Guest guest Posted December 11, 1998 Report Share Posted December 11, 1998 Dear Sue, Dr. uses lincocin for her IVs - same doses as clindamycin. Lincocin is the earlier version of clindamycin so it is basically the same antibiotic, but perhaps it might work differently for your friend? Some doctors are also using Zithromax (azithromycin) as well as oral minocycline or doxycycline. The dose of Zithromax is often given as 500mg on Tuesdays and Thursdays with the oral minocycline/doxycycline on Mon Wed and Fridays. Chris. I have a friend who recently began clindamycin IV's. Unfortunatley she had a severe allergic reaction and broke out in a head to toe rash. Her MD, Dr. Kemp, advised against doing clindamycin IV's again. My question: Is there an alternative to clindamycin? She would like to do teh IV's but possibly with another type of IV antibiotic. Many thanks! Sue :-) -- S Estridge E-Mail : sestridg@madison Internet: Sue_Estridge@... Phone : (704) 649-2411 FAX: (704) 649-2020 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 1999 Report Share Posted February 8, 1999 A while ago, there was some discussion on the different methods of taking clindamycin. My original understanding was that the order of effectiveness is IV, IM and oral. Several people wrote me with suggestions of what they have found to be effective. Now, a few things about my situation. I have been on Minocin since November 97 and after a 5 month herx started improving. I now have more energy than I've had in years. Last July, I had a 5 day series of Clindamycin IV's followed by 5 weekly IV's. In October I had knee replacement surgery. My doctor recently said in a couple more months (to give more recovery time from the surgery) he would be willing to give me another 5 day series of Clindamycin. As a result of all of this, I have several questions: 1. Is the order of effectiveness still considered to be IV, IM, and oral? 2. My veins are small, rather fragile and love to go into hiding as soon as anyone approaches to start an IV. My last few treatments last summer were difficult. Should I avoid the IV's? 3. When I asked about the injections, my doctor said they are extremely painful (which immediately made me nervous about having him give them to me). Ray and others said they don't have to be painful if given properly, and Ray gave me some suggestions. Would it be better, considering my veins, to have the injections? 4. Someone told me the oral could be given the same way as the IV series i.e. 300 mg for 2 days, 600 mg for the next two days, and 900 mg the last day? How effective is this approach? I would appreciate any suggestions you could give me. (RA 20+ yr. AP 15 mo.) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 8, 1999 Report Share Posted February 8, 1999 Some people respond better to one method than another. The oral dosage is usually taken all at one time on a day when you are not taking Minocin. However, we have someone on the list taking the oral in the same way the IV is given, with good results. If it works for you - go for it. Ethel Ethel Donna and Ray wrote: > > From: " Donna and Ray " <donray@...> > > As a result of all of this, I have several questions: > > 1. Is the order of effectiveness still considered to be IV, IM, and oral? > SIMPLY BY AVOIDING THE DIGESTION PROCESS THE IV'S WIN. BUT...I GET JUST AS > MUCH OF A REACTION FROM ORAL AS IV MAKING THE ORAL ROUTE AN EQUAL. IM > WOULD BE MY LAST CHOICE SINCE THEY PROBABLY DO HURT AND THE DOSE IS LOWER > THAN IV OR ORAL. > 2. My veins are small, rather fragile and love to go into hiding as soon > as anyone approaches to start an IV. My last few treatments last summer > were difficult. Should I avoid the IV's? > HOW MUCH TROUBLE WAS IT. DID THEY USE AN EXTREMELY SMALL NEEDLE. > (BUTTERFLY NEEDLE IS VERY SMALL AND WORKS VERY WELL.) > > 3. When I asked about the injections, my doctor said they are extremely > painful (which immediately made me nervous about having him give them to > me). Ray and others said they don't have to be painful if given properly, > and Ray gave me some suggestions. Would it be better, considering my > veins, to have the injections? > DON'T KNOW BUT I IMAGINE THEY DO HURT. > 4. Someone told me the oral could be given the same way as the IV series > i.e. 300 mg for 2 days, 600 mg for the next two days, and 900 mg the last > day? How effective is this approach? > AGAIN, I HAVEN'T HEARD THIS BUT IT MAKES SENSE. ALTHOUGH THE LAST DAY > WOULD BE 1200mg. > I would appreciate any suggestions you could give me. > I'D LOVE TO HEAR EVERYONES THOUGHTS ON THIS. > > (RA 20+ yr. AP 15 mo.) > > > ------------------------------------------------------------------------ > To unsubscribe from this mailing list, or to change your subscription > to digest, go to the ONElist web site, at and > select the User Center link from the menu bar on the left. