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 will only weaken the symptoms. The choice of medication must be justified by the type of disease and the nature of its course.
How to choose a drug for prostatitis?
The complex treatment of prostatitis includes drugs from several pharmacological groups.
| drugs by groups | pharmacodynamics | types and forms of prostatitis |
| non-steroidal anti-inflammatory drugs | relieve inflammation, pain and muscle spasms, normalize urination | all types and forms of the disease in individual dosage |
| muscle relaxants and antispasmodics | ||
| complex preparations based on medicinal plants and food supplements | improving blood circulation in the prostate, eliminating congestion, relieving inflammation | |
| bioregulatory peptides | ||
| immunomodulators | strengthen immunity | |
| alpha-blockers and 5-alpha-reductase inhibitors | reduction in prostate volume, normalization of urinary flow in case of poor urination | all forms of prostatitis, prevention and treatment of prostate adenoma (benign tumor) |
| phosphodiesterase inhibitors | facilitate emptying of the bladder, stimulation of the prostate, restoration of erectile function | chronic prostatitis, weakened potency |
| painkillers | elimination of pain symptoms | for acute prostatitis |
| antibiotics | destruction of bacteria | infectious bacterial prostatitis |
| hormones | restoration of hormonal levels and gland performance | advanced chronic disease |
| antivirals | destruction of viruses and suppression of their ability to reproduce. Eliminates prostate swelling and pain, reduces 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 examinations, laboratory tests and ultrasound of the prostate.
Non-steroidal anti-inflammatory drugs (NSAIDs)
Medicines that stop the development of inflammation. Do not use in cases of chronic pathologies of the heart, kidneys, liver, stomach and duodenal ulcers.
Important! Taking NSAIDs may cause gastrointestinal side effects.
Antibacterial therapy for infectious prostatitis
To eliminate the infection, antibiotics from 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 renal and hepatic pathologies at the decompensation stage | |
| method of application | tablets - 1000 mg/day, divided into two doses, drip administration of 200 to 800 mg once |
250-500 mg 3 times a day | 1 to 2 g/day, with a single injection of a medicinal solution based on lidocaine 1% | 250 to 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 | pills | capsules | capsules |
| dosage | 1 dose per day, 0. 4 mg | 1 time/day 1 tablet | 1 dose per day, 1 capsule | once daily 0. 4 mg |
| action | reduces the tone of smooth muscles of the urethra and prostate, improves urine flow and metabolism in the bladder muscles, helps eliminate stagnation of prostate secretions | |||
| contraindications | individual allergic reaction, orthostatic hypotension, liver failure | |||
The duration of treatment with alpha-blockers and 5-alpha-reductase inhibitors is determined individually.
Bioregulatory peptides
Medications can quickly eliminate serious signs of prostatitis and restore disrupted processes in the prostate.
There are no contraindications other than individual allergies. Bioregulatory peptides are available in pharmacies without a prescription.
Muscle relaxers
The muscle relaxant prevents the destruction of cell membranes in the prostate, relieves pain by inhibiting the conduction of nerve impulses and increases blood flow. The starting dosage is 50 mg, with a possible increase up to 150 mg.
Not prescribed for myasthenia gravis. Relevant (relative) contraindications are kidney and liver problems, epilepsy.
Not recommended in cases of chronic pathologies of the liver, kidneys, myasthenia gravis and epileptic seizures.
Phosphodiesterase inhibitors
The use of potency stimulants requires caution. A medical consultation is necessary.
Antiviral and immunomodulatory drugs
All medications with antiviral effects have many side effects. Contraindications include: hypersensitivity to the constituent components.
Prostatitis is an inflammatory disease of the male unpaired exocrine gland - the prostate. The quality work of this organ determines the reproductive health, sexual abilities and psycho-emotional state of men. Drug treatment for prostatitis is selected depending on the etiology and form of the disease. Incorrect or untimely treatment threatens the development of erectile dysfunction and prostate adenoma.