GENITOURINARY - Prostatitis, Acute Bacterial (E. coli, Enterobacteriaceae, N. gonorrhoeae, C. trachomatis, Enterococci [less commonly})

 

 

Ciprofloxacin

(Cipro®)

 

Tabs: 250 mg, 500 mg, 750 mg    

 

Adult: 500 mg PO twice daily for 4 weeks.

 

Food: Take on empty stomach 1 hour before or 2 hours after a meal. May take with food if it causes GI upset, but avoid large amounts of dairy products.

 

 

May take 2 hours before or 6 hours after sucralfate, antacids, aluminum, magnesium, calcium, zinc, iron, sucralfate, vitamins, or mineral supplements.

 

Important side effects: Photosensitivity, dizziness.

 

Reduce dose in renal disease

(CrCl <50 mL/min).

 

 

Levofloxacin

 

Adult: 500 mg PO daily for 4 weeks.

 

Food: May take with or without meals.

(Levaquin®)

 

Tabs: 250 mg, 500 mg   

 

Do not take within 2 hours of antacids, magnesium, calcium supplements, zinc, aluminum, sucralfate, vitamins, or minerals (iron or zinc).

 

 

 

Important side effects: Photosensitivity, dizziness.

 

 

 

Reduce dose in renal disease (CrCl <50 mL/min).

 

 

Ofloxacin

(Floxin®)

Tabs: 200 mg, 300 mg, 400 mg    

 

Adult: 400 mg PO twice daily for 4 weeks.

 

Food: Take on empty stomach. Do not take within 2 hours of antacids, magnesium, calcium, zinc, iron, aluminum, sucralfate, vitamins, or mineral supplements.

 

Important side effects: Nausea, photosensitivity, dizziness.

 

Reduce dose in renal disease

(CrCl <50 mL/min).

 

 

Trimethoprim/ sulfamethoxazole

(Bactrim®, Septra®)

Generics available

 

Single Strength (SS) Tabs:

80 mg/400 mg

 

Double Strength (DS) Tabs:

160 mg/800 mg

 

 

Adult:

1 DS tablet PO twice daily for4 weeks.

 

Food: May take without regard to food. Encourage fluids.

 

Important side effects: Photosensitivity, rash.

 

Reduce dose in renal disease

(CrCl <30 mL/min).

 

GENITOURINARY - Prostatitis, Chronic Bacterial (Enterobacteriaceae, Enterococci) Most cases of “prostatitis” are not caused by bacterial infection. Chronic prostatitis is characterized by relapsing bacteriuria.

 

 

Ciprofloxacin

(Cipro®)

Tabs: 250 mg, 500 mg, 750 mg    

 

Adult: 500 mg PO twice daily for 6-12 weeks.

 

Food: Take on empty stomach 1 hour before or 2 hours after a meal. May take with food if it causes GI upset, but avoid large amounts of dairy products.

May take 2 hours before or 6 hours after sucralfate, antacids, aluminum, magnesium, calcium, zinc, iron, sucralfate, vitamins, or mineral supplements.

 

 

 

Important side effects: Photosensitivity, dizziness.

 

 

 

Reduce dose in renal disease (CrCl <50 mL/min).

 

 

 

Levofloxacin

(Levaquin®)

 

Tabs: 250 mg, 500 mg     

 

18 and Adult: 500 mg PO daily for 6-12 weeks.

 

Food: May take with or without meals.

Do not take within 2 hours of antacids, magnesium, calcium supplements, zinc, aluminum, sucralfate, vitamins, or minerals (iron or zinc).

 

 

 

Important side effects: Photosensitivity, dizziness.

 

 

 

Reduce dose in renal disease (CrCl <50 mL/min).

 

 

 

Ofloxacin

(Floxin®)

 

Tabs: 200 mg, 300 mg, 400 mg   

 

Adult: 400 mg PO twice daily for 6-12 weeks.

 

Food: Take on empty stomach. Do not take within 2 hours of antacids, magnesium, calcium, zinc, iron, aluminum, sucralfate, vitamins, or mineral supplements.

 

 

 

Important side effects: Nausea, photosensitivity, dizziness.

 

 

 

Reduce dose in renal disease (CrCl <50 mL/min).

 

 

 

Doxycycline

(Vibramycin®)

Generics available

 

Caps: 50 mg, 100 mg  

Tabs: 100 mg

 

Adult: 100 mg PO twice daily for 6-12 weeks.

 

Food: May take with food if GI upset occurs. Take 1 hour before or 2 hours after antacids, iron, milk, or other dairy products. Take with full glass of water to prevent esophagitis.

 

 

Important side effects: Photosensitivity, use sunscreen. Esophagitis. May discolor fingernails.

 

 

Trimethoprim/Sulfamethoxazole

(Bactrim®, Septra®)

Generics available

 

Single Strength (SS)

Tabs: 80 mg/400 mg

 

Double Strength (DS)

Tabs: 160 mg/800 mg

 

 

Adult: 1 DS tablet PO twice daily for 6-12 weeks.

 

Food: May take without regard to food.

Encourage fluids.

 

Important side effects: Photosensitivity, rash.

 

Reduce dose in renal disease

(CrCl <30 mL/min).