Phenoxymethylpenicllin: Because of lymphedema in my left... - LSN

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Phenoxymethylpenicllin

Royston123 profile image
8 Replies

Because of lymphedema in my left leg from prostate surgery I was getting cellulitis every couple of months . So I was prescribed 500mg per day phenoxymethylpenicillin . I have now been taking it for 2 years with no recurrence of cellulitis.

So, Should I stop. ? Should I carry on. ? What are the chances of cellulitis coming back if I stop ? Is it wise to stop at the moment with hospitals full of covid patients ?

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Royston123
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8 Replies
Lynora profile image
Lynora

Do not stop taking it until you have spoken to your prescriber. Many people are on ‘prophylactic antibiotics’ for the same reason - to prevent cellulitis. Some people are on it for life. As long as you have a healthy diet, use of this drug should not cause problems with your gut - you could get advice from a qualified nutritionist to check this.

Royston123 profile image
Royston123 in reply toLynora

Thanks Lynora.

AnneBury profile image
AnneBury

My sister has been taking antibiotics for well over 10 years. She has primary Lymphoedema in both legs (like me) and got lots of cellulitis (so far, not like me). She has learning disabilities. She is very good at wearing her compression garments but the subtlety of changes that might cause cellulitis, or recognising cellulitis developing, pass her by. I am not aware of any plans to stop the antibiotics.

Marjol80 profile image
Marjol80

I take prophylactic antibiotic since 2011. I had almost 3 years without infection. My professor told to reduce a dose from twice a day to once a day and after few weeks I developed cellulitis. So I am.now on even higher dose (3 tablets a day) due to pandemic. My doctor said to not reduce, but even increase the dose during pandemic. It was advice from lymphoedema clinic in Derby.

Royston123 profile image
Royston123 in reply toMarjol80

Thanks marjol80. Very interesting.

Microsurgeon profile image
Microsurgeon

Cellulitis is a common problem in lymphoedema. You should speak to your GP regarding a sensible plan for coming off antibiotics. I suggest you and your GP should read the BLS consensus cellulitis guidelines. lymphoedema.org/wp-content/.... These are essential reading for the management of cellulitis in the long term and for short term treatments. Always worth having a copy or referring to it if you need to go the A+E / acute GpP with a problem. Good luck

Royston123 profile image
Royston123 in reply toMicrosurgeon

Great stuff, thanks.

On_porter profile image
On_porter

I have taken x2 penicillin 250mg a day since I had a BMT in 2001, which is when I developed lymphoedeama. I didn't get cellulitis for about ten years then all of a sudden did. I take stronger anti-biotics and have some as a ''just in case'' but often end up in hospital as they dont work! I'd continue taking them if you're not getting any bouts for sure.

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