Medicines to Treat Postitis

Definition

Postitis indicates an inflammatory process affecting the retractable mucocutaneous layer that lines the glans penis (foreskin). In most cases, postitis is also associated with balanitis (balanoposthitis).

Causes

The etiological factors involved in the onset of postitis are almost the same as those listed for balanitis and balanoposthitis: infectious agents (eg. Candida albicans, Chlamydia, Gonorrhea, Herpes simplex, scabies, syphilis and trichomoniasis), allergies, contact dermatitis, lichen planus, psoriasis and incorrect intimate hygiene.

Risk factors for postitis: diabetes and autoimmune diseases in general, phimosis, unprotected sexual intercourse → postitis is one of the sexually transmitted diseases

Symptoms

Postitis begins with whitish spots affecting the foreskin, often associated with burning, swelling, irritation, and itching of varying degrees. Among the other symptoms are: dyspareunia, pain when urinating, bloody wounds of the foreskin, skin abrasions, preputial sores, xerosis (localized dry skin).

The information on Postitis - Medicines for the Treatment of Postitis is not intended to replace the direct relationship between health professional and patient. Always consult your doctor and / or specialist before taking Postite - Medicines for the Treatment of Postitis.

Medicines

An accurate andrological diagnostic examination is indispensable in episodes of suspected postitis: in fact, only through the identification of the triggering cause, the doctor is able to prescribe the most suitable pharmacological treatment for the patient.
Considering that postitis s "is one of the possible venereal diseases, it is a duty that even the partner with whom unprotected sexual intercourse has been consumed undergoes drug treatment, even when she does not complain of any symptoms.

The following are the classes of drugs most used in therapy against postitis, 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:

Postitis from Candida albicans: the most used drugs in therapy are azoles. Based on the severity of the postitis, the doctor prescribes drugs for topical application and / or systemic action (to be taken orally):

Clotrimazole, 1% (eg Canesten, Mycelex): in the form of cream, powder or solution; apply to the infected area twice a day for 10 days.
Miconazole, 2% (eg Cruex, Micatin): it is recommended to take miconazole for candida-dependent forms of postitis. The drug is available in the form of a cream, powder or spray, to be applied to the infected area twice a day for 10 days
Fluconazole (eg Diflucan): the recommended dose is 150 mg (tablets), taken in a single dose. For relapsing forms, the dosage must be corrected by the doctor, based on the response to treatment.
Nystatin (eg. Mycostatin, Nizoral) It is recommended to administer tablets / dragees of 500.00 IU of nystatin per ml (or oral suspension of 100,000 IU / ml) three times a day. The duration of therapy must be determined by the doctor.

Trichomonas vaginalis postitis: in this case, it is very likely that the inflammation of the foreskin is due to an infection of the partner, transmitted to the man through sexual intercourse.

Metronidazole (eg Flagyl, Metronidazole-Same, Rozex): the drug (antibiotic, nitroimidazole class) is particularly indicated in case of Trichomonas postitis. In most cases, topical application of metronidazole-based creams or ointments is recommended for men as directed by the physician. However, oral administration of 2 grams of drug once a day is also possible (alternatively, take 500 mg of active twice a day or 375 mg of drug twice a day for a week).
Tinidazole (eg. Trimonase, Fasigin-N): even if it is not the drug of choice for the treatment of postitis from Trichomonas, it is possible to administer this active at a dosage of 2 g / day, preferably on a full stomach. Generally, the therapy should be continued for 7 days, unless further medical indications.

Gonorrhea postitis: in the case of Neisser's gonococcal postitis (gonorrhea), it is recommended to undertake a therapeutic process consisting of several drugs (two or three, depending on the severity of the morbid condition). Also in this case, it is a duty to submit the sexual partner to therapy. Here are some examples of drugs used to treat gonorrhea postitis:

Ofloxacin (eg. Exocin, Oflocin): in case of gonorrhea postitis, it is recommended to take 400 mg of active orally every 12 hours. The duration of therapy must be determined by the doctor. When gonorrhea occurs without serious complications, the recommended dose is 400 mg (to be taken orally), in a single administration. It is possible that the postitis is due, in addition to gonorrhea, also to a chlamydial co-infection: in this case, it is recommended to take also a "single dose of Azithromycin (eg Zitrobiotic, Rezan) or doxycline (eg Doxycicl, Periostat, Miraclin, Bassado) for one week.

Postitis from scabies: As we have seen, scabies is a potential risk factor for postitis. Scabies is responsible for annoying itching and irritation also at the level of the penis, and often involves the foreskin and / or glans; among the most commonly used drugs, the following are mentioned:

Crotamiton (eg Eurax Crema, Crotaglin, Veteusan): this drug (acaricide) is indicated exclusively for scabies related postitis, associated with ferocious localized itching. It is recommended to apply the product 2-3 times a day, as indicated by the doctor.
Permethrin (eg Scabiacid): apply the cream on the damaged skin and leave it to act for 8-14 hours.
Antihistamines: useful for reducing itchy manifestations. The choice of the drug is up to the doctor, after a "careful diagnosis of the patient.

In case of infectious postitis, cortisone should not be taken, responsible for a possible worsening of symptoms

Non-infectious postitis:

Not all posts are only related to bacterial or fungal infections: therefore, some doctors recommend cortisone-based creams or ointments. Eg:

Deoxymethasone (eg Flubason) or hydrocortisone (eg Locoidon, Colifoam): apply the cortisone cream locally, once or twice a day, as indicated by the doctor. The cure is recommended for non-infectious posts; particularly indicated when the inflammation depends on a contact dermatitis.
Methylprednisolone (eg Advantan, Metilpre, Depo-Medrol, Medrol, Urbason): indicated in case of non-infectious postitis, especially when associated with dermatitis. Apply the cortisone drug directly on the injured skin, according to the instructions dictated by the doctor.
Clobetasol (eg. Clobesol, Clobetasolo PFA) apply on the skin affected by postitis once a day, according to the doctor's instructions.

Severe postitis

When the patient does not respond positively to drug treatment - be it topical or systemic - circumcision is recommended: it has been observed, in fact, that the practice of circumcision is simple and effective to prevent postitis relapses.