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Re: BV, metronidazole allergy, no insuranceFrom: Patti Tessler, RN, CS, Family Nurse Practitoiner (anonymous@frontiernet.net)Mon Mar 18 14:23:04 2002
At Sun, 17 Mar 2002, DoctorJoe@aol.com wrote: > >In a message dated 3/17/02 2:48:47 PM, anonymous@frontiernet.net writes: > ><< I'm looking for treatment ideas for a client with recurrent BV, no >prescription coverage, and a fixed drug reaction-type allergy to oral >Flagyl. We have limited access to Cleocin vaginal samples. There's no >patient assistance program for Cleocin. We are actively looking for >opportunities for lifestyle changes that might reduce the incidence. I >would appreciate any ideas. >> > >No one has been able to identify the actual etiology of BV enough to dictate >a preferred lifestyle that would prevent BV. ORAL clindamycin would be >okay... also, some of the other anaerobically active drugs (depending upon >what's available to you) would work, but they're usually associated with more >morbidity. Thanks for the ideas. Oral clindamycin cost is also out of reach for this client, and same problems with lack of samples and lack of patient assistance program pertain. We have no antibiotic samples on hand or available to us. Do you think doxycycline's worth trying? Are there other inexpensive options?
>P.S. And is this SYMPTOMATIC BV, or BV that's identified by the doctor/lab Agreed. This client is very much looking for treatment based on her complaints. Signs and symptoms, including wet smear, confirm the patient's diagnosis.
-- Patricia K. Tessler, BSN, MSN, family nurse practitioner
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