Bacterial Prostatitis Treatment

bacterial prostatitis treatment

Bacterial prostatitis treatment usually involves the use of antibiotics to kill any bacteria that may be present. Patients with acute bacterial prostatitis require antibiotics and may even require hospitalization and an IV infusion if their condition is serious. Patients with chronic bacterial prostatitis may need many weeks of antibiotics, and recurrence is common.

Besides antibiotics, there are several other medications, treatments, and natural supplements that a physician may prescribe depending on the prostatitis symptoms and diagnosis including:

  • Anti-depressives, which can help with neuropathic pain as well as assist with the patients mental health;
  • Anti-inflammatory drugs (NSAIDS) are commonly given to reduce inflammation and pain associated with prostatitis;
  • Alpha blockers and 5 alpha reductase inhibitors can help with urinary symptoms caused by prostatitis;
  • Anticholinergic agents (including antimuscarinics) may be prescribed to help with symptoms of an overactive bladder and urge incontinence;
  • Muscle relaxants to help patients with muscle spasms; and/or
  • Gabapentinoids, which may help with nerve-related pain.
  • Supplements, which are natural therapies that help boost immunity and support the body’s natural response to inflammation and infection. Probiotics can help the body recover from the gastrointestinal effects of taking antibiotics.

You should always ask your doctor questions about possible side effects and drug interactions because some of these medications have some long-term side effects, especially Cipro and other antibiotics. This is not a complete list as there are other drugs that your doctor might recommend or prescribe for your bacterial prostatitis treatment, but let’s go into each of these categories in more detail.

Drugs for Bacterial Prostatitis Treatment


The most popular antibiotics that doctors prescribe for bacterial prostatitis treatment are Avelox, Bactrim, Geocillin, Cipro, Keflex, Levaquin. Rocephin, Sumycin, and IV Infusions if hospitalization is required. Antibiotics may be the first thing your doctor prescribes when you go to him or her for bacterial prostatitis treatment. Patients with acute bacterial prostatitis are at risk for a very serious infection. Patients with chronic bacterial prostatitis may require many weeks and even several rounds of antibiotics.

In fact, antibiotics are usually the first line of treatment for all kinds of prostatitis, even chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Since CP/CPPS is not generally caused by a bacterium, naturally the antibiotic treatment does not work and has no effect. It is often difficult to determine the cause of CP/CPPS, so doctors tend to start with an antibiotic to rule out infection.

Patients are cautioned against long-term use of antibiotics when there is no bacterium present. You should always question your treatment program to get a full understanding of the drugs you are being prescribed and the potential side effects. Ask your Doctor – “Why are you prescribing me this?”

In addition, patients on antibiotics may look to supplement with a broad-spectrum natural probiotic to help replace all the beneficial bacteria in the gut and intestines that is killed by the antibiotics.

Anti-Depressives – to Manage Depression

Tricyclic antidepressant medications such as Elavil, Pamelor, Tofranil, and Luvox can help with pain management for prostatitis. They are more frequently prescribed for CP/CPPS to help the patient deal with the psychological impact of living with chronic pelvic pain on a long-term basis.

Anti-Inflammatory Drugs (NSAIDS) – for Pain

Your doctor may prescribe an over-the-counter anti-inflammatory such as ibuprofen or a prescription such as Celebrex. Anti-inflammatory drugs help with pain, and, obviously inflammation. They can also help reduce fever. These are commonly given for men with Chronic Prostatitis/CPPS as well.

Alpha Blockers – for Urinary Symptoms

Alpha blockers such as Flomax, Uroxatral , Rapaflo, Hytrin, and Cardura are used to treat a variety of prostate conditions, but they are prescribed for prostatitis to help with urinary problems. Alpha blockers relax the muscles at the base of the bladder to reduce muscle tightness and spasms, which may prevent normal urine flow. They do have several side effects associated with them, so take caution. Flomax in particular can cause erectile dysfunction, retrograde ejaculation and other serious sexual side effects.

