Doctor insights on:
Quinolones Side Effects
52 yo healthy female, lt hip pain only lying on my side; at about 8:00 x 6 months-achey, 6-7/10, ? Help with nsaid. Began after quinolone rx
Probably bursitis: Hip pain when lying on that side usually means greater trochanter bursitis. It is usually quite tender to the touch. Ice applied for twenty minutes at a time can help as can physical therapy. If it is a bursitis, usually a cortisone shot in the office can resolve the problem. ...Read more
MRSA/fluoroquinolone: Eradicating susceptible microorganisms colonizing skin and mucus membranes fluoroquinolones may open an ecologic niche, making a patient vulnerable to colonization and infection by resistant organisms, including mrsa. Because fluoroquinolone resistance is relatively rare among strains of mssa while MRSA isolates tend to be resistant, the net result could be the replacement of mssa by mrsa. ...Read more
Benefit vs Risk: Quinolone antibiotics are a category "c" when it comes to safety during pregnancy. This basically means that there are no conclusive studies to show that it is safe or harmful during pregnancy. Best to err on the side of safety and have your doctor consider alternatives, if any are available for your particular clinical situation. ...Read more
Increasingly common: Immediate allergic reactions to quinolones have increased over the past 20 years largely due to increased use. In spain they're the 3rd most common cause of immediate hypersensitivity reactions after beta-lactams (pencillins) & nonsteroidal anti-inflammatory agents. Immediate hypersensitivity reactions also include hives, vomiting, and respiratory symptoms as well as anaphylaxis. ...Read more
No.: Cephalexin is a an antibiotic in the cephalosporin family, with a mechanism of action similar to penicillins. It works by disrupting the synthesis of bacterial cell walls. Quinolones, like ciprofloxacin, are a different class of antibiotics, with a completely different structure and mechanism of action. These work by preventing dna unwinding. These classes are unrelated. ...Read more
Sometimes: Quinilones in the past were very effective against pseudomonas, however because of their widespread and some might say, excessive use in the hospital and community many strains of pseudomonas are now resistant to these antibiotics. They still retain effectiveness in some cases, and specific testing of the germ grown from the patient (culture results) can determine if this is true in a given case. ...Read more
How long the reaction skin rash after taking quinolone generally last? It appeared after 8-10 days after the course.
Up to 3 weeks:
Any kind of Allergic reaction has 2 phase, Immediate and Slow phase. And after initial improvement there is a surgeon slow reactant and one can get another crop of Urticarial rash after 10 days and. This phase can be treated with Steroid and continued use of Antihistaminics.
Make sure you do not get this medicine again. ...Read more
Sulfa and quinolone allergy. Can trimephoprim ONLY be used to treat prostatitis? Otherwise, what can I take instead?
Here are some...: To deduce right diagnosis is still the first job to complete so to decide if you indeed have suffered from prostatitis or just from dysfunction of bladder neck and prostate urethra. Second, decide if you need antibiotics or abpha-blocker + behavioral modification, etc. If prostatitis is sure, trimethoprim may be tried and used with care and watch. More? Seek evaluation and counseling. ...Read more
Why would a urologist start a patient on a quinolone without having sensitivities to a urine culture?
Uti.: Quinones or fluroquinilones are the first line in most cases. ...Read more
Is Cefpodoxime 200mg twice per day suitable for treating epididymo-orchitis? No sexual history and I have problems with quinolones.
Yes, . ..: Cefpodoxime is a third-generation cephlosporin, working well for uncomplicated UTI and gonorrhea; so, most likely, it will work well for you, but it is nice to know the selection of antibiotics for epididymo-orchitis is based on experience and assumption if no genito-urinary bacteria could be identified from urine or urethral specimen. So, take it and see. If not working as expected, reassessed. ...Read more
Athlete suffering from quinolone induced bilateral Achilles degeneration (tendinosis). 5 months later, pain has not improved. How can I recover?
Aside from ciprofloxacin, what is the next best quinolone for cases of bacterial orchitis that cipro may not cover the bacteria?
Is quinolone (levaquin) -induced bilateral insertional Achilles tendinosis treated differently than more common causes of this illness?
After surgery for quinolone induced bilateral insertional Achilles tendinosis, can I expect to resume previous level of aggressive athletic activity?
Recently on intermittent low dose benzos - last pill a week ago. Doc prescribed quinolone Ciprobay antibio for UTI. Can I safely keep taking it? Risk?
Yes it's safe: There is no major interaction between the two medications so it's safe. ...Read more
On which parts of body does delayed mild skin rash - reaction to antibiotics (in this case quinolone) can spread? With what speed?
Drug reaction: A reaction to an antibiotic, such as rash, may occur early on in the treatment course, but may also occur several days after completion of the antibiotic. Typically, these rashes are fairly diffuse over the body, progress over a day or two, then gradually subsides over several days. Some reactions may be quite severe and need medical attention. ...Read more