Antibiotic for tooth- nervous- had c-diff before

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blindsided
New Member


Date Joined Feb 2009
Total Posts : 1
   Posted 2/21/2009 11:22 AM (GMT -6)   
Hi,

Several years ago I was prescribed clindamycin after a root canal.
2 weeks afterward, I ended up with C-diff/colitus which lasted close to a year.

The root canal failed last year, and I got another root canal.

Several weeks ago, the same tooth began hurting.
Got it x-rayed, and it is very infected, and now they want to do a apicoectomy on Monday.

The Doctor prescribed amoxicillin to take before the surgery, but I am afraid to take it because of what happened last time.

Is amoxicillin a safe antibiotic to take for those who had c-diff colitus?
Is there a safer antibiotic?
I also have penicillin K in the house, is that better?
I am very nervous, as I would rather loose a tooth than go thru the c-diff/colitus again.

glamourgirl
Regular Member


Date Joined Apr 2008
Total Posts : 460
   Posted 2/21/2009 2:24 PM (GMT -6)   
Bactrim is a good antibiotic but I'm not sure if it would do anything for your tooth. I would talk to your GI and see what they recommend. You should definitely start a good probiotic along with sacchromyces boulardii.
Female, Age 38
Diagnosed w/c.diff 7/02 when pregnant w/1st and only child during 2nd trimester(wasn't on antibiotics)
C.diff flare within weeks of delivering baby 1/03, Diagnosed with UC 2/03
Current Meds:
LDN - 2/17/09 1.5 mg.
Ferrex Forte
Acidophillus, Sacchromyces Boulardii, Oil of Oregano


Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5965
   Posted 2/21/2009 2:28 PM (GMT -6)   
     My GI doctor suggests Cipro but I also have to take Flagyl along with it.  I believe Flagyl keeps the "good" bacteria from getting destroyed by the Cipro.  Know what you are going through with the infected tooth....been there....are you on prednisone at the moment?  Seems like I always get a gum or tooth infection while on prednisone.
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Update 11/03/08...finally in remission!!  Hope I don't jinx myself.  Off the prednisone since 11/01/08...now see if I can stay off for longer than two weeks.  Other meds: 6MP (75 mgm), colazal (6 per day), Benicar and Toprol (high blood pressure meds), Probiotic (2 per day), fish oil capsule and multi-vitamin and calcium with vitamin D.


tooth fairy
Regular Member


Date Joined Jan 2008
Total Posts : 98
   Posted 2/21/2009 7:01 PM (GMT -6)   
Bactrim, Cipro, and flagyl aren't very effective in treating dental abscesses. Amoxicillin, penicillin, and clindamycin work much better in the mouth. There is always a chance of getting c-diff after antibiotic treatment, but it's actually quite low with amoxicillin and penicillin. You do need to be on the antibiotic for the abscess prior to the apicoectomy. Your best bet it to watch your UC symptoms very closely during and after your antibiotic treatment, and seek help from your GI doc as soon as you have any concerns. They can treat c-diff pretty quickly & effectively if caught early.

For what it's worth, I'm a dentist posting here as a UC sufferer, and that's just my two cents. Good luck! -Erica
Erica, 31
Pancolitis, diagnosed July 2006, at age 29
Imuran, Asacol, Rowasa*(new!)
Experimenting with diet, live culture yogurt and probiotics


Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5965
   Posted 2/21/2009 7:27 PM (GMT -6)   
     I'm allergic to penicillin.  Guess that is the reason why my GI doctor suggests Cipro.
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Update 11/03/08...finally in remission!!  Hope I don't jinx myself.  Off the prednisone since 11/01/08...now see if I can stay off for longer than two weeks.  Other meds: 6MP (75 mgm), colazal (6 per day), Benicar and Toprol (high blood pressure meds), Probiotic (2 per day), fish oil capsule and multi-vitamin and calcium with vitamin D.


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 2/21/2009 7:42 PM (GMT -6)   

And don't forget the probiotics - yogurt at least - good bacteria. 

ElaineNY


68 yr. old granny
New diagnosed with proctosigmoiditis - 6/2008
 Colonoscopy 10/28 showed only few cm. left to heal in rectum - tried Proctofoam for weeks - no luck.
Probiotic Align, Prilosec for GERD
Inderol for hypertension,Xanax,Lipitor, multivitamin, calcium w/D, Tylenol
Tried hydrocortisone for two weeks with no change.
2/3/2009 - sigmoidoscopy showed about 30 cm. involved but mild - starting on prednisone only 40 mg. taper on 2/7/2009.
 
 
 
 
 
 


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 2/23/2009 8:05 AM (GMT -6)   
Sounds similar to what I'm going through. I've had the dentist prescribe a zpack. I have no bad reactions to that.

Good Luck!!!!
Pan-colitis and GERD diagnosed May 2003
Osteopenia (hip and spine) diagnosed Feb 2006
Status:  Remission
Asacol 12 per day,  Azathioprine 50mg, Aciphex, Effexor XR, Forvia, Fibercon, and Culturelle
Remicade: 1st infusion 06/17/08:  Next infusion: end of March or early April
Last Prednisone dose:  7/15/08
 
Co-Moderator UC forum:  Keep HealingWell running smoothly:  www.healingwell.com/donate

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