What medicine should be taken for chronic bacterial prostatitis?
Chronic bacterial prostatitis is one of the common urinary system diseases in men. It mainly manifests symptoms such as frequent urination, urgency, and perineal pain. The key to treating this disease lies in rational drug use and long-term management. This article will combine the hot topics and hot content on the Internet in the past 10 days to give you a detailed introduction to the drug treatment plan for chronic bacterial prostatitis.
1. Common symptoms of chronic bacterial prostatitis
Typical symptoms of chronic bacterial prostatitis include:
| Symptom type | Specific performance |
|---|---|
| urinary symptoms | Frequent urination, urgency, painful urination, and difficulty urinating |
| pain symptoms | Perineal, lower abdominal, lumbosacral pain |
| sexual symptoms | Loss of libido, erectile dysfunction |
| systemic symptoms | Fatigue, lack of energy |
2. Commonly used drugs for chronic bacterial prostatitis
According to clinical guidelines and expert consensus, the following drugs are mainly used to treat chronic bacterial prostatitis:
| drug class | Representative medicine | Course of treatment | Things to note |
|---|---|---|---|
| antibiotics | Levofloxacin, ciprofloxacin, doxycycline | 4-6 weeks | Need to be selected based on drug sensitivity test |
| alpha blockers | Tamsulosin, Terazosin | 3-6 months | Improve urinary symptoms |
| NSAIDs | ibuprofen, celecoxib | Discontinue use after symptoms subside | Relieve pain and inflammation |
| Botanicals | Perxita, Saw Palmetto Extract | 3-6 months | adjuvant treatment |
3. Antibiotic Selection Guide
Antibiotics are the core drugs in the treatment of chronic bacterial prostatitis. Here are details about commonly used antibiotics:
| antibiotics | Usage and dosage | Common adverse reactions | Applicable people |
|---|---|---|---|
| Levofloxacin | 500mg/day, orally | Gastrointestinal discomfort, dizziness | Adults over 18 years old |
| Ciprofloxacin | 500mg/time, 2 times/day | Photosensitivity reaction, tendonitis | Non-pregnant adults |
| doxycycline | 100mg/time, 2 times/day | Gastrointestinal reactions, photosensitivity | Mycoplasma infection |
| Trimethoprim/Sulfamethoxazole | 160/800mg, 2 times/day | Allergic reactions, cytopenias | People infected with sensitive bacteria |
4. Adjuvant therapeutic drugs
In addition to antibiotics, the following adjuvant medications can help relieve symptoms:
| drug class | Mechanism of action | Representative medicine | Course of treatment |
|---|---|---|---|
| alpha blockers | Relaxes prostate and bladder neck muscles | Tamsulosin | 3-6 months |
| 5α reductase inhibitor | Reduce prostate size | finasteride | More than 6 months |
| muscle relaxants | Relieve pelvic floor muscle spasms | Tizanidine | 2-4 weeks |
| plant extracts | Anti-inflammatory, improve microcirculation | Universal | 3-6 months |
5. Medication precautions
1.Antibiotic use principles: The entire course of treatment must be completed and the medication cannot be stopped at will. It is recommended to do bacterial culture and drug sensitivity testing first.
2.Combination medication: For refractory cases, antibiotics combined with alpha-blockers may be needed.
3.lifestyle adjustments: Avoid sitting for long periods of time, avoid spicy food, drink plenty of water, and have regular sex.
4.Regular review: Routine prostate fluid and bacterial culture should be reviewed regularly during treatment.
5.Adverse drug reaction monitoring: Especially when using antibiotics for a long time, you need to pay attention to liver and kidney function monitoring.
6. Traditional Chinese Medicine Treatment Plan
Traditional Chinese medicine believes that chronic prostatitis belongs to the categories of "lead syndrome" and "white turbidity", and the following prescriptions are commonly used:
| Certificate type | Treatment principles | Representative prescription | Course of treatment |
|---|---|---|---|
| Wet and hot bets | Clear away heat and dampness | Bazisan | 4-8 weeks |
| Qi stagnation and blood stasis | Promoting blood circulation and removing blood stasis | Shaofu Zhuyu Decoction | 4-8 weeks |
| Kidney deficiency | Tonifying kidney and strengthening essence | Jingui Shenqi Pills | 8-12 weeks |
7. Choices after treatment failure
If initial treatment fails, the following options may be considered:
1. Re-conduct bacterial culture and drug sensitivity test, and adjust antibiotics
2. Extend the antibiotic course to 8-12 weeks
3. Consider combining two antibiotics
4. Try prostate massage-assisted treatment
5. Consult with a urology specialist if necessary
8. Measures to prevent recurrence
1. Treat the first attack thoroughly to avoid becoming chronic
2. Maintain good living habits
3. Avoid overwork and mental stress
4. Regularly review prostate health
5. Carry out appropriate pelvic floor muscle exercises
The treatment of chronic bacterial prostatitis requires patience and persistence. Patients should use medications in a standardized manner under the guidance of a doctor and are not allowed to increase or decrease the dosage or change medications on their own. With reasonable medication and lifestyle adjustments, most patients can achieve good therapeutic effects.
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