Treatment of prostatitis in men involves the use of both drugs and physiotherapy. Phytotherapy, gland massage, acupuncture can be prescribed as additional methods for patients. It is an integrated approach that allows not only to prevent the exacerbation of the disease, but also to completely get rid of it. Drug treatment of prostatitis is always carried out in courses and is prescribed only after a complete examination of the prostate gland.
Medicines in the treatment of prostatitis will be effective only if they are properly prescribed by a doctor.
fixed assets
As a rule, urologists prescribe several types of drugs to patients who have an inflammatory disease of the prostate gland. This allows you to deal with disorders that have arisen in the prostate much faster. To improve her condition, drugs with antibacterial and immunostimulating effects, muscle relaxants, hormonal agents and alpha-blockers are used.
The attending physician prescribes an individual therapy regimen for each patient after a thorough study of the analyzes and ultrasound results.
It is impossible to choose medicines for prostatitis on your own, as this can provoke a deterioration not only in the condition of the prostate gland, but also in general well-being.
Drug treatment of chronic prostatitis with antibiotics is not always indicated. If the patient has no symptoms of the disease, and at the same time he feels normal, this group of drugs may not be prescribed. In this case, chronic prostatitis can be treated using herbal medicines and alpha-blockers.
Antibacterial drugs
When chlamydia and other infections are detected, fluoroquinolones can be used, which have high bioavailability and can penetrate the prostate mucosa in the shortest possible time.
After prostatitis is detected, the patient is prescribed medication, including an antibiotic. The regimen is selected by the doctor depending on the patient's condition.
In the absence of the desired effect from the use of fluoroquinolones, the doctor may prescribe a course with other drugs. If during the examination, laboratory tests showed the presence of chlamydia, the patient is recommended tetracyclines. Their effectiveness is associated with its rapid penetration into the prostate gland of the active components of the drug and with the drug's inherent property to destroy pathological microorganisms as quickly as possible.
With repeated treatment, before treating a recurrence of prostatitis in men with medication, the doctor draws up a new regimen for taking an antibacterial drug, which most often includes lower dosages. If the selected drugs were ineffective, this may mean that they are not suitable for the patient or are prescribed incorrectly.
Preparations with an antibacterial effect are indicated only when pathogenic microorganisms have become the causes of prostatitis.
It should be remembered that bacteria are almost always present in one way or another in the human body. During the normal functioning of the immune system, they are inactive and do not pose a particular threat to health. The weakening of the immune system under the influence of other provoking factors entails the activation of pathogenic microflora, which penetrates the prostate tissue and leads to an acute disease.
The acute phase of bacterial prostatitis requires the use of antibacterial agents. If such treatment is not carried out, inflammatory processes can go to the bladder, urethra and kidneys. There is evidence of a relationship between bacterial prostatitis and urolithiasis. The absence of antibiotic therapy leads to a chronic form of the disease, which is treated much more difficult and longer.
Appointment principles
In acute prostatitis, drugs are prescribed immediately after a general examination and questioning of the patient. As a rule, the urologist does not wait for the results of the tests and prescribes a regimen that provides for the intake of macrolides, fluoroquinolones and aminoglycosides in the first days. Less commonly, patients are prescribed erythromycin antibiotics, since such agents are not capable of leading to the mass destruction of bacterial microorganisms.
After the urologist receives the test results, the doctor may change the regimen or include other drugs in it. The use of only one drug is justified in mild prostatitis. When choosing medicines, the age of the man and the presence of other diseases must be taken into account. If the patient suffers from liver or kidney disease, doses may be adjusted according to the degree of organ dysfunction.
The patient must notify the urologist about the drugs that he is taking or has taken relatively recently.
If for some reason a man drank antibiotics, the doctor should take this fact into account, since such medications may be ineffective.
If the universal scheme assigned to the patient does not have the desired effect, another one that has a more powerful effect can be used. To enhance the effect, antibiotics are prescribed in the form of injections, so a patient with acute inflammation of the prostate can be hospitalized. Treatment of prostatitis at home is carried out with antibacterial drugs in the form of capsules. In this case, it is extremely important to follow all the rules for receiving such funds. If you deviate from the scheme, therapy may be ineffective. Cancellation or extension of the course is carried out only by a doctor.
Usually, properly selected antibacterial drugs give a positive effect on the third day after the start of the intake. If the symptoms persist, it is necessary to visit a urologist to review the treatment regimen.
Hormonal preparations and suppositories
A correctly prescribed drug regimen helps to reduce the symptoms characteristic of an inflammatory disease of the prostate gland. First of all, the discomfort that occurs with prostatitis during urination begins to disappear. When using inappropriate drugs, pain, problems with emptying the bladder, and erectile dysfunction may persist. In some men, there is a tendency to a gradual deterioration in potency. Very often, in the absence of immunomodulating agents in the treatment regimen, the disease can return.
In the absence of positive results in the treatment of chronic prostatitis, the patient is prescribed hormonal agents. They help relieve inflammation, restore erection.
Such drugs, although effective, can have many side effects, so they should be used with caution, following the exact dosage recommended by the doctor.
With inflammation of the gland, rectal suppositories can also be used as adjuvants. Such suppositories are usually well tolerated by patients because they contain natural ingredients. Means based on honey, propolis, a complex with an extract of anti-inflammatory and antiseptic herbs have a good effect.
Rectal suppositories help relieve swelling of the gland, reduce pain, and normalize blood microcirculation.
Today, in pharmacies, you can buy suppositories or tablet preparations made on the basis of sublimated bovine prostate. They improve the structure of prostate tissue, relieve inflammation and help accelerate regenerative processes.
To restore the body and strengthen the immune system, which is often weakened after an inflammatory disease of the prostate gland, the use of a complex containing vitamins and microelements is shown. Patients may also be recommended antioxidant drugs that help prevent the development of hyperplasia and malignant neoplasms in the prostate.