11 best remedies for prostatitis – doctor's opinion

Review of the best according to the editorial board. On the selection criteria. This material is subjective and does not constitute advertising and does not serve as a purchase guide. Before buying, you need to consult with a specialist.

One of the main groups of drugs that are used for acute and chronic prostatitis refers to antibacterial agents, or antibiotics. You need to take them, since often the cause of prostatitis is various pathogenic microorganisms that cause inflammatory changes in the tissues of the gland. It is necessary to prescribe antibiotics first of all, with acute prostatitis and exacerbation of a chronic disease, and, preferably, after identifying the type of pathogen. Consider the rating of modern antibiotics and broad-spectrum antibacterial drugs that are highly effective in prostatitis

Rating of the best remedies for prostatitis

Nomination	a place	Name of product	price
The best antimicrobial agents, or antibiotics for prostatitis	1	Ofloxacin	51 rbl.
	2	Sumamed (azithromycin)	RUB 1,095
	3	Flemoxin Solutab	490 RUB
The best analgesics (pain relievers) for prostatitis	1	Relief ultra in candles, or suppositories	483 r
	2	Omnic, or tamsulosin (alpha blocker)	RUB 1,641
	3	But – shpa	129 RUB
The best anti-inflammatory drugs for prostatitis	1	Indomethacin in candles	383 r
	2	Ketoprofen in rectal suppositories	299 r
	3	Prostatilen	628 RUB
The best immunomodulating dietary supplements for prostatitis	1	Vitaprost	RUB 1 189
	2	Prostamol Uno	740 RUB

The best antimicrobial agents, or antibiotics for prostatitis

Ofloxacin

Rating: 4.9

Ofloxacin belongs to the group of fluoroquinolones, it is the agent of choice for a wide spectrum of action. The drug produces a bactericidal effect, and is active against a wide variety of fast-growing atypical microorganisms. Ofloxacin is indicated not only for acute and chronic prostatitis, but also for other sexually transmitted diseases. The drug is used in capsule form twice a day for 10 days.

This tool exists under various commercial names: Zanocin, Tarivid, Uniflox, Zoflox. The cost of the most inexpensive, domestic ofloxacin is from 20 rubles. for 10 tablets, 200 mg each.

Advantages and disadvantages

The advantages of the remedy include high efficiency and the rapid disappearance of symptoms of microbial infection, and the weak side is a significant number of side effects, as well as a history of convulsive state and epilepsy – then the drug should be prescribed with caution. If a patient with prostatitis has a liver dysfunction, then it is necessary to take this into account and reduce the dose. It is also not recommended to take the drug for more than 2 months, and during treatment, you should avoid using a solarium and sunbathing.

Sumamed (azithromycin)

Rating: 4.8

This antibiotic, which belongs to azalide drugs, is also highly effective in a variety of infectious processes, including acute and chronic prostatitis, urethritis and urethral syndrome. The drug is available in the form of soluble or dispersible tablets in various dosages, from 125 mg to 1000 mg. The most sensitive to azithromycin are various gram-positive and gram-negative aerobes, as well as anaerobic flora and other microorganisms such as chlamydia and mycoplasma, which are often the cause of prostatitis with a long and sluggish course.

Azithromycin is taken either on an empty stomach, or 2 hours after a meal, by dissolving the tablet in a glass of water. This agent is produced under various trade and commercial names: Azimycin, Azitrox, Zitrocin, One of the most effective representatives is Sumamed, one single dose for the treatment of acute prostatitis 1000 mg costs from 436 rubles. Sumamed is produced by the Croatian pharmaceutical company 'Pliva'.

Advantages and disadvantages

The advantages of the drug include its high concentration in the focus of infection, easy passage of various tissue barriers and long-term preservation of the therapeutic concentration in the focus after the last dose for a week. Undoubtedly, an important advantage of the drug, according to which it is included in the rating, is the possibility of its single use, that is, ideal compliance. For acute and uncomplicated prostatitis, one 1000 mg tablet can be taken as a single dose.

