Is there an effective cure for prostatitis? Drugs for the treatment of any type of prostatitis in men, which drugs form the basis of choice? Inflammation of the prostate can overtake a man at any age, so drugs for the treatment of the prostate are used to treat both acute and chronic pathologies. The expediency of the prescription and its use is assessed only by a urologist after a thorough examination of the patient and diagnostic measures.
But first, remember that in addition to the drugs described below, comprehensive treatment of prostatitis in men is required. A special diet, physical therapy and exercise take the lion's share in the treatment of this disease. Do not forget it.
Rational antibiotic therapy
The most common cause of prostatitis is the penetration of pathogenic bacteria into the gland. Therefore, antibiotics are the drug of choice for the treatment of acute and chronic prostatitis in men.
For the treatment of prostatitis, broad-spectrum drugs are prescribed first, and after receiving the results of bacterial culture, narrow-acting drugs (against the relevant pathogen). If the pathogen is not identified, which is not uncommon, they continue to be treated with the same broad-spectrum antibiotic, which is subject to positive dynamics against the background of its use. In exceptional cases, the antibiotic is replaced by another empirical method (based on the doctor's own experience).
Let's look at what lists of drugs (antibiotics) are considered effective for the treatment of prostatitis in men.
fluoroquinolones
These are broad-spectrum drugs that have a high ability to accumulate directly in the prostate tissue in men. Due to the mentioned property, they are highly effective for the treatment of prostatitis.
Despite this, these antibiotics are prescribed to men with caution, since they have the following side effects:
- From the gastrointestinal tract - heartburn, epigastric pain, nausea, diarrhea, vomiting.
- From the side of the central nervous system - ototoxicity, insomnia, drowsiness, dizziness, headache, convulsions, paresthesia, tremors.
- Possible allergic reaction - itching, rash, Quincke's edema.
It is forbidden to prescribe fluoroquinolones for the treatment of severe cerebral atherosclerosis, deficiency of such an enzyme as glucose-6-phosphate dehydrogenase, allergic reactions to drug components.
tetracyclines and macrolides
These are broad-spectrum antibiotics, although it should be noted that such agents have low activity against staphylococci, Pseudomonas aeruginosa and Escherichia coli.
Basically, side effects from taking tetracyclines are associated with disorders of the gastrointestinal tract - nausea, vomiting, heartburn. In high doses, these antibiotics are hepatotoxic and nephrotoxic.
Antibacterial agents for the treatment of the prostate of this group, as well as fluoroquinolones, penetrate well and accumulate in the prostate in men. This is the most non-toxic group of antibiotics, better than other drugs as it has few side effects.
Macrolides have a predominantly bacteriostatic effect. Show good activity against gram-positive bacteria and intracellular parasites (chlamydia, legionella, mycoplasma).
Criteria for the selection of antibacterial agents
Remember that antibiotics for treatment are prescribed individually for each patient, taking into account various factors. Let's take a closer look at them:
- The pathogen that caused the disease.
- Form (chronic or acute) and the severity of the pathology.
- The presence of contraindications in the patient.
- side effects.
- Bioavailability of an antibacterial drug in prostate tissue.
- How the drug enters the patient's body.
Do not try to treat prostatitis yourself, as this can harm you and develop resistance of pathogenic flora to antimicrobial agents that caused the disease. If treatment with antibacterial agents does not give a positive effect for 3 days, then they must be replaced with another group.
Symptomatic and pathogenetic therapy
This type of drug treatment for prostatitis in men improves the patient's quality of life and increases the rate of recovery by eliminating the symptoms of the disease. It includes taking:
- alpha blockers. Medicines of this group are necessarily used in the complex treatment of prostatitis in men to facilitate urination, prevent stagnation of secretion in the gland and its reverse reflux. Its action is to relieve spasms of the smooth muscles of the prostate, bladder and ureteral walls. They are also used for prostate adenoma.
- Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs help reduce inflammation in glandular tissues, improving urination and eliminating stagnation of secretions. They also relieve pain.
- Hormonal drugs. The prostate is a hormone-dependent organ, that is, its function is influenced by the hormonal background in the male body. The essence of hormone therapy is taking antiandrogenic drugs that reduce the amount 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 with which it is better to treat prostatitis at the current stage of the development of medicine. Remember that you should always consult your doctor before purchasing.