Cystitis therapy

How is cystitis treated?

In the case of a bladder infection, a single or short-term therapy (3 days) with an antibiotic (a drug that kills bacteria) is usually carried out.
This has the advantage that there are fewer side effects, the natural intestinal bacteria are less affected and there is less need to fear the development of resistance.
Preparations such as:

  • Co-trimoxazole
  • Gyrase inhibitors (Avalox®, Ciprobay etc.) or
  • Cephalosporins (cefuroxime etc.)

A vaccination against cystitis also offers the possibility of reducing the frequency of urinary tract infections in the form of prevention.

The pain can be relieved by relaxing pain relievers (e.g. Buscopan®). In addition, it is recommended to keep the stomach warm (relaxes the muscles involved and has an antispasmodic effect) and to drink a lot (at least 1.5 - 2 L / day), as this way the bacteria are more easily flushed out and the mucous membrane is less irritated.

Low-carbonated water, diluted juices and any type of tea are recommended.

Another therapeutic option are home remedies for cystitis.

If the bladder infection is caused by radiation or chemotherapy, further medication or endoscopic measures (sclerosing bleeding sources or similar) may be necessary, depending on the symptoms.

For complicated urinary tract infections or those acquired in hospital (nosocomial infections) are common multi-resistant Germs (insensitive to many antibiotics) are involved. Once the causative bacteria have been identified, specific antibiotic treatment can be given.

In the case of recurring complaints, it can either really be a new infection or a renewed "flare-up" of the original infection, e.g. B. with inadequate treatment. The pathogen is the same in the latter.

If there is no improvement after about 3 weeks even with targeted antibiotic administration, or if there is a “relapse” should a Ultrasonic or a X-ray of the abdomen are done to rule out complicating factors such as urinary stones, drainage disorders and the like.
It can even be a Urogram or an endoscopic examination may be necessary.

In order to avoid such a relapse, low doses of antibiotics may be appropriate for (uncomplicated infections) once a day, e.g. B. Co-trimoxazole.

Otherwise one should protect oneself from hypothermia, i. H. change wet clothes as soon as possible. If the patient needs to urinate, he should go to the toilet immediately and not wait long.

Therapy can also be supported by homeopathic medicines. We have created a completely separate topic for this.
Read more about this under our topic: Homeopathy for cystitis


Without comorbidities, the prognosis is very good.
The acute cystitis is completely cured.