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 what they do, how to take them, how much they cost, and what side effects you should be afraid of.
What drugs are used to treat prostatitis?
Treatment of prostatitis is based on antibiotics and anti-inflammatory drugs. As an auxiliary therapy, immunomodulators, agents for improving metabolic processes in the gland, antispasmodics are prescribed. 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 to a chronic form, the development of prostate abscess and urosepsis.
Medicines are chosen according to the results of the analysis, but until the culture 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 the gland tissues 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, staphylococcus. With trichomonas prostatitis, drugs based on the antiprotozoal substance metronidazole are prescribed.
Sometimes drugs are injected directly into the prostate. This is called lymphotropic therapy.
antimycotics
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
Non-steroidal anti-inflammatory drugs (NSAIDs) are prescribed for acute prostatitis and chronic recurrence. Pain from an inflamed prostate gives in the lower back, legs, rectum. Non-steroidal anti-inflammatory drugs block the release of substances that provoke inflammation. To avoid side effects from the gastrointestinal tract, with worsening 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 squeezes the urethra making urination difficult, the pain causes muscle spasms. Antispasmodics relax the smooth muscle fibers of the prostate, urethra, bladder neck, facilitating urination and bowel movements. These mild inflammation drugs 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 weak urination. These drugs significantly reduce the tone of the prostate, walls and neck of the bladder. The flow of urine becomes safe, it is not interrupted, 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.
Painkillers
The function of pain relief for prostatitis is successfully performed by non-steroidal anti-inflammatory drugs, but if they fail, analgesics are prescribed in injections.
Diuretic
Diuretic drugs for prostatitis are needed to flush 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 salt balance. Most doctors prefer herbal preparations.
soothing
Sedatives, more precisely, antidepressants, in chronic prostatitis are needed to alleviate the symptoms of neurosis and depression caused by constant pain, the 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 secretion of the prostate, facilitating the drainage of the ducts of the gland, have an analgesic and immunomodulating effect. The most effective method of administration is intramuscular injection.
Immunomodulators
Chronic prostatitis reduces the local immunity of the prostate gland, so it is necessary to raise it in the first place. In this regard, preparations based on bovine prostate peptides are effective. They restore metabolic processes in the gland, stimulate the activity of the secretory epithelium. The normal secretion has antibacterial properties, which also help 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 aimed only after an immunogram. The doctor must first find out in which link the failure is and if it exists at all.
dietary supplement
For the treatment and prevention of prostatitis, dietary supplements are prescribed on a natural basis. Primarily an extract of sabale palm, it is also creeping serenoia. 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 is facilitated.
Conclusion
You remember:
- Prostatitis is a multifactorial disease, therefore it is treated with a complex of drugs.
- Before the diagnosis, you can not drink antibiotics and uroseptics, so as not to distort the result.
- In online pharmacies, many medicines are much cheaper than in conventional ones.