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Suffering from Acute otitis media - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I am a medical student in NJ and have acute otitis media s/p a 5-day URI. It's driving me nuts, could use a Rx for 20x 500mg amoxicillin called in. Can anyone do that?
Doctor :   HI
User :   Hi
Doctor :   Are you running fever?
User :
Doctor :   Ok
Doctor :   Antibiotic treatment is warranted in upper respiratory infection with otitits media.
User :   yup.
Doctor :   And yes, amoxicillin is one of the various drugs available as an option of treatment.
Doctor :   Apart from the antibiotics, antihistamines, antiiflammatory drugs are needed to be supplemented.
Doctor :   Watch out for complications.
User :   im on 400mg ibuprofin prn
Doctor :   I feel if you have a severe ear ache or an hearing difficulty, you will need to see an ENT surgeon for ear examination.
User :   So, is it possible to get a rx called in?
User :   its 430 here and i dont want to call my attending
Doctor :   Do you mean, that if I can help you in getting a prescription of amoxicillin?
User :   yes
User :   sounds like not.
Doctor :   Yes
Doctor :   You need antibiotics.
Doctor :   However since this is an online service, and as I haven't physically examine you,
Doctor :   it is not ethical to prescribe the medications online.
Doctor :   You as a medical student
Doctor :   probably would understand.
User :   yep.
User :   ok then.
Doctor :   Only a doctor examining you can prescribe you the medication.
Doctor :   I suggest you to contine on with antiinflammatory medication,
Doctor :   use antihistamines along with ibuprofen.
User :   aye, thanks.
Doctor :   Consult a general physician or a general practitioner who can prescribe you amoxicillin
Doctor :   or a higher class of antibiotics such as macrolide antibiotioc
Doctor :   which should make you better.
Doctor :   Have you followed?'
User :   will do. GP's don't exist in the US anymore, but, definitely. macrolides are probably a bit overkill, i'll stick with the pcn
User :   thanks.
Doctor :   That should be ok.
Doctor :   Any way, thanks for consulting me.
Doctor :   Bye for now.
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