Is there an effective cure for prostatitis?Medicines for the treatment of any type of prostatitis in men, which drugs form the basis of choice?Inflammation of the prostate can strike a man at any age, therefore drugs intended for the treatment of the prostate are used to treat 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 measurements.
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 in the treatment of this disease.Don't forget this.
Rational antibacterial therapy
The most common cause of prostatitis is the penetration of pathogenic bacteria into the gland.This 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 drugs are prescribed, and after obtaining the results of bacterial culture, narrow-spectrum drugs 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 that there is positive dynamics when taking it.In exceptional cases, the antibiotic is replaced by another empirically (based on the doctor's own experience).
Let's consider which lists of drugs (antibiotics) for the treatment of prostatitis in men are considered effective.
Fluoroquinolones
These are broad-spectrum drugs that have a high capacity to accumulate directly in 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, because 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, paresthesias, tremor.
- Possible allergic reaction - itching, rash, angioedema.
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 the components of the drug.
Tetracyclines and macrolides
These are broad-spectrum antibiotics, but it should be borne in mind that these drugs have low activity against staphylococci, Pseudomonas aeruginosa and Escherichia coli.
Most side effects from taking tetracyclines are associated with gastrointestinal upset - 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 in men.This is the least toxic group of antibiotics, better than other drugs in that it causes few side effects.
Macrolides have a mainly bacteriostatic effect.They have 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 entry of the drug into the patient's body.
Do not try to treat prostatitis yourself, as this may harm you and make the pathogenic flora causing the disease resistant to antimicrobial agents.If treatment with antibacterial agents does not have any positive effect within 3 days, they should be replaced with another group.
Symptomatic and pathogenetic therapy
This type of drug treatment for 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 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 spasms 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 of 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 of the male body.The essence of hormone therapy is to take antiandrogenic 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 them.