got a rearly bad sore throat and a cough to go with it.

meatboy · June 25, 2015

i have had this for over 5 days,throat is on fire and is very painfull to swallow,the cough is like a hacksaw blade across my throat and chest.

i have got medications from the hospital,stepsils but i found out i cant take anti-biotics as i am on warfarin for life.i am gargling with warm salted water but not getting much relief.the doctor said there is swelling and much redness.for which she gave me a steriod. its starting to get the better of me as its not getting any better. as for how i caught it the only contact i have had the past 10days is with the wife,who did have a mild cold.nothing like i got.

so is there any alternative i can take with the same as an antibiotic.

h90 · June 25, 2015

I am feeling with you....the biggest problem is that you can't sleep with it...not sleeping well makes you even weaker....

a short relieve is something cold....but it doesn't last.

Also I found some of the more aggressive mouth wash help a little bit.

Also there are antibiotic tabs that you keep in your mouth, they should not (or not much) go into your blood stream and work just locally.....small shops like 7/11 have them.

Depending on the kind of infection I found they either work wonder (in a few hours everything is good) or don't work at all (bacteria not sensitive to this antibiotic or not an bacteria at all).

Antibiotics interact with warfarin, don't know if there is a method to compensate for that (reducing/increasing dose or use another anticoagulant for the time)?

NeverSure · June 25, 2015

You need a better doctor, I think. That might be a strep throat if it hurts that bad and untreated strep itself can lead to heart problems including rheumatic fever. Strep usually reacts brilliantly to penicillin. I've had it a couple of times and it's no fun, but starts getting much better quickly if treated. Like overnight.

You really shouldn't go without a lab culture and medication, whatever that takes. Strep is also highly contagious if you live with someone or... I'm not saying it's strep of course but it should be tested.

Good luck.

meatboy · June 25, 2015

You need a better doctor, I think. That might be a strep throat if it hurts that bad and untreated strep itself can lead to heart problems including rheumatic fever. Strep usually reacts brilliantly to penicillin. I've had it a couple of times and it's no fun, but starts getting much better quickly if treated. Like overnight.

You really shouldn't go without a lab culture and medication, whatever that takes. Strep is also highly contagious if you live with someone or... I'm not saying it's strep of course but it should be tested.

Good luck.

thanks guys,the problem i have is i cant take antibiotics as they react with warfarin and i am elergic to penicillin,

i am now starting to get a lot of mucus up with my coughing and i am starting to get a runny nose,the headache's are not to bad,but its the nights where i have to sit up,so all in al very little sleep or food and no alcohol.the only upside is i have lost 8lbs.

h90 · June 25, 2015

You need a better doctor, I think. That might be a strep throat if it hurts that bad and untreated strep itself can lead to heart problems including rheumatic fever. Strep usually reacts brilliantly to penicillin. I've had it a couple of times and it's no fun, but starts getting much better quickly if treated. Like overnight.

You really shouldn't go without a lab culture and medication, whatever that takes. Strep is also highly contagious if you live with someone or... I'm not saying it's strep of course but it should be tested.

Good luck.

thanks guys,the problem i have is i cant take antibiotics as they react with warfarin and i am elergic to penicillin,

i am now starting to get a lot of mucus up with my coughing and i am starting to get a runny nose,the headache's are not to bad,but its the nights where i have to sit up,so all in al very little sleep or food and no alcohol.the only upside is i have lost 8lbs.

Against mucus Acetylcysteine works good for me. It just makes the mucus more fluid. Also good for the liver.

Camelot · June 25, 2015

Have you considered acid reflux or GERD?. I had similar symptoms to yours and that's what it turned out to be. No need for antibiotics. Antacids (liquid and milk of magnesia tablets) and Miracid capsules brought relief. Originally I thought it was strep throat but it was an excess of stomach acid reaching my throat while I slept. My throat was on fire. Try using more pillows to elevate your neck and head when you sleep at night.

