What is the name of the pill treatment. Conservative treatment of pathology

13.05.2020

A pathology such as sciatica is quite common, especially in the elderly. This is the name of the complex of symptoms that occur with inflammation or infringement of the sciatic nerve. Most often people who lead a sedentary lifestyle or who expose the lumbar region to great physical exertion suffer from this pathology. Usually sciatica does not arise on its own, but against the background of other pathologies. Most often these are diseases of the spine, metabolic disorders or infections. At the same time, favorable conditions for nerve damage: intervertebral discs or vertebrae are destroyed, inflamed soft tissue... Under the influence of provoking factors, an attack of sciatica occurs - severe pain in the lumbosacral spine, extending to the buttock and the back of the leg.

Pathology can occur in acute form, an attack of pain lasts from several hours to several days. Early treatment of sciatica will help to quickly restore nerve function and prevent recurrent exacerbations. In no case should you try to relieve pain on your own. Indeed, without eliminating the cause of the nerve damage, the pathology will turn into a chronic form and will gradually progress. This can lead to nerve atrophy and complete immobility of the affected limb.

Treatment features

To cure this disease, it is necessary to eliminate the cause of the sciatic nerve entrapment. Only complex therapy can restore mobility and relieve pain. Therefore, it is very important to see a doctor if signs of sciatica appear. If you simply relieve the symptoms with painkillers, the nerve damage can progress, and the attack will recur again after a while.

Such symptomatic therapy is necessary in the acute course of the disease, as it helps the patient to move without pain and lead a normal life. But it does not affect the cause of the disease. Sciatica treatment will be effective only when it is aimed at relieving pain, restoring motor activity and sensitivity of the limb, as well as eliminating the cause of the pinched nerve.

To do this, it is necessary during the examination to determine what caused this condition. After that, methods that can eliminate compression are necessarily prescribed. For example, with an infectious lesion of a nerve, antibacterial drugs are needed, and if it is pinched by spasmodic muscles, muscle relaxants are needed. Special treatments are needed for hernia or vertebral displacement.

At the same time, supportive therapy is also carried out, which is aimed at restoring nerve conduction, tissue nutrition and muscle tone. These are various medicines to improve metabolic processes and blood circulation, vitamins, antioxidants. In addition, physiotherapy procedures restore well the mobility of the affected leg and nerve function.

Many patients, even during a severe attack, do not go to the doctor, using warming ointments or creams to relieve pain. But this can be done only if the patient knows his diagnosis, and the disease has a chronic course. But when an attack occurs for the first time, you must definitely call a doctor.

Urgent medical attention may also be required in the following cases:

pain became permanent, not associated with movement;
a high temperature has risen;
general health has worsened;
have abdominal pain or upset urination;
if treatment with pills and ointments does not bring relief in 2-3 days.

If you do not see a doctor on time, time may be lost and the compression of the nerve will increase. Complications or complete atrophy may develop.

Applied methods

Sciatica cannot be quickly cured. Even with the use of complex therapy, recovery can take 2-3 months. And if you don't see a doctor, conventional pain relief simply masks the symptoms, leading to the gradual death of the sciatic nerve. Therefore, self-medication for this pathology is unacceptable. Only a doctor can determine how to treat sciatica correctly.

Complex therapy is necessarily prescribed, the choice of methods depends on the form and stage of the disease, the cause of the nerve entrapment, general condition the patient. Treatment should be individual, because sciatica proceeds differently for each patient. If a warming compress helps relieve pain, for others, thermal procedures can cause an increase inflammatory process, in some cases, compression can be removed with the help of special exercises, and with a hernia physical exercise contraindicated.

Sciatica is usually treated with one or more of the main treatments:

to relieve pain, inflammation and muscle spasm, medications are used in the form of tablets or injections;
vitamins, agents to improve blood circulation and metabolic processes are prescribed as supportive therapy;
massage and manual therapy help to relax muscles, relieve pain and restore correct position vertebrae;
therapeutic exercises help restore muscle tone, relieve spasms and prevent re-exacerbation;
physiotherapy normalizes microcirculation, skin sensitivity, restores physical activity;
in serious cases, for example, with severe entrapment of the nerve by a hernia or tumor, surgical treatment is used;
additionally, you can relieve pain and inflammation with folk remedies.

Removal of an attack

You can quickly get rid of the pinching of the sciatic nerve if you treat it correctly from the very first day of the attack. To do this, you immediately need to limit the load on the lower back and legs. It is best to lie on a firm, level surface. While lying on your back, you need to bend your legs and put pillows under them. In most patients, this posture leads to a decrease in pain. But sometimes it becomes easier in a position on a healthy side with bent legs.

Pain during an attack of sciatica is usually very strong, shooting, excruciating. Therefore, it is very important to choose the right pain relievers. These can be pills or injections. Intramuscular administration of drugs has a faster effect, therefore it is often used during an attack. The combination of muscle relaxants with NSAIDs is effective, for example, the injection of Movalis with Mydocalm relieves pain well.

When severe attack blockade is also used - chipping of the affected area with Novocaine, Lidocaine or Ultracaine.

The choice of drugs depends on the intensity of the pain. If NSAIDs do not help, the pain is very strong, the doctor may prescribe hormonal agents... Injections of Diprospan, Hydrocortisone or Kenalog relieve an attack well, but they are used only in extreme cases because of the risk of dangerous side effects... And in mild cases, special gels and ointments are prescribed. Sometimes only they are enough to stop the attack.

Drug therapy

Despite the variety of causes and manifestations of sciatic nerve entrapment, various drugs are used in any case. They are used to relieve pain, relax muscles, improve blood circulation, and reduce swelling. Therefore, the drug treatment of sciatica is considered the most effective.

Most often, drugs from different groups are used. It is better to use them in combination and only as directed by a doctor.

The most common remedies for pain and inflammation are NSAIDs. The most commonly used are Ortofen, Ketanov, Diclofenac, Nimesulide, Indomethacin.
Various warming ointments and balms can be applied after the swelling has been relieved. In the early days, it is permissible to use gels based on NSAIDs, for example, Diclofenac or Voltaren, but you cannot rub the affected area strongly so as not to increase the compression of the nerve. Most often, such ointments are used for sciatica: Finalgon, Kapsikam, Nikoflex, Viprosal, Espol, Nise.
To relieve muscle spasm, muscle relaxants are used: Baclofen, Sirdalud, Midocalm, Tolperisone. They are especially effective in injections, therefore, with a strong attack, they are used in this form.
Diuretics help drain excess fluid by relieving swelling. It is best to use potassium-sparing diuretics such as Veroshpiron.
As a maintenance therapy, funds are needed to improve blood circulation and metabolic processes, vitamins and antioxidants. The following drugs can be prescribed: Curantil, Actovegin, Rutin, Pentoxifylline, Solcoseryl, Meldonium, Elkar, Binavit, Milgamma.
When severe painthat do not go away after taking NSAIDs, sometimes narcotic analgesics are prescribed, for example, Tramadol, or corticosteroids - Dexamethasone, Prednisolone.

