Physician assistant symptoms and conditions

Hi Gang,
I have a problem of my own with bactrim, but I want to start this post by saying I am an emergency room physician assistant and I prescribe bactrim all the time due to a number of reasons - one, it does, according to state guidelines, cover MRSA (people misunderstand that MRSA is a PENICILLIN resistant staph - but USUALLY responds to bactrim, levaquin, or cipro (ciprofloxacin). And two, traditionally bactrim is the cheapest and I personally try my best to keep my patients costs down (I have 6 kids and even I cannot afford the $800 a month cost just for insurance so we put money in a health savings account and pay cash for everything - though we rarely go for just "colds" like so many do). But I developed a UTI which tend to be real bad in men as we do not get them as much as women do - this is due to the urinary tract and anatomy differences. Almost ALWAYS a UTI is from E. COLI 80-90% of the time - don't let that scare you as it is a normal digestive enzyme - but outside of the digestive tract or if exposed to an outside source like bad meat - it cause infection), why that matters is some antibiotics, like zithromax, do not cover that bacteria.

Well, to the point. I started on it for my UTI, normal dose, 2 times a day. I noticed I was having some weird dizziness and even slurred speech - no rash. I noted in this blog that people worry SO MUCH about the rash, but the rash is usually not any big deal. We see it, but unfortunately what we see scares us more than what may be going on silently inside of us!

So I have these symptoms and now I have a lump under my jaw that I can hardly open my mouth and still slurred speech. The Mrs thinks I am taking something else or who knows what, but I almost felt like a stroke. No headache, some nausea at times, but no rash. The jaw pain and I guess a left side neck pain are pretty intense today. I am stopping the bactrim and I promise I will be a bit more sensitive to others who I prescribe it to! I was looking for side effects and came across this blog.

Jamie B. PA-C******

My 81 year old mother, who has Diabetes and Blood Pressure (and who is on eleven medications) was given a prescription for 750(!!!) mgs of this drug, by the doctor's physician assistant for a mild upper respiratory infection. Four days later, she ends up in the hospital delirious and confused, with pain in her back and legs. She recognized no one. After a few days, and constant intravenous fluids, she came back to herself. She's always been sharp as a tack, and in pretty good shape for her age. When she was brought to the hospital, they thought she was stroking, and of course, she couldn't tell them that she was just prescribed this medication. All her battery of tests came back negative for stroke. Her useless doctor never even showed up at the hospital. If she had, she could have told them about the prescribed Levaquin. When she was released from the hospital, I called the pharmacist and asked what medication that she was taking could of caused this - and he said without a doubt, the Levaquin. This stuff is absolute poison and should not be on the market. How it got approved, I don't know - maybe kickbacks to them - for sure kickbacks to the doctors who prescribe it and claim side affects are very rear with this medication. If you are every given a prescription for this - ask your doctor for something else.

I decided a long time ago, Doctor's are not the best listeners!! I am a nurse, I know!! Read my post today June 18th. I have been praying for an answer to all my symptoms, especially the profuse sweating I have been having for the past year!!! I believe I have found my answer at this site. Thank God I found it. All because I was looking up info about Toprol because after the doctor increased my dosage yesterday , today my ankles and feet swelled up like balloons!!!!! Now I have pitting edema!!!
I have gone to a # of doctor's in the past year and a half and I think they believe it is all " in my head"!!! I have been so depressed. My husband has even threatened to leave me. NO interest in much of anything. I don't know what it is like to sleep anymore :-( My husband says " just close your eyes and sleep like a normal person". Maybe after he reads the posts at this site he will begin to understand that everything I have been going through is "REAL". I am calling my Dr. in the morning and she will WEAN me off this awful drug!!! My BP has been going up since I have been on Toprol instead of going down. I have wondered why the Dr. didn't just change the med. It really makes one wonder. DO the Dr's ever hear what we are saying???? I would be happy to share stories with anyone on this site. How many of you have experienced profuse sweating???? The doctor will WEAN me off this drug!!! :-)
God bless everyone!! I pray you all get off this drug!! It needs to be pulled by the FDA!!!
Joyce47oh ;-)

I decided a long time ago, Doctor's are not the best listeners!! I am a nurse, I know!! Read my post today June 18th. I have been praying for an answer to all my symptoms, especially the profuse sweating I have been having for the past year!!! I believe I have found my answer at this site. Thank God I found it. All because I was looking up info about Toprol because after the doctor increased my dosage yesterday , today my ankles and feet swelled up like balloons!!!!! Now I have pitting edema!!!
I have gone to a # of doctor's in the past year and a half and I think they believe it is all " in my head"!!! I have been so depressed. My husband has even threatened to leave me. NO interest in much of anything. I don't know what it is like to sleep anymore :-( My husband says " just close your eyes and sleep like a normal person". Maybe after he reads the posts at this site he will begin to understand that everything I have been going through is "REAL". I am calling my Dr. in the morning and she will WEAN me off this awful drug!!! My BP has been going up since I have been on Toprol instead of going down. I have wondered why the Dr. didn't just change the med. It really makes one wonder. DO the Dr's ever hear what we are saying???? I would be happy to share stories with anyone on this site. How many of you have experienced profuse sweating???? The doctor will WEAN me off this drug!!! :-)
God bless everyone!! I pray you all get off this drug!! It needs to be pulled by the FDA!!!
Joyce47oh ;-)

