Antibiotic suggestion please

[BritManToo]

  On 4/21/2021 at 1:28 PM, lopburi3 said:

It can do a lot more than that - it is the one drug I know I have severe reactions and would never recommend use when not under medical supervision and full warnings of side effects.  It is cheap so often just given without second thoughts but it is not designed to be the primary treatment for most things and I do not believe it should be used unless required as the side effects can be severe and seem to be more likely than most other approved drugs.

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I've taken it 2-3 times with no ill effects and it fixed the infection straight away (that amoxicillin failed to cure).

But I was careful with exercise, and limited my hiking and cycling, and stopping immediately I felt and ankle discomfort.

It's a cheap and effective tool if you know about the possible side effects and watch out for them.

 

All antibiotics carry a risk, penicillin will kill some people.

[BritManToo]

  On 4/21/2021 at 1:13 PM, 2009 said:

Amoxicillin is a very poor choice against STDs. The only thing it is really effective against is Syphilis and that is an incredibility rare disease (even then Doxycycline should be used in cases where Penicillin injections can't)

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OP's friend doesn't admit to a STD, it could just as well be a UTI (which can be sexually transmitted, or just caused by contact). The guy did nothing for 2 weeks, taking Amoxicillin at the first sign of trouble may have fixed it immediately, and it wouldn't have made it worse. 

[northsouthdevide]

Tell your friend not to take advice from posters on TV, and to get down to the dickdocs ASAP.

[scubascuba3]

  On 4/21/2021 at 4:20 PM, northsouthdevide said:

Tell your friend not to take advice from posters on TV, and to get down to the dickdocs ASAP.

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Not Buakhao anyway, who hand out unidentifiable smarties

[tonray]

  On 4/21/2021 at 8:43 AM, scubascuba3 said:

Even the doctors here often don't bother recommending getting tested. They tend to treat first by trial and error

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It's not trial and error...it's callled a clinical diagnosis based upon training and experience.

[BritManToo]

  On 4/21/2021 at 11:35 PM, tonray said:

It's not trial and error...it's callled a clinical diagnosis based upon training and experience.

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It's actually cost effective treatment.

Amoxicillin is 27bht, so you might as well give it to the patient immediately.

If it doesn't work, it's no great loss, and 99 out of 100 patients are cured by it.

 

Spending 1,000's on testing right from the get-go is inefficient use of medical funding and resources.

[lopburi3]

  On 4/22/2021 at 12:09 AM, BritManToo said:

It's actually cost effective treatment.

Amoxicillin is 27bht, so you might as well give it to the patient immediately.

If it doesn't work, it's no great loss, and 99 out of 100 patients are cured by it.

 

Spending 1,000's on testing right from the get-go is inefficient use of medical funding and resources.

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Bad advise IMHO and a prime reason that new strains develop.  We can afford a test and proper treatment so better we do so rather than grow more resistant strains for later or our children.

[2009]

  On 4/21/2021 at 2:58 PM, BritManToo said:

OP's friend doesn't admit to a STD, it could just as well be a UTI (which can be sexually transmitted, or just caused by contact). The guy did nothing for 2 weeks, taking Amoxicillin at the first sign of trouble may have fixed it immediately, and it wouldn't have made it worse. 

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Antibiotic resistance

 

Masking symtoms making accurate diagnosis later more difficult

 

Who says it was even bacteria? Could have burst a blood vessel.

 

In any case, self diagnosis and treatment is dumb. It would be better to pay the doctor fee of 100 baht and let him/her guess which antibiotic to play with

 

 

 

[BritManToo]

  On 4/22/2021 at 12:46 AM, lopburi3 said:

Bad advise IMHO and a prime reason that new strains develop.  We can afford a test and proper treatment so better we do so rather than grow more resistant strains for later or our children.

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You clearly don't understand antibiotics, or antibiotic resistant bacteria strains.

I understand some posters worship all doctors as 'gods', but the reality is many Thai doctors are hopeless at doing their jobs, and many Thai lab techs are equally hopeless.

I formed this opinion from a Thai doctor who started prepping my 5 year old son for an emergency appendectomy when he actually just had constipation (I knew he was wrong).

I formed this opinion from a Thai hospital lab tech, who recorded the result of my wife's pregnancy test as 'negative' when she was in fact 3 months pregnant (I knew their test was wrong).

 

Any reasonably intelligent and educated western person is just as likely to have a better diagnosis capability than a Thai doctor who passed his medical exams if he had enough money to pay the course fees.

