Is there an effective cure for prostatitis?Drugs for the treatment of any type of prostatitis in men, which drugs form the basis of choice?Inflammation of the prostate can affect a man at any age, so drugs to treat the prostate are used to treat both acute and chronic diseases.The feasibility of prescriptions and their application is assessed only by a urologist after a detailed examination of the patient and diagnostic measures.
But first, remember that prostatitis in men requires comprehensive treatment in addition to the medications described below.A special diet, physiotherapy and exercises take the lion's share in the treatment of this disease.Don't forget that.
Rational antibacterial therapy
The most common reason for the occurrence of prostatitis is the penetration of pathogenic bacteria into the gland.That is why antibiotics are the treatment of choice for treating acute and chronic prostatitis in men.
To treat prostatitis, broad-spectrum drugs are initially prescribed, and after receiving the results of bacterial culture, narrow-spectrum drugs (against the corresponding pathogen).If the pathogenic microorganism is not identified, which often happens, treatment continues with the same broad-spectrum antibiotic, provided that there is positive dynamics when taking it.In exceptional cases, the antibiotic is replaced with another empirically (based on the doctor's own experience).
Let's look at which lists of drugs (antibiotics) are considered effective for the treatment of prostatitis in men.
Fluoroquinolones
These are broad-spectrum drugs that can accumulate directly in the prostate tissue of men.Due to this property, they are extremely effective in treating prostatitis.
Nevertheless, these antibiotics are prescribed to men with caution because they have the following side effects:
- From the gastrointestinal tract – heartburn, stomach pain, nausea, diarrhea, vomiting.
- From the side of the central nervous system - ototoxicity, insomnia, drowsiness, dizziness, headache, convulsions, paresthesias, tremor.
- Possible allergic reaction – itching, rash, Quincke's edema.
It is forbidden 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 a low effect against staphylococci, Pseudomonas aeruginosa and Escherichia coli.
Most of the side effects of taking tetracyclines are associated with gastrointestinal disorders – nausea, vomiting, heartburn.In high doses, these antibiotics have hepatotoxic and nephrotoxic effects.
Antibacterial agents for the treatment of the prostate of this group, as well as fluoroquinolones, penetrate well and accumulate in the prostate in men.This is the least toxic group of antibiotics, which is better than other medicines because it has hardly any side effects.
Macrolides have a predominantly bacteriostatic effect.They show a good effect against gram-positive bacteria and intracellular parasites (chlamydia, legionella, mycoplasma).
Criteria for selecting antibacterial agents
Remember that antimicrobial agents for treatment are prescribed 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 pathology.
- Presence of contraindications for the patient.
- Side effects.
- Bioavailability of antibacterial drugs in prostate tissue.
- The method of entry of medication into the patient's body.
Do not try to treat prostatitis on your own, as this can harm you and cause the pathogenic flora that caused the disease to become resistant to antimicrobial agents.If treatment with antibacterial agents does not show a positive effect within 3 days, they must be replaced with another group.
Symptomatic and pathogenetic therapy
This type of drug treatment of prostatitis in men improves the patient's quality of life and accelerates 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 their reverse reflux.Their action is to relieve spasms of the smooth muscles of the prostate, bladder and ureteral walls.They are also used for prostate adenomas.
- Nonsteroidal anti-inflammatory drugs (NSAIDs).NSAIDs help reduce inflammation in the glandular tissue, thereby improving urination and eliminating stagnation of secretions.They also eliminate pain.
- Hormonal medications.The prostate is a hormone-dependent organ, that is, its functionality is influenced by the hormonal background in the male body.The essence of hormone therapy is taking 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 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.