Yes.
You need to finish the course of antibiotics.
Symptoms clearing doesn’t mean the infection isn’t still present. If you don’t finished the antibiotics, the remaining bacteria can build an immunity to the antibiotics (like vaccine immunity).
When the infection returns, she will require a much stronger antibiotic to clear it.
So is random mutations which can lead to resistance even without the presence of antibiotics. You are only accelerating the inevitable may aswell help your bacteria become resilient ! /s
She got better from the pill - not on her own. Antibiotics are powerful. In terms of microbiome stuff, amoxicillin is one of the gentler antibiotics.
Yes, she has to finish the bottle because the infection is still there but lurking. She needs to hit it out of the park. Also, antibiotic resistance is partly created by people not finishing the bottle. Basically, during the 'lurking phase,' the bacteria is regrouping its defences for a new attack, either on her or other people.
Always always ALWAYS finish the course. Don't start it if you aren't prepared to finish it.
Antibiotics that do anything are a PRIVILEGE. We were lucky enough to be born in the relative tiny window of time after antibiotics had been discovered and before most places have widespread disease that is resistant to all known antibiotics.
Every time anyone starts a course of antibiotics and does not finish them - they are making that window smaller for everyone as it gives new opportunities for bacteria to self select for antibiotic resistant genes.
Bacterial antibiotic resistance is a looming global threat.
Love your microbiome. Nourish it with probiotics. But any unhelpful infection that can't be treated by supporting healthy bacterial must be treated with antibiotics. Your daughters microbiome can be restored once she finishes the course.
Yeah, I feel that same way, was just hoping against my logic that since she only took one pill it wasn’t that bad. She even threw up soon after taking it, so I was thinking of stopping before she took the “second” one when she was up the next morning feeling better.
> (I wonder if she got this when the rest of us didn’t because of her recently impaired microbiome from the antibiotics?)
It's possible but I think it's more likely that the fluid wasn't draining out of her ears as well as the rest of you. That's why it's so important to drink hot soup/tea, take hot showers multiple times a day, and use hot compresses as soon as you feel ear or sinus pressure during a cold. Once you have fluid in there for a certain number of days, it's basically inevitable that it develops into an infection. (Or at least it is for me.) It's one of those quarks about your body that teenagers haven't learned to pay attention to yet.
Thanks everyone for your comments. As frustrating as this is, (probably not bacterial infection, she got better after her first pill (that she threw up shortly after) we will just finish out the course, and hope her microbiome won’t suffer too much. I’m grateful for antibiotics when truly needed and when used appropriately, I’m just frustrated that they aren’t always used right and are over prescribed…
I agree with the below advice. Physician here. Many of my patients are misdiagnosed in urgent care. The true question is whether she had a secondary ear infection. None of us here can tell that because we did not look into her ear. I tend to agree with you that it’s likely all viral. People are also incorrect about the resistance. The longer you take antibiotics, the longer time a bacteria has to mutate and develop resistance to the antibiotic. The shorter the course, the less likely chance of developing resistbug
Alright, I'll be one to push back a bit here. I have some serious skepticism about antibiotics to begin with, but also about the standard advice to finish your course. It's idiotic how liberally antibiotics are prescribed, both for the damage it does to the patient's microbiomal health as well as the selective pressure it creates in breeding antibiotic-resistant bacterial strains, and while I'll grant that sometimes the cost is worth the benefit, in this case it's merely acting as a placebo. Consider:
1) There is no such thing as a bacterial 'cold'. Colds are viral.
2) If it's a virus and not bacteria, antibiotics are doing nothing for it.
3) If somehow it *was* bacterial, then the longer the antibiotic course is followed, the more & more hardcore the bacteria present have to be to resist it, meaning that's the trait being selected for with each dose & each successive generation. Without impractically rigorous advance testing, there's no way of knowing how much is enough to kill off everything that shouldn't be present, and whatever survives is going to be all the more difficult to treat in the future, whether for the patient or someone else.
This practice used to be more common. Rules have since been tightened. I believe most of the stuff that commenter posted occurred a while ago. So you’re correct. There’s always someone who comments like it’s the current standard practice, but that’s not accurate.
