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Re: UTI: UTI prophylactic antibiotics vs treatment medication/antibiotics
From: Hope Waltman (anonymous@obgyn.net)
Thu, 29 Nov 2007 20:08:17 -0600 (CST)
Urinary Tract Infections in Adults
http://kidney.niddk.nih.gov/kudiseases/pubs/utiadult/
Hope, WH Forum Moderator
At Thu, 29 Nov 2007, Pat Sonnenstuhl wrote:
>
>Macrodantin 50mg is the most common prophylactic medication used for
>recurrent urinary tract infections. There are low does of acyclovir
>used for HSV prevention. I cannot speak to these other medications.
>I do not believe all of these medications are used regularly for a
>urinary tract infections, and even fewer of them are used
>prophylactically.
>Perhaps some of the other gyn providers have some comments. on this.
>These issues all fall within the prerogative of the prescriber.
>A good source for some of your questions would be your local pharmacist.
>I would be cautious about using anything prophylactically for a long
>period of time. I suspect a resistance would develop with some of these
>medications.
>
>At Thu, 29 Nov 2007, Robin wrote:
>>
>>Katrin,
>>
>>Both my aunt and I have had UTIs that never would go away for long.
>>Ultimately my Urologist put me on a once daily dose of Macrodantin 50mg
>>for a period of several months. It worked. I discussed with my aunt
>>what was being done, so she could speak with her MD. Her MD prescribed
>>the same course and she has been doing well. I still get UTI's but
>>nothing like I used to.
>>
>>Hope this helps.
>>
>>At Thu, 29 Nov 2007, katrin wrote:
>>>
>>>Pat, thank you for the clarification regarding to the dosage in terms of
>>>prophylaxys. According to http://adam.about.com/reports/000036_7.htm
>>>“Typical prophylactic regimens include one dose of nitrofurantoin (50
>>>mg), 1/2 tablet of TMP-SMX, or cephalexin (250 mg) daily.”
>>>It causes the next question: where one could find a recommended doses
>>>for the list of UTI antibiotics in terms of prophylaxyx purpose only?
>>>Are they established in the literature? I have read various web articles
>>>and was unable to find sources recommending a dose for prophylactic
>>>ones. Actually articles very rarely address a prophylactic dosage.
>>>Checking the on-line “guidelines”, I can not find a firm recommendation
>>>so I would like to defer to your input as to what occurs in clinical
>>>practice with the attached list of the most frequently prescribed UTI
>>>antibiotics.
>>
>--
>Pat Sonnenstuhl, CNM, CHT
>
>Hypnosis for Healing and HypnoFertility Therapy
>http://home.comcast.net/~prebirthhealth/hypnosisforhealing.htm
>http://home.comcast.net/~prebirthhealth/birthcounseling.htm
>
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