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Doctor insights on: Vancomycin Retention Enema Protocol

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How long do I keep a predsol retention enema in for my doc didn't explain?

How long do I keep a predsol retention enema in for my doc didn't explain?

Enemas: Use as directed...Predsol retention enema is administered into the rectum to reduce inflammation associated with inflammatory bowel disease. The Prednisolone acts locally to reduce inflammation in the lower end of the bowel and the rectum. It helps relieve the symptoms of flare-ups of Crohn's disease and ulcerative colitis. One enema is administered into the rectum at night for two to four weeks. ...Read more

Enema (Definition)

An enema is the introduction of liquid into the rectum to evacuate the bowels[ principly the colon/ large ...Read more


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Who should not take vancomycin?

Who should not take vancomycin?

Vancomycin: "Vancomycin is contraindicated in patients with known hypersensitivity to this antibiotic. Solutions containing dextrose may be contraindicated in patients with known allergy to corn or corn products.: See: http://dailymed. Nlm. Nih. Gov/dailymed/drugInfo. Cfm? Setid=99e523d8-9bde-43cb-8434-497015e5dcbd ...Read more

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Why i.V. Injection of vancomycin is given slowly?

Why i.V. Injection of vancomycin is given slowly?

IV vancomycin: It is given slowly to give less discomfort, to give less injury to the vessel wall and thus prevent the antibiotic from going into the tissues and causing damage. ...Read more

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Is vancomycin sulfur-based?

Sulfur in vancomycin: Look up in wikipedia and if you see an S in the diagram of the structure. ...Read more

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How dangerous is the rash from vancomycin?

How dangerous is the rash from vancomycin?

It all depends: Most drug reactions are very benign and only cause a rash and itching. It goes away when you stop the medicine. However, sometimes, you may have a severe reaction that acts like a third degree burn. This is called steven johnsons syndrome. This is very dangerous and needs immediate medical attention. Many times the first sign of this reaction is blisters in your mouth or nose. ...Read more

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How effective is vancomycin for treating meningitis?

How effective is vancomycin for treating meningitis?

For bacteria: In the case of susceptible bacteria Vancomycin can be very effective. It will only treat the susceptible bacteria. It is not effective against non bacterial infections. ...Read more

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Can vancomycin cause c diff infection?

Can vancomycin cause c diff infection?

Possible, unlikely: Vancomycin is seldom taken orally, and when it is it can at least partially treat c. Difficile infection, although it isn't active against spores. When taken IV it is primarily excreted by the kidneys and little is likely to get into the distal colon unchanged. If it did it will not alter flora significantly and predispose to cl. Difficile overgrowth or toxin production by the vegetative form. ...Read more

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Can vancomycin cause a c diff infection?

Can vancomycin cause a c diff infection?

Usually not: Vancomycin orally treats c.Diff. Intravenous vancomyin might disrupt the bacterial flora and lead to overgrowth. ...Read more

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Can I still use meth while I am on vancomycin and. Cefepime?

Can I still use meth while I am on vancomycin and. Cefepime?

May reduce Abx power: Met mixed with the antibiotics mentioned may accelerate their metabolism from the body making the infection less well treated you are fighting. The result from this interaction then, can range from "nothing significant to death" depending on your circumstance and overall health. I should also say that met by itself can have the same results. Hence, the picture of the heart. Be wise grasshopper! ...Read more

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I am allergic to vancomycin. Is it safe for me to take clindamycin?

I am allergic to vancomycin. Is it safe for me to take clindamycin?

Yes, but: This is rather a doctor's decision in view of clinical data at hand. True vancomycin allergy is rare, the drug can cause rash as a side effect or if injected fast, not a true allergic reaction. Your best bet for yourself and your doctor, if in doubt, is to consult an allergist/immunologist check aaaai. Org or acaai. Org for an allergist in your area, best wishes ...Read more

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What are good foods to feed a 7 yr old with c-diff and taking vancomycin?

What are good foods to feed a 7 yr old with c-diff and taking vancomycin?

