Showing posts with label antibiotics. Show all posts
Showing posts with label antibiotics. Show all posts

Tuesday, May 20, 2008

Antibiotics

Surgery Encyclopedia: Antibiotics

Definition

Antibiotics may be informally defined as the subgroup of anti-infectives derived from bacterial sources and used to treat bacterial infections.

Purpose

Antibiotics are used for treatment or prevention of bacterial infection. Other classes of drugs, most notably the sulfonamides, may be effective antibacterials. Similarly, some antibiotics may have secondary uses, such as the use of demeclocycline (Declomycin, a tetracycline derivative) to treat the syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Other antibiotics may be useful in treating protozoal infections.

Description

Although there are several classification schemes for antibiotics, based on bacterial spectrum (broad versus narrow), route of administration (injectable versus oral versus topical), or type of activity (bactericidal versus bacteriostatic), the most useful is based on chemical structure. Antibiotics within a structural class will generally show similar patterns of effectiveness, toxicity, and allergic potential.

Penicillins

The penicillins are the oldest class of antibiotics and have a common chemical structure that they share with the cephalosporins. The two groups are classed as the beta-lactam antibiotics, and are generally bacteriocidal—that is, they kill bacteria rather than inhibit growth. The penicillins can be further subdivided. The natural penicillins are based on the original penicillin G structure; penicillinase-resistant penicillins, notably methicillin and oxacillin, are active even in the presence of the bacterial enzyme that inactivates most natural penicillins. Aminopenicillins such as ampicillin and amoxicillin have an extended spectrum of action compared with the natural penicillins; extended spectrum penicillins are effective against a wider range of bacteria. These generally include coverage for Pseudomonas aeruginosa and may provide the penicillin in combination with a penicillinase inhibitor.

Cephalosporins

Cephalosporins and the closely related cephamycins and carbapenems, like the penicillins, contain a beta-lactam chemical structure. Consequently, there are patterns of cross-resistance and cross-allergenicity among the drugs in these classes. The "cepha" drugs are among the most diverse classes of antibiotics, and are themselves subgrouped into first, second, and third generations. Each generation has a broader spectrum of activity than the one before. In addition, cefoxitin (Mefoxin), a cephamycin, is highly active against anaerobic bacteria, which makes it useful in prevention and treatment of infections of the intestines. The third generation drugs, cefotaxime, ceftizoxime, ceftriaxone, and others, cross the blood-brain barrier and may be used to treat meningitis and encephalitis. Cephalosporins are the usually preferred agents for prevention of infection during surgery.

Fluroquinolones

The fluroquinolones are synthetic antibacterial agents, and are not derived from bacteria. They are included here because they can be readily interchanged with traditional antibiotics. An earlier, related class of antibacterial agents, the quinolones, were not well absorbed, and could be used only to treat urinary tract infections. The fluroquinolones, which are based on the older group, are broad-spectrum bactericidal drugs that are chemically unrelated to the penicillins or the cephalosporins. They are well distributed into bone tissue, and so well absorbed that in general they are as effective by the oral route as by intravenous infusion.

Tetracyclines

Tetracyclines got their name because they share a chemical structure having four rings. They are derived from a species of Streptomyces bacteria. Broad-spectrum bacteriostatic agents, the tetracyclines may be effective against a wide variety of microorganisms, including rickettsia and amebic parasites.

Macrolides

The macrolide antibiotics are derived from Streptomyces bacteria, and got their name because they all have a macrocyclic lactone chemical structure. Erythromycin, the prototype of this class, has a spectrum and use similar to penicillin. Newer members of the group, azithromycin and clarithyromycin, are particularly useful for their high level of lung penetration. Clarithromycin has been widely used to treat Helicobacter pylori infections, the cause of stomach ulcers. For people who are allergic to penicillin, erythromycin is a valuable alternative. But, unlike penicillin, erythromycin can be very irritating

Different antibiotics destroy bacteria in different ways. Some short-circuit the processes by which bacteria receive energy. Others disturb the structure of the bacterial cell wall, as shown in the illustration above. Still others interfere with the production of essential proteins. (Illustration by Electronic Illustrators Group.)

Different antibiotics destroy bacteria in different ways. Some short-circuit the processes by which bacteria receive energy. Others disturb the structure of the bacterial cell wall, as shown in the illustration above. Still others interfere with the production of essential proteins. (Illustration by Electronic Illustrators Group.)

both to the stomach when given by mouth, or to veins when given by injection.

