In the article, we have collected all the drugs for prostatitis that are prescribed by doctors 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 to fear.
What medications are used to treat prostatitis?
The treatment of prostatitis is based on antibiotics and anti-inflammatory drugs. As auxiliary therapy, immunomodulators, agents to improve 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 prostatic abscesses and urosepsis.
Drugs are selected according to the test results, 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 removed only with the help of antibiotics, which are able to 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, and staphylococci. With trichomonas prostatitis, drugs based on the antiprotozoal substance metronidazole are prescribed.
Sometimes the drugs are injected directly into the prostate. This is called lymphotropic therapy.
antifungal
Fungal prostatitis is rare. Antifungal medications for inflammation of the prostate are usually prescribed as a prophylaxis for yeast infection. After a course of taking antibiotics, immunity decreases and active reproduction of the fungus occurs, candidiasis balanitis and balanoposthitis may develop.
anti-inflammatory
Nonsteroidal anti-inflammatory drugs (NSAIDs) are prescribed for acute prostatitis and chronic recurrence. Pain from a swollen prostate occurs in the lower back, legs, and rectum. Nonsteroidal anti-inflammatory drugs block the release of substances that cause inflammation. To avoid side effects from the gastrointestinal tract, with exacerbation of 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 smooth muscle fibers in the prostate, urethra, and bladder neck, making urination and bowel movements easier. 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 that of antispasmodics, but much more pronounced. They are also prescribed for poor urination. These drugs significantly reduce the tone of the prostate, walls and neck of the bladder. The stream of urine becomes safe, it is not interrupted, the bladder is completely emptied. Alpha blockers help prevent residual urine buildup, in which bacteria actively multiply, and pathological changes in the bladder walls. A common side effect of these medications is retrograde ejaculation.
Analgesics
The function of relieving the pain of prostatitis is successfully performed by non-steroidal anti-inflammatory drugs, but if they fail, pain relievers 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 cause an imbalance in the salt balance. Most doctors prefer herbal preparations.
sedatives
Painkillers, more precisely, antidepressants, in chronic prostatitis are necessary 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
Enzyme-based preparations of animal and vegetable origin dilute prostatic secretion, facilitating drainage of the glandular 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 first of all. In this sense, 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 way of preparation is in the form of candles.
Urologists often prescribe interferon inducers as immunomodulatory therapy. Immunologists caution that such interference with the immune system should be addressed only after an immunogram. The doctor must first find out in which link the fault is and whether it exists.
Dietary supplements
For the treatment and prevention of prostatitis, dietary supplements are prescribed in a natural way. It is mostly an extract from the sabal palm, it is also creeping serenoia. The active substances block enzymes that cause inflammation and swelling, strengthen blood vessels and improve blood circulation in the pelvic area. With a course of taking the drug, the urination process is facilitated.
Conclution
Remember:
- Prostatitis is a multifactorial disease, therefore it is treated with a complex of drugs.
- Before the diagnosis, you can not take antibiotics and uroseptics so as not to distort the result.
- In online pharmacies many medicines are much cheaper than in conventional ones.