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bactrim as long term medication

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    #16
    If you do intermittant cathing than under most circumstances ditropan or another drug like it will help stop leaking. It is a smooth muscle relaxer and you might want to try 5mg two to three times a day or if you can get Ditropan XL where you live one 10 mg pill a day swallowed whole, no chewing or crushing, should stop leaking. It does cause dry mouth although less so with the newer XL. This will also stop many painful spasms in most cases with utis. But you do need to treat sympyomatic infections.
    Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

    Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

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      #17
      ditropan and detrol do not help relax the urethral sphincter. you may want to consider resuming ditropan more for the leaking.

      I hope that you have had a cystoscopy to look at the sphincter through the urologist's eyes. If you perform intermittant self catheterization you may want to consider other catheters like the Lofric system where water activates a coating on the catheter and makes it very slick so as to bypass scarring, strictures in the urethra. If all these measures fail your urologist should determine the best course on how to proceed.

      pbr
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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        #18
        I have been on one "preventive" medication after another since my injury. My current doctor says there is no clinical evidence that bactrim does any good, but since I have had a pretty good record with infections he is letting me decide whether or not to stay on it. So far I'm staying with it using the if it ain't broke don't fix it theory.
        Tom

        "Blessed are the pessimists, for they hath made backups." Exasperated 20:12

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          #19
          TomRL, how much Bactrim do you take daily? And do you do intermittant cathing?

          Zaid, you might also ask your doctor about this antibiotic as a long term preventative: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000642/

          Use what your doctor suggests for you where you live. But do start back on ditropan to stop any leaking between caths. OK, that's what I'd do but I'm not a doctor or nurse. And drink enough water! The lighter the urine the fewer problems you'll have.
          Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

          Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

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            #20
            Originally posted by Sue Pendleton View Post
            Zaid, you might also ask your doctor about this antibiotic as a long term preventative: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000642/
            This drug is Methenamine (Brand names: Hiprex, Mandelamine, Urex). There has been a lot written on this forum about its use. Zaid, try searching Care Cure Community for information and personal experiences with this medication.

            All the best,
            GJ
            Last edited by gjnl; 21 Sep 2012, 2:07 PM.

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              #21
              I personally have only prescribed low dose bactrim for a patient with chronic and recurrent prostatitis, not for recurrent urinary tract infections. When I did prescribe the antibiotic I did so as a true last resort. I try many other approaches like ordering different catheter type, frequency, flushing catheters, etc. first.

              pbr
              The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                #22
                Originally posted by Sue Pendleton View Post
                TomRL, how much Bactrim do you take daily? And do you do intermittant cathing?
                I take a single strength tablet in the morning and another at night. I'm using an indwelling catheter.
                Tom

                "Blessed are the pessimists, for they hath made backups." Exasperated 20:12

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                  #23
                  Originally posted by zillazangel View Post
                  KLD would disagree with this advice re: flushing.
                  I have mention this to several doctors what I was doing and the outcome. And they all said it's a great idea and keep doing it.

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                    #24
                    Methenamine, an antibiotic, eliminates bacteria that cause urinary tract infections. It usually is used on a long-term basis to treat chronic infections and to prevent recurrence of infections. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000642/

                    I have prescribed it in my patients before I would prescribe bactrim. I have a patient who was on it and still getting infections and that was because he had little divots in his urethra from 50 years of self cathing that was holding onto the bacteria. After much counseling because he and his spouse made numerous trips to the urgent care and hospitalized for sepsis etc. he got a suprapubic catheter. No UTIs.

                    Preventing UTIs is not a one stop fix with an antibiotic it is identifying what the problem is. If your urethra is narrow then you need to determine what is the best way of addressing the structural problem? Is there a procedure that can widen it? a better catheter that can get past it?

                    pbr
                    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                      #25
                      In the past two days my abdominal pain has increased significanly (in the left side & sever one so i cannot sleep because of it)..
                      And i have fever too. Went to the doctor and he said its because uti
                      And changed the medication for the fifth time within two months

                      is it really uti???? I am too anxious because the uti never heals

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                        #26
                        Is this based on a urine culture and sensitivity? Does the pain get better after uti tx?
                        CWO
                        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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                          #27
                          The doctor changed it according to the same culture in which bactrim was prespribed ... the pain usually comes and go but its much worse in case uti exist ..he insisted that these are uti symptoms but I don't think so; usually my uti symptoms is frequency in going to bathroom & AD and I don't have these now; can the symptoms change According to bug I have?

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                            #28
                            Originally posted by zaid_86 View Post
                            The doctor changed it according to the same culture in which bactrim was prespribed ... the pain usually comes and go but its much worse in case uti exist ..he insisted that these are uti symptoms but I don't think so; usually my uti symptoms is frequency in going to bathroom & AD and I don't have these now; can the symptoms change According to bug I have?
                            For 30 years, every urinary tract infection I have ever had, all present with the same symptoms. I always have autonomia, chills, shivering, increased urination, but no fever and I can't perceive flank pain. Granted, these symptoms can vary by individual.

                            My concern for you is that your doctor is changing medication without getting a new urinalysis (UA) and culture and sensitivity (C&S). You need to finish or stop a course of antibiotics, wait for 3-4 days and have a new UA and C&S before another antibiotic is prescribed.

                            With the fever and pain you describe, I worry about a kidney infection or kidney stones. You might want to discuss this possibility with your doctor and ask about having a CT scan or a renal ultrasound to rule out the possibility of kidney stones and or other abdominal ailments.

                            All the best,
                            GJ

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