More than prostatitis treated: suppositories or pills

Chronic prostatitis in the world is acquired, according to various sources, from 20-35% of men in the most active age - 20-40 years old. It also occurs at an older age, often in association with prostate tumors. Perineal pain, urinary disturbances and other unpleasant symptoms of the disease significantly reduce quality of life. To deal with the problem, you need a thorough diagnosis and a holistic approach to therapy. Let's talk about what types of oral tablets for prostatitis exist, how they work. We will also analyze the features of another popular dosage form - rectal suppositories, and try to find an answer to the final question of which is better.

When and how can prostatitis drugs be prescribed?

Drug treatment of chronic prostatitis is aimed at eliminating the cause of the inflammation and relieving the symptoms, the first of which are pain, urinary disorders, and sexual dysfunction. To be effective, the treatment must be comprehensive.

Prostatitis medicine for men is prescribed by the doctor based on the results of the examination, listening to the patient's confession, studying the history and special diagnostic measures. Among them, laboratory testing of urine and prostate secretions is the most important. They help to determine the presence and extent of the inflammatory process in the prostate gland, determine the infection, determine the type of pathogen (in case of infectious nature of the disease) and the sensitivity of the pathogenic microflorawith antibiotics. Urine measurement is done to evaluate for urinary disorders. In some cases, a prostate biopsy is performed for the differential diagnosis.

Consider which drugs for prostatitis are particularly widely used in urological practice and how they work.


In about 10% of cases, prostatitis is of an infectious origin, and up to 90% is caused by chronic bacterial prostatitis. That's why antibiotics don't always work. In addition, different pathogens respond differently to antibiotic therapy. There are strains that are resistant to several classes of antibiotics. For the correct selection of drugs, it is necessary to accurately determine the type of pathogen and its sensitivity to therapeutic therapy. When prescribing antibacterial drugs for chronic prostatitis, the doctor takes into account their spectrum of activity, the possibility of accumulation of the active substance in the tissues of the gland, and possible side effects.

Antibiotics are a big drug. In chronic bacterial prostatitis, drugs of the following groups are most often prescribed:

  • Fluoroquinolones- Antibiotics of first choice in the treatment of chronic prostatitis. They penetrate well into the tissues of the prostate gland and form a concentration sufficient to block bacterial activity. Fluoroquinolones have a wide range of activities against various pathogenic microorganisms.
  • Tetracyclinesactive against specific pathogens of chronic prostatitis - chlamydia, mycoplasma and others. Staphylococcus aureus and Escherichia coli are less susceptible to them.
  • Macrolidesare also specified when specific flora is identified. They are weakly active against gram-negative bacteria.

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When treating prostatitis with antibiotics, the dose and duration of treatment recommended by the doctor must be strictly adhered to. If the dosage is exceeded, the possibility of side effects is increased - allergies, digestive disorders and renal dysfunction. If therapy is not successful within two weeks, antibiotic treatment is usually discontinued.

alpha blockers

Drugs in this class are used for the adjuvant treatment of chronic prostatitis. One of the most painful manifestations of the disease is a violation of the outflow of urine due to spasm of the smooth muscles of the bladder neck, prostate gland and urethra. Alpha blockers act on receptors in the tissues of these organs, blocking the transmission of nerve impulses. As a result, the muscles are relaxed.

The use of adrenergic blockers improves the flow of urine, relieves pain, eliminates blood stasis in the pelvis, restores sexual function. Therefore, these male prostatitis pills mainly work to treat symptoms (reduce spasms) rather than affect the causative agents.

Drugs belonging to the group of alpha blockers used in chronic prostatitis have a selective effect on the receptors of the prostate, bladder and urethra.

The therapeutic effect of alpha blockers does not occur immediately, but about two weeks after starting use. Usually, these prostatitis pills are well tolerated, but side effects can occur in the form of nervous system disturbances (such as dizziness, headache, drowsiness, weakness), sadnessvomiting and allergic reactions.

Antispasmodic drugs

In chronic prostatitis, they are prescribed with the same purpose as adrenergic blockers: to reduce smooth muscle spasms and thus facilitate the outflow of urine. Restoring the ability to urinate normally improves blood circulation, eliminating blockages.


