Antibiotics for Prostatitis

antibiotics for prostatitis

What Are They?

Antibiotics for prostatitis may be the first treatment your doctor will recommend for prostatitis. Antibiotics are prescribed in cases of bacterial prostatitis in order to attack any bacterial infection. Some urologists still continue to prescribe antibiotics even in cases of non-bacterial prostatitis just to rule out any possibility of infection although this is not considered good practice given the potential side effects of these drugs. The most frequently prescribed antibiotics for prostatitis include:

  • Avelox
  • Bactrim
  • Doxycycline
  • Cipro
  • Keflex
  • Levaquin
  • Rocephin
  • Tetracycline
  • IV Infusions

Patients who have acute bacterial prostatitis can be at risk for a very serious infection and sometime require hospitalization and IV antibiotics.

Patients who have chronic bacterial prostatitis may need to take antibiotics for prostatitis for several weeks, and even then may suffer recurrence of their prostatitis symptoms.

Even patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) may take antibiotics even though they do not have an infection because some of the symptoms of CP/CPPS are similar to bacterial prostatitis symptoms. Your doctors may want to rule out an infection. The problem with prescribing antibiotics for CP/CPPS is that this type of prostatitis is not usually caused by a bacterium, so treatment with an antibiotic won’t work for CP/CPPS. It can be challenging to diagnose the cause of CP/CPPS, which may involve a multimodal approach with several kinds of medications along with natural and alternative treatments, phytotherapy, and supplements.

Ask your doctor questions about your treatment when he or she prescribes an antibiotic. Ask your doctor, “Why are you prescribing me this and what are the side effects?” A few common antibiotics like Cipro have some serious side effects. If you can avoid long-term use of antibiotics, you should. It is not a good idea to put your body through long-term use of antibiotics, especially if there is no bacterium present. Be aware that overuse of antibiotics can lead to antibiotic resistance.

Antibiotics kill both the good (beneficial) bacteria as well as the bad, and that can cause other problems in your digestive track and allow opportunistic organisms such as fungi to grow. If you take antibiotics you should also consider supplementing with a broad-spectrum, natural probiotic. Probiotics can help replace all the beneficial bacteria in your gut and intestines that the antibiotics kill. Use a probiotic that is doctor formulated for men’s health.

Another way to narrow down and classify your symptoms so that you and your doctor can find the correct treatment for your prostatitis symptoms is the UPOINT system. UPOINT stands for Urinary, Psychosocial, Organ Specific, Infection, Neurologic/Systemic, and Tenderness of Skeletal Muscles. Using UPOINT to diagnose and create a personalized treatment program can help you to possibly avoid taking unnecessary antibiotics if you don’t have bacteria causing your prostatitis. UPOINT uses a multi-modal approach with different treatments depending on the symptoms.