Different drugs for the treatment of prostatitis often have similar compositions, but the price varies significantly. You can not choose a drug without a doctor's recommendation, because self-treatment can not only cause a lack of side effects, but also side effects.
The most effective drug is the drug of choice taking into account the test results and characteristics of the course of the disease in a man.
Dosage forms for the treatment of prostatitis are tablets, suppositories and solutions for intramuscular administration.
Criteria for choosing an effective drug
According to the type of inflammatory process, infectious and non-infectious prostatitis are distinguished. To select a drug, it is necessary to undergo a comprehensive examination for an accurate diagnosis, which includes ultrasound and prostate TRUS, analysis of prostate secretion and palpation of the rectal organ.
The main line of treatment for infectious prostatitis is antibiotic therapy. Non-communicable prostatitis is treated with anti-inflammatory drugs; antibiotics are not used in this case.
Adjuvants depend on the form of inflammation and the severity of symptoms. In acute urinary disorders, alpha blockers are prescribed in short courses, with severe pain syndrome - antispasmodics or NSAIDs. In addition, there are a number of drugs to restore the function of the affected organs, which are used in the long run.
In each group of drugs there are a large number of effective drugs that are often prescribed by urologists. At the same time, some drugs can be replaced with cheaper analogues, for example, herbal medicines in the form of rectal suppositories.
According to the release form, the following types of drugs for prostatitis are distinguished:
- injection;
- tablet;
- suppositories.
Installation and microclips are also used. The first is done in a hospital, the last is a traditional method of treatment. Due to the effectiveness and speed of action, doctors prefer to prescribe injections, but this method is not always suitable for home treatment: not everyone can inject themselves. To relieve inflammation, men prefer rectal suppositories - they are easy to use on their own, and they are slightly less effective than injections.
Tablets in the form of tablets are divided into:
- antibiotics;
- antispasmodik;
- alpha barrier;
- non-steroidal anti-inflammatory drugs.
Only a doctor can select and combine medications.
Antibiotics
Antibacterial drugs for the treatment of prostatitis are prescribed only for bacterial or infectious inflammation and strictly after prostate secretion analysis. Analysis is needed to determine the type of pathogen and the sensitivity of pathogenic microorganisms to the action of antibacterial drugs.
In the treatment of infectious prostatitis, drugs from the following groups are used:
- cephalosporins;
- macrolide;
- penicillin;
- fluoroquinolones;
- tetrasiklin.
Preparations from the macrolide group can cause a number of side effects, the course of treatment lasts from 7 to 14 days.
Penicillin and tetracycline are rarely prescribed. This is due to the low bioavailability of the drugs and the high risk of developing pathogen resistance to its action.
A new drug widely used in the treatment of infectious prostatitis is a drug from the fluoroquinolone group. They are distinguished by their high and effective bioavailability even in the case of development of resistance of pathogenic microorganisms to the action of other antibacterial compounds. Fluoroquinolones should not be called a fast-acting drug, as treatment lasts an average of 28 days. This medicine rarely causes side effects.
They are available in tablet form and in solution form for injection.
Antibacterial drugs are not used for non-communicable prostatitis.
The exact dose and treatment regimen is chosen by the doctor based on the analysis. This drug is not used for prostatitis caused by fungal microflora, instead antimycotics are used.
Antispasmodik
These drugs relieve muscle spasm of the prostate gland, thus making the patient feel better. They are used for acute and chronic diseases.
Remedy for chronic prostatitis
The treatment policy for chronic prostatitis consists of bioactive drugs that normalize the trophyism of the prostate gland and relieve inflammation. Their composition is based on biologically active peptides obtained with the extraction of bovine prostate glands.
Instructions for use:
- chronic prostatitis;
- prostate adenoma;
- infertility.
The course of treatment takes up to 15 days. Suppositories are used twice a day, in the morning and evening, injections are done once a day.
This medicine works as follows:
- urodynamic normalization;
- relieves inflammation;
- edema reduction;
- elimination of pain syndrome;
- potential increase.
Drugs normalize prostate trophism by stimulating metabolic processes in organs. In chronic prostatitis, drugs in this group are prescribed twice a year for treatment and prevention. In acute inflammation, the doctor may prescribe medications after undergoing antibiotic therapy to restore normal prostate function.
Nonsteroidal anti-inflammatory drugs
NSAIDs are prescribed to relieve inflammation and reduce pain in prostatitis. They are used as symptomatic therapy for infectious and non-infectious inflammation.
Bacterial prostatitis often causes an increase in body temperature. At values above 38. 5 degrees, it can be crushed with drugs of the sulfonamide class.
alpha blocker
The second treatment for prostatitis and adenoma is a group of alpha blockers. Their action is based on blocking adrenergic receptors located in the neck of the bladder. The drugs in this group reduce the tone of the bladder and relax the smooth muscles of the prostate. This reduces swelling of the organs and facilitates urination. Indications for the use of these drugs are severe disorders with the risk of acute urinary stagnation.
Preparations of the alpha-blocker group have a large list of contraindications and side effects. First of all, their danger lies in the negative effects on the cardiovascular system.
Possible side effects:
- migraine;
- sleepy;
- loses strength;
- fainted;
- hypotension.
There are known cases of retrograde ejaculation development while taking this medication.
Alpha blockers are available in capsules or tablets. Usually, doctors prescribe 1 tablet of the drug daily for one to two weeks. Because there are many contraindications and side effects, drugs of the alpha-blocker group should be chosen by a doctor.
Alpha inhibitors are part of a comprehensive treatment for prostatitis, but not a first-line medication.
Herbal remedies and homeopathy
Homeopathic remedies and herbs are widely used in the treatment of chronic prostatitis. Such drugs are prescribed for a long time, because the effects appear after a few weeks.
Medications are also prescribed for the prevention of chronic prostatitis.
Drugs from this group have no contraindications, except for individual intolerance. They should be taken for a long time, as herbal preparations act slowly. Treatment results can be evaluated at least two weeks after starting the medication.
Supporters
The cheapest medicine to treat chronic diseases is a rectal suppository with natural extracts. In therapy, candles with propolis and bee products, pumpkin oil or ichthyol are used. Preparation lists based on bee products have many names.
Such suppositories relieve inflammation, have a bactericidal effect and boost immunity. Propolis suppositories can be made at home.
Naturally formulated rectal suppositories are used twice a day. The course of treatment lasts at least 10 days. The right treatment regimen is chosen by the doctor after a thorough examination of the patient.
It is not possible to determine the best drug of all types, as the drug must be selected individually in each case.