Other Classes

Other classes of antibiotics include the aminoglycosides, which are particularly useful for their effectiveness in treating Pseudomonas aeruginosa infections, and the lincosamindes, clindamycin and lincomycin, which are highly active against anaerobic pathogens. In addition, other individual drugs are available that may have utility in specific infections.

Recommended Dosage

Dosage varies with drug, route of administration, pathogen, site of infection, and severity. Additional considerations include renal (kidney) function, age of patient, and other factors. Patients should consult manufac turers' recommendations or ask their doctors.

Side Effects

All antibiotics cause risk of overgrowth by non-susceptible bacteria. Manufacturers list other major hazards by class; however, the health care provider should review each drug individually to assess the degree of risk. Generally, breastfeeding is not recommended while taking antibiotics because of risk of alteration to infant's intestinal flora, and risk of masking infection in the infant. Excessive or inappropriate use may promote growth of resistant pathogens.

* Penicillins. Hypersensitivity may be common, and cross allergenicity with cephalosporins has been reported. Penicillins are classed as category B during pregnancy.
* Cephalosporins. Several cephalosporins and related compounds have been associated with seizures. Cefmetazole, cefoperazone, cefotetan and ceftriaxone may be associated with a fall in prothrombin activity and coagulation abnormalities. Pseudomembranous colitis (inflammation of the colon) has been reported with cephalosporins and other broad spectrum antibiotics. Some drugs in this class may cause renal toxicity. Pregnancy category B.
* Fluoroquinolones. Lomefloxacin has been associated with increased photosensitivity. All drugs in this class have been associated with convulsions. Pregnancy category C.
* Tetracyclines. Demeclocycline may cause increased photosensitivity. Minocycline may cause dizziness. Children under the age of eight should not use tetracyclines, and specifically during periods of tooth development. Oral tetracyclines bind to anions such as calcium and iron. Although doxycycline and minocycline may be taken with meals, patients are advised to take other tetracycline antibiotics on an empty stomach, and not to take the drugs with milk or other calcium-rich foods. Expired tetracycline should never be administered. Pregnancy category D; use during pregnancy may cause alterations in bone development.
* Macrolides. Erythromycin may aggravate the weakness of patients with myasthenia gravis. Azithromycin has, rarely, been associated with allergic reactions, including angioedema, anaphylaxis, and dermatologic reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis. Oral erythromycin may be highly irritating to the stomach and may cause severe phlebitis (inflammation of the vein) when given by injection. These drugs should be used with caution in patients with liver dysfunction. Pregnancy category B: Azithromycin, erythromycin. Pregnancy category C: Clarithromycin, dirithromycin, troleandomycin.
* Aminoglycosides. This class of drugs causes kidney and hearing problems. These problems can occur even with normal doses. Dosing should be based on renal function, with periodic testing of both kidney function and hearing. Pregnancy category D.

Interactions

Use of all antibiotics may temporarily reduce the effectiveness of birth control pills; alternative birth control methods should be used while taking these medications. Antacids should be avoided while on tetracyclines as the calcium can impair absorption of this antibiotic class. For this reason, tetracyclines should not be taken just before or after consuming foods rich in calcium or iron. Consult specialized references for additional interactions to specific antibiotics.

Recommended Usage

To minimize risk of adverse reactions and development of resistant strains of bacteria, antibiotics should be restricted to use in cases where there is either known or a reasonable presumption of bacterial infection. The use of antibiotics in viral infections is to be avoided. Avoid use of fluroquinolones for trivial infections.

In severe infections, presumptive therapy with a broad-spectrum antibiotic such as a third generation cephalosporin may be appropriate. Treatment should be changed to a narrow spectrum agent as soon as the pathogen has been identified. After 48 hours of treatment, if there is clinical improvement, an oral antibiotic should be considered.

When the pathogen is known or suspected to be Pseudomonas, a suitable beta-lactam drug is often prescribed in combination with an aminoglycoside. A single agent cannot be relied upon for treatment of Pseudomonas. When the patient has renal insufficiency, azactam should be considered in place of the aminoglycoside.

In treatment of children with antibiotic suspensions, caregivers should be instructed in use of oral syringes or measuring teaspoons. Household teaspoons are not standardized and will give unreliable doses.

