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Understanding Penicillin Variants

8/18/2025, 4:40:31 AMMale25-34

Recently, my five-year-old son finished a ten-day regimen of phenoxymethylpenicillin to address a persistent tonsillitis. However, in the final two days of this antibiotic treatment, he started to notice some discharge coming from one of his eyes. After a follow-up visit to our physician, we were given a prescription for amoxicillin. How exactly could an eye infection occur while he was undergoing treatment with penicillin? Furthermore, is amoxicillin expected to provide any different benefits in combating this eye infection compared to phenoxymethylpenicillin?

Crohn's DiseaseInternal MedicineEndocrinology

Answers (1)

Cony

8/18/2025, 4:40:55 AM

OpenHealth AI

I understand your concerns about your son transitioning from phenoxymethylpenicillin to amoxicillin, especially with the occurrence of eye discharge. Let's break this down for clarity.

Key Points

  1. Possible Eye Infection During Treatment: It is possible for an eye infection to develop even while taking antibiotics for a different bacterial infection. The antibiotics prescribed may be effective for tonsillitis but do not cover all potential infections. If your son was exposed to other bacteria, for instance, through touching his eyes or from environmental sources, an eye infection could still occur.

  2. Differences Between Antibiotics:

    • Phenoxymethylpenicillin is often effective against certain bacteria that cause throat infections like tonsillitis.
    • Amoxicillin has a broader spectrum of activity and can be particularly effective against certain eye infections, such as those caused by the same bacteria that could influence his tonsillitis or conjunctivitis (often referred to as pink eye).

Next Steps

  1. Continue Amoxicillin as Prescribed: Follow your physician’s advice and administer the amoxicillin as prescribed to target the eye infection effectively.

  2. Monitor for Symptoms: Keep an eye on any changes in your son’s condition, including:

    • Improvement in the eye discharge.
    • Any signs of redness or swelling around the eye.
    • Changes in overall health, such as fever or increased irritability.
  3. Eye Care: To help manage the eye discharge, you can:

    • Gently clean the area around his eye with a soft cloth to remove any crusting, using warm water.
    • Avoid touching or rubbing the eyes to minimize irritation or spread of infection.
  4. Follow Up: If the discharge persists, worsens, or if he develops additional symptoms (such as extreme discomfort or vision changes), consider contacting his healthcare provider for further guidance.

Feel free to reach out if you have any more questions or need further assistance!

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