The negative aspects include a significant number of side effects, among which headache, diarrhea, increased activity of liver enzymes are most common. It should also be borne in mind that Azithromycin can interact with various other agents, therefore it should be prescribed only taking into account all indications and contraindications.

Flemoxin Solutab

Rating: 4.7

Flemoxin Solutab belongs to antibiotics from the group of semi-synthetic penicillins – this is amoxicillin, which is available in the form of dispersible or water-soluble tablets. It is a broad-spectrum antibacterial agent, and it affects various gram-positive and gram-negative microorganisms, which are often nonspecific causative agents of acute and chronic prostatitis.

The tablet can be divided into parts, swallowed whole, washed down with water, or dissolved in a glass of water. With a standard and not severe course of prostatitis, adults need 1 day to prescribe this drug with a total dosage of 1500 mg per day. This dosage can be divided into 2 or 3 equal doses. Such treatment within one day also allows Flemoxin to take its place in the ranking of convenient and effective drugs for prostatitis. A pack of 20 tablets of 1000 mg can be purchased at a pharmacy for 420 rubles. The drug is produced by the Dutch company Astellas Pharma.

Advantages and disadvantages

The remedy is taken regardless of food intake, which can be considered an advantage. In addition, one day is quite enough, and you should not prescribe this drug for several days with uncomplicated forms of prostatitis. The negative aspects include the development of cross-resistance of microorganisms to the drug, as well as the development of severe diarrhea after treatment. Flemoxin can also interact with various medications, oral contraceptives and hormones. Therefore, a doctor should prescribe this drug and assess the risk of developing an interaction.

The best analgesics (pain relievers) for prostatitis

Symptomatic therapy is very important in the complex treatment of prostatitis. Elimination of pain syndrome allows to reduce pathological nerve impulses, and elimination of edema helps to normalize the outflow from the prostate gland. Anesthetics, first of all, include preparations for topical use, which are produced in the form of rectal suppositories, as well as some drugs in tablet form, designed for long-term use. The following effective drugs are included in the rating.

Relief ultra in candles, or suppositories

Rating: 4.9

Relief Ultra in rectal suppositories is positioned as a drug for the treatment of hemorrhoids, but it is also widely used by urologists to relieve severe pain and inflammation in acute and chronic prostatitis. This product contains the corticosteroid hormone hydrocortisone, which reduces inflammation, the severity of edema, with prostatitis and relieves pain.

In addition to hormones, the drug contains cocoa bean butter and zinc sulfate, which is also a reliable proven remedy for healing various wounds and erosions. The Relief Ultra is produced by the Italian company Instituto de angeli. This tool is sold in Russia by Bayer. For 12 rectal suppositories, designed for a full three days of treatment, you will have to pay from 416 rubles.

Advantages and disadvantages

The obvious advantages of Relief Ultra suppositories include the absence of an overdose with a disorder of various organ systems, since the drug is applied topically. But nevertheless, in the event that the patient has a condition in which the use of corticosteroids is contraindicated, for example, diabetes, osteoporosis, severe forms of arterial hypertension, in this case, it is imperative to consult a doctor before using the drug.

Omnic, or tamsulosin (alpha blocker)

Rating: 4.9

Omnik is a specific agent that affects the smooth muscles of the prostate gland, urethra and bladder neck. The agent blocks alpha-adrenergic receptors. As a result, the flow of urine through the prostate improves, and various unpleasant symptoms disappear, for example, the feeling of incomplete emptying of the bladder.

This remedy is indicated for chronic prostatitis, which is accompanied by benign hyperplasia, or enlargement of the prostate gland and with the development of various urological complaints. This product is available in capsules, one capsule is taken once a day after breakfast. The course of treatment is designed for 2-3 weeks of admission, while the maximum concentration of the active substance in the blood increases by the fifth day. This product is produced by the Dutch company Yamanouchi, and one package of 30 modified-release capsules, designed for 1 month of daily intake, costs from 700 rubles. Also, this drug can be found under the trade names Proflosin, Hyperprost and others.

