Mbak Sylvia, Terima kasih banget info-nya, sementara ini menurut Mamanya sih sudah tidak demam lagi, tidak batuk tapi masih pilek sedikit dan sudah mau makan (dengan nasi lunak)mungkin dicoba untuk menetralisir antibiotik dgn tidak mengkonsumsinya selama beberapa bulan kedepan (.......mudah-mudahan yah,..:)). dan kalaupun terpaksa mungkin minta yang dosis rendah deh.
Thanks berat yah mbak salam dari temanku, salam sama Jovan yah. -----Original Message----- From: Sylvia Radjawane [mailto:[EMAIL PROTECTED] Sent: Thursday, June 16, 2005 1:29 PM To: balita-anda@balita-anda.com Cc: Ambarita, Sri Subject: Re: [balita-anda] Kelebihan kasih antibiotik Hi mbak Sri, Ada info ttg. antibiotik Cefzil yang saya coba posting, ya mbak. Radang tenggorokan memang cukup 'lumrah' bagi bayi dan balita. Biasanya memang diawali demam, batuk, dan flu. Semua adalah common flu yang mostly disebabkan virus. Batuk-batuk saja bisa membuat daerah tenggorokan jadi terluka dan akhirnya mengalami radang. Sayangnya, DSA kadang langsung 'membasmi' radang tenggorokan dengan antibiotik. Resep antibiotik untuk radang tenggorokan, harus atas dasar bahwa radang tenggorokan tsb. disebabkan bakteri (strep throat) bukan disebabkan virus (sore throat). Test biakan kultur/throat culture bisa dilakukan untuk memastikannya (yang sayangnya hampir tidak semua ahli medis merujuk/menjalankannya :)) Cefzil termasuk kategori antibiotik Cephalosporin yang termasuk 'kelas berat' dan yang pasti lebih mahal harganya dari antibiotik narrow spectrum lainnya. Dari info yang pernah saya baca, pengobatan strep throat hanya menggunakan antibiotik jenis ini jika pasien sudah tidak mempan/ tetap sakit dengan pengobatan Penicillin dan Eritromycin (first generation). Di info tsb. bahkan disebutkan bahwa dosis untuk infant (6-12 bulan) KHUSUS untuk infeksi sinus atau telinga yang kadang memang disebabkan bakteri (tentu harus dengan hasil diagnosa yang tepat). Sementara radang tenggorokan karena bakteri kadang terjadi untuk anak yang lebih besar dan mostly orang dewasa. Untuk anak yang lebih besar, kalaupun benar terkena strep throat, kenapa nggak treatment dengan antibiotik semacam Amoxilin (kelas 'rendah') dulu? Jawaban yang sudah bisa diduga ... karena 'sudah tidak mempan' lagi dengan antibiotik tsb. jadi perlu yang 'lebih keras' :) BTW, bagaimana keadaan si kecil sekarang? Rewel dan nggak mau makan? Pasti karena tenggorokannya sakit, bisa disiasati dengan memberinya makanan yang lembut dan dingin. Jika mengalami diare? Kemungkinan besar karena pemberian antibiotik tsb. Itu adalah salah satu efek sampingnya. Masih demam juga? Pasti karena tubuhnya 'masih sibuk memerangi' infeksi virus. Siap sedia dengan obat penurun panas, mandi/lap kompres hangat dan termometer. Istirahat, makan dan minum bergizi adalah cara terbaik memerangi infeksi virus termasuk sore throat. Gimana kondisi kesehatan orang di lingkungan rumah? Kalau ada yang sakit dan kontak dengan si kecil, mungkin bahkan bisa memperlama kesembuhan si kecil. Sekian hari setelah dari DSA ternyata sudah sembuh? karena memang infeksi virus untuk radang tenggorakan akan membaik dalam beberapa hari. Sayang sekali kalau sore throat si kecil harus 'di-bom' dengan obat antibiotik 'kelas tinggi' semacam Cefzil. Coba observasi si kecil, jika gejalanya memang jelas sore throat (radang tenggorokan karena virus), bukan hanya dosis 3x sehari, bahkan pemberian Cefzil sejak awal sudah merupakan 'overdosis'. cheers, Sylvia - Jovan's mum with 24-week-'bump' ----------------------------------------------------------- http://www.healthsquare.com/newrx/cef1077.htm CEFZIL Pronounced: SEFF-zil Generic name: Cefprozil WHY IS THIS DRUG PRESCRIBED? Cefzil, a cephalosporin antibiotic, is prescribed for mild to moderately severe bacterial infections of the throat, ear, sinuses, respiratory tract, and skin. Among these infections are strep throat, tonsillitis, bronchitis, and pneumonia. MOST IMPORTANT FACT ABOUT THIS DRUG If you are allergic to penicillin or cephalosporin antibiotics in any form, consult your doctor before taking Cefzil. An allergy to either type of medication may signal an allergy to Cefzil; and if a reaction occurs, it could be extremely severe. If you take the drug and feel signs of a reaction, seek medical attention immediately. HOW SHOULD YOU USE THIS MEDICATION? Take this medication exactly as prescribed. It is important that you finish all of the medication to obtain the maximum benefit. Cefzil works fastest when taken on an empty stomach, but can be taken with food to avoid stomach upset. Cefzil oral suspension should be shaken well before using. --If you miss a dose... Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take 2 doses at the same time. --Storage instructions... Store Cefzil tablets at room temperature. Keep the oral suspension in the refrigerator; discard any unused portion after 14 days. WHAT SIDE EFFECTS MAY OCCUR? Side effects cannot be anticipated. If any develop or change in intensity, notify your doctor as soon as possible. Only your doctor can determine whether it is safe for you to continue taking Cefzil. The most common side effect is nausea. · Less common or rare side effects may include: Abdominal pain, confusion, diaper rash, diarrhea, difficulty sleeping, dizziness, genital itching, headache, hives, hyperactivity, nervousness, rash, sleepiness, superinfection (additional infection), vaginal inflammation, vomiting, yellow eyes and skin Although not reported for Cefzil, similar antibiotics have been known occasionally to have severe side effects such as anaphylaxis (a severe allergic reaction), skin rash with blisters, Stevens-Johnson syndrome (a rare skin condition characterized by severe blisters and bleeding in the lips, eyes, mouth, nose, and genitals), and "serum-sickness" (itchy rash, fever, and pain in the joints). WHY SHOULD THIS DRUG NOT BE PRESCRIBED? If you are sensitive to or have ever had an allergic reaction to Cefzil or other cephalosporin antibiotics, do not take this medication. Make sure your doctor is aware of any drug reactions you have experienced. Special warnings about this medication Cefzil occasionally causes colitis (inflammation of the bowel) leading to diarrhea. Some diarrhea medications can make this diarrhea worse. Check with your doctor before taking any diarrhea remedy. Oral contraceptives may not work properly while you are taking Cefzil. For greater certainty, use other measures while taking Cefzil. Your doctor will check your kidney function before and during your treatment with this medication. Use Cefzil with caution if you are taking a strong diuretic, or if you have ever had stomach and intestinal disease, particularly colitis. If new infections (called superinfections) occur, talk to your doctor. You may need to be treated with a different antibiotic. Cefzil may alter the results of some urine sugar tests for diabetics. Your doctor can advise you of any adjustments you may need to make in your medication or diet. Possible food and drug interactions when taking this medication When Cefzil is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Cefzil with the following: Certain other antibiotics such as Amikin Certain potent diuretics such as Edecrin and Lasix Oral contraceptives Probenecid (Benemid) Propantheline (Pro-Banthine) Special information if you are pregnant or breastfeeding The effects of Cefzil during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. Cefzil does appear in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to stop breastfeeding until your treatment with this medication is finished. RECOMMENDED DOSAGE ADULTS Throat and Respiratory Tract Infections The usual dose is 500 milligrams, taken once or twice a day for 10 days. Sinus Infection The usual dose is 250 milligrams every 12 hours for 10 days; for severe infections the dose is 500 milligrams. Skin Infections The dosage is usually either 250 milligrams taken 2 times a day, or 500 milligrams taken once or twice a day for 10 days. CHILDREN 2 TO 12 YEARS OF AGE Throat Infections and Tonsillitis The usual dose is 7.5 milligrams for each 2.2 pounds of body weight, taken 2 times a day for 10 days. Skin Infections The usual dose is 20 milligrams for each 2.2 pounds of body weight, taken once a day for 10 days. INFANTS AND CHILDREN 6 MONTHS TO 12 YEARS OF AGE Ear Infections The usual dose is 15 milligrams for each 2.2 pounds of body weight, taken 2 times a day for 10 days. Sinus Infection The usual dose is 7.5 milligrams for each 2.2 pounds of body weight every 12 hours for 10 days. For severe infections, the amount may be doubled. OVERDOSAGE Although no specific information is available, any medication taken in excess can have serious consequences. If you suspect an overdose of Cefzil, seek medical attention immediately. --------------------------------------------------------- --- "Ambarita, Sri" <[EMAIL PROTECTED]> wrote: Masalahnya anaknya perempuan usia 11 bulan sakit radang tenggorokan, DSA-nya kasih antibiotik CEFZIL untuk 2x sehari, tapi satu hari ibunya lupa pernah memberikan obat itu 3x dalam sehari. Kira-kira apakah ada efek sampingnya atau apa yang sebaiknya dilakukan. <deleted> __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! 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