Treatment of prostatitis in men involves the use of both medication and physiotherapy. Phytotherapy, glandular massage, acupuncture can be prescribed as additional methods for patients. It is an integrated approach that allows not only to prevent the exacerbation of the disease, but also to get rid of it completely. Medication treatment of prostatitis is always carried out in the course and is prescribed only after a complete examination of the prostate gland.
Medications in the treatment of prostatitis will be effective only if they are prescribed properly by a doctor.
fixed assets
As a rule, urologists prescribe some types of medication to patients with inflammatory diseases of the prostate gland. This allows you to deal with disorders that arise in the prostate more quickly. To improve his condition, drugs with antibacterial and immunostimulatory effects, muscle relaxants, hormonal agents and alpha blockers are used.
The treating physician prescribes an individual therapy regimen for each patient after a thorough study of the analysis and ultrasound results.
It is impossible to choose a drug for prostatitis yourself, as this can trigger a deterioration not only in the condition of the prostate gland, but also in general well -being.
Medication treatment of chronic prostatitis with antibiotics is not always indicated. If the patient has no symptoms of the disease, and at the same time he feels normal, this group of drugs may not be prescribed. In this case, chronic prostatitis can be treated with herbal remedies and alpha blockers.
Antibacterial drugs
When chlamydia and other infections are detected, fluoroquinolones can be used, which have high bioavailability and can penetrate the prostate mucosa in the shortest possible time.
After prostatitis is detected, the patient is given medications, including antibiotics. The regimen chosen by the doctor depends on the patient’s condition.
If there is no desired effect from the use of fluoroquinolones, the doctor may prescribe a course with other drugs. If during the examination, laboratory tests show the presence of chlamydia, the patient is recommended tetracyclines. Their effectiveness is associated with its rapid penetration into the prostate gland of the active component of the drug and with the existing properties of the drug to destroy pathological microorganisms as quickly as possible.
With recurrent treatment, before treating recurrent prostatitis in men with medication, doctors create a new regimen for taking antibacterial drugs, which most often include lower doses. If the chosen drug is not effective, this may mean it is not suitable for the patient or was prescribed incorrectly.
Preparations with antibacterial effect are indicated only when pathogenic microorganisms have become the cause of prostatitis.
It should be remembered that bacteria are almost always present in one way or another in the human body. During 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 requires activation of pathogenic microflora, which penetrates the prostate tissue and leads to acute disease.
The acute phase of bacterial prostatitis requires the use of antibacterial agents. If such treatment is not carried out, the inflammatory process can go to the bladder, urethra and kidneys. There is evidence of an association between bacterial prostatitis and urolithiasis. The absence of antibiotic therapy leads to a chronic form of the disease, which is treated more difficult and for longer.
Principle of appointment
In acute prostatitis, medications are prescribed immediately after general examination and questioning of the patient. As a rule, urologists do not wait for test results and prescribe a regimen that provides intake of macrolides, fluoroquinolones and aminoglycosides in the first days. Less commonly, patients are given the antibiotic erythromycin, as the agent is incapable of leading to the mass destruction of bacterial microorganisms.
After the urologist receives the test results, the doctor may change the regimen or include other medications in it. The use of only one drug is desirable in mild prostatitis. When choosing a drug, the age of the man and the presence of other diseases must be taken into account. If the patient has liver or kidney disease, the dose can be adjusted according to the degree of organ dysfunction.
The patient must tell the urologist about the medication he or she is taking or has taken recently.
If for some reason a man takes antibiotics, the doctor should take into account this fact, because the drug may not be effective.
If the universal scheme given to the patient does not have the desired effect, another one that has a stronger effect can be used. To enhance its effect, antibiotics are prescribed in the form of injections, so patients with acute inflammation of the prostate can be hospitalized. Treatment of prostatitis at home is carried out with antibacterial drugs 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, the therapy may not be effective. Cancellation or extension of the course is carried out only by the doctor.
Usually, properly selected antibacterial drugs have a positive effect on the third day after the start of intake. If symptoms persist, it is necessary to visit a urologist to review the treatment regimen.
Hormone supplies and suppositories
Properly prescribed medication regimens help reduce the symptoms characteristic of inflammatory diseases of the prostate gland. First of all, the discomfort that occurs with prostatitis during urination begins to disappear. When using inappropriate medications, pain, problems emptying the bladder, and erectile dysfunction may persist. In some men, there is a tendency for a gradual decline in potency. Often, if there are no immunomodulatory agents in the treatment regimen, the disease can return.
If there are no positive results in the treatment of chronic prostatitis, the patient is prescribed hormonal agents. They help relieve inflammation, restore erections.
Such medications, although effective, can have many side effects, so they should be used with caution, according to the exact dosage recommended by the doctor.
With inflammation of the glands, rectal suppositories can also be used as an adjunct. Such suppositories are usually well accepted by patients because they contain natural ingredients. Means based on honey, propolis, complex with anti-inflammatory and antiseptic herbal extracts have a good effect.
Rectal suppositories help relieve swelling of the glands, reduce pain, and normalize blood microcirculation.
Today, in pharmacies, you can buy suppositories or tablet preparations made on the basis of sublimated bovine prostate. They improve the structure of prostate tissue, relieve inflammation and help speed up the regenerative process.
To restore the body and strengthen the immune system, which is often weakened after inflammatory diseases of the prostate gland, the use of complexes containing vitamins and microelements is indicated. Patients may also be recommended antioxidant medications that help prevent the development of hyperplasia and malignant neoplasms in the prostate.