Medicines against orchitis

Definition

Orchitis is defined as an inflammatory process, with an acute or chronic course, which affects one or both testicles and, sometimes, also part of the male genital system.

Causes

Generally, orchites depend on sexually transmitted (Chlamydia, gonorrhea) or viral (mumps or mumps) bacterial infections. More rare, although possible, is orchitis resulting from brucellosis, hepatitis, severe influenza, mononucleosis or syphilis.

Risk factors for orchitis: advanced age, lack of vaccination for mumps, surgery on the male genital system (→ urinary infections → orchitis), unprotected sexual intercourse

Symptoms

The evident testicular swelling, associated with edema, pain and localized redness in the scrotum, are indicators of orchitis. The secondary symptoms associated with the pathology include: chills, difficulty in urinating, painful ejaculation, fever, swelling of the lymph nodes groin, post-squeezing urethral discharge of the glans, blood in urine and semen.

The information on Orchitis - Drugs useful in the treatment of Orchitis is not intended to replace the direct relationship between health professional and patient. Always consult your doctor and / or specialist before taking Orchitis - Drugs useful in the treatment of Orchitis.

Medicines

To avoid the unpleasant and dangerous complications of orchitis (alteration of spermatogenesis, testicular atrophy, inhibition of sperm formation, testicular torsion) a prompt medical check-up is always recommended when the first symptoms appear. Only after a thorough diagnosis, the specialist can prescribe the most suitable drugs to treat orchitis.

The following are the classes of drugs most used in the therapy against orchitis, and some examples of pharmacological specialties; it is up to the doctor to choose the most suitable active ingredient and dosage for the patient, based on the severity of the disease, the state of health of the patient and his response to treatment:

Antibiotics:

Ciprofloxacin (eg Ciprofloxac, Samper, Ciproxin, Kinox), belonging to the class of quinolones. Generally, it is administered at a dosage of 500-1000 mg per day, for 7-14 days as directed by the doctor. Useful for eliminating the bacterium responsible for testicular inflammation.
Azithromycin (eg Azithromycin, Zitrobiotic, Rezan, Azitrocin): this macrolide is generally prescribed for the treatment of "orchitis dependent on a" chlamydial infection. It is recommended to take the drug at a dosage of 1 gram / day: the duration of therapy must be established by the doctor.
Ceftriaxone (eg. Ceftriaxone, Pantoxon, Ragex, Deixim): belongs to the class of quinolones. The drug is indicated in case of gonorrhea orchitis, at a dosage of 250 mg to be administered intramuscularly in a single dose.

Antivirals: Considering that orchitis can depend, albeit indirectly, from viruses, sometimes the patient can be treated with antivirals. To give a practical example, mononucleosis - possibly responsible for the onset of testicular inflammation - is caused by the Epistein virus. -Barr (EBV), belonging to the Herpes virus strain: l "Aciclovir (eg Aciclovir, Xerese, Zovirax), in this case, is particularly effective (oral intake: the dosage and duration of therapy must be established by the attending physician ).

Cortisones: indicated in case of mumps orchitis and as powerful anti-inflammatories (systemic administration). Eg:

Hydrocortisone (eg Locoidon, Colifoam): it is indicated as a powerful anti-inflammatory at a dosage of 15-240 mg per day. The duration of therapy must be determined by the doctor.
Cortisone (eg. Cortis Acet, Cortone): available in tablets of 25 mg, the dosage and timing of intake must be indicated by the doctor, and vary from subject to subject according to the severity of orchitis.

Anti-inflammatory / painkillers: useful for relieving and relieving pain deriving from orchitis

Ibuprofen (eg. Brufen, Kendo, Moment): take orally from 200 to 400 mg of active ingredient (tablets, effervescent sachets) every 4-6 hours, as needed. In some cases, the analgesic can be given intravenously (400 to 800 mg every 6 hours, as needed)
Naproxen (eg. Aleve, Naprorex): it is recommended to take one capsule of 550 mg twice a day (every 12 hours, unless otherwise instructed by the doctor), as needed
Acetaminophen (or paracetamol: eg Acetamol, Buscopan compositum, Tachipirina) for very acute pain associated with alteration of body temperature. Taken orally in the form of tablets, syrup, effervescent sachets or suppositories, the drug is generally administered at a dosage of 325 - 650 mg every 4-6 hours for 6-8 consecutive days, to lower the fever associated with orchitis.

Notes: in case of severity it is advisable to inject local anesthetics directly on the inflamed area. It is recommended to apply ice to the scrotal level (cryotherapy practice), useful for contribute to reduce the perception of pain: in this case, the ice acts as a mild anesthetic.
The application of ice, the rest, the assumption of a comfortable position and the elevation of the scrotum, together with a targeted drug therapy, generally ensure a clear improvement of the symptomatological condition in a few days.
If orchitis is not taken promptly, surgery may be required.

The vaccine for the prevention of mumps is recommended, since mumps represents a possible risk factor for the onset of orchitis.