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. 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, agents for improving metabolic processes in the gland, antispasmodics are prescribed as auxiliary therapy. We'll take a closer look at each group below.
Antibacterial
Antibiotics are needed 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 test results, but until the culture is ready, broad-spectrum antibiotics are prescribed. The most common causative agents of the disease 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 because they can penetrate the protective barriers synthesized by ureaplasma. Tetracyclines are effective against chlamydia, rods, staphylococcus. Medicines based on the antiprotozoal substance metronidazole are prescribed for trichomonas prostatitis.
Sometimes drugs are injected directly into the prostate. This is called lymphotropic therapy.
Antifungal
Fungal prostatitis is rare. Antifungal drugs for prostatitis are usually prescribed as prophylaxis for candidiasis. After a course of taking antibiotics, immunity decreases and active reproduction of fungi occurs, candidal balanitis and balanoposthitis can develop.
Anti-inflammatory
Nonsteroidal anti-inflammatory drugs (NSAIDs) are prescribed for acute prostatitis and chronic recurrences. Pain from an inflamed prostate gives the lower back, legs, rectum. NSAIDs block the release of substances that cause inflammation. In order to avoid side effects from the gastrointestinal tract, with the worsening of prostatitis, drugs are prescribed in the form of suppositories. Medicines are cheap, but they cannot be used for a long time.
Antispasmodics
An inflamed prostate swells and squeezes the urethra, making it difficult to urinate, pain causes muscle spasms. Antispasmodics relax the smooth muscle fibers of the prostate, urethra, bladder neck, facilitating urination and bowel movements. 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 weak urination. These drugs significantly reduce the tone of the prostate, walls and neck of the bladder. The stream of urine becomes confident, does not stop, the bladder is completely emptied. Alpha-blockers help to avoid the accumulation of residual urine, in which bacteria are actively multiplying, 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 in 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 prescribed infrequently so as not to cause an imbalance in salt balance. Most doctors prefer herbal preparations.
sedatives
Sedatives, more precisely, antidepressants, in chronic prostatitis are needed to relieve 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 prostate secretions, facilitate the drainage of glandular ducts, have an analgesic and immunomodulatory effect. The most effective way of administration is intramuscular injections.
Immunomodulators
Chronic prostatitis reduces the local immunity of the prostate, i. e. it is necessary to raise it primarily. Preparations based on bovine prostate peptides are effective in this direction. They restore metabolic processes in the gland, stimulate the activity of the secretory epithelium. Normal secret has antibacterial properties, which also helps to reduce inflammation. The optimal form of the preparation is in the form of candles.
Urologists often prescribe interferon inducers as immunomodulatory therapy. Immunologists warn that such disturbances in the immune system should be targeted only after an immunogram. The doctor must first find out in which link there is a defect and if it exists at all.
dietary supplements
For the treatment and prevention of prostatitis, dietary supplements are prescribed on a natural basis. It is mainly an extract of the sabal palm, and also creeping serenoia. Active substances block enzymes that cause inflammation and swelling, strengthen blood vessels, improve blood circulation in the pelvic area. With taking the medicine, the urination process is facilitated.
Conclusion
Remember:
- Prostatitis is a multifactorial disease, therefore 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 medicines are much cheaper than in conventional ones.