What medicine should men take for urinary tract infection?
Asked by:Fenrir
Asked on:Apr 09, 2026 11:21 PM
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Fannie
Apr 09, 2026
Men's urinary tract infections are generally divided into several types, including urinary tract infections and prostate infections. Urinary tract infections are generally treated with antibiotics and other drugs, while prostatitis is treated with tetracycline and penicillin. Men should choose appropriate drugs according to the type of inflammation to avoid the side effects of drugs. For specific drug selection, patients can consult their doctors for advice.
What medicine should men take for urethritis?
(1) Tetracyclines
(1) Tetracycline: 500 mg each time, 4 times a day, for 14 days, orally. Tetracyclines have shown satisfactory results against Chlamydia trachomatis, Ureaplasma urealyticum and Mycoplasma hominis. If Chlamydia trachomatis or Mycoplasma is still isolated after 14 days of medication, a second course of treatment can be given. Tetracycline is best taken on an empty stomach to ensure good absorption. Do not drink milk or dairy products at the same time, and do not take it at the same time as antacids and drugs containing polyvalent metals such as iron, magnesium, calcium, and aluminum. Side effects include nausea, vomiting and other gastrointestinal reactions, and a few can cause enteritis. Also, all tetracyclines can cause photosensitivity dermatitis. Not suitable for pregnant and lactating women.
(2) Doxycycline: 200 mg each time, twice a day, for 14 days, orally. This medicine is less affected by food and metal ions, and has milder gastrointestinal reactions. Not for use by pregnant and lactating women.
(3) Minocycline: 100 mg each time, twice a day, for 14 days, double the first dose. Side effects include dizziness, dizziness, ataxia, reversible vestibular reactions, nausea, vomiting, loss of appetite and other gastrointestinal reactions, especially in the first few days of taking the medicine. Contraindications are the same as for tetracycline.
(2) Macrolides
(1) Erythromycin: 500 mg each time, 4 times a day, for 14 days, orally. It is effective against Chlamydia trachomatis and Ureaplasma urealyticum, but is ineffective against Mycoplasma hominis. Taking the medicine on an empty stomach and drinking plenty of water will help absorption, but the gastrointestinal side effects will be greater. Clinically, erythromycin is the first-line drug for the treatment of non-gonococcal urethritis, especially for pregnant and lactating women. It is more advantageous than tetracycline for Ureaplasma urethritis.
(2) Josamycin: 400 mg each time, 4 times a day, for 14 days, orally. The antibacterial spectrum and antibacterial activity are similar to erythromycin, and the gastrointestinal side effects are milder than erythromycin. It is contraindicated in the first 3 months of pregnancy.
(3) Libidis: 500 mg each time, 4 times a day, for 14 days, orally. Use with caution by pregnant and lactating women.
(4) Roxithromycin: 150 mg each time, twice a day, for 14 days, orally. The clinical efficacy has yet to be evaluated. Pregnant and lactating women should use with caution.
(3) Quinacrylates such as fluoxamic acid, sulfoxin, etc., can be combined with prostate massage in patients with chronic prostatitis while undergoing systemic treatment. Once a week, 1 to 2 minutes each time, for 4 to 8 weeks. Be gentle during massage and urinate immediately after massage. Prostate physiotherapy can also help with inflammation.
Urinary system diseases Male urethritis needs attention
Urethritis refers to inflammation of the urethral mucosa and can be clinically divided into acute and chronic categories. It is mostly caused by retrograde invasion of the urethra by pathogenic bacteria. Frequent urination, burning with urination, and hematuria. In the acute stage, men may have urethral secretions, which are mucus at first and then become purulent. During an acute attack, there is dull pain in the suprapubic area and perineum, and the urethral orifice can be seen to be red and have secretions. Generally pay attention to:
1. Drink more water. Drink 2 to 2.5 liters of water every day, so that you will urinate more. Highly concentrated urine will cause some stimulation to the prostate. Long-term adverse stimulation is harmful to the prostate. Drinking more water can not only dilute the blood, but also effectively dilute the concentration of urine.
2. Do not hold in your urine. Once the bladder is full and there is an urgency to urinate, you should urinate. Holding in urine is not good for the bladder and prostate. Before taking a long-distance bus, you should empty your urine before taking the bus. If you have an urgent need to urinate on the way, you should say hello to the driver and get off the bus to urinate. Do not hold back your urine.
3. Moderate sex life. To prevent prostatic hypertrophy, we need to pay attention to it starting from young adults. The key is to have a moderate sexual life, neither indulgence nor abstinence. Frequent sexual intercourse will keep the prostate in a congested state for a long time, leading to prostate enlargement. Therefore, it is especially important to pay attention to moderate sexual life in youth when sexual desire is relatively strong, to avoid repeated congestion of the prostate, and to give the prostate sufficient time to recover and repair. Of course, excessive abstinence will cause fullness and discomfort, which is also detrimental to the prostate.
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