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."