Question 1

what would doctors prescribe a patient who is allergic to penicillin?

Accepted Answer

Depends: There are alternative antibiotics to penicillin-type antibiotics.  The choice depends on the infection being treated.  There is testing available for penicillin allergy.  Those with penicillin allergy should see a board certified allergist for further evaluation.

Question 2

can patient get levaquin (levofloxacin) if he allergic to penicillin?

Accepted Answer

Yes: If patient allergic to penicillin, they can get different option of medication, and Levaquin (levofloxacin) is one of them.

Question 3

can cephalosporin be given to any patient who is allergic to penicillin?

Accepted Answer

Depends: Relatively few people have reactions...In the 10 % range by some accounts. There are always alternatives. The real question should be what kind of penicillin allergy is being reported.

Question 4

a 64-year-old patient with endocarditis who must be treated with iv penicillin but reports to be allergic, what should i do? i have been assigned a 64-year-old patient with endocarditis who must be treated with iv penicillin. the patient reports an allerg

Accepted Answer

You : You are obviously in a clinical setting such as a hospital.  Each organization has guidelines on the management of patients, particularly ones with infections.  I suggest you contact your supervisor, the patient's primary physician and the infectious disease department.  This is not the forum for seeking specific treatment guidelines like you are asking.

Question 5

what would doctors prescribe a pregnant patient who is allergic to penicillin?

Accepted Answer

Lots of choices: Depends on the type of infection, the location of the infection.

There are lots of choices for patients with a pen allergy.

Question 6

would the older or newer generation of cephalosporins antibiotics be more likely to cause anaphylaxis in patients severely allergic to penicillin?

Accepted Answer

3rd generation ...: ...Cephalosporins (the newest ones) have never been reported to cause anaphylaxis: http://www.Ncbi.Nlm.Nih.Gov/pmc/articles/pmc2094874/  -- and 1st and 2nd gen cephalosporins, only rarely.

Question 7

fantasy setting without penicillin.  wound with a dirty weapon, doesn't get cleaned until the next day.  how long can patient be coherent under care?

Accepted Answer

Question unclear: Wounds of this nature may create a setting for tetanus, wound infections of many types, and these can create high fevers and confusion. Is that what you mean? These can all be treated if dealt with aggressively. What you must be concerned with is whether the wounded individual also struck their head somewhere.

Question 8

is cefuroxime safe in patients with penicillin allergy??

Accepted Answer

Probably safe: Cefuroxime and other drugs in its class (cephalosporins) are chemically related to penicillin, but almost all penicillin-allergic patients can take them safely. However, check with your doctor if you had a truly life threatening penicillin allergy (e.g. anaphylactic shock, angioedema with trouble breaking, etc).

Question 9

i was a patient of acute rheumatic fever. after da treatment docs advis'd 2 take benzibiotic penicillin injection evry month. til when i shud take'em.

Accepted Answer

Rheumatic fever: The American heart Association guidelines for antibiotic prophylaxis are:
1.  Rheumatic fever without carditis-5 years or until 21 years of age, whichever is longer.
2.  Rheumatic fever with carditis but no valve disease-10 years or well into adulthood.
3.  Rheumatic fever with carditis and valve disease-10 years or until age 40.

Question 10

a 31 year old male with abcess/decayed teeth came to er 3 days ago and was treated with penicillin. now has extreme facial swelling. after 3 days of treatment, patient'spain has increased and swelling is increasing even with antinflammatory treatment. pat

Accepted Answer

Hello. : Hello. The man needs  dental or oral surgery care asap. I could not find free or sliding fee scale dental care in stanfield, north carolina. But i did find that stanfield is in stanly county. Stanly country has the stanly county health department which  is located at 1000 n. First street, suite 3, albemarle, nc). Clinic fees are based on the patientâ€™s household income.  Clinic fees are reduced for those with less income. They do not take private insurance.
      Health department clinical hours are m-f, 8:30am-4:00pm; health department office hours, m-f 8:30am-5:00pm; environmental health hours are 8:30am-5:00pm; animal control hours are m-f, 9:30am-4:00pm & sat. 10:00am-12:00noon; dental clinic hours are: m-th, 7:30am - 5:30pm.  Dental clinic office hours are: m-th, 8:00am-5:30pm & f, 8:00am-11:30am.  There are no dental clinic hours on fridays.
      You need to make an appointment by calling 704-986-3099.  You need to bring the following with you: proof of household income, identification, and medicare/medicare card, check, or cash.  If you have no form of assistance and can not contribute any money what so ever for the dental/ medical care that you will be receiving - i don't know what to suggest. You could ask them about other options if you aren't able to assist at all for the cost of treatment.

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Doctor answers about:

Is celestamine ok for penecillin allergic patients

A member asked:

What would doctors prescribe a patient who is allergic to penicillin?

A member asked:

Can patient get levaquin (levofloxacin) if he allergic to penicillin?

A member asked:

Can cephalosporin be given to any patient who is allergic to penicillin?

A member asked:

A 64-year-old patient with endocarditis who must be treated with iv penicillin but reports to be allergic, what should i do? i have been assigned a 64-year-old patient with endocarditis who must be treated with iv penicillin. the patient reports an allerg

A member asked:

What would doctors prescribe a pregnant patient who is allergic to penicillin?

A member asked:

Would the older or newer generation of cephalosporins antibiotics be more likely to cause anaphylaxis in patients severely allergic to penicillin?

A member asked:

Fantasy setting without penicillin. wound with a dirty weapon, doesn't get cleaned until the next day. how long can patient be coherent under care?

A member asked:

Is cefuroxime safe in patients with penicillin allergy??

A member asked:

I was a patient of acute rheumatic fever. after da treatment docs advis'd 2 take benzibiotic penicillin injection evry month. til when i shud take'em.

A member asked:

A 31 year old male with abcess/decayed teeth came to er 3 days ago and was treated with penicillin. now has extreme facial swelling. after 3 days of treatment, patient'spain has increased and swelling is increasing even with antinflammatory treatment. pat

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