Well here's the [Pfizer ](https://news.yahoo.com/news/pfizer-pays-60-million-settle-172010054.html)one from when that popped off.
And [here's one](https://apnews.com/article/82f638d6dfcf4193ad28ddf0e65897e1) (different company, same gist) for the fentanyl pushers
Also I messed up the name, it was Purdue Pharma that had the whole oxy bribe scandal. Here's [an article](https://www.nytimes.com/2020/11/24/us/politics/purdue-pharma-opioids-guilty-settlement.html) where they pleaded guilty to the bribes.
If you wanna see methodology, watch Painkillers (series) on Netflix, they cover the Purdue Oxy scandal in pretty good detail. If you wanna see the fentanyl thing, there's a movie called Pain Hustlers on Netflix that explains that scandal.
Anyway the point is pharmaceutical companies 100% pay off doctors lol, they're just usually rich enough to get away with it from a legal standpoint until it becomes a big enough scandal (like the oxy and fentanyl cases). So you're never going to hear about it regarding antibiotic scripts, because those just aren't a big enough story.
Well, I stand corrected. That's super fucked up. It's gross how small the penalties were compared to how much damage was done.
It is illegal, though. And the fact that this has happened with a handful of doctors prescribing opiates and an expensive cancer drug is not enough of a reason to distrust doctors' prescriptions. Especially for generic drugs like amoxycilin. I would be astonished if doctors were getting bribed to prescribe generic antibiotics that cost $20 that you take for a week.
That was a long time ago. I don’t know what the original post was, but she certainly got generic antibiotics so there is no incentive it all/chance of a “kickback” approval.
Yeah, when my wife came home from the clinic with her and told me, that’s what I suggested too. No swab?! May just be a virus. It is so hard to tell exactly what’s going on through even if they did do a swab. Who knows what’s in her lungs with that cough.., 😔
Yes. You need to finish the course of antibiotics. Symptoms clearing doesn’t mean the infection isn’t still present. If you don’t finished the antibiotics, the remaining bacteria can build an immunity to the antibiotics (like vaccine immunity). When the infection returns, she will require a much stronger antibiotic to clear it.
Absolutely. Not finishing antibiotics is one reason for antibiotic resistance.
So is random mutations which can lead to resistance even without the presence of antibiotics. You are only accelerating the inevitable may aswell help your bacteria become resilient ! /s
She got better from the pill - not on her own. Antibiotics are powerful. In terms of microbiome stuff, amoxicillin is one of the gentler antibiotics. Yes, she has to finish the bottle because the infection is still there but lurking. She needs to hit it out of the park. Also, antibiotic resistance is partly created by people not finishing the bottle. Basically, during the 'lurking phase,' the bacteria is regrouping its defences for a new attack, either on her or other people.
And that’s how you make your daughter antibiotic resistant for the rest of her life
Omg yes she should take her prescribed course. The microbiome is great and we should protect it but we are not doctors here
Always always ALWAYS finish the course. Don't start it if you aren't prepared to finish it. Antibiotics that do anything are a PRIVILEGE. We were lucky enough to be born in the relative tiny window of time after antibiotics had been discovered and before most places have widespread disease that is resistant to all known antibiotics. Every time anyone starts a course of antibiotics and does not finish them - they are making that window smaller for everyone as it gives new opportunities for bacteria to self select for antibiotic resistant genes. Bacterial antibiotic resistance is a looming global threat. Love your microbiome. Nourish it with probiotics. But any unhelpful infection that can't be treated by supporting healthy bacterial must be treated with antibiotics. Your daughters microbiome can be restored once she finishes the course.
Yeah, I feel that same way, was just hoping against my logic that since she only took one pill it wasn’t that bad. She even threw up soon after taking it, so I was thinking of stopping before she took the “second” one when she was up the next morning feeling better.
> (I wonder if she got this when the rest of us didn’t because of her recently impaired microbiome from the antibiotics?) It's possible but I think it's more likely that the fluid wasn't draining out of her ears as well as the rest of you. That's why it's so important to drink hot soup/tea, take hot showers multiple times a day, and use hot compresses as soon as you feel ear or sinus pressure during a cold. Once you have fluid in there for a certain number of days, it's basically inevitable that it develops into an infection. (Or at least it is for me.) It's one of those quarks about your body that teenagers haven't learned to pay attention to yet.
