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Question

Hello, After 2 weeks of a bad cough today i feel feverish and pretty awful. Doctor has given me amoxicillin 500mg for chest infec. I have type 1 diabetes (well controlled)and have suffered from Chronic Fatigue syndrome for 18 yrs meaning previous battle with related yeast infection in gut. I am a positive 41 yr old guy. I know if i take anti biotics my gut symptoms will come back and its been long battle to get on top. Can you advise please? Any ways to limit impact? Worried over resistence?

Submitted: 25 days and 2 hours ago.
Category: Health
Value: $15
Status: CLOSED
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Optional Information

Gender: Male
Age: 41

Posted by CamilleRN 25 days and 2 hours ago.

Info Request

Hi and thank you for your question. I am sorry you are experiencing such a bad cough. How often are you to take the Amoxicillin 500?

25 days and 2 hours ago.

Reply

Hi, Thanks for quick response. I have been told to take 3 a day for a week. They are given as standard and something like CFS/candida is not really understood at my surgery. I have some unopened nystatin powder (all be it 6 months out of date) that i could take. I last took antibiotics 18 months ago.

 

Many Thanks

 

Chris

Posted by CamilleRN 25 days and 1 hours ago.

Answer

Have you asked your Dr if you could take an antifungal at the same time you take the Amoxicillin? The Nystatin may be a bit less potent because of it's age, but still effective. I would recommend you ask your Dr if he is in agreement with this...and if not, WHY?

24 days and 1 hours ago.

Reply

Sorry, telling me to ask my doctor wasnt the advice was looking for.

Accepted Answer

Hi Chris,

Thank you for your question.

 

Nystatin powder or any other anti-fungal medications are NOT recommend to be used as a prevention. You can have your doctor prescribe you Diclofenac (1 time dose) or another anti-fungal agent to have on hand in case you do develop yeast infection.

 

However, to be more specific to your question, as what you can use to prevent a secondary infection, is that you can take Probiotic (avaible over-the-counter, for example Florastor). Probiotic is used to improve the colonies of good bacteria which live in your gut. Because antibiotics can kill the good bacteria as well as the bad bacteria, taking Probiotic will improve the good flora in your gut and make you less susceptible to infection. You will need to take Probiotic during the antibiotic regimen and for a few days after.

 

I hope this is helpful and please let me know if you have any additional questions.

 

Thanks and feel better,

Julia

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Expert: Julia Kizhner
Pos. Feedback: 100.0 %
Accepts: 
Answered: 10/30/2009

Physician Assistant

7 years experience working in Primary Care as well as Gastroenterology, Sleep Medicine & Weight Loss

Posted by Julia Kizhner 23 days and 22 hours ago.

Info Request

Hi Chris,

I think you might have been asking me another question which, for some reason, I am unable to open. If I am making a mistake, I apologize. If you did have a question, please let me know.

Julia

Posted by Julia Kizhner 23 days and 22 hours ago.

Info Request

My apologies Chris,

I just saw the question...taking antibiotic will not kill the action of probiotic. The two drugs work through different mechanism.

On a side note, some yogurt brands (such as Activia) also have probiotics so if you like yogurt, I would suggest you eat that along with taking probiotic tablets.

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