Antibiotics Flashcards
What is the first line treatmnet for exudative tonsilitis?
Penicillin V, 7-10days
What is the the treatment for exudative tonsilitis if the patient is allergic to penicillin?
Clarithromycin BD for 7days 500mg
What is the first line treatment for CAP?
Amoxicillin TD for 7days
Your patient has CAP but is allergic to penicillin. What do you prescribe?
Clarithromycin or Doxycycline
What do you prescribe first line in an exacerbation of COPD? and what do you prescribe if they are penicillin allergic?
Amoxicillin
Clarithromycin/Doxycyline
What is the first line for UTI?
Trimethoprim BD 3 days or 5-7 days in men
When is Trimethoprim contra-indicated?
Frail/elderly/systemically unwell
1st trimester of pregnancy
Methotrexate
What is the alternative to trimethoprim?
Nitrofurantoin
Which antibiotic is known to make urine orange?
Nitrofurantoin
When is nitrofurantoin contra-indicated?
+36weeks pregnancy
What are alternatives to nitrofurantoin and trimethoprim?
Amoxicillin, cephalosporins; penicillins are generally safe during pregnancy
1st line cellulitis
Flucloxicilin 500mg QD
cellulitis + penicillin allergy
Clindamycin
Clostridium difficile
Metronidazole or vancomycin
What do you prescribe first line in H. Pylori?
PAC500:
- PPI BD - lanzoprazole full dose 30mg
- Amoxicllin 1g BD
- Metronidazole 500mg BD
Take all 3 for 7 days
What do you prescribe in event of penicillin allergy in H.Pylori?
Metronidazole 400mg BD, 250mf Clarithromycin BD + PPI
What do you prescribe first line for shingles?
Acyclovir only at very start within 72hrs: if showing symptoms such as scabbed over cold sores, do not prescribe
What do you prescribe in animal/human bites?
Co-Amoxiclav for prophylaxis
Chek jabs are up-to-date