 

 

[lopburi3]

  On 4/22/2021 at 2:13 AM, BritManToo said:

Any reasonably intelligent and educated western person is just as likely to have a better diagnosis capability than a Thai doctor who passed his medical exams if he had enough money to pay the course fees.

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[xylophone]

  On 4/22/2021 at 12:09 AM, BritManToo said:

It's actually cost effective treatment.

Amoxicillin is 27bht, so you might as well give it to the patient immediately.

If it doesn't work, it's no great loss, and 99 out of 100 patients are cured by it.

 

Spending 1,000's on testing right from the get-go is inefficient use of medical funding and resources.

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There is a certain amount of trial and error when a doctor prescribes an antibiotic for a UTI, because it could be one of a range of bacteria which is causing it, that's why I will always ask for a culture to be done, but luckily enough have not had to visit my urologist for a few years now.

 

As for giving out amoxicillin, well it has long been removed as a first-line antibiotic for a UTI, and reading some in-depth reports on the likes of ciprofloxacin, many doctors will not recommend this as a first-line antibiotic either, mainly due to overuse/antibiotic resistance and side effects, and not only tendon ruptures.

 

And that's what happens when doctors hand out antibiotics like sweets (as in your amoxicillin case) and that's also why there is resistance to the most commonly used antibiotics, and you would be surprised at the number of bacteria which have adapted to frequently used antibiotics.

 

I was shown the results of the culture tests against a range of antibiotics, when I had my E. coli ESBL infection, and I was stunned, because a range of commonly used and not so commonly used antibiotics were tested against it and the results were not good at all, and I feared for the future of humankind in this regard upon seeing these results.

 

Overuse of antibiotics like ciprofloxacin, which was once heralded as the "new antibiotic which was going to change the world" had shown that it was useless against my infection.

 

Or should I say that its efficacy was around 50% against that bacteria, which would have meant that increased doses of ciprofloxacin, although perhaps easing the symptoms a little, were doing nothing more than allowing the bacteria to become more resistant to it.

 

New combinations of old antibiotics are being tried to try and overcome this resistance, and the once last line, the Carbapenems, are having to be used more frequently, and this does not bode well for the future. 

 

One or two of the very old antibiotics have shown some promise, mainly because they have not been used for many years because they were superseded by newer drugs, and bacterial resistance against them has waned, so they could find a place in today's world.

 

But we are desperately in need of new classes of antibiotics and certainly the amount of antibiotic resistance which is being shown, is not being helped by the careless administration of antibiotics, buying them over-the-counter and only buying enough that one can afford at the time (yes I've seen that happen).

 

Once you consider that and throw into the mix the fact that 80% of all antibiotics and antifungals produced in the USA are fed to the livestock (and this is practiced elsewhere) and we eat that very same livestock, then the magnitude of the problem becomes clearer.

 

We have to be better, and smarter in the way we use antibiotics, and getting a culture done on a sample is not expensive and could well be a lifesaver in more ways than one.

[BritManToo]

  On 4/22/2021 at 4:01 AM, xylophone said:

As for giving out amoxicillin, well it has long been removed as a first-line antibiotic for a UTI, and reading some in-depth reports on the likes of ciprofloxacin, many doctors will not recommend this as a first-line antibiotic either, mainly due to overuse/antibiotic resistance and side effects, and not only tendon ruptures.

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In the recent past I've had one UTI cured by Moxy, and one that wasn't cured by Moxy, but was cured by Cipro.

I've also had an infected insect bit on my bum cured by 3x courses of Moxy, and an infected MTB injury (gravel road) on my shoulder that wasn't cured by Moxy, but was cured by Cipro.

 

As far as I'm concerned they are totally effective, and I will continue to use them until I get an infection they can't cure.

I'm happy for you to pay for tests and expensive treatments, you clearly have money to burn.

[Sheryl]

  On 4/22/2021 at 2:13 AM, BritManToo said:

You clearly don't understand antibiotics, or antibiotic resistant bacteria strains.

I understand some posters worship all doctors as 'gods', but the reality is many Thai doctors are hopeless at doing their jobs, and many Thai lab techs are equally hopeless.

I formed this opinion from a Thai doctor who started prepping my 5 year old son for an emergency appendectomy when he actually just had constipation (I knew he was wrong).

I formed this opinion from a Thai hospital lab tech, who recorded the result of my wife's pregnancy test as 'negative' when she was in fact 3 months pregnant (I knew their test was wrong).