Physiotherapy procedures

In addition to medication treatment, good effect with sciatica, physiotherapy is given. They are used as part of complex treatment and after the removal of acute pain. The most common are electrophoresis, UHF, laser therapy, diadynamic currents, darsonvalization, acupuncture.

There are more rare methods, but they also effectively relieve pain and nerve compression. This is the use of medicinal leeches - hirudotherapy, bee stings - apitherapy. Sometimes manual therapy or osteopathy is recommended, but the effect of these methods depends on the professionalism of the doctor.

Massage

Massage effectively restores the work of the muscles of the limb after removing the pinching of the sciatic nerve. At home, you can do self-massage, it is especially effective in combination with warming ointments. It is also recommended to use the Lyapko or Kuznetsov applicator. You need to lie on these needles with your lower back, lie there for 10-15 minutes.

Classic massage is prescribed in a course of 10 procedures. It is not only the lower back that is affected. You need to massage your legs, starting from the tips of the toes and up to the buttocks. Correctly performed massage normalizes muscle tone, eliminates congestion, and improves blood circulation. The duration of the session must be at least 30 minutes. During the period of remission, to prevent exacerbations, you can use acupressure, segmental, honey or cupping massage.

Physiotherapy

Gymnastics for sciatica is used only during remission and as directed by a doctor. Specially selected exercises will help relieve muscle spasms, stimulate blood circulation and metabolic processes in the affected tissues. They should be performed slowly, without sudden movements. It is important that they do not hurt or disrupt your breathing.

At the initial stage, exercises for sciatica are performed while lying on a flat, hard surface. Then, if there are no contraindications, you can turn on more complex movements. At first, to relax the muscles, you can do the following exercises several times a day:

lying on your back, bend your legs and press your knees to your chest, clasp your buttocks and stay in this position for half a minute;
lie on a healthy side, bend and unbend your legs, bringing your knees to your chest;
lying on your stomach, raise your upper body, leaning on your hands;
sitting on a chair, stretch your arms with a gymnastic stick, perform torso bends to the sides and forward.

Traditional methods

Sciatica treatment at home is rarely complete without alternative methods. Various compresses, baths, or homemade ointments sometimes help relieve pain better than medications. But they can be used only after consulting a doctor. After all, it is not always possible, for example, to warm the affected area: with infectious inflammation, thermal procedures can worsen the condition.

But there are some pretty effective and safe folk recipesto help heal sciatica faster:

bath with a decoction of angelica roots or pine needles;
compress from chopped horseradish root or black radish;
applying heated cabbage or burdock leaves to the lower back;
take an infusion of pine buds, a decoction of elecampane root and calendula;
if you are not allergic to bee products, you can make compresses from honey, propolis or beeswax.

Only compliance with all the doctor's recommendations and comprehensive treatment can relieve the patient of sciatica. To prevent recurrent seizures, it is necessary to avoid the factors that provoke the entrapment of the nerve, regularly engage in physiotherapy exercises and eat right.

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ATTENTION! All information on this site is for reference only or popular. Diagnosis and medication require knowledge of the medical history and examination by a physician. Therefore, we strongly recommend that you consult a doctor for treatment and diagnosis, and not self-medicate. User Agreement

Medical treatment of a hernia of the spine is carried out with a slight protrusion of the cartilaginous disc. In such a situation, there is no strong pressure on the spinal cord, nerve roots, and the inflammatory changes in the surrounding tissues are not strong enough to resort to surgery.

Elimination of the cause (etiotropic therapy);
Elimination of symptoms (symptomatic therapy);
Blockade of links in the pathological process (pathogenetic therapy).

Basic principles of the etiotropic treatment of intervertebral hernia

Elimination of the causative factor brings significant relief, but the disease often arises from a combination of many pathological conditions in the body. In this case, it is difficult to achieve a stable remission (no exacerbations).

Most common reason protrusion of the cartilaginous disc - a violation of the blood supply in the spine. Against this background, the tissues do not receive enough of the necessary nutrients and liquid. Cartilaginous discs lose their elasticity, which increases the likelihood of rupture of their annulus fibrosus with prolapse of the nucleus pulposus. To eliminate these links of the pathological process, the following are used:

Normalization of lifestyle and diet: daily gymnastic exercises, the inclusion of dairy products and pork cartilage in the daily menu, restoring posture and fighting obesity;
The return of the functionality of the spine is carried out with the help of massage, manual therapy, methods of osteopathy, physiotherapy, acupuncture. The normalization of the tone of the muscular system at this stage involves the use of muscle relaxants (midocalm), and the elimination of pain syndrome - with the help of therapeutic blockades (novocaine with caripazim);
Drug therapy is prescribed to eliminate inflammation, strengthen the anatomical structure of cartilage tissue, and improve the blood supply to the spine.

What medications are prescribed for etiotropic therapy of the spine

NSAIDs (non-steroidal anti-inflammatory drugs).

Most often prescribed in medical practice for intervertebral hernia. They became widespread due to the presence of 3 effects (anti-inflammatory, analgesic and antipyretic), which are rational in the treatment of diseases of the spine.

The mechanism of action of NSAIDs is to block the enzyme cyclooxygenase, which is involved in the formation of inflammatory mediators. Long-term use of tablets of this group is fraught with dangerous complications, since the blockade of cyclooxygenase in the gastrointestinal tract leads to damage to the intestinal wall and stomach, which is dangerous with the formation of ulcerative defects and cracks.

Diclofenac has been used in medicine for the treatment of vertebral hernia for several decades. The drug is a derivative of phenylacetic acid, which blocks all types of cyclooxygenase (types I, II and III), which causes many side effects the drug, therefore it is not recommended to use it for more than two weeks.

Doctors often replace Diclofenac with selective cyclooxygenase inhibitors. For example, movalis (meloxicam) has an anti-inflammatory effect at lower dosages, and sometimes 3 tablets are enough for a course of treatment.

Chondroprotectors and hyaluronic acid preparations.

Designed to strengthen the structure of hyaline intervertebral cartilage and provide them with the necessary components for normal functioning. As active substance most of these drugs include chondroitin sulfate (alflutop, struktum, teraflex). The combination of glycosaminoglycans and proteoglycans in combined agents prevents the destruction of vertebral discs and stops the progression of the disease.

Such means include "Terraflex" and its analogues. True, it is necessary to distinguish between pharmaceutical chondroprotectors from biologically active substances (dietary supplements), which contain chondroitin sulfate. The latter do not undergo official quality control, therefore the dosage of the active substance in their composition may differ from that declared by the manufacturer.

