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 overtake a man at any age, so drugs for the treatment of the prostate are used to treat both acute and chronic pathologies. The expediency of prescribing and their 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, it is necessary to treat prostatitis in men comprehensively. A special diet, physiotherapy and exercise occupy the lion's share in the treatment of this disease. Don't forget about it.
Rational antibiotic therapy
The most common cause of prostatitis is the penetration of pathogenic bacteria into the gland. That 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 receiving the results of bacterial culture, narrow-acting drugs (against the corresponding pathogen). If the pathogen is not identified, which happens quite often, they continue to be treated with the same broad-spectrum antibiotic, subject to positive dynamics against the background of its use. In exceptional cases, the antibiotic is replaced by another empirical method (based on the physician's own experience).
Let's look at what lists of drugs (antibiotics) for the treatment of prostatitis in men are considered effective.
These are broad-spectrum drugs that have a high ability to accumulate directly in the prostate tissue in men. Because of the named property, they are highly effective for the treatment of prostatitis.
But, despite this, these antibiotics are prescribed for men with caution, as 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, paresthesia, tremor.
- Possible allergic reaction - itching, rash, Quincke's edema.
It is forbidden to prescribe fluoroquinolones for the treatment of severe cerebral atherosclerosis, a 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 agents have low activity against staphylococci, Pseudomonas aeruginosa and Escherichia coli.
Basically, side effects from taking tetracyclines are associated with disorders of the gastrointestinal tract - nausea, vomiting, heartburn. In high doses, these antibiotics are hepatotoxic 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 most non-toxic group of antibiotics, which is better than other drugs in that it has few side effects.
Macrolides have a predominantly bacteriostatic effect. Show good activity against gram-positive bacteria and intracellular parasites (chlamydia, legionella, mycoplasma).
Criteria for choosing antibacterial agents
Remember that antimicrobials are prescribed for treatment individually for each patient, taking into account various factors. Let's look at them in more detail:
- The pathogen that caused the disease.
- Form (chronic or acute) and the severity of the pathology.
- The presence of contraindications in the patient.
- Side effects.
- Bioavailability of an antibacterial drug in prostate tissue.
- How the drug enters the patient's body.
Do not try to treat prostatitis on your own, as this can harm you and develop resistance of the pathogenic flora to antimicrobial agents that caused the disease. In the absence of a positive effect from treatment with antibacterial agents for 3 days, it is necessary to replace them with another group.
Symptomatic and pathogenetic therapy
This type of treatment for prostatitis in men with drugs improves the quality of life of the patient and increases the rate of recovery by eliminating the symptoms of the disease. It includes taking:
- Alpha blockers. Medicines of this group are necessarily used in the complex treatment of prostatitis in men to facilitate urination, prevent stagnation of secretion in the gland and its reverse reflux. Their action is to relieve spasm of the smooth muscles of the prostate, bladder and walls of the ureters. They are also used for prostate adenoma.
- Non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs help reduce inflammation in the gland tissue, thereby improving urination and eliminating secretion stagnation. They also relieve pain.
- Hormonal drugs. The prostate is a hormone-dependent organ, that is, its functionality is affected by the hormonal background in the body of men. 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 to reduce inflammation and the amount of glandular tissue in the prostate.
We have listed the main drugs with which it is better to treat prostatitis at the present stage of development of medicine. Remember that before buying them, you should always consult with your doctor.