5 Alpha Reductase Inhibitors – to Reduce Prostate Size

5 Alpha reductase inhibitors (such as Proscar) prevent the conversion of testosterone, the male sex hormone, to the more potent dihydrotestosterone. This helps stop the growth of the prostate or reduce its size to help with urination problems that prostatitis might cause. They are more commonly prescribed for men with CP/CPPS.

Muscle Relaxants—for Spasm and Pelvic Floor Tension

Muscle relaxants can help with spasms of the pelvic muscles that may accompany prostatitis. It may be helpful in some instances to combine a muscle relaxant medication with other medications used to treat prostatitis. Muscle relaxants are also used commonly in cases of CPPS where the patient exhibits signs of pelvic floor tension on diagnosis.

Anticholinergic Agents—for Urinary Symptom

Anticholinergic agents are prescribed to treat prostatitis to help with symptoms of an overactive bladder and urge incontinence. These drugs include Detrol and an antimuscarinic drug, Ditropan. Men who experience these symptoms suffer from frequent urination and interruptions of sleep (nocturia) to urinate. Patients may urinate unintentionally for no apparent reason followed by the urge to continue urinating. Antimuscarinic drugs and other anticholinergic agents can control these symptoms, which can really affect a man’s quality of life.

Gabapentinoids—for Nerve Pain

Gabapentinoids prescribed for prostatis include anticonvulsants such as Neurontin and Lyrica. These medications were originally approved for epilepsy, but they can be helpful in treating nerve-related pain. They are more likely to be prescribed for CPPS than bacterial prostatitis.

Natural Supplements

Besides pharmaceutical drugs, many men use supplements for prostatitis. Studies show that supplements can be very effective for bacterial prostatitis. According to a study that was published in the International Journal of Antimicrobial Agents, researchers gave a combination of an antibiotic with supplements such as curcumin, quercetin, saw palmetto, and stinging nettle to men with bacterial prostatitis. Compared with men who received only an antibiotic, the men who took the herbal combination along with the antibiotic experienced significantly better symptom relief. Not only that but the group that took supplements were more likely to be symptom-free several months later, compared to the men who took only antibiotics. It is important to note that quercetin may decrease the effectiveness of some antibiotics such as fluoroquinolones like Cipro. You should always talk to your doctor before you start any new therapies.

Probiotoics are a type of supplement that can help you restore your microbial flora to the gut, especially the intestines, after taking antibiotics. Probiotics are the beneficial, or good, bacterial that normally live in balance with other bacteria in the intestinal tract. Since widespread use of antibiotics can kill off both beneficial and harmful bacteria in the body, some of the more harmful bacteria in the intestinal tract can take over, causing health problems such as diarrhea, rashes, ulcers, and gum problems. Taking a probiotic supplement can help restore the balance of good/bad bacteria in the intestinal tract, which can help you to fight the effects of these organisms.

Other Drugs

Other drugs that are sometimes prescribed for prostatitis include allopurinol, which may be prescribed for prostatitis that could be the result of reflux of urine into the prostatic ducts where it causes high levels of inflammation. This medication is more commonly prescribed for CP/CPPS than bacterial prostatitis.

Other Treatments for Bacterial Prostatitis

Medication and natural supplements are not the only way to treat bacterial prostatitis. You should also consider other natural methods as well to support your whole body’s immunity, prevent re-infection, and help relieve symptoms. Besides medication, there are natural prostatitis treatments that you may find useful such as making dietary changes and following Dr. Geo’s “NPAT” CPPS Treatment Program. You can use supplements for prostatitis to support your body with phytotherapy, which is recommended by both UPOINT and the NPAT/CPPS treatment protocols. Probiotics can help to restore gut health, which is especially compromised by taking antibiotics.

Alternative prostatitis treatments can also help offer symptom relief when employed as bacterial prostatitis treatment. Some men find sitz baths or ice packs helpful for pain relief.