Products based on hyaluronic acid increase the fluid content in the nucleus pulposus of the intervertebral disc, which enhances its shock-absorbing properties. An increase in the elasticity and viscosity of cartilage when saturated with hyaluronic acid also leads to the elimination of pain syndrome, since the chemical compound protects the receptors from the effects of aggressive substances.

The action of Karipain Plus is based on the ability of monothiol cysteine \u200b\u200bendoprotease (papain) to destroy non-viable protein, leaving healthy tissues intact.

The preparation contains the plant enzyme papain, the antibacterial agent lysozyme, lactose monohydrate, bromelain, collagenase and sodium chloride. Karipain Plus is available in powder form. A mixture of saline and balm with Dimexide is delivered to the problem point by electrophoresis.

Karipain is prescribed for osteochondrosis, intervertebral hernias, contractures, arthritis, arthrosis, radiculitis, keloid scars and adhesions.

There are clinical studies that support good healing effect from Rumalon (extract from animal cartilage and bone marrow). The medicine contains several structural components necessary for the normal functioning of cartilage. The course of treatment consists of 5-10 subcutaneous injections of 1 ml.

Homeopathic medicines have a special mechanism of action.

They exacerbate chronic diseases. In response to this, the body strengthens defense mechanisms that fight against pathology. It is believed that homeopathic remedies do not have side effects, but their use is effective only for the prevention of vertebral hernia or in combination with other drugs (diclofenac, alflutop, midocalm).

Drugs for the pathogenetic treatment of spinal disc prolapse

To prevent and eliminate the links of the pathological chain during the formation of a hernia, anti-edematous, enzymatic, vasodilating, hormonal medications and muscle relaxants.

In medical practice, the following means of pathogenetic treatment of spinal disc prolapse are most common: diprospan, dexamethasone, milgamma, almag, neuromidin, actovegin, midocalm.

Steroid anti-inflammatory drugs (glucocorticoids), which include diprospan and dexamethasone, are used for severe inflammation and severe pain.

Due to the habituation of the body to them, glucocorticoids are not used for a long time. In a hospital setting, it is sometimes necessary to administer diprospan or its other analogs. In such a situation, drug withdrawal is carried out with a gradual dose reduction.

We draw the attention of readers that long-term use of glucocorticoid steroids has a negative effect on cartilage tissue, which becomes fragile, therefore, less resistant to external stress.

Muscle relaxants (mydocalm) for herniated discs are used to relax muscles.

The contraction of the muscular system leads to compression of the nerve trunks, which leads to pain. Sometimes a few are enough to get rid of it. intramuscular injection midocalma.

Treatment with muscle relaxants and in combination therapy of pathology in the presence of muscle constriction with inflammatory scars is effective. Due to the side effect in the form of a decrease in pressure, the dosage of midocalm should only be selected by a doctor.

Methylxanthine derivatives (pentoxifylline, trental) are used to improve blood supply in vertebral hernia.

They prevent damage to blood vessels by strengthening their walls by relaxing the smooth muscles of the arteries in the brain and limbs. The course of treatment with pentoxifylline is long. Often, vitamins (milgamma), brain activators (neuromidin, actovegin) and biogenic stimulants (fibs) are prescribed along with these funds. This treatment normalizes the blood supply to the spine and increases the tissue's resistance to oxygen deficiency.

Enzymes for vertebral hernia (hydrolytic enzymes) are used to eliminate the formation of blood clots, edema of the spine. When combined with other medicines, enzymes improve the course of the disease and prevent the development of complications.

Symptomatic therapy of diseases of the spine

Symptomatic therapy is aimed at eliminating the symptoms of the disease. Most often, a spinal hernia is accompanied by pain. If the pain syndrome appears rarely and only with sharp turns of the body, doctors are limited to the appointment of NSAIDs and chondroprotectors. For example, diclofenac + alflutop, but with protection of the intestinal wall from damage (almag, gastal).

Means for protecting the stomach wall (Almagel, Phosphalugel, Almag, Gastal).

A protective film is formed on the surface of the stomach wall. It prevents the impact of an aggressive environment in the organ cavity on its mucous membrane. Medicines are more often used in the treatment of peptic ulcer disease, but the therapy of intervertebral cartilage loss also requires the prescription of these drugs.

New generation antidepressants (sertraline, insidone).

They are used for insomnia against the background of diseases of the spine. They are dispensed exclusively by prescription and are used only when other medications are not effective.

Against the background of conservative therapy of the disease, physiotherapeutic methods, acupuncture, massage and hirudotherapy are not superfluous.

To prevent exacerbations of the pathology, electrophoresis of novocaine with caripazim can be used.

This preparation contains components of plant origin (chymopapain, papain), which increase the elasticity of synovial cartilage and collagen fibers. With local injection of karipazim, the hernia softens, which is enough to relax the pinched nerve. So it is possible to eliminate the pain syndrome. The effectiveness of getting rid of pain increases if midocalm is injected intramuscularly simultaneously with the drug.

Homeosiniatry is gaining popularity in Europe. The essence of the method lies in the introduction of subcutaneous homeopathic remedies with the help of thin needles into the places where reflexogenic points are located. Homeosiniatria has no contraindications.

Epidural anesthesia is performed by surgeons with severe pain syndrome. The technique involves the introduction of glucocorticosteroids (diprospan, dexamethasone) directly into the epidural space of the spinal cord. So it is possible to stop the excitement nerve fibers at the initial stage. Similar anesthesia is used for radiculitis, when a person takes a forced position and cannot straighten out.

What drugs for hernia can be bought without a prescription

Since most medications for hernia of the spine have side effects, you cannot buy them over the counter without a prescription. The only exceptions are paracetamol (acetaminophen) and some types of NSAIDs (ibuprofen, aspirin).

Paracetamol has a mild pain relieving effect but does not relieve inflammation. The effectiveness of the drug is different for each person, therefore, the drug is practically not prescribed by doctors for disc prolapse.

Ibuprofen has analgesic and anti-inflammatory effects, but not without the disadvantages common to all NSAIDs. It should be used carefully, no more than a week.

All other products are sold in pharmacies with a doctor's prescription, as they have serious side effects.

The resulting summary of the article

In conclusion, let's draw conclusions:

Medical treatment of spinal hernia involves the use of a large number of medications (diprospan, milgamma, alflutop, movalis, diclofenac, midocalm, dexamethasone). Each of them has its own side effects, which are summed up in the combined treatment regimens. Only a doctor should prescribe medications for herniated discs.
In a pharmacy without a prescription you can buy only paracetamol and ibuprofen, which are effective only as symptomatic remedies for initial stages disease.
At home, you can use thermal procedures, massage, remedial gymnastics and folk methods spinal hernia treatment.