Advantages and disadvantages

Tamsulosin is able to significantly improve the quality of life of patients with chronic prostatitis and reduce the unpleasant symptoms of prostatic hyperplasia, which is why it was included in the rating. As for the weaknesses of the drug, they include a pronounced drop in blood pressure, which can sometimes lead to fainting, especially in elderly patients.

It is also necessary to separately discuss the purpose of this drug, in the case of cataracts and in preparation for ophthalmic operations. Also, the drug Omnik, when administered in conjunction with other blockers of adrenergic receptors, can significantly reduce the level of blood pressure, and each such case of joint administration and the risk of hypotension should be assessed by a doctor before starting treatment.

But – shpa

Rating: 4.7

This well-known and effective drug belongs to myotropic antispasmodics, and allows you to reduce the tension of the smooth muscles of the urethra, the muscles of the prostate gland and eliminate the pain syndrome, as well as the feeling of heaviness and sensation of a foreign body in the bladder. The active ingredient of No-shpy is drotaverin. This drug has a strong and long-lasting effect, which is superior to papaverine.

With an exacerbation of chronic prostatitis, prophylactic intake of No-shpa tablets is shown, one tablet three times a day, with acute pain syndrome, the drug can be administered intramuscularly. You can buy this myotropic antispasmodic for 194 rubles. per bottle, in a bottle of 100 tablets of 40 mg. The well-known Hungarian pharmaceutical company Hinoin produces this drug.

Advantages and disadvantages

The positive aspects of using drotaverine include a low risk of side effects, as well as a low risk of developing allergic reactions. The negative aspects of using the drug include the need to refrain from driving vehicles during treatment, and especially after using the drug intramuscularly and intravenously.

The best anti-inflammatory drugs for prostatitis

This group of drugs is used mainly in the complex therapy of pain syndrome in acute prostatitis and exacerbation of a chronic process, as well as to eliminate edema and local inflammation. To increase the effectiveness, these drugs are most often prescribed in rectal suppositories. We have included in the rating several drugs with the highest efficacy, safety and relatively inexpensive

Indomethacin in candles

Rating: 4.9

Indomethacin in rectal suppositories, or in suppositories, is one of the most famous and effective drugs from the group of non-steroidal anti-inflammatory drugs. Many believe that since this remedy has been used and known for a long time, a more effective drug has already appeared, and indomethacin is 'outdated'. In fact, this is not the case, indomethacin has a very strong anti-inflammatory effect. Modern drugs may be safer and more selective, but indomethacin is now, as before, one of the most effective drugs. He is able to eliminate pain, swelling in the tissues of the prostate gland.

Indomethacin in rectal suppositories of 100 mg number 10 can be purchased at retail for a symbolic cost of about 45 rubles. We are talking about the domestic manufacturer Biosintez LLC.

Advantages and disadvantages

It must be remembered that the maximum dosage of suppositories with indomethacin should not exceed 100 mg 2 times a day, and the duration of treatment should not exceed 1 month. A positive quality is high efficiency and low cost of the product. As for the negative qualities, indomethacin is capable of causing various unpleasant symptoms that can manifest itself as an erosive – ulcerative process in the gastrointestinal tract, nausea, vomiting and pain, and exacerbate the course of peptic ulcer disease. Therefore, despite the high efficiency of the agent, it should be prescribed even for local treatment only by a doctor.

