Prostatitis is considered the most common reason for men to visit 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 enters the chronic stage 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.
What is included in therapy
Drug treatment of prostatitis should be carried out in a complex manner.The entire scheme includes several groups of drugs that help cope with the disease, acting on several areas at once.The course of treatment consists of 6 types of drugs:
- Antibacterial agents.
- Hormonal drugs.
- Alpha adrenergic blockers.
- Muscle relaxants.
- Rectal suppositories.
- Products 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 medications can cause serious health problems.
Treatment with medications
If prostatitis in men occurs without symptoms, then antibacterial therapy will be questionable.The duration of therapy should be at least a month, after which it should be extended for another month.If there is no effect, then the doctor may change the regimen and remove antibiotics from it.They are replaced with 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 advantage of being active against gram-negative organisms, chlamydia.Indicators after treatment for chronic prostatitis do not change if we are talking about a specific drug.Positive results can be observed only after an integrated approach to the disease.
It is advisable to take antibacterial drugs as a prevention and treatment of bacterial inflammation.
If there is a repeated relapse, the doctor may prescribe the previous treatment for prostatitis with medications that have the ability to destroy bacteria, but the dosages are usually lower.If antibacterial drugs have no effect, it means they were chosen 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 disruption of blood flow in the pelvic organs.Antibiotics for an inflamed prostate are especially beneficial if the disease is caused by bacteria.If there are no antibacterial drugs in the complex regimen, 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 adenoma and impotence.If the disturbed flora is not normalized, it can spread to third-party organs and cause pyelonephritis or cystitis.It turns out that prostatitis, which a man has not fully treated, causes not only kidney problems, but also urolithiasis.
It is worth knowing that medications for inflammation of the prostate gland are necessary; without them, treatment will not bring any results.Moreover, the disease can provoke pathological processes in the pelvis.If one of the men often experiences exacerbations and does not turn to a specialist, then he risks facing negative consequences in the future.
Rules for prescribing drugs
Medicines are prescribed immediately after the man comes to the urologist and explains his problem.This is especially true for the acute stage of the inflammatory process.This means that the doctor will not wait for tests and will immediately prescribe the necessary treatment regimen.For the first few days, the following scheme is selected:
- drugs from the macrolide group;
- aminoglycosides;
- fluoroquinolones.
The most effective therapy with medications is selected after receiving test results
Erythromycins are prescribed less frequently because they cannot destroy bacteria en masse.After taking the tests, it takes a couple of days before the results are brought to a specialist.After studying them, the doctor selects treatment or prescribes a more modern and unique drug.This only applies to inflammation, which occurs in a mild form.
Age in men should also be taken into account.His illnesses at the time of examination and allergies will be an indicator for adjusting the treatment course.In turn, the man must tell the doctor about the medications he has recently taken or is currently using.It is worth noting that if a man took a course of antibiotics several days before prostatitis, then there is a high risk that similar drugs will not help him in the process of treating the inflamed prostate.
In addition to the universal scheme, the doctor has a “rainy day scheme”.It is used when there is no effect from the prescribed course.Such a scheme has a strong effect on the body.They will be prescribed only when conservative treatment does not help at all.Repeated tests usually show a zero effect.
If strong antibiotics are identified, it is advisable to use them in injections, and it is advisable to be in the hospital at this time.To be treated at home, antibiotic capsules are selected for men, the dosage and timing of which are carefully prescribed by the doctor.Of course, drug treatment of prostatitis requires compliance with several recommendations.Medicines need to be taken for a certain number of days, usually about 2 weeks.Then the antibiotics are stopped or slightly extended.
The entire prescribed scheme must be followed to the end.When treatment is interrupted, a positive “spot” begins to form, through which the infection will move to the chronic stage.3 days should pass from the start of therapy to the elimination of symptoms.If the signs of prostatitis do not go away within the allotted time, you should immediately go to the doctor and review the treatment regimen.
After adequate treatment, the quality of life of men noticeably normalizes.Pain and discomfort when urinating goes away.With universal therapy, symptoms practically do not go away.As a rule, painful spasms (75%) and difficulty emptying the bladder (70%) remain.Ejaculation is uncomfortable for 40% of men.If there is no immunomodulator in the regimen, prostatitis will return again, so its presence in therapy is mandatory.Without it, the signs of the disease practically stand still.