Intercostal neuralgia is an extremely unpleasant pain syndrome that develops along the intercostal nerve as a result of irritation or compression of the intercostal nerve. Most often, this problem is faced by people of older and middle age, it appears extremely rarely among young people and children. With a syndrome such as intercostal neuralgia, treatment involves eliminating the cause of the syndrome, for which ointment and tablets are used.

The reasons for the development of the syndrome

This syndrome has a reflex origin. Its appearance is caused by compression or irritation of the intercostal nerve. Usually attacks of intercostal neuralgia occur with an advanced form of osteochondrosis, when intervertebral hernia begin to squeeze the roots of the intercostal nerves.

It is also possible to develop such a pain syndrome in other diseases, for example, spondylitis, kyphosis (progressive form), hormonal spondylopathy, neoplasms (tumors) in the spine, ankylosing spondylitis. In addition, an attack of neuralgia can provoke a cold, hypothermia, infection, poisoning, mental stress, trauma, excessive physical activity (which were performed without preliminary "warming up" of the muscles).

In other words, if the cause of the onset of pain is not a disease, then it arises as a result of infection, hypothermia or intoxication. The appearance of neuralgia with various herpetic lesions is also not an uncommon case. Another option for the development of neuralgia is as a response to irritation of nerve endings and trunks, which occurs during the development of pathological processes with neighboring tissues and organs. These can be diseases of the ribs and spine, pleurisy, deformation of the chest, various tumors (of the membranes and of the spinal cord itself, mediastinum, etc.).

Intercostal neuralgia symptoms

The main and most logical symptom of the development of neuralgia is the appearance of pain in the intercostal space. In this case, the pain usually has a paroxysmal character, while it tends to increase sharply with sudden movements of the chest. This happens when you sneeze, cough, take deep breaths, even when talking loudly. Often, patients also have a kind of antalgic posture (the body is bent to the healthy side, while the person tries to maintain just this position, protecting himself from pain). Most often, the pain in this case, the pain is localized in the region of the V-IX rib, while it can spread to the arm and shoulder-shoulder region.

In general, such neuralgia is characterized by pain of a shingles nature, which appears in the chest area. In this case, the spread of pain goes along the course of the location of the intercostal nerves. It is in the intercostal spaces that pain is localized, while probing or palpation leads to increased pain. Also, pain is often accompanied by various neurological symptoms - tingling, burning, numbness, etc.

In some cases, the pain can spread under the scapula and into the region of the heart, which leads patients to thoughts of a heart attack. In fact, everything is in order with the heart, and if the necessary research is carried out, they will confirm this. There are differences even in the nature of the pain. For example, with neuralgia, a person is faced with pain of a constant nature, and with angina pectoris, the pain is uneven, it pulsates, then subsiding, then sharply increasing. In addition, heart pain is usually accompanied by an irregular pulse and a change (decrease or increase) in pressure, which does not occur in the case of intercostal neuralgia. In this case, it is worth paying attention to the fact that sneezing, coughing or taking a deep breath will not affect heart pain in any way, but the pain with neuralgia will increase dramatically. The appearance of such pain is due to the presence of a large number of branches that come from the intercostal nerves. So do not panic ahead of time, it is better to first understand the causes of pain. It is also worth mentioning that with neuralgia the pain often "gives" to the lower back, imitating renal colic.

I would also like to note that chest pain is a rather serious symptom, so you should not take risks and engage in self-diagnosis. And attempts to self-medicate are generally contraindicated in such a situation and carry a considerable risk. In this case, it is necessary to contact a specialist who can make the correct diagnosis and prescribe the appropriate treatment.

How to relieve pain syndrome?

As we have already figured out, neuralgia makes itself felt with extremely unpleasant pains. Therefore, a natural question arises, how to relieve pain with such a disease?

Treatment of this pain syndrome primarily consists in eliminating the signs of the disease and the painful sensations themselves. For the treatment of such a disease as intercostal neuralgia, not only ointment and tablets are used (although they are the basis of treatment), but also various physiotherapeutic methods. For example, with the appearance of this syndrome, acupuncture gives a certain analgesic effect.

Most often, the doctor prescribes for such a pain syndrome an ointment that has anesthetic and anti-inflammatory effect. These ointments improve blood circulation and relax muscles, thereby relieving pain. After applying such medicinal ointments, the chest is wrapped, while it is very important to ensure that there are no drafts in the room where the patient is. Also, in some cases, doctors recommend using the usual pepper plaster. It improves blood circulation, thereby achieving an analgesic effect.

For the rest, the patient is prescribed bed rest during the exacerbation, while the bed should be flat and firm. It should also be clarified that it is not necessary in this case to sleep on the floor, the main thing is that the mattress of the bed is of medium hardness and sufficiently elastic. With severe pain, it can be carried out novocaine blockade, or simply using pain relievers. Patients are usually prescribed physiotherapy procedures such as solux, electrophoresis and UHF. Regular use of pain relievers and anti-inflammatory drugs is also prescribed. Also, special attention is paid to various ointments.

It should be noted that the treatment of neuralgia is quite long and difficult process... But at the same time, both the doctor and the patient should be aware that it is not enough to eliminate the pain itself, it is also necessary to remove the cause of the appearance of this pain syndrome (most often these are various diseases of the spine). Otherwise, there is a risk of relapse, and the pain will return periodically.

Diarrhea itself is not a disease that can be cured, but a symptom indicating problems with the gastrointestinal tract. Moreover, the range of problems is very wide: from simple indigestion to an infectious disease.

Liquid stool accompanies intoxication, acute or chronic pathologies of the digestive and excretory systems, as well as infectious diseases. In addition to the fact that a person experiences a state of discomfort (frequent urge, pain and bloating, nausea), prolonged diarrhea leads to the fact that the body loses a lot of fluids and nutrients, resulting in exhaustion.

Therefore, it is quite understandable that every patient who has encountered this unpleasant condition wants to get rid of it as soon as possible. And this is where advertising comes to the rescue, offering inexpensive and effective diarrhea pills that guarantee an instant effect. However, before you go to the pharmacy and buy the drugs recommended from the TV screen, you need to understand what actually happens in the body.

Causes of diarrhea

There are a lot of diseases that can cause this unpleasant symptom. But most often digestive disorders occur as a result:

usual indigestion due to low-quality foods, liquids;
nervous stress;
due to diet;
reaction to medications;
poisoning with any substances;
bacterial or viral infection;
evidence of serious illness.

In the first, second and third cases, you really can safely choose pills for diarrhea, inexpensive, from the list of the most effective. You can check the list in person or consult your pharmacist. But finding out what is happening is still worth it, because diarrhea is only a symptom. To prevent it from repeating itself, its cause must be nipped in the bud.

In all other cases, cheap medication may stop the diarrhea, but it certainly won't solve the problem. Moreover, it will be more difficult for doctors to make an initial diagnosis, because such an important symptom is missing.

When should you definitely see a doctor?

