Transition from Amoxicillin to Azithromycin After Allergy Incident; Clarification on Dosage Timing
Hello everyone, I’m a 22-year-old male. Yesterday, I was prescribed 825 mg of amoxicillin to be taken twice daily for ten days. I completed two doses yesterday, and this morning I took my third dose at 8 a.m. Unfortunately, I experienced allergic reactions, resulting in hives, prompting my doctor to change my prescription to 500 mg of azithromycin to be taken once daily for five days. I was advised to discontinue the amoxicillin immediately. I’m seeking guidance on whether I should take the first dose of azithromycin today, given that I've already taken one dose of amoxicillin this morning, or should I wait until tomorrow to begin the azithromycin? I’m concerned that if I wait too long, it might create an opportunity for antibiotic-resistant bacteria to form. Thank you for your help!
Answers (1)
3/20/2025, 10:20:34 PM
OpenHealth AI
It's great that you're seeking clarity about your medication transition after experiencing an allergic reaction. Here’s a straightforward approach to your situation:
Main Points:
- Immediate Transition: You can start azithromycin today.
- Timing Concern: You don’t have to wait until tomorrow; taking the azithromycin will not affect the amoxicillin already taken.
Explanation:
You’ve experienced an allergic reaction to amoxicillin, which your doctor has addressed by prescribing azithromycin. Since you’ve already taken one dose of amoxicillin this morning, it is safe to take azithromycin today. These two antibiotics work differently, and there’s no need to wait after stopping amoxicillin to start azithromycin.
Next Steps:
- Take Azithromycin Today: Start your first dose of azithromycin (500 mg) today as soon as possible.
- Discontinue Amoxicillin: Make sure to stop taking any more doses of amoxicillin as instructed by your doctor.
- Monitor Symptoms: Pay attention to any reactions. If you experience worse symptoms or new allergies, keep your healthcare provider informed.
- Proactive Measures: Continue to follow your doctor’s advice regarding antibiotics and report any concerns or symptoms that arise during your treatment.
Starting your azithromycin promptly is essential to address the infection without creating a risk for resistant bacteria. Don’t hesitate to reach out again if you have further questions or concerns!
Related Questions
Managing Early Appendicitis: Antibiotics vs. Surgery
I’m a 21-year-old who recently had a CT scan revealing mild inflammation in my appendix and lymph nodes. My doctor informed me that surgery might not be necessary if the antibiotics effectively alleviate my discomfort by tomorrow. However, I can’t shake my fears about a potential recurrence of the inflammation. The thought of going through a post-surgery recovery terrifies me, so I really want to steer clear of that option. Has anyone opted for antibiotics rather than surgical intervention? What was your experience like?
Severe Abdominal Discomfort
An 18-year-old male, with no history of smoking or current medications, finds himself at home, surrounded by his sleeping family. He stands approximately 5 feet 11 inches tall and weighs around 220 pounds. Lately, he has been experiencing persistent discomfort in the lower left side of his abdomen. This sensation has intensified recently, culminating in a bout of vomiting, which was notably different this time, presenting more solid material rather than the usual liquid with some fragments. The level of pain has escalated significantly, leaving him uncertain about seeking medical assistance at this moment. What steps should he take?
Concerns Over My Partner's Persistent Pain and Resistance to Seek Medical Help
I’m facing a worrying situation with my partner, a 40-year-old man who stands 6 feet 1 inch tall and weighs approximately 19 stone. Here's a brief overview of his medical background: Twenty years ago, he experienced two instances of deep vein thrombosis (DVT) in his left shoulder. Following the second incident, doctors discovered an abnormal growth of a rib that was pressing against a vein, which was the cause of those DVTs. More recently, he dealt with a blood clot in his calf last year. Fortunately, that was successfully treated, and he returned to his normal health. Although he was advised to continue taking apixaban for the long term, he has, unfortunately, chosen not to follow through with this guidance. He also has a history of elevated blood pressure. For the past couple of days, he has been experiencing two concerning symptoms that emerged simultaneously: a persistent cough with no accompanying cold or flu signs, and a severe pain located on the right side of his torso. He describes this discomfort as being mostly in his stomach yet extending slightly to his back. I would pinpoint the troubled area as the lower part of his ribs along the side of his body. It's unusual for him to express discomfort or complain about his health, so his recent grievances signal to me that the pain is likely quite significant. Despite my repeated suggestions for him to visit a doctor, he insists that he may have simply pulled a muscle. To manage the pain, he's been applying an ibuprofen cream (voltarol) and taking naproxen, but neither seems to provide relief. What might be the underlying issue here? I hope that some medical professionals who see this post can offer their insights, which might persuade him to consider making a doctor’s appointment. I’m open to providing any additional information you might require for a more informed perspective. Thank you for your help!
