mjw, I just yesterday completed a 10-day course of Keflex. There were a couple of bumpy places, but I made it through without serious problems.
When I first started the abx, I started having cramping and mushy stools within four hours. I then started taking one Imodium with each antibiotic capsule. I doubled up on my probiotics, and went back to my bland, low-residue flare diet. As long as I stayed away from my beloved granola, I did really well, couldn't really tell I was taking abx.
I'd say if the toe gets worse, or if it doesn't start looking better within about
three days, go ahead with the abx. You don't want to end up with the infection spreading or the toe necrosing. If Azithromycin (Z-pack) is appropriate for the type of infection you have, that might be a place to start. You only have to take it for five days, so it has less chance to make you sick.
As far as the Remi, I can only tell you my experience. I've had no more frequent infections since starting on it than I had before. This was only the third time I've taken abx in the past 3 1/2 years.
Good luck, and hope you're better soon.
Ulcerative colitis forum co-moderator
Moderate to severe left-sided UC diagnosed 2001.
Flared for 5 years, finally in remission with Remicade since March 2006.
Avascular necrosis in both shoulders is my "forever" gift from steroids.
Colazal, Remicade, Nature's Way Primadophilus Reuteri.
"My life is an ongoing medical adventure"