In the article, we will consider the treatment regimen for prostatitis.
The main criterion for the appointment of a specific treatment regimen is the classification of prostatitis and the degree of neglect of the pathological process.
Only a small proportion of men suffer from bacterial prostatitis, while the rest have non-bacterial prostatitis.
Chronic form
If the pathology does not have pronounced clinical symptoms, then this indicates that prostatitis proceeds in a chronic form or is an inflammatory disease determined by white blood cells in semen or after prostatic massage. Asymptomatic inflammatory prostatitis is determined by sperm abnormalities in a laboratory study, a high prostate-specific antigen. What drugs are included in the treatment regimen for prostatitis?
Antibiotics
Adequate selection of an antibacterial medication for the treatment of prostatitis is of primary importance in terms of its effectiveness, since the prostate is coated on the outside with a protective epithelial membrane and has a certain pH level, which prevents the penetration of antimicrobial substances into its cells. Medications that can achieve the necessary concentration in the cells of the prostate gland include: macrolides, fluoroquinolones, Trimethoprim and tetracyclines.
The choice of antibacterial agents for inclusion in the treatment regimen of chronic prostatitis should also be based on a bacterial study of urine and the sensitivity of the pathogen. It is important to use antibiotics with a wide spectrum of effects, since the prostate, as a rule, is home to many different bacteria, although the gram-negative category Enterobacteriaceae most often occurs.
Therapy of bacterial prostatitis is often hampered by the lack of an active mechanism for the transfer of antibiotics to tissues and the insignificant penetration of most drugs into infected tissue and prostate fluid. Only a highly qualified specialist can choose an effective treatment regimen for prostatitis.
Right choice
The right choice of antibiotic plays an important role in terms of its effectiveness. Most of them are either weak acids or bases, they are ionized in natural fluids, which prevent their penetration into the prostate epithelium. Only the free molecules of these drugs, bound to proteins, penetrate infected tissues. Therapy of chronic prostatitis of a bacterial nature requires long-term treatment with antibiotics that can penetrate the prostate. They must have high lipid solubility, low ionization, low protein binding and small molecular size.
Therapy duration
Treatment begins with a 6-week course. A second course can be prescribed to the patient if the bacterial nature of prostatitis is confirmed or the first course has led to an insignificant decrease in symptoms. If pathogenic bacteria are found in semen, longer treatment is needed. The best results are observed with a 12-week course of treatment for this disease. The treatment regimen for prostatitis with antibiotics is selected individually for each man.
Fluoroquinolones
The preferred antibacterial agents for prostatitis are fluoroquinolones (for example, Moxifloxacin, Levofloxacin, Ciprofloxacin, Ofloxacin) because of their pharmacokinetic qualities and a wide range of effects.
Fluoroquinolones have a high bactericidal activity against Enterobacteriaceae and Pseudomonasaeruginosa. They are very effective against gonococcal and chlamydial infections. However, fluoroquinolones should not be used for prostatitis caused by enterococci, streptococci and anaerobes. Contraindications to the use of drugs of this category are tendonitis and a long QT interval on the ECG. Resistance to Enterobacteriaceae fluoroquinolones, causing inflammatory reactions in the bladder, as well as intra-abdominal infections, has also been reported.
What other drugs are included in the treatment regimen for prostatitis?
"Azithromycin"
This drug is a macrolide antibiotic. It quickly penetrates the prostate and has activity against chlamydia and gram-positive bacteria. It, as a rule, is not used as a first-line medicine, but can be prescribed when microflora sensitive to this medicine was determined during microbiological studies.
"Azithromycin" with chlamydial prostatitis is preferable to "Ciprofloxacin". Clarithromycin is another macrolide that shares properties with Azithromycin and has identical clinical significance.
Treatment regimen
The treatment regimen for prostatitis with the antibiotic "Azithromycin":
- three days - 1000 mg each;
- three days - 500 mg each.
This drug is taken on an empty stomach.
Amoxiclav is often included in the treatment regimen of chronic prostatitis.
Amoxiclav
Treatment of infectious forms of prostatitis is carried out with the help of antibacterial drugs prescribed by a long course. For this purpose, the combination agent Amoxiclav is successfully used.
The treatment regimen for prostatitis is presented below.
It contains amoxicillin and clavulanic acid, which helps optimize the properties of amoxicillin and prevents its destruction. Due to this, the drug has a pronounced therapeutic effect compared to other antibiotics, which contain only elements of the penicillin series. The drug is active against a number of pathogenic bacteria, including enterococci and staphylococci, which are often infectious prostatitis pathogens. However, it is prescribed, like other antibiotics, only after bacterial examination of the secretion of the prostate gland in order to determine the causative agent of the pathological process. The medicine is also effective if the inflammation of the prostate gland is caused by mixed infections or gonorrhea. The dosage of this agent also depends on the type of pathogen.
What is the cure?
The use of this antibiotic with prostatitis eliminates the following pathological phenomena:
- perineal pain;
- burning in the urethra during urination;
- prostration;
- intoxication of the body.
The medicine should be used with caution and solely as directed by a specialist, since the medication has a number of contraindications.