Spaniel · June 25, 2015

Here is something that works for me. Mix 1/4 cup of vinegar with 1/4 cup of honey and take 1 tablespoon 6 time a day. The vinegar kills the bacteria.

Sheryl · June 25, 2015

First of all, warfarin use is not an absolute contraindication to taking antibiotics. There is some increased risk of over-coagulation but it is small (small = on the magnitude of 2-3% only).

"Acute upper respiratory tract infection increases the risk of excessive anticoagulation independent of antibiotic use. Antibiotics also increase the risk; however, most patients with previously stable warfarin therapy will not experience clinically relevant increases in INR following antibiotic exposure or acute upper respiratory tract infection." http://www.ncbi.nlm.nih.gov/pubmed/24445404

Secondly, the increased risk is not the same for all antibiotics but rather varies greatly by class. Azoles are the worst; macrolides (azithromycin etc) and quinolones the least.

The guidance is to more closely monitor (i.e. measure INR frequently) people on warfarin who have to use antibiotics, not to avoid antibiotic use when indicated.

Your throat should have been cultured and I suggest you go back to the doctor and insist on this. If the culture shows a bacterial infection -- or if the redness is accompanied by fever and enlarged lymph nodes - then abx treatment is warranted.

I also suggest you also take redoxan, an effervescent tablet containing zinc and Vit C, available in most drugstores.

Ginger tea (made by boiling fresh pieces of ginger, not the powders) may also give some relief.

meatboy · June 26, 2015

Have you considered acid reflux or GERD?. I had similar symptoms to yours and that's what it turned out to be. No need for antibiotics. Antacids (liquid and milk of magnesia tablets) and Miracid capsules brought relief. Originally I thought it was strep throat but it was an excess of stomach acid reaching my throat while I slept. My throat was on fire. Try using more pillows to elevate your neck and head when you sleep at night.

thanks camelot for your reply but i have suffered for over 40yrs.with hiatus-hernia and have been taken miracid for the past 6yrs.yes i now what its like to wake up at night with acid burning your throat,back in the uk.i was put on ZOTON LANSOPROZOLE [yr.2000] and it changed my life] but there is nothing wrong with miracid i take 4.0mg.daily.

meatboy · June 26, 2015

First of all, warfarin use is not an absolute contraindication to taking antibiotics. There is some increased risk of over-coagulation but it is small (small = on the magnitude of 2-3% only).

"Acute upper respiratory tract infection increases the risk of excessive anticoagulation independent of antibiotic use. Antibiotics also increase the risk; however, most patients with previously stable warfarin therapy will not experience clinically relevant increases in INR following antibiotic exposure or acute upper respiratory tract infection." http://www.ncbi.nlm.nih.gov/pubmed/24445404

Secondly, the increased risk is not the same for all antibiotics but rather varies greatly by class. Azoles are the worst; macrolides (azithromycin etc) and quinolones the least.

The guidance is to more closely monitor (i.e. measure INR frequently) people on warfarin who have to use antibiotics, not to avoid antibiotic use when indicated.

Your throat should have been cultured and I suggest you go back to the doctor and insist on this. If the culture shows a bacterial infection -- or if the redness is accompanied by fever and enlarged lymph nodes - then abx treatment is warranted.

I also suggest you also take redoxan, an effervescent tablet containing zinc and Vit C, available in most drugstores.

Ginger tea (made by boiling fresh pieces of ginger, not the powders) may also give some relief.

thanks sheryl not having suffered with anything like this for over 45yrs.it rearly was the worst experiance of pain and discomfort i can remember.

last night i did find it was easing,less pain and swallowing was easyer.the cough has got worse but it is getting what we call the flem off my chest.

the steriod the doctor gave me finished this morn.plus a few more she gave me.

i did manage to take my beloved out for his walk this morning but i do feel weak.

this is what the dr.gave me. prednisolone 5mg.1 x3 a day total [10]

cetirizine[zyrtect] 10mg. 1x4 a day[20]

roxithromycin[rulid] 150ml.this one i havnt taken due to it being on my list of meds.that interact with warfarin.

and a few packets of mawaeng lozenges

i hope this is the last time that i get this infection[NOT RECOMMENDED].

xylophone · June 26, 2015

First of all, warfarin use is not an absolute contraindication to taking antibiotics. There is some increased risk of over-coagulation but it is small (small = on the magnitude of 2-3% only).

