Re: Rotating antibiotics to keep from getting infection...

[Guest guest]

Hi, . Since April of this year, I have been having recurring cholangitis

attacks, the last one in early September. My doctor (gastroenterologits) also

told me he has to switch antibiotics for the same reasons. I was on Cipro for a

while, then Amoxicillin, the Levaquin. At the moment, I have not had an attack,

but the severe pain has returned and, for me anyway, when severe pain returns,

another cholantigitis attack is not far away. My gastro has communicated this

information to the Transplant Center and I am scheduled for an appointment with

the transplant dr on November 13.

This may not happen with your Dad, but I just thought I would give you my

experience.

Janet E.

Saiber Schlesinger Satz & Goldstein, LLC

One Gateway Center, 13th Floor

Newark, New Jersey 07102

, Ext. 4892

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[Guest guest]

,

in the early 90's my doctor discussed putting me on such a regimen of

rotating antibiotics because I had been having frequent attacks of

bacterial cholangitis. So the idea isn't new. After discussing the

benefits and drawbacks we decided that attacking each infection as it

occurred was the best strategy for me to try first. If the cholangitis

stayed under control, i.e. no attacks for 6 to 12 months, then I would

not have to take antibiotics continually. If not then on to plan B.

Over the next several years I used Augmentin and Cipro alternately for

the few attacks that I did have. For me Cipro always seemed to do a

better job of quickly knocking the infection down and gave longer

periods until the next attack.

I don't think that halting the Cipro in mid-course and switching to

Bactrim will have a significant impact on your dad's attacks. The

hepatologist may see things differently and want to have a minimum 10

or 14 day course before switching, so you should check. At this point

your dad has had a couple of days on Cipro then a couple of days on

Bactrim. Switching back to Cipro give a less than optimal course of

Bactrim. Staying with Bactrim means there is only one short course

instead of two, so that would be my choice.

Tim R ltx 4/4/98

> Has there been anybody on the board that were put on rotating

> antibiotics to keep these 'infections', or cholangitis attacks at

> bay?

> The hepatologist put dad on rotating antibiotics...changing the med

> every 30 days, ... Augmentin for 30 days, ... Cipro, ... Bactrim.

[Guest guest]

- Mayo (Rochester) was very careful about giving me a different IV

antibiotic on my two trips there. The intent of course, is to assure you

don't develop a resistant strain. They also cultured bile (from ERCP), but

were unable to definitively identify a strain.

Arne

52 - UC 9/77 - PSC 4/00

Alive and (mostly) well in Minnesota

-----Original Message-----

From: liann24

Has there been anybody on the board that were put on rotating

antibiotics to keep these 'infections', or cholangitis attacks at

bay?