Drugs of this broad class work to target, reduce inflammation in the affected tissues. They are prescribed for a severe inflammatory process, accompanied by pain (an additional effect of most NSAIDs is analgesia). Funds of this group cannot be used for a long time and in large doses due to possible harm to the gastrointestinal tract and other side effects. The advantage of NSAIDs is that they work quickly enough.

Immune conditioning

In chronic prostatitis, the immune mechanism is impaired. The use of immunomodulatory drugs restores the natural defenses, helps to reduce inflammation and normalizes the functions of the prostate gland. The drugs in this group are very diverse in composition and effects. A special place among immunomodulators belongs to regulatory peptides. These substances are proteins in nature that regulate biochemical processes in cells. Thus, they initiate the tissue repair process from within.

Herbal preparations

As an adjuvant therapy for chronic prostatitis, a variety of plant extracts are used. They have anti-inflammatory, analgesic, and mild bacteriostatic properties. The advantage of herbal preparations is few side effects, the disadvantage is low effectiveness. Many of them are classified as functional foods.

Suppositories for prostatitis: mechanism of action

As you can see, there are quite a few pills that support the treatment of prostatitis. However, doctors and patients often prefer another dosage form - rectal suppositories. Let's try to figure out which is better for prostatitis - suppositories or pills, and why.

Rectal suppositoriescontains the same active ingredients as the tablet. The composition of different types of candles may include:

  • NSAIDs;
  • antispasmodics;
  • regulatory peptides (prostate extract);
  • interferon and other immunomodulators;
  • enzyme preparations (prevent fibrosis - replace normal connective tissue due to inflammation);
  • anti-inflammatory, analgesic, antibacterial, antioxidant ingredients of plant and animal origin (eg, pumpkin seed oil, propolis).

Several medications for prostatitis are available in the form of tablets and suppositories.

But if the ingredients are the same, then what is the difference between a tablet and a suppository?

First, the candle has a strong local effect. The prostate gland is in direct contact with the rectal wall; therefore, the active substance of the suppository immediately enters the inflammatory focus. Suppositories work faster than pills.

Secondly, preparations in the form of suppositories have a higher bioavailability. The substance from the tablet, before entering the bloodstream, will pass through the acidic environment of the stomach and the liver barrier. At the same time, its concentration may decrease.

Third, suppositories, unlike many tablets, practically have no harmful effect on the gastrointestinal tract and on the whole body.

tablets and suppositories for prostatitis

The downside of this form is that it's not the most common way to use it. After the introduction of suppositories, you should maintain a supine position for 30 minutes. To avoid trouble, it is best to light a candle before going to bed.

What to use for prostatitis - suppositories or tablets - must be decided together with the doctor, taking into account the nature of the disease and contraindications. For example, if a bacterial infection is present, systemic antibiotics by mouth cannot be avoided. Many drugs are wiser to use in suppositories because of their direct effects. In addition, in the treatment regimen of chronic prostatitis, tablets and suppositories can be combined.

What suppositories can be prescribed for prostatitis?

For the complex treatment of chronic prostatitis, urologists often prescribe suppositories with prostate extract. This drug was developed over 30 years ago and has stood the test of time.

Suppositories with natural ingredients: the active ingredient is prostate extract. This is a complex of regulatory peptides that target the prostate gland, contributing to prostate repair. It improves blood microcirculation, helps to reduce inflammation and edema, and at the same time eliminates pain. Normalization of bladder smooth muscle tone leads to resolution of urinary problems.

The technology for the production of such a drug makes it possible to obtain low molecular weight peptides with high bioavailability. Active substances easily penetrate into the focus of the disease. The absence of high molecular weight compounds reduces the likelihood of allergies and other adverse reactions.

Indications for use of the drug: chronic bacterial prostatitis, conditions before and after prostate surgery, as well as benign prostatic hyperplasia. The course applies to chronic prostatitis in just 10 days. The tool is very economical: a pack of 10 rounds can be enough for the entire course (recommended to use one or two suppositories per day).