Unusual case of drug side effect -#coatedtongue
#Azithromycin -though a safe drug ,has this unusual presentation ,in a 30 yr old female having URI,with #coatedtongue,prominent taste buds,ulcer tongue and swelling lips.coated due to candida n lip swelling due to allergic reaction.gastric intolerance,colitis also common and should be avoided in liver demage cases.azithromycin is overused especially by #physicians, #generalpractioneersetc,although it is not the drug of choice in #ENT infections where co-amoxiclav or cephalosporins are preferred drug.Another issue is not often, explained to patient, to take it #emptystomach in morning and no beverage or breakfast for 45 minutes;although one can also advise to take tablet with no food/beverage 2 hr before and one hour after, tablet taking.let us think several times before prescribing to diminish over usage. #Dosage also should be 500mg twice daily in adult if at all it is used in ear,sinus n throat infections.however it has good result in #gonococci,#chlamydia,#staphylococci infections alone or in combination with other antibacterial.
#Azithromycin -though a safe drug ,has this unusual presentation ,in a 30 yr old female having URI,with #coatedtongue,prominent taste buds,ulcer tongue and swelling lips.coated due to candida n lip swelling due to allergic reaction.gastric intolerance,colitis also common and should be avoided in liver demage cases.azithromycin is overused especially by #physicians, #generalpractioneersetc,although it is not the drug of choice in #ENT infections where co-amoxiclav or cephalosporins are preferred drug.Another issue is not often, explained to patient, to take it #emptystomach in morning and no beverage or breakfast for 45 minutes;although one can also advise to take tablet with no food/beverage 2 hr before and one hour after, tablet taking.let us think several times before prescribing to diminish over usage. #Dosage also should be 500mg twice daily in adult if at all it is used in ear,sinus n throat infections.however it has good result in #gonococci,#chlamydia,#staphylococci infections alone or in combination with other antibacterial.
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