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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Feeling Excessive Fatigue Normal While On Vancomycin?

My husband recently was hospitalized with a serious case of c-diff. He was given vancomyacin orally, rectally, and intravenously. He is still on it orally. He is somewhat improved, but he is very tired and lethargic. Is this normal? Also,I was reading his discharge info, and one of the notations was that he has toxic metabolic encephalopathy. This was never brought to my attention. When I searched for it, I was pretty shocked to see that one of his diagnosis was this. This is not good. It can progress and there is not much you can do about it. Is that right? No drugs or therapies to help? Is each individual different ; that is, some will experience a rapid decline, while others will slowly decline? What can I do to make my husbands life more enjoyable? He doesn t really have an interest in much. Thank you.
Fri, 30 Mar 2018
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Addiction Medicine Specialist 's  Response
Hello,

Certainly, serious infections cause fatigue. Vancomycin is not a common drug to have any effect on the brain. Indeed it hardly gets into the brain, and this is a problem if one needs it to treat a brain infection. Sometimes the fatigue from being sick is called toxic metabolic encephalopathy, but that is a bit of an exaggeration most of the time without an exam. I can only give general information.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Matt Wachsman
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Is Feeling Excessive Fatigue Normal While On Vancomycin?

Hello, Certainly, serious infections cause fatigue. Vancomycin is not a common drug to have any effect on the brain. Indeed it hardly gets into the brain, and this is a problem if one needs it to treat a brain infection. Sometimes the fatigue from being sick is called toxic metabolic encephalopathy, but that is a bit of an exaggeration most of the time without an exam. I can only give general information. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman