Different drugs for the treatment of prostatitis often have a similar composition, but differ significantly in goods. Do not choose medications without a doctor's recommendation, as self-medication can lead not only to a lack of effect but also to side effects.
The most effective drugs are those that are selected based on the test results and the characteristics of the course of the disease in the man.
Dosage forms for the treatment of prostatitis are tablets, suppositories and solutions for intramuscular administration.
Criteria for selecting an effective drug
Infectious and non-infectious prostatitis are distinguished according to the type of inflammatory process. Drug selection requires a comprehensive examination for accurate diagnosis, which includes prostate ultrasound and TRUS, 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 which case antibiotics are not used.
Adjuvants depend on the form of the inflammation and the severity of the symptoms. In acute urinary disorders, alpha-blockers are prescribed in short courses with severe pain syndrome - antispasmodics or NSAIDs. In addition, there are a number of drugs used to restore the function of the affected organ that are used in the long term.
Each class of drugs has a number of effective drugs that are often prescribed by urologists. However, some drugs can be replaced with cheaper analogs, such as herbal drugs in the form of rectal suppositories.
According to the form of administration, the following types of anti-prostatitis drugs are distinguished:
- injections;
- tablets;
- cones.
Instillations and microcycles are also used. The former are performed in a hospital setting, the latter are traditional treatment methods. Because of its effectiveness and speed of action, doctors prefer to prescribe injections, but this method is not always suitable for home treatment: not everyone can administer themselves. To relieve inflammation, men prefer rectal suppositories - they are easy to use on their own, and are slightly less effective than injections.
Medicines in tablet form are divided into the following:
- antibiotics;
- antispasmodics;
- alpha-blockers;
- Non-steroidal anti-inflammatory drugs.
Only a doctor can choose and combine medicines.
Antibiotics
Antibacterial drugs for the treatment of prostatitis are prescribed only for bacterial or infectious inflammation, after strict analysis of prostate secretion. Analysis is required to determine the type of pathogen and the susceptibility of pathogenic microorganisms to antibacterial drugs.
The following groups of drugs are used to treat infectious prostatitis:
- cephalosporins;
- macrolides;
- penicillins; fluoroquinolones;
- tetracyclines.
Macrolide preparations can cause a number of side effects, the course of which lasts from 7 to 14 days.
Penicillin and tetracycline are rarely prescribed. This is due to the low bioavailability of the drugs and the high risk of developing resistance to the pathogen.
New drugs widely used in the treatment of infectious prostatitis are those belonging to the fluoroquinolone group. They are characterized by high bioavailability and are effective even when pathogenic microorganisms are resistant to other antibacterial compounds. Fluoroquinolones cannot be called fast-acting drugs because the course of treatment takes an average of 28 days. These drugs rarely cause side effects.
Available as tablets and solution for injection.
Antibacterial drugs are not used for non-infectious prostatitis.
The dose and exact regimen will be selected by your doctor based on analysis. These drugs are not used for prostatitis caused by fungal microflora, instead they use antimycotics.
Anticonvulsants
These drugs relieve muscle cramps in the prostate gland, making patients feel better. It is used in both acute and chronic diseases.
Medications for chronic prostatitis
Treatment of chronic prostatitis is based on 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 bovine prostate glands.
Indications for use:
- chronic prostatitis;
- prostate adenoma;
- infertility.
The treatment will take up to 15 days. The suppositories are used twice a day, morning and evening, and the injections are given once a day.
Medicines work like this:
- normalization of urodynamics;
- alleviation of inflammation;
- reduction of edema;
- elimination of pain syndrome;
- increased potency.
Drugs normalize prostatic trophism, stimulate metabolic processes in the body. In chronic prostatitis, drugs in this group are prescribed twice a year for both treatment and prevention. In case of acute inflammation, your doctor may prescribe medications to restore the normal functioning of the prostate after antibiotic therapy.
Non-steroidal anti-inflammatory drugs
NSAIDs are prescribed to relieve inflammation of the prostate and reduce pain. It is used as a symptomatic therapy for both infectious and non-infectious inflammation.
Bacterial prostatitis often causes an increase in body temperature. Above 38, 5 degrees can be knocked down with drugs belonging to the sulfonamide class.
Alpha blockers
The second line of treatment for prostatitis and adenoma is the group of alpha-blockers. Their effect is based on blocking the adrenergic receptors in the neck of the bladder. Drugs in this group reduce bladder tone and relax the smooth muscles of the prostate. This reduces swelling in the organ and makes it easier to urinate. Signs of use of these drugs are severe disorders in which there is a risk of developing acute stagnation of urine.
Alpha-blockers contain a large number of contraindications and side effects. First, their danger lies in the negative effects on the cardiovascular system.
Possible side effects:
- migraine;
- drowsiness;
- power loss;
- fainting;
- hypotension.
There are known cases of retrograde ejaculation while taking these medications.
alpha-blockers are available in capsules or tablets. Doctors usually prescribe 1 tablet a day for a week or two. Due to the large number of contraindications and side effects, medicines belonging to the group of alpha-blockers must be selected by a doctor.
Alpha-blockers are part of a comprehensive treatment for prostatitis, but not first-line drugs.
Herbal Remedies and Homeopathy
Homeopathic and herbal medicines are widely used in the treatment of chronic prostatitis. Such drugs are prescribed for a long course because their effects appear after several weeks.
Medications are also prescribed to prevent chronic prostatitis.
There are no contraindications to this class of drugs, except for individual intolerance. They need to be taken for a long time as herbal preparations work slowly. The outcome of treatment can be assessed at least two weeks after starting the medicine.
Cones
The cheapest drugs for the treatment of chronic diseases are rectal suppositories with natural extracts. Propolis candles and bee products, pumpkin seed oil or ichthyol are used in 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 also be made at home.
Naturally formulated rectal suppositories are used twice a day. The course lasts at least 10 days. The exact treatment regimen will be selected by the physician after a comprehensive examination of the patient.
It is impossible to determine the best drug of all the variants, as the drug must be selected individually in each case.