Immediate medical advice for diarrhea is necessary when:

diarrhea that occurs in infants;
diarrhea, accompanied by fever, vomiting, severe abdominal pain, regardless of the patient's age;
the presence of blood in the stool;
signs of loss of fluid and mineral salts (pain in the kidney area, dry tongue, cramps, thirst, lack of urine for 5 hours or more);
elderly people over 70;
patients suffering from severe diseases of the heart, blood vessels, blood system;
pregnant women at any stage of gestation.

If you experience severe diarrhea, you should not self-medicate, as the intestinal upset can be infectious. Seek medical attention immediately!

Available medicines for diarrhea: enterosorbents

If diarrhea has arisen as a result of body poisoning, then the neutralization of the negative effects of harmful substances is carried out using adsorbents. These are the most effective and inexpensive pills from diarrhea, which have the property to bind and remove toxins and poisons from the body.

Here is a short list of the most affordable drugs:

(dioctahedral smectite). This drug is great for diarrhea, heartburn, and bloating. average price for a pack of 10 sachets - 150 rubles.
(polymethylsiloxane polyhydrate). An irreplaceable remedy for food poisoning... Helps to quickly flush toxins from the body, but is not suitable for diarrhea caused by indigestion. The average price per pack (225 g) is 355 rubles.
kills pathogenic flora, removes toxins, stops diarrhea. The active substance is activated carbon. Feces after ingestion becomes black. Do not be intimidated by this: this is a completely natural reaction of the body to this medicine.
(phthalylsulfathiazole). A cheap remedy for the treatment of intestinal infections. The average price per package (500 mg) is 23 rubles.
Enterodesis is a povidone-based drug that has a detoxifying effect on the body, eliminates the manifestations of intestinal poisoning, including diarrhea, bloating, and vomiting. It is used in the treatment of children from 1 year old. The intake rate is calculated taking into account the weight and age of the patient (0.3 g per kg of the child's weight). The course of treatment under the supervision of a physician is from 3 to 7 days.

It is difficult enough to determine which remedy for diarrhea will be effective in a particular case, even if the cause of the problem is established. Therefore, it is advisable not to self-medicate, but to choose a medicine together with a doctor, because the assortment and the patient can simply get confused in so many drugs.

Probiotics

They are prescribed for intestinal dysbiosis, as well as for the prevention of diarrhea when taking antibiotics for the treatment of intestinal infections.

- produced in capsules, tablets for diarrhea, in the form of a dry preparation that requires dilution with water. Accepted for food toxicoinfections, intestinal infections... Composition: Live bifidobacteria. Special instructions: It is not recommended to take it together with antibiotics, you can not dissolve the medicine in hot water and store it in dissolved form. Price: 80-120 rubles.
Lactobacterin - restores the intestinal microflora, normalizes digestion and stool, improves metabolic processes in the body. Contraindicated in candidiasis, lactose intolerance. Active ingredient: dry lactobacilli. Price: 100 - 140 rubles.
- a popular antidiarrheal agent, a drug that normalizes the intestinal microflora. Ingredients: Lactobacillus acidophilus, Bifidobacterium infantis, Enterococcus faecium. Contraindications: hypersensitivity, not recommended to be taken simultaneously with hot food, alcohol. Price: 400-500 rubles.
- promotes the growth of beneficial bacteria in the gastrointestinal tract, improves gastric secretion, has a negative effect on pathogenic microorganisms. Prescribed in the treatment of dysbiosis, chronic disorders in the digestive tract, diarrhea, colitis, infectious diseases... Active ingredient: biosynthetic lactic acid. Cost: 140-180 rubles.

Diarrhea pills: list

It is impossible to determine what will be the most effective remedy from diarrhea in each specific clinical case. We offer a list of some well-known, popular, effective medicines for diarrhea that are taken as prescribed by a doctor for various reasons the appearance of diarrhea.

enterofuril;
sulgin;
tannakp;
nifuroxazide;

Important! Before using any of the drugs, you should consult your doctor, or at least read the instructions. You should not start treatment on your own if there is a suspicion of infectious diseases or damage to the gastrointestinal tract.

(loperamide, lopedium, suprelol). These are 2 mg lingual tablets (for oral absorption). The advantages of this form of the drug are a faster onset of the effect (within 1 hour), the possibility of using it for vomiting, difficulty in swallowing. Or 2 mg capsules.

Imodium is the drug of choice for acute diarrhea non-infectious nature (if diarrhea occurred due to a change in the usual diet, "stress" diarrhea), travelers' diarrhea, with infectious diarrhea of \u200b\u200bmild and moderate course, irritable bowel syndrome with diarrhea.

Adults with acute diarrhea - 4 mg (2 capsules) at a time, then 2 mg after each act of emptying. The maximum daily dose is up to 8 mg per day.

A sulfanilamide drug is more indicated for infectious diarrhea (acute dysentery, exacerbation of its chronic form, colitis, enterocolitis of an infectious nature), therefore, taking phthalazole for diarrhea caused by banal indigestion is not always rational. The effect of taking it begins to be observed only on days 2-3, which is explained by the suppression of the growth of pathogenic microflora in the intestine.

And although the drug has few side effects, its use is undesirable in patients with problems in the kidneys, liver, in violation of hematopoiesis and hemophilia. During pregnancy, phthalazole can be prescribed when there is a risk irreversible consequences for a woman, and in the first trimester it is strictly contraindicated.

Levomycetin is an antibiotic drug. Its main function is bacteriostatic action and protein breakdown. That is why pills are great for diarrhea. They carry out the destruction of bacteria in the body that are not sensitive, for example, to tetracycline.

In fact, the spectrum that levomycentin covers is very large. It is able to help with pneumonia, brucellosis, fever, diseases of the biliary tract, typhoid fever and salmonellosis.

Loperamide hydrochloride chewable tablets. The use of the pill helps to relieve the symptoms of diarrhea by slowing down the motility of the intestinal muscles, eliminates the frequent urge to defecate.

The main indications for use are acute, chronic diarrhea. A single dose of the drug is 4 mg for an adult, 2 mg for a child over 6 years old. Maximum daily rate - 16 mg.

In most infectious and inflammatory diseases of the respiratory system and ENT organs, non-steroidal anti-inflammatory drugs are widely used as symptomatic therapy. They are prescribed to reduce fever, suppress inflammation, and reduce pain.

Today there are more than 25 different drugs belonging to the group of non-steroidal anti-inflammatory drugs. Classification by chemical structure is considered to be of little use for comparative assessment of the efficacy and safety of a drug. Of greatest interest are drugs that have a pronounced antipyretic and anti-inflammatory effect and have low rate adverse reactions.

