Antibiotics and Crohn's disease

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New Member

Date Joined Mar 2005
Total Posts : 4
   Posted 4/14/2009 11:09 AM (GMT -7)   
   Has anyone with Crohn's disease had experience with taking antibiotics for an absessed tooth?  I have found no information on this, but my experience is that the effectiveness of the antibiotic is reduced, but I don't know if by reduced absorption or by the medication (asacol, folic acid, KCl, dyazide, etc).  Can anyone add any information?

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 4/14/2009 11:36 AM (GMT -7)   
I have taken anti-b's for various infections and never had any problems other than them giving me bad D at times. You would have to talk to your pharmacist to make sure they didn't interact with your other meds. But I have never had any problems with absorption of the anti-b's. Only thing I do is take my probiotics two hours after each anti-b dose. Good luck!
Gail*Nanners* Co-Moderator for Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia and Osteoarthritis and Anxiety. Currently my Crohns is in remission.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 4/14/2009 1:50 PM (GMT -7)   
You can check with your pharmacy about that, but I'd like to add that I hope you're taking a good probiotic (daily and indefinitely) espceially when on antibiotics since antis tend to kill off everything making your system even more vulnerable....probiotics can aid with IBD symptoms especially since we tend to have bacterial overgrowth mean that probiotics are even more necessary for us daily and indefinitely.

My bum is broken....there's a big crack down the middle of it! LOL :)

Regular Member

Date Joined Oct 2006
Total Posts : 237
   Posted 4/14/2009 2:04 PM (GMT -7)   
Hi TWE~I just had an experience with Augmentin that is an antibiotic prescribed for me for a bad tooth. It raise Holy H--- with my colon. If I had known, I would have checked with my Gastro. doctor before starting the Augmentin. I don't know about the absorption issue. I didn't have any luck with the probiotics before or after the medication. My pharmacist told me that the antibiotics kill off both the good and the bad bacteria. Hope this helps! Hope your tooth feels better soon!
Asacol 1200 mg. 3 times daily, Rowasa enema AM & PM,
probiotics, lots of hope and prayers! 52 years old, diagnosed formally 10-06. If it doesn't kill ya, it'll only make you stronger!

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 4/14/2009 2:56 PM (GMT -7)   
While on antibiotics it's important to take your probiotics at least 2 hours after you're done taking your antibiotics in order for the antis not to kill off the probiotics and to replenish the good bacteria in your gut flora...

Mismissy, it could be a matter of you not finding the right probiotic or getting enough CFUs from the probiotic you tried as well as taking the probiotics before you took your antis would have no benefit since the antis would kill off the probiotics.

Most do find benefits with their symptoms by taking probiotics daily and indefinitely...either way they are doing good but are more effective if you're taking a good one and one that contains at least 5 billion CFUs.

My bum is broken....there's a big crack down the middle of it! LOL :)

Regular Member

Date Joined Apr 2009
Total Posts : 166
   Posted 4/23/2009 7:23 AM (GMT -7)   
I just took 4 rounds of antibiotics for 2 infections which led to a bad flare-up, but the antibiotics did their job. I would follow the advice of others to make sure that you keep good bacteria up. Keep your stress levels down and rest well, and hopefully the Crohn's will be OK.

Regular Member

Date Joined May 2007
Total Posts : 148
   Posted 4/25/2009 7:24 PM (GMT -7)   
some antibiotics are much worse on your gut than others. My GI told me to request Levaquin, which is pretty broad spectrum and does not kill your gut. I have had to take it a few times for sinue infections, and as long as I kept up with the probiotics (which also prevents those nasty yeast infections) I had no problems

Regular Member

Date Joined Nov 2008
Total Posts : 192
   Posted 4/26/2009 4:15 PM (GMT -7)   
Ditto Levaquin. It is the only antibiotic that does not send me into a Crohn's flare. I am on it now for a sinus infection, and so far my gut is still ok.
Dx with Crohn's Colitis; Meds: Pred and Imuran; female in late 20s.

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