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 drugs for prostatitis will not eliminate the disease, but will only weaken the symptoms. The choice of medicine should be justified by the type of disease and the nature of its course.
How to choose a drug for prostatitis?
Complex treatment of prostatitis includes drugs from several pharmacological groups.
| drugs by group | pharmacodynamics | types and forms of prostatitis |
| nonsteroidal anti-inflammatory drugs | relieves inflammation and pain and muscle spasms, normalizes urination | all types and forms of disease in individual doses |
| muscle relaxant and antispasmodic | ||
| complex preparations based on medicinal plants and food supplements | increased blood circulation in the prostate, elimination of congestion, relief of inflammation | |
| bioregulatory peptides | ||
| immunomodulators | increase immunity | |
| alpha blockers and 5-alpha-reductase inhibitors | reduction of prostate gland volume, normalization of urine outflow in case of weak urination | all forms of prostatitis, prevention and treatment of prostate adenoma (benign tumor) |
| phosphodiesterase inhibitors | facilitate bladder emptying, prostate stimulation, recovery of erectile function | chronic prostatitis, weak potency |
| analgesics | elimination of pain symptoms | for acute prostatitis |
| antibiotics | destruction of bacteria | infectious bacterial prostatitis |
| hormones | restoration of hormone levels and glandular performance | advanced chronic disease |
| antivirus | destruction of viruses and suppression of their ability to reproduce. Relieves prostate swelling and pain, reduces temperature | infectious viral prostatitis |
List of the most effective drugs for prostatitis
Treatment of prostate disease is carried out by a medical specialist: andrologist or urologist. Medicines are prescribed based on the results of examinations, laboratory tests and ultrasound examinations 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 can cause gastrointestinal side effects.
Antibacterial therapy for infectious prostatitis
To eliminate infections, antibiotics of the cephalosporin group, semisynthetic penicillins, fluoroquinolones and macrolides are used.
| release form | tablets and powders for the preparation of injection solutions | injection | capsules, tablets | |
| group of antibiotics | fluoroquinolones | penicillin | cephalosporins | macrolides |
| Nope apply |
renal decompensation | infectious mononucleosis, lymphocytic leukemia | chronic kidney and liver pathology in the decompensation stage | |
| application mode | 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 drug 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 | capsule | pills | capsule | capsule |
| dose | 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 bladder muscles, helps to eliminate stagnation of prostate secretions | |||
| contraindications | individual allergic reactions, orthostatic hypotension, liver failure | |||
The duration of the course of therapy with alpha-blockers and 5-alpha-reductase inhibitors is determined individually.
Bioregulatory peptides
Medicines can quickly eliminate the symptoms of severe prostatitis and restore the disturbed process in the prostate gland.
There are no contraindications other than individual allergies. Bioregulatory peptides are available in pharmacies without a prescription.
Relax the muscles
Relaxing the muscles prevents the destruction of prostate cell membranes, relieves pain by blocking the conduction of nerve impulses, and increases blood flow. The initial dose is 50 mg, with a possible increase to 150 mg.
Not prescribed for myasthenia gravis. Related (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 potent stimulants requires caution. Medical consultation is required.
Antiviral and immunomodulatory drugs
All drugs with antiviral effects have many side effects. Contraindications include: hypersensitivity to constituent components.
Prostatitis is an inflammatory disease of the unpaired male exocrine gland - the prostate. The quality of the work of this organ determines reproductive health, sexual ability, and the psycho-emotional state of men. Drug treatment for prostatitis is selected based on the etiology and form of the disease. Improper or untimely therapy threatens the development of erectile dysfunction and prostate adenoma.