In the article, we have collected all the drugs for prostatitis that doctors prescribe as part of the treatment of acute and chronic inflammation of the prostate gland. You will learn how they work, how to take them, how much they cost and what side effects to be afraid of.
What drugs are used to treat prostatitis
Treatment of prostatitis is based on antibiotics and anti-inflammatory drugs. Immunomodulators, means to improve metabolic processes in the gland, antispasmodics are prescribed as auxiliary therapy. We'll take a closer look at each group below.
Antibacterial
Antibiotics are necessary for the treatment of bacterial prostatitis in order to quickly eliminate the infection in the prostate in order to avoid complications: the migration of pathogens to the testicles, the transition of inflammation into a chronic form, the development of prostatic abscess and urosepsis.
Medicines are selected according to the results of the research, but until the crop is ready, broad-spectrum antibiotics are prescribed. The most common pathogens are Escherichia coli, Enterococcus faecalis, staphylococci, ureaplasma, chlamydia. They can be eliminated only with the help of antibiotics, which can penetrate into the tissues of the gland and accumulate in them for a long time. These properties are possessed by fluoroquinolones. These drugs are valuable in that they are able to penetrate the protective barriers synthesized by ureaplasma. Tetracyclines are effective against chlamydia, rods, staphylococci. Medicines based on the antiprotozoal substance metronidazole are prescribed for trichomonad prostatitis.
Sometimes drugs are injected directly into the prostate. This is called lymphotropic therapy.
antifungal
Fungal prostatitis is rare. Antifungal drugs for inflammation of the prostate are usually prescribed as a prophylaxis for candidiasis. After a course of taking antibiotics, immunity decreases and active reproduction of fungi occurs, candidal balanitis and balanoposthitis may develop.
Anti-inflammatory
In case of acute prostatitis and chronic relapse, non-steroidal anti-inflammatory drugs (NSAIDs) are prescribed. Pain from an inflamed prostate gives in the lower back, legs, rectum. Nonsteroidal anti-inflammatory drugs block the release of substances that provoke inflammation. In order to avoid side effects from the gastrointestinal tract, in case of exacerbation of prostatitis, drugs are prescribed in the form of suppositories. Medicines are cheap, but they cannot be used for a long time.
Antispasmodics
The inflamed prostate swells and presses the urethra, which makes it difficult to urinate, the pain causes muscle spasms. Antispasmodics relax the smooth muscle fibers of the prostate, urethra, bladder neck, facilitating urination and defecation. These mild inflammation medications can replace non-steroidal anti-inflammatory drugs. In particular, the substance drotaverine is often included in preparations and has no side effects.
Alpha blockers
The action of alpha-adenoblockers is similar to antispasmodics, but much more pronounced. They are also prescribed for poor urination. These drugs significantly reduce the tone of the prostate, walls and neck of the bladder. The stream of urine becomes confident, does not interrupt, the bladder is completely emptied. Alpha-blockers help to avoid the accumulation of residual urine, in which bacteria actively multiply, and pathological changes in the walls of the bladder. A common side effect of these drugs is retrograde ejaculation.
Pain relievers
The function of relieving pain in prostatitis is successfully performed by non-steroidal anti-inflammatory drugs, but if they fail, analgesics are prescribed in the form of injections.
Diuretic
Diuretics for prostatitis are necessary to wash the urinary tract, remove excess fluid and relieve swelling of the gland. Chemical agents such as furosemide are rarely prescribed so as not to provoke an imbalance in the salt balance. Most doctors prefer herbal preparations.
sedatives
Sedatives, more precisely antidepressants, in chronic prostatitis are necessary to alleviate the symptoms of neurosis and depression caused by constant pain, inability to empty the bladder normally. Doctors often prescribe SSRIs, but they worsen erectile function.
Enzymes
Preparations based on enzymes of animal and plant origin dilute the prostatic secretion, facilitate the drainage of the glandular ducts, have an analgesic and immunomodulating effect. The most effective method of administration is intramuscular injections.
Immunomodulators
Chronic prostatitis reduces the local immunity of the prostate gland, accordingly, it is necessary to increase it in the first place. In this regard, preparations based on bovine prostate peptides are effective. They restore the metabolic processes in the gland, stimulate the activity of the secretory epithelium. The normal secret has antibacterial properties, which also helps to relieve inflammation. The optimal form of preparations is in the form of candles.
Urologists often prescribe interferon inducers as immunomodulatory therapy. Immunologists warn that such intervention in the immune system should be directed only after an immunogram. The doctor must first determine in which connection the damage is and if it exists at all.
food additives
For the treatment and prevention of prostatitis, nutritional supplements are prescribed on a natural basis. It is mainly sabal palm extract, it is also creeping serenoia. The active substances block enzymes that provoke inflammation and swelling, strengthen blood vessels, improve blood circulation in the pelvic area. With a course of taking the drug, the urination process becomes easier.
Conclusion
I remember:
- Prostatitis is a multifactorial disease, which is why it is treated with a complex of drugs.
- Before the diagnosis, you cannot drink antibiotics and uroseptics, so as not to distort the result.
- In online pharmacies, many drugs are much cheaper than in conventional ones.