Prostatitis is an inflammatory disease that is dangerous not only with its symptoms, such as pain, fever and the risk of suppuration, but also with its consequences. Among them are infertility, impotence, the formation of a malignant tumor in the tissues of the prostate gland, the transition of the pathology to a chronic form, and the spread of the infection to all organs of the genitourinary system.
Many patients try to find a cure for prostatitis on their own, without seeking the help of doctors, without starting the condition and without achieving the development of complications, such tactics are fundamentally wrong. It is easier and faster to treat the acute form of the disease, so it is necessary to seek help from a qualified specialist at the first suspicious signs that indicate the development of pathology.
The main cause of acute inflammation of the prostate gland is considered to be a bacterial infection - this requires the mandatory appointment of antibiotics. In the chronic form, the disease is treated longer and more difficult - here the doctor combines immunomodulators, suppositories, therapeutic massage and physiotherapy.
What drugs are used in the treatment of prostatitis, the purpose of their appointment and the conditions of their reception - will be described in this material. This is an introduction, the list of drugs for prostatitis should not be taken as a guide to action, the final choice of therapy is made by the doctor.
Antibacterial drugs
Antibiotics are, of course, effective remedies for prostatitis that develops against the background of bacterial infection. Also, doctors prescribe drugs of this group not only for the acute but also for the chronic form of the disease, depending on the type of pathogen, clinical symptoms, and the previous therapy the patient has undergone.
The selection of a suitable drug is carried out after the analysis of the microflora taken by scraping from the urinary tract, as well as the results of PCR and prostate secretion blood tests. Often, doctors choose the most effective drug for prostatitis from the following group of antibacterial drugs:
- fluoroquinolones - preparations based on levofloxacin, ofloxacin and ciprofloxacin;
- tetracycline drugs;
- cephalosporins - both for internal use and for intramuscular administration;
- protected penicillins;
- macrolides.
From the listed groups, it is necessary to talk in more detail about anti-prostatitis drugs, their properties, properties and the groups of microorganisms it affects.
Fluoroquinolones
The fact is that these drugs have the maximum ability to be absorbed into the tissues of the prostate gland, where they create a cumulative effect and lead to the rapid elimination of the inflammatory process.
List of fluoroquinolone drugs commonly used to treat infectious prostatitis:
- Drug based on levofloxacin. It is effective against most pathogenic microorganisms that cause symptoms of prostatitis. The drug quickly penetrates the prostate tissue, where its concentration is 4 times higher than in the blood. They die quickly due to the destruction of cell membranes under the influence of bacteria. The disadvantage is that it cannot be used in tuberculosis, it is necessary to conduct an appropriate examination before use.
- The medicine containing levofloxacin is available in the form of tablets. It concentrates in the cell membranes of pathogenic bacteria, quickly affects ureaplasma, mycoplasma, anaerobes, gonococci and other gram-positive and gram-negative organisms.
- A drug based on ciprofloxacin that shows high activity against a large number of disease-causing microorganisms. Its main advantage is considered to be a rapid effect on the microbial flora, thanks to which recovery occurs faster.
- An antibiotic with the active ingredient ciprofloxacin. It shows high resistance against bacteria that are not affected by drugs of other drug groups (penicillins, macrolides, tetracyclines). It accumulates in the prostate tissues, which provides a quick and permanent effect.
- A drug for the treatment of prostatitis based on ofloxacin. It affects a wide range of pathogens, and complex treatment using drugs from the groups of cephalosporins, macrolides and beta-lactam antibiotics can be prescribed if necessary.
Of course, an antibiotic from the fluoroquinolone group is a quick-acting treatment for prostatitis, but you should take the drug for the full course recommended by your doctor. If the patient independently cancels the drug after the disappearance of the main symptoms of the disease, the infection goes into a latent (dormant) form and manifests itself in the form of exacerbation of chronic pathology.
Tetracyclines
Among the drugs of antibacterial groups, tetracyclines began to be prescribed less often in the treatment of prostatitis. This is due to the large number of side effects and poor patient tolerance. However, there is a drug that is effective against many pathogens and is recommended by doctors in the acute form of the disease.
The main advantage of the drug is to achieve the maximum concentration of the active substance doxycycline in the tissues of the prostate gland after a few hours. It is not recommended for patients with liver and kidney problems, as well as sensitivity to tetracyclines.
Cephalosporins
Preparations for the treatment of prostatitis in men from the cephalosporin group show high activity against a wide range of pathogens. These funds allow to get rid of microbial flora and prostatitis caused by gonococci, E. coli, Trichomonas, Proteus, Klebsiella, enterobacteria and other pathogens.
A detailed list of contraindications for which cephalosporins should not be used in certain patients will be provided by the doctor, but in most cases these are problems with the liver and kidney system, as well as sensitivity to this series of drugs.
Penicillins
Which drugs for prostatitis from the group of protected penicillins can be used to treat this disease depends on the results of the analysis for the type of pathogen and the determination of drug sensitivity.
Macrolides
However, these drugs are highly effective in the treatment of sexually transmitted diseases, have low toxicity, penetrate well into the intracellular space, and do not have a harmful effect on the intestinal microflora. Therefore, they are still often used together with cephalosporins for the complex therapy of inflammation of the prostate.
Doctors also note that drugs from a number of macrolides are very effective in the post-treatment phase, that is, after completing the main course of therapy, for example, fluoroquinolones or cephalosporins.
List of popular drugs
The pharmaceutical market now offers many drugs, among which it is quite possible to choose an effective remedy for prostatitis that affects a specific problem. So, the main complaints of men with this diagnosis are:
- pain syndrome;
- complete loss of erectile function;
- urinary problems;
- pain and discomfort during intercourse;
- deterioration of general well-being, reduction of the body's defense capacity.
Doctors always warn patients that you do not know how many different chemical and herbal preparations, as well as dietary supplements, are now sold to combat the listed symptoms of prostatitis.
But each of them will not help a man to cope with the disease, because the attending physician must choose drugs taking into account the form and stage of prostatitis, the cause of its occurrence, clinical symptoms and the age of the patient. Below will be a list of the best drugs according to patients and doctors, but they should be used only on the recommendation of a specialist, taking into account the dosage and the course of therapy.
Which drug to take for prostatitis depends not only on the financial capabilities of the patient, but also on the manifestations, form and stage of the disease. Even if it is of herbal origin, it is not recommended to take independent medicine without a preliminary examination and consultation with a doctor, because there is no universal remedy for prostatitis that helps everyone without exception.
If the drug turns out to be effective for one man, it may just harm another, so it is necessary to be extremely careful in the treatment of inflammation of the prostate and act together with a qualified specialist.