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Primrose123

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What is the best antibiotic for asthma/ Bronchiectasis? Is Doxycycline better than Amoxicillin,? I know that a 14 day course is necessary with Amoxicillin, what would the course be for Doxycycline?All answers greatly received.. Thank you to all my kind & knowledgeable friends..Primrose123..x

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Bevvy profile image
Bevvy

I have been treated with both antibiotics and for 14 days for both. My gp believes that the doxycycline is a more effective antibiotic and together with steroids will improve things. Although he also warned me that doxycycline likely to make me feel quite unwell with side effects and it does ☹️Sadly is not unusual for me to require several courses of antibiotics and steroids.

Lol1944 profile image
Lol1944 in reply toBevvy

Augmentin500/125 is my favourite but always have Doxycycline in my stock as well. Personally find Amoxicillin on its own to be useless.

primrose123 profile image
primrose123 in reply toLol1944

Many thanks Lol1944 for your kind reply, & yes how right you are Amoxicillin is not very helpful on its own, I certainly think that there are other antibiotics which are far better but I guess it is all down to trial &error ..Thanks again,Lol 1944, & I wish you good health and much happiness for the future, Take care & may God bless you always..Primrose123..x

primrose123 profile image
primrose123 in reply toBevvy

Many thanks Bevvy for your kind reply, & yes I do think that doxycycline antibiotics are much more effective than Amoxicillin, I guess it is all down to trial & error& whatever antibiotic we are on,they all have side effects...Thanks again Bevvy, do take care & may God bless you always..Primrose123...x

crashdoll profile image
crashdoll

Hi primrose, I understand it’s helpful when they know what bugs you usually grow and they can target the antibiotics.

primrose123 profile image
primrose123 in reply tocrashdoll

Thank you, crashdoll for your most helpful reply, & yes you are 100% correct it is certainly most helpful to be tested & that will define which antibiotic is most suitable for you..I hope all good & well with you crashdoll & l wish you good health and much happiness for the future.. Take care, & may God bless you always... Primrose123..x

peege profile image
peege

I must say that amoxicillin has never ever worked for me how ever many weeks I was given in the past. Most of the regular other ones work far better (for me) including doxycyline.

primrose123 profile image
primrose123 in reply topeege

Thank you so much Peege for your most helpful reply, I have to say that I often had my doubts about Amoxicillin,& you have certainly now confirmed that doubt, I feel that by following your sound advice, I am now on the right track.. Thanks again Peege & I wish you good health& much happiness for the future, & may God bless you always..Primrose123..x

peege profile image
peege in reply toprimrose123

When I need antibiotics for an infection I always ask the GP what they're offering, when they say "amoxicillin is our 1st line of defence" I just politely say "would you mind giving me something else please because amoxy has never worked for me". Luckily its always worked. My wretched new GP since I moved refuses to allow me a rescue pack grrr. He has at least, agreed to allow me winter Azithromycin November to April and that's saved me as that's always usually been my time for infections. Bless you too my dear 🤗

Digger0 profile image
Digger0 in reply topeege

That's odd! My resp consultant had given me Azithromycine three times a week for ever!

Alice70 profile image
Alice70 in reply toDigger0

I take azithromycin three time a week to Digger

primrose123 profile image
primrose123 in reply topeege

Thank you Peege, your kindness, help & advice has been much appreciated.. You are indeed a great asset to many of us on Healthunlocked...Primrose123..x

BreatheasyBe profile image
BreatheasyBe in reply topeege

When you say winter azithromycin it it taken every other day?

peege profile image
peege in reply toBreatheasyBe

Hi, I take 250mg Monday Wednesday and Saturday , Nov to April as many others do on 3 out of 7 days. P

Lol1944 profile image
Lol1944 in reply topeege

He cannot refuse you without very very good reason.

Izb1 profile image
Izb1 in reply toLol1944

My gp refused me and said that the surgery now doesnt give rescue packs unless you have severe copd, so if I fall ill at the weekend I have to wait until the Monday or go to A & E, crazy and there is nothing I can do about it x

Lol1944 profile image
Lol1944 in reply toIzb1

Always be sureto visit the hospital immediate upon symptons of a flare up. Don't wait over a weekend. Advise the hospital doc of your gps failure to follow nice guidelines and hence your needto visit the hospital. That should sort it

Izb1 profile image
Izb1 in reply toLol1944

Thank you, yes I will do x

Patk1 profile image
Patk1 in reply toIzb1

That's not gdRing 111

primrose123 profile image
primrose123 in reply toPatk1

Many thanks Patk1 for your kind reply I am much better now as I have been prescribed doxycycline antibiotics as opposed to amoxicillin, I guess that it is all down to trial &error..I hope all good well with you Patk1 & I wish you good health much much happiness for the future..Take care,& may God bless you always..Primrose123..x

