Different drugs for the treatment of prostatitis often have a similar composition, but differ significantly in price. You should 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 chosen 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
Infectious and non-infectious prostatitis are distinguished by the type of inflammatory process. To select 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 organs.
The main line of treatment for infectious prostatitis is antibiotic therapy. Non-infectious prostatitis is treated with anti-inflammatory drugs, and antibiotics are not used in this case.
Excipients 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 syndrome - antispasmodics or NSAIDs. In addition, there are a number of drugs that restore the function of the affected organ, and which are used for a long time.
Each group of drugs has a number of effective drugs that urologists often prescribe. At the same time, some drugs can be replaced by cheaper analogues, for example, herbal drugs in the form of rectal suppositories.
Depending on the form of release, the following types of prostatitis medications are distinguished:
- injections;
- tablets;
- suppositories.
Instillations and microclysters are also used. The former are done in a hospital setting and the latter are traditional methods of treatment. 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 give themselves an injection. To alleviate inflammation, men prefer rectal suppositories - they are easy to use on their own, and they are inferior in effectiveness to injections.
Medicines in tablet form are divided into:
- antibiotics; antispasmodics;
- alpha-blockers;
- nonsteroidal anti-inflammatory drugs.
Only a doctor should select and combine medications.
Antibiotics
Antibacterial drugs for the treatment of prostatitis are prescribed only for bacterial or infectious inflammation and strictly after analysis of prostate secretions. The analysis is necessary to determine the type of pathogen and the susceptibility of pathogenic microorganisms to the action of antibacterial drugs.
Drugs of the following groups are used in the treatment of infectious prostatitis:
- cephalosporins; macrolides; penicillins; fluoroquinolones;
- tetracyclines.
Preparations from the group of macrolides can cause numerous side effects, the course 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 pathogens to their action.
New drugs widely used in the treatment of infectious prostatitis are drugs from the group of fluoroquinolones. They are characterized by high bioavailability 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 because the course of treatment lasts an average of 28 days. These drugs rarely cause side effects.
They are available as tablets and as a solution for injection.
Antibacterial drugs are not used for non-infectious prostatitis.
Dosage and exact treatment regimen is chosen by the doctor based on the analysis. These drugs are not used for prostatitis caused by fungal microflora, but antifungals are used.
Antispasmodics
These drugs relieve prostate muscle spasms, making patients better. They are used in both acute and chronic diseases.
Medications for chronic prostatitis
The basis of treatment of chronic prostatitis are bioactive drugs that normalize prostate trophism and relieve inflammation. Their composition is based on biologically active peptides obtained by prostate extraction in cattle.
Indications for use:
- chronic prostatitis; prostate adenoma;
- infertility.
The course of treatment lasts up to 15 days. Suppositories are used twice a day, morning and evening, injections are done once a day.
Medications work as follows:
- normalization of urodynamics;
- alleviation of inflammation;
- reduction of edema;
- pain relief;
- increased potency.
Drugs normalize prostate trophism, stimulating metabolic processes in the organ. In chronic prostatitis, drugs from this group are prescribed twice a year for both treatment and prevention. In case of acute inflammation, your doctor may prescribe medication after antibiotic therapy to restore normal prostate function.
Nonsteroidal anti-inflammatory drugs
NSAIDs are prescribed to relieve inflammation and reduce pain in prostatitis. Both infectious and non-infectious inflammations are used as symptomatic therapy.
Bacterial prostatitis often causes a rise in body temperature. At values above 38. 5 degrees, it can be destroyed by drugs from 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 organ swelling and makes urination easier. Indications for the use of these drugs are severe disorders with a risk of developing acute urinary stagnation.
Preparations 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;
- power loss;
- unconsciousness;
- hypotension.
Cases of developing retrograde ejaculation while taking these drugs are known.
Alpha blockers are available in capsules or tablets. Doctors usually prescribe 1 tablet a day for one to two weeks. Due to the large number of contraindications and side effects, drugs from the group of alpha-blockers should be chosen 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 remedies are widely used in the treatment of chronic prostatitis. Such drugs are prescribed for a long time, because their effect appears after a few weeks.
Medications are also prescribed to prevent chronic prostatitis.
Drugs of this group have no contraindications, except for individual intolerance. They should be taken for a long time, because herbal preparations work slowly. The outcome of treatment can be assessed at least two weeks after starting the medication.
Suppositories
The cheapest drugs to treat 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 alleviate 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 comprehensive examination of the patient.
It is impossible to determine the best drug of all types, because the drug must be selected individually in each case.