Various drugs for the treatment of prostatitis often have a similar composition, but differ significantly in price. You should not select drugs without the advice of a doctor, since self-medication can lead not only to a lack of effect, but also to side effects.
The most effective drugs are those that are selected taking into account the results of tests and features of the course of the disease in humans.
Dosage forms for the treatment of prostatitis are tablets, suppositories and solutions for intramuscular administration.
Criteria for choosing an effective drug
By 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 the secretion of the prostate, 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 form of the inflammation and the severity of the symptoms. In acute urinary disorders, alpha-blockers are prescribed as a short course, 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 over a long time.
Within each group of medicines there are a number of effective medicines which are often prescribed by urologists. At the same time, some drugs can be replaced with cheaper analogues, for example, herbal drugs 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 microclysters 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 treatment at home: not everyone can inject themselves. To relieve inflammation, men prefer rectal suppositories - they are easy to use on their own, and their effectiveness is slightly lower than injections.
Medicines in the form of tablets are divided into:
- antibiotics;
- antispasmodics;
- alpha blockers;
- nonsteroidal anti-inflammatory drugs.
Only a doctor should select and combine the 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. 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 from the following groups are used:
- cephalosporins
- ;
- macrolides;
- penicillins;
- fluoroquinolones;
- tetracyclines.
Preparations of 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 resistance of the pathogen to their action.
New drugs widely used in the treatment of infectious prostatitis are drugs from the fluoroquinolone group. They are distinguished by high bioavailability and are effective even with the development of resistance of pathogenic microorganisms to the action of other antibacterial compounds. Fluoroquinolones cannot be called fast-acting drugs, because the average treatment lasts 28 days. These drugs rarely cause side effects.
They are available as tablets and as a solution for injection.
Antibacterial drugs are not used for non-infectious prostatitis.
The exact dosage and treatment regimen are selected by the doctor on the basis of analyzes. These drugs are not used for prostatitis caused by fungal microflora, antimycotics are used instead.
Antispasmodics
These medicines relieve muscle spasms in the prostate, making patients feel better. They are used in acute and chronic illnesses.
Drugs for chronic prostatitis
The basis of treatment for chronic prostatitis is bioactive drugs that normalize the trophism of the prostate and relieve inflammation. Their composition is based on biologically active peptides obtained by extraction of the prostate glands of cattle.
Indications for use:
- chronic prostatitis; prostate adenoma
- ;
- infertility.
The duration of treatment lasts up to 15 days. Suppositories are used twice a day, in the morning and evening, injections are given once a day.
The drugs work as follows:
- normalization of urodynamics;
- relief of inflammation;
- reduction of edema;
- elimination of pain syndrome;
- increased power.
Drugs normalize the trophism of the prostate by stimulating metabolic processes in the organ. In chronic prostatitis, drugs from this group are prescribed twice a year for treatment and prevention. In case of acute inflammation, the doctor may prescribe drugs after antibiotic treatment to restore normal function of the prostate.
Nonsteroidal anti-inflammatory drugs
NSAIDs are prescribed to relieve inflammation and reduce pain associated with prostatitis. They are used as a symptomatic treatment for infectious and non-infectious inflammation.
Bacterial prostatitis often causes an increase in body temperature. At values above 38. 5 degrees, it can be eliminated with drugs from the class of sulfonamides.
Alpha Blockers
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 neck of the bladder. Medicines in this group reduce the tone of the bladder and relax the smooth muscles of the prostate. This reduces the swelling of the organ and makes it easier to urinate. Indications for the use of these drugs are serious disorders with the risk of developing acute stagnation of urine.
Preparations from the group of alpha-blockers have a long list of contraindications and side effects. First of all, their danger lies in the negative impact on the cardiovascular system.
Possible side effects:
- migraine;
- drowsiness;
- loss of strength;
- fainting;
- hypotension.
There are known cases of developing retrograde ejaculation when taking these medicines.
Alpha blockersare available in capsules or tablets. Usually, doctors 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 comprehensive treatment for prostatitis, but not first-line drugs.
Medicinal plants and homeopathy
Homeopathic and herbal remedies are widely used in the treatment of chronic prostatitis. These drugs are prescribed for a long time, because their effect appears after several weeks.
Drugs are also prescribed for the prevention of chronic prostatitis.
Drugs in this group have no contraindications, except for individual intolerance. They need to be taken for a long time, since herbal preparations work slowly. The result of treatment can be assessed at least two weeks after the start of treatment.
Suppositories
The cheapest drugs to treat chronic diseases are rectal suppositories with natural extracts. In therapy, candles containing propolis and bee products, pumpkin oil or ichthyol are used. The list of preparations made from bee products has many names.
These suppositories relieve inflammation, have a bactericidal effect and increase immunity. Propolis suppositories can 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 chosen by the doctor after a comprehensive examination of the patient.
It is impossible to determine the best drug among all varieties, since the drug must be selected individually in each case.