Prostatitis is an inflammatory disease of the prostate gland. As with any inflammation, the main treatment of prostatitis is conservative therapy. There are many drugs, each of them has its own indications for prescribing.
Tablets for the treatment of prostatitis
Taking tablet forms of drugs 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 spermatorrhea;
- Increased nocturnal diuresis;
- A feeling that the bladder is not completely empty.
Note! In general, any symptom of acute or chronic prostatitis is an indication for prescribing certain drug groups.
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:
- pain relievers;
- antibiotics;
- phytopreparations;
- antispasmodics;
- immunomodulators;
- alpha blockers.
Each of these groups has many members.
Pain relievers
These drugs inhibit the main enzymes of inflammation and thus disrupt its pathogenesis. The 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.
If prostatitis is accompanied by constant or occasional pain, painkillers are prescribed.
Antibiotics
If prostatitis is caused by the action of pathogenic microflora, antibiotics are needed.
These drugs act on the etiological factor of inflammation, suppress the infectious process in the tissues of the gland. Broad-spectrum antibiotics or drugs to which these microorganisms are sensitive are prescribed.
It is important! Antibiotics may also be prescribed for the non-infectious form of prostatitis if the enlarged prostate compresses the urethra. The development of cystitis and pyelonephritis is possible due to the violation of urine flow. Antibiotics are prescribed to prevent these diseases.
Phytopreparations
Phytopreparations act in a complex way thanks to plant bioflavonoids, vitamins and amino acids. 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 drugs.
Antispasmodics
Medicinal substances of this group have a myotropic effect and relax smooth muscles. Thanks to this, the tone of the prostate and urethra decreases, urinary retention stops, and pain decreases.
In addition, antispasmodics reduce the tone of blood vessels, which improves the trophism of prostate tissues and accelerates its recovery.
Immunomodulators
These drugs are able to stimulate the body's defenses. They enhance 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 the glandular tissues. This group of drugs will make the condition worse.
Alpha blockers
The principle of action of these drugs is similar to the action of antispasmodics. The difference is that they reduce the tone of smooth muscles by affecting the 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 | Instructions for use | Side effects |
|---|---|---|---|
| Pain relievers | Reduces inflammation and compression of nerve endings. | Clear pain syndrome. Pain during urination or defecation. | Thrombocytopenia, gastric and duodenal ulcers, interstitial nephritis. |
| Antibiotics | Kill pathogenic microflora or inhibit its reproduction. | Infectious prostatitis, proven microbial etiology of the disease, obstructive syndrome. | Suppression of own microflora, liver cell damage, hematological disorders. |
| Phytopreparations | Reduces inflammation and spasm, improves tissue trophism. | With any form of prostatitis as an additional treatment. | Allergic reactions. |
| Antispasmodics | Eliminate spasm of smooth muscles. | Obstructive events, urinary retention, pain syndrome. | Dizziness, tachycardia, decrease in blood pressure. |
| Immunomodulators | Increase the body's own immunity. | Any form of prostatitis, additional drugs. | Allergic and autoimmune reactions. |
| Alpha blockers | It reduces the spasm of smooth muscles of the prostate, improves trophism. | Defined obstructive syndrome. Acute stage of inflammation. | Tachycardia, decrease in blood pressure, dizziness, headache. |