Prostatitis has become a common disease not only among men over 50, but also among young people. One of the reasons is self-medication: using the wrong medicine for prostatitis does not eliminate the disease, it only weakens the symptoms. The choice of the drug must be justified by the type of the disease and the nature of its course.
How to choose a medicine for prostatitis?
Complex treatment of prostatitis includes drugs from several pharmacological groups.
| drugs by group | pharmacodynamics | types and forms of prostatitis |
| non-steroidal anti-inflammatory drugs | alleviation of inflammation and pain and muscle spasms, normalization of urination | all types and forms of the disease in individual dosages |
| muscle relaxants and antispasmodics | ||
| complex preparations based on herbs and dietary supplements | improving the blood circulation of the prostate, eliminating congestion, alleviating inflammation | |
| bioregulatory peptides | ||
| immunomodulators | enhancing immunity | |
| alpha-blockers and 5-alpha-reductase inhibitors | reduction of prostate volume, normalization of urine output in case of poor urination | prevention and treatment of all forms of prostatitis, prostate adenoma (benign tumor) |
| phosphodiesterase inhibitors | promotion of bladder emptying, prostate stimulation, restoration of erectile function | chronic prostatitis, weakened potency |
| pain relievers | elimination of pain symptoms | in case of acute prostatitis |
| antibiotics | killing bacteria | infectious bacterial prostatitis |
| hormones | restoration of hormone levels and gland function | advanced chronic disease |
| antiviral drugs | destroying viruses and suppressing their ability to reproduce. Remove prostate swelling and pain, reduce temperature | infectious viral prostatitis |
List of the most effective drugs for prostatitis
Prostate diseases are treated by specialists: andrologists or urologists. Medicines are prescribed based on the results of the examination, laboratory tests and ultrasound examination of the prostate.
Non-steroidal anti-inflammatory drugs (NSAIDs)
Medicines that stop the development of inflammation. Do not use in chronic heart, kidney, liver, stomach and duodenal ulcers.
Important! Taking NSAIDs can cause gastrointestinal side effects.
Antibacterial therapy for infectious prostatitis
Antibiotics belonging to the group of cephalosporins, semi-synthetic penicillins, fluoroquinolones and macrolides are used to eliminate the infection.
| release form | tablets and powders for making solution for injection | injection | capsules, tablets | |
| group of antibiotics | fluoroquinolones | penicillins | cephalosporins | macrolides |
| No applies |
renal decompensation | infectious mononucleosis, lymphocytic leukemia | chronic kidney and liver pathologies in the stage of decompensation | |
| mode of application | tablet - 1000 mg/day, divided into two doses, drip dosage 200-800 mg once |
250-500 mg three times a day | 1-2 g/day with a single injection of 1% lidocaine solution | 250-500 mg twice daily |
Alpha-blockers and 5alpha-reductase inhibitors
Alpha-blockers have a hypotensive effect, blood pressure is monitored during treatment.
| active ingredient | tamsulosin hydrochloride | dutasteride | tamsulosin dibutyl sebacate | |
| release form | capsules | tablets | capsules | capsules |
| dosage | 1 dose per day, 0. 4 mg | 1 tablet once a day | 1 dose per day, 1 capsule | 0. 4 mg once daily |
| action | reduces the tone of the smooth muscles of the urethra and prostate, improves the outflow of urine and metabolism in the muscles of the bladder, 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
Medicines can quickly get rid of severe signs of prostatitis and restore the disturbed processes of the prostate gland.
Apart from individual allergies, there are no other contraindications. Bioregulatory peptides are available in pharmacies without a prescription.
Muscle relaxants
The muscle relaxant prevents the destruction of prostate cell membranes, relieves pain by inhibiting the conduction of nerve impulses, and increases blood flow. The initial dose is 50 mg, which can be increased to 150 mg.
Not prescribed for myasthenia gravis. Significant (relative) contraindications are kidney and liver problems, epilepsy.
It is not recommended for chronic liver, kidney, myasthenia gravis and epileptic attacks.
Phosphodiesterase inhibitors
The use of potency stimulants requires caution. Medical consultation is required.
Antiviral drugs and immunomodulators
All antiviral drugs have many side effects. Contraindications are: hypersensitivity to the components.
Prostatitis is an inflammatory disease of the male exocrine gland - the prostate. The quality work of this organ determines the reproductive health, sexual abilities and psycho-emotional state of men. Drug treatment of prostatitis is selected based on the etiology and form of the disease. Improper or premature therapy threatens the development of erectile dysfunction and prostate adenoma.