Ketoprofen in rectal suppositories

Rating: 4.8

Ketoprofen in suppositories is widely used to relieve swelling, pain and inflammation in acute prostatitis and with exacerbation of a chronic process. Ketoprofen was included in the rating of non-steroidal anti-inflammatory drugs because of its complex antiaggregatory, analgesic and anti-inflammatory effects. Each suppository contains 100 mg of ketoprofen, and is applied once or twice a day, but no more than 3 suppositories, which contain a total maximum daily dose of 300 mg. Most often, rectal suppositories with ketoprofen can be purchased in the form of Ketonal, from 180 rubles. for 12 candles. Other commercial names for ketoprofen include Artrozilen and Flexen.

Advantages and disadvantages

The positive properties include high efficiency, slight interaction with other drugs, as well as the rare occurrence of various side effects, which, first of all, include nausea, dizziness and headache. The drug can, with prolonged and uncontrolled use, induce the risk of developing ulcerative erosive processes in the gastrointestinal tract, therefore, its intake should be under the supervision of the attending physician – urologist.

Prostatilen

Rating: 4.8

The Prostatilen agent has been successfully used in urological practice for more than 20 years, and has a strong symptomatic effect. In men, pain during urination decreases or disappears, capillary blood flow inside the prostate improves, and spermogram indices improve. The drug is used in both acute and chronic prostatitis, after surgical interventions on the pelvic organs, as well as in benign prostatic hyperplasia. In uncomplicated conditions, the drug is used 1 suppository 1 time per day for 10 days. The preparation contains an extract of animal origin, which is a complex of polypeptide protein chains of low molecular weight. Also, a trace element zinc is added to the suppositories, which improve immunity and the maturation of sperm, as well as glycine. 10 suppositories of a dosage of 30 mg can be purchased for 510 rubles.

Advantages and disadvantages

The advantage of the remedy is good tolerance, a low number of side effects, a proven restoration of microcirculatory blood flow in the pelvic organs. The disadvantages, perhaps, include the recommendation to stay in bed for half an hour after the introduction of the suppository into the anus.

The best immunomodulating dietary supplements for prostatitis

Also, the rating included several drugs that are not drugs and are registered as dietary supplements, but they have a complex immunoprotective and general strengthening effect.

Vitaprost

Rating: 4.8

One of the market leaders is Vitaprost in rectal suppositories. The basis of the structure of the preparation is an extract from the prostate of cattle, which also gently and positively affects the work of this organ in men. This tool is distinguished by the rapid onset of the effect, which consists in normalizing the microvasculature in the organ, protecting the prostate from thrombus formation, and normalizing urination. Suppositories also have a protective effect on the muscles of the bladder.

The drug is available in suppositories under the name Vitaprost Plus (50 mg), as well as Vitaprost Forte (100 mg). It is necessary to apply the product once or twice a day, the course of treatment is about 10 days.

Advantages and disadvantages

This drug is biological, and the advantages of the drug include the absence of an overdose, and side effects, with the exception of cases of individual intolerance. In addition, Vitaprost is compatible with alcohol, and manufacturers do not declare any restrictions on this. The disadvantages of the drug include a rather high cost. So, for Vitaprost Forte, the cost of one pack of 10 candles is 990 rubles.

Prostamol Uno

Rating: 4.7

Also modern dietary supplements used in the complex therapy of prostatitis include Prostamol Uno. The active ingredient is an extract from the fruit of a special palm tree, and the drug is used in capsules. This extract has a mild anti-edema and vasoprotective effect, anti-inflammatory and anti-androgenic effect. As a result, testosterone is converted to dihydrotestosterone, which prevents the prostate gland from enlarging. Also, this extract is able to have a mild anti-inflammatory effect and normalize impaired urodynamics. Prostamol Uno is used 1 capsule per day after meals, the cost of 30 capsules with a dosage of 320 mg is from 550 rubles.

Advantages and disadvantages

The advantages of this drug include the rare development of side effects, which consist in discomfort on the part of digestion, as well as a mild effect on the body. The negative sides include a fairly high cost.

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Attention! This rating is subjective and does not constitute an advertisement and does not serve as a purchase guide. Before buying, you need to consult with a specialist.