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 medication tablets is the main way to treat prostatitis. Indications for such therapy are as follows:
- Pain when urinating;
- Difficulty urinating;
- Feeling of fullness in the pelvis;
- Pain in the perineum;
- Prostatorrhoea or spermatorrhea;
- Increased nocturnal diuresis;
- Feeling of incomplete emptying of the bladder.
Note! In general, any symptoms of acute or chronic prostatitis are an indication for the appointment of certain groups of drugs.
Types of pills for prostatitis
Depending on the type of prostatitis, its forms and main manifestations, the doctor may prescribe one or more of the following drugs:
- painkillers;
- antibiotics;
- herbal preparations;
- antispasmodics;
- immunomodulators;
- alpha blockers.
Each of these groups has many members.
Painkillers
These drugs inhibit the main enzymes of inflammation, thereby interrupting its pathogenesis. A decrease in the inflammatory process leads to a decrease in tissue edema, which no longer compresses the urethra and nerve endings.
Thus, the pain syndrome is stopped.
Painkillers are prescribed if prostatitis is accompanied by constant or intermittent pain.
Antibiotics
Antibiotics are required 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 tissues of the gland. Broad-spectrum antibiotics or drugs to which these microorganisms are sensitive are prescribed.
It's important! Antibiotics may also be prescribed for a noninfectious form of prostatitis if the enlarged prostate compresses the urethra. Due to a violation of the outflow of urine, 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 spasm of smooth muscles, improve tissue trophism and increase immunity. However, they are not always strong enough, so they are prescribed together with other medicines.
Antispasmodics
Medicinal substances of this group have a myotropic effect and relax smooth muscles. Due to this, the tone of the prostate and urethra decreases, urinary retention is stopped, and pain decreases.
In addition, antispasmodics reduce vascular tone, which improves the trophism of prostate tissues and accelerates their regeneration.
Immunomodulators
These drugs are able to stimulate the body's defenses. They boost cellular and humoral immunity, which is important for fighting inflammation.
It's important! Immunomodulators should not be prescribed for autoimmune prostatitis. This form of inflammation is caused by immune cells attacking gland tissue. This group of drugs will only aggravate the situation.
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, so 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 | Reduce inflammation and compression of nerve endings. | Pronounced pain syndrome. Pain when urinating or ejaculating. | Thrombocytopenia, gastric and duodenal ulcers, interstitial nephritis. |
| Antibiotics | Kill pathogenic microflora or stop their reproduction. | Infectious prostatitis, proven microbial etiology of the disease, obstructive syndrome. | Suppression of own microflora, damage to liver cells, hematological disorders. |
| Phytopreparations | Reduce inflammation and spasm, improve tissue trophism. | With any form of prostatitis as an additional treatment. | Allergic reactions. |
| Antispasmodics | Relieves smooth muscle spasm. | Obstructive phenomena, urinary retention, pain syndrome. | Dizziness, tachycardia, drop in blood pressure. |
| Immunomodulators | Increase the body's immunity. | Any form of prostatitis, additional medications. | Allergic and autoimmune reactions. |
| Alpha blockers | Reduce prostate smooth muscle spasm, improve trophism. | Pronounced obstructive syndrome. Acute phase of inflammation. | Tachycardia, decrease in blood pressure, dizziness, headache. |