Prostatitis is an inflammation of the prostate, accompanied by a deteriorated sexual function, urine disorder.It is diagnosed on the basis of Bakposev's data of prostate juice, clinical blood and ultrasound analysis of pelvic organs.Prostatitis tablets destroy the pathogenic flora in the prostate gland, restore urine passage and stop pain.Conservative therapy includes drugs of different actions: antibiotics, muscle relaxants, analgesics and antipassia.
Complex treatment approach
With prostatitis without complications, they resort to conservative treatment.The basis of therapy is two types of drugs:
- Ethiotropic (antibiotics, antiviral agents, antimicotics): destroys the causative agent of infection;
- Symptomatic (non -narcotic analgesics, muscle relaxants, antihistamines): stop symptoms or reduce their severity.
In the case of chronic inflammation, prostate massages and physiotherapeutic procedures are prescribed: laser therapy, magnetotherapy, transureral microwave therapy.
Types of drugs used
Tablets for prostatitis are prescribed by a medical-Andrologist.With inflammation without complications of the prostate gland, it is in an outpatient way.The therapy includes medications from several pharmacological groups:
- antibacterial;
- antispasmodic;
- analgesics;
- vasodilation;
- sedatives;
- Immunostimulation.
The choice of medications is affected by the seriousness of the clinical picture, the type of pathogen, the presence of complications.With prostatitis against the history of urethritis or cystitis, it is also used iOSptic, antimicrobials that eliminate infection in all parts of the urinary system.
Before prescribing medications, the Andrologist performs an exam, during which prostatitis is distinguished from diseases with similar symptoms: bladder neck cancer, adenoma and prostate carcinomas.
Antibiotics
In 8 out of 10 cases, the inflammation of the gland is caused by pathogenic bacteria.Therefore, with prostatitis, antimicrobial medications are prescribed in men.They prefer antibiotics that can penetrate glandular tissues and create high concentrations in them.
Recommended medicines:
- macrolides;
- fluoroquinolones;
- Tetracyclines.
The first improvements are notable 2-3 days after the start of therapy.But to destroy the pathogenic flora in the genitourinary system, antibiotics take at least 4 weeks in a row.
In chronic prostatitis, medications are not prescribed that they accumulate badly in the tissues of the prostate gland.Therefore, aminoglycosides are never used for treatment.
The therapeutic effect of most antimicrobial medications depends on the dose.In the treatment of acute inflammation, it is very important to take tablets at a necessary dose for a bactericidal effect.
Anti -inflammatory and analgesics
Non -steroidal anti -inflammatory medications (NSAIDs) are the best remedies for pain and inflammation in the genitourinary system.Most of the media in this group inhibit the production of a special enzyme (cyclooxigenase), which causes inflammatory reactions.
Acute prostatitis causes severe pain in the pelvic area and perineum.
Lick's inflammation increases the risk of hyperplasia and prostate adenoma.Therefore, patients with chronic prostatitis are prescribed prescription medications that prevent the growth of the gland tissue.
Alpha-blockers
Prostatitis is accompanied by inflammation and an increase in the gland, because the urethra is compressed.As a result, urination disorders are produced: slow and incomplete emptying of the bladder, pain.Alpha blockers are used to restore urine passage.They relax the smooth muscles, which expands the internal diameter of the urethra and the bladder's neck.
The drugs of this group expand the venous and arterial vessels, the lower blood pressure.
ALFA blockers can be attributed to the group of urodynamics.They do not eliminate the cause of the disease, but facilitate urination.The effect is observed 1-2 weeks after the start of therapy.
Sedatives
For treatment in men, prostatitis is often used sedatives.The disease negatively affects the quality of life, causing urination problems, erectile dysfunction.This becomes the cause of neuropsychiatric disorders: emotional lability, depressive state, neurosis.
To improve the psycho -emotional state, drugs are used that:
- normalize the operation of the nervous system;
- Relieve irritability;
- improve sleep;
- Increase stress resistance.
