It is not recommended to independently choose drugs for the treatment of urogenital infections, since medication may become ineffective if the cause of the disease is incorrectly determined.
The manifestation of any urogenital infection is always associated with the reproduction of pathogenic microflora (bacteria, microbes, rarely viruses), and the reactions of the urogenital system to numerous pathogens are the following types of inflammatory processes:
|In women||In men|
|Urethritis – bacterial infection of the urethra||Urethritis – bacterial infection of the urethra|
|Cystitis is an infection of the bladder||Cystitis is an infection of the bladder|
|Pyelonephritis and glomerulonephritis – inflammation in the kidneys||Pyelonephritis and glomerulonephritis – inflammation in the kidneys|
|Endometritis||Inflammation of the prostate|
All of the listed inflammations are grouped into the UTI group – urinary tract infection, diseases caused by urogenital infections. For the treatment of UTI, antibiotics and antibacterial therapy are required, while it is worth remembering that the choice of drugs is determined by the presence of active harmful microflora.
The appointment of drugs is done by a urologist, a nephrologist after analyzing and understanding which type of bacteria led to the disease. For the treatment of pathologies of the urogenital system of men and women, an individual plan is needed, the choice of medications, concomitant therapy.
It is important to distinguish inflammation caused by genitourinary infections (GUI) from sexually transmitted diseases (STDs or STIs, types of sexually transmitted infections). STDs (STIs) are a large group of pathologies of viral, protozoal, fungal, bacterial or parasitic origin, transmitted from person to person. While genitourinary infections occur as a result of poor hygiene, weakened immunity, and the influence of other endogenous factors.
Please note: all types of drugs listed below in the review are not a ready-made treatment plan for diseases of the urogenital system, and all the information provided is for informational purposes only.
Drugs for the treatment of urogenital infections in women and men
Among all existing infections and groups of diseases of the urogenital system, there are pathologies that are characteristic only of men or exclusively of women. In addition to diseases that are dependent on the patient’s gender, common pathologies caused by urogenital infections are also common.
Regardless of gender, UTI in men and women manifest as pyelonephritis, cystitis, and urethritis. All these diseases require a preliminary examination, accurate diagnosis and the appointment of a course of antibacterial drugs with additional therapy at the discretion of the attending physician.
Medicines for pyelonephritis
This group includes drugs that have a directed effect on only one of the manifestations of pyelonephritis or glomerulonephritis (damage to the glomeruli of the kidneys). They are taken in a complex way, and different tablets, other dosage forms significantly alleviate the symptoms of the disease, eliminate urinary infections. Preference is given to drugs acting in one of the main areas:
- Antimicrobial therapy – antibiotics of different groups, eliminate the pathogen infection.
- Antibacterial effect – combined synthetic agents.
- Fighting inflammation – NSAIDs (non-steroidal anti-inflammatory drugs).
- Elimination of puffiness – diuretics.
Additionally, if there are indications, antihistamines (to relieve a possible allergic reaction to antibiotics), antihypertensives and antispasmodics (reducing pressure, eliminating pain symptoms) can be prescribed for the treatment of pyelonephritis.
Taking multivitamins also has a positive effect on healing. But no matter how severe kidney diseases are, it is impossible to cure pathologies without a comprehensive prescription, in the absence of a system and treatment plan. Requires multiple medications.
Self-treatment for inflammation of the kidneys is categorically contraindicated! The diseases are characterized by the rapid spread of urinary tract infections, which can lead to the manifestation of a purulent-destructive form within a day – with intoxication, dehydration, chills, severe spasms of the anterior abdominal wall, significant violations of the outflow of urine, inability to empty the bladder. Contact your doctor immediately!
BROAD SPECTRUM ANTIBIOTICS
These are the main types of drugs to eliminate the cause of pyelonephritis, as well as various glomerular diseases. The standards of drug treatment provide for the use of antibiotics of several groups selectively, depending on the result of the tests. More often recommended in the form of injections, tablets are used when there is no possibility for injections.
