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'll 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
The treatment of prostatitis is based on antibiotics and anti-inflammatory drugs. As an auxiliary therapy, immunomodulators, agents for improving the metabolic processes of the gland, antispasmodics are prescribed. Next, we'll take a closer look at each group.
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.
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 only be eliminated with the help of antibiotics, which can penetrate 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 are able to penetrate the protective barriers synthesized by ureaplasma. Tetracyclines are effective against chlamydia, bacilli and 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.
Fungal prostatitis is rare. Antifungal drugs for prostate inflammation are usually prescribed as a prophylaxis for candidiasis. After a course of antibiotics, immunity decreases and active reproduction of the fungus occurs, balanitis and balanoposthitis due to Candida can occur.
Nonsteroidal anti-inflammatory drugs (NSAIDs) are prescribed for acute prostatitis and chronic recurrence. Pain from an inflamed prostate gives to the lower back, legs, rectum. Nonsteroidal anti-inflammatory drugs block the release of substances that trigger inflammation. To avoid side effects from the gastrointestinal tract, with exacerbation of prostatitis, drugs are prescribed in the form of suppositories. Drugs are cheap, but they cannot be used for a long time.
The inflamed prostate swells and compresses the urethra, making urination difficult, pain causes muscle spasms. Antispasmodics relax smooth muscle fibers in the prostate, urethra, and 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 preparations and has no side effects.
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, bladder walls and neck. The flow of urine becomes confident, does not interrupt, the bladder is completely emptied. Alpha-blockers help to prevent 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.
The pain-relieving function for prostatitis is successfully performed by non-steroidal anti-inflammatory drugs, but if they fail, analgesics are prescribed in injections.
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.
Calming drugs, more precisely, antidepressants, in chronic prostatitis are needed to relieve the symptoms of neurosis and depression caused by constant pain, inability to empty the bladder normally. Doctors often prescribe SSRIs, but they make erectile function worse.
Preparations based on enzymes of animal and vegetable origin dilute prostatic secretion, facilitating the drainage of glandular ducts, have an analgesic and immunomodulatory effect. The most effective method of administration is intramuscular injections.
Chronic prostatitis reduces the local immunity of the prostate, respectively, it is necessary to increase it in the first place. In this regard, 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 relieve inflammation. The ideal form of preparation 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 directed only after an immunogram. The doctor must first find out in which link the fault is and whether it exists.
For the treatment and prevention of prostatitis, dietary supplements are prescribed in a natural way. Mainly 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 the use of the drug, the process of urination is facilitated.
- Prostatitis is a multifactorial disease, so it is treated with a complex of drugs.
- Before 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.