Should fluoroquinolones be avoided for people with penicillin allergy?
398284
Yes.  Fluoroquinolones like cipro, levaquin, avelox, and Tequin are not at all related to penicillin structurally, and can therefore be used in patients with a penicillin allergy.
1061288
In case of penicillin based drugs: they inhibit bacterial capacity to build a bacterial wall, so bacteria get killed by lisis. Eukariotic cells don't have a cell wall so they are not affected by penicillin.\n\nSimilarly happens with other kinds of antibiotics
372028
There is no difference.Penicillin is a antibiotic.Actually it is one of the best ones we have.It is very affective in clearing up strep throat.( I saw your other question too,So I thought I might answer both here)But if you had strep throat for a week or so ago,Before you went on a antibiotic.You might want to go to your doctors and maybe make sure it is gone,Because it will come back if it is not fully killed.You don't want to let that to happen,Because strep throat can cause heart problems.Better to be safe than sorry! Good Luck and I hope you get feeling better soon!
201846
PENICILLIN G PENICILLIN V General Monograph, Benzylpenicillin Phenoxymethylpenicillin Antibiotic\n \nAction And Clinical Pharmacology: Penicillins G and V, known as the natural penicillins, are bactericidal against susceptible organisms. Penicillins interfere with the synthesis of cell wall mucopeptides, resulting in the formation of defective cell walls that will lyse and eventually result in death of the organism.\n\nThe spectra of activity of penicillins G and V are similar. Penicillin G is more active against gram-negative organisms (i.e., Neisseria) and some anaerobes than is penicillin V. Penicillin G can also be given parenterally, enabling the attainment of high serum concentrations, and is used for the treatment of serious infections involving penicillin-susceptible bacteria. Penicillin V is more resistant to hydrolysis by acidic gastric secretions and is absorbed orally to a much greater extent than penicillin G; therefore, it is the preparation of choice for the treatment of penicillin-susceptible infections of mild to moderate severity, in which the oral route of administration is desirable.\n\nThe in-vitro spectrum of activity of the natural penicillins is as follows: Gram-positive Aerobic Bacteria: non-B-lactamase-producing staphylococci, streptococci Groups A, B, C, G, H, K, L and M, S. pneumoniae (increasingly not susceptible), nonenterococcal group D streptococci, viridans streptococci and some strains of enterococci, C. diphtheriae, L. monocytogenes, B. anthracis and E. rhusiopathiae.\n\nGram-negative Aerobic Bacteria: non-B-lactamase producing N. gonorrhoeae, N. meningitidis, non-beta-lactamase producing H. influenzae, H. parainfluenzae, B. pertussis, E. corrodens, P. multocida.\n\nGram-positive Anaerobic Bacteria: A. israelii, Bifidobacterium, C. tetani, C. perfringens, C. botulinum, Eubacterium, Lactobacillus, Peptococcus, Peptostreptococcus, Propionibacterium.\n\nGram-negative Anaerobic Bacteria: Fusobacterium, Veillonella; most Bacteroides species are resistant.\n\nSpirochetes: T. pallidum, B. recurrentis, B. burgdorferi, Leptospira.\n\nPharmacokinetics: After oral administration, penicillin is absorbed mainly from the duodenum and upper jejunum. The extent of absorption depends on the presence of food in the gastrointestinal tract, gastric and intestinal pH and the relative acid-stability of the penicillin derivative. Both natural penicillins are hydrolyzed in the presence of acidic gastric secretions. Penicillin G is more acid-labile and should be taken on an empty stomach. Penicillin V is more stable in the presence of gastric acid and although it may be taken with meals, higher serum levels are achieved if it is taken on an empty stomach.\n\nPeak serum levels are reached within 30 to 60 minutes and are 2 to 5 times higher with penicillin V than penicillin G. The oral form of penicillin G or V benzathine reaches a lower peak level when compared with other forms of oral penicillin but levels are sustained for a longer period of time.\n\nAqueous penicillin G (as the potassium or sodium salt) may be administered i.m. or i.v. Following i.m. injection of either salt, peak levels are attained within 15 to 30 minutes.\n\nRepository preparations of penicillin G benzathine or penicillin G procaine are intended for deep i.m. injection and provide a tissue depot from which absorption takes place over several hours to several days. Penicillin G benzathine reaches its peak more slowly and is generally longer acting than penicillin G procaine.\n\nThe natural penicillins are readily distributed into ascitic, synovial, pleural and pericardial fluids. Distribution into tissues varies widely, with highest amounts in the kidney and lower concentrations in the liver, lungs, skin, intestines and muscle. Small amounts are found in all other body tissues and in the CSF. When the meninges are inflamed, the CSF concentration is about 5% of the serum concentration and can be therapeutic against sensitive organisms. Penicillins
858770
No!\n\nWhy would you take anything that you would be allergic too??\n\nThere are other medications on the market that do not have\nthis ingredient.
