Different drugs for the treatment of prostatitis often have a similar composition, but differ significantly in price. You should not choose drugs without a doctor's recommendation, as self-medication can not only lead to insufficient effect, but also to side effects.
The most effective drugs are those that are selected taking into account the results of the test 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
The type of inflammatory process distinguishes between infectious and non-infectious prostatitis. In order to select a drug, it is necessary to conduct a comprehensive examination for an accurate diagnosis. This 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, antibiotics are not used in this case.
Adjuvants depend on the type of inflammation and the severity of the symptoms. For acute urinary tract disease, alpha blockers are prescribed in short courses with severe pain syndrome - anticonvulsants or NSAIDs. In addition, there are a number of drugs to restore the function of the affected organ that are used in the long term.
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.
The following types of drugs for prostatitis differ in the form of release:
- injections;
- tablets;
- suppository.
Instillations and microclysters are also used. The former is done in a hospital, the latter are traditional methods of treatment. Due to the effectiveness and speed of the measures, doctors prefer to prescribe injections, but this method is not always suitable for home treatment: not everyone can self-administer an injection. To reduce inflammation, men prefer rectal suppositories - they are easy to use on their own and somewhat inferior to injections in effectiveness.
Medicines in tablet form are divided into:
- antibiotics;
- antispasmodics;
- alpha blockers;
- nonsteroidal anti-inflammatory drugs.
Only a doctor 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 prostate secretion. The analysis is necessary to determine the nature of the pathogen and the sensitivity of pathogenic microorganisms to the effects of antibacterial drugs.
In the treatment of infectious prostatitis, drugs 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 pathogen's resistance to their effects.
New drugs that are widely used in the treatment of infectious prostatitis are fluoroquinolone group drugs. They are characterized by a high bioavailability and are also effective when a resistance of pathogenic microorganisms to the action of other antibacterial compounds develops. Fluoroquinolones cannot be called fast-acting drugs as 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 on the basis of analyzes. These drugs are used not for prostatitis from fungal microflora, but for antifungal drugs.
Antispasmodics
These drugs relieve muscle spasm in the prostate and make patients feel better. They are used for both acute and chronic diseases.
Medicines for chronic prostatitis
The basis for the treatment of chronic prostatitis are bioactive drugs that normalize the trophism of the prostate and relieve inflammation. Their composition is based on biologically active peptides obtained by extracting the prostate from cattle.
Instructions for use:
- chronic prostatitis;
- prostate adenoma;
- infertility.
The treatment lasts up to 15 days. Suppositories are used twice a day, injections are made once a day in the morning and evening.
The drugs work as follows:
- normalization of urodynamics;
- Relief from inflammation;
- Reduction of the edema;
- Elimination of the pain syndrome;
- increased potency.
Drugs normalize the trophism of the prostate by stimulating metabolic processes in the organ. With chronic prostatitis, drugs of this group are prescribed twice a year for both treatment and prevention. For acute inflammation, after antibiotic therapy, your doctor may prescribe medication to restore normal prostate function.
Nonsteroidal anti-inflammatory drugs
NSAIDs are prescribed to reduce inflammation and reduce pain in prostatitis. They are used as symptomatic therapy for both infectious and non-infectious inflammation.
Bacterial prostatitis often leads to an increase 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. They work by blocking adrenergic receptors on the bladder neck. Drugs of this group reduce the tone of the bladder and relax the smooth muscles of the prostate. This will reduce the swelling of the organ and make it easier to urinate. Indications for the use of these drugs are serious illnesses with a risk of acute stagnation of urine.
Preparations of the alpha-blocker group contain a large list of contraindications and side effects. The initial danger lies in the negative effects on the cardiovascular system.
Possible side effects:
- migraines;
- drowsiness;
- loss of strength;
- faint;
- hypotension.
There are known cases where retrograde ejaculation develops while taking these drugs.
Alpha blockers are available in capsules or tablets. Usually, doctors prescribe 1 tablet of the drug a day for one to two weeks. Because of the multitude 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 are 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 period of time, since their effects appear after a few weeks.
Medicines are also prescribed for the prevention of chronic prostatitis.
Medicines in this group have no contraindications, except in the case of individual intolerance. They should be taken for a long time because herbal supplements work slowly. The result of treatment can be assessed at least two weeks after starting medication.
suppository
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 be made at home.
Naturally formulated rectal suppositories are used twice a day. The treatment lasts at least 10 days. The exact treatment regimen is selected by the doctor after a thorough examination of the patient.
It is impossible to determine the best drug from the entire variety, since the drug must be selected individually.