Resources

Periodicals

Moellering, R. C., Jr. "Linezolid." Summaries for Patients. Annals of Internal Medicine 138 (January 21, 2003): I-44.

Other

Alliance for the Prudent Use of Antibiotics. Consumer Information. http://www.tufts.edu/med/apua/Patients/patient.html.

"Using antibiotics sensibly." MayoClinic.com. February 6, 2002 [cited June 25, 2003]. http://www.mayoclinic.com/invoke.cfm?id=FL00075.

Monday, April 7, 2008

Antibiotics Kill Your Body's Good Bacteria

Antibiotics Kill Your Body's Good Bacteria, Too, Leading to
Serious Health Risks

Dr. Mercola's Comment:
The information that follows is a two-part article taken directly from Doug Kaufmann and Dave
Holland, MD's new book, “The Fungus Link, Volume 2.” Inside this follow-up to the Fungus Link,
published in 2000, you'll not only learn about the dangers of antibiotics. You'll also learn about the
ins and outs of natural and prescriptive antifungals. Additionally, Doug and Dave share with you the
role fungi and their mycotoxins play in what are unfortunately everyday diseases such as prostatitis,
ear-nose-throat disorders, weight problems (including obesity and anorexia), autoimmune diseases,
hormonal disorders, neurologic diseases, hair loss, and eye problems.
To preorder this or any of Doug Kaufmann's books, you can call Doug's office at 972-772-0990, M-F
8:00 AM to 5:00 PM Central.
You can also get books in person and learn about the role of fungi and mycotoxins in cancer and
diabetes as Doug and Dave talk with you live at their next interactive seminar in Ft. Worth, TX, June
28th at Pantego Bible Church, 8001 Anderson Blvd. Ft. Worth, TX 76120. Click here for directions.
You can register for the seminar by also calling the office or visiting the website.
by Doug Kaufmann
“It is ironic that this humbled fungus, hailed as a benefactor of mankind, may by its very success prove to
be a deciding factor in the decline of the present civilization.”
— Dr. John I. Pitt, The Genus Penicillum, Academic Press, 1979
Simply put, antibiotics are poisons that are used to kill. Only licensed physicians can prescribe them. The
drugs are used to kill bacteria. Certainly, many people have benefited from using them. However, if bacteria
were the only organisms that antibiotics killed, much of this book would be unnecessary. In fact, I contend
that poisons that kill small organisms in small doses — organism-specific varieties notwithstanding — can
also kill big organisms, when they are taken in big doses. You, my friend, are a big organism.
We’ve talked about the link between fungus and human disease. This chapter addresses the possibility that
antibiotics may help fungi to proliferate within the human body.
As an adult human, you have three to four pounds of beneficial bacteria and yeast living within your
intestines. These microbes compete for nutrients from the food you eat. Usually, the strength in numbers
beneficial bacteria enjoy both keeps the ever-present yeasts in check and causes them to produce nutrients
such as the B vitamins.
However, every time you swallow antibiotics, you kill the beneficial bacteria within your intestines. When
you do so, you upset the delicate balance of your intestinal terrain. Yeasts grow unchecked into large
colonies and take over, in a condition called dysbiosis.
Yeasts are opportunistic organisms. This means that, as the intestinal bacteria die, yeasts thrive, especially
when their dietary needs are met. They can use their tendrils, or hyphae, to literally poke holes through the
lining of your intestinal wall. This results in a syndrome called leaky gut. Yeasts are not the only possible
cause of this syndrome. Some scientists have linked non-steroidal, anti-inflammatory drugs (NSAIDS) such
as naproxen and ibuprofen to the problem. Given their ability to alter intestinal terrain, antibiotics also likely
contribute to leaky gut syndrome.
In addition to possibly causing leaky gut syndrome, I believe that parasitic yeasts can also cause you to
change what you eat in that they encourage you to binge on carbohydrates including pasta, bread, sugar,
potatoes, etc. So, it should come as no surprise that weight gain counts as one of the telltale signs of
antibiotic damage and subsequent yeast overgrowth.
By altering the normal terrain of the intestines, antibiotics can also make food allergies more likely. An
array of intestinal disorders can ensue, as well. Sadly, most doctors claim ignorance concerning their
patients’ intestinal disorders rather than admit that the drugs they themselves prescribed actually caused the
disorders to begin with.
Tons of antibiotics are fed to American livestock on a daily basis, purportedly to proof them against
bacteria. This practice not only possibly contributes to antibiotic resistance in humans — many experts feel
weight gain, and not disease prevention, is the real reason antibiotics are so widely used. Fat cattle sell for
more than thin cattle. That’s all very well, but imagine what the antibiotics thereby possibly present in dairy
