Prostatitis is an inflammatory disease of the prostate. As with any inflammation, the main treatment for prostatitis is conservative therapy. There are many drugs, each of them has its own indications for naming.
Tablets for the treatment of prostatitis
Taking tablet forms of drugs is the main way of treating 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 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 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.
Painkillers
These drugs inhibit the main enzymes of inflammation, thus disrupting its pathogenesis. Reduction of the inflammatory process leads to a reduction 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 occasional pain.
Antibiotics
Antibiotics are necessary if prostatitis is caused by pathogenic microflora.
These drugs act on the etiological factor of inflammation, suppressing the infectious process in the gland tissues. Broad-spectrum antibiotics or drugs to which these microorganisms are sensitive are prescribed.
It is important! Antibiotics may also be prescribed for non-infectious prostatitis if the enlarged prostate compresses the urethra. Due to the violation of urine outflow, 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, have a complex effect. They are able to reduce inflammation, alleviate spasm of smooth muscles, improve tissue trophism and increase immunity. However, they do not always have sufficient strength, 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 is reduced, urinary retention is stopped, and pain is reduced.
In addition, antispasmodics reduce vascular tone, which improves prostate tissue trophism and accelerates its regeneration.
Immunomodulators
These drugs can 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 the attack of immune cells on the tissues of the gland. 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 by acting on nerve endings.
Note! They have more side effects, so this group of drugs is prescribed for severe obstructive or painful syndromes.
Comparative table of tablets for prostatitis
| A group of drugs | Mechanism of action | Indications for use | Side effects |
|---|---|---|---|
| Painkillers | Reduces inflammation and compression of nerve endings. | Pronounced 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 | Reduces inflammation and spasm, improves tissue trophism. | With any form of prostatitis as an additional treatment. | Allergic reactions. |
| Antispasmodics | Relieve smooth muscle spasm. | Obstructive phenomena, urine retention, pain syndrome. | Dizziness, tachycardia, lowering of 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. | Pronounced obstructive syndrome. Acute phase of inflammation. | Tachycardia, decreased blood pressure, dizziness, headache. |