lifestyle and follow the diet prescribed by the treating physician.
Factors that cause and exacerbate prostatitis include:
- alcohol consumption;
- smoking;
- sedentary lifestyle;
- infectious and viral diseases;
- incorrect diet.
Chronic prostatitis
Many men do not understand how harmful this disease is to their bodies. If you do not receive medical treatment in time, chronic prostatitis can be complicated. These complications include:
- prostate abscess;
- formation of cysts and stones in the prostate that can only be treated with surgery;
- vesiculitis. In this disease, inflammation of the bladders occurs;
- prostate sclerosis is the most common cause of untreated prostatitis, and this complication is treated only during surgery;
- impotence;
- infertility;
- and sometimes even prostate cancer.
The symptoms and treatment of these complications vary, but these pathologies are severe. Most often, these complications are treated with surgery.
All complications can be prevented by regular visits to the urologist and proctologist. In particular, men over the age of 45 should see a doctor once a year. And perform laboratory tests (general and PSA concentration).
Medications for chronic prostatitis
How to treat prostatitis? There are many drugs needed to treat chronic prostatitis because prostatitis cannot be treated with a single drug. Complex therapy includes antibiotics, anti-inflammatory drugs, antispasmodics. Taking vitamin and immune boosting drugs is also very important.
Antibacterial drugs
In the case of chronic prostatitis, which groups of drugs are prescribed depends on the reasons for its occurrence. If the infectious nature of the disease is identified, the main components of therapy will be antibacterial drugs. They are usually selected for a variety of activities, but sometimes others are appointed. The duration of exacerbation of chronic prostatitis depends on the severity of its manifestation. Taking antibiotics can take up to 14 days or even 3 months.
Prescriptions can be completely different, as appropriate laboratory tests for sensitivity to these drugs are performed prior to discussion. Antibiotics are most often prescribed in the form of injections, less often tablets. Because these drugs are much faster and more effective in the form of injections.
In acute inflammation, drugs from several groups are sometimes prescribed.
Immunomodulators and immunostimulants
In case of chronic prostatitis caused by infection, immunomodulators should simply be taken. These drugs are taken in combination with antibiotics as they help the active ingredient to better penetrate the inflammatory focus and also restore the balance of the components of the immune system, allowing the body’s own body to actively fight inflammation. In addition, in the case of chronic prostatitis, it is recommended that these drugs be taken twice a year as a precaution.
This type of medication should only be prescribed by a doctor, as incorrect dosing and prolonged use of immunomodulators can lead to the opposite effect, namely a chronic decrease in immunity. These medicines are available as solutions for injection and suppositories. Most often, during the exacerbation period, a course of 5-10 days is prescribed in the form of injections, followed by a gradual transition to the suppositories.
Anti-inflammatory drugs
Non-steroidal anti-inflammatory drugs are prescribed to quickly relieve discomfort as they reduce inflammation and swelling. This eliminates the pain.
Especially in acute cases, these drugs are ineffective and then prescribe hormonal drugs. Sometimes hormonal anti-inflammatory drugs are used in physiotherapy procedures, namely during electrophoresis, so they act locally on the prostate. In this case, the hormonal drug has no general effect on the body.
Alpha blockers
This type of medication is increasingly prescribed for chronic prostatitis today. Alpha-blockers act on the bladder and prostate gland, namely their receptors. Therefore, they relax the muscles, thereby making it easier to urinate. This means that the pain disappears during urination.
But these drugs affect blood pressure indicators, alpha-blockers reduce it. Contraindicated in people with severe hypotension. This combination has dangerous consequences.
Anticonvulsants
Severe perineum pain is common in exacerbations of chronic prostatitis. In this case, cramps in the striated muscles occur. This means that antispasmodics and muscle relaxants are needed.
General tonic and tonic medications
This group includes drugs that are prescribed to improve gland function. And they must necessarily be prescribed as part of the main drug therapy.
Topical preparations
Topical medications for the treatment of chronic prostatitis are particularly effective. In prostatitis, these are rectal suppositories. In this form, pharmacological companies produce anticonvulsants, antibiotics, non-steroidal anti-inflammatory drugs. The use of drugs in such a dosage form is possible both in the acute course of the disease and in other cases, such as after surgery.
Both suppositories and rectally administered ointments are quite effective as they act directly on the prostate. When they enter the rectum, they are absorbed into its walls, and the prostate is just adjacent to the back wall of the intestine. In addition, such drugs for the treatment of prostatitis do not cross the whole body and the liver, where part of the drug is metabolized.
It is important to note that it is forbidden to prescribe such candles and ointments alone. Because high concentrations of the drug are absorbed in the gland and if used incorrectly, overdose and complications can occur at the wrong dose.