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Mild cases of acute cystitis may disappear on their own without treatment. However, because of the risk of the infection spreading to the kidneys (complicated UTI), treatment is usually recommended. Also, due to the high death rate in the elderly, prompt treatment is recommended.
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MEDICATIONS
Antibiotics may be used to control the bacterial infection. You MUST finish the entire course of prescribed antibiotics. Commonly used antibiotics include:
- Nitrofurantoin
- Sulfa drugs (sulfonamides)
- Amoxicillin
- Cephalosporins
- Trimethoprim-sulfamethoxazole
- Doxycycline
- Fluoroquinolones
Chronic or recurrent urinary tract infection should be treated thoroughly because of the chance of kidney infection (pyelonephritis). Antibiotics control the bacterial infection. They may need to be given for long periods of time (as long as 6 months to 2 years), or stronger antibiotics may be needed. As an additional precaution, low-dose antibiotics may be recommended after acute symptoms have subsided.
Phenazopyridine hydrochloride (pyridium) may be used to reduce the burning and urgency associated with cystitis. In addition, ascorbic acid may be recommended to decrease the concentration of bacteria in the urine.
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