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Took Meth Injection In Hand. Have Swelling And Redness. Gave Penicillin Shot. What Else?

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Posted on Thu, 21 Feb 2013
Question: my brother has a huge miss from meth injection in his hand, It is swollen and red, looks terrible, i don't think I can get him to a doctor but I am giving him penicillin shots what else can I do? how much penicillin do I give a 220pd man its norocillin injectable 300,000 units per ml
doctor
Answered by Dr. Grzegorz Stanko (2 hours later)
Hello!

Thank you for the query.

This looks like an infection of this area. Especially if it gives lot of pain. The soft tissues are swollen and compressed. The best way to treat it would be an incisions, which can decrease tissues compressions.
If surgeons visit is impossible, you should give him an antibiotic. The best one for it is Clindamycine 300mg 3x1 with non-steroidal anti-inflammatory drugs (Diclophenac 75 mg twice a day). If the norocillin is the only available antibiotic, the dosage is 600 000 units twice a day (2 ml twice a day).
The hand should be also put above the heart level so the swelling can easier go away.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (17 minutes later)
should he be using heat? like a heating pad or soaking it in hot/warm water? or is ice better?
doctor
Answered by Dr. Grzegorz Stanko (47 minutes later)
Hello!

Ice will be better, but not directly to the skin. It should be put through the towel for example. And should not be used longer than 15 minutes. Such cold compresses can be used about 6 times a day.
The most important is antibiotic and elevated position.

Hope this will help.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (28 minutes later)
last question, how long does he take the antibiotic?
doctor
Answered by Dr. Grzegorz Stanko (3 hours later)
Hello!

Antibiotic should be taken at least 7 days. During that time you should see an improvement. If no improvement, there wont be any other option than doctor visit.

Hope this will help.
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. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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Took Meth Injection In Hand. Have Swelling And Redness. Gave Penicillin Shot. What Else?

Hello!

Thank you for the query.

This looks like an infection of this area. Especially if it gives lot of pain. The soft tissues are swollen and compressed. The best way to treat it would be an incisions, which can decrease tissues compressions.
If surgeons visit is impossible, you should give him an antibiotic. The best one for it is Clindamycine 300mg 3x1 with non-steroidal anti-inflammatory drugs (Diclophenac 75 mg twice a day). If the norocillin is the only available antibiotic, the dosage is 600 000 units twice a day (2 ml twice a day).
The hand should be also put above the heart level so the swelling can easier go away.

Hope this will help. Feel free to ask further questions.
Regards.