Different drugs for prostatitis usually have similar ingredients, but differ significantly in price. You should not choose drugs without a doctor's prescription, as buying them not only does not work, but also leads to side effects.
The most effective drugs are the ones of choice that take into account the test results and the characteristics of the male course of the disease.
The dosage forms for the treatment of prostatitis are tablets, suppositories and solution for intramuscular injection.
Criteria for choosing effective drugs
According to the type of inflammatory process, infectious and non-infectious prostatitis is distinguished. To choose a drug, it is necessary to have a comprehensive examination for an accurate diagnosis, including ultrasound and TRUS of the prostate gland, analysis of prostate secretions and palpation of the rectal organs.
The main treatment for infectious prostatitis is antibiotic therapy. Prostatitis that is not caused by infection is treated with anti-inflammatory drugs; In this case, antibiotics are not used.
Adjuvant medications depend on the form of inflammation and the severity of symptoms. In acute urinary disorders, alpha blockers are prescribed in short courses, with a severe pain syndrome - antispasmodic drugs or NSAIDs. In addition, there are a number of drugs that restore the function of the damaged organ, which is used over a long course.
Each class of drugs has a number of effective drugs that are commonly 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 drugs for the treatment of prostatitis are distinguished by form of release:
- injection;
- tablets; Suppositories
- .
Absorbent and microclyster are also used. The former is done in a hospital setting, the latter is the traditional treatment. Because of its effectiveness and speed, doctors prefer an injection, but this method is not always suitable for home treatment: not everyone can give it themselves. To reduce inflammation, men prefer rectal suppositories - they are easier to use and a little less effective than injections.
The pills are divided into:
- antibiotics;
- antispasmodic;
- alpha blockers;
- nonsteroidal anti-inflammatory drug.
Only a doctor should choose and combine medications.
Antibiotics
Antibacterial drugs for the treatment of prostatitis are prescribed only for bacterial infections or infections and strictly after the analysis of prostate secretions. Analysis is necessary to determine the type of pathogen and the susceptibility of the pathogen to the action of the antimicrobial agent.
In the treatment of infectious prostatitis, drugs of the following groups are used:
- cephalosporin;
- macrolite;
- penicillin;
- fluoroquinolones;
- tetracyclin.
Preparations from the macrolide group can cause a number of side effects, with treatment lasting 7 to 14 days.
Penicillin and tetracycline are rarely prescribed. This is due to the low bioavailability of the drug and the high risk of developing the pathogen's resistance to their action.
New drug widely used in the treatment of infectious prostatitis is a drug of the fluoroquinolone group. They are distinguished by their high bioavailability and are effective even in the development of resistance of the pathogenic microorganism to the activity 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 drugs should not be used for prostatitis that is not caused by infection.
The exact dosage and treatment regimen is chosen by the doctor based on his analysis. These drugs are not used for fungal prostatitis, instead, antispasmodic drugs are used.
Antispasmodic drugs
These drugs reduce muscle spasm of the prostate gland, thus making the patient feel more comfortable. They are used in both acute and chronic diseases.
Medicines for chronic prostatitis
The basis of the treatment of chronic prostatitis is made up of bioactive drugs that normalize prostate activity and reduce inflammation. Their composition is based on biologically active peptides obtained by extraction of the prostate gland of cattle.
Specify to use:
- chronic prostatitis; prostate adenoma
- ;
- infertile.
The treatment takes up to 15 days. Suppositories are used twice a day, in the morning and in the evening, injected once a day.
The drugs work as follows:
- normalizes urodynamics;
- reduces inflammation;
- reduced edema;
- removes pain syndrome;
- increases effect.
The drug normalizes prostate activity by stimulating metabolism in this organ. In chronic prostatitis, drugs in this group are prescribed twice a year for treatment and prevention. For acute inflammation, the doctor may prescribe medication after a course of antibiotic treatment to restore normal function of the prostate gland.
Nonsteroidal anti-inflammatory drugs
NSAIDs are prescribed to reduce inflammation and pain in inflammatory prostatitis. They are used as symptomatic therapy for both inflammatory and noninfectious conditions.
Bacterial prostatitis often increases body temperature. At values above 38, 5 degrees, it can be beaten with drugs of the sulfonamide group.
Alpha Blocker
The second line of treatment for prostatitis and adenoma is a group of alpha blockers. Their action is based on blocking adrenergic receptors located on the bladder neck. Drugs of this group reduce bladder tone and relax the smooth muscles of the prostate gland. This reduces organ swelling and makes it easier for you to urinate. Indications for the use of these drugs are severe disorders with the risk of developing acute urinary stagnation.
Alpha-blocker preparations have a large list of contraindications and side effects. First of all, their danger lies in their negative impact on the cardiovascular system.
Possible side effects:
- migraine headaches;
- is sleepy;
- lost strength;
- fainted;
- lowers blood pressure.
It has been known that retrograde ejaculation has been reported while taking these drugs.
Alpha blockers are available in the form of capsules or tablets. Usually doctors prescribe 1 pill per day for one to two weeks. Due to the many contraindications and side effects, drugs in the alpha blocker group should be selected by a doctor.
Alpha blockers are part of a comprehensive treatment for prostatitis, but not a first-line drug.
Herbal and homeopathic remedies
Homeopathic and herbal remedies are widely used in the treatment of chronic prostatitis. Such drugs are prescribed for a long course, since their effects appear after several weeks.
Drugs are also prescribed to prevent chronic prostatitis.
Drugs of this group have no contraindications, except for individual intolerance. They should be taken for a long time, since herbal preparations are slow-acting. Treatment results can be evaluated at least two weeks after starting the drug.
Suppositories
The cheapest drugs for the treatment of chronic illnesses are natural rectal suppositories. 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 help reduce inflammation, have a bactericidal effect and increase immunity. Propolis suppositories can also be prepared at home.
Natural formula rectal suppositories are used twice a day. The course of treatment lasts at least 10 days. The exact treatment regimen is chosen by the doctor after a thorough examination of the patient.
It is not possible to determine the best drug among all drugs, as this drug must be selected individually in each case.