Monday 23 March 2009

Allergies....

A patient, 11.2 kg, about 2 months old perhaps?? (was roughly estimating her age).....

Suffer pretty severe allergic Rxn from taking Cefaclor and Clarithromycin....

Her mom described it as rashes and swelling on her face.... also exacerbation of URTI

Went to her regular GP (the same bitchy GP I talked about in my other post)

GP prescribed prednisolone and ERYTHROMYCIN

By the time you read this you must have known something went wrong there.... (obviously with such a huge font size and distinct colour =p)

Newai Erythromycin and clarithromycin belong to the same drug class i.e Macrolides Antibiotics.

Now the quetion is if the patient is allergic to macrolide, why would the doctor prescribe another macrolide?

So, Mr Pharmacist gave the doctor a call and explained the problem here

Guess what the doctor said......

I am happy with that....


How cool was that????

Haizzzz Somehow I feel this doctor is really intimidating.....
I mean Face the reality..... He/She was putting the patient and Himself/Herself in trouble yet He/She still insisted to keep on going......

Anyway the parent was really worried and was thinking of bringing her child to RMCH..... so we dispensed only the prednisolone, told her to closely observe her child condition and let her know about the antibiotic issue.....

Hope the patient is doing well....


Namo Bhaisajyaguru Buddha

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