Different drugs for the treatment of prostatitis often have a similar composition, but differ significantly in price. You should not choose medication without a doctor’s recommendation, as self-medication can lead not only to lack of effect, but also to side effects.
The most effective drugs are those that are chosen 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 medicine
Depending on the type of inflammatory process, infectious and non-infectious prostatitis are distinguished. To choose 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; antibiotics are not used in this case.
Adjutants depend on the form of inflammation and the severity of the 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 medications to restore the function of the affected organ, which are used over a long course.
Within each group of medicines there are a number of effective medicines that are often prescribed by urologists. At the same time, some medicines can be replaced with cheaper analogues, for example, herbal medicines in the form of rectal suppositories.
The following types of prostate medications differ in the form of release:
- injections
- ; tablet
- ; suppositories
- .
Instillations and microclists are also used. The former are done in a hospital setting, the latter are traditional methods of treatment. Because of 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 ease 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 the doctor should choose and combine the medication.
Antibiotics
Antibacterial drugs for the treatment of prostatitis are prescribed only for bacterial or infectious inflammation and strictly after analysis of prostate secretion. Analysis is necessary to determine the type of pathogen and the susceptibility of pathogenic microorganisms to the action of antibacterial drugs.
In the treatment of infectious prostatitis, drugs of the following groups are used:
- cephalosporins;
- macrolides;
- penicillin;
- tetracycline.
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 bio-availability of drugs and the high risk of developing pathogen resistance to their action.
New drugs widely used in the treatment of infectious prostatitis are drugs of the fluoroquinolone group. They are characterized by high bio-availability and are effective even in cases of development of resistance of pathogenic microorganisms to the action of other antibacterial compounds. Fluoroquinolones can not be called fast-acting drugs, as the course of treatment lasts 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 prostate.
The exact dosage and treatment regimen are chosen by the doctor based on the analysis. These drugs are not used for prostate caused by fungal microflora, instead antifungals are used.
Antispasmodics
These medicines relieve the spasm of the prostate gland muscles, making patients feel better. They are used in both acute and chronic diseases.
Medications for chronic prostate
The basis of treatment of chronic prostatitis is made from bioactive drugs that normalize prostate gland trophism and relieve inflammation. Their composition is based on biologically active peptides obtained by extraction of 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 given once a day.
The drug works as follows:
- normalization of urodynamics;
- relieving inflammation;
- reduction of edema;
- elimination of pain syndrome;
- potency increases.
Medications normalize prostate trophism, stimulating metabolic processes in the body. In chronic prostatitis, medications in this group are prescribed twice a year for both treatment and prevention. For acute inflammation, your doctor may prescribe medication after a course of antibiotic therapy to restore normal prostate function.
Non-steroidal anti-inflammatory drugs
NSAIDs are prescribed to relieve inflammation and reduce prostate pain. 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 dropped with drugs from the sulfonamide class.
Alpha blockers
The second line of treatment for prostatitis and adenoma is an alpha-blocking group. Their action is based on blocking adrenergic receptors located in the neck of the bladder. Medications in this group reduce bladder tone and relax the smooth muscles of the prostate. This reduces swelling of the organ and makes urination easier. Indications for the use of these drugs are pronounced disorders with the risk of developing acute urinary retention.
Preparations of the alpha-blocker group have a long list of contraindications and side effects. First of all, their risk lies in the negative impact on the cardiovascular system.
Possible side effects:
- migraine;
- drowsiness;
- loss of strength;
- faint;
- hypotension.
There are known cases of developing retrograde ejaculation while taking these drugs.
Alpha blockers are available in capsules or tablets. Usually, doctors prescribe 1 tablet of the drug every day for one to two weeks. Due to the large number of contraindications and side effects, drugs of the alpha-blocking group should be selected by a physician.
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 a few weeks.
Medications are also prescribed to prevent 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 outcome of treatment can be assessed at least two weeks after starting treatment.
Suppositories
The cheapest medicines for the treatment of chronic diseases are rectal suppositories with natural extracts. In therapy, propolis candles 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 course of treatment lasts at least 10 days. The exact treatment regimen is chosen by the physician after a comprehensive examination of the patient.
it is impossible to determine the best medicine of all kinds, as the medicine must be chosen individually in each case.