Treatment of prostatitis in men includes the use of both medications 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 aggravation of the disease, but also to eliminate it completely. Drug treatment of prostatitis is always carried out in courses and is prescribed only after a complete examination of the prostate gland.
Prostatitis medications will be effective only if properly prescribed by your doctor.
Fixed assets
Typically, urologists prescribe several types of drugs to patients with inflammatory prostate disease. This allows you to deal with disorders that have arisen in the prostate much faster. Antibacterial and immunostimulatory drugs, muscle relaxants, hormonal agents and alpha-blockers are used to improve its condition.
The attending physician will determine the individual therapy regimen for each patient after thorough analysis and examination of the ultrasound results.
It is impossible to choose a medication for prostatitis independently, as this can lead not only to a deterioration in the condition of the prostate gland, but also to general well-being.
Antibiotic treatment for chronic prostatitis is not always indicated. If the patient does not show symptoms of the disease and at the same time feels normal, drugs of this group may not be prescribed. In this case, chronic prostatitis can be treated with herbal medicines and alpha-blockers.
Antibacterial drugs
Fluoroquinolones, which have a high bioavailability and can penetrate the prostate mucosa in the shortest time, can be used to detect chlamydia and other infections.
After prostatitis is detected, the patient is prescribed medications, including antibiotics. The regimen is chosen by the doctor based on the patient's condition.
In the absence of the desired effect from the use of fluoroquinolones, your doctor may prescribe a course with other drugs. If laboratory tests show chlamydia during the examination, tetracyclines are recommended for the patient. Their effectiveness is due to its rapid penetration of the active components of the drug into the prostate gland and the innate properties of the drug, which can quickly destroy pathological microorganisms.
With repeated treatment, before treatment of prostatitis recurrence in men with medication, the doctor prescribes a new regimen of antibacterial drug, which most often involves lower doses. If the selected medications were ineffective, it may mean that they are not suitable for the patient or are incorrectly prescribed.
Drugs with antibacterial effect are indicated only when pathogenic microorganisms have become the cause of prostatitis.
We must remember that bacteria are almost always found in the human body in one way or another. With the normal functioning of the immune system, they are inactive and do not pose a particular threat to health. Weakening of the immune system under the influence of other provoking factors leads to the activation of pathogenic microflora, which penetrates into the prostate tissue and causes acute disease.
The acute phase of bacterial prostatitis requires the use of antibacterial agents. If such treatment is not carried out, inflammatory processes can spread to the bladder, urethra and kidneys. There is evidence of an association between bacterial prostatitis and urolithiasis. Lack of antibiotic therapy leads to a chronic form of the disease that is much more difficult and lengthy to treat.
Appointment principles
In acute prostatitis, medications are prescribed upon general examination and interrogation of the patient. Typically, the urologist does not wait for test results and prescribes a regimen that provides for the intake of macrolides, fluoroquinolones, and aminoglycosides in the first few days. Less often, patients are prescribed erythromycin antibiotics because such agents can not cause mass destruction of bacterial microorganisms.
After receiving the test results from the urologist, the doctor may change the regimen or include other drugs in it. In mild prostatitis, the use of only one drug is justified. The age of the man and the presence of other diseases should be taken into account when choosing medications. If the patient suffers from liver or kidney disease, doses may be adjusted according to the degree of organ dysfunction.
The patient should inform the urologist about any medications he or she is taking or has been taking relatively recently.
If a person has taken antibiotics for any reason, the doctor should take this fact into account as such medications may be ineffective.
If the universal regimen assigned to the patient does not have the desired effect, another more potent effect may be used. Antibiotics are prescribed in the form of injections to enhance the effect, so patients with acute prostate inflammation may be hospitalized. Prostatitis is treated at home with antibacterial agents in the form of capsules. In this case, it is very important to follow all the rules for receiving such funds. If you deviate from the scheme, therapy may be ineffective. Cancellation or continuation of the course is done only by a doctor.
Usually, properly selected antibacterial drugs give a positive effect on the third day after starting. If symptoms persist, a visit to a urologist is necessary to review the treatment regimen.
Hormonal drugs and suppositories
Properly prescribed medication regimen helps to reduce the symptoms characteristic of inflammatory disease of the prostate gland. First of all, the discomfort that occurs during urination during prostatitis begins to disappear. Pain, problems with bladder emptying, and erectile dysfunction can persist with the use of inappropriate medications. Some men have a tendency for gradual deterioration of potency. Very often, in the absence of immunomodulatory agents, treatment may return.
In the absence of positive results in the treatment of chronic prostatitis, the patient is prescribed hormonal agents. They help to remove inflammation, restore an erection.
Such drugs, although effective, can have many side effects, so they should be used with caution at the exact dosage recommended by your doctor.
With glandular inflammation, rectal suppositories can also be used as an adjunct. Such suppositories are usually well tolerated by patients because they contain natural ingredients. Has a good effect on honey-based remedies, propolis, a complex with anti-inflammatory and antiseptic herbal extracts.
Rectal suppositories promote glandular swelling, reduce pain, and normalize blood microcirculation.
In pharmacies today you can buy suppositories or preparations of tablets made on the basis of sublimated bovine prostate. They improve the structure of prostate tissues, relieve inflammation and help accelerate regenerative processes.
To restore the body and strengthen the immune system, which is often weakened after inflammatory disease of the prostate gland, the use of a complex containing vitamins and micronutrients has been shown. Patients may also be advised to take antioxidant drugs that prevent the development of prostate hyperplasia and malignant neoplasms.