Prostatitis has become a common disease not only among men over 50, but also among young people. One of the reasons is self-medication: the use of inappropriate drugs for prostatitis will not eliminate the disease, but only weaken the symptoms. The choice of medicine should be justified by the type of disease and the nature of its course.
How to choose a medicine for prostatitis?
Complex treatment of prostatitis includes medications from several pharmacological groups.
| medications by groups | pharmacodynamics | Types and forms of prostatitis |
| nonsteroidal anti-inflammatory drugs | relieving inflammation and pain and muscle spasms, normalizing urination | all types and forms of the disease in individual doses |
| muscle relaxants and antispasmodics | ||
| complex preparations based on medicinal plants and dietary supplements | improving blood circulation in the prostate, eliminating congestion, relieving inflammation | |
| bioregulatory peptides | ||
| immunomodulators | increasing immunity | |
| alpha-blockers and 5-alpha-reductase inhibitors | reducing the volume of the prostate gland, normalizing the flow of urine in case of weak urination | all forms of prostatitis, prevention and treatment of prostate adenoma (benign tumor) |
| phosphodiesterase inhibitors | facilitating the emptying of the bladder, stimulating the prostate, restoring erectile function | chronic prostatitis, weakened power |
| analgesics | elimination of pain symptoms | for acute prostatitis |
| antibiotics | destruction of bacteria | infectious bacterial prostatitis |
| hormones | restoration of hormonal levels and glandular performance | advanced chronic disease |
| antiviral | destroying viruses and suppressing their ability to reproduce. Eliminate prostate swelling and pain, reduce temperature | infectious viral prostatitis |
List of the most effective drugs for prostatitis
Treatment of prostate diseases is carried out by specialist doctors: andrologist or urologist. Medicines are prescribed based on the results of the examination, laboratory tests and ultrasound examination of the prostate.
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Medicines that stop the development of inflammation. Do not use for chronic pathologies of the heart, kidneys, liver, stomach and duodenal ulcer.
Important! Taking NSAIDs can cause gastrointestinal side effects.
Antibacterial therapy for infectious prostatitis
To eliminate the infection, antibiotics of the group of cephalosporins, semi-synthetic penicillins, fluoroquinolones and macrolides are used.
| release form | tablets and powders for the preparation of solution for injection | injection | capsules, tablets | |
| group of antibiotics | fluoroquinolones | penicillins | cephalosporins | macrolides |
| not apply |
renal decompensation | infectious mononucleosis, lymphocytic leukemia | chronic kidney and liver pathologies in the decompensation phase | |
| method of application | tablets - 1000 mg/day, divided into two doses, drip administration from 200 to 800 mg once |
250-500 mg 3 times a day | 1-2 g/day, with a single injection of a medicinal solution with 1% lidocaine | 250-500 mg 2 times a day |
Alpha blockers and 5alpha reductase inhibitors
Alpha-blockers have a hypotonic effect; blood pressure is monitored during treatment.
| active ingredient | tamsulosin hydrochloride | dutasteride | tamsulosin dibutyl sebacate | |
| release form | capsules | PILL | capsules | capsules |
| dosing | 1 dose per day, 0. 4 mg | 1 time/day 1 tablet | 1 dose per day, 1 capsule | once a day 0. 4 mg |
| action | reduces the tone of the smooth muscles of the urethra and prostate gland, improves urine flow and metabolism in the muscles of the bladder, helps eliminate stagnation of prostate secretions | |||
| contraindications | individual allergic reaction, orthostatic hypotension, liver failure | |||
The duration of the course of therapy with alpha-blockers and 5-alpha-reductase inhibitors is determined individually.
Bioregulatory peptides
Medicines can quickly get rid of the severe signs of prostatitis and restore the interrupted processes in the prostate gland.
There are no contraindications except for individual allergies. Bioregulatory peptides are available in pharmacies without a prescription.
Muscle relaxants
The muscle relaxant prevents the destruction of prostate cell membranes, relieves pain by inhibiting the conduction of nerve impulses and increases blood flow. The starting dose is 50 mg, with a possible increase to 150 mg.
It is not prescribed for myasthenia gravis. Relevant (relative) contraindications are kidney and liver problems, epilepsy.
It is not recommended for chronic pathologies of the liver, kidneys, myasthenia gravis and epileptic seizures.
Phosphodiesterase inhibitors
Use of potency stimulants requires caution. Medical consultation is required.
Antiviral drugs and immunomodulators
All drugs with antiviral effects have many side effects. Contraindications include: hypersensitivity to the constituent components.
Prostatitis is an inflammatory disease of the unpaired male exocrine gland - the prostate. The quality work of this organ determines reproductive health, sexual abilities and the psycho-emotional state of men. Drug treatment for prostatitis is selected based on the etiology and form of the disease. Incorrect or premature therapy threatens the development of erectile dysfunction and prostate adenoma.