Different drugs for the treatment of prostatitis often have a similar composition, but differ significantly in price. You should not choose drugs without a doctor's recommendation, as self-medication can lead not only to no effect, but also to side effects.
The most effective drugs are those that are selected taking into account the test results and the characteristics of the course of the disease in men.
Dosage forms for the treatment of prostatitis are tablets, suppositories and solutions for intramuscular use.
Criteria for selecting an effective drug
The type of inflammatory process distinguishes between infectious and non-infectious prostatitis. To choose a drug, it is necessary to undergo a comprehensive examination for an accurate diagnosis, which includes ultrasound and TRUS of the prostate, analysis of prostate secretion and palpation of the rectal organ.
The main line of treatment for infectious prostatitis is antibiotic therapy. Non-infectious prostatitis is treated with anti-inflammatory drugs; in this case antibiotics are not used.
Adjuvants depend on the form of inflammation and the severity of the symptoms. In acute urinary disorders, alpha-blockers are prescribed in short courses, with severe pain - antispasmodics or NSAIDs. In addition, there are a number of drugs to restore the function of the affected organ, which are used in a long course.
Within each group of drugs there are a number of effective drugs that are often prescribed by urologists. At the same time, some drugs can be replaced by cheaper analogues, for example, herbal medicines in the form of rectal suppositories.
The following types of prostatitis drugs differ in the form of release:
- injections;
- tablets;
- suppositories.
Installations and microclysters are also used. The former are performed in a hospital setting, the latter are traditional methods of treatment. Due to the effectiveness and speed of action, doctors prefer to prescribe injections, but this method is not always suitable for home treatment: not everyone can inject themselves. To relieve inflammation, men prefer rectal suppositories - they are easy to use on their own and in terms of effectiveness are slightly lower than injections.
Medicines in tablet form are divided into:
- antibiotics;
- antispasmodics;
- alpha blockers;
- non-steroidal anti-inflammatory drugs.
Only a doctor should select and combine drugs.
Antibiotics
Antibacterial drugs for the treatment of prostatitis are prescribed only for bacterial or infectious inflammation and strictly after analysis of prostate secretion. The analysis is necessary to determine the type of pathogen and the sensitivity of pathogenic microorganisms to the action of antibacterial drugs.
In the treatment of infectious prostatitis, drugs from the following groups are used:
- cephalosporins;
- macrolides;
- penicillins;
- fluoroquinolones;
- tetracyclines.
Preparations from the group of macrolides can cause a number of side effects, the course of treatment lasts from 7 to 14 days.
Penicillins and tetracyclines are rarely prescribed. This is due to the low bioavailability of drugs and the high risk of developing resistance of the pathogen to their action.
The new drugs widely used in the treatment of infectious prostatitis are drugs from the fluoroquinolone group. They are highly bioavailable and are effective even in cases of development of resistance of pathogenic microorganisms to the action of other antibacterial compounds. Fluoroquinolones cannot be called fast-acting drugs, as the course of treatment takes an average of 28 days. These drugs rarely cause side effects.
Available as tablets and as a solution for injection.
Antibacterial drugs are not used in non-infectious prostatitis.
The dosage and the exact treatment regimen are chosen by the doctor based on analyzes. These drugs are not used for prostatitis caused by fungal microflora, instead antifungals are used.
Antispasmodics
These drugs relieve muscle spasm of the prostate gland, thus making patients feel better. They are used in both acute and chronic diseases.
Medicines for chronic prostatitis
The basis of treatment of chronic prostatitis is composed of bioactive drugs that normalize the trophism of the prostate gland and relieve inflammation. Their composition is based on biologically active peptides obtained by extraction of the prostate glands of cattle.
Indications for use:
- chronic prostatitis; prostate adenoma;
- infertility.
The course of treatment takes up to 15 days. Suppositories are used twice a day, morning and evening, injections are given once a day.
Medicines work as follows:
- normalization of urodynamics;
- relieving inflammation;
- reduce swelling;
- elimination of pain syndrome;
- increased potency.
Drugs normalize prostate trophism by stimulating metabolic processes in the body. In chronic prostatitis, drugs from this group are prescribed twice a year for both treatment and prevention. In acute inflammation, your doctor may prescribe medication after a course of antibiotic therapy to restore normal prostate function.
Non-steroidal anti-inflammatory drugs
NSAIDs are prescribed to relieve inflammation and reduce pain in prostatitis. They are used as symptomatic therapy for both infectious and non-infectious inflammation.
Bacterial prostatitis often causes a rise in body temperature. At values above 38. 5 degrees it can be broken down with drugs of the sulfonamide class.
Alpha blockers
The second line of treatment for prostatitis and adenoma is a group of alpha-blockers. Their action is based on blocking the adrenergic receptors located on the bladder neck. Drugs from this group reduce the tone of the bladder and relax the smooth muscles of the prostate. This reduces the swelling of the organ and makes it easier to urinate. Indications for the use of these drugs are severe disorders with a risk of developing acute urinary retention.
Drugs from the group of alpha-blockers have a large list of contraindications and side effects. First of all, their danger lies in the negative impact on the cardiovascular system.
Possible side effects:
- migraine;
- drowsiness;
- loss of strength;
- seizure;
- hypotension.
Cases of retrograde ejaculation have been reported with these medicines.
Alpha blockers are available in capsules or tablets. Doctors usually prescribe 1 tablet of the drug daily for one to two weeks. Due to the large number of contraindications and side effects, drugs from the group of alpha-blockers should be selected by a doctor.
Alpha-blockers are part of a complete treatment for prostatitis, but not first-line drugs.
Herbal medicines and homeopathy
Homeopathic and herbal medicines are widely used in the treatment of chronic prostatitis. Such drugs are prescribed for a long course, as their effect manifests itself after a few weeks.
Medicines are also prescribed for the prevention of chronic prostatitis.
Drugs from this group have no contraindications, except for individual intolerance. They should be taken for a long time, as herbal preparations act slowly. The outcome of treatment can be assessed at least two weeks after starting treatment.
Suppositories
The cheapest drugs for the treatment of chronic diseases are rectal suppositories with natural extracts. Candles with propolis and bee products, pumpkin oil or ichthyol are used in the therapy. The list of preparations based on bee products has many names.
Such suppositories relieve inflammation, have a bactericidal effect and increase immunity. Propolis suppositories can be made at home.
Naturally formulated rectal suppositories are used twice daily. The course of treatment lasts at least 10 days. The exact treatment regimen is chosen by the doctor after a thorough examination of the patient.
It is impossible to determine the best medicine from the whole variety, as the medicine has to be chosen individually in each case.