List of anti-inflammatory drugs that can be prescribed for diseases of the respiratory system and ENT organs:

Paracetamol.
Citramon.
Panadol Extra.
Coldrex.
TeraFlu.
Femizol.
Fairworks.
Aspirin-S.
Ibuprofen.
Nise.
Nimesulide.

Only the attending physician knows which anti-inflammatory tablets, capsules, powder, mixture or syrup will be effective in each case.

Application features

All non-steroidal anti-inflammatory drugs have similar principles of action, the use of which leads to the elimination of the inflammatory process, fever and pain. In pulmonology and otolaryngology, preference is given to NSAIDs, which have more pronounced antipyretic and anti-inflammatory properties. I would like to note that due to the high risk of adverse reactions, it is highly undesirable to take several NSAIDs at once. At the same time, their therapeutic effect does not increase, but the negative effect on the body, in particular, on the digestive system, sharply increases.

For severe gastrointestinal problems (eg, peptic ulcer) it is better to use modern selective NSAIDs of a new generation, which have a significantly lower probability side effects... Despite the possibility of purchasing these drugs without a prescription, the dosage and duration of the therapeutic course must be agreed with your doctor. During treatment, use alcoholic beverages should be excluded.

Paracetamol

Paracetamol effectively copes with the main clinical symptoms of colds. Taking it in the appropriate dosage makes it possible to quickly bring down the high temperature, relieve malaise and fatigue, relieve pain, etc. The main advantages of the drug:

Recommended for use by the World Health Organization.
Fast antipyretic effect.
Quite well tolerated by most patients.
The risk of adverse reactions is low.
Compared to other similar anti-inflammatory drugs, relatively low cost, which makes it affordable for all segments of the population.

Paracetamol has its own characteristics of use. It can be used in the form of tablets, powder, rectal suppositories, injections, etc. Ingestion or administration of the drug rectally allows you to achieve more effective results. The interval between application should be at least 4 hours. The average duration of treatment is 5-7 days. A longer therapeutic course with this antipyretic agent is not recommended. Usually clinical manifestations colds begin to pass on the 2-3rd day. In the event of a significant deterioration in the condition, you should immediately consult a doctor.

If the patient has an allergy to the components of the drug or severe problems with the kidneys and liver, Paracetamol cannot be prescribed. The development of the following pathological conditions is referred to as side effects:

Anemia.
Decreased platelet count.
Renal colic.
Glomerulonephritis.
Allergic manifestations (itching, redness of the skin, various rashes, etc.).

In an attempt to achieve an early result, some patients ignore the directions prescribed in the official instructions for use and take an anti-inflammatory drug dosage that exceeds the maximum recommended. In case of an overdose of Paracetamol, the following symptoms are possible:

The appearance of pallor, nausea, vomiting and pain in the abdomen.
In case of failure to provide timely assistance and taking too large a dose of the medicine, the kidneys and liver are affected. Arrhythmia, pancreatitis, serious disorders of the central nervous system may develop.

If there are severe clinical manifestations of an overdose, it is necessary to prescribe methionine or N-acetylcysteine, which are effective antidotes (antidote). In addition, when using Paracetamol, drug interactions with other drugs should be taken into account. For example, simultaneous use with indirect anticoagulants (coumarin derivatives) increases the effect of the latter. The antipyretic effect is significantly reduced when taken in combination with barbiturates.

Finding the best non-steroidal anti-inflammatory drug will help qualified specialist (pharmacist or doctor).

Panadol Extra

Panadol Extra is considered a combined preparation of NSAIDs, which contains not only paracetamol, but also caffeine as active substances. Both components reinforce each other's action. Paracetamol soothes pain and relieves fever. Caffeine has a stimulating effect on the central nervous system... In addition, by increasing the concentration of paracetamol in the brain by increasing the permeability of the blood-brain barrier, caffeine increases the analgesic effect of the drug.

Panadol Extra helps to relieve colds, acute tonsillitis, laryngopharyngitis and other infectious and inflammatory pathologies of the respiratory system and ENT organs. Most adults and children tolerate this anti-inflammatory drug fairly well. As a rule, there are no particular problems with the absorption and elimination of the drug. Panadol Extra is not prescribed for patients who have hypersensitivity to active substances. In rare cases, side effects occur, which can manifest themselves as:

Blood pressure surges.
Functional disorders of the liver.
Allergic reactions (redness, rash, itching, etc.).

Read the official instructions for use and recommended dosage. It should only be noted that 8 tablets is the maximum that an adult patient can take per day. Considering pharmacological properties the drug, the interval between doses should be at least 4 hours. Panadol Extra tablets from the inflammatory process cost about 45 rubles per pack.

Coldrex

For acute infectious diseases of the upper respiratory tract, Coldrex can be used. It is a complex anti-inflammatory drug consisting of:

Paracetamol.
Caffeine.
Phenylephrine.
Terpinghydrate.
Ascorbic acid.

Given the multicomponent composition, Coldrex has a very diverse pharmachologic effect:

The presence of paracetamol determines the normalization of temperature, the removal of painful sensations and the elimination of the inflammatory process.
Ascorbic acid strengthens local airway immunity.
Phenylephrine is responsible for the narrowing of peripheral vessels and preventing the growth of edema of the affected tissues.
Terpinghydrate helps to increase bronchial secretion and facilitate the expectoration of sputum.
Caffeine potentiates the pain relieving effect of paracetamol.

Coldrex has several varieties, each of which is selected individually, taking into account the severity clinical signs disease. There are such contraindications for its use:

Allergy to the active ingredients of the drug.
Severe liver and kidney disorders.
Diseases of the circulatory system.
High blood pressure.
Diabetes.
Cardiovascular pathology (for example, arrhythmias, heart attack, etc.).
Increased hormonal activity of the thyroid gland.
Children under 6 years of age.

The therapeutic course should be no more than 5 days. The dosage and frequency of use are detailed in the official instructions. During treatment, it is necessary to take into account drug interactions with other drugs. It is strongly not recommended to combine with drugs from the group of antidepressants, beta-blockers, etc. Adverse reactions are rarely recorded. In general, the drug is well tolerated. When used for the treatment of children, it is better to first consult with your doctor. The cost of packing Coldrex tablets ranges from 160 rubles.

The list of NSAID drugs (tablets, capsules, etc.) is constantly updated and supplemented with new drugs that have more pronounced therapeutic effects and less toxic properties.

Fervex

Another representative of combined non-steroidal anti-inflammatory drugs is Fervex, which today is successfully used for most colds of the upper respiratory tract. How the pharmacological action of the drug is realized:

The analgesic and antipyretic effect is characteristic of paracetamol.
Strengthening local immunity and tissue repair provides vitamin C.
The antihistamine effect is provided by pheniramine, which helps to reduce the production of mucus in the nasal cavity, improve breathing through the nose, eliminate sneezing, lacrimation, etc.

