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Author Topic: Antibiotics prophylaxis?  (Read 972 times)

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Offline Loa111

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Antibiotics prophylaxis?
« on: October 21, 2019, 05:38:17 am »
For those of us who are either on currently or have been on prophylaxis antibiotics...

I wonder is there extra strain on the body when we are taking them for long periods of time?.. close to 18 months for me, and probably at least another 6+ months before I can get off them.

Also wondering would this daily antibiotic use cause long term resistance to antibiotics in us?

I know they're to prevent PCP when our CD4s are below 200... wondering do they stop other infections too?

I'm counting the days until I can get off the liquid aquotovone I'm still on. 10ml daily via a spoon, yuck! It's yellow too so if you spill a drop, it makes a terrible mess of clothes etc.

I'm sure I will feel even better when I get off them.

Offline Jim Allen

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Re: Antibiotics prophylaxis?
« Reply #1 on: October 21, 2019, 07:18:43 am »
Hiya,

Bacteria becoming resistance more commonly is due to stopping antibiotics too soon allowing the remaining bacteria to become resistant also overprescribing and the usage in animals/food supply seems to play some role.

Although as for PCP prevention so far things have been going well, stain on the body maybe but only temporary so overall it seems to outway the mortality risk from PCP

Don't worry you will not be on the antibiotics forever. ;)

Quote
"Before the widespread use of PCP prophylaxis and antiretroviral therapy (ART), PCP occurred in 70% to 80% of patients with AIDS the course of treated PCP was associated with a 20% to 40% mortality rate in individuals with profound immunosuppression. Approximately 90% of PCP cases occurred in patients with CD4 T lymphocyte (CD4) cell counts <200 cells/mm3. Other factors associated with a higher risk of PCP in the pre-ART era included CD4 cell percentage <14%, previous episodes of PCP, oral thrush, recurrent bacterial pneumonia, unintentional weight loss, and higher plasma HIV RNA levels

The incidence of PCP has declined substantially with widespread use of PCP prophylaxis and ART; recent incidence among patients with AIDS in Western Europe and the United States is <1 case per 100 person-years. Most cases of PCP now occur in patients who are unaware of their HIV infection or are not receiving ongoing care for HIV, and in those with advanced immunosuppression (i.e., CD4 counts <100 cells/mm3).19

https://aidsinfo.nih.gov/guidelines/html/4/adult-and-adolescent-opportunistic-infection/321/pneumocystis-pneumonia

https://www.cdc.gov/drugresistance/about/how-resistance-happens.html
« Last Edit: October 21, 2019, 07:29:01 am by Jim Allen »
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Offline leatherman

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Re: Antibiotics prophylaxis?
« Reply #2 on: October 21, 2019, 08:08:54 am »
For those of us who are either on currently or have been on prophylaxis antibiotics...

I wonder is there extra strain on the body when we are taking them for long periods of time?.. close to 18 months for me, and probably at least another 6+ months before I can get off them.
I had PCP pneumonia twice and nearly died twice. I took Bactrim for 10 years before my cd4s stayed over 250. I had to eventually take the antibiotic on a reduced schedule (M-W-F) because I was starting to have a mild allergic reaction. (2 decades later I took bactrim this summer for an infection and sadly had a severe allergic reaction and had to change to cipro for 2 months)

Trust me, having been in the hospital on my 36th and 38th birthdays with PCP, hardly able to breathe, with the doctors telling me that I probably wouldn't see the morning of my birthdays, no matter what issues you're having with the meds, it's a LOT better than dying, or nearly dying, from aids-related pneumonia.

Hang in there, things will get better - sometimes it just takes some time. ;)
leatherman (aka mIkIE)


chart from 1992-2017
Tivicay/Prezcobix

Offline harleymc

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Re: Antibiotics prophylaxis?
« Reply #3 on: October 21, 2019, 04:52:07 pm »
Take your potion in the nude.

Offline lightalltheway

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Re: Antibiotics prophylaxis?
« Reply #4 on: October 23, 2019, 04:38:38 pm »
 Loa111,

I was on antibiotics for almost two years and I had exactly the same concerns which I used to discuss with my doctor each time I see him. I was so worried that my body will become weak after stopping it. No only, but also getting used to it since the usage of prolonged time.

Each time, the doctor stressed on the fact that once you stop the antibiotic you will be fine because your body ( CD4 ) count will be ready to defence any potential bacterial harm to your system ( Normally PCP and Urine ).

I would really advise you not to worry about it, just take it on time and make sure you take it correctly as prescribed.

Light all the way,
Prince

Offline Loa111

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Re: Antibiotics prophylaxis?
« Reply #5 on: October 24, 2019, 12:05:21 pm »
Thank you everyone.
Yes taking my stuff daily and hopefully another 6 months will see me CD4 strong enough to get off it...fingers crossed.

Had a quick appt at the clinic today for my Flu Shot and second pneumonia vaccine shot. Hopefully I'll feel ok this evening as I did feel a bit funny after the shots today.
Happy to have my flu shot now. :)

 


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