Prostatitis is considered the most common reason for men to see a urologist. The problem lies not in the inflammatory process itself, but in the consequences. Men seek help late, as a result of which the disease becomes chronic and causes complications. Therefore, at the first symptoms, you need to go to a specialist in a timely manner. The doctor will immediately prescribe drugs that should be carried out in a course.
The treatment of prostatitis is carried out with various drugs.
What is included in therapy
Drug treatment of prostatitis should be carried out in a complex. The whole scheme includes several groups of drugs that help to cope with the disease, acting on several areas at once. The course of treatment consists of 6 types of drugs:
- Antibacterial agents.
- hormonal preparations.
- alpha blockers.
- muscle relaxants.
- Rectal suppositories.
- Means that strengthen the immune system.
However, it is worth knowing that drug treatment for prostatitis is different for each man. Each procedure is selected individually by a urologist. It is strictly forbidden to self-medicate, since ignorance of medicines can provoke serious health problems.
In addition to medication, rectal suppositories are widely used to treat prostatitis.
Medication
If prostatitis occurs in men without symptoms, antibiotic therapy is an option. The duration of therapy should be at least a month, after which it must be extended by another month. If there is no effect, the doctor can change the regime and remove antibiotics from it. They are replaced by plant extracts or alpha blockers.
During the empirical course of treatment, fluoroquinolones are prescribed. They have high bioavailability and rapid penetration into the prostate mucosa. They also have the dignity of being active against gram negative organisms, chlamydia. Indicators after treatment of chronic prostatitis do not change when it comes to a specific drug. Positive results can be observed only after an integrated approach to the disease.
Antibacterial drugs are desirable for preventing and treating bacterial inflammation.
In case of repeated recurrence, the doctor can prescribe the previous treatment of prostatitis with drugs that have the ability to destroy bacteria, but the dosages are usually lower. If antibacterial drugs did not show any effect, then they were selected incorrectly, or there are bacteria in the body of men that are immune 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 particularly helpful when the disease is caused by bacteria. If the complex scheme does not include antibacterial drugs, then the inflammatory process will not decrease, and the symptoms will remain.
The course of tablets for each man is selected individually, and the general specific scheme is calculated. In the acute stage of prostatitis, ignoring antibiotics can lead to complications. As a rule, we talk about adenoma and impotence. If the disturbed flora does not return to normal, it can spread to foreign organs and cause pyelonephritis, or cystitis. It turns out that prostatitis, which the man did not cure, causes not only 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 is important to know that drugs for prostate inflammation are necessary, without which treatment will not bring any results. In addition, the disease can provoke pathological processes in the pelvis. If one of the men often observes exacerbations in himself and does not turn to a specialist, he risks negative consequences in the future.
Rules for prescribing medicines
Medicines are prescribed immediately after the man comes to the urologist and explains his problem. This is especially true in the acute stage of the inflammatory process. This means that the doctor will not wait for the tests and will immediately prescribe the desired treatment regimen. For the first few days, the following scheme is chosen:
- preparations from the group of macrolides;
- aminoglycosides;
- fluoroquinolones.
The most effective therapy with drugs is selected after receiving the test results.
Erythromycins are prescribed less often because they cannot kill bacteria en masse. After passing the tests, it takes a few days before the results are presented to a specialist. After studying, the doctor selects a course of treatment or prescribes a more modern and unique drug. This only applies to inflammation that occurs in a mild form.
The age of the men should also be taken into account. His diseases at the time of the examination and allergies will be an indicator for adjusting the course of treatment. In return, the man should tell the doctor about the medications he has recently taken or is currently taking. It is worth noting that if a man took a course of antibiotics a few days before prostatitis, there is a high risk that similar drugs will not help him in the treatment of an inflamed prostate.
In addition to the universal scheme, the doctor has a "rainy day scheme". It is used in the absence of the effect of the prescribed course. Such a scheme has a strong effect on the body. They are prescribed only when conservative treatment does not help at all. Usually show repeatedTests no effect.
With complications of prostatitis, inpatient treatment with injections is required.
If strong antibiotics are identified, it is advisable to use them in injections, and it is desirable to be in the hospital at this time. For home treatment, antibiotic capsules are selected for men, the dosage and timing of which are strictly prescribed by the doctor. Of course, drug treatment of prostatitis requires compliance with several recommendations. Medication needs to be drunk for a certain number of days, usually around 2 weeks. Then antibiotics are canceled or slightly prolonged.
All prescribed schemes must be followed to the end. If treatment is interrupted, a positive "spot" begins to form, through which the infection passes into the chronic stage. From the start of therapy to the elimination of symptoms, 3 days should pass. If the signs of prostatitis do not appear within the allotted timedisappeared, you should immediately go to the doctor and review the treatment regimen.
After adequate treatment, the man's quality of life normalizes noticeably. Relieves pain and discomfort when urinating. With universal therapy, the symptoms practically do not disappear. Painful spasms (75%) and difficult bladder emptying (70%) usually occur. Ejaculation causes discomfort in 40% of men. If the scheme does not include an immunomodulator, then prostatitis will return again, so their presence in therapy is mandatory. Without them, the signs of the disease practically stand still.