Normal MRI and EMG Reveal Nerve Slowdown
Greetings, I’m a 23-year-old female seeking guidance about some health issues I’ve been experiencing. Recently, I've noticed weakness in both my hand and arm, particularly in my dominant hand where grip strength has been notably diminished. After undergoing an EMG, the results indicated that my nerves are exhibiting a slowdown. However, my MRI results were unremarkable. To address some swelling I experienced, I was prescribed a course of steroids (4mg for a few months), which alleviated some of the issues, yet I still experience residual swelling in my hand. Often, my hand feels cold, and I notice a popping sensation when I move my fingers. Despite these sensations, I do not have any numbness or tingling, and the swelling appears sporadic. The pain I endure is quite severe, described as a hammering sensation throughout my hand. On occasion, I take ibuprofen (600mg) for relief, but it proves to be somewhat ineffective. My wrist itself seems fine, but my orthopedic specialist is considering a diagnosis of carpal tunnel syndrome (CTS), even though my symptoms don’t align with typical CTS indicators. I would greatly appreciate any advice or insights you may offer!
Experiencing Unusual Sensitivity to Paracetamol
Hello, Reddit community! I'm a newcomer here, so please bear with me as I navigate this platform as well as the rules. I appreciate your understanding regarding my writing skills. I find myself in a situation that lacks sufficient information online, and I'm reaching out for insights from others. Currently, I have reasons to believe that I might be experiencing a unique sensitivity to paracetamol, and I’d like to share my timeline regarding this matter. Throughout my life, I generally had no issues with paracetamol. I used various brands multiple times and felt fine. However, starting in the fourth grade, I began to experience difficulties with it. My initial problems were respiratory-related, but soon they also affected my gastrointestinal system. I haven't had any formal testing yet, but I can safely use other pain relievers like NSAIDs without any adverse effects. Initially, I tolerated paracetamol relatively well; my early symptoms seemed like common side effects. Unfortunately, it escalated to severe reactions, including vomiting, tightening of the throat, blood in my mucus, and shortness of breath. In my confusion, I thought limiting my dosage could help, which it did temporarily, but eventually even the reduced amounts failed to be effective. I experimented with syrup formulations that contain less paracetamol or where it isn't the primary ingredient, and found those to be more manageable. Recently, however, even those have become problematic, making it necessary for me to seek alternatives to paracetamol, as it has become increasingly intolerable. Through my research, I discovered that such reactions often stem from cross-sensitivity to other medications or from preexisting respiratory conditions. I lack a history of asthma or other respiratory issues, so I’m inclined to dismiss that possibility, although I remain uncertain. Moreover, I have no known allergies, which adds to my confusion since my reactions only occur with this one particular medication while all others seem fine. It is difficult for me to process this change, especially since I used to have no issues with paracetamol. It is widely available and generally considered safe, so I struggle to understand the source of my suffering. Many people insist that these reactions are normal side effects, leading me to question whether I am overreacting. The immediacy of my reactions intensifies my concern; I don’t even need to swallow the medication completely before I notice my throat constricting, increased mucus production, and shortly thereafter, some blood in my mucus along with persistent coughing. This pattern has become consistent, whereas it used to depend on the dosage. Now, regardless of how much I take, the same symptoms occur. I’ve tried to dismiss it, not wanting to worry my parents or seek medical attention for a dosage safety test, fearing I’ve already pushed my body too much. However, I am considering discussing my concerns with my mother since she is increasingly worried about my use of this medication. I’m not seeking a diagnosis or medical advice—I understand I should probably consult a professional. I’m just interested in knowing if anyone else has faced similar experiences, as the confusion grows. What I once assumed were normal side effects now seem to signify something more concerning.