Yogurt: Fiber and yogurt. Also keep hydrated with fluids. Stay in contact with your pediatrician. ...Read more

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I had an allergic reaction for vancomycin IV when being treated for lymphadentis. What are my options in case I contract the infection again?

A few: Alternate antibiotics could include Linezolid or combination treatment based on culture and sensitivity, or possibly even vancomycin again after desensitization treatment, depending on severity of the infection. ...Read more

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How many days for symptoms to improve Vancomycin for c.diff? Flagyl did not cure. How long wait before try another ABX? When should let Dr know?

C diff: This has become VERY hard to treat. If no better in 7-10 days then may need to try different treatment. I know it sounds gross but fecal transplants (instilling infusion of stool free of c diff into your colon) have been helpful in tough cases. Hope this helps. Best of luck Dr R ...Read more

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I have c-diff and took a course od flagyl, as well as, oral vancomycin 500 mg q6 hrs. X 14 days & am still c-diff positive. What's the next step?

I have c-diff and took a course od flagyl, as well as, oral vancomycin 500 mg q6 hrs. X 14 days & am still c-diff positive. What's the next step?

With symptoms.?: Note: treatment success is measured by clinical resolution of the diarrhea. Did the diarrhea go away? If so, no further treatment is necessary. Otherwise, several alternatives includes: 1. Vanco taper, 2. Vanco with Rifaximin chaser, 3. Fidaxomicin, 4. Fecal transplant, 5. Colectomy. The 5th choice is too aggressive in my opinion. I favor #4 though there is an "ick" factor involved. Good luck! ...Read more

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My doctor has been telling me she ordered a picc line now for 4 days and it still hasn't happened they're treating me with vancomycin. Should I be mad?

My doctor has been telling me she ordered a picc line now for 4 days and it still hasn't happened they're treating me with vancomycin. Should I be mad?

IV antibiotics: I assume your working with an infectious disease specialist. Some people can use a peripheral acces point for a week. I would say no don't be mad. But I would call the doctor and find out what the hang up is it may be an insurance approval issue. ...Read more

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Started vancomycin 1 day ago. Before that flagyl. Still have diarrahea. Wats the time frame for meds to work and stop diarrehea. Wat if meds don't work?

Started vancomycin 1 day ago. Before that flagyl. Still have diarrahea. Wats the time frame for meds to work and stop diarrehea. Wat if meds don't work?

Flagyl or Vancomycin: Clostridium difficile colitis is treated with a 10-14 day course of oral Flagyl or vancomycin. Unfortunately relapses occur in 25-30% of treated patients requiring re-treatment. Multiple recurrences are treated witha 6 week vancomycin pulse/taper some add a probiotic s. Boulardii (flora stor), some give a Rifaximin chaser. When these fail, fecal transplant cures 91% of these recalcitrant pts. ...Read more

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What is vancomycin best used for?

Gram positive infs.: Vancomycin is an antibiotic that is used to treat gram positive infections usually caused by staphylococcus and streptococcus species. It is most commonly used to treat MRSA and clostridium difficile colitis. ...Read more

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What microorganisms will vancomycin kill?

What microorganisms will vancomycin kill?

Mainly Staph: It's used to treat gram positive bacteria, especially staph. The oral version is used to treat clostridium difficult infection. ...Read more

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How can you tell if you have a vancomycin allergy?

How can you tell if you have a vancomycin allergy?

See Allergist: If you have never taken vancomycin before then there should be no concern for an allergy. You cannot develop an allergy after the first dose. For subsequent dose you are at no greater risk then the general population for developing an allergy to this medication. If you've had a reaction in the past, see Allergist to determine if your reaction is truly an allergy. Red Mans Syndrome non-allergic rx. ...Read more

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What are the side effects of vancomycin antibiotics?

What are the side effects of vancomycin antibiotics?

See below: All drugs carry the risk of side effects and toxicities. Vancomycin can cause a variety of skin rashes and allergies. If infused too rapidly it can cause a histamine release "red man syndrome" and can cause IV site phlebitis. If given in doses too high for the level of kidney function renal insufficiency and hearing problems can develop. Low white blood cell and platelet counts can occur. ...Read more