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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Take Rennie For Stomach Ache While On Co-Amoxiclav?

Hi, my son has Epididimitis and had one course over 7 days of antibiotics from the hospital after a urine test. After a week following the hospital tablets the Epididimitis seems to have returned his local Doctor gave him a 7-day course of Co-amoxiclav 3 times a day (500/125 mg).I am not sure whether he has the right treatment? Also he does seem to get some stomach pain after taking them and he needs to take a Rennie. Is this safe? He is anxious over most things and always wants proof that it is safe to take or mix different tablets. Thank you for your help.
Mon, 26 Aug 2019
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Internal Medicine Specialist 's  Response
Hi,

Rennie is an antacid and contains calcium carbonate and magnesium carbonate which may interfere with absorption of Co-amoxiclav, as Ca2+ and Mg2+ are multivalent cations (charge greater than 1+). Hence to be taken at least an hour gap. Pantoprazole oral is a better antacid, to be taken before food. Co-amoxiclav or Amoxicillin/Clavulanate may cause GI side effects like abdominal pain or cramps, diarrhea etc. Treatment of Acute epididymitis/epididymo-orchitis includes antibiotics (commonly covering streptococcus e.g.amoxicillin/Clavulanate).

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

Regards,
Dr. Tushar Kanti Biswas, Internal Medicine Specialist
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General & Family Physician Dr. Dr.Dorina Gurabardhi's  Response
Hello,

The symptoms seem to be related to side effects of the antibiotic. I suggest to continue the antibiotic as prescribed by the doctor. I also suggest using a gastro protector such as Omeprazole 20 mg daily in the morning before breakfast.

Hope my answer was helpful. If you have further queries feel free to contact me again.

Regards,
Dr. Dorina Gurabardhi, General & Family Physician
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Is It Safe To Take Rennie For Stomach Ache While On Co-Amoxiclav?

Hi, Rennie is an antacid and contains calcium carbonate and magnesium carbonate which may interfere with absorption of Co-amoxiclav, as Ca2+ and Mg2+ are multivalent cations (charge greater than 1+). Hence to be taken at least an hour gap. Pantoprazole oral is a better antacid, to be taken before food. Co-amoxiclav or Amoxicillin/Clavulanate may cause GI side effects like abdominal pain or cramps, diarrhea etc. Treatment of Acute epididymitis/epididymo-orchitis includes antibiotics (commonly covering streptococcus e.g.amoxicillin/Clavulanate). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist