Different drugs for the treatment of prostatitis often have a similar composition, but differ significantly in price. You should not choose drugs without a doctor's recommendation, as self-medication can lead not only to inactivity, but also to side effects.
The most effective drugs are those that are selected taking into account the test results and the characteristics of the course of the disease in a man.
Dosage forms for the treatment of prostatitis are tablets, suppositories and solutions for intramuscular administration.Criteria for selecting an effective drug
With the type of inflammatory process, infectious and non-infectious prostatitis are distinguished. To choose a drug, it is necessary to undergo a comprehensive examination for an accurate diagnosis, which includes ultrasound and TRUS of the prostate, analysis of prostate secretion and palpation of the rectal organs.
The mainstay of treatment for infectious prostatitis is antibiotic therapy. Non-infectious prostatitis is treated with anti-inflammatory drugs. In this case no antibiotics are used.
Auxiliaries depend on the form of inflammation and the severity of the symptoms. In acute urinary disorders, alpha-blockers are prescribed in short courses, with severe pain syndrome - anticonvulsants or NSAIDs. In addition, there are some drugs that restore the function of the affected organ, which are used in the long run.Each group of drugs has a number of effective drugs that are often prescribed by urologists. At the same time, some medicines can be replaced with cheaper analogues, for example, herbal medicines in the form of anal suppositories.
The following types of prostatitis medications are available in the form of release:
- injections?
- tablets?
- suppositories.
Tablet medicines are divided into:
- antibiotics?
- antispasmodics?
- alpha-blockers?
- non-steroidal anti-inflammatory drugs.
Only one doctor should choose and combine drugs.
Antibiotics
Antibacterial drugs for the treatment of prostatitis are prescribed only for bacterial or infectious inflammation and strictly after analysis of prostatic secretion. The analysis is necessary to determine the type of pathogen and the susceptibility of pathogenic microorganisms to the action of antibacterial drugs.
In the treatment of infectious prostatitis, drugs of the following groups are used:
- cephalosporins;
- macrolides?
- penicillins;
- fluoroquinolones;
- tetracyclines.
Preparations from the group of macrolides can cause some side effects, the course of treatment lasts from 7 to 14 days.
New drugs widely used in the treatment of infectious prostatitis are drugs of the fluoroquinolone group. They are distinguished by high bioavailability and are effective even in cases of developing resistance of pathogenic microorganisms to the action of other antibacterial compounds. Fluoroquinolones can not be called fast-acting drugs, as the course of treatment lasts an average of 28 days. These drugs rarely cause side effects.
Available in tablet form and as a solution for injection.
Antibacterial drugs are not used for non-infectious prostatitis.
The dosage and exact treatment regimen are chosen by the doctor based on analysis. These drugs are not used for prostatitis caused by fungal microflora, antifungals are used.
Antispasmodics
These drugs relieve prostate muscle spasm, making patients feel better. They are used in both acute and chronic diseases.
Medications for chronic prostatitis
The basis of the treatment of chronic prostatitis is based on bioactive drugs that normalize prostate nutrition and relieve inflammation. Their composition is based on biologically active peptides obtained by extracting the prostate glands of cattle.
Indications for use:
- chronic prostatitis?
- prostate adenoma?
- infertility.
The duration of treatment lasts up to 15 days. The suppositories are used twice a day, in the morning and in the evening, the injections are given once a day.
Drugs work as follows:
- normalization of urodynamics?
- relieve inflammation?
- swelling reduction?
- elimination of pain syndrome?
- increased power.
Drugs normalize prostate nutrition by stimulating metabolic processes in the body. In chronic prostatitis, drugs in this group are prescribed twice a year for both treatment and prevention. For acute inflammation, your doctor may prescribe medication after a course of antibiotic treatment to restore normal prostate function.
Non-steroidal anti-inflammatory drugs
NSAIDs are prescribed to relieve inflammation and reduce pain in prostatitis. They are used as symptomatic treatment for both infectious and non-infectious inflammation.Bacterial prostatitis often causes a rise in body temperature. At values above 38. 5 degrees, it can be reduced with sulfonamide drugs.
Alpha blockers
The second line of treatment for prostatitis and adenoma is a group of alpha-blockers. Their action is based on the blockade of adrenergic receptors located in the neck of the bladder. Drugs in this group reduce bladder tone and relax the smooth muscles of the prostate. This reduces the swelling of the organ and facilitates urination. The indications for the use of these drugs are severe disorders with the risk of acute urinary stagnation.
Preparations of the alpha-blocker group have a long list of contraindications and side effects. First of all, their risk lies in the negative impact on the cardiovascular system.
Possible side effects:
- migraine?
- drowsiness
- loss of power?
- fainting?
- hypotension.
There are known cases of developing retrograde ejaculation while taking these drugs.
Alpha blockers are available in capsules or tablets. Doctors usually prescribe 1 tablet of the drug daily for one to two weeks. Due to the large number of contraindications and side effects, drugs of the alpha-blocking group should be selected by a physician.
Alpha-blockers are part of a comprehensive treatment for prostatitis, but not first-line drugs.Herbal medicines and homeopathy
Homeopathic and herbal remedies are widely used in the treatment of chronic prostatitis. Such drugs are prescribed for a long time, as their action appears after several weeks.
Medications are also prescribed to prevent chronic prostatitis.
Drugs in this group have no contraindications, except for individual intolerance. They should be taken for a long time, as herbal preparations act slowly. The effect of treatment can be assessed at least two weeks after starting the medication.
Suppositories
The cheapest drugs for the treatment of chronic disease are anal suppositories with natural extracts. Candles with propolis and bee products, pumpkin oil or fish oil are used in the treatment. The list of preparations based on beekeeping products has many names.
Such suppositories relieve inflammation, have bactericidal action and increase immunity. Propolis suppositories can also be made at home.
Naturally shaped rectal suppositories are used twice a day. The duration 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 impossible to determine the best medicine from the whole variety, as the medicine must be chosen individually in each case.