Patk1 profile image
Patk1 in reply toprimrose123

Good.hope yr soon well.doxycycline and azithromycin have the added anti inflammatory benefit too.x

cofdrop-UK profile image
cofdrop-UK

There isn’t a best ab for the condition of bronchiectasis Primrose. It would depend on the bacteria you are growing at the time and what Ab the bacteria is sensitive to. The guidelines state that for bronch a sample is sent off but an antibiotic is started. This is a best guess basically but if you have a pattern of eg HI or Strep P, then it is likely you will be prescribed the ab which kicked your bugs ass in the past. They should also be a high dose and for 14 days. When the results come back you will know it’s correct or needs to be changed. UsUally pseudo is my bugbear and I can only have IVs but I also have a supply of both Augmentin and Doxy as I can grow most of the usual culprits.Cx

primrose123 profile image
primrose123 in reply tocofdrop-UK

Many thanks cofdrop-UK for your most kind reply, I was only ever on Amoxicillin,& I often found that it did nothing for me, but I now realise that Doxycycline is by far a much better antibiotic, as a matter of fact I dont think that there is any comparison, but however I think it is all a learning process, & no doubt. that as time goes on we learn which antibiotic suits us best...Thanks again, cofdrop- UK, & I wish you good health & much happiness for the future.. Take care & may God bless you always..Primrose123..x

Cof drop's description is spot on Primrose. Also, Generally for the bugs which we bronchs get, amoxycillin is about as useful as a packet of smarties.

primrose123 profile image
primrose123 in reply to

Thank you so much for taking the time to reply Littlepom, you know I have great faith in you & always follow your sound advice..I wish you good health & much happiness for the future & may God bless you always...Primrose123 x

Alice70 profile image
Alice70 in reply to

I fully agree little pom

Matt6096 profile image
Matt6096

I find that doxycycline seems to be effective at getting rid of more bugs than amoxicillin. I don’t rate amoxicillin when it comes to lung infections if you’re prone to them especially if you’ve got bronchiectasis.

primrose123 profile image
primrose123 in reply toMatt6096

Thank you Matt6096 for your most helpful reply I wish you good health and much happiness for the future, & may God bless you always..Primrose123..x

B0xermad profile image
B0xermad

Hi primrose 123,I generally prefer amoxicillin as it depends on what the bug is growing and doxycycline does tend to keep me busy in the bathroom but both help so it depends on what you can tolerate .🙃

primrose123 profile image
primrose123 in reply toB0xermad

Many thanks BOxermad for your kind reply,I hope all good& well with you, & I wish you good health and much happiness for the future, & may God bless you always Primrose123..x

B0xermad profile image
B0xermad in reply toprimrose123

Thank you

johnderby profile image
johnderby

Hi Primrose. I have an allergic reaction to Doxycycline so am always given Amoxicillin. It has always worked for me but I don't have Bronchiectasis. Good luck. John

primrose123 profile image
primrose123 in reply tojohnderby

Thank you johnderby for your most helpful reply,I wish you good health and much happiness for the future,& may God bless you always..Primrose123..x

MoyB profile image
MoyB

My consultant has asked for me to alternate Amoxycillin and Doxycycline. Also, he prescribes Doxy for me to take from November to April every year as I cannot have azithromycin. If I have a flare up, I have the antibiotics for 2 weeks (min). I sometimes have to have several different ones before the bug gets the message! The most effective one I have ever had is Clarithromycin which saw off a particularly stubborn infection. I've only had it once in my life which may explain why it was so effective. xx Moy

primrose123 profile image
primrose123 in reply toMoyB

Thank you so much MoyB for your kind reply, I hope all good& well with you & I wish you good health and much happiness for the future,& may God bless you always..Primrose123..x

TObby75 profile image
TObby75 in reply toMoyB

i had clarithromycin once about 20 odd years ago when i had pnumonia in a & e it was a new drug then & i bwas given it intravenosly but my arm suddenly felt inflamed & the doctor gave me an antidote straight away & said to never take again as i was allergic to it ! so have no idea how effective it is - only not for me !

primrose123 profile image
primrose123 in reply toTObby75

Thank you TObby75 for your kind reply, I guess it is all down to trial & error, I was prescribed a course of doxycycline antibiotics & found that in my case they were much more beneficial to me than Amoxicillin as a matter of fact I have never felt better & I have only had 1 course of them to date...I hope all good & well with you TObby75,& I wish you good health & much happiness for the future..Take care, & may God bless you always Primrose123...x

Lfcpremier profile image
Lfcpremier

Depends on the bug. Augmentin is a class above doxy & amoxycillin. I take it for 10 days only. X

primrose123 profile image
primrose123 in reply toLfcpremier

Many thanks Lfcpremier for your kind reply, I hope all good &well with you,& I wish you good health and much happiness for the future, & may God bless you always..Primrose123..x

Perrythomas profile image
Perrythomas

Depends on which infection you get- you should take a sample of sputum to get tested. Amoxicillin is still widely used but whatever you do get it done straight away, as soon as you can. Salt water in a nebuliser helps and Air Physio - a device that helps you clear mucus from airways helps too - good luck

primrose123 profile image
primrose123 in reply toPerrythomas

Many thanks Perrythomas for your most helpful reply I wish you good health and much happiness for the future,&may God bless you always Primrose123..x

