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 which has its own indications for appointment.
Tablets for the treatment of prostatitis
The main way to treat prostatitis is to take pill forms of drugs. 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;
- A feeling of incomplete emptying of the bladder.
Note! In general, any symptom of acute or chronic prostatitis indicates the appointment of certain drug groups.
Types of prostatitis pills
Depending on the type, forms and main manifestations of prostatitis, the doctor may prescribe one or more of the following drugs:
- pain relievers;
- antibiotics;
- phytopreparations;
- anticonvulsants;
- immunomodulators;
- alpha blockers.
Each group has many members.
Pain relievers
These drugs inhibit the main enzymes of inflammation, thereby disrupting the 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 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, they suppress the infectious process in the tissues of the gland. Broad-spectrum antibiotics or drugs to which these microorganisms are sensitive are prescribed.
Important! Antibiotics may also be prescribed for the non-infectious form of prostatitis, when the enlarged prostate compresses the urethra. Cystitis and pyelonephritis can develop due to a violation of the outflow of urine. Antibiotics are prescribed to prevent such diseases.
Phytopreparations
Phytopreparations have a complex effect 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.
Anticonvulsants
Medicinal substances belonging to this group have a myotropic effect and relax smooth muscles. As a result, the tone of the prostate and urethra decreases, urinary retention ceases, and pain decreases.
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 in the fight against inflammation.
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 only aggravates the situation.
Alpha blockers
The principle of these drugs is similar to the action of anticonvulsants. The difference is that they reduce the tone of the 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.
Comparison chart of tablets from prostatitis
| Drug group | Mechanism of action | Indications for use | Side effects |
|---|---|---|---|
| Pain relievers | It reduces inflammation and compression of nerve endings. | Expressed pain syndrome. Pain during urination or ejaculation. | Thrombocytopenia, gastric and duodenal ulcers, interstitial nephritis. |
| Antibiotics | It kills the pathogenic microflora or blocks its reproduction. | Infectious prostatitis, proven microbial etiology of the disease, obstructive syndrome. | Suppression of own microflora, damage to liver cells, hematological disorders. |
| Phytopreparations | Reduces inflammation and spasm, improves tissue trophism. | As an adjunctive treatment with any form of prostatitis. | Allergic reactions. |
| Anticonvulsants | It relieves spasms of smooth muscles. | Obstructive phenomena, urinary retention, pain syndrome. | Dizziness, tachycardia, drop in blood pressure. |
| Immunomodulators | Increase the body's own immunity. | Any form of prostatitis, additional medications. | Allergic and autoimmune reactions. |
| Alpha blockers | It reduces the spasm of the smooth muscles of the prostate and improves trophism. | Expressed obstructive syndrome. Acute phase of inflammation. | Tachycardia, decreased blood pressure, dizziness, headache. |