Medications and Drugs for Chronic Prostatitis
Medications and drugs for chronic prostatitis may be necessary at times, depending on your symptoms. Unfortunately many drugs do have significant side effects, and some doctors overprescribe them for patients who don’t actually need them, leading to unwanted side effects or long term antibiotic resistance. The most common medications and drugs for chronic prostatitis include:
- Antibiotics (for infection)
- Anti-depressives (for neuropathic pain)
- Anti-inflammatory drugs (for pain and inflammation)
- Alpha blockers (for urinary symptoms)
- 5 alpha reductase inhibitors (for urinary symptoms)
- Anticholinergic agents (for symptoms of overactive bladder or “sudden urge” to urinate)
- Muscle relaxants (to ease pain and pressure, relax pelvic muscles, and reduce anxiety)
- Gabapentenoids (for neuropathic pain)
Many doctors prescribe antibiotics for prostatitis just “to rule out infection,” but the majority of chronic prostatitis symptoms are not caused by bacteria. Ask your doctor about tests and lower urinary tract cultures that can rule out infection for you without resorting to antibiotics. If bacteria is present then antibiotics are generally the first level of treatment, but if your results are negative for bacteria, ask your doctor “why” you should take antibiotics. Taking antibiotics when you have no bacteria present wastes your time and money, plus it has detrimental long-term effects to your health, such as antibiotic resistance, which means that the drugs will not work well for you in future illnesses when you do have a real bacterial infection or when you require, say, a prostate biopsy procedure. Antibiotics such as Cipro also kill off the beneficial bacteria in your gut and have very serious side effects. Make sure after you take any course of antibiotics that you replenish the beneficial bacteria in your gut with a course of probiotics that are specifically formulated for men.
Anti-depressives for prostatitis are drugs that are usually prescribed after other traditional methods have not worked. They can help with neuropathic pain, which is pain that is caused by damage or disease that affects the sensory system in the body. Anti-depressives may help with some urinary symptoms and are helpful for men suffering from psychological depression resulting from dealing with the ongoing pain and other symptoms of ongoing chronic pelvic pain syndrome (CPPS).
Nonsteroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen (over the counter) and Celebrex (by prescription) may be helpful for pain and inflammation short-term, but these drugs do have some long-term side effects. Patients are encouraged to consider the number of natural prostatitis treatments and alternative prostatitis treatments to help with ongoing inflammation in order to avoid side effects from these drugs.
For urinary symptoms, doctors sometimes prescribe medications used to treat an enlarged prostate. Both alpha blockers and 5 alpha reductase inhibitors may help patients who are experiencing urinary symptoms, but these drugs are generally not recommended as the first line of therapy. These medications can cause side effects such as long-term sexual dysfunction (ED), ejaculation problems, and even a high risk of prostate cancer (in the case of Proscar [finasteride]). If you experience symptoms of an overactive bladder or the sudden urge to urinate, your doctor may recommend anticholinergic agents to help with those types of urinary symptoms.
Muscle relaxants for prostatitis may be prescribed for men who have pelvic tension disorders associated with their CPPS. Muscle relaxants help in several ways. They calm the central nervous system, reduce anxiety, and relax the pelvic muscles. This can reduce muscle spasms and may ease the pain and pressure men experience. Muscle relaxants do have many side effects and warnings. Fortunately there are many natural and alternative prostatitis treatments you may consider to help with muscle spasms and chronic tension disorders.
Gabapentinoids for prostatitis include some medications that help with nerve pain and neuropathic pain. Doctors may precribe these drugs if other treatments have not provided relief. Traditionally these medications are used for such conditions as epilepsy, convulsions, and nerve damage. There also may be other drugs your doctor may recommend, such as Zyloprim, which reduces acid production.
Questions to Ask Your Doctor
Any time your doctor prescribes a medication for you, ask questions. Find out why it is being prescribed, what potential side effects it can cause, and if there are any long-term risks. Make sure to check with your doctor or pharmacist to find out whether the medication may interact with any other medications you are taking. Always approach the use of medications with some caution. Consider natural prostatitis treatments such as supplements and drug-free alternative prostatitis treatments and therapies, which may just as effective at relieving symptoms without any side effects or risks associated with medications and drugs for chronic prostatitis.