products could be doing to our children’s health.
Back in the 1950s, two researchers in Albany, New York, worked to develop an antimicrobial drug from a
substance produced by a soil-based fungus. Although the nystatin they discovered is technically a
mycotoxin, it works wonders as an intestinal antifungal. This as yet revolutionary drug stops the yeast
overgrowth caused by all other antibiotics and is 100 percent safe to use. In addition, nystatin works with no
side effects, though it can cause a pseudo sickness that patients often confuse with side effects.
Also in the 1950s, scientists used mice to grade the relative toxicity of 340 antibiotics (Dr. William S.
Spector, The Handbook of Toxicity, 1957). The researchers based their rankings on the amount of a given
antibiotic required to kill half of the lab mice injected with it. I relate this story only to ask you, before 1957,
how did scientists decide what would serve as prescriptive doses for these very same antibiotics when used
in humans?
I’ll assume that the same toxicity scale remains in place today. If it does, and if a given dose of penicillin
will kill 50 percent of mice injected, it stands to reason that a much larger dose, or perhaps repetitive doses
extended over 40 years, might prove fatal to a human. I don’t know if larger doses are in fact administered
to people. And, the 40-year scenario has its problems. But you have to admit, it’s certainly food for thought.
The time span between when patients take rounds of antibiotics and when they die interests me. That’s
because I believe that few people really die of heart disease and diabetes. In actuality, antibiotics are
responsible for deaths attributed to these diseases, because these drugs are what caused people to develop
the diseases to begin with. And yet, incredibly, death certificates usually state the probable cause of death
without mentioning whether the deceased had a history of taking antibiotics.
Remember, antibiotics are dangerous mycotoxins — fungal metabolites. Just as importantly, medical
experts have written articles maintaining that these drugs kill people. But, other experts insist on remaining
sceptical as to the problem, even though these same experts readily recognize the link between weakened
immune systems and death.
According to the 2001 Allergy and Asthma Report, the first immunodeficiency syndrome was identified in
1952. This document tells us that since that time, “more than 95 immune syndromes have been identified,
with new conditions coming to light every day.” The report goes on to say that research indicates that
“increased antibiotic use in human infancy may be associated with increased risk of developing allergies.”
Max Planck won the 1918 Nobel Prize in Physics. He once weighed in as to why science is slow to change
even in the presence of overwhelming evidence that it should do so.
“A new scientific truth does not triumph by convincing its opponents and making them see the light,”
Planck said, “but rather because its opponents eventually die and a new generation grows up that is familiar
with the ideas from the beginning.”
That a new generation will grow up knowing of the dangers inherent in taking antibiotics is a good thing.
That doctors will continue randomly prescribing fungal toxins should teach us the importance of knowing
medical facts before blindly accepting any prescription. Please study the antimicrobial benefits and the
immune system stimulants that nature provides. Know also that, in some instances, antibiotics may become
necessary.
If you reach the point where no alternatives exist, I recommend that you ask your doctor to prescribe
nystatin simultaneously with the antibiotic (see Dr. Holland’s article). Also, keep in mind the post-antibiotic
importance of restoring the intestinal terrain with plain yogurt and probiotics. If you experience bloating,
belching, gas, constipation, diarrhea, GERD, or other intestinal problems, probiotics can play an important
role in restoring your intestinal terrain.
Antibiotics — to Take or Not to Take?
by David A. Holland, M.D.
I looked up antibiotics in Harrison’s Textbook of Internal Medicine. The listing referred me to
“antimicrobials.” This caused me to realize how much more accurately the second term describes these
substances, given the broad-spectrum nature of a lot of them.
I must confess that, as a doctor, I do prescribe “antimicrobials.” Perhaps I prescribe more antifungals and
nonprescription remedies than the usual doctor, but I do prescribe antibiotics, as well. Perhaps even more
horrifying, considering Doug’s articles condemning them, is that I’ve taken them myself! In fact, in these
times it’s a rare individual who goes through life without ingesting those little pills. So, three questions have
become important — when should you take antibiotics, when should you refrain, and what will you do
when you’ve already taken them?
Alexander Fleming, by the grace of God, brought us a mixed blessing in 1928 with his accidental discovery
