Is there an effective cure for prostatitis? Drugs to treat any type of prostatitis in men, which drugs are the basis of choice? Prostate inflammation can affect a man at any age, so prostate medications are used to treat both acute and chronic pathologies. The expediency of prescribing and their application is assessed only by a urologist after a detailed examination of the patient and diagnostic measures.
But first of all, remember that in addition to the drugs described below, it is necessary to comprehensively treat prostatitis in men. Special diet, physiotherapy and exercise play a lion's share in the treatment of this disease. Don't forget that.
Rational antibiotic therapy
The most common cause of prostatitis is the penetration of pathogenic bacteria into the gland. Therefore, antibiotics are the drugs of choice for the treatment of acute and chronic prostatitis in men.
First of all, for the treatment of prostatitis, broad-spectrum drugs are prescribed, and after obtaining the results of bacterial culture, drugs with a narrow action (against the appropriate pathogen). If the pathogen is not identified, which happens quite often, they continue to be treated with the same broad-spectrum antibiotic, with positive dynamics in the background of its use. In exceptional cases, the antibiotic is replaced by another empirical method (based on the physician's own experience).
Let's look at which lists of drugs (antibiotics) for the treatment of prostatitis in men are considered effective.
Fluoroquinolones
These are broad-spectrum drugs that have a high ability to accumulate directly in prostate tissue in men. Due to this property, they are very effective in treating prostatitis.
But despite this, these antibiotics are prescribed to men with caution because 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, paresthesias, tremor.
- Possible allergic reaction - itching, rash, Quincke's edema.
Prescribing fluoroquinolones for the treatment of severe cerebral atherosclerosis, deficiency of enzymes such as glucose-6-phosphate dehydrogenase, and allergic reactions to drug components is prohibited.
Tetracyclines and macrolides
These are broad-spectrum antibiotics, but it should be borne in mind that such agents have low activity against staphylococci, Pseudomonas aeruginosa and Escherichia coli.
Basically, the side effects of taking tetracycline 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 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, which is better than other drugs in that it has few side effects.
Macrolides have a predominantly bacteriostatic effect. It shows good activity against gram-positive bacteria and intracellular parasites (chlamydia, legionella, mycoplasma).
Criteria for selection of antibacterial agents
Keep in mind that antimicrobial drugs are prescribed for treatment individually for each patient, taking into account different factors. Let's look at them in more detail:
- The causative agent of the disease.
- Form (chronic or acute) and severity of pathology.
- Presence of contraindications in the patient.
- Side effects.
- Bioavailability of 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 the pathogenic flora to the antimicrobial agents that caused the disease. In the absence of a positive effect from the treatment with antibacterial agents for 3 days, it is necessary to replace them with another group.
Symptomatic and pathogenetic therapy
This type of treatment of prostatitis in men with drugs improves the quality of life of patients and increases the speed of recovery by eliminating the symptoms of the disease. Includes taking:
- Alpha blockers. Drugs 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 reflux. Their action is to relieve spasms of the smooth muscles of the prostate, bladder and urethral walls. They are also used for prostate adenoma.
- Non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs help reduce inflammation in glandular tissue, thereby improving urination and eliminating stagnation of secretions. They also relieve pain.
- Hormonal drugs. The prostate is a hormone-dependent organ, ie its functionality is affected by the hormonal background in a man's body. The essence of hormone therapy is taking antiandrogen 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 that are better to treat prostatitis at the current stage of development of medicine. Remember that you should always consult your doctor before buying.