Different drugs for the treatment of prostatitis usually have a similar composition, but differ significantly in price. You should not select drugs without the recommendation of a doctor, since self-medication can lead to not only a lack of effect, but also side effects.
The most effective drugs are those that are selected taking into account the results of tests 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 palpation of rectal organs.
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 symptoms. In acute urination disorders, alpha-blockers are prescribed in short courses, with severe pain syndrome - antispasmodics or NSAIDs. Also, there are various drugs to restore the function of the affected organ, which are used in a long course.
Each group of drugs has several effective drugs that are often prescribed by urologists. At the same time, some drugs can be replaced with cheaper analogues, for example, herbal drugs in the form of rectal suppositories.
According to the disclosure form, the following types of prostatitis drugs are distinguished:
- injections;
- tablets;
- suppositories.
Instillations 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 alleviate 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 one physician 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 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 of the following groups are used:
- cephalosporins;
- macrolides;
- penicillins;
- fluoroquinolones;
- tetracyclines.
Preparations of 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 resistance of the pathogen to their action.
The new drugs widely used in the treatment of infectious prostatitis are drugs from the group of fluoroquinolones. They are distinguished by their 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, since the course of treatment lasts an average of 28 days. These drugs rarely cause side effects.
They are available in tablet form and in solution for injection.
Antibacterial medications are not used for non-infectious prostatitis.
The dose and exact treatment regimen are selected by the physician based on analysis. These drugs are not used for prostatitis caused by fungal microflora, antifungals are used instead.
Antispasmodics
These drugs relieve muscle spasm in the prostate gland, which makes patients feel better. They are used in both acute and chronic diseases.
Medications for chronic prostatitis
The basis of the treatment of chronic prostatitis is constituted by bioactive drugs that normalize the trophism of the prostate gland and relieve inflammation. Its composition is based on biologically active peptides obtained by extraction from the prostate glands of cattle.
Indications for use:
- chronic prostatitis;
- prostate adenoma;
- infertility.
The course of treatment lasts up to 15 days. Suppositories are used twice a day, in the morning and in the evening, injections are made once a day.
Medications work as follows:
- normalization of urodynamics;
- relief of inflammation;
- reduction of edema;
- elimination of pain syndrome;
- higher power.
Medications normalize the trophism of the prostate, stimulating metabolic processes in the organ. In chronic prostatitis, drugs of 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.
Nonsteroidal 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 an increase in body temperature. At values above 38. 5 degrees, it can be eliminated with drugs of the class of sulfonamides.
Alpha Blockers
The second line of treatment for prostatitis and adenoma is a group of alpha-blockers. Its action is based on blocking adrenergic receptors located in the neck of the bladder. Medicines in this group reduce bladder tone and relax the smooth muscles of the prostate. This reduces the swelling of the organ and makes urination easier. Indications for the use of these drugs are serious disorders with the risk of developing acute stagnation of urine.
Preparations from the group of alpha-blockers have a long list of contraindications and side effects. First of all, its danger lies in the negative impact on the cardiovascular system.
Possible side effects:
- migraine;
- drowsiness;
- loss of strength;
- fainting;
- hypotension.
There are known cases of retrograde ejaculation development while taking these drugs.
Alpha-blockers are available in capsules or tablets. Doctors usually prescribe 1 tablet of the drug a day for one to two weeks. Due to the large number of contraindications and side effects, a doctor should select drugs from the group of alpha-blockers.
Alpha blockers are part of a comprehensive treatment for prostatitis, but they are not first-line medications.
Herbal remedies and homeopathy
Homeopathic and herbal remedies are widely used in the treatment of chronic prostatitis. Such drugs are prescribed for a long period, since their effect appears after several weeks.
Medications are also prescribed for the prevention of chronic prostatitis.
The drugs of this group have no contraindications, except for individual intolerance. They must be taken for a long time, since herbal preparations act slowly. The result of the treatment can be evaluated at least two weeks after starting the medication.
Suppositories
The most economical medications to treat chronic diseases 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 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 doctor selects the exact treatment regimen after a thorough examination of the patient.
It is impossible to determine which is the best drug of the whole variety, as the drug must be selected individually in each case.