How are antibiotics used in conjunction with a rising PSA?
Antibiotics can be a first response to any increasing PSA or to a PSA level that might trigger a biopsy. With cancer, the PSA doesnt decrease. With infection, it sometimes but not always does.An alternative to antibiotics would be to repeat the PSA after an interval and see if it comes down on its own.Some experts think it is wrong to use antibiotics unless there is a culture test which shows an infection, but I do not agree. Cipro is one of the best antibiotics for a first response to a rising PSA, but Levaquin, Bactrim, Septra, Doxycycline and others are also possible choices.
