Because diverticular disease often involves infection with multiple organisms in the intestines, physicians suggest treatment with medicines that are able to kill a wide range of pathogens, according to an article on eMedicine from the University of California at Irvine Medical Center
. You can order cipro, because some drugs, for example, kill anaerobes (such as bacterids), while others kill gram-negative organisms (such as enterococci), multiple drugs are needed. Therefore, as the investigators discuss, complicated diverticulitis is commonly treated with a combination of metronidazole
or clindamycin with an aminoglycoside such as gentamicin or a third-generation cephalosporin such as cephalosporin.
Milder cases are treated on an outpatient bases with a regimen that includes ciprofloxacin and metronidazole. Recently, rifampin has been used to treat milder cases of acute diverticulitis, either alone or in combination with other antibiotics.
In a case review on acute diverticulitis in the New England Journal of Medicine
, the researchers urged the use of broad-spectrum antibiotic coverage. They referred to the use of ampicillin
, gentamicin, and metronidazole as the "standard triple therapy."