"Acute upper respiratory tract infection increases the risk of excessive anticoagulation independent of antibiotic use. Antibiotics also increase the risk; however, most patients with previously stable warfarin therapy will not experience clinically relevant increases in INR following antibiotic exposure or acute upper respiratory tract infection." http://www.ncbi.nlm.nih.gov/pubmed/24445404

Secondly, the increased risk is not the same for all antibiotics but rather varies greatly by class. Azoles are the worst; macrolides (azithromycin etc) and quinolones the least.

The guidance is to more closely monitor (i.e. measure INR frequently) people on warfarin who have to use antibiotics, not to avoid antibiotic use when indicated.

Your throat should have been cultured and I suggest you go back to the doctor and insist on this. If the culture shows a bacterial infection -- or if the redness is accompanied by fever and enlarged lymph nodes - then abx treatment is warranted.

I also suggest you also take redoxan, an effervescent tablet containing zinc and Vit C, available in most drugstores.

Ginger tea (made by boiling fresh pieces of ginger, not the powders) may also give some relief.

thanks sheryl not having suffered with anything like this for over 45yrs.it rearly was the worst experiance of pain and discomfort i can remember.

last night i did find it was easing,less pain and swallowing was easyer.the cough has got worse but it is getting what we call the flem off my chest.

the steriod the doctor gave me finished this morn.plus a few more she gave me.

i did manage to take my beloved out for his walk this morning but i do feel weak.

this is what the dr.gave me. prednisolone 5mg.1 x3 a day total [10]

cetirizine[zyrtect] 10mg. 1x4 a day[20]

roxithromycin[rulid] 150ml.this one i havnt taken due to it being on my list of meds.that interact with warfarin.

and a few packets of mawaeng lozenges

i hope this is the last time that i get this infection[NOT RECOMMENDED].

I think Sheryl's advice is spot on and although my antibiotic "of choice" here is Azithromycin, I have used Rulide (Roxithromycin) recently and it has worked well on clearing my sinus and sore throat.

Good luck..........oh and a little night-time drink I use is warm water with a spoonful of honey, lemon juice, cinnamon and a dissolved paracetamol. Works well for me.

meatboy · June 26, 2015

thanks xylophone i too like a night time drink but tonight its goner be a pint of cold ???????????????????????????????? water.

after 6days and night not been able to swallow that will be heaven.

chubby · June 29, 2015

azithromycin/zithro <-> warfarin "monitor" is all .........

Zithromax Drug Interactions - Epocrates Online

epocrates.com

Drug Interactions

.

Overview

azithromycin

macrolide

Interaction Characteristics:

P-gp inhibitor, moderate
alters GI flora
binds to polyvalent cations
GI absorption enhanced by GLP-2 receptor agonist
prolongs QT interval, probable

Contraindicated

BCG live intravesical
cisapride
dronedarone
pimozide
thioridazine

Avoid/Use Alternative

amiodarone
anagrelide
arsenic trioxide
artemether/lumefantrine
asenapine
bedaquiline
chloroquine
clarithromycin
crizotinib
degarelix
disopyramide
dofetilide
dolasetron
droperidol
ephedra
ephedrine
erythromycin
flecainide
goserelin
haloperidol
histrelin
ibutilide
iloperidone
leuprolide
lopinavir/ritonavir
methadone
mifepristone
nilotinib
paliperidone
panobinostat
pasireotide
pentamidine
procainamide
quinidine (antiarrhythmic)
quinine
ranolazine
rivaroxaban
saquinavir
sevoflurane
sotalol
sunitinib
telavancin
telithromycin
tetrabenazine
toremifene
triptorelin
typhoid vaccine, live
vandetanib
ziprasidone