Sedative medications improve the effect of antipsychotics and tranquilizers.Therefore, before taking pills, you must consult a doctor.
Musorelaxantes
With recurrent prostatitis, muscle relaxants, medications that have a relaxing effect on smooth muscles are prescribed.They eliminate the bladder tension, the urethral channel.To achieve maximum relaxing effect, they are used in combination with NSAIDs.Musorlaxants reduce the concentration of non -narcotic analgesics, which prevents the irritation of the gastrointestinal mucosa.
The preparations of muscle relaxants are used exclusively with high muscle tone, spasm of urinary or bubble ducts.An overdose is loaded with nausea, muscle pain, breathing inhibition.
Musorelaxantes are contraindicated in an ulcer of a first 12 intestine, psychosis, epilepsy and Parkinson's disease.
SUPPORT OF THE Blood Flow
To cure the prostate, it is necessary to improve blood supply to pelvic organs.With the blood flow, the organs receive nutrients, which stimulates metabolism and regeneration of damaged tissues.The systematic intake of medicines prevents congestion, edema edema and the compression of the urethral channel.
For the treatment of the gland, medications are prescribed with the following properties:
- Vasodilation: increase the diameter of blood capillaries and blood flow to pelvic organs;
- Angioprotector: increases the density of vascular walls, avoid swelling;
- ANTIPLAQUERTARIA: Prevent the glue for platelets.
Preparations to restore blood flow in the pelvis are used to treat men with slow prostatitis.
Medications are used exclusively in complex therapy.To avoid irritation of the gastric mucosa, tablets are taken after eating.
Immunomodulators
It is recommended to treat prostatitis with medications that stimulate the operation of the immune system.Increase resistance to infections, which reduces the probability of exacerbations.
Indications for the reception of immunomodulators:
- recurrent prostatitis;
- vitamin-minine insufficiency;
- secondary immunodeficiency;
- Chronic bacterial inflammation.
With the premature refusal to treat body resistance, infections are reduced.Because of this, the probability of a relapse of prostatitis increases.
To achieve the desired therapeutic effect, immunomodulators are taken in courses for 2-8 weeks.
Phytotherapeutic drugs
Preparations based on components of plant and animal origin do not increase the medication in the body.They are well tolerated, do not cause serious side effects.
Natural medications are suitable for the treatment of prostatitis and other urological pathologies such as adenoma or hyperplasia of the glands.
Preparations based on medicinal herbs often cause allergic and urticaria reactions.Therefore, with hypersensitivity to the components, it is better not to be treated with Fito Means.
Vitamins
Vitamin-minine deficiency is one of the most common relapse causes of bacterial infection in the genitourinary system.To strengthen immunity, lack of nutrients is replenished.Therefore, with prostatitis, vitaminized agents are prescribed.
Tablets with several bioactive components replenish vitamins.Because of this, metabolism accelerates, cell immunity is strengthened.
It is recommended to take polyvitamins for the prevention of prostatitis exacerbations twice a year, in autumn and spring.They reduce the risk of hypovitaminosis, colds and metabolic disorders.
The danger of car -medication
Prostatitis is a urological disease that often enters a chronic course.Therefore, it is not strictly recommended to take medications without prescribing a doctor.The auto -medical is full of disorders in the work of the urinary and reproductive system.Irrational therapy is dangerous:
- chronic prostatitis;
- erectile dysfunction;
- acute urinary retention;
- Urolithiasis;
- sterility;
- Suppuration in the prostate;
- narrowing of the urethra.
Selected antibiotics incorrectly do not destroy the infection, which causes purulent inflammation of the gland.The prostate abscess is an indication of surgical intervention.
Prostatitis is a male disease, inflammation of the prostate gland.With timely and adequate treatment, therapy is good.But in the case of a transition to a chronic form, it often causes complications.Therefore, in the first signs of prostatitis: difficulty urinating, pain in the perineum, blood in the urine, must contact a urologist or andrologist.