Antibiotikaförgiftning

antibFör nu sju, åtta år sen var jag med en svensk in på sjukhus på norra Cypern, och läkaren kollade, lyssnade, frågade, fixade – de är ofta mycket noga – och antibiså sa han ”ännu ett fall av antibiotikaförgiftning ifrån väst”.

Jag googlade uttryck på svenska, och fick ingen träff alls, och idag många år senare fick jag en.

Under åren har jag frågat svensk sjukvårdspersonal, lite då och då när jag sprungit på nån, och ingen har ens hört talas om det.

I Indien har jag frågat, och de ”har massor med antibiotikaförgiftningar från väst”.

antibiotika

Jag får 1160 resultat på engelska
Om vi då tänker oss att jag skapade en skola bara för antibiotikaförgiftningar måste jag förmodligen vara redo att möta svenska hånfulla reaktioner för lejonparten är helt övertygade om att man lever i världens modernaste land.

Det man inte vet i Sverige finns inte så jag förstår att sjuktalen åker upp och upp men antibiotika kan vara en av våra förgiftningsrötter och det är känt ute i världen men inte i Sverige.


Poisoned by an Antibiotic
Posted on March 16, 2010

Although he was only in his early thirties, he moved like an old man with widespread arthritis. At the stairs, he supported himself on the short banister to keep his full weight off his feet. It looked as if every one of his muscles were in pain.

Inside his chart, in the section where he’d written his reason for the appointment were the words, “Poisoned by Levaquin.” He was the fourth such patient I’d seen in the past year or so.

Levaquin (generic name: levofloxacin) is the best-seller among antibiotics in the fluoroquinolone class (“floxins,” for short). Others include Cipro and Avelox. Still others you’ve never heard of because they’ve been yanked by the FDA for excessively dangerous side effects including heart, brain, and nerve damage. Because of these potential side effects, the general recommendation to doctors has been to use floxins only when absolutely necessary, choosing milder antibiotics (like Z-Pak or Augmentin) whenever possible.

But both doctors and patients like the floxins. They’re fast, effective, conveniently dosed at one per day, and generally reliable for difficult infections like sinusitis. For most users, they are safe. The floxins are so widely used in their various forms–intravenous, oral, even eye and eardrops–that hospital residents refer to Levaquin as “Vitamin L.” An important aside: this overuse has led to more cases of hospital acquired MRSA (methicillin resistant staph infection) and C. Difficile (hard-to-treat diarrhea) than other antibiotics. At a recent WholeHealth Chicago staff meeting, half of us, including me, acknowledged having taken a floxin at least once in our lives, and we all generally avoid drugs.

Why it took so long to recognize that the floxins could destroy a person’s tendons is understandable. No one ever dreamed that tendonitis (inflammation of the rope-like tissue that attaches muscles to bones) could be caused by an antibiotic, or by any drug for that matter. Antibiotics routinely cause nausea, vomiting, diarrhea, skin rashes, and yeast infections, and every doctor knows this.

But when some people started suffering painful tendons during, or shortly after, taking a floxin drug, they didn’t connect the two and most didn’t mention it to their doctors. When it was mentioned, doctors didn’t make the connection either and often continued the antibiotic, adding an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen for the tendonitis, which we now know made matters worse.

The red flag on the floxins and tendonitis came up during “post marketing surveys” and letters to the FDA from doctors who did see the connection. Post marketing surveys are the bane of the pharmaceutical industry, which doesn’t really want to hear any bad news about its drugs. Historically, companies have minimized post-marketing data (just like Toyota is doing now), holding off as long as possible reporting their concerns to the FDA. After all, there’s serious money involved. Läs mer

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