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Doctor insights on: Fourth Generation Extended Spectrum Penicillin

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What happens if you can't have a penicillin shot for syphilis?

What happens if you can't have a penicillin shot for syphilis?

Doxycycline: Doxycycline for 2-4 weeks is recommended if penicillin cannot be given, or sometimes ceftriaxone. However, penicillin is by far the best drug. If you had a severe penicillin allergy in the past, then probably penicillin should be avoided. Otherwise, it still might be the best choice for you. Discuss it with your doctor or, even better, an infectious diseases or STD specialist. ...Read more

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I am on penicillin 2000mg for tonsillitis. It's now my fourth day on them and I can smell it in my urine, is this normal?

I am on penicillin 2000mg for tonsillitis. It's now my fourth day on them and I can smell it in my urine, is this normal?

Entirely normal: Penicillin and related drugs (ampicillin, amoxicillin, and others) have a characteristic strong odor, and are excreted in the urine. Therefore, strong urine odor is normal when taking penicillin. No problem, nothing to worry about. But if you remain concerned, discuss it with your doctor. ...Read more

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I was on 10 day regimen of penicillin for a tooth abscess. The dentist filled my tooth then pain seriously worsened. Now im taking clindamycin and starting fourth day..Still in severe pain.?

I was on 10 day regimen of penicillin for a tooth abscess.  The dentist filled my tooth then pain seriously worsened. Now im taking clindamycin and starting fourth day..Still in severe pain.?

Abcess: If you had an abcessed tooth, then a filling is not the right treatment. The abcessed tooth would require a root canal treatment. If you had a root canal treatment , then possibly the new antibiotic needs to work. Sometimes adding a steroid can help. You may consult with an emdodontist, or root canal specialist, for a second opinion. Also make sure another tooth nearby isn't the culprit. ...Read more

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

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, macrolides, tetracyclines, aztreonam, clindamycin, zyvox, quinolones etc. ...Read more

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Taking penicillin vk 500mg to prevent infection from oral surgery. Is it a broad or narrow spectrum antib? Is chance of cdiff infec, great or less?

Taking penicillin vk 500mg to prevent infection from oral surgery. Is it a broad or narrow spectrum antib? Is chance of cdiff infec, great or less?

Good broad spectrum: Antibiotic, the chance of c diff is equal to taking other antibiotics. 500mg is not a big dose and therefore risk of c diff less with this doseage. ...Read more

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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?

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?

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 more

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Allergic to many broad spectrum antibiotics, including penicillin, cephalosporins. Clindamycin, Bactrim, Cipro gave C Diff. What would work for Sinus?

Allergic to many broad spectrum antibiotics, including penicillin, cephalosporins. Clindamycin, Bactrim, Cipro gave C Diff. What would work for Sinus?

Sinus Infection: It sounds like it may be safer not to use antibiotics. A steroid spray with a course of Prednisone may help. Even gentle saline spray may be useful. Talk to your doctor about your allergies and testing to confirm them. All the best. ...Read more

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Please tell me if there are any alternatives to penicillin?

Many: I am guessing that you are allergic to penicillin and need an antibiotic for some infection. There are many alternatives which your family doctor can suggest for the problem that you have. They have different spectrums so the list is too long for this format. ...Read more

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What is ampicilina? Is is like penicillin?

What is ampicilina? Is is like penicillin?

Ampicllin: Ampicillin is a chemically modified form of penicillin designed so as to amplify the activity of penicillin against gram-negative organisms. It has exactly the same spectrum of activity and the antibacterially active component is identical. If you are allergic to one you are allergic to all penicillin derivatives. ...Read more

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Are penicillin allergies usually severe?

Are penicillin allergies usually severe?

Varies: Many penicillin allergies are severe and life-threatening, but a person can have much milder reactions as well. Penicillin allergies can run the full spectrum of severity. ...Read more

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