Can I Continue Amoxicillin with Skin Rash Before Dental Implant?

Amoxicillin rash

Hello doctor, I would like to ask a question.
I am scheduled for treatment of peri-implantitis on January 23, and my doctor prescribed 12 antibiotics (for three days) for me to take beforehand.
I am currently on my ninth pill and have noticed a rash on my skin (on my abdomen and groin).
Should I continue taking the antibiotics? (My dentist is off tomorrow.) Additionally, if I stop taking the antibiotics after the ninth pill, will it lead to antibiotic resistance? Thank you!

Kiki, 30~39 year old female. Ask Date: 2022/01/21

Dr. Lin Jiayong reply Dentistry

If you suspect a drug allergy, it is advisable to stop taking the medication.
Additionally, when you return for a follow-up appointment, be sure to inform your physician so they can consider prescribing an alternative medication.
If you have already switched medications, there is no need to specifically worry about issues related to drug resistance.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/01/21

More Info

When it comes to taking Amoxicillin or any antibiotic, the appearance of a skin rash can be a concerning side effect, especially if it is suspected to be an allergic reaction. In your case, since you have developed a rash on your abdomen and groin after taking nine doses of Amoxicillin, it is advisable to stop taking the medication immediately and consult a healthcare professional as soon as possible. Allergic reactions can range from mild to severe, and it is crucial to address any potential allergy to the medication before proceeding with further treatment.

In terms of your upcoming dental implant procedure, it is essential to inform your dentist about the rash and your experience with Amoxicillin. They may choose to prescribe an alternative antibiotic that you can tolerate without adverse reactions. It is also important to note that if you have a known allergy to penicillin (the class of antibiotics that includes Amoxicillin), you should avoid taking it in the future.

Regarding your concern about antibiotic resistance, it is a common misconception that stopping an antibiotic partway through a course will lead to antibiotic resistance. While it is true that incomplete courses of antibiotics can contribute to resistance in some cases, the immediate priority should be your health and safety. If you have experienced an adverse reaction, it is better to stop the medication rather than risk further complications. Your healthcare provider can guide you on the best course of action and whether you need to complete the antibiotic regimen or switch to another medication.

In summary, do not continue taking Amoxicillin if you are experiencing a skin rash, and seek medical advice promptly. Your dentist will be able to provide you with alternative options for antibiotic prophylaxis before your dental procedure. Always communicate any side effects or concerns with your healthcare provider to ensure safe and effective treatment.

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