Primrose123: What is the best... - British Lung Foun...

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Primrose123

primrose123 profile image

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

51 Replies

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 to Bevvy

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 to Lol1944

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 to Bevvy

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

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

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

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 to peege

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 to primrose123

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 to peege

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

Alice70 profile image
Alice70 in reply to Digger0

I take azithromycin three time a week to Digger

primrose123 profile image
primrose123 in reply to peege

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 to peege

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

peege profile image
peege in reply to BreatheasyBe

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 to peege

He cannot refuse you without very very good reason.

Izb1 profile image
Izb1 in reply to Lol1944

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 to Izb1

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 to Lol1944

Thank you, yes I will do x

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

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.

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 Littlepom

I fully agree little pom

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 to Matt6096

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

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 to B0xermad

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 to primrose123

Thank you

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

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

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 to MoyB

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

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

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

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

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

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.

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

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 to Alice70

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

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.

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

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

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

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 to Izb1

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

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 to Bardear

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 to primrose123

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

primrose123 profile image
primrose123 in reply to Bardear

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

Bardear profile image
Bardear in reply to primrose123

xx Bardear

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