678300
Recent news coverage examined a case where a pharmacy technician inadvertently mixed a dialysis preparation with potassium chloride instead of sodium chloride.  Both the KCl and the NaCl were made by the same manufacturer and were sold in boxes that were extremely alike.  In this case, 2 patients died before before the error was noticed.  \n\nOther common errors:\nDosage miscalculation: misreading the symbol "u" for units, or misinterpretation of a decimal point resulting in a 10 fold dosage increase. \nDispensing wrong medication due to look-alike names: For example, Accutane/Accupril, Celebrex/Celexa/Celebryx, Losec/Lasix, Narcan/Norcuron, Zantac/Zyrtec, Lamictal/Lamisil, Taxol/Taxotere, Seroquel/Serozone, hydroxyzine/hydroxyquine, Cephlex/Keflex, etc, etc....\n\nThat said, all mistakes are preventable when the appropriate measures.  A prescription should always be double checked, from start to finish, by the pharmacist, or another technician (in certain areas, where the tech-check-tech program has been implemented).  In essence, with all this checking, a prescription is essentially done twice.  Also, keeping look-alike products stored in separate areas helps considerably.
373230
There are other strong medicines that you may need to take. Other antibiotics that belongs to a different classification. The best thing to do is to see ENT, have a culture throat swab culture(which is important) we never know maybe the strep and other bacteria have developed resistance already with the one you are taking now(penicillin) so it will not work anymore.\nAlso, have soft diet, so it wont cause must pain when you swallow. Yes, drink a lot of fluids. Salt water may just irritate your throat, better to stop it. Use betadine gargle or any oral antiseptic 3x daily.\nHope you feel better soon.
346962
EXECUTIVE SUMMARY\n\nSafety of Long Term Penicillin and Penicillin Derivatives\n\nThe safety of penicillin and penicillin derivatives when administered either intramuscularly, intravenously, or orally for extended periods of time (beyond the usual duration of use) can be extrapolated from multiple published studies. A review of the medical literature reveals studies in which such drugs have been used therapeutically for extended treatment durations. This includes studies of the treatment of recurrent acute otitis media, endocarditis, salmonella infections, prophylaxis of at risk populations (asplenic children, young children with sickle cell disease, patients with prior rheumatic fever), and the long term treatment of certain types of Lyme disease. Although most of these studies focus primarily on efficacy, they do routinely contain general statements indicating the safety and tolerability of the treatment under study. A few studies mentioned the presence of isolated cases of rash, gastrointestinal events, but none of the studies report the occurrence of a serious adverse event.\n\nA review of the Adverse Event Reporting System (AERS) database as performed by an Office of Post-Marketing Drug Risk Assessment (OPDRA) special programmer revealed occasional cases of adverse events associated with the administration of long term penicillin therapy, however, these adverse events were consistent with the known adverse event profile of penicillin. OPDRA concluded that "no increase in or atypical adverse drug reactions were noted in the few cases involving long-term administration of oral or intramuscular penicillin G or V (all dosage forms)." This data is generated via isolated adverse event reports submitted to the FDA, and it may be difficult to determine the overall rates of adverse events in relation to treatment duration. A similar analysis is currently being performed by OPDRA for amoxicillin and Augmentin®.\n\nThere is a higher incidence of cholestatic or mixed cholestatic-hepatocellular patterns of liver injury associated with administration of Augmentin®. This has been demonstrated by several published case reports. 8, 12, 14, 17, 20, 22, 24, 27, 28 Fatalities are very rare (on the order of one in several million) and similar hepatotoxicity is not thought to occur with amoxicillin administration. A study by Garcia-Rodriguez identified specific sub-populations who might be at increased risk for hepatotoxicity.10 These groups include older patients, and patients on long term therapy. The overall risk is still very low but was noted to be significantly higher than for the comparison group receiving amoxicillin. The information from this study was submitted in a labeling supplement and resulted in the identification of these risk groups in the label.