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hello friend,lost your perpersonal e-mailneed advivce on lower urinary infection.had 3 in past year and  took doxycycline 3 times last year.i want anti-biotic that is least likely to cause c-diff.im don't  think doxycycline will be effective for uninary infection since I used it  3 times last time a year ago.i take blood thinners and am allergic to sulphur.any anti-biotic for uninary infection that has low c-diff rate.my last doctor offered cipro said no thanks.keep your teeth sharpned Dracula has a new job for you

Answer
Hello Old Friend,
I have your email stored but I dont remember it.
I agree with you, the problem C. deficile is more common in people over 65, now  that includes me too! There are a few things one can do to reduce the  incidence of this infection:
1. Regular hand washing (use  of a sanitizer is less effective than soap and water)
2. Use of probiotics (many are available in the market, I believe in yoghurt)
3. Avoid uncooked foods like salads.
Now coming to treatment fluoroquinolones are the  best, but you are averse to  ciprofloxacin,the Mayo clinic advices two approaches:
1. For mild to moderate infection, doctors usually prescribe metronidazole (Flagyl), taken by mouth. This is not FDA approved but recommended by Mayo.
2. For more severe and recurrent cases, vancomycin (Vancocin), also taken by mouth, may be prescribed.
For C. deficile as with most disorders, prevention is better than cure, and  I have a lot of success with  probiotics, specially yoghurt, in my experience it works in humans and rabbits(many  of my animals used to die because of  this when used for antibiotic testing, I finally saved them with thin yoghurt solutions). Do try these things.
So all the best dear friend. Take care.
My e mail ravindra.ghooi@gmail.com
Ravi

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Dr. Ravindra Bhaskar Ghooi

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I can provide information on drugs and medicines, their actions, uses, interactions and adverse effects. To avoid confusion, generic names of medicines may please be provided. I am a pharmacologist, having worked on animal and human pharmacology, and presently I am the Dean of Bilcare Research Academy, where we teach courses on clinical research. We dont work on saturdays and sundays, hence questions reachng me on these days will be replied on Monday, please bear with me.

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