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  5. stk43 Guest

    : This article provided an excellent overview of the diagnosis and treatment of strep throat. The author indicates that amoxicillin is “equally effective and more palatable” than using penicillin. I was taught to avoid using ampicillin or amoxicillin to treat strep throat because acute mononucleosis may be the problem, and that it presents much like a strep throat in the acute phase. When patients with “mono” are given ampicillin or amoxicillin, a generalized red rash often appears. Is this classic advice taught to me in the 1970s out of date? Acute mononucleosis is occasionally misdiagnosed as acute group A beta-hemolytic streptococcal (GABHS) pharyngitis. In patients treated with antibiotics who actually have acute infectious mononucleosis, a generalized maculopapular or urticarial rash sometimes develops. Although “classic advice” attributes the rash to the use of ampicillin or amoxicillin, it can also occur with other antibiotics, including cephalexin (Keflex),1 azithromycin (Zithromax),2 levofloxacin (Levaquin),3 and others. Strep throat should be treated with penicillin or amoxicillin IDSA. Recurrent Strep Throat - Pediatric Web The secret reason we treat strep throat Chad Hayes, MD
     
  6. WebFox Moderator

    The treatment of SLE remains complex, and management is constrained by a lack of safe, effective, targeted therapies. Physicians, also, are constrained by a lack of evidence-based approaches with existing agents, including glucocorticoids, utilized in the majority of patients. While Cushingoid side effects of glucocorticoids are widely recognized, emerging literature now suggests that glucocorticoid use actually contributes to harmful outcomes in SLE, over and above these effects. These studies provide a compelling case for a re-evaluation of the long-term use of glucocorticoids in SLE, focusing on minimizing glucocorticoid exposure as part of the strategy to improve long-term outcomes. In this article, we review the evidence for the harmful effects of glucocorticoids in SLE, and propose therapeutic options that reduce reliance on glucocorticoids. We propose that it is time for the lupus community to have a louder conversation about glucocorticoid use, and for any residual complacency about their risk–benefit ratio to be banished. SLE or lupus is a chronic, systemic autoimmune disease of unknown aetiology. Corticosteroids for Lupus - CardioSmart Prednisone Side Effects, Dosage, Uses, and More Treating Lupus with Steroids • Johns Hopkins Lupus Center
     
  7. MayaL Moderator

    Viagra can be sold over the counter - BBC News Nov 28, 2017. The MHRA hopes it will stop some men buying unregulated medicines. Pharmacists will decide whether treatment is appropriate and can offer. with 33 in support of making viagra available off prescription and one 'unsure'.

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