In the article, we have collected all the drugs for prostatitis prescribed by doctors as part of the treatment of acute and chronic inflammation of the prostate gland. You will learn what the effects are, how to take them, how much they cost and what side effects to be afraid of.
What drugs are used to treat prostatitis?
Treatment of prostatitis is based on antibiotics and anti-inflammatory drugs. As additional therapy, immunomodulators, agents to improve metabolic processes in the glands, antispasmodics are prescribed. Below we will take a closer look at each group.
Antibacterial
Antibiotics are needed to treat bacterial prostatitis to quickly eliminate the infection in the prostate 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.
Medicines 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 be eliminated only with the help of antibiotics, which can penetrate into the tissue of the gland and accumulate in it for a long time. These properties belong to fluoroquinolones. These drugs are valuable because they can penetrate the protective barrier synthesized by ureaplasma. Tetracyclines are effective against chlamydia, rods, staphylococci. With trichomonas prostatitis, drugs based on the antiprotozoal substance metronidazole are prescribed.
Sometimes the medicine is injected directly into the prostate. This is called lymphotropic therapy.
Antifungal
Fungal prostatitis is rare. Antifungal drugs for prostate inflammation are usually prescribed as prophylaxis for candidiasis. After a course of taking antibiotics, immunity decreases and active reproduction of fungi occurs, candidal balanitis and balanoposthitis may develop.
Anti-inflammatory
Nonsteroidal anti-inflammatory drugs (NSAIDs) are prescribed for acute and chronic recurrent prostatitis. Pain from an inflamed prostate gives to the lower back, legs, rectum. Non-steroidal anti-inflammatory drugs prevent the release of substances that provoke inflammation. To avoid side effects from the gastrointestinal tract, with exacerbation of prostatitis, drugs are prescribed in the form of suppositories. The drug is cheap, but cannot be used for a long time.
Antispasmodic
An inflamed prostate swells and squeezes the urethra, making it difficult to urinate, causing pain and muscle spasms. Antispasmodic relaxes the smooth muscle fibers of the prostate, urethra, bladder neck, facilitating urination and defecation. These mild inflammation medications can replace non-steroidal anti-inflammatory drugs. In particular, the substance drotaverine is often included in the preparation and has no side effects.
Alpha blockers
The action of alpha-adenoblockers is similar to antispasmodics, but more pronounced. They are also prescribed for weak urination. These drugs significantly reduce the tone of the prostate, bladder wall and neck. The flow of urine becomes confident, not disturbing, the bladder is completely emptied. Alpha blockers help prevent the accumulation of urine waste, where bacteria actively multiply, and pathological changes in the bladder wall. A common side effect of these drugs is retrograde ejaculation.
Painkillers
The function of pain relief for prostatitis is successfully performed by non-steroidal anti-inflammatory drugs, but if they fail, analgesics are prescribed in injections.
Diuretic
Diuretic drugs for prostatitis are needed to wash the urinary tract, remove excess fluid and relieve swelling of the gland. Chemical agents such as furosemide are rarely prescribed so as not to provoke an imbalance in salt balance. Most doctors prefer herbal preparations.
tranquilizer
Calming, more precisely, antidepressants, in chronic prostatitis is necessary to reduce the symptoms of neurosis and depression caused by constant pain, the inability to empty the bladder normally. Doctors often prescribe SSRIs, but they worsen erectile function.
Enzymes
Preparations based on enzymes of animal and vegetable origin dilute prostate secretions, facilitate the drainage of glandular ducts, have analgesic and immunomodulatory effects. The most effective method of administration is intramuscular injection.
Immunomodulators
Chronic prostatitis reduces the local immunity of the prostate gland, respectively, it is necessary to raise it in the first place. In this direction, preparations based on bovine prostate peptide are effective. They restore metabolic processes in the gland, stimulate the activity of the secretory epithelium. The common secret has antibacterial properties, which also help relieve inflammation. The optimal 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 targeted only after an immunogram. The doctor must first know where the failure link is and whether it exists at all.
additional food
For the treatment and prevention of prostatitis, food supplements are prescribed naturally. Mostly it is an extract of the sabal tree, it is also a creeping serenoia. Active ingredients block enzymes that trigger inflammation and swelling, strengthen blood vessels, improve blood circulation in the pelvic area. With the course of taking the drug, the urination process is simplified.
Conclusion
Remember:
- Prostatitis is a multifactorial disease, therefore it is treated with a drug complex.
- Before the diagnosis, you should not drink antibiotics and uroseptics, so as not to distort the results.
- In online pharmacies, many drugs are much cheaper than conventional ones.