Medical treatment of prostate disease
Medication for prostatitis isprogram complex and complex. It requires not only competent selection of drugs, but also professional constant monitoring by a specialist - a urologist.
Medication includes antibiotic therapy. This method is prescribed in any form (including non-infectious chronic) of the disease of the prostate gland in the first place.
In most cases, drugs of choicebecome fluoroquinolones. This is due to their good bioavailability and penetration into the gland tissue. Thus, drug treatment can be prescribed drugs "Ofloxacin", "Ciprofloxacin", "Lomefloxacin".
The preparations of the reserve are "Amoxiclav", as well as modern macrolides ("Josamycin", "Azithromycin", "Cleirithromycin").
In case of drug treatment courseantimicrobial drugs did not produce the expected effect, the therapeutic effect is directed to the elimination of pain syndrome and the relief of disorders in urination.
To stop the manifestations of soreness, non-steroidal anti-inflammatory drugs are used. They include, in particular, "Diclofenac-retard."
As reserve drugs, antidepressants are used. It is advisable to include in the drug treatment "Fluoxetine" ("Prozac"), "Imipramine" ("Melipramine").
To eliminate the disorder of the process of urination, alpha-adrenoblockers are predominantly used. The mechanism of their action is based on relaxation of smooth muscles in the prostate gland.
By results of comparative researches differentalpha-adrenoblockers have comparable efficacy in patients with urinary disorders. In 50-60% of cases, a favorable result is noted, regardless of the selectivity of the drugs.
It should be noted that selectivealpha-1A-adrenoblockers ("Tamsulosin", "Alfuzozin") do not require the selection of an individual dosage and provoke fewer side effects, which is considered to be their undoubted advantage. However, retrograde ejaculation is more common.
Reserve funds include "Finasteride" and medicines, which are based on an extract from the fruits of sabal. These drugs are able to inhibit the enzyme 5-alpha-reductase.
The application of "Finasteride" is the most studied onpresent day. Blockade of the enzyme provokes a disruption of the formation of testosterone dihydrotestosterone. The volume of the prostate gland is reduced by regression of the glandular tissue. Moreover, the use of this drug reduces the likelihood of cancer, eliminates disorders in urination. Adverse manifestations include a possible deterioration in sexual function (erectile dysfunction, lowering of the libido). When choosing a medicine, the patient determines for himself, what is more important for him - the negative consequences of using the drug or its positive effects.
Medication for prostate adenoma insome cases should last at least six months in order for the effect to come. However, according to some studies, "Finasteride" may be more effective for patients with a significant increase in the prostate gland. At that time, as with an insignificant amount of it, it can have a weak effect. In addition, it is noted that the drug is not only able to relax the symptom of delay in the beginning of urination, but also to reduce the need for surgical intervention by 50% during the treatment after the next four years.
"Prostamol Uno", "Prostagut-Forte", "Prostaplant" can alleviate the symptoms, reducing their severity. These preparations, containing an extract of sabal fruit in the base, do not eliminate the enlargement of the gland itself.