Hall added that the person who stopped taking their antibiotic early may not get sick again, but has a higher risk of relapse. A lot of that comes from inappropriate use. She cautioned patients about being too pushy to get a prescription for antibiotics, especially if they have a viral infection. The problem with mixing alcohol and medication is one of overlapping side-effects, not necessarily effectiveness, said Hall.
She explained that, because alcohol is a central nervous system depressant and a psychomotor impairment medication, any other drug that does either or both of those things will increase the effects.
She added that any opioid medication, benzodiazepines such as lorazepam Ativan -a common anti-anxiety medication-as well as some antidepressants and anticonvulsants will make the effects of the drug more pronounced when mixed with alcohol.
Grapefruit, according to Hall, should be avoided when taking prescription medicine because it is known to inhibit one of the enzymes that is very active in metabolizing drugs.
My stand on things is more of moderation. If you are on a medication and you are not at high risk for side-effects, then the occasional grapefruit isn't going to be harmful. Other items Hall suggested avoiding include any type of medication that would bind to other medications in your stomach. Take these separately from other medication so they can be absorbed as intended. So, how are things in sunny Los Angeles?
So, pick your natural disaster poison. First, they have to be available as generic drugs now, they have to be no longer on patent.
Second, they have to be an ID drug, so it can be antibiotic, antifungal, antiviral, antiparasitic. And fourth, you have to provide an explanation for why you chose it. Are the rules pretty clear? So, as you know, Raphy, I kind of am the brand name police.
Are you willing to take that risk with me? Thanks, Paul. Well, you know, I could have chosen something that is funnier than that but its name has changed. Well, Soolantra, topical ivermectin, very interesting choice. This was a transformative way of prescribing antimicrobials when it came out, and it really caught both patients and providers by a storm, and they were swept up in this enthusiasm for the Z-Pak-ness and the sort of small number of pills, you can get a full course and a short course, it really was remarkable.
You deserve the billions that you made when you came up with that. So just to defend Z-Pak for one more moment before we go on. Is that possible? Okay, my second choice is Avelox, which of course is the brand name for moxifloxacin.
And I like Avelox because, number one, it could sound a little bit like a mythical creature. But also it reminds me of my childhood growing up in New York City where bagels and lox was, you know, my favorite Sunday morning treat.
So whenever I think about Avelox, I immediately go to a happy place with a nice fresh, plain, not toasted bagel sliced down the middle with some nova lox and tomato, but no cream cheese.
So, for me, I find prescribing moxifloxacin puts me in a happy place even if it makes your QT prolong, makes your tendons rupture, makes you disglycemic, and may have important neuro-psychiatric black box consequences, as do many quinolones. It was always the antibiotic that people had to use because of some payer decision. I will take issue with how you eat your smoked salmon, I prefer it with cream cheese with a toasted bagel, and also I like capers; capers are absolutely critical.
Maybe given different body chemistry, I might enjoy cream cheese as well, but I find capers scary. You know, capers are actually flower buds. Yeah, it does. You really knew when this marketing team got together they had to come up with something because trimethoprim sulfamethoxazole just takes too long to say.
And they ended up with two different brand names, one of them Bactrim and one of them Septra. In my mind Bactrim is far superior.
Together, Bactrim sounds like such an appropriate name for an antibiotic, it really is never going to die.
However, I have learned from our mutual friend and colleague Rebeca Plank that there are devotees of Septra on the West Coast, in particular in San Francisco. It is, and if you look at the poll answers, they very much mirror the readers of my blog. I would say approximately 60 percent to 70 percent are in the United States and the rest are all over the place. So Bactrim, choice number two.
I like that. I would applaud that choice. It treats so many different infections, and one of its few liabilities is so many people are allergic to it. Well, the reason I chose it is, I think that the name is cutesy. I like the name. But, as a kid, you think of stability, you will go there. Its potency and its relative safety and its ability to transform the epidemic has endeared it further in my heart.
And, while the name perhaps only barely makes the grade for a cutesy brand name, although it clearly has special meaning to me, I think its prominence and its utility and its pluripotency really made it onto my list for those reasons.
Well, I can certainly understand why you would choose it, and I also would say that you have not followed all the rules Oh goodness, Paul! Would you like me to say it? Thank you very much. You could lose a draft slot by doing that. So, lucky that I told you. Is that what you sports people call it? All right. Interesting choice. We have back then at least a drug that covers Gram negatives, Gram positives.
He basically has summarized his entire medical lexicon into two things. Of course its challenge is in regular influenza, if there is such a thing, of administering it fast enough or early enough in the course of infection to actually have data-driven shortening of the illness.
I think that Tamiflu is a very good brand name. I will challenge a little bit the efficacy information. I do give it and I do think it works, but there are some doubters out there. Fair point. Please feel free to reach out to him directly if you have any inquiries or want to connect!
He's answered thousands of medication and pharmacy-related questions and he's ready to answer yours! Questions Articles Drugs Interactions Ask a pharmacist. Published: Apr 07, Last Updated: Oct 28, Can You Take Expired Bactrim? Answered By: Dr. Brian Staiger Pharm. Apr 06, Was this article helpful? We'll never share your email with anyone else.
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