Medications for the treatment of prostatitis in men: a list of effective treatments

Is There An Effective Cure For Prostatitis? Medications to treat any type of prostatitis in men, which medications are the basis of choice? Inflammation of the prostate can catch a person at any age, so drugs for the treatment of the prostate are used to treat both acute and chronic pathologies. The appropriateness of prescribing and using them will only be assessed by the urologist after detailed examination of the patient and completion of diagnostic measures.

But above all, keep in mind that in addition to the medications described below, men need comprehensive treatment for prostatitis. Special diet, physiotherapy and exercise play a lion's share in the treatment of the disease. Don't forget about it.

Rational antibiotic therapy

The most common cause of prostatitis is the penetration of pathogenic bacteria into the gland. Therefore, antibiotics are the drug of choice for the treatment of acute and chronic prostatitis in men.

First, a broad-spectrum drug is prescribed to treat prostatitis, and after receiving the results of bacterial culture, narrow-spectrum drugs (against the appropriate pathogen) are prescribed. If the pathogen is not identified, which happens quite often, it is still treated with the same broad-spectrum antibiotic that shows positive dynamics behind its use. In exceptional cases, the antibiotic is replaced by another empirical method (based on the physician's own experience).

Let’s look at which lists of drugs (antibiotics) to treat prostatitis in men are considered effective.


These are broad-spectrum drugs that have great potential directly in the prostate tissue in men. Because of their named properties, they are extremely effective in treating prostatitis.

However, these antibiotics should be used with caution in men because of the following side effects:

  • From the gastrointestinal tract - heartburn, epigastric pain, nausea, diarrhea, vomiting.
  • From the side of the central nervous system - ototoxicity, insomnia, drowsiness, dizziness, headache, convulsions, paraesthesia, tremor.
  • Possible allergic reaction - itching, rash, Quincke's edema.

Prescribing fluoroquinolones is contraindicated in the treatment of severe cerebral atherosclerosis, enzyme deficiencies such as glucose-6-phosphate dehydrogenase, and allergic reactions to the drug components.

Tetracyclines and macrolides

These are broad-spectrum antibiotics, but it should be borne in mind that such agents show little activity against staphylococci, Pseudomonas aeruginosa, and Escherichia coli.

Basically, the side effects of taking tetracyclines are related to disorders of the gastrointestinal tract - nausea, vomiting, heartburn. At high doses, these antibiotics are hepatotoxic and nephrotoxic.

Antibacterial agents for the treatment of the prostate in this group, as well as fluoroquinolones, penetrate well and accumulate in the prostate gland of men. This is the most toxic group of antibiotics, which is better than other drugs because it has few side effects.

The doctor will prescribe medication to treat the inflammation of the prostate

Macrolides are predominantly bacteriostatic. It has good activity against gram-positive bacteria and intracellular parasites (chlamydia, legionella, mycoplasma).

Selection criteria for antibacterial agents

Remember that antimicrobials are prescribed individually for each patient, taking into account various factors. Let's take a closer look at them:

  • The pathogen that causes the disease.
  • Form (chronic or acute) and severity of pathology.
  • Presence of contraindications in the patient.
  • Side effects.
  • Bioavailability of antibacterial drug in prostate tissue.
  • How the medicine gets into the patient's body.

Do not try to treat prostatitis alone, as this may harm you and make the pathogenic flora resistant to the antimicrobials that cause the disease. If treatment with antibacterial agents for 3 days does not show a positive effect, they should be replaced with another group.

Symptomatic and pathogenetic therapy

In men, this type of treatment for prostatitis with drugs improves the patient's quality of life and increases the rate of recovery by eliminating the symptoms of the disease. Includes:

  • Alpha blockers. Drugs belonging to this group are necessarily used in the complex treatment of prostatitis in men to facilitate urination, to prevent stagnation of secretion in the gland and its reverse reflux. Their activity is to relieve cramps in the smooth muscles of the walls of the prostate, bladder and ureter. It is also used to treat prostate adenoma.
  • Non-steroidal anti-inflammatory drugs (NSAIDs). NSAIDs help reduce inflammation in the glandular tissue, thereby improving urination and eliminating stagnation. They also relieve pain.
  • Hormonal drugs. The prostate is a hormone-dependent organ, that is, its function is affected by the hormonal background in men. The essence of hormone therapy is to take antiandrogenic drugs that reduce the amount of male sex hormones in the patient’s body. This helps reduce the amount of inflammation and glandular tissue in the prostate.

We have listed the main drugs that are better used to treat prostatitis at the current stage of development in medicine. Remember to always consult your doctor before purchasing.