I was diagnosed with p.a about 6 yrs ago, So recently had a water infection, gp prescribed anti biotics after reading leafet i rung the surgery, as i noted
1 do not take if b12 deficient
2 do not take if pheriphal neuropathy
3 do not take if liver problems
Anyway receptionist phoned back said thanks for letting her know, but
1 i dont have b12 deficiency as i have my injections
2 i don't have pheriphal neuropathy
3 didnt mention it
Am i mistaken or am i correct in thinking i am still b12 deficient just my jabs give false levels
Pheriphal neuropathy= pins and needles numbness in hands and feet carpal tunnel exploding type of feeling between shoulder blades??
Confused a bit over it, i did get a different prescription.
Thanks in advance for any info
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shortytlc
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Hi! I understand your concern, but you are not b12 deficient. Since you are on regular injections, your levels are normal now. The leaflet doesn't mention PA, so as long as you keep injecting, the antibiotic is safe for you.As for neuropathy, i cant help, but i am sure someone with more experience will chime in soon.
Good job you were on the ball but yes, I can understand totally how you felt. I too was prescribed it twice whilst receiving loading doses (visible neurological signs) and a low ferritin. I went private. I hope you are on the mend.
GPs frequently aren't aware of the detail in patient leaflets and interactions with other drugs. Suggest you speak to the dispensing pharmacist if you have concerns as they do know about interactions etc.The receptionist is correct that being on injections should mean that you are no longer B12 deficient though you still have a B12 absorption problem.
Nitrofurantoin is brutal. It made me feel so ill when prescribed it for a water infection. So when GP tried to prescribe it a year later for another UTI I asked for a different type of antibiotic. They tried for Trimethoprim but that did ping up a warning for Pernicious Anaemia on their system even though nitrofurantoin didn't. I always ask for penicillin now. It still does the job but its a lot more gentle.
For future reference there are a few other things you can try before antibiotics for uti. D mannose is often enough, it’s the sugar isolated from cranberries I believe but doesn’t affect blood sugar levels. Uva ursi tincture such as from Vogel could also help.
I second the D-mannose. It only works on e-coli infections, but is good one to try at home as something like 80% of urinary tract infections are caused by e-coli
Definitely. I haven’t had antibiotics for a bladder infection in decades thanks to these. Also if you know you are prone to them, you can take them as and when needed instead of waiting for a full blown infection so good to keep in the cupboard in case.
Right on, Bonjourtristesse! I kept my mom on about a 1/4-1/2 teaspoon a day She died at 99.5 years and was prone to UTIs. For about the last five or six years we had her on that small dose daily and it greatly reduced the number and frequency of infections. I’ve always bought it as a powder rather than capsules and dissolved it in water. I wish more people knew about it
It happened to me too. I didn’t know different pills could make you poorly if you have PA. I was given Macrobid for my UTI and they put me in bed for days I was that ill. The doctor said , ‘oh yes your white blood cells are low so we have to watch what we give you’ apparently your white blood cells are low when you have PA and that causes the problem. Hope you feel better now.
My experience echoes Singoutloud 's . Both antibiotics (Metronidazole) and tetracycline (Doxycycline) give me the same adverse reactions- bad vertigo and headaches -but I seem to be okay with penicillin (Amoxicillin).
These were prescribed for gum infections, recurring abscesses (Metronidazole), possible SIBO (Doxycycline) and Amoxicillin was used as a second course for gum infection when Metronidazole did not work. I haven't had a water infection.
I have found "Drugs that Deplete: Vitamin B12 (Cobalamin)" by the University of Maryland Medical Center to be a useful guide : umm.edu/health/altmed should get you there.
Note: Amoxicillin is on this list - but was effective for fighting infection for me and without side effects. We all respond differently so cannot explain why this should be.
It is possible to have Functional B12 Deficiency, where there is plenty of B12 in the blood but it is not getting to where it's needed in the cells therefore patient develops symptoms of B12 deficiency.
Functional B12 deficiency is mentioned in links below.
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seeing neurologist, advice on b12 injections welcomed…
Has anyone had insomnia from B12 injections?
About German online Pharmacies. — If they follow pharmaceutical rules rules,they are not allowed to supply U.K. with B12 ampoules! 
