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Does Z-Pak Help Cure Costochondritis?

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Posted on Thu, 7 Jan 2016
Question: I'm currently taking antibiotics z-pak 250 milligram and 800 ibuprofen for costocondrtis. Just started z pack this week due to congestion. But was told this might help with my costocondrtis also. Started taking 800 ibuprofen last week. Pain still here. Do you feel this will help any.
doctor
Answered by Dr. Panagiotis Zografakis (47 minutes later)
Brief Answer:
z-pak won't help with costochondritis

Detailed Answer:
Hello,

ibuprofen will help with the pain. Z-pak won't, unless it's of infectious cause but that would be very unlikely!

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (6 minutes later)
I am still taking the ibuprofen 800 mg. As of last week and he also gave me a cortisone shot. This is my second week taking the ibuprofen. Should I feel any progress soon? My pcp stated that I had imflammtion and that's what the ibuprofen was for.
doctor
Answered by Dr. Panagiotis Zografakis (4 minutes later)
Brief Answer:
You should have seen some progress

Detailed Answer:
Costochondritis may last for several weeks but after taking so much ibuprofen, you should have seen some progress regarding your pain. The cortisone shot is usually the last resort when all else fails. There are other treatment options may include opioids, antidepressants and drugs like gabapentin or pregabalin.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (10 minutes later)
It's not as bad as it was . But it's still there. I went for follow up yesterday and he said to continue ibuprofen another week and if this didn't resolve it to come back in. I can only take 1 ibuprofen a day they are to strong for me. He recommended 3x a day but they where too strong. Is one a day slowing down the process or does it matter?
doctor
Answered by Dr. Panagiotis Zografakis (7 minutes later)
Brief Answer:
it doesn't matter much probably

Detailed Answer:
Ibuprofen relieves the pain but it won't negate the initial cause of the inflammation. It does relieve the pain by intervening on the inflammation cycle but not its cause. 1 per day is not enough. What kind of problems did you experience?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (8 minutes later)
Pain on the rib. Between rib and breastbone
doctor
Answered by Dr. Panagiotis Zografakis (1 minute later)
Brief Answer:
I meant with ibuprofen

Detailed Answer:
I really meant what kind of problems did you have with ibuprofen. What did you mean when you said ibuprofen was "too strong"?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (1 hour later)
Was feeling groggy at the head. I was going to take one in morning and one at night. How many hours apart do I take them.
doctor
Answered by Dr. Panagiotis Zografakis (6 hours later)
Brief Answer:
6-8h apart

Detailed Answer:
Perhaps you could try another NSAID to see what happens. Ibuprofen is given in 6-8 hours intervals. Do not exceed 3200mg per day.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (32 hours later)
I tried the ibuprofen twice a day in the time frame you stated. I felt fine and not groggy. Hope this works. I'm going to give thru the weekend if it does not do better I'm going to let my doctor know. He prescribed me enough for two weeks however I only took one a day last week. Do you feel twice a day will help?
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
it will help but more would be better

Detailed Answer:
Ibuprofen dosage requires taking it 3-4 times per day. If you do feel better with less then this is fine! Otherwise you can try to increase the dosage. Don't forget to drink enough fluids in order to produce clear urine (not dense dark yellow urine).

Kind Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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Does Z-Pak Help Cure Costochondritis?

Brief Answer: z-pak won't help with costochondritis Detailed Answer: Hello, ibuprofen will help with the pain. Z-pak won't, unless it's of infectious cause but that would be very unlikely! Kind Regards!