ENT Medication: Managing Side Effects and Concerns - Pharmacology

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Otolaryngology Medication Consultation


A few days ago, I visited an otolaryngology clinic because my ear temperature reached 39 degrees Celsius.
The doctor prescribed four medications, but I have been vomiting after taking them and have no appetite.
I still experience intermittent fever.
I would like to inquire about the following: 1.
CLINDAMYCIN CAP, 2.
LACTAM TABLETS, 3.
Dextromethorphan, and 4.
AMSOL TABLETS 30MG.
The doctor prescribed these medications to be taken four times a day for three days.

Gua, 20~29 year old female. Ask Date: 2016/04/10

Dr. Hou Fangmin reply Pharmacology


Hello, Miss Gua:
1.
Clindamycin has antibacterial activity against the following microorganisms based on in vitro testing.
Its mechanism of action involves targeting bacterial liposomes, inhibiting peptide transfer reactions, and obstructing protein synthesis in bacteria, which is effective against infections caused by Streptococcus, Staphylococcus, and Streptococcus pneumoniae.
Common side effects of Clindamycin include diarrhea, abdominal pain, and mild to moderate generalized urticarial skin rashes.
2.
LACTAM TABLETS: These are used for fever reduction and pain relief, alleviating headaches, toothaches, sore throats, joint pain, neuropathic pain, and muscle soreness.
3.
Dextromethorphan: This medication has antitussive properties.
4.
AMSOL TABLETS 30MG is an expectorant.
Regarding your concern about vomiting and lack of appetite after taking the medication, it is known that some individuals may experience loss of appetite as a side effect of the antibiotic Clindamycin.
Additionally, your symptoms may also contribute to your decreased appetite.
The medications you are taking are appropriate for your condition, and the side effects should be minimal.
You are also taking LACTAM TABLETS, which is a paracetamol product for fever reduction.
If your fever persists for several days without improvement, it may be advisable to consult your physician.
Wishing you good health.

Reply Date: 2016/04/10

More Info


When it comes to managing medications prescribed for ENT (Ear, Nose, and Throat) conditions, it’s essential to understand both the intended effects and potential side effects of the drugs involved. Based on your inquiry regarding the medications Clindamycin, Lactam tablets, Dextromethorphan, and AMSOL tablets, let’s break down their uses, side effects, and your concerns about nausea and appetite loss.

1. Clindamycin: This is an antibiotic that is effective against certain types of bacterial infections, particularly those caused by anaerobic bacteria and some Gram-positive bacteria. It is often prescribed for infections of the skin, respiratory tract, and soft tissues. Common side effects include gastrointestinal issues such as nausea, vomiting, and diarrhea. Given that you are experiencing vomiting after taking this medication, it is possible that Clindamycin is contributing to your discomfort. If nausea persists, it’s crucial to inform your healthcare provider, as they may need to adjust your treatment.

2. Lactam Tablets: This term generally refers to a class of antibiotics that includes penicillins and cephalosporins. These medications are used to treat various bacterial infections. Side effects can include allergic reactions, gastrointestinal disturbances, and in some cases, changes in liver function. If you have a known allergy to penicillin or related antibiotics, it’s vital to communicate this to your doctor.

3. Dextromethorphan: This is a common cough suppressant found in many over-the-counter cold and cough medications. While it is effective in reducing the urge to cough, it can cause side effects such as dizziness, drowsiness, and gastrointestinal upset. If you are experiencing nausea, it may be worth considering whether this medication is contributing to your symptoms.

4. AMSOL Tablets: This medication is typically used for its mucolytic properties, helping to thin mucus in the airways. Side effects may include gastrointestinal discomfort, which could also lead to nausea or vomiting.

Given your symptoms of vomiting and lack of appetite, it’s essential to consider a few factors:
- Medication Timing and Food Intake: Some medications can be harsh on an empty stomach. If you are not eating well, this could exacerbate nausea. It may help to take medications with food, unless otherwise directed by your physician.

- Hydration: Ensure you are staying hydrated, especially if you are experiencing vomiting. Dehydration can worsen your overall condition and lead to further complications.

- Monitoring Symptoms: Since you mentioned fluctuating fever, it’s crucial to monitor your symptoms closely. If your fever persists or worsens, or if you continue to experience significant side effects from the medications, you should contact your healthcare provider immediately.

- Potential Drug Interactions: While you mentioned that you are taking these medications as prescribed, it’s always a good idea to review any other medications or supplements you may be taking to rule out potential interactions that could lead to increased side effects.

In conclusion, while the medications prescribed are aimed at treating your ENT condition, the side effects you are experiencing warrant further discussion with your healthcare provider. They may need to reassess your treatment plan, possibly switching medications or adjusting dosages to alleviate your symptoms. Always prioritize open communication with your healthcare team regarding any side effects or concerns you have during your treatment.

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