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 1999 Report Share Posted February 9, 1999 Hi ... I wouldn't avoid the IV's, I think they're important. Another note...your veins may have improved, mine did. I had a lot of difficulty when I first started the IV's. (sometimes poked a half dozen times before they got it...my veins rolled ...tried heat ...veins collapsed...ect.) Now they find a vein immediately and it lasts the whole 10 treatments...who knows yours could be getting better too. good luck Cindi/Iowa RA 42 yrs AP 26 months << A while ago, there was some discussion on the different methods of taking clindamycin. My original understanding was that the order of effectiveness is IV, IM and oral. Several people wrote me with suggestions of what they have found to be effective. Now, a few things about my situation. I have been on Minocin since November 97 and after a 5 month herx started improving. I now have more energy than I've had in years. Last July, I had a 5 day series of Clindamycin IV's followed by 5 weekly IV's. In October I had knee replacement surgery. My doctor recently said in a couple more months (to give more recovery time from the surgery) he would be willing to give me another 5 day series of Clindamycin. As a result of all of this, I have several questions: 1. Is the order of effectiveness still considered to be IV, IM, and oral? 2. My veins are small, rather fragile and love to go into hiding as soon as anyone approaches to start an IV. My last few treatments last summer were difficult. Should I avoid the IV's? 3. When I asked about the injections, my doctor said they are extremely painful (which immediately made me nervous about having him give them to me). Ray and others said they don't have to be painful if given properly, and Ray gave me some suggestions. Would it be better, considering my veins, to have the injections? 4. Someone told me the oral could be given the same way as the IV series i.e. 300 mg for 2 days, 600 mg for the next two days, and 900 mg the last day? How effective is this approach? I would appreciate any suggestions you could give me. (RA 20+ yr. AP 15 mo.) >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 1999 Report Share Posted February 9, 1999 Cindi would you mind telling me what you are on. And did you have a severe case of RA? Did you change your diet? Hugs Bev rheumatic Fwd: rheumatic clindamycin >Hi ... >I wouldn't avoid the IV's, I think they're important. Another note...your >veins may have improved, mine did. I had a lot of difficulty when I first >started the IV's. (sometimes poked a half dozen times before they got it...my >veins rolled ...tried heat ...veins collapsed...ect.) Now they find a vein >immediately and it lasts the whole 10 treatments...who knows yours could be >getting better too. good luck > Cindi/Iowa RA 42 yrs AP 26 months > ><< > A while ago, there was some discussion on the different methods of taking >clindamycin. My original understanding was that the order of effectiveness is >IV, IM and oral. Several people wrote me with suggestions of what they have >found to be effective. > > Now, a few things about my situation. I have been on Minocin since November >97 and after a 5 month herx started improving. I now have more energy than >I've had in years. Last July, I had a 5 day series of Clindamycin IV's >followed by 5 weekly IV's. In October I had knee replacement surgery. My >doctor recently said in a couple more months (to give more recovery time from >the surgery) he would be willing to give me another 5 day series of >Clindamycin. > > As a result of all of this, I have several questions: > > 1. Is the order of effectiveness still considered to be IV, IM, and oral? > > 2. My veins are small, rather fragile and love to go into hiding as soon as >anyone approaches to start an IV. My last few treatments last summer were >difficult. Should I avoid the IV's? > > 3. When I asked about the injections, my doctor said they are extremely >painful (which immediately made me nervous about having him give them to me). >Ray and others said they don't have to be painful if given properly, and Ray >gave me some suggestions. Would it be better, considering my veins, to have >the injections? > > 4. Someone told me the oral could be given the same way as the IV series >i.e. 300 mg for 2 days, 600 mg for the next two days, and 900 mg the last day? >How effective is this approach? > > I would appreciate any suggestions you could give me. > > > (RA 20+ yr. AP 15 mo.) > > >> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 1999 