Doctor insights on:
Ceclor Second Generation Cephalosporin
Difference between first and second generation antihistamines? Why are 1st generation considered nonsedating?
Sedation: 1st generation are sedating because many people, up to 40%, get sleepy when taking them. 2nd generation antihistamines are chemically modified and are less likely to cause sedation. The generics of the less sedating are cetirizine, fexafenadine, and loratidine. They cause sedation in some people, up to 11%, but much less than the older drugs. ...Read more
How sensitive are u?: The strength of an antibiotic is measured by how active it is against a specific organism. For the right bug, plain old penicillin may be the 'strongest'. The most important thing to know is the sensitivity or susceptibilities of your bacteria. If your infection is not responding to ceftriaxone, odds are it is resistant to all cephalosporins. Some remain susceptible to cefepeme but not all. ...Read more
Whats the difference between a first generation antihistamine like chlorpheniramine and second generation antihistamines like allegra (fexofenadine)?
1st and second: First generation antihistamines are sedating and short acting and have usually other properties such as anticholinergic or drying properties. Second generation antihistamines are long aciting, usually dosed once a day, and are less or non sedating and selective antihistamines with less active properties on other receptors. ...Read moreSee 1 more doctor answer
Today my doctor prescribe a infertility medicns i.E tinidazole , l_methylfolate, chymoral forte, third generation cephalosporin.Is that good medicn?
If allergic to Bactrim (sulfamethoxazole and trimethoprim) & Ceclor, is allergy to all sulfa drugs & cephalosporins assumed?
Probably yes: Officially, that test is conclusive at 28 days. It's probably conclusive at 25 days, but to be absolutely certain, have another test in a week or so. ...Read more
Macrolide: No. It is a macrolide.Get a more detailed answer ›
Yes: Macrolide antibiotics like ees (erythromycin ethyl succinate) will be safe. But if your allergic reaction was some time ago, you may want to consider seeing an allergist for pcn testing. Skin testing is now very accurate. You may have outgrown your pcn allergy, or may have even been misdiagnosed, which happens often. ...Read more
Are penicillins effective against gram-positive bacteria? Can't take sulfa, fluoroquinolones, or cephalosporins.
Penicillin are ok.: Penicillins are effective against gram + organism(G+), however you will need a culture to properly identify the bacteria.there is different type of penicillin base antibiotics and they can treat a variety of infections caused by(G+), such as otitis, pharyngitis, skin infection, etc. Again it will depend on the type of infection as well as the organism you are treating. Can also use tetracycline. ...Read more
Do you use Cefazedone (first-generation cephaloporins) or Amikacin (Aminoglycosides antibiotic) for treating pelvic inflammatory disease?
Not usually: I'm not sure where you are, but in most of the world's countries these drugs are not recommended and would not be used to treat PID. They are of uncertain activity against gonorrhea and definitely will not treat chlamydia. Try to find an infectious diseases or STD expert to advise on treatment. Also see my reply to your other question. ...Read more
Diabetes. Pen allergy. Cycle of clindamycin post oral surgery. "Probably infected in spots." Prescribed another Clin cycle combo w/ metronidazole. OK?
Would the older or newer generation of cephalosporins antibiotics be more likely to cause anaphylaxis in patients severely allergic to penicillin?
See below: Persons with type 1 immediate hypersensity to penicillin antibiotics should generally avoid taking cephalosporin antibiotics because of the low but real risk of cross allergenicity. Safe alternative antibiotics include vancomycin, septra, (sulfamethoxazole and trimethoprim) macrolides, tetracyclines, aztreonam, clindamycin, zyvox, quinolones etc. ...Read moreSee 2 more doctor answers
I may need cephalosporin therapy with a suspected penicillin allergy. How does it work? Do I take a 3rd generation by mouth and sit in an ER waiting room with a buddy and an epipen (epinephrine)?
Penicillin allergy: Among all patients reporting penicillin allergy, 85 to 90% will tolerate a penicillin, either because they were never allergic or because they had an earlier allergy that subsequently resolved. Among penicillin skin test-positive patients, approximately 2% will react to a cephalosporin. ...Read moreSee 1 more doctor answer
Pcn & Cehalosporins: The conventional number is 10% of penicillin allergic people are also allergic to cephalosporins, however the data is weak since the patient reported incidence of penicillin allergy may only be 10% accurate. There are also 3 generations of cephalosporins and the "cross reactivity" may vary between them. There does seem to be a direct relationship between reaction severity and cross reactivity. ...Read more
Macrolide: No. It is a macrolide.Get a more detailed answer ›
Yes: Totally unrelated molecules so it's ok.Get a more detailed answer ›
Yes: These meds are totall different and there is no cross sensitivity. ...Read more
Autoimmune reaction: Cephalosporins interact with red blood cell membranes. The body can sometimes produce antibodies against cephalosporins that also interact with the surface of red blood cells. These antibodies thus activate the body's immune system to attack its own red blood cells, causing hemolytic anemia. This is a rare but severe side effect of cephalosporins. ...Read more
Is mrsa, mssa , staph a ß-lactamase producing strains , susceptible to third , fourth, and fifth cephalosporins?
Yes: Allergy to the entire class of antibiotics called cephalosporins is indeed possible. That allergy would be the common part of the molecule shared by all cephalosporins and penicillins, the beta-lactam ring. ...Read more
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