Is there an effective cure for prostatitis?Medicines for the treatment of any type of prostatitis in men, what drugs form 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 both 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 occupy the lion's share in the treatment of this disease.Don't forget this.
Rational antibacterial therapy
The most common reason why prostatitis occurs is the penetration of pathogenic bacteria into the gland.That is why antibiotics are the drugs of choice for the treatment of acute and chronic prostatitis in men.
First of all, to treat prostatitis, broad-spectrum medications are prescribed, and after obtaining the results of bacterial culture, narrow-spectrum medications are prescribed (against the corresponding pathogen).If the pathogenic microorganism is not identified, which happens quite often, treatment is continued with the same broad-spectrum antibiotic, provided there are positive dynamics while taking it.In exceptional cases, the antibiotic is replaced with another empirically (based on the doctor’s own experience).
Let's look at what lists of medications (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 the prostate tissue in men.Because of this property, they are highly effective for treating prostatitis.
But, despite this, these antibiotics are prescribed for 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 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 the treatment of the prostate 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 predominantly bacteriostatic effect.They show good activity against gram-positive bacteria and intracellular parasites (chlamydia, legionella, mycoplasma).
Criteria for choosing 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.
- 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 drug entry 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 medications 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 in 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 reverse reflux.Their 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 the gland 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 in the male body.The essence of hormonal therapy is to take 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 medications that are best used to treat prostatitis at the present stage of medical development.Remember that you should always consult your doctor before purchasing them.