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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Psoriasis And Infection

A man suffering from psoriasis developed an infection. The dermatologist prescribed a penicillin-based antibiotic. The prescription was presented to a pharmacist who promptly dispensed the medication. After consuming the prescribed drugs, his condition worsened for which he had to be admitted to hospital for treatment. a. Explain the errors in the treatment b. Give reasons for the adverse reaction c. Suggest a suitable alternative treatment
Wed, 1 Feb 2023
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General & Family Physician 's  Response
Hi,

a. One error in the treatment could be that the dermatologist did not correctly assess the patient's medical history or potential allergies before prescribing a penicillin-based antibiotic. Another mistake could be that the pharmacist did not properly advise the patient on using the medication or warn them of potential side effects.

b. The adverse reaction could be due to an allergic reaction to the penicillin-based antibiotic, or the antibiotic may not have been effective against the specific type of infection the patient had. Additionally, it may be possible that the patient's psoriasis has made him more susceptible to other diseases.

c. A suitable alternative treatment would depend on the specific type of infection the patient has and any other underlying medical conditions. A non-penicillin-based antibiotic, such as a macrolide or a tetracycline, could be considered if the patient has a penicillin allergy. Topical or systemic immunomodulatory agents and phototherapy could be treatment options for psoriasis. Additionally, antifungal or antiviral medication may be necessary if the patient has a fungal or viral infection. It is essential to consult with a dermatologist or a specialist to determine the best course of treatment.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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General & Family Physician Dr. Satnarain Bansal's  Response
Hi,

You did not mention the drug, he is taking for psoriasis. Commonly used drugs may be CoSentry or some steroids etc. Both these drugs do not have any interaction with penicillin. Hence there seems no error in the prescription except that he might be allergic to penicillin.

Hence, he should have told his doctor/pharmacist about this, if he knew it. Also doctor or pharmacist might also have enquired about any allergy ,if he was having. The alternative treatment lies in prescribing other antibiotic to which ,he is not allergic.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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Suggest Treatment For Psoriasis And Infection

Hi, a. One error in the treatment could be that the dermatologist did not correctly assess the patient s medical history or potential allergies before prescribing a penicillin-based antibiotic. Another mistake could be that the pharmacist did not properly advise the patient on using the medication or warn them of potential side effects. b. The adverse reaction could be due to an allergic reaction to the penicillin-based antibiotic, or the antibiotic may not have been effective against the specific type of infection the patient had. Additionally, it may be possible that the patient s psoriasis has made him more susceptible to other diseases. c. A suitable alternative treatment would depend on the specific type of infection the patient has and any other underlying medical conditions. A non-penicillin-based antibiotic, such as a macrolide or a tetracycline, could be considered if the patient has a penicillin allergy. Topical or systemic immunomodulatory agents and phototherapy could be treatment options for psoriasis. Additionally, antifungal or antiviral medication may be necessary if the patient has a fungal or viral infection. It is essential to consult with a dermatologist or a specialist to determine the best course of treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician