Antibiotic warnings, contraindications and MHRA warning

Question 1

Which antibiotics need to be taken before food/empty stomach?

Answer 1

DROPFAT - label 23 & 22
Demeclocycline
Rifampicin
Oxytetracycline
Phenoxymethylpenicillin
Flucloxacillin
Ampicillin
Tetracycline

Question 2

Which antibiotic need to be taken with/after food?

Answer 2

Metronidazole
Nitrofurantoin
Pivmecillinam

Question 3

Which antibiotics can be taken with milk?

Answer 3

Doxycycline, lymecycline. minocycline

(Dox Like Milk)

Question 4

Which antibiotic need to avoid milk?

Answer 4

Ciprofloxacin
Demeclocycline
Oxytetracycline
Tetracycline

(C.Dot)

Question 5

Does amoxicillin have to be taken with or without food?

Answer 5

It doesn’t matter.
Food doesn’t affect amoxicillin.

Question 7

What is label 5 and when is it used?

Answer 7

Do not take indigestion remedies 2 hours before or after you take medicine

Usually used with enteric coated tablets and Gabapentin.

Question 8

What is label 6 and when is it used?

Answer 8

Do not take indigestion remedies, or medicines containing iron or zinc, 2 hours before or after you take medicine

Usually used with medication containing ofloxacin, some other quinolones, doxycycline, lymecycline, minocycline and penicillamine.

Question 9

What is label 7 and when is it used?

Answer 9

Do not take milk, indigestion remedies, or medicines containing iron or zinc, 2 hours before or after you take medicine

Usually used with medication that contains ciprofloxacin, norfloxacin, tetracyclines that have calcium, iron, magnesium and zinc

Question 10

What is label 23 and when is it used?

Answer 10

Take medicine when stomach is empty. An hour before food or 2 hours after food.

Usually with oral antibiotics.

Question 10

Which antibiotic can be give in pregnancy/breastfeeding?

Answer 10

• Penicillins
• Erythromycin - make sure benefit outweighs the risk
• Cephalosporins
• Clindamycin

Question 11

Which antibiotics need to be avoided in pregnancy/breastfeeding?

Answer 11

• Tetracyclines
• Aminoglycosides
• Macrolides (except erythromycin)
• Co-trimoxazole
• Rifampicin
• Metronidazole
• Quinolones
• Nitrofurantoin

Question 11

Which antibiotic requires protection against sunlight?
Photosensitivity

Answer 11

• Doxycycline
• Demeclocycline

Question 12

What are some important information about flucloxacillin?

Answer 12

Causes Cholestatic jaundice & hepatitis

Question 13

What are some important information about Co-amoxiclav?

Answer 13

Causes cholestatic jaundice

Question 14

What are some important information about Linezolid?

Answer 14

Causes blood disorders & optic neuropathy

Question 15

What are some important information about Co-trimoxazole?

Answer 15

Causes Stevensons-Johnson syndrome (a severe allergic skin reaction) and blood disorders.

Question 16

What are some important information about Quinolones?

Answer 16

Causes tendon damage, arthropathy (joint problems) in children and convulsions with NSAIDs

Question 17

Which antibiotics colour your urine?

Answer 17

Rifampicin & Nitrofurantoin - a orange/brown colour.

Question 18

Which antibiotics causes blood disorders?

Answer 18

1. Vancomycin
2. Trimethoprim
3. Gentamicin
4. Co-trimoxazole
5. Linezolid

Question 19

Examples of blood disorders?

Answer 19

Sore throat, fever, malaise, rash, mouth ulcers, bruising or bleeding

Question 20

What are the contraindications of Penicillins?

Answer 20

Penicillin allergy

Question 21

What are the contraindications of Tetracyclines?

Answer 21

Children under 12 years & pregnant

Question 22

What are the contraindications of Quinolones?

Answer 22

History of tendon disorders related to quinolone use

Question 23

What are the contraindications of Aminoglycoside?

Answer 23

Myasthenia gravis