Is there an effective treatment for prostatitis?What drugs form the basis of selection for the treatment of any type of prostatitis in men?Inflammation of the prostate can strike men of any age, so medications that treat the prostate are available to treat both acute and chronic conditions.The feasibility of the prescription and its use is evaluated only by a urologist after detailed examination of the patient and diagnostic measures.
But first, remember that in addition to the drugs described below, men with prostatitis must also undergo comprehensive treatment.Special diet, physical therapy and exercise play a large part in the treatment of this disease.Don't forget this.
Rational antimicrobial treatment
The most common cause of prostatitis is the invasion of the gland by pathogenic bacteria.This is why antibiotics are the first choice for treating acute and chronic prostatitis in men.
First, to treat prostatitis, broad-spectrum drugs are prescribed. After obtaining the bacterial culture results, narrow-spectrum drugs (targeting the corresponding pathogens) are prescribed.If the causative microorganism is not identified, which is often the case, treatment is continued with the same broad-spectrum antibiotics, provided that there are positive dynamic changes during the antibiotic administration.In special cases, antibiotics are changed empirically (based on the doctor's own experience).
Let’s take a look at which drugs (antibiotics) are considered effective in treating prostatitis in men.
Fluoroquinolones
These are broad-spectrum drugs that accumulate directly in male prostate tissue.Due to this property, they are very effective in treating prostatitis.
However, despite this, men still need to be cautious when taking these antibiotics as they have the following side effects:
- From the gastrointestinal tract - heartburn, epigastric pain, nausea, diarrhea, vomiting.
- From the central nervous system - ototoxicity, insomnia, drowsiness, dizziness, headache, convulsions, paresthesia, tremor.
- Possible allergic reactions - itching, rash, Kunkel's edema.
The use of fluoroquinolones is prohibited for the treatment of severe cerebral atherosclerosis, enzyme deficiencies such as glucose-6-phosphate dehydrogenase, and allergic reactions to drug ingredients.
Tetracyclines and macrolides
These are broad-spectrum antibiotics, but it should be remembered that these drugs are less active against Staphylococcus aureus, Pseudomonas aeruginosa and E. coli.
Most side effects of taking tetracyclines are related to gastrointestinal disorders - nausea, vomiting, heartburn.In large doses, these antibiotics are hepatotoxic and nephrotoxic.
Antimicrobial agents used to treat this group of prostates, as well as fluoroquinolones, can penetrate well and accumulate in the male prostate.This is the most nontoxic group of antibiotics, better than other drugs, and has few side effects.
Macrolides mainly have bacteriostatic effects.They show good activity against Gram-positive bacteria and intracellular parasites (Chlamydia, Legionella, Mycoplasma).
Criteria for selecting antimicrobial drugs
Remember, antimicrobial therapy is given to each patient individually, taking into account various factors.Let's take a closer look at them:
- Pathogens that cause disease.
- The form of pathology (chronic or acute) and severity.
- The patient has contraindications.
- side effect.
- Bioavailability of antimicrobial drugs in prostate tissue.
- The method by which the drug enters the patient's body.
Do not try to treat prostatitis on your own, as this may harm you and cause the pathogenic flora that causes the disease to become resistant to antibacterial drugs.If antimicrobial treatment has no obvious effect within 3 days, another group must be changed.
Symptomatic and etiological treatment
This medical treatment for male prostatitis can improve the patient's quality of life and speed recovery by eliminating symptoms of the disease.It includes the following:
- Alpha adrenergic blockers.Such drugs must be used in the complex treatment of male prostatitis to promote urination and prevent stagnation of glandular secretions and their reflux.They work by relieving spasms of the smooth muscles in the walls of the prostate, bladder, and ureters.They are also used to treat prostate adenomas.
- Nonsteroidal anti-inflammatory drugs (NSAIDs).NSAIDs help reduce inflammation in glandular tissue, thereby improving urination and eliminating stagnant secretions.They also eliminate pain.
- Hormone drugs.The prostate is a hormone-dependent organ, that is, its function is affected by the hormonal background in the male body.The essence of hormone therapy is to take anti-androgen drugs to reduce the content of male sex hormones in the patient's body.This helps reduce inflammation and the amount of glandular tissue in the prostate.
We have listed the main drugs that are most suitable for the treatment of prostatitis at the current stage of medical development.Remember, you should consult your doctor before purchasing.