The following types of drugs that affect the gram-negative flora are most effective, which is what is required to eliminate pathogenic infections:
- Aminoglycosides – drugs based on amikacin and kanamycin.
- Carbapenems – mainly Doripenem (Doriprex, Dorenem, Doribaks).
- Broad spectrum penicillins (including combinations).
- Amoxicillin (also Klamosar, with clavulanic acid).
- Ampicillin (with oxacillin – the drug Oksamp, with sulbactam – Sultasin
– Ticarcillin (also with clavulanic acid, Timentin).
- Cephalosporins I, II and III generations – based on Cefazolin, Cephalexin, Cefaclor, Cefuroxime, Cefotaxime , Ceftriaxone.
Unlike antibiotics, the origin of these drugs is completely synthetic, and the effect on pathogenic microorganisms is noticeably more aggressive with low toxicity to the body. The activity of antibacterial synthetic agents is manifested against most infections, and the manifestation of side effects is rather an exception.
The following drugs are used to treat pyelonephritis and diseases of the genitourinary system, even if the pathology is caused by an infection atypical for the disease – Escherichia coli, gram-positive cocci. An additional advantage of antibacterial agents over antibiotics is that it is more convenient to use drugs due to the presence of a release form in tablets.
- Tinidazole in combination with Ciprofloxacin – Cifran, Tsiprolet.
- Metronidazole and analogues – Metrogil, Klion, Siptrogil, Metroseptol, Bacimex.
- Levofloxacin and preparations based on it – Glevo, Ivacin, Leflobact forte, Remedia, Ecolevid.
- Norfloxacin – Normax, Norbactin, Nolicin, Noroxin, Loxon-400.
- Fluoroquinolones – Pefloxacin, Abaktal, Pefloxabol, Pelox-400, Yunikpef, Peflacin.
- Quinolones – Pipemidic acid (Uropimide, Pipegal, Urotractin, Urseptia).
NSAIDs – non-steroidal anti-inflammatory drugs
With pyelonephritis, drugs in this category have an effect in several directions at once: it is an antipyretic, analgesic and anti-inflammatory effect. It should be remembered that NSAIDs do not eliminate the harmful microflora – the infection itself, which in most cases is one of the gram-negative bacteria. But without anti-inflammatory, the course of treatment with the main drugs (antibiotics) will be incomplete and take more time, affecting the general well-being of the patient.
It is not allowed to prescribe Aspirin, Paracetamol and other NSAIDs that have a nephrotoxic effect (with a possible negative effect on the kidneys). A choice of topical NSAIDs and pyrazolones in combinations is recommended.
The most common in the treatment of pyelonephritis and glomerulonephritis are drugs based on the following active ingredients:
- Diclofenac – in the form of tablets and rectal suppositories.
- Ibuprofen (Brufen).
- Ketoprofen (Ketonal).
- Spazmalgon – tablets and ampoules (Revalgin, Spazmalin, Spazmofarm, Maksigan, Bral).
Diuretic drugs are no less important participants in the pyelonephritis treatment program, since in the process of removing fluid, the body gets rid of toxins and infections. The course of treatment involves drinking plenty of fluids, at least two liters a day, and it is also not forbidden to restore the circulation in the kidneys with the help of natural means: juices and herbs, berries, fruits and vegetables with a high fluid content.
With severe puffiness, it is worth giving preference to medicinal pharmaceuticals, while an independent choice of tablets can aggravate the course of the disease due to possible complications and side effects. Possible prescriptions include the following drugs:
- Furosemide (analogues of Lasix, Furon).
- Torasemide (Diuver, Britomar, Lotonel).
- Hydrochlorothiazide (Hypothiazide, Dichlothiazide).
- Bumetanide (Bufenox, Urinide).
- Spironolactone potassium-sparing drugs (Aldactone, Veroshpiron, Veroshpilakton).
All of these drugs are available in tablets, in ampoules for injection. In a hospital setting, dropper solutions can be used.
How to treat cystitis?
