Prostatitis is considered the most common reason for men to visit a urologist. The problem lies not in the inflammatory process itself, but in its consequences. Men seek help late, as a result of which the disease becomes chronic and causes complications. Therefore, you need to go to a specialist on time, at the first symptoms. The doctor will immediately prescribe medication, which should be carried out in a course.
Treatment of prostatitis is carried out using various drugs.
What is included in therapy
Drug treatment of prostatitis should be done in a complex. The overall scheme includes several groups of drugs that help to cope with the disease, acting on several areas at once. The treatment course consists of 6 types of drugs:
- Antibacterial agent.
- Hormonal preparations.
- Alpha blockers.
- Relax the muscles.
- Rectal suppositories.
- Means that strengthens the immune system.
However, it is worth knowing that prostatitis drug treatment is different for each man. Each procedure is selected individually by a urologist. It is strictly forbidden to self-medicate, because ignorance of medicine can cause serious health problems.
In addition to drugs, rectal suppositories are widely used in the treatment of prostatitis.
Drug treatment
If prostatitis in men occurs without symptoms, then antibiotic therapy will be a question. The duration of therapy should be at least one month, after which it must be extended for another month. If there is no effect, then the doctor can change the regimen and remove antibiotics from it. They are replaced with plant extracts or alpha blockers.
During the course of empirical treatment, fluoroquinolones are prescribed. They have high bioavailability and rapid penetration into the prostate mucosa. They also have an active dignity against gram-negative organisms, chlamydia. Indications after treatment for chronic prostatitis do not change when it comes to certain drugs. Positive results can be observed only after an integrated approach to the disease.
Antibacterial drugs should be taken as prevention and treatment of bacterial inflammation.
In the case of repeated relapses, the doctor may prescribe previous prostatitis treatment with drugs that have the ability to destroy bacteria, but the dosage is usually lower. If the antibacterial drug has no effect, then it has been chosen incorrectly or there are bacteria in the man's body that are resistant to this type of drug.
When are antibiotics needed?
Prostatitis usually occurs for two reasons. In the first case, this is the penetration of harmful elements, in the second, a violation of blood flow in the pelvic organs. Antibiotics for an inflamed prostate are especially beneficial if the disease is caused by bacteria. In the absence of antibacterial drugs in the complex scheme, the inflammatory process will not decrease, and the symptoms will remain.
The course of tablets for each man is selected individually and a general specific scheme is calculated. In the acute stage of prostatitis, ignoring antibiotics can lead to complications. As a rule, we are talking about adenomas and impotence. If the disturbed flora is not normalized, it can go to third party organs and cause pyelonephritis or cystitis. It turned out that prostatitis, which the man did not cure, not only caused problems with the kidneys, but also urolithiasis.
When drawing up a treatment plan with antibiotics, all the individual characteristics of the patient are taken into account.
It should be known that drugs for inflammation of the prostate gland are necessary, without them, the treatment will not bring any results. In addition, this disease can trigger pathological processes in the pelvis. If one of the men often notices the severity in himself and does not turn to a specialist, then he risks facing negative consequences in the future.
Rules for prescribing medicine
Medicines are prescribed immediately after the man comes to the urologist and explains the problem. This is especially true in the acute stage of the inflammatory process. This means that the doctor will not wait for the test and will immediately prescribe the desired treatment regimen. For the first few days, the following scheme is selected:
- preparations from the macrolide group;
- aminoglycosides;
- fluoroquinolones.
The most effective therapy with drugs is chosen after receiving the test results.
Erythromycins are less often prescribed because they cannot kill bacteria en masse. After passing the test, it takes a few days before the results are brought to the specialist. After studying them, the doctor chooses a treatment or prescribes a more modern and unique drug. This only applies to inflammation, which occurs in a mild form.
Men's age also needs to be taken into account. His illness at the time of examination and allergies will be an indicator to adjust the course of treatment. Instead, the man should tell the doctor about the drugs he has recently taken or is currently using. It should be remembered that if a man takes a course of antibiotics a few days before prostatitis, then there is a high risk that similar drugs will not help him in the process of treating an inflamed prostate.
In addition to the universal scheme, doctors have a "rainy day scheme". It is used if there is no set course effect. Such a scheme has a strong effect on the body. They will be prescribed only when conservative treatment does not help at all. Usually, repeated tests show a null effect.
With complications of prostatitis, inpatient treatment with injections will be required.
If a strong antibiotic is identified, it is advisable to use it in injections, and it is desirable to be in the hospital at this time. To be treated at home, antibiotic capsules are selected for men, the dose and time carefully determined by the doctor. Of course, prostatitis drug treatment requires compliance with some recommendations. Medicines need to be taken for several days, usually about 2 weeks. Then antibiotics are canceled or prolonged a little.
All prescribed schemes must be followed to the end. When treatment is interrupted, a positive "spot" begins to form, where the infection will move to a chronic stage. From the beginning of therapy to the elimination of symptoms should take 3 days. If the symptoms of prostatitis do not disappear within the specified time, you should immediately go to the doctor and review the treatment regimen.
After adequate treatment, the man's quality of life becomes normal. Relieves pain and discomfort during urination. With universal therapy, symptoms practically do not disappear. As a rule, there are painful cramps (75%), difficult emptying of the bladder (70%). Ejaculation causes discomfort in 40% of men. If there is no immunomodulator in the scheme, prostatitis will return again, so its presence in therapy is mandatory. Without it, the signs of the disease almost do not move.