Prostatitis is an inflammatory disease that is dangerous not only because of its symptoms, such as pain, fever, and risk of suppuration, but also its consequences. These include infertility, impotence, the formation of malignant tumors in the tissue of the prostate, pathological transformation to chronic forms and the spread of infection to all organs of the genitourinary system.
Many patients try to find a cure for prostatitis on their own, without resorting to a doctor, to start the situation and achieve the development of complications, such a strategy is fundamentally wrong. It is easier and faster to cure the acute form of the disease, therefore, at the first suspicious signs of the development of pathology, it is necessary to seek help from a qualified specialist.
The main cause of acute inflammation of the prostate is thought to be bacterial infection - it necessitates the mandatory use of antibiotics. Chronic conditions are longer and more difficult to treat - doctors connect immunomodulators, candles, therapeutic massage and physical therapy here.
About which drugs are used to treat prostatitis, about the purpose of their appointment and the conditions under which they are taken - will be described in this material. It is introductory and the list of medications for prostatitis should not be used as a guide to action, and the final treatment choice is left to the doctor.
Antibacterial drugs
An effective treatment for prostatitis, which develops on the background of bacterial infections, is of course antibiotics. In addition, physicians prescribe drugs of this group not only for acute diseases, but also for chronic diseases, according to the type of pathogen, clinical symptoms and taking into account the previous treatment the patient has received.
The selection of the appropriate drug is made after the analysis of the microflora of the scraped urethra, as well as the results of blood tests by PCR and prostate secretions. In most cases, your doctor will choose the most effective medications for prostatitis from the following antibiotics:
- Fluoroquinolones - levofloxacin, ofloxacin, and ciprofloxacin-based drugs;
- tetracyclines;
- cephalosporins - for internal use and intramuscular injection;
- protected penicillin;
- Macrolides.
It is necessary to describe in more detail the antiprostatitis drugs in the listed groups, their properties, characteristics and the microbiome on which they act.
Fluoroquinolones
The fact is that these drugs have the greatest ability to be absorbed by the prostate tissue, where there is a cumulative effect and a rapid remission of the inflammatory process.
Below is a list of fluoroquinolones, which are commonly used to get rid of infectious prostatitis:
- Levofloxacin-based medicines. Effective against most pathogenic microorganisms that cause prostatitis symptoms. The drug penetrates rapidly into prostate tissue at concentrations up to 4 times higher than in blood. Under the influence of bacteria, they die rapidly due to the destruction of the cell membrane. The disadvantage is that it cannot be used for tuberculosis and must be properly checked before use.
- Medicines containing levofloxacin come in tablet form. It is concentrated in the cell membrane of pathogenic bacteria and rapidly acts on gram-positive and gram-negative bacteria such as Ureaplasma urealyticum, Mycoplasma, anaerobic bacteria, and Neisseria gonorrhoeae.
- A ciprofloxacin-based drug that shows high activity against a large number of microorganisms that cause the disease. Its main advantage is considered to be a rapid effect on the microflora, so recovery occurs faster.
- Antibiotics with the active substance ciprofloxacin. It is highly resistant to bacteria not affected by other drugs of the drug group (penicillins, macrolides, tetracyclines). Accumulates in prostate tissue, providing quick and long-lasting results.
- Ofloxacin-based drugs for the treatment of prostatitis. It acts on a variety of pathogens and can be prescribed when complex treatment with drugs of cephalosporin, macrolide and beta-lactam antibiotics is required.
Of course, fluoroquinolone antibiotics are fast-acting drugs for prostatitis, but you need to take them for the entire course recommended by your doctor. If the patient independently cancels the drug after the disappearance of the main symptoms of the disease, the infection becomes a latent (sleep) form and manifests itself in the form of a chronic pathological exacerbation.
Tetracyclines
Among antibiotics, the frequency of use of tetracyclines for the treatment of prostatitis has begun to decrease. This is because there are many side effects, and the patient's tolerance is not very good. 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 that the maximum concentration of the active substance doxycycline in the prostate tissue is reached after a few hours. Not recommended for patients with liver and kidney problems and allergic to tetracycline.
cephalosporins
The preparations of the cephalosporin group for the treatment of prostatitis in men show high activity against various pathogens. These funds can free you from microflora and prostatitis caused by Neisseria gonorrhoeae, Escherichia coli, Trichomonas, Proteus, Klebsiella, Enterobacter and other pathogens.
A detailed list of contraindications to cephalosporins that cannot be used in specific patients is provided by a doctor, but in most cases these are problems of the liver and kidney systems, and allergic reactions to this family of drugs.
penicillin
Which prostatitis drugs in the protected penicillin group can be used to treat this disease depends on the results of the analysis of the pathogen type and its susceptibility to the drug.
Macrolides
However, these drugs are highly effective in the treatment of sexually transmitted diseases, have low toxicity, penetrate well into cells, and have no adverse effects on the gut microbiota. Therefore, they are still used in the complex treatment of prostate inflammation, often in combination with cephalosporins.
Doctors also point out that some macrolides are very effective in the post-care stage, that is, after the main course of treatment, such as fluoroquinolones or cephalosporins.
Top Drug List
The pharmaceutical market now offers many drugs, among which it is likely to choose an effective drug for the specific problem of prostatitis. Therefore, the main complaints of men with this diagnosis are:
- pain syndrome;
- loss of full erectile function;
- urination problems;
- pain and discomfort during sex;
- Overall health deteriorates and the body's defenses decline.
Doctors always warn patients that you have no idea how many different chemical and herbal preparations and dietary supplements are being sold today to combat the listed symptoms of prostatitis.
But not every one can help a person cope with the disease, because the attending physician should choose the drug according to the form and stage of prostatitis, the cause of occurrence, clinical symptoms and the age of the patient. Below will be a list of the best medicines according to the patient and doctor, but they should only be used on the recommendation of a specialist, taking into account the dosage and duration of treatment.
What medicine to take for prostatitis depends not only on the patient's financial ability, but also on the manifestation, form and stage of the disease. It is not recommended to buy medicines independently, even of plant origin, without an initial examination and consultation with a doctor, as there is no one-size-fits-all medicine for prostatitis that can help everyone without exception.
If the drug works for one person, it may only harm the other, so you need to be extra careful and work with a qualified specialist when treating prostate inflammation.