For both men and women, before starting treatment for inflammation of the bladder, tests are required: urine culture, smears, ultrasound. The treatment regimen and drugs are chosen by the doctor, depending on the results of the studies. There is no universal, single treatment plan; preference for one or another drug is given after studying the main factors:
- Type of pathogen.
- The nature of the course (acute, chronic, with menopause, with tumors, in children, pregnant women).
- The patency of the urinary system.
As in the case of pyelonephritis, glomerular diseases, the treatment of cystitis with drugs is complex, but unlike inflammation of the kidneys, cystitis can be caused by a variety of infections, including viruses, bacteria, fungi. Therefore, the list of drugs effective for cystitis is much wider:
Antibiotics – aminoglycosides (including in combinations), ansamycins, macrolides, azalides, monobactams, penicillins (also in combinations), tetracyclines, cephalosporins of all generations.
Examples of drugs: Cefazolin, Cefalexin, Cefuroxime, Doxycycline, Ampicillin, Piperacillin, Oxacillin, Flucloxacillin, Carfecillin, Azithromycin, Fosfomycin, Rifampicin, Amikacin, Kanamycin, Monural.
Synthetic antibacterial agents – quinolones/ fluoroquinolones, sulfonamides and others.
Examples of drugs: Furadonin, Nitroxoline, Dioxysept, Nifuratel, Furazidin, Quinoxidine, Lidaprim, Biseptol, Trimezol, Brifeseptol, Bactrim forte, Sumetrolim, Maxakvin, Norfloxacin, Ofloxacin, Pipemidic acid, Sparfloxacin, Ciprofloxacin.
Antiseptics and disinfectants – vegetable and semi-synthetic, including for external use: Chlorhexidine, Uriflorin (bearberry), Phenyl salicylate.
Uroseptics and diuretics – natural ingredients in tablets, drops: Canephron, Fitolizin, Cyston, Urolesan, urological diuretic collection, Brusniver, Monurel, Furosemide.
NSAIDs – with a greater severity of anti-inflammatory effect, suitable for long-term use: Indomethacin (tablets and suppositories), Ibuprofen (MIG-400, Nurofen), Nimesil.
Glucocorticosteroids – ointment, gel for topical use, to relieve pronounced negative symptoms (allergies, severe inflammation, septic shock): Nefluan, Fluocinolone acetonide.
Antifungal agents – Levorin, Safocid.
Medicines for urethritis
The nature of the inflammation of the walls of the urethra is infectious, urethritis is caused by various types of pathogenic microflora, and the treatment in some cases is identical to that prescribed for cystitis. A feature of urethritis – such a disease of the urogenital system may be the result of concomitant pathological processes:
- Bacterial urethritis – occurs with tonsillitis, pneumonia, inflammation in the pelvic region, with possible infection after the installation of the catheter, is caused by conditionally pathogenic microflora.
Treatment requires antibiotics: Azithromycin, Clindamycin, Ciprofloxacin, Amoxiclav, Doxycycline, or Erythromycin are often prescribed. In addition to medicines, washing the urinary canal with Collargol Protargol or Miramistin, antiseptic baths for women have a great positive effect on the cure.
- Gonorrheal, trichomonas or chlamydial urethritis – a consequence of contact with an infected partner or poor hygiene. Treatment is prescribed by a venereologist, it is required to take drugs that eliminate one of the types of infections.
Treatment is a combination of different broad spectrum antibiotics supported by corticosteroids, topical disinfectants, immunostimulants, types of synthetic antibacterials, antifungals, vaccines, diuretics, flushes, drips, physiotherapy. Painkillers – if necessary, support with natural antiseptics (herbs) only as concomitant therapy.
Possible drugs: Monural, Selemycin (Amicacin), Nefluan, Polyoxidonium, Furamag, Cycloferon, Azithromycin, Ampicillin and other antibiotics of the penicillin group, including in combinations (Bactoklav, Augmentin, Klamosar, etc.), Metronidazole, Levorin, Doxycycline , Ciprofloxacin, Lifaxon, Cefspam, Cefazolin and other cephalosporin antibiotics.
