Post Date December, 02 2023
What medicine should prostatitis take? I believe this is the question that many patients like to ask. However, the etiology of prostatitis is complex, especially the symptoms of chronic prostatitis vary. What kind of medicine to take should be classified and treated comprehensively according to the specific conditions of different patients. At present, many advertisements falsely claim that there are "special drugs" to treat prostatitis. Some patients who hear that prostatitis can be "eradicated" often will not hesitate to pay for it. In fact, there is no specific drug for treating prostatitis, and comprehensive treatment is needed according to individual conditions.
In clinic, prostatitis can be divided into acute and chronic bacterial prostatitis, acute and chronic non-bacterial prostatitis, and chronic refractory prostatitis according to the etiology and pathology. Therefore, in the treatment of different types of prostatitis, personalized treatment methods should be applied according to the specific etiology and pathology.
There are three principles for taking medicine for acute prostatitis
In clinical practice, 80% of prostatitis is accompanied by seminal vesiculitis and blood sperm appears. Therefore, it is not necessary to consider separately the selection of antibacterials for anti-inflammatory treatment of acute prostatitis or acute seminal vesiculitis. For the treatment of acute prostatitis or acute seminal vesiculitis with hemospermia, in addition to the general treatment, antibacterial treatment is very important, without hemostasis treatment. However, because there is a lipid membrane on the surface of the prostate gland, it is difficult for many antibiotics to penetrate into the gland through this membrane to achieve therapeutic effect.
There are three principles to follow when taking medicine for acute prostatitis. First, it should be selected according to drug sensitivity; The second is to select antibacterial drugs with high lipophilicity, high permeability, low binding rate with protein in plasma and high dissociation; Finally, the drug should be used in combination. The dosage should be sufficient, the course of treatment should be long, and the drug should take more than 4 weeks.
Three mistakes are often made when taking medicine for prostatitis
1. Drug use error
There are two main types of drugs for the treatment of benign prostatic hyperplasia. One is to reduce the size of the prostate, and the other is to reduce the resistance to urination. The two cannot be replaced by each other. For patients with BPH, the first thing is to decide what drugs to take according to their most urgent problems, or the most serious symptoms. Generally, only one drug of the same type can be taken and cannot be reused. In most patients, the combination of these two drugs can achieve better results.
2. Overdue medication
It is understandable that some prostatitis patients are afraid of surgical treatment and expect to cure BPH by taking medicine. But it is not advisable to take medicine blindly for a long time. Some drugs need to be taken for a long time to take effect, but long-term medication does not necessarily cure BPH, and may have some side effects.
Some sex hormone drugs often used in the past will cause breast swelling and other symptoms after taking them for a long time. More seriously, they will also cause precipitation of coronary atherosclerotic substances, leading to coronary atherosclerotic heart disease. Therefore, in the course of taking medicine, once the symptoms are relieved or side effects occur, the dosage should be gradually reduced under the guidance of the doctor, and the drug should be stopped in serious cases.
3. Blind medication
If diuretics are used indiscriminately in the case of urinary retention and inability to urinate, this will not solve the problem. The result is not only unable to urinate, but also "worse", which further aggravates the condition and even suffocates the bladder, endangering life.
It can be seen that what medicine is good for prostatitis? There is no uniform answer, which needs to be determined according to the patient's own situation. In addition to following three principles, patients with prostatitis should also avoid three common mistakes. Only in this way can we play a better role in the treatment of prostatitis.
(Intern editor: Cai Junyi)
