In the article we will consider a treatment regimen for prostatitis.
The main criterion for prescribing a specific therapy 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, the rest have non-bacterial prostatitis.
Chronic form
If the pathology does not have severe clinical symptoms, then this indicates that prostatitis occurs in a chronic form or is an inflammatory disease determined by leukocytes 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 antibacterial medication forThe treatment of prostatitis is of primary importance in terms of its effectiveness, since the prostate is covered with a protective epithelial membrane on the outside and has a certain pH level, which prevents the penetration of antimicrobial substances into its cells. Medications that are able to reach the required 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 for chronic prostatitis should also be based on a bacterial study of urine and sensitivity of the pathogen. It is important to use broad-spectrum antibiotics as the prostate tends to harbor many different bacteria, although the gram-negative category Enterobacteriaceae is the most common.
Therapy of bacterial prostatitis is often hampered by the absence of an active mechanism for the transfer of antibiotics through the tissues and the insignificant penetration of most drugs into the infected tissue and fluid of the prostate gland. Only a highly qualified specialist can choose an effective treatment regimen for prostatitis.
The right choice
The correct choice of antibiotic plays an important role in terms of its effectiveness. Most of these are either weak acids or bases and ionize in natural fluids, which prevent them from penetrating into the prostate epithelium. Only the free molecules of these drugs, associated with proteins,penetrate into infected tissues. Therapy of chronic bacterial prostatitis requires long-term treatment with antibiotics that can penetrate the prostate. They should have high lipid solubility, low ionization, low protein binding and small molecular size.
Duration of therapy
Treatment starts with a 6-week course. The 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 the semen, longer therapy is necessary. The best results are observed with a 12-week course of treatment for this disease. The regimen for the treatment of prostatitis with antibiotics is selected for each man individually.
Fluoroquinolones
Fluoroquinolones (e.g. Moxifloxacin, Levofloxacin, Ciprofloxacin, Ofloxacin) are the preferred antibacterial agents for prostatitis due to their pharmacokinetic properties and broad spectrum of effects.
Fluoroquinolones have high bactericidal activity against Enterobacteriaceae and Pseudomonasaeruginosa. They are very effective against gonococcal and chlamydial infections. However, it is better not to use fluoroquinolones for prostatitis caused by enterococci, streptococci and anaerobes. Contraindications to the use of drugs in this category are tendinitis and a long QT interval on the ECG. Resistance to fluoroquinolones has also been reported. Enterobacteriaceae causing inflammatory reactions in the bladder as well as intra-abdominal infections.
What other drugs are included in the prostatitis treatment regimen?
Azithromycin
This drug is a macrolide antibiotic. It quickly penetrates the prostate and has activity against chlamydia and gram-positive bacteria. It is generally not used as a first-line drug, but may be prescribed when microbiological studies have identified a microflora that is sensitive to this drug.
"Azithromycin" for chlamydial prostatitis is preferable to "Ciprofloxacin". Clarithromycin is another macrolide that shares properties with Azithromycin and has identical clinical relevance.
Treatment regimen
Scheme for the treatment of prostatitis with the antibiotic "Azithromycin":
- three days - 1000 mg each;
- three days - 500 mg each.
This medicine is taken on an empty stomach.
Amoxiclav is often included in the treatment regimen for chronic prostatitis.
Amoxiclav
Treatment of infectious forms of prostatitis is carried out with the help of antibacterial medicines prescribed for a long course. For these purposes, the combined remedy "Amoxiclav" is successfully used.
The treatment regimen for prostatitis is presented below.
It contains amoxicillin and clavulanic acid, which helps to optimize the properties of amoxicillin and prevents it fromdestruction. 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 the causative agents of infectious prostatitis. However, it is prescribed, like other antibiotics, only after a bacterial study of the secret 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 remedy also depends on the type of pathogen.
What heals?
The use of this antibiotic for prostatitis eliminates the following pathological phenomena:
- pain in the perineum;
- burning in the urethra during urination;
- failure;
- intoxication of the body.
