Doctor insights on:
Keflex For Bronchitis
Pulmonologist prescribed Keflex 250 mg. for bacterial bronchitis. Would Ceftin (cefuroxime) or Cefzil work better due to broader bacterial spectrum?
Yes and No: Yes and No. Cefzil and Ceftin (cefuroxime) are second generation cephalosporins, where as Keflex is a first generation. The second generation drugs have better gram-negative coverage however they have not as good gram-positive coverage for bacteria. It depends on which bacteria is being treated. ...Read moreSee 1 more doctor answer
What prescription is better for a sinus infection, augmentin (amoxicillin and clavulanate) or cefdinir?
Sinusitis: Either one, your physician will decide which one to prescribe considering several factors. ...Read more
Usually Amoxicillin: Amoxicillin is a very good broad spectrum antibiotic. Low cost and typically works well -so long as you are not allergic. Although if the infection is due to acute periodontal disease, the initial treatment could be Arestin (tetracycline family) placed into the gumline pocket. ...Read moreSee 3 more doctor answers
Neither actually: If you are talking about a group a strep infection, such as strep throat, an antibiotic in the penicillin family (penicillin, amoxicillin, etc.) is the preferred treatment. Otherwise a cephalosporin such as Cephalexin (keflex) is a good alternative. ...Read moreSee 1 more doctor answer
Pulmonologist prescribed Keflex 250 mg. four times a day for bacterial bronchitis. Would Ceftin (cefuroxime) or Cefzil provide better gram negative coverage?
Talk : To your doctor and ask why he prescribed the meds they did. But the meds you mentioned have a different spectrum of coverage. And yes. Better gram neg coverage ...Read more
Doctor prescribed augmentin (amoxicillin and clavulanate) for 5 days for throat infection&the week after, prescribed amoxicillin.Am i now resistant?Is antibiotic resistance for life
Throat infection: An antibiotic should only be given if there was a strep test or culture done. Augmentin (amoxicillin and clavulanate) is Amoxicillin and clavulinic acid. Amoxicillin is usually sufficient for strep. Even in the few cases where strep is resistant to Amoxicillin (or augmentin), the resistance is usually short-lived and resolves within 3 months. So, you do not have lie-long resistance. ...Read more
Sulfa for Strep: Sulfonamide drugs were frequently used for Strep throat in the 1930s but fell out of favor approximately 10 years later when it was felt that bacterial resistance has developed. However, at least one study has proven this to be false, and sulfonamide drugs may be useful for this infection in patients with allergies to more traditionally used antibiotics or with multiple infections. J Clin Microbiol. Dec 2012; 50(12): 4067–4072. ...Read moreSee 1 more doctor answer
Both can work: Levaquin is an excellent antibiotic for sinusitis, although very expensive and with the rare, but significant side effect of tendonopathy and tendon rupture. Bactrim (sulfamethoxazole and trimethoprim) (septra) is also good, and a fraction of the cost. I culture many of patients sinuses and am consistently surprised the number of bacteria sensitive to bactrim (sulfamethoxazole and trimethoprim). ...Read more
Not the best: In general, antibiotics are not recommended for sinus infections. But in severe or prolonged cases, they may be used. Cipro (ciprofloxacin) is not the best choice; it doesn't kill some of the common bacteria that cause sinus infections. The recommended drug is amoxicillin, provided you're not allergic to penicillin. ...Read more
1.5 yr old has chronic bacterial bronch. Cultures nontypeable h-flu resistant to penicillin. Allergic to sulpha. Omnicef (cefdinir) isn't working. Other options?
A little time: Atbcs take a few days to provide noticeable clearing of symptoms. When the lab tests the mucus, the labs tests what atbc the bacteria is susceptible to. Likely your physician saw the susceptibility report and rx Omnicef (cefdinir) based on that report. Perhaps give the treatment a few more days. ...Read more
Took Augmentin (amoxicillin and clavulanate) for two days for strep throat. Got diarrhea from Augmentin (amoxicillin and clavulanate). Doctor changed antibiotic to Omnicef. How long until diarrhea goes away?
May take a week: Prevention of antibiotic associated diarrhea has been effective when probiotics are provided when antibiotic is prescribed. After diarrhea starts, the folllowing have been shown to shorten the course: L. rhamnosus GG, S. boulardii and two mixtures, one containing L. casei DN-114 001 and the other Lactobacillus acidophilus CL1285, all have good evidence of efficacy in preventing AAD in clinical trial ...Read moreSee 1 more doctor answer