amoxicillan

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Jodie
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amoxicillan

Postby Jodie » Thu Apr 26, 2007 10:28 am

I can't remember!!! Is amoxicillan o.k. or middle of the road to take with c-diff? I can't find the chart....

Nancy1
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Postby Nancy1 » Thu Apr 26, 2007 10:41 am

Amoxicillin is a bad one, one of the group most likely to cause cdiff. See the FAQ section about antibiotics. I'd draw a skull and crossbones here if I could!

Judy M.
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Postby Judy M. » Thu Apr 26, 2007 12:39 pm

I have to take Amoxicillin (4 caps 500 mg each) prior to dental procedures because I have aortic regurgitation. Is it only long-term use that's a problem . . . or am I caught between a rock and a hard place?

Thanks!
Judy M.
Albany, NY

Bobbie
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Postby Bobbie » Thu Apr 26, 2007 12:56 pm

Judy M,
Hard question. Sometimes only one or two pills can cause reaction.

Ask dentist about using PenVK instead. It is a little narrower in spectrum & works against most bad bacteria in mouth. Double check this info. with pharmacist.

See FAQ-Dental Work.

richard
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Postby richard » Thu Apr 26, 2007 5:03 pm

I've got cdiff because of Amoxicillin. After the first two caps I've been with D since then.

Sheila1
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Postby Sheila1 » Thu Apr 26, 2007 5:31 pm

Judy M.

My daughter works for an Endodontist and she has warned him about cdiff and told him my story (he's also in NC where the epidemic strain is almost endemic now). He said he's done some research but said there is nothing else that works for a tooth infection except penicillin or amoxicillin which most people are allergic to (or say they are) so more broad spectrum antibiotics are most often used; he uses Keflex sometimes too if they are allergic to penicillin but tolerate Keflex. For pre-meds they use the same things. They prescribe Clindamycin only if the others can't be taken; and last resort is Augmentin if the infection is extremely bad and/or no other antibiotic are working. Penicillin, as Bobbie said, is the lesser evil.
~Sheila

jennie
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Postby jennie » Thu Apr 26, 2007 5:34 pm

JudyM,

Has it ever been recommended to take Erythromycin for dental procedures to protect the valve?

Augmaxcil (amoxicillin trihydrate and clavulanic acid) gave me severe c.diff. Took 375mg 3x for 5 days, started to fall apart at about day 3, was in serious shape 2 days after completing the course. All the while clueless that this antibiotic was doing the harm, because it is "not unusual" to get D when taking an antibiotic.

Jodie
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Postby Jodie » Thu Apr 26, 2007 5:42 pm

Well, this is terrible. I have another mouth (tooth) infection and this time the PennVK did not work. Only choice is amoxicillian. Hope I will be o.k. taking it as long as I am on the Vanco with it!!!!

Sheila1
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Postby Sheila1 » Thu Apr 26, 2007 6:04 pm

Jodie, I haven't a clue if this is possible but you could ask your dentist. Can amoxicillin be made into a liquid to use as a mouthwash vs. ingesting the pills?

I'm thinking MAYBEEEEE not as much absorbed into bloodstream that way but would hit the infection site direct???

Grasping at straws for you....... :(
~Sheila

Jodie
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Postby Jodie » Thu Apr 26, 2007 6:10 pm

Thanks Sheila!!! I'll ask, but the infection is under the jaw!!!!

jennie
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Postby jennie » Thu Apr 26, 2007 6:32 pm

Jodie (this got confusing, between Judy M and Jody),

If you have active c.diff and have to take an antibiotic, the way to go is with Vanco alongside it.

Sounds you are fortunate in being on Vanco in the first place!

Can you check in with an Infectious Diseases specialist on this?

That is what my ID told me to do, in the event of needing an antibiotic, and it is a question of dosage.

Jodie
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Postby Jodie » Thu Apr 26, 2007 6:44 pm

Yes, I spoke with my ID this morning and she said o.k. to take along with the Vanco. It's just so scary being on another antibiotic....

jennie
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Postby jennie » Thu Apr 26, 2007 7:14 pm

Jodie, Vanco is a great big guardian angel.

Judy M, have you seen the American Heart Foundation's most recent published guidelines, Sheila has just a few minutes ago found them(!) and posted in the Media Reports section? They say, only the most serious cases need prior antibiotics, no firm evidence that antibiotics were protective against IE in the first instance, and risks outweigh benefits. An incredible report, for anyone with a heart condition, including the minor ones such as mitral valve prolapse! This unnecessary taking of antibiotics, time and again. And now this sea change in approach, after decades.

Sheila! Good on 'ya! How do you do that?

Bobbie
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Postby Bobbie » Thu Apr 26, 2007 11:21 pm

OK,
Here's another alternative to oral anbibiotics, but this is not medical advice -- a personal experince.

When I first got C. diff. in l993, I ground my teeth from stress & broke 2 teeth. Oral surgeon "goofed" & pulled wrong tooth. Infection spread. I was on oral Vanco. for C. diff. at the time & PenVK for osteomyletis (bone infection in jaw). Didn't work.

Went to ID -- was on IV Vanco. (plus oral Vanco. for C. diff.) for 6 to 8 wks. It worked, but I had to have most of my teeth "redone" -- braces, bridges, etc. Prior to that time, I had beautiful teeth w/o cavities altho. I had perio. disease. I continued to work during this time. Hooked myself up to IV for 2 hrs. every morning, flushed IV line, went to work, & worked 2 hrs. later. Think would have gone bonkers at home thinking about all this.

Taking oral Vanco. along with antibiotic has helped some. It didn't help me the second time I had C. diff., but it's worth a shot.

I'd listen most to your ID (sometimes they know more about meds. than other docs.) Ask about IV Vanco. Do some research & consider your alternatives. I don't think I'd take Clindamycin -- regardless -- but it's only my opinion.

Judy M.
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Postby Judy M. » Fri Apr 27, 2007 1:02 pm

The only Rx I've ever been prescribed for dental work is amoxycillin. My cardiologist is checking with an infectious-disease specialist to determine whether there's a better choice. (I love it when a doctor admits that someone else may know more than he does -- definitely the kind of doctor I want!)

It's a good thing this surgery was not elective or I would be kicking myself over and over again.

Thanks, all, for your input.
Judy M.
Albany, NY


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