Drugs for prostatitis

Prostate inflammation brings a lot of unpleasant sensations to a man, makes him suffer both physically and psychologically. Launched prostatitis can lead to dangerous consequences, up to infertility, the development of benign and malignant tumors in the tissues of the organ, complete impotence. Therefore, an important role is played by a timely visit to a doctor, establishing the causes of the inflammatory process and competent therapy. Today on the pharmacological market there are a variety of drugs and effective remedies for the treatment of prostatitis, different in their action, effectiveness and price.

Successful treatment of prostatitis is provided only by an integrated approach, including the use of medications, diet, physiotherapy, the use of folk recipes, elimination of provoking factors and elimination of the causes of the pathological process. Drug therapy, in turn, includes the use of drugs aimed at eliminating various problems. Drugs for the treatment of inflammation of the prostate are presented in various dosage forms, they can combine several actions at once.

Dosage forms of drugs for prostatitis

Medicines for prostatitis are presented in the following dosage forms:

  • tablets or capsules;
  • injection drugs;
  • rectal suppositories;
  • microclysters and instillations.

The latter can be made on the basis of both natural ingredients and the use of medicines.


You can't do without pills in prostatitis therapy. Treatment of chronic prostatitis in men can be carried out using other dosage forms, but only during periods of remission. During an exacerbation, you will have to take pills. Since most often the inflammatory process in the prostate gland is provoked by infectious agents, the treatment necessarily includes the use of various types of antibiotics. In addition, in the treatment of all types of prostatitis, the following groups of drugs can be used, prescribed according to the indications in each specific case:

  • alpha-blockers;
  • non-stereoid anti-inflammatory drugs;
  • muscle relaxants;
  • analgesics;
  • diuretics;
  • hormonal preparations;
  • immunostimulants.

In addition, complex preparations have been developed that have a combined effect on prostatitis.


Such drugs are necessary in almost all cases of acute prostatitis provoked by pathogenic microorganisms. When inflammation is caused by congestion in the pelvic organs, antibiotics can also be used if the tests reveal the activity of the so-called non-specific or opportunistic microflora.

Self-medication with antibiotics, uncontrolled intake, use of such drugs on the advice of friends or the Internet is strictly prohibited. To determine which drugs are needed in a particular case, only a qualified doctor can be based on the test results. Some patients require a combination of several types of antibiotics. Determining the type of drug, doses, dosage regimens and the duration of the treatment course is exclusively in the competence of the urologist.

The following groups of antibiotics can be used in the treatment of prostatitis:

  • fluoroquinolones- destroy the DNA synthesis of cells of pathogenic microorganisms, thereby suppressing their vital activity;
  • tetracyclines- broad-spectrum antibiotics that suppress pathogenic microflora, rather difficult to tolerate by patients;
  • cephalosporins- damage the cell membranes of pathogenic microorganisms, interfering with their life and reproduction, these antibiotics have a lot of side effects, negatively affect the state of the gastrointestinal tract, therefore they are almost never prescribed in tablets and are recommended to be administeredintramuscularly;
  • penicillins- block the synthesis of the protein necessary for microorganisms to build cellular structures, these drugs, unlike the previous ones, have almost no side effects and are taken in tablets;
  • macrolides- drugs with the lowest toxicity to the human body, are very well tolerated by patients, but are rarely prescribed due to unproven effectiveness in the treatment of prostatitis.

The need for a course intake of antibiotics according to certain schemes and in certain dosages is due to the peculiarities of their action. Only after reaching a certain concentration, which must be replenished at regular intervals, drug substances begin to suppressively affect the pathogenic microflora. To destroy it completely, it takes from ten days to a month. If the course is not completed, as some patients do, when they feel good, infectious agents can remain in the body, acquire drug resistance and, under certain conditions, begin to multiply again.

Alpha-adrenergic receptor blockers

This group of drugs is prescribed for severe urinary problems to relax the smooth muscles of the bladder and urethra.

Alpha-adrenergic blockers differ in their action - some act on receptors selectively, others do not have this selectivity.

Many alpha-blockers are hypotensive, so they are not prescribed for patients with low blood pressure. They have almost no side effects, they prevent the return flow of urine and prevent re-infection of the prostate.

Analgesics and antispasmodics

With a pronounced pain syndrome, especially with an inflammatory-purulent course of prostatitis, you cannot do without pain relievers. Pain in prostatitis is so intense that the patient cannot even touch the affected area. Most analgesics do not affect the area of ​​pain, but relieve sensitivity from the brain centers in the cortex. Therefore, it is not worth using them regularly, they do not provide real help in fixing the problem.

Antispasmodics have another effect. These drugs relax the smooth muscles of the organs, relieve spasms.

Anti-inflammatory drugs

These drugs are aimed at eliminating inflammation, reducing swelling in the affected area, have an antipyretic and analgesic effect, facilitate urination, but most often inflammation is removed with suppositories and microclysters.

Preparations based on herbal ingredients

Natural preparations are recommended for use in chronic forms of the disease. They require a long course of administration, but they are able to improve the function of the prostate gland, suppress the activity of pathogenic microflora, strengthen the immune system, which suffers in a long fight against infection.


Several types of antibiotics are recommended for intramuscular administration for prostatitis.

The most effective remedy for inflammation of the prostate, produced in solutions for intramuscular administration, is a special drug that has a complex effect: relieves swelling, improves the circulation of fluids in the affected area, relieves inflammation, increases the tone of smooth muscles, strengthens the immune system.

Rectal candles

Rectal suppositories are considered the most effective way to relieve pain and inflammation. Their effectiveness is due to the fact that they bypass the bloodstream, liver and gastrointestinal tract, penetrating directly into the affected area. Doctors recommend using in the treatment of prostatitis:

  • ichthyol candles;
  • candles with medications;
  • candles with propolis.

Injection directly into the rectum, located next to the inflamed area, provides a quick action of suppositories. This treatment has the following effects:

  • quickly relieves pain syndrome;
  • relieves swelling and inflammation;
  • improves blood circulation in the affected area;
  • prostate function is restored;
  • pathogenic microflora is destroyed;
  • urination process is restored.

Suppositories are recommended for all forms of prostatitis.

Microclysters and instillations

microclysters for the treatment of prostatitis

Like rectal suppositories, microclysters and instillations provide quick delivery of active substances directly to the inflamed organ.

Procedures can be carried out using solutions of medicinal preparations, decoctions and alcoholic tinctures from medicinal herbs, natural oils.


Before taking any medication for prostatitis, you must consult with your doctor and undergo a complete examination. Drug therapy is very effective, but if a man does not change his habits and does not eliminate the effect of provoking factors, prostatitis will return very soon, even with successful treatment.