of penicillin produced by, of all things, a fungus. Medicine’s interest treating people for exposure to fungi
dropped dramatically in succeeding years, until the microbes were only thought important insofar as their
ability to produce increasingly diverse varieties of antibiotics.
Interest in fighting bacteria proliferated like a flesh-eating Strep infection, fueling the race to discover ever
more antibiotics. Pharmaceutical salespeople invaded doctors’ offices and hospitals, intent on convincing
physicians their antibiotic was better than the others. These salespeople supported their pitches with studies,
graphs, charts and convincing stats, while often failing to mention that their research had been funded by
their own companies. The possible conflict of interest was, and remains, enormous.
I have no quarrel with such salespeople. They’re regular men and women like you and me, just trying to
make a living. However, when human lives are involved, funding research to prove that your own product is
better than the competition’s is just plain wrong. The advantage is obvious, and the danger that a great deal
of objectivity could be lost is only all too real.
I believe that an impartial, third party should be assigned to perform such research, funded by a mandatory
“ante” from all pharmaceutical companies involved in producing a given category of drug. Of course, that
will be the day! In case the above scenario never happens, we would do well to take with several grains of
salt the unregulated information that companies provide about their own products.
Perhaps you are wondering about the use — and abuse — of antibiotics in general. Let me give you an
example. One of the most common diagnoses given at a doctor’s office is the upper respiratory infection
(URI). It accounts for up to 70 percent of all antibiotics dispensed (Annals of Internal Medicine. American
College of Physicians. American Society of Internal Medicine. March 20, 2001).
However, according to Dr. Carol Kauffman, most URIs are not caused by the bacteria that antibiotics are
designed to fight. Rather, Kauffman says, they are caused by fungi. So, unless a secondary, bacterial
infection presents itself — and even then, the rules change — most URIs do not require the use of
antibiotics.
Regarding ear infections, in one study, children administered antibiotics for acute otitis media suffered
double the rate of adverse effects compared to children in the study who took placebos (Clinical Evidence.
2000). The difference in outcome for those children in the study who took antibiotics compared to those
who do not was almost negligible. Some scientists counter that children who take antibiotics run lower risks
of secondary ear infections such as meningitis or mastoiditis (infection of the angular bone located behind
your ear).
Of course, the landscape is complicated by noncompliance. The portion of people who take their antibiotics
as prescribed has been estimated at anywhere between 8 to 68 percent. So it’s difficult to say just how
effective antibiotics actually are.
Now, say my daughter were to get sick for 10 days, miserable with a high fever and screaming ear pain. Say
our doctor said her ear canal checked out as angry red. Am I going to have my daughter take the
prescription? Probably so. We cared for a young woman at the hospital where I worked who was literally at
her death bed with overwhelming Streptococcal — bacterial — pneumonia. One of her lungs was saturated
with the infection, which had also spread throughout her bloodstream.
I went on to my next rotation thinking that was the last I would hear of that patient. However, I later spoke
with her attending physician. He told me she walked out of that hospital, completely cured. So, antibiotics
save lives, but it’s not exactly a common occurrence. Certainly, most of you out there suffering from the
common cold are not near death, so you should think twice about taking antibiotics.
The non-synthetic antibiotics are fungal by-products called mycotoxins. Penicillin is perhaps the best
example. In other words, mycotoxins kill off fungi’s competitors, allowing fungi to grab up all of the
nutrients for themselves. Alexander Fleming himself observed this in action, and it later led him to develop
penicillin. When a mold — molds are fungi — contaminated a bacteria colony upon which Fleming was
performing an experiment, the invader cleared the area around it of all bacteria. When Fleming investigated,
It turned out that the fungus had produced a substance he would later call penicillin, killing the bacteria in
residence.
Just because they kill bacteria, you may be thinking, doesn’t mean that some, many or especially all of the
mycotoxins used as antibiotics are necessarily harmful to human beings. A. V. Costantini in effect counters
this idea when he speaks of the work of two scientists by the name of Bernstein and Ross. Costantini says
that the men found that two or more months of treatment with penicillin and other antibiotics contributed to
what they saw as a “significantly increased risk of non-Hodgkin’s lymphoma in humans (Costantini, A. V.