The treatment regimen for prostatitis in men with Amoxiclav:
- taken in a long course;
- therapy is from 3 weeks to 1.5 months, depending on the type of inflammatory process;
- patients in most cases are prescribed a medication in a dosage of 500 mg per tablet;
- take the drug 2 times a day.
The drug acts very quickly thanks to clavulanic acid, so the elimination of the symptoms of the inflammatory process is observed approximately 2-3 days after the start of treatment. The treatment regimen for prostatitis in men and medications can be adjusted in case of side effects.
The basics of the treatment of fungal prostatitis
If Candida fungi are found in the prostate, prostatitis of a fungal form is diagnosed . When the gland is affected by fungi at the initial stage, the disease proceeds latently and most often does not manifest noticeable symptoms. This is the most dangerous stage, since the patient is unaware of the development of the pathological process in his body. The first signs of fungal prostatitis are:
- soreness in the area of the pelvic organs;
- temperature rise;
- burning and itching;
- discomfort during erection and during sexual intercourse;
- false urge to urinate without the necessary volume of urine;
- pain during bowel movements and urination;
- mucous or purulent discharge, in some cases with bloody spots.
The signs that are indicated with candidal disease of the prostate cannot be distinguished, therefore, patients who are often diagnosed with other symptoms similar to their symptoms (urethritis, cystitis). Such errors make it possible for fungi to develop, and the disease becomes chronic. Therapy of fungal prostatitis is very complex and lengthy. The risk is that insufficient treatment effectiveness leads to a chronic form of the disease or regular relapses. To achieve the best result, complex treatment is necessary. An important step in this is taking medications that eliminate the fungus.
Medicines and treatment regimen for fungal prostatitis
Most often, the following medications are prescribed:
- "Fluconazole";
- Amphotericin;
- “Ketoconazole”;
- "Itraconazole".
Absolute recovery is possible only if all the recommendations of a specialist are observed. With complex forms of the disease, several medications and additional treatment procedures can be prescribed at once.
Not only drugs are included in the treatment regimen for prostatitis.
Alternative methods of treatment
For decades, people have been treating prostatitis using traditional medicine methods, which are based on the use of infusions and decoctions of medicinal herbs, vegetables, and beekeeping products. The most common and effective recipes for prostatitis are:
- Pumpkin seeds, which contain a large amount of zinc - an element indispensable for men. At the first sign of prostatitis, it is recommended to eat 30 such seeds daily. They are used not only for prostatitis and for the development of impotence, but also for signs of prostatic hyperplasia.
- Aspen bark, which must be collected in early spring, before the first leaves appear on the tree. The thickness of the bark should be approximately 3-5 mm. The raw materials are dried and crushed, after which it is necessary to fold the bark into a jar so that it is filled by one third. Water is poured to the top and left for 2 weeks in a dark and cool place. After this, the infusion should be filtered and taken 1 tablespoon before meals. This folk remedy is not suitable for men who suffer from constipation and intestinal dysbiosis.
- Pumpkin with honey. To make this product, you need 500 g of raw pumpkin seeds. They need to be crushed with a meat grinder and mixed with 200 g of honey. From the mixture, it is necessary to roll small balls and several times a day, before eating, dissolve 1 ball. From this amount of raw material, the number of balls for the entire course of therapy is obtained. The medicine should be stored in the refrigerator.
- Hazel. From this plant, one of the most effective alternative medicines for the treatment of prostatitis is prepared. For this, leaves and bark of hazel are used. It is very important that the raw materials are fresh. The ingredients are crushed, after which one tablespoon of the mixture is boiled in boiling water and infused for 30 minutes in a thermos. After this, the infusion is filtered, divided into 4 parts and taken within a day.
- Shell of chestnuts. Such a decoction can be used from adenoma and prostatitis. The shell must be chopped, boiled with boiling water and drink instead of tea. The broth increases appetite, therefore it is recommended to periodically conduct cleansing enemas.
- Parsley. This plant has an anti-inflammatory effect. For the preparation of medicines for prostatitis, you can use juice from the roots of the plant or seeds that are crushed and make a decoction of them.
- Pear. Wild varieties of this tree are used. It is enough to drink stewed fruit made from pears every day (you can dried). It relieves symptoms of prostatitis.
- Garlic. To prepare a folk remedy, you need to chop 5 garlic cloves and pour 500 ml of hot water. The remedy is infused overnight. In the morning, the infusion is filtered and taken 50 ml on an empty stomach.
Herbal treatment
In folk medicine, various healing herbs are also used to treat prostatitis:
- The radiola is pink. To prepare the medicine, you need the root of the plant, which is crushed, poured with boiling water, and then boiled over low heat. After cooling the broth, it should be filtered and taken 2 times a day.
- Kalanchoe. The recipe is as follows: crushed leaves of a plant are poured with vodka and kept for 5 days in a cool place. Ready tincture should be taken 1 spoon per day. After the disappearance of symptoms, it is necessary for prophylactic purposes to repeat the course of treatment of prostatitis.
The most effective drugs and treatment regimens we have reviewed.