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I try to tackle questions that I receive periodically and someone asked me the other day, “In your experience, does amoxicillin/clavulanate cause more diarrhea than amoxicillin?” Amoxicillin and amoxicillin/clavulanate (Augmentin) can be used for numerous infections. Augmentin tends to be reserved for more severe infections or those that may have a higher likelihood of antibiotic […]
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In this case of a 72-year-old male, I want to discuss levofloxacin risks as there can be numerous. He currently lives in an assisted living. He has a past medical history of arrhythmia, depression, GERD, hypertension and gout. He was recently diagnosed with community-acquired pneumonia and his physician has prescribed levofloxacin. His current medications besides […]
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Community-acquired pneumonia (CAP) is defined as pneumonia acquired outside of hospitals, (less than 48 hours from hospital admission). Patients will typically present with symptoms including fever, chills, chest pain, cough, sputum production, and dyspnea. Objective findings may include increased HR, respiratory rate >20 breaths/min, elevated WBC, crackles on auscultation, and evidence of consolidation (decreased breath […]
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An 89-year-old female has a history of frequent UTIs. She has been taking ciprofloxacin for UTI prophylaxis at 250 mg once daily for about 1 year. She has not had a UTI since starting on the ciprofloxacin. She takes it in the morning with her breakfast. She has a history of diabetes, CKD, osteoarthritis, neuropathy, […]
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I do get quite a few questions from time to time and try to answer as many emails as I can. Here were a few really good questions that I thought I would share with all of you. Can we use ciprofloxacin for pneumonia? Why isn’t ciprofloxacin a treatment in community-acquired pneumonia? Also, why is […]
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