Fungalbionics. 1998).”
How many people, children included, have undergone dose after dose of antibiotics for recurring infections?
Doug and I believe that these relatively small doses taken over long periods of time are actually harming us
in similar, incremental fashion, later showing up as cancer, diabetes, vasculitis or other diseases.
We take antibiotics when we are sick, when our immune systems weaken. The mycotoxins pharmacies
dispense for use as antibiotics only exacerbate the problem, because the lion’s share of these substances
have been shown to be immunosuppressants (CAST Report No. 116. November 1989.). Not only are they
capable of hamstringing our immune systems, they also destroy the friendly bacteria that guard our
intestines.
These friendly bacteria include Lactobacillus acidophilus, Bifidus and Bulgaricus, supplements for which
can be found in any health food store’s refrigerated section. They protect us against pathogens such as
Salmonella, yeast, cholera, and the bad E. coli. They are so potent that, prior a trip abroad, to protect
yourself from traveler’s diarrhea you’d do better to skip the usual antibiotics and instead take acidophilus
supplements.
Unfortunately, these good flora are so vulnerable to antibiotics that, in mice, a “single injection of
streptomycin can eradicate the protective effect of the normal flora. (Mandell. Principles and Practice of
Infectious Diseases. 2000.)” And, once gone, these friendly bacteria are replaced by hostile bacteria such as
Pseudomonas, Clostridium, and Klebsiella, and by Candida yeast, a powerful member of the fungi family.
So, we have the good and the bad regarding our chemical friends known as antibiotics. They can “save the
day” at times, but they have ruined them at others — just ask any woman with a yeast infection or look at
any baby who suffers from thrush. You should know that, even should you just say “no” when your doctor
moves to prescribe antibiotics for you, theoretically speaking you may still be taking them with every bite of
steak and pork you eat.
That’s because more antibiotics per pound are used on livestock than in human medicine. How much of
those antibiotics are passed on is difficult to determine, but the mere possibility of this kind of thing is
certainly a worry.
Our goal in this book is to educate you and to help you make informed decisions. Some final, simple tips
follow:
1. An ounce of prevention.... Exercise, eat intelligently and take a few supplements. Avoid alcohol,
smoking, and recreational drugs. Get some rest once in a while. Pray.
Despite our best efforts, most of us will get sick at some point and decide to go see a doctor. If you
are a stubborn, married man, your wife will likely make the appointment for you.
2. Ask Questions. If your doctor diagnoses you with an upper respiratory infection, sore throat (in
which the strep test is negative), bronchitis, sinusitis, or ear infection, and you wonder if you really
need an antibiotic, make a point of asking her about it. A lot of physicians would be pleasantly
surprised that one of their patients would even consider trying to recuperate without antibiotics. Ask
if you can treat your condition symptomatically and come back or call in a couple of days if you are
not better.
If your questions annoy your doctor, then get another doctor. After all, you pay the bills, either
directly or out of your paycheck in the form of insurance, and you deserve adequate treatment. On
the other hand, if you feel you, in fact, do need an antibiotic and your doctor disagrees, try to work a
deal in which she will prescribe an antibiotic for you if you don’t feel better in a couple of days. I
learned an important lesson about this kind of disagreement during college, on a visit to the
infirmary. The doctor there refused to give me an antibiotic for a URI I’d come down with. I had to
suppress my anger at what I saw as arrogance on his part, but lo and behold, he was right. I got better
without the pills I’d been sure I’d needed. I think a lot of people tend to underestimate their bodies’
healing abilities, in much the same way as I did. That’s just one reason why doctors are oftentimes in
a better position to make the call as to whether or not to prescribe.
3. Take an objective look at yourself and your life-style. If you keep coming down with the same thing,
do some research and a little thinking. Do you drink a lot of soda? Do you smoke? Are you taking
antibiotic after antibiotic and now have a secondary yeast or fungal infection? How is your spiritual
life? Your stress level? The point is, myriad factors contribute to “wellness.”
As far as chronic sinus infections go, Johns Hopkins researchers are now saying most such conditions are
caused by a fungus. So, if you do have chronic sinusitis, stop taking antibiotics, get on an antifungal diet,
and ask your doctor for antifungal medications. If your doctor refuses, visit a health food store for natural,
off-the-shelf antifungals such as olive leaf extract, garlic, and Caprylic acid.