Well, I am not posting a side effect. I actually stumbled upon this website while trying to look up whether hypoglycemia is a side effect of Levaquin. I am a physician assistant and routinely prescribe this medication. Unfortunately ALL medications have the potential for causing many many many different side effects. Obviously one has to weigh the benefits of using the medication with the risk of side effects. And certain side effects are obviously more common than others. While I appreciate the point of a website like this, it is very frustrating for me, as a clinician, to read someone posting things that are absolutely untrue which can potentially cause undue distress or worry for everyone who may read it. I am referring to the person who wanted "to let everyone know of the relationship between levaquin and vancomycin." Her only source for this WRONG information is a nurse who told her daughter. Did she ever think that the nurse could be wrong and that maybe before posting something like that she should ask a pharmacist or a physician. Vancomycin and floroquinolones are not related pharmacologically!!!!

I am 41 yrs old and have been suffering with very heavy, clotting periods for the past 5 years. During those 5 years, I tried several different hormone therapies to control the bleeding, but every one of them caused extended periods lasting 10-12 days with only a week or two of no bleeding in between. I went to the GYN and her recommendation was to try the IUD as a way to lessen the bleeding and help treat migraines I also have during my cycle. I had the IUD inserted on Feb 12, 2008 and have experienced the following ever since: very sharp pains in my abdomen, constant minor cramps, extreme bloating so that my clothes do not fit, nausea just enough to not want to eat, constant light bleeding forcing me to go through several pantyliners a day, and very sore and full-feeling breasts that remind me of the days of nursing my baby, night sweats which I've NEVER experienced before. I do not have any desire for sex, but that is partly due to the constant bleeding. I went to the ER for the sharp pains in the abdomen to check for IUD perforation, but all their x-rays and CT scans showed it was in place. The CT scan showed a small spot near one of my ovaries that was 'explained away' as probably a result of ovulation. In all my years, I've never felt ovulation to that degree, this pain was a stabbing feeling from the inside. I decided to follow the GYN's recommendation to keep the IUD in at the time, but I now have an appt in two weeks to have it removed. I thought I had researched all there was to find about this hormonal IUD before my decision to have it placed--if I had come across this forum at that time, I would have said no. I was a little hesitant to go this route, putting a foreign object inside my body, but didn't listen to my own instinct at the time. I wish I had now, and I will definitely share my story with others so that they will be well informed before making this decision. My next options (as I am finished with having babies) are either thermal ablation or hysterectomy--at this point, I would welcome the hysterectomy because it would make all this bleeding/cramping STOP!

Wow, I had no idea that Levaquin affected so many people. My daughter had knee surgery a couple of years ago. They gave her vancomycin before the surgery. She had an allergic reaction to the stuff. She also found out from one of the nurses that levaquin is related to vancomycin.

I had a total hip replacement 3 years ago and they gave me vancomycin just before the surgery. I was laid up in the hospital for a week. When I arrived home I noticed that my skin was really itchy (mostly my arms). Whenever I scratched it left whelps and turned extremely red. Now after 3 years my skin is still itchy, but not as frequent as it used to be. Has anyone had this problem with their skin?

I wanted everyone to be aware of the relation between vancomycin and levaquin.

Good luck to all.

I was given an injection of Kenalog one week ago. By the time I got home I felt extreme fatigue and was forced to go to bed. I had not been nervous about the injection & it was pretty much pain-free. The injection was given for two herniated discs & sciatica. Within the next couple of days new symptoms appeared -- fast & irregular heartbeat, headaches and excessive urination. I also feel unusually anxious. I suffer from chronic fatigue syndrome and wonder if that condition had something to do my onging symptoms. My medical knowledge is very limited, but I wonder if this medication could cause changes in my adrenal function. When I saw my orthopaedic physician assistant on Friday I mentioned the symptoms and she didn't seem concerned & said maybe I had been retaining fluid --- which is not the case. I am 59 years old & I know my body! Although I have been eating well, I have lost three pounds. I am so confused. I have also had sweats, similar to hot flashes. Do you all think these symptoms could be related to the injection. I have a call in to the pain management doctor who did the injection, but I guess he will just blow me off, too. This is awful. He wants me to have another injection next Monday. Right now, I do not think I am going to follow though -- but will just deal with the pain the best I can. !