Is there an effective cure for prostatitis?Drugs for the treatment of any type of prostatitis in men, what drugs form the basis of choice?Inflammation of the prostate can affect a man at any age, so drugs for the treatment of the prostate are used to treat both acute and chronic pathologies.The feasibility of prescriptions and their use are 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 drugs described below, prostatitis in men must be treated comprehensively.A special diet, physiotherapy and exercises take the lion's share of treatment of this disease.Don't forget it.
Rational antibacterial therapy
The most common reason why prostatitis occurs is the penetration of pathogenic bacteria into the gland.This is why antibiotics are the drugs of choice for treating acute and chronic prostatitis in men.
First, broad-spectrum drugs are prescribed to treat prostatitis, and after obtaining the results of bacterial culture, narrow-spectrum drugs (against the corresponding pathogen) are prescribed.If the pathogenic microorganism is not identified, which happens quite often, treatment is continued with the same broad-spectrum antibiotic, provided that there is a positive dynamic during its intake.In exceptional cases the antibiotic is replaced with another empirically (based on the doctor's experience).
Let's look at what lists of drugs (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.Thanks to this property, they are very effective in treating prostatitis.
But despite this, these antibiotics are prescribed to men with caution, as they have the following side effects:
- From the gastrointestinal tract: heartburn, epigastric pain, nausea, diarrhea, vomiting.
- From 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 the components of the drug.
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 resulting from taking tetracyclines are associated with gastrointestinal disorders: nausea, vomiting, heartburn.At high 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 least toxic group of antibiotics, better than other drugs as 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 prostatic tissue.
- The method of entry of the drug into the patient's body.
Do not try to cure prostatitis on your own, as this may harm you and cause the pathogenic flora that caused the disease to become resistant to antimicrobial agents.If within 3 days no positive effect is found from treatment with antibacterial agents, it is necessary to replace them with another group.
Symptomatic and pathogenetic therapy
This type of treatment of prostatitis in men with drugs improves the patient's quality of life and increases the speed of recovery by eliminating the symptoms of the disease.Includes the following:
- Alpha adrenergic blockers.Drugs of 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 walls of the prostate, bladder and ureter.They are also used for prostatic adenoma.
- 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 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 hormone 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 drugs that are best used to treat prostatitis in the current stage of medical development.Remember that you should always consult your doctor before purchasing them.