Report Share Posted February 10, 1999 Bev asked me.... " Cindi would you mind telling me what you are on. And did you have a severe case of RA? Did you change your diet? " The answers may surprise you...considering how well I've done on the AP. Hi all, I definitely have (had) a severe-long standing case of RA. I have it everywhere(eyes,neck,fingers,wrists,knee, & ankles). I take minocycline (ESI Lederl generic) 200 mg on Mon, Wed, Fri...I do the Clindamycin IV's every 6 months (series of 10...2 every day for 5 days...900mg per dose). I take 500 mg Relafen a day (down from 1000 mg). I take acidophilus (1..100 mg 'cheap' tablet per day).I take 2 vitamins a day(Multigenics by Metagenics brand). I take other herbs/suppliments. I go to an accupuncurist (sp?) who monitors my blood work and changes the herbs/suppliments as my condition warrants. He truly believes in the AP...has read the book and works with me and Dr. Sinnott. Now about the diet...I try. I don't follow it strictly...but I do make an effort to eat healthier foods. Which doesn't mean I don't occasionally have a 'Big Mac " , chocolate cake, cookies, french fries and other " not on the list foods " ...I believe the key is moderation.I also can tell when I need to start eating better. I really 'listen' to my body. I also 'try' and drink lots of water...I really think this is very, very, important. But again there are times when I slack off (especially when I travel with hubby....he drives a 'big' truck....and stopping to 'go' all the time puts him in a growly mood..I guess pulling the 'big rig' in all the time puts him off schedule...lol).I guess the point here is that you don't have to be 'perfect' to have success on the AP...I think patience is much more important and to just stick with it...it will work...just look at me. good luck all. Cindi/Iowa RA 42 yrs AP 26 months Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 10, 1999 Report Share Posted February 10, 1999 Re: rheumatic Fwd: rheumatic clindamycin >Bev asked me.... " Cindi would you mind telling me what you are on. And did you >have a severe case of RA? Did you change your diet? " The answers may surprise >you...considering how well I've done on the AP. > > > Cindi I'm printing your post and it's going in the front of my binder, just to look at when I feel impatient. You sure have come a long way in a short time. I was surprised to read you go to the acupuncturist. You are lucky to have found all the supportive people to help you. It makes it easier when you have a network of people who you believe in and who believe in the AP. I hope you enjoy those trips in the big rig. My son drives one of those too and I've gone with him. Scary isn't it. They go so fast. Take care and thanks for sharing your success story. Hugs Bev > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 15, 1999 Report Share Posted April 15, 1999 Most of the time Dr. Franco recommends taking the Zithromax on Tuesdays and Saturdays, because it lasts quite a long time in the body. take care, -Connie cadlard@... wrote: > Dear Sue, > > Dr. uses lincocin for her IVs - same doses as clindamycin. > Lincocin is the earlier version of clindamycin so it is basically the same > antibiotic, but perhaps it might work differently for your friend? > > Some doctors are also using Zithromax (azithromycin) as well as oral > minocycline or doxycycline. The dose of Zithromax is often given as 500mg > on Tuesdays and Thursdays with the oral minocycline/doxycycline on Mon Wed > and Fridays. > > Chris. > > > > > I have a friend who recently began clindamycin IV's. Unfortunatley she > had a severe allergic reaction and broke out in a head to toe rash. Her > MD, Dr. Kemp, advised against doing clindamycin IV's again. My question: > Is there an alternative to clindamycin? She would like to do teh IV's > but possibly with another type of IV antibiotic. > Many thanks! > Sue :-) > -- > S Estridge > E-Mail : sestridg@madison > Internet: Sue_Estridge@... > Phone : (704) 649-2411 > FAX: (704) 649-2020 > > > > ---------------------------------------------------------------- > I have a friend who recently began clindamycin IV's. Unfortunatley she > had a severe allergic reaction and broke out in a head to toe rash. > Her MD, Dr. Kemp, advised against doing clindamycin IV's again. My > question: Is there an alternative to clindamycin? She would like to do > teh IV's but possibly with another type of IV antibiotic. > > Many thanks! > > Sue :-) > > -- > S Estridge > E-Mail : sestridg@madison > Internet: Sue_Estridge@... > Phone : (704) 649-2411 > FAX: (704) 649-2020 > > Quote Link to comment Share on other sites More sharing options...
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