\n\nThese antibiotics have an extensive history of use, and the lack of any serious adverse events as reported in these studies support their reputation as safe drugs. Reassurance can be derived from the fact that no increase in serious adverse events has been reported in the literature despite broad usage. Clinicians should still be aware that, although quite unlikely, when using these drugs over extended period of time, the potential exists for slight increases in the rates of specific adverse events which are infrequent enough to have escaped detection. Although there is no data to suggest such an increase (except for Augmentin® and hepatotoxicity), adverse events could include increased liver function tests, serum sickness, interstitial nephritis, effects on anti-coagulant therapy, and neutropenia. \n\nDETAILED REVIEW OF DATAc. Amoxicillin (n= 627)\n\nNine studies were identified which examined long term amoxicillin prophylaxis (4 weeks - 6 months) in children with recurrent acute otitis media. 29-37 There were 488 patients who were treated with doses ranging from 20-40 mg/kg/day of amoxicillin. In total, there were 11 adverse event reported. Four patients were report
824620
Yes an alternative is clindamycin and in serious cases, one of the newer fluoroquinolone antibiotics. For example, moxifloxacin, levofloxacin, gatifloxacin etc.. You'll need a prescription for any of these, so get off to a doctor or dentist a.s.a.p. before it gets worse. If you're sensitive to the penicilin family of antibioics you are probably also sensitive to the cephalosporin group too. Tell the doctor about your sensitivity. Incidentally metronidazole (Flagyl), and alcohol will give the mother of all hangovers. Absolutely, no alcohol consumption when you are on that very good antibiotic.\nDoc. Dan.
47739
He needs another drug Clartin and cleranex make me dissy.  I would ask the doctor about lodrane or lohist in is an old Rx both it works great for me and I have bad allergies.
801447
you may need a different antibiotic! call your doctor
435112
The worst problem is allergic reaction. This can be from developing hives to anaphylactic Shock. Any reaction should be reported to the doctor or hospital right away. If hives or breathing difficulties start an ambulance should be called immediately because it can get worse and can kill.\n-----------------------\nBrand Name(s):\nAmoxil, Larotid, Moxlin, Polymox, Trimox, Wymox \n\nDrug Class:\nPenicillin antibiotic\n\nSIDE EFFECTS: Side effects due to amoxicillin include diarrhea, dizziness, heartburn, insomnia, nausea, itching, vomiting, confusion, abdominal pain, easy bruising, bleeding, rash and allergic reactions. \n\nSpecial Concerns\n\nAmoxicillin can cause false results on some urine sugar tests for diabetics. \n\nThose who are prone to asthma, hay fever, hives, or allergies may be more likely to have an allergic reaction to a penicillin antibiotic. \n\nOral contraceptives may not be effective while you are taking amoxicillin; use other methods of contraception to avoid unplanned pregnancy.
873235
Normally you shouldn't stop taking bactrim/septra because it's an anitbiotic. You don't want your body to build up a resistance to the medication. I would call the doctors office anyways, many doctors have an answering service that picks up phone calls during off hours. Tell them that you believe you might be having an allergic reaction to the medication, and ask that the doctor give you call back. You doctor will then be able to discuss with you, any other opitions you might have. Good Luck!
743587
Group Beta strep is acutally a normal vaginal bacteria that many women have.  It has no side effects or symptoms in women, and is a normal, healthy vaginal flora.  However, when a newborn is delivered vaginally and it comes into contact with it, the baby can get sick.  Women who are pregnant are given IV antibiotics (usually a penicillin drug) during labor to prevent the infant from getting sick.  If you are allergic to penicillin, many doctors give cleocin instead.  Generally, the antibiotics are given 4-6 hours apart suring labor, and most pediatricians like for the mother to have received at least 2 doses prior to the baby's delivery to make sure the baby is covered.  It is extremely common and nothing to worry about.  Just make sure you remind your labor burse that you are GBS+.  Good luck!
40440
I would go to see a naturopathic doctor. A lot of the time, things like these are caused by underlying problems with allergies and food sensitivities or other causes. Try it, because you have probably become antibiotic resistant now that you have been on them for 4 years, and they will not work for you later if you need them.
632139
I'm not sure what the V stands for, but the K stands for potassium.  I don't think a person can be allergic to penicillin as it is an essential mineral in your body that controls heart function, and many other things.
722510
I wear a therapeutic magnetic necklace and take a couple of natural supplements. I am currently pregnant and can not take any other products, but will not go back to anti-histamines, because I have not had one problem. My uncle who has sever allergies and hay fever is now on the same products and wearing a necklace, and for the first time in years is not bed ridden sick.