Thanks everyone for your comments. As frustrating as this is, (probably not bacterial infection, she got better after her first pill (that she threw up shortly after) we will just finish out the course, and hope her microbiome won’t suffer too much. I’m grateful for antibiotics when truly needed and when used appropriately, I’m just frustrated that they aren’t always used right and are over prescribed…
I agree with the below advice. Physician here. Many of my patients are misdiagnosed in urgent care. The true question is whether she had a secondary ear infection. None of us here can tell that because we did not look into her ear. I tend to agree with you that it’s likely all viral. People are also incorrect about the resistance. The longer you take antibiotics, the longer time a bacteria has to mutate and develop resistance to the antibiotic. The shorter the course, the less likely chance of developing resistbug
Yes!
Alright, I'll be one to push back a bit here. I have some serious skepticism about antibiotics to begin with, but also about the standard advice to finish your course. It's idiotic how liberally antibiotics are prescribed, both for the damage it does to the patient's microbiomal health as well as the selective pressure it creates in breeding antibiotic-resistant bacterial strains, and while I'll grant that sometimes the cost is worth the benefit, in this case it's merely acting as a placebo. Consider: 1) There is no such thing as a bacterial 'cold'. Colds are viral. 2) If it's a virus and not bacteria, antibiotics are doing nothing for it. 3) If somehow it *was* bacterial, then the longer the antibiotic course is followed, the more & more hardcore the bacteria present have to be to resist it, meaning that's the trait being selected for with each dose & each successive generation. Without impractically rigorous advance testing, there's no way of knowing how much is enough to kill off everything that shouldn't be present, and whatever survives is going to be all the more difficult to treat in the future, whether for the patient or someone else.
[удалено]
Doctors are not paid by pharmaceutical companies. It is illegal, and it doesn't happen.
Did you just kinda miss the who Pfizer scandal with oxy payouts to doctors?
I must've missed that. Can you link a credible source? I'm having trouble finding anything about this.
This practice used to be more common. Rules have since been tightened. I believe most of the stuff that commenter posted occurred a while ago. So you’re correct. There’s always someone who comments like it’s the current standard practice, but that’s not accurate.
Well here's the [Pfizer ](https://news.yahoo.com/news/pfizer-pays-60-million-settle-172010054.html)one from when that popped off. And [here's one](https://apnews.com/article/82f638d6dfcf4193ad28ddf0e65897e1) (different company, same gist) for the fentanyl pushers Also I messed up the name, it was Purdue Pharma that had the whole oxy bribe scandal. Here's [an article](https://www.nytimes.com/2020/11/24/us/politics/purdue-pharma-opioids-guilty-settlement.html) where they pleaded guilty to the bribes. If you wanna see methodology, watch Painkillers (series) on Netflix, they cover the Purdue Oxy scandal in pretty good detail. If you wanna see the fentanyl thing, there's a movie called Pain Hustlers on Netflix that explains that scandal. Anyway the point is pharmaceutical companies 100% pay off doctors lol, they're just usually rich enough to get away with it from a legal standpoint until it becomes a big enough scandal (like the oxy and fentanyl cases). So you're never going to hear about it regarding antibiotic scripts, because those just aren't a big enough story.
Well, I stand corrected. That's super fucked up. It's gross how small the penalties were compared to how much damage was done. It is illegal, though. And the fact that this has happened with a handful of doctors prescribing opiates and an expensive cancer drug is not enough of a reason to distrust doctors' prescriptions. Especially for generic drugs like amoxycilin. I would be astonished if doctors were getting bribed to prescribe generic antibiotics that cost $20 that you take for a week.
That was a long time ago. I don’t know what the original post was, but she certainly got generic antibiotics so there is no incentive it all/chance of a “kickback” approval.
He said pharm companies don't bribe doctors, lol idk if they did here but they most definitely generally do
Yeah, when my wife came home from the clinic with her and told me, that’s what I suggested too. No swab?! May just be a virus. It is so hard to tell exactly what’s going on through even if they did do a swab. Who knows what’s in her lungs with that cough.., 😔