Once you improve, make sure you go back and let your doctor know how things worked out. Chances are
she is neither experienced nor comfortable with prescribing antifungal medication. Your story may convince
her to do her own research, the first step to changing her treatment philosophy.
It shouldn’t be too difficult to convince your doctor to let you try a prescription of nystatin. As one of the
better gut antifungals, nystatin is also remarkably safe and free of side-effects.
If you’ve decided to go ahead and take an antibiotic:
1. Get the facts. Ask your doctor how many days you must take the antibiotic and if you, in fact, do
need the latest, most powerful one on the market. Simple urinary tract infections are now treated with
only three days of antibiotics. Sinus infections, bronchitis, and ear infections in children over two
years of age can be treated with as few as five days of antibiotics, new or old, generic or name brand.
This may not be possible, however, if you have other medical conditions or if you smoke.
2. Build trust. Commit to the full course of the antibiotic unless you experience significant side effects
or an allergic reaction. You sought medical advice and agreed to the prescription. You will build
trust with your doctor if you work as a team. This trust will be very important once you see number 3
below.
3. Take an antifungal with the antibiotic. For example, you could ask your doctor for a prescription of
nystatin to take during the course of your antibiotic. Many dermatologists do this when prescribing
long-term antibiotic courses for acne. I suggest adults take two tablets twice a day — 1 cc of
suspension twice a day for children — to prevent yeast overgrowth in your intestines. Most cases of
upset stomach or diarrhea that kick in a few days of beginning a round of antibiotics can be cured
with a single dose of the drug. Diarrhea after a two-week round of antibiotics is likely caused by a
different bug altogether — be sure to bring that to your doctor’s attention.
I should tell you that, in my clinical practice years, many of my patients made great strides against
acne through taking nystatin and a change in diet alone, without the antibiotics.
4. Supplement your intake. Take an antioxidant supplement, one which includes vitamin E, zinc,
selenium, vitamin C, and vitamin A, among others. According to A.V. Costantini, all antioxidants
are antifungal. (Costantini. 1998.)
5. Keep your bowels moving. If antibiotics kill off your friendly, intestinal bacteria, once you cease
taking antibiotics you’ll run a higher risk of infection by other, more hostile bacteria. These bacteria
will be quick to find and exploit pockets of debris that could be collecting and putrefying in your
intestines if you happen to become constipated. So, be sure to keep your digestive tract as clear as
possible until you can repopulate it with friendly bacteria. Psyllium hulls fiber from your local health
food store is the best, bulk fiber to use, as long as you don’t have a history of intestinal obstruction.
Psyllium not only relieves constipation. It also slows diarrhea by absorbing excess water.
6. Replace the good bacteria in your intestines. Supplement with an acidophilus supplement for a few
weeks following any course of antibiotics. Do not take these simultaneously with your antibiotic, or
you will simply end up with a lot of very dead, albeit still friendly bacteria in your intestines. At the
very most, take acidophilus supplements either in between antibiotic doses or after you have
completely finished your prescription.
7. Look back at why you became ill to begin with. I once suffered from strep throat after indulging in
half a box of chocolates. That should have come as no surprise. Who wouldn’t be crippled by that
amount of garbage? More than likely, you have your own experience regarding similar binges. My
point is, diet plays at least as much a role as actual exposure to germs as to whether we get sick —
when we are healthy and eating correctly, our bodies are amazingly resistant to infection.
One, last note: Please ignore advertisements that recommend guzzling orange juice for the vitamin C it
contains. A big dose of sugar is what you’d actually be getting. I have heard more than a few patients note
that once they felt they were coming down with something, they immediately began downing glass after
glass of orange juice, only to get even sicker. They concluded that they must not have caught the illness in
time, which couldn’t have been any further from the truth.
The truth is, they simply fueled the fire of their infections with lots of sugar, all because they trusted a
corporation’s advertisement to educate them about proper healing strategies. If you want that much vitamin
C, you will be perfectly fine taking it in the 1,000 mg pill form a few times a day. As far as fluid
requirements are concerned, your body is 70 percent water — and that is exactly what it needs!

 
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