- Candidiasis urethritis – caused by yeast-like fungi, the treatment plan differs significantly from other types of this pathology of the urogenital system. It is obligatory to take antifungal agents, drugs are used, including externally, to eliminate tissue lesions.
What is prescribed: Fluconazole (Diflucan, Fucis), Nystatin, Clotrimazole, Itraconazole, Pimafucin, Miramistin, Sodium tetraborate (borax).
Drugs for the treatment of urogenital infections in women
Exclusively “female” diseases – adnexitis, salpingitis, endometritis – require a lot of attention from specialists and discipline, adherence to the treatment plan by patients, since all of these pathologies directly affect reproductive function. As with other diseases caused by urogenital infections, self-medication is unacceptable, and at the first sign of inflammation, you should consult a doctor as soon as possible.
Medicines for adnexitis
Pain in the lower abdomen, chills, nausea, febrile temperature (from 38 degrees), atypical colored discharge, urination disorders are symptoms of inflammation of the uterine appendages. Ignoring such manifestations and attempting to self-treat can lead to the chronic stage, the appearance of adhesions, which increase the risk of ectopic pregnancy.
Proper treatment requires detection of infections through bacterioscopy, pharmaceutical preparations are prescribed by a doctor in accordance with a certain type of pathogenic microflora – coccal flora, chlamydia, Trichomonas, pseudomycelium, yeast-like fungi, clostridia, E. coli.
In the treatment, combinations of antimicrobial drugs are often used, while antibiotics of different groups are often prescribed, synthetic antibacterial drugs are added. The choice of antibiotics depends on the form of the course of the disease and on what kind of urinary tract infection or mixed forms of pathogens caused adnexitis.
- Cephalosporin antibiotics Ceftriaxone or Cefoxitin + tetracyclines (Doxycycline) with the addition of Metronidazole. In case of intolerance to Doxycycline, it can be replaced with macrolides (Sumamed, Hemomycin).
- Clindamycin and Gentamicin in ampoules, Doxycycline (tablets) or Clindamycin with Metronidazole.
- Penicillin antibiotics Ampicillin or Sulbactam injections with replacement for Doxycycline (oral).
- Penicillins or cephalosporins in combination with macrolides (Spiramycin, Clarithromycin, Erythromycin).
- A severe type of adnexitis – Imipenem, Meropenem or an antibiotic of the carbapenem group, in combination with macrolides or Doxycycline.
Also, from antibiotics and antibacterial drugs, Azithromycin, Josamycin, Probenecid, Amoxiclav, Flemoklav, Augmentin, Rovamycin, Orfloxacin, Ornidazole, Clindafer, Tsiprolet are used.
NSAIDs and analgesics – Naproxen, Diclofenac, Ibuprofen, Indomethacin, Ketoprofen, Donalgin, Nifluril.
Treatment of adnexitis requires following a system determined by the doctor based on many factors – the age of the patient, the severity of symptoms, the intensity and duration of pain, the form of the disease: the first episode, secondary or chronic, with complications. It is impossible to find out on your own what kind of infection led to inflammation; laboratory tests are needed for this. The possibility of having children depends on the speed of diagnosis and discipline during treatment.
Treatment of salpingitis
This disease is related to adnexitis, but inflammation in salpingitis extends only to the fallopian tubes. In such an isolated form, it is in this area that it is not so common, in most cases it is accompanied by inflammation of the ovaries. It is no less dangerous for reproductive function than adnexitis, since it is not easy to detect salpingitis at an early stage, the clinical picture is very vague, and the pathology manifests itself clearly already at the acute stage.
Treatment is carried out in a hospital, with the help of antibacterial drugs, antibiotics, their choice is based on the results of laboratory determination of infections that provoked the disease. Such infections can be Trichomonas, anaerobic flora, tubercular or gonorrheal pathogen, epidermal or Staphylococcus aureus, Escherichia coli, Proteus, Candida fungi, Peptococcus, Peptostreptococcus, mixed pathogenic microflora. Bed rest, local cold, appropriate diet, rest and physiotherapy are also important in the treatment system.
