Is there an effective cure for prostatitis?Medication for the treatment of any type of prostatitis in men, what medication is the basis of choice?Inflammation of the prostate gland can attack a man at any age, so drugs for the treatment of the prostate are used to treat both acute and chronic pathologies.Feasibility of prescription and its 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 drugs described below, prostatitis in men must be treated comprehensively.Special diet, physiotherapy and exercise occupy a large part 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 drug of choice for the treatment of acute and chronic prostatitis in men.
First of all, to treat prostatitis, a broad-spectrum drug is prescribed, and after obtaining the results of a bacterial culture, a narrow-spectrum drug is prescribed (against the corresponding pathogen).If pathogenic microorganisms are not identified, which happens quite often, treatment is continued with the same broad-spectrum antibiotics, provided there are positive dynamics while taking them.In exceptional cases, antibiotics are replaced with others empirically (based on the doctor's own experience).
Let's see what is the list of drugs (antibiotics) for the treatment of prostatitis in men that are considered effective.
Fluoroquinolones
This is a broad-spectrum drug that has a high ability to accumulate directly in prostate tissue in men.Because of this property, they are very effective in treating prostatitis.
But, despite this, this antibiotic is prescribed for men with caution, because it has 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, tremors.
- Possible allergic reactions - itching, rash, Quincke's edema.
It is forbidden to prescribe fluoroquinolones for the treatment of severe cerebral atherosclerosis, deficiency of enzymes such as glucose-6-phosphate dehydrogenase, and allergic reactions to drug components.
Tetracyclines and macrolides
This is a broad-spectrum antibiotic, but it should be remembered that the drug has low activity against staphylococci, Pseudomonas aeruginosa and Escherichia coli.
Most of the side effects of taking tetracyclines are associated with gastrointestinal disorders - nausea, vomiting, heartburn.In large doses, this antibiotic is hepato- and nephrotoxic.
Antibacterial agents for prostate treatment 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, which is better than other drugs because it has few side effects.
Macrolides have a dominant bactericidal effect.They show good activity against gram-positive bacteria and intracellular parasites (chlamydia, legionella, mycoplasma).
Criteria for choosing an antibacterial agent
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:
- Pathogens that cause disease.
- Form (chronic or acute) and severity of pathology.
- The 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, because this can harm you and cause the pathogenic flora that causes the disease to become resistant to antimicrobial agents.If there is no positive effect from treatment with an antibacterial agent within 3 days, it must be replaced with another group.
Symptomatic and pathogenetic therapy
The type of treatment of prostatitis in men with drugs improves the quality of life of the patient and increases the speed of recovery by eliminating the symptoms of the disease.It includes the following:
- Alpha adrenergic blockers.Medicines in this group must be 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 ureter walls.They are also used for prostate adenoma.
- Nonsteroidal anti-inflammatory drugs (NSAIDs).NSAIDs help reduce inflammation in glandular tissue, thereby increasing urination and eliminating secretion stagnation.They also relieve pain.
- Hormonal drugs.The prostate is a hormone-dependent organ, that is, its function 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 most suitable for treating prostatitis at the current stage of medical development.Remember that you should always consult your doctor before buying it.