Despite the fact that Fervex is considered a fairly safe medicine, not all patients can use it. With the following pathological conditions and diseases, this drug should not be used:

Allergies to active ingredients (paracetamol, ascorbic acid and pheniramine).
Serious problems with the digestive system (for example, peptic ulcer).
Severe renal impairment.
Portal hypertension.
Alcoholism.
Deficiency of glucose-6-phosphate dehydrogenase.
Pregnancy and breastfeeding.

Children can use Fervex from the age of 15. Use with extreme caution when:

Functional liver failure.
Angle-closure glaucoma.
Congenital disorders of bilirubin metabolism (for example, Gilbert's syndrome).
Viral hepatitis.
In old age.

In the recommended dosage, the drug is well tolerated. However, nausea, soreness in the abdomen, itching, redness of the skin, rashes and others are possible. allergic reactions... Unjustified prolonged use or a significant excess of the recommended dosage increases the risk of developing serious disorders of the kidneys and liver. In case of side effects, stop taking the medicine and seek professional medical help from a specialist.

The anti-inflammatory drug has its own characteristics of use. The contents of the Fervex sachet are dissolved in warm water (200 ml) and completely drunk. The recommended dosage is up to three times a day. Next take should be no earlier than 4 hours later. In case of functional disorders of the kidneys and liver, the interval between applications should be increased to 8 hours. The therapeutic course is up to five days. To lower the temperature, it can be used within 3 days. The French company "UPSA" is producing Fervex powder for oral administration. You can buy it at a price of 360 rubles per pack, which contains 8 sachets.

A complete list of modern anti-inflammatory drugs can be found in the pharmaceutical directory.

Aspirin-C

Today, one of the most popular medicines for symptomatic treatment Aspirin-C is considered an infectious and inflammatory disease of the respiratory system. Having in its composition acetylsalicylic and ascorbic acids, it is able to effectively eliminate the main clinical manifestations of colds (fever, headaches, malaise, etc.). The effectiveness of the drug has been proven by numerous scientific studies.

Aspirin-C comes in the form of effervescent tablets that can be quickly dissolved in water. This form is very convenient for most patients with colds. Especially with severe sore throat, when the use of conventional tablets or hot drinks provokes a very unpleasant sensation. In addition, it has long been established that ascorbic acid is destroyed when high temperature... Dissolving it in cool water, we preserve all the pharmacological properties of vitamin C. The absorption of the drug occurs quickly enough, which ensures an immediate onset therapeutic effect... It is also worth noting that acetylsalicylic acid completely soluble in water without the formation of sediment, reducing the likelihood of various kinds of side effects.

Nevertheless, uncontrolled long-term use of a drug can lead to the development of a number of undesirable phenomena:

Dizziness.
Headaches.
Nausea.
Vomiting.
Breathing problems.
Sleepiness.
Inhibition.
Increased bleeding.
Allergies (itching, rashes, skin redness, etc.).

In case of an overdose of Aspirin-C, it is necessary to control the acid-base balance in the body. If necessary, special solutions are introduced to normalize the condition (for example, sodium bicarbonate or citrate). The therapeutic measures taken should be aimed at enhancing the excretion of acetylsalicylic acid and its metabolites.

It should be noted that in children with suspected viral infection, drugs that contain acetylsalicylic acid are not used, since the likelihood of developing a more severe pathology, such as Reye's syndrome, increases. It is manifested by prolonged vomiting, damage to the central nervous system and an enlarged liver.

Front surgical intervention it is better to refrain from taking Aspirin-C, which affects the blood coagulation system. Also, acetylsalicylic acid slows down the processes of excretion of uric acid from the body. During treatment with this drug, patients with gout may experience a new attack. Aspirin-C is a prohibited drug during pregnancy. On early dates often provokes congenital defects development in the fetus, in the late - inhibits labor.

The Swiss pharmaceutical company Bayer Consumer Care AG is one of the main manufacturers of Aspirin-C effervescent tablets. The cost of packing a medicine (10 pcs.) Is about 250 rubles.

Ibuprofen

Complex therapy for infectious and inflammatory diseases of the respiratory system and ENT organs may include Ibuprofen. It is currently considered one of the most commonly prescribed non-steroidal anti-inflammatory drugs for treating fever and pain. It is widely used not only in therapeutic but also in pediatric practice. As a very safe and effective antipyretic agent, it is approved for sale without a prescription.

If there are appropriate indications, it can be used to treat children from the first days of life, both in stationary and laboratory conditions. Babies are advised to use Ibuprofen in the form of rectal suppositories, which have a number of advantages over other forms of drug release:

Simplicity and painlessness of administration.
There is no need for additional special tools.
The integrity of the skin is not violated.
There is no risk of infection.
Intestinal fullness does not affect the absorption and effectiveness of the drug.
Low incidence of allergic reactions.

In most patients, no side effects were recorded during treatment with Ibuprofen. However, in rare cases unwanted effects are still possible, which manifest themselves as:

Decreased appetite.
Nausea.
Vomiting.
Headache.
Sleepiness.
Nervousness.
Hearing and vision impairments.
Increases in blood pressure.
Rapid heartbeat.
Difficulty breathing.
Edematous syndrome.
Disorders of the kidneys.
Allergies (rashes, itching, skin redness, Quincke's edema, etc.).

It is worth noting that the list of contraindications for the use of Ibuprofen is quite long, so we recommend that you familiarize yourself with it in the official instructions for the drug. During therapy, it is desirable to use minimally effective dosage non-steroidal anti-inflammatory drug to reduce the risk of adverse reactions. It is also preferable to stick to short courses of treatment. If the drug is ineffective or if the condition worsens, you must immediately visit your doctor. Particular attention should be paid to the state of the digestive system, which is very sensitive to non-steroidal drug therapy. Today Ibuprofen is available under various brand names:

Ibufen.
Nurofen.
Advil.
Faspik.
Ypren.

These drugs are produced by both foreign and domestic pharmaceutical companies. The cost of the medicine will depend not only on the form of release, but also on the amount of the active substance. For example, a package of Ibuprofen tablets from the Russian pharmaceutical company Sintez costs about 40 rubles.

Non-steroidal anti-inflammatory drugs are available without a prescription, but this does not mean that you should neglect the advice of a specialist before using them.

Nise

Some doctors may recommend the drug Nise for infectious and inflammatory diseases of the upper and lower respiratory tract, which are accompanied by fever and pain. This modern non-steroidal anti-inflammatory agent contains active substance nimesulide. It must be taken with severe symptoms of the disease. For example, Nise is able to bring down the temperature in 10-12 hours. He can also relieve headaches, fatigue, weakness, malaise, aches in muscles and joints. However, in the absence of a sufficient therapeutic effect for 3-4 days, you should visit the attending doctor and adjust the course of treatment.