 

Any reasonably intelligent and educated western person is just as likely to have a better diagnosis capability than a Thai doctor who passed his medical exams if he had enough money to pay the course fees.

 

 

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if these are the types of health professionals you chose then no wonder you have no confidence in them.

 

There are some excellent, Western trained board certified urologists in Thailand.

 

And antibiotic resistance is a serious concern.

 

Many prior threads detailing the miseries of TV members with prostatitis (which the OP may have) due to empirical antibiotic treatment.

[BritManToo]

  On 4/22/2021 at 5:27 AM, Sheryl said:

There are some excellent, Western trained board certified urologists in Thailand.

And antibiotic resistance is a serious concern.

 

Many prior threads detailing the miseries of TV members with prostatitis (which the OP may have) due to empirical antibiotic treatment.

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I'm a normal person living a normal Thai life, using Thai government hospitals

I'm not a privileged wealthy American and I don't need special insurance or special doctors.

I'll die when my time comes which is probably quite soon as I'm old and feel no need to spend millions to eke out another few years in pain and misery.

 

Yes, I've read those 'prostate' threads as I have similar problems.

I can't see any of those guys posting they were cured, no matter how much they spent on treatment and specialists. Better off dead than to carry on in that state is my opinion but I do recognise (if not understand) the right of others to linger on in agony.

 

Any prostate posters reading this who feel the need to tell us how they were totally cured by spending a fortune on specialist Thai doctors?

Or are they just dragging on their miserable lives like me?

[xylophone]

  On 4/22/2021 at 5:18 AM, BritManToo said:

In the recent past I've had one UTI cured by Moxy, and one that wasn't cured by Moxy, but was cured by Cipro.

I've also had an infected insect bit on my bum cured by 3x courses of Moxy, and an infected MTB injury (gravel road) on my shoulder that wasn't cured by Moxy, but was cured by Cipro.

 

As far as I'm concerned they are totally effective, and I will continue to use them until I get an infection they can't cure.

I'm happy for you to pay for tests and expensive treatments, you clearly have money to burn.

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As I said, amoxicillin is not now considered a first-line drug against a UTI, and neither is ciprofloxacin in many cases.

 

And you might want to consider this as regards ciprofloxacin: –

   
In a study published today in the Journal of the American College of Cardiology, researchers at the University of British Columbia (UBC) in partnership with the Provincial Health Services Authority's (PHSA) Therapeutic Evaluation Unit found that current users of fluoroquinolone antibiotics, such as Ciprofloxacin or Cipro, face a 2.4 times greater risk of developing aortic and mitral regurgitation, where the blood backflows into the heart, compared to patients who take amoxicillin, a different type of antibiotic. The greatest risk is within 30 days of use.

Recent studies have also linked the same class of antibiotics to other heart problems.

As for me, well I'm very happy to pay for tests because they are not expensive, and the security of knowing exactly what bacteria I have, is most comforting, because I then know that the doctor will prescribe the correct antibiotic.

And just to correct something which I mentioned previously, I have found a few good urologists here, and once I find one, I stay with him/her.
 

[KannikaP]

  On 4/21/2021 at 7:31 AM, scoutman360 said:

I strongly recommend your friend get tested by a doctor or clinic. There are many clinics now that do full STD checkups that are not very expensive. Self-treating is not something one should attempt because one can become asymptomatic and still carry the bacteria and give it to others. Get tested.

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Whatever, the OP says 'his friend' is still coming blood, which means he is still sha..ing around, giving whatever he has to other ladies. (Unless he is J Arthuring!)

[2009]

  On 4/22/2021 at 5:31 AM, BritManToo said:

I'm a normal person living a normal Thai life, using Thai government hospitals

I'm not a privileged wealthy American and I don't need special insurance or special doctors.

I'll die when my time comes which is probably quite soon as I'm old and feel no need to spend millions to eke out another few years in pain and misery.

 

Yes, I've read those 'prostate' threads as I have similar problems.

I can't see any of those guys posting they were cured, no matter how much they spent on treatment and specialists. Better off dead than to carry on in that state is my opinion but I do recognise (if not understand) the right of others to linger on in agony.

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Cheer up, old son.

 

The beer is still cold and the birds are still beautiful.

 

And apparently, you can pop a Moxy any time you like.

 

Life is beautiful - except for that incurable Super Gonorrhea we have in Thailand - yeah, thanks for that!