Possible drugs for salpingitis
Antibiotics – Ceftazidime, Ceftriaxone, Cefalexin, Cefotaxime, Ampicillin, Ampiox, Tetracycline, Erythromycin, Kanamycin.
Antibacterial synthetic drugs – Furazolidone, Metronidazole.
NSAIDs – Panadol, Paracetamol, Nurofen, Advil, MIG 400 (Ibuprofen), Butadion.
Treatment of endometritis
The main cause of inflammation of the uterine mucosa is microbial types of urinary tract infections. The cause of various forms of the course of endometritis can be gonococci, trichomonas, strepto- and staphylococci, chlamydia and mycoplasmas, E. coli, tuberculosis mycobacteria, Klebsiella, Proteus. Most of the overall treatment process is assigned to the elimination of pathogens, the choice of a treatment system is based on the identification of pathogens, then the infection is eliminated by appropriate means: mainly antibiotics and synthetic antibacterial, antifungal compounds.
Antibiotics orally, externally, by injection – cephalosporin Ceftriaxone, Cefurabol, Cephabol, etc., also Fosfomycin, Gentamycin, Meronem, Clindamycin, Clindafer, Azithromycin, Hemomycin, Sumamed, Roxithromycin, penicillins in combinations and broad-spectrum penicillins (Amoxisar, Pipracil, Trifamox IBL, Timentin, Tazocin, Betaclav), Doxycycline.
Synthetic antibacterial – a combination of Tinidazole and Ciprofloxacin, Moxifloxacin, Pefloxacin, Abaktal, Metronidazole, Metrogyl.
In addition to taking medications, treatment is aimed at restoring the functioning of the endometrium – this can be achieved with the help of physiotherapy, the appointment of hormones, immunomodulators. In difficult cases, if there are intrauterine adhesions, polyps, surgical intervention is required.
Treatment of urinary tract infections in pregnant and lactating women
We draw your special attention to the fact that the appointment of any medications, especially antibiotics and antibacterial agents during pregnancy, is done only by the attending physician! The fight against infections that caused any of the diseases of the genitourinary system requires taking into account many important factors – the current trimester, the possible occurrence of individual reactions, the study of various drugs, etc.
Drugs are prescribed on the basis of the principle of predominance of benefits from taking over the possible risk to the fetus. There are no single exact recommendations that are equivalent for everyone, but if you need to take medications, the choice is more often made from the following groups of antibiotics:
- Cephalosporins II and III generations (as agreed with the attending physician).
- Aminopenicillins (Ampicillin or Amoxicillin).
- Fosfomycin (Monural) – broad spectrum.
- Josamycin (not well studied).
Pregnant women for the treatment of urinary infections are strictly prohibited: Trimethoprim, Clarithromycin, Roxithromycin, Ciprofloxacin, Levofloxacin, Norfloxacin and other synthetic antibacterial groups of quinolones / fluoroquinolones, Sulfonamides (Sulfadiazine, Streptocid, etc.)
Drugs for the treatment of urogenital infections in men
Pathologies of the urogenital system in men occur in most cases for the same reasons – an infection introduced in various ways, due to which inflammation develops: in the seminal vesicles (vesiculitis), in the epididymis (epididymitis), outside the foreskin (balanoposthitis, balanitis). Often, such diseases of the genitourinary system are complications in other pathologies: a consequence of urethritis, prostatitis, etc.
As in all cases with the growth of infections, it is necessary to take drugs of different groups and prescriptions: antimicrobial, antibacterial separately and in combination, NSAIDs to relieve symptoms of inflammation and alleviate the patient’s condition, pills to stimulate immune processes, diuretics and others, as recommended by the attending physician.
How to treat vesiculitis?
