Different drugs for the treatment of prostatitis often have a similar composition, but differ significantly in price. You should not select medicines without a doctor's recommendation, since self-medication can lead not only to a lack of effect, but also 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 a man.
Dosage forms for the treatment of prostatitis are tablets, suppositories and solutions for intramuscular administration.
Criteria for choosing an effective drug
By the type of inflammatory process, infectious and non-infectious prostatitis are distinguished. 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 rectal organ palpation.
The main line of treatment for infectious prostatitis is antibiotic therapy. Non-infectious prostatitis is treated with anti-inflammatory drugs; antibiotics are not used in this case.
Adjuvants depend on the form of inflammation and the severity of 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 to restore the function of the affected organ, which are used in a long course.
Within each drug group there are a number of effective drugs that are often prescribed by urologists. At the same time, some medications can be replaced with cheaper analogues, for example, herbal remedies in the form of rectal suppositories.
According to the release form, the following types of drugs for prostatitis are distinguished:
- injections;
- tablets;
- suppositories.
Instillations and microclysters are also used. The former are done 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 they are slightly inferior to injections.
Medicines in tablet form are divided into:
- antibiotics;
- antispasmodics;
- alpha-blockers;
- non-steroidal 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 analyzing the prostatic 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, medications of the following groups are used:
- cephalosporins;
- macrolides;
- penicillins;
- fluoroquinolones;
- tetracyclines.
Preparations from the macrolide group 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 the drugs and the high risk of developing the resistance of the pathogen to their action.
New drugs widely used in the treatment of infectious prostatitis are drugs of the fluoroquinolone group. They are distinguished by high bioavailability and are effective even in cases of the 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.
They are available in tablet form and in the form of a solution for injection.
Antibacterial drugs are not used for non-infectious prostatitis.
The dosage and the exact treatment regimen are selected by the doctor based on analyzes. These drugs are not used for prostatitis caused by fungal microflora, antimycotics are used instead.
Antispasmodics
These medications relieve the muscle spasm of the prostate gland, thereby making patients feel better. They are used in both acute and chronic disease.
Medicines for chronic prostatitis
The basis of the treatment of chronic prostatitis is made by 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, in the morning and in the evening, injections are done once a day.
The drugs work as follows:
- normalization of urodynamics;
- relief of inflammation;
- reduction of edema;
- elimination of pain syndrome;
- increased potency.
Medicines normalize the trophism of the prostate by stimulating metabolic processes in the organ. In chronic prostatitis, drugs in this group are prescribed twice a year for both treatment and prevention. For acute inflammation, your doctor may prescribe medications 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 knocked down with 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 adrenergic receptors located on the bladder neck. Medicines in 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 pronounced disorders with the risk of developing acute stagnation of urine.
Preparations of the alpha-blocker group 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;
- sleepiness;
- loss of strength;
- fainting;
- hypotension.
There are known cases of the development of retrograde ejaculation while taking these drugs.
Alpha blockers are available in capsules or tablets. Usually, doctors prescribe 1 tablet of the drug daily for one to two weeks. Due to the large number of contraindications and side effects, the drugs of the alpha-blocker group should 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 remedies are widely used in the treatment of chronic prostatitis. Such drugs are prescribed for a long course, since their effect appears after several weeks.
Medicines are also prescribed for the prevention of chronic prostatitis.
Medicines of this group have no contraindications, except for individual intolerance. They should be taken for a long time, as herbal preparations act slowly. The result of treatment can be assessed at least two weeks after starting the medication.
Suppositories
The most inexpensive drugs for treating chronic illness are rectal suppositories with natural extracts. In therapy, candles with propolis and bee products, pumpkin oil or ichthyol are used. The list of preparations based on beekeeping products has many names.
Such suppositories relieve inflammation, have a bactericidal effect and increase immunity. Propolis suppositories can also be prepared at home.
Naturally formulated rectal suppositories are used twice a day. The course of treatment lasts at least 10 days. The exact treatment regimen is selected by the doctor after a comprehensive examination of the patient.
It is impossible to determine the best medicine out of all the variety, since the drug must be selected individually in each case.