Taking antibiotics after Sinus Surgery.
I have had problems with my sinuses for quite awhile.
I broke my nose playing baseball when I was a kid. I have a deviated septum that needs to be fixed so I can breathe better.
Should I just continue to take the CAPi and the antibioticsi they prescribe after the surgery?
Or should I only take the antibiotics they prescribe and then get back on the CAP?
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Started Vanderbilt protocol 1/9/08 Rifampin twice a day, azithromycin MWF, Tindamax for 7 days out of a month at 250 mg three times a day, b12 injection monthly NACi daily, DHA, calcium pyruvate, prilosec, low dose naltrexone 4.5 mg
The abxi that we take for cpni have been very carefully designed for this bug. I may be wrong, not being a doctor, but if the abxi you are given after surgery are the same class, then you may be covered already, which I doubt. Tell the surgeon that you do not want to interrupt your protocol and ask whether the drugs he/she wants you on are the same class. Even if they are the same, the new dosage will probably be much higher.
This very thing happened to me after major surgery two years ago. I told my surgeon what I was on and he said I was covered
Rica
3/9 Symptoms returning. Began 5 abxi protocol 5/9 Rifampin 600, Amox 1000, Doxyi 200, MWF Azith 250, flagyli 1000 daily. Began Sept 04 PPMSi EDSSi 6.7 Now good days EDSS 1 Mind, like parachute, work only when open. Charlie Chan In for the duration.
Hi Rica,
So your surgeon said the abxi dosages we take for CPNi was great to stay on for post surgery recovery?
And he didn't prescribe a different kind of antibiotic?
CFSi, Fibromyalgiai, EBVi, HHV-6, C Pneumoniae.
My abxi at that time were Rifampin, 300 mg bidi and Doxyi, 200 bidi; Azith 250 MWF; and, of course, flagyli. Since I was already on more than the usual, you may need to add. But I never missed a dose of anything.
Rica
3/9 Symptoms returning. Began 5 abxi protocol 5/9 Rifampin 600, Amox 1000, Doxyi 200, MWF Azith 250, flagyli 1000 daily. Began Sept 04 PPMSi EDSSi 6.7 Now good days EDSS 1 Mind, like parachute, work only when open. Charlie Chan In for the duration.
How about asking your surgeon?
Tell him/her what you are currently taking and ask 1) do I need to take anything else, because I don't want to interrupt my protocol, and 2) if the dr wants you to take different antibiotics, can you take them IN ADDITION to the protocol.
If the doctor is firm about making you interrupt the protocol, then you interrupt the protocol, follow the doctor's instructions, then resume the abxi protocol afterward. Sometimes, we have to make compromises. Hopefully, you won't have to, though.
The difference between what we do and what we are capable of doing would suffice to solve most of the world’s problems. Mohandas Gandhi
The surgeon is a typical Doctor that doesn't understand what I am doing. He doesn't care to learn about it either.
He told me to STOP the CAPi. I definitely am not going to do that.
Of course he is considered the best sinus surgeon in my city, so I want him to do the surgery. He is still an arrogant self-absorbed jerk though.
Everyone on here is making their own INFORMED determination on their treatment anyways.
I UNDERSTAND WHAT PEOPLE TELL ME ON HERE IS NOT TO BE CONSIDERED MEDICAL ADVICE.
I just want people's honest opinion and advice.
Does anyone else have experience with staying on the CAP antibioticsi after a surgery?
CFSi, Fibromyalgiai, EBVi, HHV-6, C Pneumoniae.
Hi Stew30,
I had surgery for a deviated septum a few months ago. Similar situation to yours in that it was from a broken nose in my youth. I checked with both the ENT and Dr. Stratton and the antibioticsi that most people take (zithro, doxyi) are appropriate and do not need to be discontinued or supplemented. BTW good luck with your surgery. The recovery was a bit worse and longer than I had expected but in retrospect well worth it. Recurring sinus infectionsi slowed my progress enormously. Now I have no issue with that at all and am making progress at a FAR faster pace.
On an unrelated note but perhaps relevant to you, using cromolyn (Nasalcrom brand) is very effective in combination with antibiotic therapy. It allows one to focus on a single area of the body so you can eliminate most of the Cpni in your sinuses in weeks or months instead of years as you have to go slower when treating your whole body.
- Paul
I gave you my informed advice. I've been doing this quite a while now and I work closely with my physician. The bottom line is, your surgeon is going to make the decision, not you. If he is going to prescribe antibiotics specific to your sinus problem, he is either going to prescribe them instead of what you are currently taking, or he is going to prescribe them in conjunction with what you are currently taking. Arrogant or not, your surgeon knows what abxi he will prescribe for you, post-surgery, and you should be able to get that info from him now. If you get the name of it, post it (or them) here, and people can tell you if that is likely to conflict with your current meds, or perhaps replace something in your current protocol, etc.
If a different doctor is prescribing abxi for you now, then you have the right to insist your surgeon TRY to accommodate your continuance of this protocol. He doesn't have to. Both of them should be talking to one another, regardless.
And, the worst that will happen is, you'll put this protocol 'on hold' for a couple of weeks. That will not have tragic results, so it's not a huge deal. Cpni doesn't grow so quickly that two weeks off the protocol will debilitate you.
Now, if you're obtaining abx on your own, then I'm sure you know what comes next. The surgeon will tell you to stop the protocol. Again, it would be temporary, because, as soon as you complete HIS prescribed post-surgical regimen, you'll just revert to the protocol again.
btw: When I was scheduled for gallbladder removal, I told my surgeon what I was taking (doxyi/zithi/flagyli). He was pleased and said that would cover me for any possible infection and he didn't prescribe anything additional.
The difference between what we do and what we are capable of doing would suffice to solve most of the world’s problems. Mohandas Gandhi