Medicines for prostatitis

the best drugs to treat prostatitis

In modern medicine, the problem of treating prostatitis is particularly important, as this pathology affects a very large percentage of men of reproductive age. If a few years ago, various inflammatory diseases of the prostate were considered exclusively diseases of the elderly, now urologists say the rapid "revival" of the disease, men aged 30 or even 20 are becoming more and more their patients. Let us examine in more detail the main groups of drugs used in the treatment of prostatitis in various forms and stages of the disease. Let's determine which drug is the most effective and economical.

Let's look at the tools that have been tested in practice.


The arsenal of drugs for prostatitis is very wide, doctors have long learned to treat this disease using various drugs for inflammation of the prostate and the treatment of prostatitis plays a key role in combating this male disease.

The best anti-inflammatory drugs are, of course, antibiotics, but before prescribing them, the doctor always recommends a comprehensive examination of patients.

The list of antibiotics for the treatment of prostatitis is very extensive, they are used only in the case of infectious form of acute and chronic prostatitis, which is diagnosed on the basis of laboratory tests.

Each drug has its own characteristics and the choice of a particular drug is determined taking into account many factors:

  1. Which pathogens caused inflammation of the prostate?
  2. How long does the disease last and what are its symptoms?
  3. How the patient responds to a particular drug.
  4. How active is the antibiotic against the infectious agent.
  5. What are the causes of inflammation.
Antibiotics are manufactured by the pharmaceutical industry in various dosage forms: ampoules for intravenous and intramuscular injections, powders for suspension and solutions for intravenous infusion, tablets and suppositories. Patients prefer the latter two forms especially as they can be taken at home. The dose of the drug is selected so as to create the maximum sufficient concentration in the body and in a specific source of inflammation.

Antibiotics as drugs for the treatment of chronic infectious prostatitis certainly play a crucial role in the treatment, but when evaluating their effectiveness, the way in which the pathogenic microflora reacts to a particular drug and thedegree of drug concentration in the prostate.

The course of treatment of infectious prostatitis with antibiotics is on average from two weeks to one month, if during the course, according to the results of laboratory tests, no positive dynamics are observed, the drug should be changed andapply a different treatment regimen. The question of what antibiotics a patient will be treated with is decided only by a urologist after a thorough examination and taking into account the patient's individual reactions to a particular drug.

Depending on the nature of the causative agent and the degree of effect on the pathogenic microflora, doctors in the treatment of acute and chronic prostatitis, as well as in case of recurrence, prescribe anti-inflammatory antibiotics of different groups:

  1. Fluoroquinolones.
  2. Macrolides.
  3. Cephalosporins.
  4. Tetracycline.
  5. Levomycetinaceae.
  6. Penicillin.

The complex treatment of infectious prostatitis necessarily includes fluoroquinolones, which are the latest developments in modern pharmacology. They belong to a new generation of antibiotics and have a very wide range of effects on infectious agents. These funds are used to treat acute and chronic prostatitis of an infectious nature, if the symptoms of the disease in men are confirmed by laboratory tests.

Drugs of this group are absorbed very quickly into the gastrointestinal tract and easily penetrate prostate cells. The effectiveness of fluoroquinolones, including the elimination of microorganisms, ranges from 60 to 90%.

Non-steroidal anti-inflammatory drugs

Non-steroidal anti-inflammatory drugs (NSAIDs) are actively used in the treatment of acute and chronic non-infectious prostatitis. NSAIDs can not only relieve inflammation, but also significantly relieve pain. The dosage forms in which these drugs are produced are different: they can be ampoules for injections, tablets or suppositories.

Men can use pills and suppositories at home, but what medications they will use and according to which dosage should be determined only by the treating physician. This is especially important to explain to the patient, as the Internet is full of recipes for independent treatment of prostatitis and the uncontrolled use of non-steroidal anti-inflammatory drugs can lead to extremely negative consequences for the male body.

Medications for the treatment of prostatitis in this group should be taken with caution, as they have many contraindications, including men. It should not be prescribed to patients who have problems with the work of the gastrointestinal tract, especially with stomach ulcers, as well as with disorders of the liver and kidneys.

Alpha blockers

Medical treatment of prostatitis aims not only directly at treating inflammation in men, but also at relieving the symptoms that accompany this disease. The drugs for prostatitis of this effect are called the second line of treatment. Alpha-adrenergic blockers act on the receptors on the nerve endings of the prostate muscles, which, when the prostate is inflamed, cause spasm of the urethra and bladder. These spasms interfere with normal urination in men and cause difficulty urinating and pain, which are the main symptoms of the disease. Alpha-blockers cannot cure prostatitis on their own, but are involved in combination therapy, significantly reducing the risk of recurrence in men.

Alpha blockers are of two types:

  1. Selective.
  2. Non-selective.

Selective drugs are more effective in treating prostatitis because they have minimal side effects. The therapeutic effect of the drugs does not appear immediately, a marked improvement in the condition in men is felt after about two weeks after starting the drug.

These drugs also help relieve unpleasant symptoms, stimulate urethral muscles and normalize the urination process, but do not cause tachycardia in men.

In the treatment with alpha-blockers, it is very important to correctly determine the therapeutic dose, as overdose of the drug can cause side effects from the cardiovascular system and renal function.

Hormone therapy

Prescribed by a urologist, medications for prostatitis may include hormonal medications, if indicated. Hormone therapy can aim to both relieve inflammatory symptoms and restore erectile function in men. It is necessary to treat inflammation of the prostate with hormones taking into account all the possible side effects, of which these drugs have many. Symptoms of prostate inflammation help to release the adrenal glands, which also help speed up the healing process of damaged tissues.

During hormone therapy, it is necessary to act specifically on the prostate, without affecting other organs and not to change the hormonal background of the male body as a whole. For this, the drugs are administered by electrophoresis. Male hormones to restore and stimulate erectile function can be used in the treatment of prostatitis strictly according to reasonable indications, as hormone prostatitis drugs can stop their independent production by the body, which ultimately leads topharmacological castration. It is absolutely impossible to treat prostatitis with hormones without a prescription and without going through all the necessary studies, this can lead to irreversible consequences for men.


Anticonvulsants or muscle relaxants are not an independent treatment for acute or chronic prostatitis, but are included in a set of therapeutic agents to reduce pelvic floor muscle tone. The drugs relieve pain in the perineum and small pelvis, improve blood circulation to the prostate and stimulate the outflow of its secretion.

Preparations of other groups

The drugs for prostatitis included in the complex regimen are very different. Thus, vitamins and micronutrients play a very important role in the patient's recovery process, helping to increase immunity, as the body, weakened by inflammation and infection, needs additional protective equipment. For these purposes, doctors usually prescribe vitamin complexes.

Analgesics are prescribed to relieve prostatitis pain. These drugs are taken in pill form, but there is a much greater analgesic effect when using microcyclic and anal suppositories.

Suppositories are actively used as part of combination therapy, this form of prostatitis medicine is very popular with patients, as it allows you to quickly relieve pain. Suppositories are not an independent method of treatment; they are only used as an addition to the main course. The composition of anal suppositories may include anti-inflammatory drugs, analgesics, relieving the symptoms of hemorrhoids. The most commonly used suppositories for patients are with Belladonna, as they provide the fastest relief for pelvic and perineal pain.

In addition to the standard forms, medicines for prostatitis can be of plant origin. Homeopathic remedies are gaining popularity among doctors and patients because they have minimal side effects and are well tolerated by patients. In the modern pharmaceutical market, various homeopathic drops for prostatitis are widely represented, which are used to relieve prostate inflammation and are also used for prophylactic purposes.

Despite the small number of side effects, the drops should not be used without a prescription. We must also remember that homeopathy can only be treated with the use of other medications for prostatitis.

It is impossible to single out the best medicine for prostatitis, each of them has its own peculiarities and focus. It is impossible to completely cure this disease with any medicine, only complex treatment, including drug therapy, physiotherapy and other effective methods of treatment, which will lead to the desired result.