Bactrim and physician assistant

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******