Various drugs for the treatment of prostatitis often have a similar composition, but differ significantly in price. You should not select medicines without the recommendation of a doctor, as self-medication can lead not only to a lack of effect, but also to side effects.
The most effective drugs are those 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
According to 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 the 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 no antibiotics are used.
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 drugs 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 microenemas are also used. The former are performed in a hospital setting, the latter are traditional treatment methods. 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, are slightly inferior to injections.
Medicines in tablets are divided into:
- antibiotics;
- antispasmodics;
- alpha-blockers;
- non-steroidal anti-inflammatory drugs.
Only a physician should select and combine drugs.
Antibiotics
Antibacterial drugs for the treatment of prostatitis are prescribed only for bacterial or infectious inflammation and strictly after the analysis of 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, drugs of the following groups are used:
- cephalosporins;
- macrolides;
- penicillins;
- fluoroquinolones;
- tetracyclines.
Preparations from the group of macrolides 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 drugs and the high risk of developing the pathogen's resistance to their action.
New drugs widely used in the treatment of infectious prostatitis are drugs from the group of fluoroquinolones. They are distinguished by high bioavailability and are also effective in cases of development of resistance of pathogenic microorganisms to the action of other antibacterial compounds. Fluoroquinolones can not be called fast-acting drugs, since the course of treatment takes an average of 28 days. These drugs rarely cause side effects.
They are available in the form of tablets and as 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 the analyzes. These drugs are not used for prostatitis caused by fungal microflora, antifungals are used instead.
Antispasmodics
These drugs relieve muscle spasm of the prostate gland, making patients feel better. They are used in acute and chronic diseases.
Medicines for chronic prostatitis
The basis of treatment of chronic prostatitis consists of bioactive drugs that normalize the trophism of the prostate gland and relieve inflammation. Their composition is based on biologically active peptides obtained by extracting 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.
Medicines work as follows:
- normalization of urodynamics;
- relief from inflammation;
- reduction of edema;
- elimination of pain syndrome;
- increased power.
Drugs normalize prostate trophism, 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, the doctor may prescribe drugs 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 an increase in body temperature. At values above 38. 5 degrees, it can be knocked down with drugs of 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 the blocking of the adrenergic receptors located on the bladder neck. Medicines in this group reduce the tone of the bladder and relax the smooth muscle of the prostate. This reduces the swelling of the organ and facilitates urination. Indications for the use of these drugs are severe ailments 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. Doctors usually prescribe 1 tablet of the drug per day for one to two weeks. Due to the large number of contraindications and side effects, 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, as their effect appears after several weeks.
Medicines are also prescribed for the prevention of chronic prostatitis.
Medicines of this group have no contraindications, with the exception of individual intolerance. They should be taken for a long time, as herbal preparations act slowly. The result of the treatment can be evaluated at least two weeks after the start of treatment.
Suppositories
The cheapest drugs for the treatment of 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 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 among all varieties, since the drug must be selected individually in each case.