Lutontown profile image
Lutontown

Antibiotics don't treat asthma, and it depends what the bug is to say what is the right antibiotic to sort your infection. Put a sputum sample into your surgery. (Hope you keep a small stock of sputum pots). This may take a week or more for the hospital to name the bug and recommend an antibiotic. If you don't have a bug, the hospital will know in about 3 days. The GP may put you on either Amoxicillin or Doxycycline to start with, but change you to the one the hospital suggests when known. If the bug turns out to be Staphylococcus Aureus, you may need a course of intravenous AB.

primrose123 profile image
primrose123 in reply toLutontown

Thank you so much Lutontown for your kind reply, I will certainly take your sound advice on board, I wish you good health and much happiness for the future,& may God bless you always. Primrose123 x

Alice70 profile image
Alice70

Amoxicillin don't work for me ,ialways have two weeks course of Doxycycline, I think a two weeks course is the normal for us lungies

primrose123 profile image
primrose123 in reply toAlice70

Thank you so much Alice70 for your kind reply, I hope all good& well with you,&I wish you good health and much happiness for the future.Primrose123..x

BreatheasyBe profile image
BreatheasyBe

Hi primrose it all depends if they culture a particular bacteria. Also some people can’t tolerate some antibiotics. I find the doxycycline uncomfortable with terrible reflux so tend to stick to different antibiotics.

primrose123 profile image
primrose123 in reply toBreatheasyBe

Many thanks BreatheasyBe for your most kind reply, I wish you good health and much happiness for the future & may God bless you always..Primrose123..x

Maximonkey profile image
Maximonkey

Hi primrose123, I normally begin with a script for Doxyclycline and if that doesn't do the trick the doctor has the results of my sputum test by the end of the week and she normally gives me a week of Amoxiclav which normally puts me right. My emergency antibiotic is Clarithromycin if that helps. Take care, Maximonkey

primrose123 profile image
primrose123 in reply toMaximonkey

Many thanks Maximonkey for your kind reply, I wish you good health much much happiness for the future & may God bless you always..Primrose123..x

Izb1 profile image
Izb1

I find that Amoxicillin just dont work for me and the last few times it has been Doxycycline that worked quite well, although the last infection I had the ent surgeon put me on a low dose for 6 weeks, which worked even better. I think it depends in the bug which antibiotic they put you on. Hope you find the right thing for you x

primrose123 profile image
primrose123 in reply toIzb1

Many thanks Izb1 for your most kind & helpful reply, I sincerely hope that all works out good & well for you, I wish you good health and much happiness for the future, & may God bless you always..Primrose123..x

Bardear profile image
Bardear

I have had Doxycycline for 7 days and Prednisolone for 5 days as a rescue Pack for many years, Over the years the Doxycycline seemed to have lost it's potency.

I have since been changed to Cefalexin 250mgm four times a day (pretty powerful stuff) for 7 days along with Prednisolone (steroid) 5mgs x 6 tablets a day for 5 days.

Cefalexin works like magic for me as by the second day I feel so much better and they work very well with the steroid.

Speak to your GP

XX

primrose123 profile image
primrose123 in reply toBardear

Thank you for your kind & most helpful reply Bardear, I was delighted to learn that you are now in top form,& are now on the antibiotics that is best for you, I think regarding all of us it is all down to trial error & in due course we find what antibiotic is most suitable for our condition.. I wish you good health & much much happiness for the future Bardear, & may God bless you always Primrose123...x

Bardear profile image
Bardear in reply toprimrose123

May God Bless You too Primrose123 and thankyou for your beautiful reply xx

primrose123 profile image
primrose123 in reply toBardear

Thank you too Bardear..Take care, Primrose123..x😀

Bardear profile image
Bardear in reply toprimrose123

xx Bardear

Snackjack profile image
Snackjack

I think it depends on the individual, I once had Doxycycline and it did absolutely nothing for me at all so I was then given Amoxicillin which worked. I didn't have any side effects from Doxycyline, it was like I hadn't taken anything at all but within days of taking the Amoxicillin I could feel it beginning to work. I think it is just trial and error. xx

primrose123 profile image
primrose123 in reply toSnackjack

Thank you. Snackjack for your most helpful reply,& yes, you are right it is indeed down to trial & error, I was on Amoxicillin which did nothing for me, then I was put on a course of doxycycline which certainly made a vast difference to my problem, I have only had 1 course of doxycycline to date & I have never looked back..I do hope that all is good & well with you Snackjack & I wish you good health and much happiness for the future..Take care,& may God bless you always.. Primrose123..x

Scrutari profile image
Scrutari

My respiratory consultant advises 21 days ciprofloxacin and to alternate for the next attack with 21 days doxycycline. These are prescribed as by my GP so I have both in reserve. Recently after 14 days cipro the symptoms appeared to ease so I stopped the antibiotic and the condition rebounded after a week and I had to complete a further 21 days on doxy. I learned a hard lesson. For me, 14 days is too short.

primrose123 profile image
primrose123 in reply toScrutari

Thank you Scrutari for your kind & most helpful reply, it has all been much appreciated!!! I hope all good & well with you, & I wish you good health and much happiness for the future.. Take care, & may God bless you always, Primrose123..x

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