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, each of which has its own indications for appointment.
Tablets for the treatment of prostatitis
Taking medication in tablet form is the main way to treat prostatitis. Indications for such therapy are as follows:
- Pain during urination;
- Difficulty urinating;
- A feeling of fullness in the pelvis;
- Pain in the perineum;
- Prostatorrhea or spermatorrhea;
- Increased nocturnal diuresis;
- Feeling of incomplete bladder emptying.
Note! In general, any symptom of acute or chronic prostatitis is an indication for the appointment of a certain group of drugs.
Types of pills for prostatitis
Depending on the type of prostatitis, its form and main manifestations, the doctor may prescribe one or more of the following drugs:
- painkillers;
- antibiotics;
- phytoparations;
- antispasmodic;
- immunomodulators;
- alpha blockers.
Each of these groups has many members.
Pain reliever
These drugs inhibit the main enzymes of inflammation, thereby interfering with its pathogenesis. A reduction in the inflammatory process leads to a decrease in tissue edema, which no longer compresses the urethra and nerve endings.
Therefore, the pain syndrome is stopped.
Painkillers are prescribed if prostatitis is accompanied by constant or intermittent pain.
Antibiotics
Antibiotics are needed if prostatitis is caused by the action of pathogenic microflora.
These drugs act on the etiological factor of inflammation, suppressing the infectious process in glandular tissue. Antibiotics or broad-spectrum drugs to which these microorganisms are sensitive are prescribed.
It is important! Antibiotics may also be prescribed for non-infectious forms of prostatitis if the enlarged prostate compresses the urethra. Due to the violation of the outflow of urine, the development of cystitis and pyelonephritis is possible. Antibiotics are prescribed to prevent this disease.
Phytopreparation
Phytopreparations, thanks to plant bioflavonoids, vitamins and amino acids, act in a complex way. They are able to reduce inflammation, relieve smooth muscle spasms, increase tissue trophism and improve immunity. However, they do not always have sufficient strength, therefore they are prescribed together with other drugs.
Antispasmodic
Medicinal substances of this group have a myotropic effect and relax smooth muscles. Due to this, the tone of the prostate and urethra is reduced, urinary retention is stopped, and pain is reduced.
In addition, antispasmodics reduce vascular tone, which increases prostate tissue trophism and accelerates its regeneration.
Immunomodulators
These drugs are able to stimulate the body's defenses. They improve cellular and humoral immunity, which is important to fight 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 worsen the situation.
Alpha blockers
The principle of action of these drugs is similar to antispasmodic action. The difference is that they reduce smooth muscle tone through an effect on nerve endings.
Note! They have more side effects, therefore, this group of drugs is prescribed for obstructive syndrome or severe pain.
Comparison table of tablets from prostatitis
| Drug group | Mechanism of action | Instructions for use | Side effect |
|---|---|---|---|
| Pain reliever | Reduces inflammation and compression of nerve endings. | Significant pain syndrome. Pain during urination or ejaculation. | Thrombocytopenia, gastric and duodenal ulcers, interstitial nephritis. |
| Antibiotics | Kill pathogenic microflora or block their reproduction. | Infectious prostatitis, proven microbial etiology of the disease, obstructive syndrome. | Suppression of own microflora, damage to liver cells, hematological disorders. |
| Phytopreparation | Reduces inflammation and spasms, improves tissue trophism. | With any form of prostatitis as an additional treatment. | Allergic reaction. |
| Antispasmodic | Relieves smooth muscle spasms. | Obstructive phenomena, urinary retention, pain syndrome. | Dizziness, tachycardia, lowering blood pressure. |
| Immunomodulators | Increase the body's own immunity. | Any form of prostatitis, additional medicine. | Allergic and autoimmune reactions. |
| Alpha blockers | Reduces prostate smooth muscle spasms, increases trophism. | Clear obstructive syndrome. Acute phase of inflammation. | Tachycardia, drop in blood pressure, dizziness, headache. |