GENITOURINARY - Prostatitis, Acute Bacterial (E. coli, Enterobacteriaceae, N. gonorrhoeae, C. trachomatis, Enterococci [less commonly})
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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. |
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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).
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Levofloxacin |
Adult: 500 mg PO daily for 4 weeks. |
Food: May take with or without meals. |
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(Levaquin®)
Tabs: 250 mg, 500 mg |
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Do not take within 2 hours of antacids, magnesium, calcium supplements, zinc, aluminum, sucralfate, vitamins, or minerals (iron or zinc).
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Important side effects: Photosensitivity, dizziness.
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Reduce dose in renal disease (CrCl <50 mL/min).
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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).
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Trimethoprim/ sulfamethoxazole (Bactrim®, Septra®) Generics available
Single Strength (SS) Tabs: 80 mg/400 mg
Double Strength (DS) Tabs: 160 mg/800 mg
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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). |
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GENITOURINARY - Prostatitis, Chronic Bacterial (Enterobacteriaceae, Enterococci) Most cases of “prostatitis” are not caused by bacterial infection. Chronic prostatitis is characterized by relapsing bacteriuria.
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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.
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Important side effects: Photosensitivity, dizziness.
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Reduce dose in renal disease (CrCl <50 mL/min).
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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).
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Important side effects: Photosensitivity, dizziness.
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Reduce dose in renal disease (CrCl <50 mL/min).
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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.
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Important side effects: Nausea, photosensitivity, dizziness.
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Reduce dose in renal disease (CrCl <50 mL/min).
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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. |
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Important side effects: Photosensitivity, use sunscreen. Esophagitis. May discolor fingernails.
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Trimethoprim/Sulfamethoxazole (Bactrim®, Septra®) Generics available
Single Strength (SS) Tabs: 80 mg/400 mg
Double Strength (DS) Tabs: 160 mg/800 mg
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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).
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