Prostatitis has become a common disease not only among men aged 50+, but also among young people. One of the reasons is self-medication: using inappropriate medicine for prostatitis will not eliminate the disease, but will only weaken the 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 medications from several pharmacological groups.
| medications by groups | pharmacodynamics | types and forms of prostatitis |
| nonsteroidal anti-inflammatory drugs | relieving inflammation and 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 dietary supplements | improvement of blood circulation in the prostate, elimination of congestion, relief of inflammation | |
| bioregulatory peptides | ||
| immunomodulators | boosting immunity | |
| alpha-blockers and 5-alpha-reductase inhibitors | reduction of the prostate gland in volume, normalization of urine outflow in case of poor urination | all forms of prostatitis, prevention and treatment of prostate adenoma (benign tumor) |
| phosphodiesterase inhibitors | facilitating bladder emptying, prostate stimulation, restoration of erectile function | chronic prostatitis, weakened potency |
| analgesics | 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. Eliminate prostate swelling and pain, 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. Medicines are prescribed based on the results of 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 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 of the cephalosporin group, semisynthetic penicillins, fluoroquinolones and macrolides are used.
| release form | tablets and powders for the preparation of injection solution | injection | capsules, tablets | |
| group of antibiotics | fluoroquinolones | penicillins | cephalosporins | macrolides |
| Not apply |
renal decompensation | infectious mononucleosis, lymphocytic leukemia | chronic renal and liver pathologies in the stage of decompensation | |
| mode of application | tablets - 1000 mg/day, divided into two doses, drip administration from 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 lidocaine 1% | 250–500 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 a day 0. 4 mg |
| action | reduces the tone of the smooth muscles of the urethra and prostate gland, 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 course therapy 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 disrupted 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 prostate cell membranes, 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 pathologies of the liver, kidneys, myasthenia gravis and epileptic seizures.
Phosphodiesterase inhibitors
The use of potency stimulants requires caution. Medical consultation is required.
Antiviral drugs and immunomodulators
All drugs 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 reproductive health, sexual capabilities, and psycho-emotional state in men. Drug treatment for prostatitis is selected based on the etiology and form of the disease. Incorrect or untimely therapy threatens the development of erectile dysfunction and prostate adenoma.