I need the name of a safe antibiotic to take for infection

wonderwoman · Post by **wonderwoman** » Mon Feb 27, 2012 10:00 am

I broke off the whole top of a tooth last week and Friday had oral surgery to get out the root. It took two hours of trying before it finally came out. I have been applying ice and taking Tylenol since then but still have a lot of discomfort and swelling. I have a call into the dentist. If he wants to prescribe an antibiotic I want to know what is safe to take with MC.

FYI I am doing great with my MC. Am almost off Entocort again. Have cut way down.

Post by **tex** » Mon Feb 27, 2012 11:13 am

Charlotte,

That's good news on the MC progress. We'll keep our fingers crossed that this doesn't derail your recovery.

The safest antibiotic for anyone with MC to take seems to be ciprofloxacin. Unfortunately, it's seldom prescribed for dental purposes. It can work, in certain circumstances, but it may take a fairly large dose. The usual antibiotic prescribed for that use is amoxicillin, which, of course, is more prone to raise the risk of developing D, and/or a C. diff infection. Your doctor might have some idea whether cipro will work in your case. The proper way to do it would be to do a culture test, to see if the bacteria are vulnerable to C. diff, but I doubt that most physicians would do that as a routine procedure - most would just prescribe an antibiotic, and hope that it works.

Your best choice may be azithromycin, (Z-pak), since it seems to be the second safest antibiotic for use by MC patients, and it's apparently effective for dental infections.

http://www.ncbi.nlm.nih.gov/pubmed/12572095

If you end up taking amoxicillin, be sure to start taking a probiotic, as you come to the end of the antibiotic treatment, and taking a probiotic is probably a good idea whenever you take any antibiotic, including Cipro or azithromycin. Personally, I would probably ask for azithromycin.

Good luck,
Tex

MBombardier · Post by **MBombardier** » Mon Feb 27, 2012 12:59 pm

My 17yo is taking azithromycin right now for bronchitis (her first antibiotic in many years

) and she told me that the pharmacy instructions said that it can aggravate colitis. But then, that's pretty much a given with most antibiotics.

draperygoddess · Post by **draperygoddess** » Mon Feb 27, 2012 8:38 pm

I had to do a round of Augmentin a week ago--I was scared to death, but I took a couple of probiotics with it and had virtually no problems.

Gloria · Post by **Gloria** » Mon Feb 27, 2012 8:49 pm

Charlotte,

I'm glad to read that you're able to reduce Entocort again. I hope you find some relief for your tooth pain. I can't recommend a particular antibiotic for it because I have never needed it for mouth pain.

Gloria

Gabes-Apg · Post by **Gabes-Apg** » Mon Feb 27, 2012 11:32 pm

I am trying to remember what antiobiotics i was given during all my dental issues last year (Charlotte i had something similar so you have all my sympathies), i am allergic to penicillian and most of the 'MC friendly' antiobiotics discussed on this forum, are not able to be prescribed a dentist in Aus.... (go figure)

I will check and see if I have any details at home, and report back if i have any info.

Gabes-Apg · Post by **Gabes-Apg** » Tue Feb 28, 2012 1:46 am

meant to say before, great news about the MC and entocort dosage!

I would always go with Tex's recommendation first...

the two products I had during my dental issues
- clindamycin 150mg (it has lactose)
(prescribed by the dentist)

- Cephalexin 500mg (no lactose no gluten)
(prescribed by the oral surgeon who had very good understanding of IBD's and reactions to meds)

neither caused me any noticeable digestion issues.