Monitor/Modify Tx

acetazolamide
afatinib
albuterol
albuterol inhaled
aluminum hydroxide
amphotericin
arformoterol inhaled
bendroflumethiazide
betamethasone
budesonide
bumetanide
carboplatin
ceritinib
chlorothiazide
chlorthalidone
cisplatin
citalopram
colchicine
cortisone
dexamethasone
digoxin
edoxaban
ethacrynic acid
exenatide
formoterol inhaled
foscarnet
furosemide
hydrochlorothiazide
hydrocortisone
indacaterol inhaled
indapamide
isoproterenol
lenvatinib
levalbuterol inhaled
magnesium carbonate
magnesium hydroxide
magnesium trisilicate
metaproterenol
methazolamide
methyclothiazide
methylprednisolone
metolazone
olodaterol inhaled
ondansetron
pirbuterol inhaled
prednisolone
prednisone
primaquine
quinidine (CYP2D6 booster)
romidepsin
salmeterol inhaled
sirolimus
sodium phosphate (bowel prep)
sodium phosphate rectal
sulfate bowel prep
teduglutide
terbutaline
torsemide
triamcinolone
vilanterol inhaled
warfarin

Caution Advised

alfuzosin
amitriptyline
amoxapine
apomorphine
chlorpromazine
ciprofloxacin
clomipramine
clozapine
dasatinib
desipramine
desogestrel (contraceptive)
dienogest (contraceptive)
doxepin
drospirenone (contraceptive)
eliglustat
escitalopram
estradiol (contraceptive)
ethinyl estradiol (contraceptive)
ethynodiol (contraceptive)
etonogestrel (contraceptive)
fluconazole
fluphenazine
gemifloxacin
granisetron
hydrocodone
imipramine
isradipine
lapatinib
levofloxacin
levonorgestrel (contraceptive)
maraviroc
mefloquine
mestranol (contraceptive)
moxifloxacin
mycophenolate mofetil
mycophenolic acid
nelfinavir
norelgestromin (contraceptive)
norethindrone (contraceptive)
norfloxacin
norgestimate (contraceptive)
norgestrel (contraceptive)
nortriptyline
ofloxacin
pazopanib
perphenazine
posaconazole
prochlorperazine
promethazine
propafenone
protriptyline
quetiapine
sodium picosulfate
tacrolimus
topotecan
trifluoperazine
trimipramine
vardenafil
vemurafenib
venlafaxine
voriconazole

mommysboy · June 29, 2015

If you are still suffering then this has gone beyond the coping stage. You are at risk of a nasty bout of tonsillitis or bronchitis.

meatboy · June 29, 2015

If you are still suffering then this has gone beyond the coping stage. You are at risk of a nasty bout of tonsillitis or bronchitis.

thanks mb.the soar throat has gone [sat] but the cough is still here and a runny nose.i am getting a small amount of mucus up and still feeling weak.

the past 2 days my appitite is slowly coming back,its 14days since i opened my bar for refreshment i can hear the cans of cider calling out "what have we done"

got some nice cough syrup so hopefully a few more days.

Boycie · July 1, 2015

Cough Medicine from 7-11 with Opium, to cure the cough and also get a good nights sleep.

Get well soon, but beware it can be addictive , i'm on a few bottles a night (Joke)

Edited July 1, 2015 by Boycie

meatboy · July 4, 2015

If you are still suffering then this has gone beyond the coping stage. You are at risk of a nasty bout of tonsillitis or bronchitis.

thanks mb.the soar throat has gone [sat] but the cough is still here and a runny nose.i am getting a small amount of mucus up and still feeling weak.

the past 2 days my appitite is slowly coming back,its 14days since i opened my bar for refreshment i can hear the cans of cider calling out "what have we done"

got some nice cough syrup so hopefully a few more days.

well the cough has just about GONE thanks to some kind old dear that told my wife to get me a bottle of TUSSIS [bROWN MIXTURE] be jesus it worked.

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got a rearly bad sore throat and a cough to go with it.

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