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In the treatment of inflammatory disease of the prostate, not only medications, but also physiotherapeutic procedures are used. In addition, courses of phytotherapy, massage and acupuncture may be prescribed. The use of a comprehensive scheme makes it possible to prevent the occurrence of relapses and to eliminate the symptoms of prostatitis. Treatment is carried out only after diagnostics and laboratory test data results.
What medications are prescribed
The doctor prescribes a number of drugs in order to eliminate the inflammatory process of the prostate over a short period of time. They are aimed at destroying bacterial infection, improving the function of the gland and normalising the blood supply to it. With a tendency to relapse, patients are prescribed immunostimulants. In some cases, urologists prescribe a course of treatment with myorelaxants, hormonal medications and alpha-blockers.
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The therapy scheme is prepared for each patient individually by a specialist. The type of drugs to be used is determined after receiving the results of a study with ultrasound and laboratory analysis. Independent selection of drugs can lead to the deterioration of prostate function and general well-being.
Antibacterial agents are not always used in the treatment of prostatitis in its chronic form. Such drugs may not be prescribed in the absence of symptoms and the normal state of the patient. With a sluggish course of the disease, doctors often prescribe drugs containing plant components and alpha-blockers.
The course of antibiotic therapy
If combined infections are detected, the patient is prescribed therapy with fluoroquinolones. Such drugs have high bioavailability and the ability to penetrate into the tissues of the gland. Men are often prescribed a course of Norfloxacin after diagnosis. The treatment scheme involves taking the drug twice a day for 10-14 days. Ciprofloxacin may be prescribed instead of Norfloxacin.
If the symptoms of prostatitis persist with fluoroquinolones, the urologist prescribes Amoxicillin or Clindamycin. With the detection of chlamydial infection and with the help of a laboratory method, the doctor recommends taking a course of tetracyclines. The active components of Clarithromycin get into the gland tissue quickly and eliminate the pathogen. The urologist applies a new therapeutic scheme when there is repeated relapse. It contains another type of antibacterial medication with lower dosages.
A course of antiseptic agents is indicated only with the appearance of prostatitis associated with the invasion of the gland tissue by an infectious agent. It is important to know that bacterial flora is always present in the human body. Pathogens do not have the opportunity to activate if the immune system works correctly. Acute prostatitis develops as a result of a decrease in resistance to bacteria which is usually due to the influence of a number of factors.
In the acute course of the disease, a course of antibiotic therapy is mandatory. In the absence of treatment, the risk of developing an inflammatory process in the urogenital organs increases. If the patient did not undergo therapy in time or refused to visit the doctor, the probability of chronic prostatitis increases, which is difficult to treat.
Medication regimen
Medications are prescribed on the day of the patient’s application when signs of acute prostatitis appear. In most cases doctors do not wait for the data of laboratory tests and prescribe men a course of drugs from the group of macrolides. Aminoglycosides and fluoroquinolones can be used to eliminate acute symptoms. A course of erythromycin is prescribed much less often due to the lack of pronounced antimicrobial properties.
Changing the scheme of therapy is possible after receiving the results from a laboratory. A mild course of the disease allows the use of one medication only. The choice of drug depends on the age and other pathologies present in the patient. Dosage requires correction in the presence of kidney disease and liver disease. The urologist prescribes a drug from another group if the patient has previously taken an antibacterial drug.
The patient is prescribed a more effective treatment if there is no positive result from the universal scheme. It involves the use of injections with antibiotics which are placed in hospital conditions. Such therapy in most cases removes the acute manifestations of the disease quickly.
A course of hormonal drugs
With a properly prescribed medication scheme, the symptoms of prostatitis disappear within one to two weeks. Patients note the disappearance of soreness in the perineal area, the improvement of the urinary process and normalisation of the general condition. In the case of using an inappropriate drug men still have a feeling of discomfort, erectile problems and decreased sexual activity. Signs of prostatitis may return if the treatment scheme lacks an immunostimulant. Neovir and Viferon have a pronounced effect.
The use of hormonal medications is required if positive results from the ongoing therapy of the chronic form of prostatitis are insignificant. These help to improve the process of urination and restore erectile function. Such drugs are usually effective, but can cause the development of negative reactions. That is why the dosage should be determined by taking all factors into account. In most cases, therapy is carried out with the help of Ciproteronacetate.
The use of suppositories
Suppositories for rectal use are prescribed in the presence of an inflammatory process in the gland. They rarely cause signs of intolerance since they contain plant components. Favourable effects have suppositories with honey, propolis and herbal decoction. The course of treatment helps to eliminate pain and improve blood flow in the gland.
To restore the function of prostate suppositories capsules can be used which contain an extract of a gland from the bull. Due to the effect of this component on the tissues of the genito-urinary organs, it is possible to accelerate regenerative processes and enhance sexual activity.
After the end of a course of treatment, men are advised to undergo a recovery course which provides for the use of a multivitamin complex. When using an antibacterial drug, it requires the appointment of a remedy containing bifido and lactobacilli.