During the period of carrying a baby, the drug can not be used categorically. It has been established that nimesulide has a negative effect on the growth and development of the fetus. In addition, the active substance can penetrate into breast milk, therefore, during treatment, it is necessary to switch to artificial feeding. With proper observance of all the recommendations for the use of the drug indicated in the instructions, side reactions are practically not observed. In rare cases, the appearance of:

Nausea, vomiting, diarrhea and other dyspeptic disorders.
Headache, drowsiness, irritability.
Increased blood pressure, breathing problems.
Changes in basic blood parameters (for example, anemia, decreased platelet count, etc.).
Reversible functional problems with kidney and liver function.
Rashes, itching, erythema, redness of the skin and other allergic reactions.

Nise should be taken with extreme caution by patients who have problems with the digestive system, in particular, peptic ulcer disease. It is recommended to use short therapeutic courses, which in most cases successfully cope with the main symptoms of colds. Basically, foreign pharmaceutical companies specialize in the production of Nise, so the price will often be slightly higher compared to domestic analogues of the drug. A pack of tablets (20 pcs.) Of Indian production will cost about 180 rubles.

When choosing an effective nonsteroidal anti-inflammatory drug, never ignore the opinion of a specialist.

Do not take medications from the prostate without a doctor's recommendation. Only by appointment of a urologist. With prostate adenoma, it is necessary to contact an andrologist, if available in this clinic, in the absence - also to a urologist. For the treatment of the prostate, drugs are prescribed by an oncologist.

Diseases of the prostate

The main difficulty in diagnosing prostate diseases is symptoms and clinical picture most of them are exactly the same. The main sign that a man has begun one of the following prostate diseases is difficulty urinating. They arise from the fact that the enlarged gland squeezes the ureteral canal.

There are the following pathologies of the prostate.

Prostatitis

Half of all men have had or are sick with it. Mostly found in the stronger sex over forty-five.

Distinguish:

acute infectious;
chronic infectious;
chronic non-bacterial;
chronic asymptomatic prostatitis.

The most common cause of prostatitis is bacterial infection... Many articles of this resource are devoted to prostatitis and methods of its treatment.

An example of an effective prostate cure is a checklist:

injections of the antibiotic "Ceftriaxone";
injection of non-steroid "Ketorolac" to relieve acute pain;
dalfaz tablets to improve urination;
complex injection "Prostatilen".

BPH

Vesiculitis

Sarcoma

Sarcoma - differs from prostate cancer in spread mainly among young people. The symptoms are the same as in oncology. Very severe pain in the lower abdomen, in the perineum at the stage of metastases. It is treated surgically in a hospital.

Prostate cyst

It is the formation of fluid-filled areas of the prostate. Often not manifested until accidentally detected during an organ examination. At this stage, doctors prefer observation and prescribe medication.

In case of violations of urination and erection, a puncture is prescribed: the cavities are pierced, a special solution is injected into them. With large cavities, suppurations, an operation is prescribed.

Stones in the prostate

"Prostatilen" (injection) complex preparations for the prostate, combining several functions. Designed to strengthen the immune system, blood vessels, walls of gland cells, normalize blood circulation, restore tissue. All these processes with his assistance are accelerated at times.

With prostate adenoma

Hormonal drugs. Prostate medications restore the balance of male sex hormones, his sexual function... The best of these is finasteride in tablet form.

Candles. By means of suppositories, the effectiveness of the treatment of adenoma is increased due to the better delivery of medications to the gland as compared to oral administration. , for men, are inserted into the rectum as deep as possible after an enema and bowel movement.

Suppository suppositories have coconut oil as the main component for the rapid passage of medicines through the intestinal wall.

According to the composition of the active substance, they are divided into:

Antibacterial.
Vitamin.
Anti-inflammatory.
Spasmolytic.
Antiseptic.
Magnetic with barium ferrite.

For anti-inflammatory suppositories, Voltaren is especially effective.

It is not difficult, for this it is enough to read the instructions. But this is not the case. Self-selected drugs are usually ineffective or ineffective at all. This is because most bacteria eventually become insensitive to the most common antibiotics, and these drugs stop fighting infection.

To choose the right antibacterial drug, it is necessary to determine the sensitivity of the causative agent of prostatitis. This is done in a laboratory way, examining the prostate juice or the patient's urine. Knowing the range of antibiotics to which the isolated microorganism is sensitive, you can proceed to treatment.

Treatment of bacterial prostatitis is usually carried out with antibiotics from the group of tetracyclines - "Doxycycline" and fluoroquinolones - "Ciprofloxacin".

Anti-inflammatory drugs for prostatitis

Anti-inflammatory drugs include non-steroidal anti-inflammatory drugs. They eliminate the symptoms of prostatitis: temperature, pain and swelling of the prostate. Effective are rectal suppositories: "Diclofenac", "Indomethacin". Inside the patient is prescribed "Ibuprofen", "Ketorol". For severe pain, use "Ketorol" c.

Hormonal agents

When prostatitis is prescribed hormonal drugsbelonging to the group of estrogens - "Estron", "Microfollin" and - "Flucin", "Androkur". They are able to reduce the symptoms of inflammation as well as inhibit the growth of prostate tissue, which is also used in the treatment of tumors and even prostate cancer. But these hormonal agents have a number of side effects: they reduce libido, cause impotence and feminization. The dose of drugs is selected individually, taking into account the condition of the diseased organ and blood parameters.

Antispasmodics

For the treatment of prostatitis, drugs are used that relieve muscle spasms from the pelvic organs. These include muscle relaxants that relax skeletal muscles - "Baclofen" and antispasmodics that relieve spasms directly from the smooth muscles of the prostate - "No-shpa".

Alpha-blockers - drugs that suppress the activity of the sympathetic nervous system, which can cause spasm of smooth muscles blood vessels and internal organs... "Tamsulosin" is the most modern drug in this group, selectively affecting the prostate through the nervous system.

Means that improve blood flow to the prostate

Any inflammatory process is characterized by impaired blood microcirculation. Prostatitis is no exception. Impaired blood supply to the prostate increases inflammatory changes in the tissues of the gland, making the disease protracted. Therefore in complex treatment Prostatitis always use drugs that improve blood microcirculation - "Pentoxifylline" and "Eskuzan".

Phytopreparations

For the treatment of chronic prostatitis, herbal preparations are used, which are quite effective and have practically no side effects.

"Prostamol Uno" is a phytopreparation obtained from the fruits of a creeping palm tree. Long-term use helps to reduce the inflammatory process in the tissues of the gland. Prescribe the medicine 1 capsule 1 time per day. The duration of treatment is 3 months.

"Prostanorm" is an extract of medicinal herbs produced in tablet form. Composition of the preparation: goldenrod, licorice, St. John's wort, echinacea. The extract has a pronounced anti-inflammatory effect. Take it 2 tablets 3 times a day half an hour before meals. The course of treatment is 2 months.