Tricyclic antidepressants; sodium pentosapolysulfate |
Inhibit reuptake of noradrenaline and serotonin |
Improves pain regulation; improves functioning of the downward pain-processing conduits |
Resiniferatoxin; capsaicin |
Bind to nerve-ending receptors and desensitize pain fibers |
Delays nerve conduction velocity |
Botulinum toxin |
Inhibits the secretion of inflammatory agents such as substance p and nerve growth factors; inhibits production of prostaglandins |
Administered due to the assumption that CPPS has an inflammatory source; prevents higher tonus of pelvic muscles |
Hormone therapy |
Releases hormone agonists |
Some success in response to hormone therapy; pain is related to the menstrual cycle and hormonal changes |