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Old 09-03-2014, 05:00   #16
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Re: Looking for a broad spectrum antibiotic

i'd carry amoxicillin and clindamycin...1 week worth for every person on board.

amoxicillin is much milder on the stomach...clindamycin use only if there is an allergy to amoxicillin(or pen) or if an oral infection doesnt respond to the amoxicillin
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Old 09-03-2014, 06:16   #17
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Re: Looking for a broad spectrum antibiotic

I would be concerned about using unknown antibiotics away from help. You never know how your body will react, up to and including throat swelling up so you cant breathe. Having had allergic reaction before thought it was worth mentioning.
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Old 09-03-2014, 07:15   #18
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Re: Looking for a broad spectrum antibiotic

We carry Cipro. A lot of bacteria have developed a resistance to Amoxicillan and our doctor said it has become less useful. We were able to replenish our Cipro without prescription in Morocco but not Portugal. We had a crew member who was allergic to cephlasporins so it is a very valid point to know what you can and can't take as well as your family members/crew.
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Old 09-03-2014, 07:42   #19
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Re: Looking for a broad spectrum antibiotic

I had a MRSA infection and was given Bactrim, another good one is vancomycin. Bactrim is the usual drug for traveler's diarrhea, and many skin infections
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Old 09-03-2014, 08:09   #20
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Re: Looking for a broad spectrum antibiotic

Quote:
Originally Posted by noelex 77 View Post
The storage life on a yacht is short so they will need frequent replacement.
This worried me quite some. I wonder if there are ways to extend shelf life of meds on board. Like, small cooler for medicines?
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Old 09-03-2014, 08:16   #21
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Re: Looking for a broad spectrum antibiotic

Quote:
Originally Posted by noelex 77 View Post
The storage life on a yacht is short so they will need frequent replacement.

So what happens to the efficacy as the various antibiotics expire? Just get weaker or actually dangerous to take?
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Old 09-03-2014, 08:34   #22
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Re: Looking for a broad spectrum antibiotic

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Originally Posted by skipmac View Post
Ampicillin
Amoxicillin
Tetracycline

But know your or your crew's potential allergic reaction to any of these.
Lots of people have penicillin allergies and all the "-icillin" varieties can have reactions, sometimes severe.

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Well that was kind of my first thought. I mean, wouldn't a doctor know what a broad spectrum antibiotic is? Since it would be for "just in case" and not a specific infection then just pick one.
The doctor's training is going to be based on current storage availability. I don't find it surprising that the doctor is looking for insight relative to the environmental conditions.

I agree with those that point out that shelf life afloat is limited. Stocking up on too much could become an expensive maintenance issue.
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Old 09-03-2014, 08:53   #23
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Re: Looking for a broad spectrum antibiotic

You REALLY need to consult another doctor. As others have noted, this is a very unusual response and contrary to the discussions and advise we have received from every other doctor we have consulted over the years. Taking advise on medication over a boating forum is pretty foolish, regardless of the experience and knowledge of the folks on the forum. We have cruised for over 20 years including thrid world countries and always consult a doctor before heading off, for a check up and for prescriptions we might need. Never have they ask me what specific medication I want before writing a prescription. Climate and environment have nothing to do with the type the doctor will prescribe, since they will all react to temperature, humidity and other issues being stored on a boat. That's why our meds are stored in a waterproof container and kept in the coolest and driest compartment in the boat. There is lots of good advise here regarding the potential for adverse reaction you might have and YOUR specific requirements. Also the availability for refills in the area you plan to travel needs to be considered by the doctor. That's just my opinion, so take it for what it's worth. Chuck
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Old 09-03-2014, 09:19   #24
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Re: Looking for a broad spectrum antibiotic

When we headed out, our doctor gave us a number of prescriptions, including some antibiotics, but also gave us his email address. I contacted him using Sailmail to get his advice in a couple of situations. I was much more comfortable doing that rather than playing doctor on my own.

Here's a pretty helpful link to a list of items for a medical kit for cruising...

Medical Supply List — Noonsite
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Old 09-03-2014, 13:05   #25
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Re: Looking for a broad spectrum antibiotic

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I'm heading off shore soon and was told to take a broad spectrum antibiotic, just in case. My Doctor says he'll write the prescription, just tell him what is normally recommended. Any input would be great. Thanks

Get another doctor. But first get him to write you a prescription for some "good stuff".
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Old 09-03-2014, 14:29   #26
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Re: Looking for a broad spectrum antibiotic

Loading up with prescription drugs on the boat is the easy part. Knowing when, what and how to use them is hard. Don't cut short on essential medical knowledge.

For those short off shore voyages (<10 days), antibiotics won't make much of the difference. Well equipped first aid kit (bleeding and burn) and heavy duty motion sickness medications are more important.

For those long term cruisers, yeah, they should take their pharmacy and their doctor with them.
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Old 09-03-2014, 16:11   #27
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Re: Looking for a broad spectrum antibiotic

We had tetracycline when we were in SoPac in the '70s. It would knock back a persistent staph infection I had on my knee but wouldn't kill it. Finally got rid of it with weak bleach solution recommended by a cruising doctor. Also understand Tetracyclene turns into nasty stuff when it gets old. Should be trashed re;igiously when it's use by date comes up.

Drugs in an airtight container should last just as long on a boat as anywhere else. The key word is airtight which may not be the case with the typical prescription bottle. Thorough cleaning of any cuts/wounds, Neosporin, band aids, weak bleach solution, etc are better ways to treat injuries than gobbling down antibiotics. If a wound gets infected, antibiotics may be the treatment of choice but shouldn't be used indiscriminately.
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Old 09-03-2014, 16:18   #28
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Re: Looking for a broad spectrum antibiotic

List of antibiotics - Wikipedia, the free encyclopedia

Hundreds of antibiotics in this wiki list.
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Old 09-03-2014, 16:30   #29
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Re: Looking for a broad spectrum antibiotic

From my understanding of it, you need two different anti-biotics, has something to do with the bacteria being gram negative or gram positive.
Sorry I have no idea what that means, but apparently you need two magic bullets.
Now which one to take? Can't help you there either.
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Old 09-03-2014, 18:10   #30
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Re: Looking for a broad spectrum antibiotic

Quote:
Originally Posted by roverhi View Post
We had tetracycline when we were in SoPac in the '70s. It would knock back a persistent staph infection I had on my knee but wouldn't kill it. Finally got rid of it with weak bleach solution recommended by a cruising doctor. Also understand Tetracyclene turns into nasty stuff when it gets old. Should be trashed re;igiously when it's use by date comes up.

Drugs in an airtight container should last just as long on a boat as anywhere else. The key word is airtight which may not be the case with the typical prescription bottle. Thorough cleaning of any cuts/wounds, Neosporin, band aids, weak bleach solution, etc are better ways to treat injuries than gobbling down antibiotics. If a wound gets infected, antibiotics may be the treatment of choice but shouldn't be used indiscriminately.
We vac-sealed ours.
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