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--- home:othertreatments:antibacterials:fluoroquinolones [04.11.2012] – [Issues to consider before prescribing fluoroquinolones] drtrevormarshall
+++ home:othertreatments:antibacterials:fluoroquinolones [02.08.2017] – [Fluoroquinolone are okay under special circumstances] sallieq
@@ Line 24: / Line 24: @@
   * Fluoroquinolones are only a fraction as effective as minocycline in killing intracellular bacteria. (({{pubmed>long:12183224}}))
   * When used frequently, undesirable side effects have been well-documented. One of the risks of fluoroquinolone antibiotics is that of tendon damage, however, this risk is reportedly relatively small for patients who are //not// taking steroids.(({{pubmed>long:12039823}}))
+  * Another documented issue is retinal detachment  (({{pubmed>long:24170197}}))  (({{pubmed>long:24480710}}))  (({{pubmed>long:24526267}}))  (({{pubmed>long:24757075}}))  (({{pubmed>long:24958965}}))  (({{pubmed>long:26582407}}))
-===== Fluoroquinolone are okay under special circumstances =====
+===== Fluoroquinolones are okay under special circumstances =====
 <mainarticle> [[home:othertreatments:antibacterials:takingnonmpantibiotics|Non-MP antibiotics under special circumstances]]  </article>
@@ Line 46: / Line 48: @@
 ===== Notes and comments =====
+  * Legacy content
+    *
+From Joyful 4/4/2012...
+<blockquote>As a rule, we typically have 2-6 members a month asking about using a non-MP antibiotic for an acute infection. I've talked a couple times this year with Prof. Marshall about alternative antibiotics. He seems partial to Ceftin and Biaxin. He just posted this yesterday:
+Flouroquinolones linked to Retinal Detachment
+Ceftin looks more attractive every month...
-  * Legacy content
+Reuters has a report on a new Canadian study:
-    *
+http://www.reuters.com/assets/print?aid=USBRE83210420120403
+Even though the risk of eye damage is still low, it seems that it might be prudent for physicians to try Ceftin for acute infections, before resorting to the flouroquinolones.
+..Trevor..
+I can see that the the article you link to may need some updating re: this.
+Also, where do you have info on benzos. I think it would be good to quote Dr. Ashton there.
+Antibiotics for some reason, sometimes seem to aggravate withdrawal symptoms. However, one class of antibiotics, the quinolones, actually displace benzodiazepines from their binding sites on GABA-receptors. These can precipitate acute withdrawal in people taking or tapering from benzodiazepines. It may be necessary to take antibiotics during benzodiazepine withdrawal but if possible the quinolones should be avoided. (There are at least six different quinolones - ask your doctor if in doubt).
+ From: http://www.benzo.org.uk/manual/bzcha00.htm</blockquote>
 ===== References =====

home/othertreatments/antibacterials/fluoroquinolones.txt · Last modified: 09.14.2022 by 127.0.0.1