Treatment of advanced prostatitis (chronic and acute) is a complex task requiring the simultaneous use of many different drugs.
A necessary medication list is created individually for each specific case, based on the patient's medical history, course of illness, and many other important factors.
Drug type
The choice of cheap but effective prostatitis medications is based on knowledge of the cause of the disease and its presenting characteristics, however, antibiotics and anti-inflammatory drugs should be considered key aspects of any medication list.Furthermore, if the latter is of a general nature, then it is recommended to prescribe antibiotic treatment taking into account resistance to the specific type of pathogen identified by the test results.
In addition, anti-prostatitis drugs can be used in treatment, such as various antipyretics, analgesics, diuretics, alpha-blockers, antispasmodics, anti-androgens and laxatives.
Modern drugs can be classified not only according to their intended use, but also according to the form of release:
- Injection (Injection):First, treatment of prostatic inflammation by injection is justified in the case of severe patients who require immediate stabilization.Typically, concentrated drugs in ampoules are diluted to obtain solutions that are then used for intramuscular or intravenous infusion;
- Candle:Medications in the form of suppositories are relevant in the routine treatment of chronic prostatitis or as prostatitis prophylaxis.In some cases, suppositories are used to increase potency, since absorption of the substance by the intestinal mucosa ensures better penetration into the prostate tissue.
- Tablets and Capsules:These drug forms are the most common among standard treatment options for chronic or acute prostatitis.Tablets are easy to dose and take, so most antibiotics, anti-inflammatory drugs, and decongestants (alpha-blockers or 5-alpha-reductase inhibitors) are manufactured in this form;
- Instillation:This is an uncommon treatment for prostatitis, and its essence is to use a special syringe to inject medication into the urethra or bladder.The main purpose of the instillation is to restore the damaged mucosa, destroy the pathogenic microbiota and suppress the inflammatory process;
- Micro enema:A small cold enema can reduce localized swelling, inflammation, and pain in the prostate, but at the same time impairs the delivery of drugs to its tissue.During the final stages of treatment and after recovery, microenemas can be performed using solutions based on herbal preparations.When fluid remains in the intestine long enough, its mucosa absorbs useful substances;
- Plaster:Skin patches, like microenemas, are an adjunct to the treatment of the prostate and have a supportive effect on the body, complementing established medical treatments.
When selecting a drug dosage form, in addition to considering the patient's condition, the patient's own preferences must also be considered.
Some patients have difficulty swallowing tablets, while others have contraindications to the use of rectal suppositories due to inflammation in the anorectal area.
Factors such as the availability and cost of drugs also play an important role - it is not always possible to find a fast-acting and cheap drug for the treatment of prostatitis, which is why you have to take less effective analogues.
antibiotic
Antibiotic selection requires a selective approach, as it is important to select drugs that inhibit the specific type (or types) of inflammatory prostatitis pathogens.Why do doctors study urethral smears, urine tests, and prostate secretion samples?
There is a great need to use antibacterial antibiotics with both bacteriostatic and bactericidal effects, so that the drugs not only block the spread of infection but also actively destroy dangerous microorganisms.
Beta-lactam antibiotics, such as the aminoglycosides, are less popular despite being cheaper.Unlike fluoroquinolones and macrolides, they are characterized by a weak ability to penetrate into the prostate tissue and produce the necessary concentration of active substances therein.
Fluoroquinolones are powerful bactericidal drugs and are significantly better than bacteriostatic agents in this parameter.
alpha blockers
This group of drugs is actively used not only in the treatment of prostatitis, but also in the treatment of prostate adenomas, the effectiveness of which is based on blocking alpha-adrenergic receptors, preventing their contact with norepinephrine and adrenergic agonists.As a result, receptors in blood vessels do not receive vasoconstrictor nerve signals, so they dilate and subsequently improve blood circulation.
Of note, in urology, selective α1-adrenergic blockers are actively used, acting on receptors in bladder, prostate, and urinary tract tissues.
Reducing tissue swelling not only improves urodynamics but also regulates the entire male genitourinary system, helping to eliminate problems such as impotence and decreased erections.
anti-inflammatory drugs
Male prostatitis is treated with non-steroidal anti-inflammatory drugs (NSAIDs/NSAIDs), which not only meet the effectiveness requirements but are also safe for the body.
The purpose of these drugs is to suppress the inflammatory process that affects the prostate and possibly the seminal vesicles, bladder neck, and distal urinary tract.
As the clinical severity of prostatic inflammation decreases, the patient's condition normalizes, including decreased body temperature, decreased prostate swelling, resolution of urinary tract obstruction, and suppression of pain in the anogenital region.
Hormone drugs
The use of hormonal drugs in the treatment of prostatitis is allowed only in cases of advanced chronic course of the disease, in which antibiotics, alpha-blockers and anti-inflammatory drugs are unable to normalize disturbed hormone levels.
Depending on the goals, patients may take androgens, which increase levels of the male hormone (testosterone) in the blood, and estrogens, which suppress the production of dihydrotestosterone, which stimulates the proliferation of prostate tissue.
All hormonal medications are sold strictly by prescription and should only be used as prescribed by the attending physician, as incorrect or untimely dosage may adversely affect the patient's health.
immunomodulator
The complex course of acute prostatitis is exacerbated by the development of immunosuppression, which may be exacerbated under the influence of multiple antibiotics and other drugs.Therefore, there is a need to enhance the body's resistance to pathogenic microbiota, which needs to be done with the help of immune enhancers.
There are many different medications of this type.
Do not forget that vitamins A, C and E also help strengthen the immune system, so experts recommend actively consuming foods containing these substances in large quantities.
analgesics
Painkillers are often required in the early stages of treatment, before treatment has time to functionally improve the condition of the prostate, which is why patients experience pain when urinating, defecating, sitting on hard surfaces for long periods of time, or performing physical activity.
Typically, moderate strength analgesics taken as prescribed one to three times daily are sufficient.
There are many structural analogs (generics) of these products and they are produced by many companies, but doctors advise not to pay too much for this brand.
muscle relaxants
Within the muscle relaxant category, urologists often prescribe antispasmodics—drugs that help relax smooth muscles that are in a state of spasm.This therapy is effective for acute prostatitis, which causes involuntary spasm of the prostate muscles and the entire pelvic floor.
Long-term use of antispasmodics is not necessary: moderate doses during the first days or weeks of general treatment are sufficient.Also, these drugs should not be abused in order to avoid the risk of dysfunction of the relevant organs and systems of the body.
vegetable
Herbal remedies for prostatitis are usually dietary supplements available in the form of rectal suppositories, capsules, or tablets.
Popular extracts that form the basis of such preparations include the bark of the African plum, the fruit of the creeping (or dwarf) palm, and the herb of the creeping tribulus.Less commonly used are extracts of animal (bovine) prostate gland.
There is also a group of medicines such as homeopathic medicines used to treat inflammation of the prostate.
Used to prevent prostatitis
To prevent prostatitis, you first need to maintain a healthy lifestyle, including regular sex.But to maintain the tone, you can also use various medications - usually, we are talking about dietary supplements of plant origin.
Because the manufacturers of these dietary supplements claim that they can help treat reduced libido, impotence, erectile dysfunction, and other conditions of the male genitourinary system, they should be taken with caution as prostatitis prophylactics.
It must be remembered that many capsules and tablets are aphrodisiacs and are inappropriate in many cases.