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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Taking SMZ-TMP DS Advisable While On Ciprofloxacin And Cephalexin For Cellulitis?

I am being treated for Cellulitis. I have been diagnosed with Lymphodema approx 10 years ago. I have been prescribed Ciprofloxacin (which I have taken in the past along with Cephalexin for this problem. Took both together as the Cipro didn t clear the infection by itself) and Clindamycin. Discontinued Clindamycin due to instant dyarrhia. Next prescribed Sulfameth/TMP, but it cautions taking with high potassium levels, which I have had. I take Benicar for blood pressure, Simvastatin and levothyroxcin and torsemid for water retention and to lower potassium levels.I am concerned about the Sulfameth/TMP. In this case I went to an urgent care facility as my regular doctor was on vacation, and her PA (who is new) was booked
Fri, 11 May 2018
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Dermatologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

As per your case history of cellulitis, my treatment advice is :

1. Don't scratch the lesion as it may worsen the condition.
2. Apply a mild antibiotic cream like fusiderm cream twice daily on it.
3. Take an NSAID (Nonsteroidal anti-inflammatory drugs) like ibuprofen for 5-7 days.
4. There is no need for taking SMZ-TMP (sulfamethoxazole/ Trimethoprim) along with the other antibiotics.

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

Regards,
Dr. Harshit Bhachech
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Is Taking SMZ-TMP DS Advisable While On Ciprofloxacin And Cephalexin For Cellulitis?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your case history of cellulitis, my treatment advice is : 1. Don t scratch the lesion as it may worsen the condition. 2. Apply a mild antibiotic cream like fusiderm cream twice daily on it. 3. Take an NSAID (Nonsteroidal anti-inflammatory drugs) like ibuprofen for 5-7 days. 4. There is no need for taking SMZ-TMP (sulfamethoxazole/ Trimethoprim) along with the other antibiotics. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harshit Bhachech