Cystitis, but in the “male” version – an inflammatory process in the seminal vesicles – manifests itself in a one- or two-sided form, can be acute, chronic. The primary disease is often a complication: with other pathologies of the genitourinary system, as well as acute respiratory, inflammatory diseases – hemorrhoids, osteomyelitis, caries, influenza, tonsillitis, etc.
The choice of drugs depends on the pathogen – the primary infection of the genitourinary group. The causative agent can be one of the following infections: chlamydia, ureaplasma, Klebsiella, gonorrhea, syphilis, staphylo- and streptococcus, E. coli, tuberculosis.
Without laboratory determination of the types of infections that caused vesiculitis, prescribing drugs is not effective. Different pathogens can be resistant to the effects of drugs, even when broad-spectrum antibiotics are taken. As with infections in women, drug therapy with a combination of different categories of pharmaceuticals will be required.
Broad spectrum antibiotics, in combinations – Sumamed, Macropen, Erythromycin, Doxycycline, Metacycline, Amoxiclav, Cefazolin, Oletetrin, Ciprolet, Levofloxacin, Clarithromycin, Rifampicin.
Synthetic antibacterial – Streptocid, Furadonin, Furagin, Furasol, Trimopan, Trimethoprim, Gramurin (oxolinic acid).
NSAIDs – Ketonal, Indomethacin, Diclak (Diclofenac), Nurofen, Ibuprofen. Recommended in the form of suppositories with analgesic effect.
In addition to drugs to combat urinary tract infections, laxatives are prescribed: with the help of such drugs, the pain that occurs during defecation is reduced – Bisacodyl, Dufalac, Celebrex, Nimesulide, Ortofen. Also uroseptics and urodynamic correctors: Furomag, Furadonin, Dalfaz, Omnik. Washing and physiotherapy are prescribed.
Medicines for epididymitis
Inflammation of the epididymis – epididymitis – is extremely rarely an independent disease and in most cases is the result of urethritis or orchitis, testicular inflammation. Treatment – antibacterial therapy aimed at the pathogen: an infection determined after laboratory tests, as well as taking auxiliary drugs. In addition, physiotherapy is prescribed, and in case of complications, a surgical operation is performed.
Most often, epididymitis is provoked by chlamydia or gonorrhea, in the absence of sexual activity, one of the bacterial infections also becomes the causative agent of the disease. Fungal types of infections are among the least common causes of pathology.
Antibiotics – Bactrin, Doxycycline (Unidox Solutab), Ciprofloxacin, Ceftriaxone, Cefotaxime, Azithromycin, Levofloxacin, Amoxicillin, Sumamed, Nystatin, Amoxiclav.
Synthetic antibacterial agents – Ornidazole in combination with Ofloxacin (Combiflox), Pefloxacin, Biseptol, Nitroxoline, Norbactin.
NSAIDs – Diclofenac, Nimesil, Ibuprofen, Movalis.
Treatment of balanitis and balanoposthitis
Both types of inflammation of the foreskin or glans penis often occur together, accompanied by recognizable external signs – redness, swelling, itching and burning, swollen lymph nodes. The most common cause of both diseases is one of the bacterial infections: enterococcus, the causative agent of tuberculosis, staphylococcus or streptococcus, less often a fungus. Mechanical tissue damage, poor hygiene and allergic reactions are rare.
Drug therapy for balanitis and balanoposthitis is determined after laboratory tests (bakposev, PCR – excludes the viral nature). Among the possible prescriptions are topical ointments, combination with oral antiviral drugs and antibiotics for the treatment of severe forms of the disease, mainly of viral origin. Antiseptic solutions are also used.
Antibiotics – do not prescribe for viral, fungal infections, with the allergic nature of the disease. In other cases, use Doxycycline, Azithromycin, Erythromycin, Levomycetin, Ciprofloxacin.
Antifungal – Flucostat.
Antiseptics – Chlorhexidine, Miramistin, Fukortsin.
Ointments – Oxycort, Elidel, Triderm, Levomekol, Clotrimazole, Metronidazole (Metragil, Rozamet), Tetracycline.
Inflammation of the prostate
Prostatitis has a diverse bacterial origin, but the treatment of this pathology always involves the long-term use of synthetic antibacterial agents in combination with antibiotics of the penicillin and cephalosporin groups, macrolides, tetracyclines. The course of treatment with drugs is at least 4 weeks and can be extended to 7-8, depending on the body’s response to the reception. The choice of drug or combination of drugs is based on the identification of the pathogen: laboratory studies are required to study infections.
In addition, the doctor prescribes suppositories rectally, as well as mild laxatives, immunomodulators, and urodynamic correctors. Surgical intervention is resorted to in extreme cases, since the removal of the prostate leads to disruption of the genitourinary system. The operation is done only if one of the genitourinary infections is resistant to drug treatment.
Antibiotics – Clarithromycin, Erythromycin, Vilprafen (Josamycin), Roxitramycin, Roxy-hexal, Spiramycin, Betaclav or Bactoclav, Doxycycline, III generation cephalosporins (Ceftazidime).
Synthetic antibacterial – Tinidazole with Ciprofloxacin, Levofloxacin, Pipemidic acid (Urseptia)), Ciprolet, Sparfloxacin, Norfacin.
Others – Speman, Galavit, dietary supplements (Peponen, Prostamed, Prostaplant, Adenoprostal).
Concomitant medications in the treatment of urogenital infections
Any penetration of infections into the body is accompanied by a certain discomfort, and in the process of treating the disease, certain reactions to drugs or their components may occur. This is another weighty argument against self-treatment: even if you get enough information about a particular pathology, it is impossible to predict the possible risks of taking pharmaceuticals – such predictions are made only by a doctor and only on the basis of the tests done, asking the patient about the presence / absence of other diseases.
Restoration of intestinal microflora
In the fight against infections, the use of antimicrobial and antibacterial agents almost always leads to an imbalance in the natural microflora. This makes it necessary to turn to drugs that help restore non-pathogenic microorganisms in the intestine. Most often, these are prebiotics and probiotics, as well as combined agents – synbiotics. Recently, it has become possible to use metabiotics – catalysts for the growth of one’s own beneficial microflora.
An integral part of the treatment of urinary tract infections are pain relievers. Against the background of relief of symptoms, antispasmodics in some cases play another role. For example, in pyelonephritis, antispasmodic therapy helps to expand the renal tubules in the ureters, normalize pressure, and restore blood flow.
Doctors for this prescribe Drotaverine (No-Shpa) and Papaverine. To obtain a combined analgesic and anti-inflammatory effect, Cystenal, Buscopan, Unispaz, Novigan are taken.
With cystitis, herbal uroseptics cope well with pain, while at the same time having a disinfecting effect – Canephron, Cyston. Your doctor may also prescribe low doses of corticosteroids, such as prednisolone.
Not the last role in the system of treatment of diseases caused by MPI is played by drugs aimed at enhancing the activity of the patient’s own immunity. A two-sided attack on different types of infections – with the help of drug intervention and the activity of the body’s defense mechanisms – accelerates the treatment process.
The body’s immunoreactivity is extremely important at any stage of the inflammatory process, and the immunomodulators, immunostimulants and interferon inducers themselves can enhance the body’s protective response to the spread of pathogenic infections. In urological practice, to fight infections,
in addition to antibacterial and antimicrobial drugs, the following types of compounds are most often used to increase immunity:
- Immunomodulators – participate in the fight against infections along with the human immune system.
- Immunostimulants – stimulate the existing immunity to enhance its response to pathogens.
- Interferon inductors – provoke the body to independently produce protective proteins, inexpensive, with a low risk of side effects.
- Vitamins – normalize biochemical, metabolic processes.
If the doctor recommends taking such medications, you should listen to the appointment. For various diseases of the genitourinary system, drugs such as Polyoxidonium, Gepon, Gadavit, Ferrovir, Cycloferon, Ridostin, Derinat, Amiksin, Neovir are prescribed.