Nhuan Nguyen, Pharm D, MBA, CHEClinical Pharmacist GR Health, Georgia Regents Medical Center Augusta, Georgia Clinical Specialist Charlie Norwood VA Medical Center Augusta, Georgia Clinical Assistant Professor University of Georgia College of Pharmacy Athens, Georgia US Pharm. ABSTRACT: Prostatitis, which affects 5% to 9% of males and occurs mostly in middle age, is classified based on signs and symptoms, with urinary urgency, frequency, and pain typical in nearly all categories. Most physicians are not familiar with prostatitis, particularly chronic prostatitis associated with chronic pelvic pain syndrome (CP/CPPS). Accordingly, patients are often misdiagnosed and receive ineffective treatment, resulting in poor quality of life. CP/CPPS is challenging to treat, as its causes are not clearly defined and the antibiotics used for therapy have low effective rates. Clinical pharmacists can contribute significantly to patient care by advising physicians and other medical professionals regarding drug efficacy, adverse drug reactions, and drug interactions, and by assisting in the selection of optimal antibiotics and/or treatment regimens for prostatitis. Prostatitis (inflammation of the prostate gland), which occurs in 5% to 9% of males aged 18 years and older, most often develops in middle age. Ciprofloxacin in the treatment of chronic bacterial prostatitis: a prospective, non-comparative multicentre clinical trial with long-term follow-up. A 2009 survey of 556 primary care physicians in Boston, Chicago, and Los Angeles found that only 62% saw patients for prostatitis; surprisingly, 48% of physicians surveyed were not familiar with prostatitis and 16% were unfamiliar with chronic prostatitis associated with chronic pelvic pain syndrome (CP/CPPS). buy real viagra online The FDA has announced that it is requiring changes in the labeling of systemic fluoroquinolones to warn that the risk of serious adverse effects, including tendinitis, peripheral neuropathy and CNS effects, generally outweighs their benefit for the treatment of acute sinusitis, acute exacerbations of chronic bronchitis, and uncomplicated urinary tract infections. For these infections, the new labels will recommend reserving fluoroquinolones for patients with no other treatment options.1SINUSITIS — Acute sinusitis in adults is often viral and symptoms can be managed with analgesics, a nasal corticosteroid, and/or nasal saline irrigation. When it is bacterial, it is generally caused by with reduced susceptibility to penicillin.2-4 A respiratory fluoroquinolone (levofloxacin or moxifloxacin) is an alternative for penicillin-allergic patients. Monotherapy with a macrolide (erythromycin, clarithromycin, or azithromycin) or trimethoprim/sulfamethoxazole is generally not recommended because of increasing resistance among pneumococci. BRONCHITIS — Acute exacerbation of chronic bronchitis (AECB) is often viral. Bacterial AECB is generally caused by can be a cause of AECB and use of an intravenous antipseudomonal agent, such as cefepime or piperacillin/tazobactam, should be considered.5URINARY TRACT INFECTION — Most episodes of uncomplicated cystitis are caused by spp., other gram-negative rods, or enterococci. The drug of choice for empiric treatment of acute uncomplicated cystitis in non-pregnant women is trimethoprim/sulfamethoxazole, as long as the local rate of resistance to trimethoprim/sulfamethoxazole among urinary pathogens is is nitrofurantoin. Viagra how often Nearly 20,000 Americans are already taking Cipro, and the number was shooting up--by the hundreds or. Doxycycline is a powerful antibiotic that tends to have fewer side effects and costs much less than brand-name Cipro. buy xenical new zealand Jul 1, 1999. Trimethoprim-sulfamethoxazole and doxycycline are alternatives, but. Ciprofloxacin Cipro, 500 mg twice daily for one to three days, or one. Oct 3, 2017. Cipro generic name ciprofloxacin and Flagyl generic name metronidazole are antibiotics prescribed to treat a variety of infections. Cipro. This fact sheet provides instructions for the use of doxycycline for post-exposure prophylaxis (PEP) during an emergency involving anthrax (referred to as Emergency Use Instructions (EUI) fact sheet). Doxycycline is FDA-approved for PEP of inhalation anthrax – to reduce the incidence or progression of disease following exposure to aerosolized The Food and Drug Administration (FDA) has also issued an order permitting the emergency dispensing of oral formulations of doxycycline without a prescription during an anthrax emergency to individuals who may have been exposed to . Inhalation anthrax is the most deadly form of the disease, with a historical mortality rate of approximately 90% for untreated cases. Inhalation anthrax occurs when an individual inhales aerosolized spores. Early symptoms include fever, chills, fatigue, cough or headache. Later symptoms include shortness of breath, chest pain, confusion or nausea. Symptoms usually occur within 7 days of inhaling anthrax spores, but can occur as soon as 24 hours after exposure or may take up to 6 to 7 weeks to appear (animal data show symptoms can occur more than 50 days after exposure). Do not give doxycycline to anyone who is allergic to doxycycline or another antibiotic in the tetracycline class. During an anthrax emergency, recipients may receive an initial 10-day supply to begin doxycycline therapy; public health officials will announce whether recipients need more doxycycline and how to get additional quantities of the drug. Cipro is an effective antibiotic that treats a wide variety of infections; however, it should not be given to children aged less than 18 and in adults it should be reserved for infections that are not treated by other antibiotics. Side effects include tendinitis and tendon rupture. Prescribed for Urinary Tract Infection, Bacterial Infection, Bronchitis, Anthrax, Anthrax Prophylaxis, Skin and Structure Infection, Bladder Infection, Salmonella Enteric Fever, Plague Prophylaxis, Pneumonia, Pneumonia with Cystic Fibrosis, Prostatitis, Rabbit Fever, Shigellosis, Salmonella Gastroenteritis, Peritonitis, Sinusitis, Skin or Soft Tissue Infection, Surgical Prophylaxis, Traveler's Diarrhea, Tuberculosis - Active, Typhoid Fever, Plague, Mycobacterium avium-intracellulare - Treatment, Nosocomial Pneumonia, Febrile Neutropenia, Bronchiectasis, Bacteremia, Chancroid, Cholera, Cutaneous Bacillus anthracis, Diverticulitis, Epididymitis - Sexually Transmitted, Gonococcal Infection - Disseminated, Bone infection, Gonococcal Infection - Uncomplicated, Granuloma Inguinale, Infection Prophylaxis, Infectious Diarrhea, Intraabdominal Infection, Joint Infection, Meningococcal Meningitis Prophylaxis, Kidney Infections. 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