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QUESTION: I don't understand where I asked 2 questions,but ill make it one.if you take z-pack,macroid and doxycycline and another antibiotic  like repeating macroid for 10 days is this too many antibiotics in 2 year period/will the antibiotics stop working.i have heard people taking anti-biotics for years.this is one question

ANSWER: Howard

This reflects lots of questions on the same topic. So did will answer it one more time.

Almost any antibiotic can cause resistance and posdible c. diff. So we recommend antibiotics for a specified time for a particular problem. When taken as prescribed, the risk of problems is reduced.

Antibiotics do not stop working, but bacteria develop resistance which is pretty much the same thing.

---------- FOLLOW-UP ----------

QUESTION: is macrobid and doxycycline effective against enterococcus saecalis group d this s my last question I hear resistence to  antibiotics please forgive me

Answer
Howard

Please read my last response again. No anti ionic always works because the bacteria develop resistance. Macrobid and doxycycline generally work with enterococcus, but we also do cultures to determine not only the type of bacteria but their particular sensitivity profile.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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