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It usually manifests in 1–3 hours after the first dose of antibiotics as fever, chills, rigor, hypotension, headache, tachycardia, hyperventilation, vasodilation with flushing, myalgia (muscle pain), exacerbation of skin lesions and anxiety. The intensity of the reaction indicates the severity of inflammation.
Antibiotics can be helpful for those fighting off an infection. But they are commonly prescribed to people with unexplained acne or flare ups on the skin—I would know, because I was one of them.
Side effects may only last for a short time and then go away. Side effects can be relieved in some cases with non pharmacological treatment. [4] Some side effects require treatment to correct potentially serious and sometimes fatal reactions to penicillin. Penicillin has not been found to cause birth defects. [5]
[48] [8] In online Lyme groups, patients have claimed to "herx" long after initial antibiotic treatment for durations that can last weeks. [8] A mistaken belief that a treatment is working can cause patients to ignore serious drug side effects of antibiotics or prevent diagnosis and treatment of other true causes of worsening symptoms. [8] [46]
The signs and symptoms of DIAM are similar to infectious meningitis including but not limited to headache, fever, neck stiffness, altered mental status and other neurological deficits such as numbness, paresthesias, seizure or weakness. Notably, the patient will have had recent exposure to one of the causative medications. [2] [3]
TMP/SMX is commonly used due to its ability to achieve high concentrations in urinary tract tissues and urine. This antibiotic combination demonstrates notable efficacy in both the treatment and prophylaxis of recurrent urinary tract infections. [12] Common adverse effects include nausea, vomiting, rash,pruritus, and photosensitivity. [26]
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Severe infections typically require IV antibiotics that cover more pathogens, such as gram positive organisms, gram negative organisms, and obligate anaerobes to allow for better treatment outcomes. [4] Total antibiotic treatment of severe infections should be approximately 2–3 weeks or more, depending on how extensive the infection is. [5]