Prostatitis is considered the most common reason for men to visit a urologist.The problem lies not in the inflammatory process itself, but in its 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 way.The overall scheme includes several groups of drugs that help to cope with the disease, acting on several areas at once.The treatment course consists of 6 types of drugs:
- Antibacterial agent.
- Hormonal drugs.
- Alpha adrenergic blockers.
- Relax the muscles.
- Rectal suppositories.
- Products that strengthen the immune system.
However, be aware 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, because ignorance about medicine can cause serious health problems.
Treatment with drugs
If prostatitis in men occurs without symptoms, then antibacterial therapy will be questioned.The duration of therapy should be at least one 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 course of empirical treatment, fluoroquinolones are prescribed.They have high bioavailability and rapid penetration into the prostate mucosa.They also have an active advantage against gram-negative organisms, chlamydia.Indications after treatment for chronic prostatitis do not change if we talk about specific drugs.Positive results can be observed only after an integrated approach to the disease.
It is advisable to take antibacterial drugs as prevention and treatment of bacterial inflammation.
If there are repeated relapses, the doctor may prescribe previous treatment for prostatitis with drugs that have the ability to destroy bacteria, but the dosage is usually lower.If the antibacterial drug has no effect, it means that it is wrongly chosen or there are bacteria in the man's body that are resistant 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 case, the 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 adenomas 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 is not fully treated by a man, causes not only kidney problems, but also urolithiasis.
Be aware that medication for inflammation of the prostate gland is necessary;without them, the treatment will not bring any results.In addition, this disease can trigger 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 medicine
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 the test 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 drugs is chosen after receiving the test results
Erythromycin is prescribed less often because it cannot destroy bacteria en masse.After taking the test, it takes a few days before the results are brought to the specialist.After studying them, the doctor chooses a treatment or prescribes a more modern and unique drug.This only applies to inflammation, which occurs in a mild form.
Men's age also needs to be taken into account.His illness at the time of examination and allergies will be an indicator to adjust the course of treatment.Instead, the man must tell the doctor about the drugs he has recently taken or is currently using.It should be remembered that if a man takes a course of antibiotics a few days before prostatitis, then there is a high risk that the same medicine will not help him in the process of treating an inflamed prostate.
In addition to the universal scheme, doctors have 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.Repeat tests usually show zero effect.
If a strong antibiotic is identified, it is advisable to use it 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 dose and time carefully determined by the doctor.Of course, prostatitis drug treatment requires compliance with some recommendations.The medicine should be taken for several days, usually about 2 weeks.Then antibiotics are stopped or extended a little.
The entire prescribed scheme must be followed to the end.When treatment is interrupted, positive "points" begin to form, where the infection will move to a chronic stage.3 days should pass from the beginning of therapy to the elimination of symptoms.If the symptoms of prostatitis do not disappear within the specified time, you should immediately go to the doctor and review the treatment regimen.
After adequate treatment, the man's quality of life becomes normal.Pain and discomfort when urinating disappeared.With universal therapy, symptoms practically do not disappear.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 almost do not move.