Prostatitis has become a common disease not only among men over 50, but also among young people. One of the reasons is self-medication: the use of inappropriate drugs for prostatitis does not eliminate the disease, but only weakens the symptoms. The choice of drug should be based on the type of disease and the nature of its course.
How to choose a drug for prostatitis?
The complex treatment of prostatitis includes drugs from several pharmacological groups.
| Drugs by group | Pharmacodynamics | Types and forms of prostatitis |
| Non-steroidal anti-inflammatory drugs | Relieving 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 dietary supplements | Improving blood flow to the prostate, eliminating congestion, relieving inflammation | |
| bioregulatory peptides | ||
| Immunomodulators | Strengthening immunity | |
| Alpha blockers and 5-alpha reductase inhibitors | Reducing the volume of the prostate, normalizing urine outflow in case of poor urination | all forms of prostatitis, prevention and treatment of prostate adenoma (benign tumor) |
| Phosphodiesterase inhibitors | Facilitating bladder emptying, stimulating the prostate, restoring erectile function | chronic prostatitis, weakened potency |
| Analgesics | Elimination of pain symptoms | in acute prostatitis |
| Antibiotics | Destruction of bacteria | infectious bacterial prostatitis |
| Hormones | Restoration of hormone levels and glandular performance | advanced chronic disease |
| Antivirals | Destruction of viruses and suppression of their ability to reproduce. Eliminate swelling and pain in the prostate and reduce the temperature | infectious viral prostatitis |
List of the most effective drugs for prostatitis
Treatment of prostate diseases is carried out by specialists: andrologists or urologists. The prescription of medication is based on the results of examinations, laboratory tests and ultrasound scans of the prostate.
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Medicines that stop the development of inflammation. Do not use in chronic diseases of the heart, kidneys, liver, stomach and duodenal ulcer.
Important! Taking NSAIDs can cause gastrointestinal side effects.
Antibacterial therapy for infectious prostatitis
To eliminate the infection, antibiotics of the cephalosporin group, semi-synthetic penicillins, fluoroquinolones and macrolides are used.
| Release form | Tablets and powder for making solutions for injection | injection | Capsules, tablets | |
| Group of antibiotics | Fluoroquinolones | Penicillins | Cephalosporins | Macrolides |
| Not apply |
Renal decompensation | infectious mononucleosis, lymphocytic leukemia | chronic kidney and liver diseases in the decompensation stage | |
| type of application | Tablets – 1000 mg/day, divided into two doses, Drip administration of 200 to 800 mg once |
250-500 mg 3 times daily | 1-2 g/day, with a single injection of a medicinal solution containing lidocaine 1% | 250-500 mg twice daily |
Alpha blockers and 5-alpha reductase inhibitors
Alpha blockers have a blood pressure lowering effect and 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 tablet once/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 urine outflow and metabolism in the bladder muscles, and helps eliminate stagnation of prostate secretions | |||
| Contraindications | individual allergic reaction, orthostatic hypotension, liver failure | |||
The duration of therapy with alpha-blockers and 5-alpha-reductase inhibitors is determined individually.
Bioregulatory peptides
Medicines can quickly eliminate severe signs of prostatitis and restore disturbed processes in the prostate.
Apart from individual allergies, there are no contraindications. Bioregulatory peptides are available from pharmacies without a prescription.
Muscle relaxants
The muscle relaxant prevents the destruction of the cell membranes of the prostate, relieves pain by inhibiting the transmission of nerve impulses and increases blood circulation. The starting dose is 50 mg, an increase to 150 mg is possible.
Not prescribed for myasthenia gravis. Relevant (relative) contraindications are kidney and liver problems, epilepsy.
Not recommended for chronic diseases 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 components.
Prostatitis is an inflammatory disease of the male unpaired exocrine gland - the prostate. The quality work of this organ determines the reproductive health, sexual abilities and psycho-emotional state of the man. Drug treatment of prostatitis is selected based on the etiology and form of the disease. Incorrect or untimely therapy risks the development of erectile dysfunction and prostate adenoma.