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Having fever, body ache, throat infection and gas trouble. Taking Azimax and fepanil650. Continue?

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Posted on Mon, 3 Jun 2013
Question: having fever for the last 4days with body ache and throat infection and followed with gas trouble..met a local physician...he gave me Azimax-500 for three days and extended to another three days yesterday...along with it i am taking fepanil650 (paracetamol) and pantocide 20.

-i have taken the antibiotic for last two days
-i still have fever 102f , when i take fepanil650 it comes down and again picks up...i take 3 tabs /day
- i usually have throat infection for the last 10years and i take amox-500/ 2perday for three days or 5days for the last few years i took Augmentin (Amoxicillin Clavulanate) 625.
- now with Azimax-500 the throat infection have very slight improvement (have taken only for two days in the afternoon before food)...

now ...

can i continue with Azimax for next 4 days of stop on the 3rd day and continue with Augmentin (Amoxicillin Clavulanate).

how to reduce the fever can i increase the dosage frequency..

blood test is normal was tested for for fever malaria, typhoid and others sort of infections...

please advice me..since i have to travel on Saturday for an important meeting.
doctor
Answered by Dr. Shoaib Khan (17 minutes later)
Hello and welcome to XXXXXXX

Thank you for writing to us.

I have gone through your query, and from the information provided, it looks as though you are suffering from an upper respiratory tract infection (URTI). Antibiotic therapy produces a response within 24-48 hours after initiation of therapy.

The most accurate and textbook treatment for a URTI is azithromycin (adult dose 500 mg), twice a day for 5-7 days (depending on response). But, many people are resistant to azithromycin, and may not respond to it. It seems as though this is your case.

As you have already been on Azimax (azithromycin) for 48 hours, and have not noticed an improvement, it is best to change over to another drug instead of completing the course. Augmentin (amoxicillin+clavulanate) 625mg is a broad spectrum antibiotic and would be the best substitute in such a scenario.

As you have an urgent requirement to recover, I would advise you to shift over to Augmentin 625 mg twice a day for 5-7 days, immediately. The Azimax can be discontinued immediately.

There is usually no requirement for an antipyretic (to reduce the fever), as the antibiotic usually treats the infection, and fever subsides simultaneously, but for your comfort you could continue with fepanil 650 mg and pantocid 20 mg (as there is some amount of gastric irritation with antibiotic use). I would also like to add 'Betadine mouth wash' to your treatment regimen.

Betadine mouth wash is a disinfectant, and will clear your throat of the residing bacteria, which will in turn speed up the recovery process. This has to be taken three times a day, 2 teaspoons each time, for at least 3 days.

I hope I have succeeded in providing all the information you were seeking. Do write back to me for any further clarifications, or you could rate my answers after closing this discussion. Wishing you a speedy recovery.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Shoaib Khan (12 minutes later)
thank you for your detailed response, i am satisfied with your reply....doctor i had food at 9am and now can i start Augmentin now after 1.30hrs... for body ache can i take any medicine of just go with the antibiotics...

thank you for your excellent co-operation..
Regards..
doctor
Answered by Dr. Shoaib Khan (8 minutes later)
Hello once again.

Yes, you can take the first dose of Augmentin now, or preferably after lunch, and the second dose after dinner. But, from tomorrow onward, take one dose after breakfast, and the other dose after dinner. I am sure you will be fine soon.

I understand you are a working individual and require to be fit and healthy. The fepanil 650 mg should take care of fever as well as generalized body ache, but if you feel it does not help with relieving the pain, then you can take tablet 'Voveran 50 mg' once now, and then every morning (1 tablet) but only for 2-3 days. Try to avoid using pain killers as much as possible, as the antibiotic should take care of everything else.

I would also like to mention that 'betadine mouth wash' will have to be gargled. You can mix the 2 teaspoons of 'betadine mouth wash' with half a glass of water, gargle for 10-15 seconds and then spit out, you need not swallow this. This can be done three times a day.

Wishing you a speedy recovery and a healthy life thereafter. Do write back to me for any further clarifications, or you could rate my answers after closing this discussion.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Having fever, body ache, throat infection and gas trouble. Taking Azimax and fepanil650. Continue?

Hello and welcome to XXXXXXX

Thank you for writing to us.

I have gone through your query, and from the information provided, it looks as though you are suffering from an upper respiratory tract infection (URTI). Antibiotic therapy produces a response within 24-48 hours after initiation of therapy.

The most accurate and textbook treatment for a URTI is azithromycin (adult dose 500 mg), twice a day for 5-7 days (depending on response). But, many people are resistant to azithromycin, and may not respond to it. It seems as though this is your case.

As you have already been on Azimax (azithromycin) for 48 hours, and have not noticed an improvement, it is best to change over to another drug instead of completing the course. Augmentin (amoxicillin+clavulanate) 625mg is a broad spectrum antibiotic and would be the best substitute in such a scenario.

As you have an urgent requirement to recover, I would advise you to shift over to Augmentin 625 mg twice a day for 5-7 days, immediately. The Azimax can be discontinued immediately.

There is usually no requirement for an antipyretic (to reduce the fever), as the antibiotic usually treats the infection, and fever subsides simultaneously, but for your comfort you could continue with fepanil 650 mg and pantocid 20 mg (as there is some amount of gastric irritation with antibiotic use). I would also like to add 'Betadine mouth wash' to your treatment regimen.

Betadine mouth wash is a disinfectant, and will clear your throat of the residing bacteria, which will in turn speed up the recovery process. This has to be taken three times a day, 2 teaspoons each time, for at least 3 days.

I hope I have succeeded in providing all the information you were seeking. Do write back to me for any further clarifications, or you could rate my answers after closing this discussion. Wishing you a speedy recovery.

Best wishes.