Prostatitis is an inflammatory disease of the prostate gland. As with any inflammation, the main treatment for prostatitis is conservative therapy. There are many drugs, because the appointment of each of them has its own indications.
Tablets for the treatment of prostatitis
Taking drugs in the form of tablets is the main way to treat prostatitis. Indications for such therapy are as follows:
- Pain during urination;
- Difficulty passing urine;
- Feeling of fullness in the pelvis;
- Pain in the perineum;
- Prostatorrhea or spermatorrhoea;
- Increased nocturnal diuresis;
- Feeling of incomplete emptying of the bladder.
Note! In general, any symptom of acute or chronic prostatitis is an indication for the appointment of certain groups of drugs.
Types of pills for prostatitis
Depending on the type of prostatitis, its main forms and manifestations, the doctor may prescribe one or more of the following drugs:
- pain relievers;
- antibiotics;
- phytopreparations;
- antispasmodics;
- immunomodulators;
- alpha blockers.
Each of these groups has many members.
Painkillers
These drugs inhibit the main enzymes of inflammation, thereby disrupting its pathogenesis. A decrease in the inflammatory process leads to a decrease in tissue edema, which no longer presses on the urethra and nerve endings.
Thus, the pain syndrome stops.
Painkillers are prescribed if prostatitis is accompanied by constant or intermittent pain.
Antibiotics
Antibiotics are necessary if prostatitis is caused by the action of pathogenic microflora.
These drugs act on the etiological factor of inflammation, suppressing the infectious process in the gland tissue. Broad-spectrum antibiotics or drugs to which these microorganisms are sensitive are prescribed.
It is important! Antibiotics may also be prescribed for a non-infectious form of prostatitis if the enlarged prostate compresses the urethra. Due to the violation of urine flow, the development of cystitis and pyelonephritis is possible. Antibiotics are prescribed to prevent these diseases.
Phytopreparations
Phytopreparations, thanks to plant bioflavonoids, vitamins and amino acids, act in a complex way. They are able to reduce inflammation, relieve smooth muscle spasms, improve tissue trophism and increase immunity. However, they are not always strong enough, so they are prescribed together with other drugs.
Antispasmodics
Medicinal substances of this group have a myotropic effect and relax smooth muscles. Because of this, the tone of the prostate and urethra decreases, urine retention stops and pain decreases.
In addition, antispasmodics reduce vascular tone, which improves prostate tissue trophism and accelerates its regeneration.
Immunomodulators
These drugs are able to stimulate the body's defenses. They increase cellular and humoral immunity, which is important for fighting inflammation.
It is important! Immunomodulators should not be prescribed for autoimmune prostatitis. This form of inflammation is caused by immune cells attacking glandular tissue. This group of drugs will only make the situation worse.
Alpha blockers
The principle of action of these drugs is similar to the action of antispasmodics. The difference is that they reduce smooth muscle tone through effects on nerve endings.
Note! They have more side effects, therefore, this group of drugs is prescribed for severe obstructive or pain syndrome.
Comparative table of tablets from prostatitis
| Drug group | Mechanism of action | Indications for use | Side effects |
|---|---|---|---|
| Painkillers | Reduces inflammation and compression of nerve endings. | Acute pain syndrome. Pain during urination or ejaculation. | Thrombocytopenia, gastric and duodenal ulcers, interstitial nephritis. |
| Antibiotics | Kill pathogenic microflora or block its reproduction. | Infectious prostatitis, proven microbial etiology of the disease, obstructive syndrome. | Suppression of own microflora, liver cell damage, hematological disorders. |
| Phytopreparations | Reduce inflammation and spasm, improve tissue trophism. | With any form of prostatitis as an additional treatment. | Allergic reactions. |
| Antispasmodics | Alleviation of smooth muscle spasm. | Obstructive phenomena, urinary retention, pain syndrome. | Dizziness, tachycardia, decrease in blood pressure. |
| Immunomodulators | Increasing the body's own immunity. | Any form of prostatitis, additional drugs. | Allergic and autoimmune reactions. |
| Alpha blockers | Reduces the spasm of smooth muscles of the prostate, improves trophism. | Marked obstructive syndrome. Acute stage of inflammation. | Tachycardia, decreased blood pressure, dizziness, headache. |