What is the best medication for acute prostatitis?

Aug 12, 2024 Source: Cainiu Health
Disease description:

It started hurting a lot when going to the bathroom yesterday, especially during urination, and I vaguely noticed blood streaks in my urine. I looked it up online and suspect it might be caused by acute prostatitis. I would like to ask what medications are effective for this condition to recover quickly?

Doctor's answer (1)
Dr. Cao Zhiqiang

Acute prostatitis is a common urinary and reproductive system disease in men, primarily caused by bacterial infection. Commonly used treatment medications:

1. Antibiotics are the first-line drugs for treating acute prostatitis. Commonly used antibiotics include quinolones such as levofloxacin and moxifloxacin, and cephalosporins such as ceftriaxone and ceftazidime. These antibiotics effectively kill bacteria within the prostate, thereby controlling inflammation.

2. Adjunctive treatment medications: In addition to antibiotics, some adjunctive medications can be used, such as nonsteroidal anti-inflammatory drugs (NSAIDs), including ibuprofen and indomethacin, which can help relieve pain and inflammation caused by acute prostatitis. These medications inhibit prostaglandin synthesis, thus reducing pain and inflammatory responses.

3. Other medications: α-Blockers, such as terazosin and tamsulosin, can alleviate symptoms of difficult urination; plant extracts, such as saw palmetto and lycopene, have certain anti-inflammatory and antioxidant effects and can be used as adjunctive therapy.