The medicine should be used with caution and only as prescribed by a specialist, since the medicine has a number of contraindications.
Scheme for the treatment of prostatitis in men "Amoxiclav":
- accepted by long course;
- therapy ranges from 3 weeks to 1.5 months, depending on the type of inflammatory process;
- in most cases, patients are prescribed medication at a dosage of 500 mg per tablet;
- you need to take the drug 2 times a dayday.
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 male prostatitis and medications may be adjusted if side effects occur.
Fundamentals of therapy for fungal prostatitis
When Candida fungi are found in the prostate, fungal prostatitis 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:
- pain in the area of the pelvic organs;
- temperature increase;
- burning and itching;
- discomfort during erection and during intercourse;
- false urge to urinate without the required volume of urine;
- pain during bowel movements and urination;
- mucous or purulent discharge, in some cases bloody.
The signs that are indicated in candidal disease of the prostate cannot be distinguished, therefore, patients are often diagnosed with other pathologies similar in symptoms (urethritis, cystitis). Such errors allow fungi to develop, and the disease becomes chronic. The treatment of fungal prostatitis is very complex and lengthy. The risk is that the lack of effectiveness of treatment leads to a chronic form of the disease.or regular relapses. Comprehensive treatment is required to achieve the best result. An important step in this is taking medications that eliminate the fungus.
Drugs and treatment regimen for fungal prostatitis
The most commonly prescribed medications are:
- "Fluconazole";
- "Amphotericin";
- "Ketoconazole";
- Itraconazole.
Absolute recovery is possible only if all the recommendations of a specialist are followed. In complex forms of the disease, several medications and additional medical procedures can be prescribed at once.
Not only drugs are included in the prostatitis treatment regimen.
Folk treatments
For more than a dozen years, people have been treating prostatitis using traditional medicine methods based on the use of infusions and decoctions of medicinal herbs, vegetables, and bee products. The most common and effective prescriptions for prostatitis are:
- Pumpkin seeds, which contain a large amount of zinc - an element indispensable for men. At the first signs of prostatitis, it is recommended to eat 30 of these seeds daily. They are used not only for prostatitis and with the development of impotence, but also when signs of prostatic hyperplasia appear.
- Aspen bark, which must be harvested in early spring, before the first leaves appear on the tree. The thickness of the bark should be approximately 3-5 mm. Raw materials are dried and crushed,after which it is necessary to fold the bark into a jar so that it is one-third full. 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 dysbacteriosis.
- Pumpkin with honey. For the manufacture of this tool, you need 500 g of raw pumpkin seeds. They need to be crushed with a meat grinder and mixed with 200 g of honey. It is necessary to roll small balls from the mixture and dissolve 1 ball several times a day, before meals. From this amount of raw materials, the number of balls for the entire course of therapy is obtained. The medicine should be stored in the refrigerator.
- Hazel. One of the most effective folk medicines for the treatment of prostatitis is prepared from this plant. 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 brewed in boiling water and infused for 30 minutes in a thermos. After that, the infusion is filtered, divided into 4 parts and taken within a day.
- Chestnut shells. Such a decoction can be used for adenoma and prostatitis. The shell must be crushed, brewed with boiling water and drunk instead of tea. The decoction increases appetite, so it is recommended to periodically carry out cleansing enemas.
- Parsley. This plant has an anti-inflammatory effect. To prepare medicines for prostatitis, you can use the juice from the roots of the plant or the seeds, which are crushed and madeof which decoction.
- Pear. Wild varieties of this tree are used. It is enough to drink compote every day, made from pears (can be dried). It relieves the symptoms of prostatitis well.
- Garlic. To prepare a folk remedy, you need to chop 5 cloves of garlic and pour 500 ml of hot water. The remedy is infused during the night. In the morning, the infusion is filtered and taken 50 ml on an empty stomach.
Herbal treatment
In folk medicine, various herbs are also used to treat prostatitis:
- Radiola 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: the crushed leaves of the 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 to repeat the course of prostatitis treatment for preventive purposes.
The most effective drugs and treatment regimens we have reviewed.
