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 effect they have, how to take them, how much they cost and what side effects to fear.
What drugs are used to treat prostatitis
Prostatitis treatment is based on antibiotics and anti-inflammatory drugs. As an auxiliary therapy, immunomodulators, agents for improving metabolic processes in the gland, antispasmodics are prescribed. Below we will take a closer look at each group.
Antibacterial
Antibiotics are needed to treat 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.
The drugs are selected according to the results of the tests, 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 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. 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.
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 the fungus 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 to the lower back, legs, rectum. Non-steroidal anti-inflammatory drugs block the release of inflammation-provoking substances. To avoid side effects from the gastrointestinal tract, with exacerbation of prostatitis, drugs are prescribed in the form of suppositories. The drugs are cheap, but can not be used for a long time.
Antispasmodics
The inflamed prostate swells and squeezes the urethra, making it difficult to urinate, the pain causes muscle spasms. Antispasmodics relax the smooth muscle fibers of the prostate, urethra, bladder neck, facilitating urination and bowel movements. These drugs with mild inflammation can replace non-steroidal anti-inflammatory drugs. In particular, the substance drotaverine is often included in the 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, the walls and neck of the bladder. The stream of urine becomes confident, does not interrupt, the bladder is emptied completely. 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 wash the urinary canal, remove excess fluid and relieve swelling of the gland. Chemical agents such as furosemide are prescribed infrequently so as not to provoke an imbalance in the salt balance. Most doctors prefer herbal preparations.
sedatives
Soothing, 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 impair erectile function.
Enzymes
Preparations based on enzymes of animal and vegetable origin dilute the prostatic secretion, facilitating the drainage of the gland ducts, have an analgesic and immunomodulatory effect. The most effective method of administration is intramuscular injections.
Immunomodulators
Chronic prostatitis reduces the local immunity of the prostate gland, respectively, it is necessary to raise it in the first place. In this direction, preparations based on bovine prostate peptides are effective. They restore 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 interference with the immune system should be targeted only after an immunogram. The doctor must first find out in which link the failure is and whether it exists at all.
dietary supplements
For the treatment and prevention of prostatitis, dietary supplements are prescribed on a natural basis. Mostly it is an extract of the sabal 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 process of urination is facilitated.
Conclusion
Remember:
- Prostatitis is a multifactorial disease, therefore it is treated with a complex of drugs.
- Before diagnosis, you can not drink antibiotics and uroseptics, so as not to distort the result.
- In online pharmacies, many drugs are much cheaper than in conventional ones.