Prostatitis has become a common disease not only among men over 50 years old, 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 its symptoms. The choice of drug should be justified by the type of disease and the nature of its course.
How to choose a medicine for prostatitis?
Complex treatment of prostatitis includes drugs from different pharmacological groups.
| drugs for groups | pharmacodynamics | types and forms of prostatitis |
| non-steroidal anti-inflammatory drugs | relieve inflammation, pain and muscle spasms, normalizing urination | all types and forms of the disease in individual dosage |
| muscle relaxants and antispasmodics | ||
| complex preparations based on medicinal plants and food supplements | improvement of blood circulation in the prostate, elimination of congestion, relief of inflammation | |
| bioregulatory peptides | ||
| immunomodulators | strengthen immunity | |
| alpha-blockers and 5-alpha-reductase inhibitors | reduction in the volume of the prostate gland, normalization of urine outflow in case of poor urination | all forms of prostatitis, prevention and treatment of prostatic adenoma (benign tumor) |
| phosphodiesterase inhibitors | facilitation of bladder emptying, stimulation of the prostate, restoration of erectile function | chronic prostatitis, weakened potency |
| analgesics | elimination of painful symptoms | for acute prostatitis |
| antibiotics | destruction of bacteria | infectious bacterial prostatitis |
| hormones | restoration of hormone levels and gland performance | advanced chronic disease |
| antivirals | destruction of viruses and suppression of their ability to reproduce. Eliminate swelling and pain in the prostate, reduce temperature | infectious viral prostatitis |
List of the most effective drugs for prostatitis
Treatment of prostate diseases is carried out by medical specialists: andrologist or urologist. Drugs are prescribed based on the results of the examination, laboratory tests and ultrasound examination of the prostate.
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Medicines that stop the development of inflammation. Do not use for chronic diseases of the heart, kidneys, liver, stomach and duodenal ulcers.
Important! Taking NSAIDs can cause gastrointestinal side effects.
Antibacterial therapy for infectious prostatitis
To eliminate the infection, antibiotics from the cephalosporin group, semi-synthetic penicillins, fluoroquinolones and macrolides are used.
| release form | tablets and powders for the preparation of the injectable solution | injection | capsules, tablets | |
| group of antibiotics | fluoroquinolones | penicillins | cephalosporins | macrolides |
| Not apply to |
renal failure | infectious mononucleosis, lymphocytic leukemia | chronic kidney and liver diseases in the decompensation phase | |
| application procedure | tablets - 1000 mg/day, divided into two doses, drip administration of 200 to 800 mg once |
250-500 mg 3 times a day | 1-2 g/day, with a single injection of a medicinal solution with 1% lidocaine | 250-500 mg 2 times a day |
Alpha blockers and 5alpha reductase inhibitors
Alpha-blockers have a hypotonic effect; your blood pressure is monitored during treatment.
| active principle | tamsulosin hydrochloride | dutasteride | tamsulosin dibutyl sebacate | |
| release form | capsules | pills | capsules | capsules |
| dosage | 1 dose per day, 0. 4 mg | 1 tablet once/day | 1 dose per day, 1 capsule | once a day 0. 4 mg |
| action | reduces the tone of the smooth muscles of the urethra and prostate, improves urine outflow and metabolism in the bladder muscles, helps eliminate stagnation of prostatic secretions | |||
| contraindications | individual allergic reaction, orthostatic hypotension, hepatic failure | |||
The duration of therapy with alpha-blockers and 5-alpha-reductase inhibitors is determined individually.
Bioregulatory peptides
Drugs can quickly eliminate severe signs of prostatitis and restore interrupted processes in the prostate gland.
There are no contraindications other than individual allergies. Bioregulatory peptides are available in pharmacies without a prescription.
Muscle relaxants
The muscle relaxant prevents the destruction of the cell membranes of the prostate, relieves pain by inhibiting the conduction of nerve impulses and increases blood flow. The initial dosage is 50 mg, with a possible increase to 150 mg.
Not prescribed for myasthenia gravis. Relevant (relative) contraindications are kidney and liver problems, epilepsy.
Not recommended for chronic liver and kidney diseases, myasthenia gravis and epileptic seizures.
Phosphodiesterase inhibitors
The use of potency stimulants requires caution. Medical consultation is required.
Antiviral and immunomodulatory drugs
All drugs with antiviral effects have many side effects. Contraindications include: hypersensitivity to the constituent components.
Prostatitis is an inflammatory disease of the unpaired male exocrine gland: the prostate. The quality work of this organ determines reproductive health, sexual abilities and psycho-emotional state in men. Drug treatment for prostatitis is selected based on the etiology and form of the disease. Incorrect or premature therapy threatens the development of erectile dysfunction and prostate adenoma.