What next ?: After several bouts of cellulitis I was... - LSN


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What next ?

Royston123 profile image
3 Replies

After several bouts of cellulitis I was prescribed Phenoxymethylpenicillin 250mg twice a day in 2019 and am still on them now , with no recurrence at all until this week so I have started a course of fluclox. Anyone else had this happen, or any advice would be appreciated, Shoul I go back on Phenoxymethylpenicillin after fluclox.

3 Replies
Lynora profile image

You need to ask your GP, and get him/her to check the Consensus for Management of Cellulitis document (available on the LSN website). If you’ve been on a prophylactic regime, you might need a longer dose of fluclox - they might also want to reassess the a/b regime.

On_porter profile image

I have taken Penicillin twice a day since my bone marrow transplant in 2001 - not a lymphoedema decision at the time. I didn't have cellulitis or any other type of infection until around 2018! Which I now get every once or twice a year, every 2 if I'm lucky.

Penicillin is probably keeping away some minor infections but not the bad ones so I have a ''ready to go'' stash of Clarithromycin when I feel like it's coming on and if I don't take them I'll end up in hospital on IV antibiotics (this should be your argument to be able to obtain some ready to go antibiotics that are stronger than penicillin).

BedfordBoy profile image
BedfordBoy in reply to On_porter

I have a stash of clarithromycin too after a big row with the doctor's reception staff. I too ended up on an iv in hospital when my leg became infected. The doctor eventually put it in my notes that I can have a "rescue pack" as they've called it. It's stopped me from going back into hospital a couple of times now. Without me putting up a fight they wouldn't have done that, so I'd recommend everyone who has had cellulitis to ask for a "rescue pack". If they say no, insist on seeing the practice manager.

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