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Can I Have Macrodantin And Doxy At The Same Time For UTI?

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Posted on Mon, 1 Dec 2014
Question: I suspected Klebsiella UTI. U/A c/w UTI.Started Macrodantin pending C+S results.
>100,000 col of Klebsiella pneumonia, sensitive to TCN. The MCN is working clinically. I don't want to stop it. I suspect I have beta lactamase producing Klebsiella. Can I take both the MCN and the DOXY at the same time to cover all sp of Klebsiella at once.?

doctor
Answered by Dr. Dr. P. T. Patil (3 hours later)
Brief Answer:
Take appropriate antibiotics.

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have UTI and urine culture has revealed causative organisms to be Klebsiella Pneumoniae detected sensitive to Tobramycin .

Though you have already started Macrodantin and getting results ,it is always safe to start appropriate antibiotic as per sensitivity pattern .This will help to control the infection very quickly .

Hope I have answered your query. Please feel free to write if you have more questions I shall be happy to help you .
Thanks and Regards .
Dr.Patil.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. P. T. Patil (6 days later)
Dr XXXXXXX I have an.additional question. My medical hx identify me as having a"complicated" UTI.(diabetic, cystocele-retention issues. Also this is 4th UTI in 9months. I am allergic to PCN, Keflex, Levoquin, Bactrim/Septra. Treating these Infections has been difficult. I can.only take Macrodantin or Tetracycline/Doxycycline. Today, I finished 1week of Doxycycline for Klebsiella p. My question: given this hx of multiple UTI's, complicated UTI, resistant to MCN, and my.drug.allergies and I.have Stage 3 CKD---I think I should go on maintainance therepy for awhile and/or prophylactic Rx before intercourse. What is your opinion ?? Thank you, XXXXXXX
XXXXXXX
Board Certfied
doctor
Answered by Dr. Dr. P. T. Patil (3 hours later)
Brief Answer:
You can take Nitrofurantoin .

Detailed Answer:
Hello
Thanks for writing again .In a given situation you should take mild but equally effective urinary antibiotic like Nitrofurantoin(Macrodantin) as a prophylaxis twice daily.
Thanks and Regards.
Dr.Patil.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10589 Questions

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Can I Have Macrodantin And Doxy At The Same Time For UTI?

Brief Answer: Take appropriate antibiotics. Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have UTI and urine culture has revealed causative organisms to be Klebsiella Pneumoniae detected sensitive to Tobramycin . Though you have already started Macrodantin and getting results ,it is always safe to start appropriate antibiotic as per sensitivity pattern .This will help to control the infection very quickly . Hope I have answered your query. Please feel free to write if you have more questions I shall be happy to help you . Thanks and Regards . Dr.Patil.