[2009]

  On 4/22/2021 at 5:47 AM, KannikaP said:

Whatever, the OP says 'his friend' is still coming blood, which means he is still sha..ing around, giving whatever he has to other ladies. (Unless he is J Arthuring!)

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It amazes me that he continues his ejaculation experiment.

[ukrules]

  On 4/22/2021 at 12:46 AM, lopburi3 said:

We can afford a test and proper treatment so better we do so

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Sure, we can afford all sorts of luxuries.

 

You realise that what we can afford vs what's available to 90% of the country is very different right?

[JimmyJ]

xylophone - 

"I had some sort of UTI and went to the specialist at the big hospital here...".

 

What hospital?

 

Or at least, where is "here"?

[rumak]

  On 4/21/2021 at 10:57 AM, xylophone said:

ciprofloxacin, and by the end of the second week not only was I feeling very sick, I had tendon problems,

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i did I thread on this drug a long time ago and was shut down for saying it was dangerous.

I guess it doesn't hurt to say once again that I and a few others on this forum had terrible side effects from ciprofloxacin ( which is in with other meds that end in "floxacin" ) . another is levofloxacin .

It carries the strongest warning from the FDA . 

ok............... i've said it,    to deaf ears or ?

[Covedian21]

His penis is not something for a man to play around with. Well, you get what I mean.

 

     OMG, then most men did something wrong on many occasions.  God Onan will be upset. 

 

   For the Original poster, he  should immediately go and see a specialist. Syphilis and Co are not funny. 

 

      

[lopburi3]

  On 4/22/2021 at 6:19 AM, ukrules said:

Sure, we can afford all sorts of luxuries.

 

You realise that what we can afford vs what's available to 90% of the country is very different right?

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We are talking about medical service which is cheap or free to that 90% of the country.

[BritManToo]

  On 4/22/2021 at 6:55 AM, Covedian21 said:

For the Original poster, he  should immediately go and see a specialist. Syphilis and Co are not funny. 

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You mean the OP's friend.

[BritManToo]

  On 4/22/2021 at 7:17 AM, lopburi3 said:

We are talking about medical service which is cheap or free to that 90% of the country.

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I think you'll find the 'cheap or free' drugs are extremely limited in number.

There's no 'expensive' drugs in the government hospital pharmacy.

 

For BPH doxazosin is the only drug a government hospital will provide.

If you want something more modern like Alfuzosin or Tamsulosin it's 1,000bht+ a month from a pharmacy.

 

Same with every other medication

[The Hammer2021]

GET TO A CLINIC NOW!!!!

[Covedian21]

  On 4/22/2021 at 7:38 AM, BritManToo said:

You mean the OP's friend.

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Don't we call our best piece our best friend from time to time? ????

 

I had blood in my sperms 20 years ago, but it was "only" a bladder infection and I still went to see a doctor.

 

Who knows, the OP's friend might have something very serious that eats his brain. Wouldn't be the first case. 

 

You never know until you know. 

[Boomer6969]

  On 4/21/2021 at 7:09 AM, problemfarang said:

 

thanks for the suggestions,

yes i agree, health is important. Im still trying to convince him to go to a doctor and get a full check up

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Don't follow this advice, it is the worst you can get. Follow the Cefriaxone + Azithromycin recommendation. Cefriaxone may be replaced by Cefixime 800mg, but that's no more the current recommendation for these STDs.

 

But we shouldn't even talk about taking antibiotics before having labs done, once you are symptomatic.

[The Hammer2021]

  On 4/22/2021 at 6:46 AM, rumak said:

 

i did I thread on this drug a long time ago and was shut down for saying it was dangerous.

I guess it doesn't hurt to say once again that I and a few others on this forum had terrible side effects from ciprofloxacin ( which is in with other meds that end in "floxacin" ) . another is levofloxacin .

It carries the strongest warning from the FDA . 

ok............... i've said it,    to deaf ears or ?

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The benefits outway the risks and most people don't suffer what you suffered. So yes people should be cautious.

[JimmyJ]

  On 4/22/2021 at 7:53 AM, The Hammer2021 said:

The benefits outway the risks and most people don't suffer what you suffered. So yes people should be cautious.

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The majority of western reputable medical sources would disagree - except for using it if necessary  if all else has failed.

 

Do a search using a USA ip

address or just look for USA sources.

 

Most will state it shouldn"t be used except as a last resort when all else has been tried.

 

People have lost vision (which does not return) among other dangerous effects.

 

The fact that it is prescribed in SEA as if it is candy doesn't change that.

 

(This goes for other fluoroquinalones as well).