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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fluctuating Fever

My daughter, who is 42 years old, had a fever of 104 on Saturday. She has an Rx for Azithromysin 250 (one time daily) which she started to take on Saturday. She is 300 lbs. Now, in the morning, the temp is 98.6, but this evening it shoots up to 102.6. Is this normal? Does she need a new Rx that is stronger?
Mon, 6 Jul 2015
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General & Family Physician,  's  Response
Hi,
Thanks for writing in to hcm.

I understand your problem and will try my best to help you out.
300 lbs is around 136kg which shows your daughter is definitely obese.
Azithromycin dosage is usually 500mg one tablet per day for adults for 5 days. so 250mg may be lesser. Also since your daughter is 136kgs the dose needs to be adjusted likewise. Also she may need antipyretics lie acetaminophen to control the fever.
Kindly consult a physician regarding the medication. Certain blood tests like complete blood count along with liver function tests shall help in the diagnosis.

You must seriously consider consulting a physician regarding her weight and get her hormone levels tested to know the reason of obesity and this shall help cure the problem.

Hope this answered your query.
Get well soon.
Dr.Riyanka
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Suggest Treatment For Fluctuating Fever

Hi, Thanks for writing in to hcm. I understand your problem and will try my best to help you out. 300 lbs is around 136kg which shows your daughter is definitely obese. Azithromycin dosage is usually 500mg one tablet per day for adults for 5 days. so 250mg may be lesser. Also since your daughter is 136kgs the dose needs to be adjusted likewise. Also she may need antipyretics lie acetaminophen to control the fever. Kindly consult a physician regarding the medication. Certain blood tests like complete blood count along with liver function tests shall help in the diagnosis. You must seriously consider consulting a physician regarding her weight and get her hormone levels tested to know the reason of obesity and this shall help cure the problem. Hope this answered your query. Get well soon. Dr.Riyanka