Aa
antibiotics
hi is it ok to take some antibiotics if you have ms i have an abcess in my mouth from a tooth and was given metronidazole does anyone know if this is safe as it says dont take if you have problems with your cental nervous system? any response will be much appreiciated.
hi lulu yes there's a shortage of dentists but only ones whom do nhs treatment i was private for around 5 years costly then our town had a new nhs dentist move in there was queues around the block i stood in it sat/stood for 4 hours to get registered the difference in price unbelievable nearly a quarter of private prices, well im on the mend now penicillin kicked in and i dont blame my dentist as you say i think it can be tricky to see on xray which tooth has been infected, thanks mand your lucky not too have experienced an abscess in your mouth its as bad as child birth as far as im concerned.
Sorry you have been going throught this Maggs, I have never had an abcess or root canal treatment but it sounds really painful!
I can't imagine why the dentist started the root canal then sent you away - though if she was working on the wrong tooth maybe it's just as well.
I hope the penicillin kicks in quickly and you feel much better.
Mand
I can't imagine why the dentist started the root canal then sent you away - though if she was working on the wrong tooth maybe it's just as well.
I hope the penicillin kicks in quickly and you feel much better.
Mand
Hi Lulu
We have quite a complicated dental system in the UK (what’s new?).
There is NHS dental treatment and private dental treatment. The problem with waiting list tends to be in getting an NHS dentist – they are as rare as hens’ teeth (no pun intended)
Treatment on NHS costs probably half as much as privately, for instance a small filling that would be about £40 NHS is nearer to £80 privately. – I could be way out with these prices as it varies from dentist to dentist, town to town. I imagine NHS treatment is price regulated though. Unfortunately it has been many years since I was registered with an NHS dentist. I also see that some things cost way more privately, for instance on the list I am looking at metal braces cost £198 NHS and £1112 privately.
Treatment (NHS) for under 18 year olds, pregnant women and women who have given birth in the past 12 months is free. Some low income groups also get free treatment. I’m not sure if elderly people get free treatment – I should find out and if so get myself on an NHS waiting list! :)
I did put my name down for NHS dental treatment about 5 years ago. I got an offer of a place this year, the problem is that by now I am with a dentist that I am happy with and don’t want to change, also I very rarely require any treatment.
Anyway to answer your question I’m not sure if there is a shortage of dentists or a shortage of dentists willing to take NHS patients.
Mand
We have quite a complicated dental system in the UK (what’s new?).
There is NHS dental treatment and private dental treatment. The problem with waiting list tends to be in getting an NHS dentist – they are as rare as hens’ teeth (no pun intended)
Treatment on NHS costs probably half as much as privately, for instance a small filling that would be about £40 NHS is nearer to £80 privately. – I could be way out with these prices as it varies from dentist to dentist, town to town. I imagine NHS treatment is price regulated though. Unfortunately it has been many years since I was registered with an NHS dentist. I also see that some things cost way more privately, for instance on the list I am looking at metal braces cost £198 NHS and £1112 privately.
Treatment (NHS) for under 18 year olds, pregnant women and women who have given birth in the past 12 months is free. Some low income groups also get free treatment. I’m not sure if elderly people get free treatment – I should find out and if so get myself on an NHS waiting list! :)
I did put my name down for NHS dental treatment about 5 years ago. I got an offer of a place this year, the problem is that by now I am with a dentist that I am happy with and don’t want to change, also I very rarely require any treatment.
Anyway to answer your question I’m not sure if there is a shortage of dentists or a shortage of dentists willing to take NHS patients.
Mand
Wow, Maggs.
Having been through a few root canals, I can't imagine having the wrong tooth done but I think it happens more often than we would like.
Can we really blame it on the NHS or just that it can be incredibly hard to figure out which tooth is really causing the problem? Either way, I sure hope that now you are on the mend.
Just wondering - is there a widespread shortage of dentists in the UK? My friend in Ramsgate tells me they only have one for the entire town, and the wait to see her is incredibly lengthy. Or at least that was the case about a year ago.
feel better, L
Having been through a few root canals, I can't imagine having the wrong tooth done but I think it happens more often than we would like.
Can we really blame it on the NHS or just that it can be incredibly hard to figure out which tooth is really causing the problem? Either way, I sure hope that now you are on the mend.
Just wondering - is there a widespread shortage of dentists in the UK? My friend in Ramsgate tells me they only have one for the entire town, and the wait to see her is incredibly lengthy. Or at least that was the case about a year ago.
feel better, L
hi thanks for your help, my pharmacist changed it yesterday to penicillan i had taken 2 days worth both nights i had nightmares was horrible just to be on the safe side they changed it im on methotrexate so they have to watch what they give me i have been advised to miss my methotrexate this week until the infections away i have had a time of it with my mouth went to dentist emergency appointment wed last week my dentist was off so had to see someone else she started root treatment on my tooth sent me away come back aug 9th to have it finished off was up thurs frid with pain couldnt sleep had to go to the dental hospital on saturday as the dentists shut,the hospital is 1 hour away this is nhs 24 we have in the uk for the weekends, the dentist said the root treatment had been done on the wrong tooth it was the one next to it with the infection so had root treatment again and some antibiotics last night was my best sleep for a week so i hope im on the mend its never straight forward with me thanks for all your comments.
I cannot see any contraindication to taking it just because you have MS or might have MS.
Quix
Quix
Hi, and ooooow. The answer is yes, it is safe to take the metrodnidazole. The concern is a rare but serious adverse reaction (not really a side effect) called the Serotonin Syndrome. This combination of symptoms can happen with a number of meds, usually the SSRI/SRNI antidepressants, a few antibiotics and some others. I found case reports of it occurring with metoprolol and Tramadol. There is no way of predicting who will get it and what really sets it off is not known, but it is rare. (read that RARE)
The Serontonin syndrome is made up of
1) Altered mental status, such as delirium, hallucinations, tremor
2) Sudden autonomic dysfunction which might be manifested as loss of the ability to sweat and very high fever, along with nausea and vomiting, and others
3) Muscular rigidity and stiffness
This antibiotic has been in use for at least three decades, yet the reports of this syndrome count in the double digits (the number I found was 11, but that was not an exhaustive search.) I'm sure that hundreds of millions of courses of it have been prescribed. But, since the syndrome can be fatal if not recognized, the meds are carrying the warning. I have prescribed this med hundreds of times and never heard of this, until it began to be reported in the last decade.
The treatment of this syndrome is immediately stopping the drug. Since metronidazole (Flagyl) appears to be a drug that somehow stimulates the production of serotonin, stopping the drug will stop the over-production.
Now, this antibiotic is used to treat anaerobic infections, like the one you might have. The infection is far more dangerous to you than the extremely minimal chance you might get the serotonin syndrome. I would advise taking it as prescribed and watching for any bizarre side effects like confusion, high fever or stiff muscles.
Are you on an antidepressant or similar med?
Also, you can discuss this with your pharmacist, but the important thing is to treat the abcess. Can they not use penicillin? That is the firstline drug for oral abcesses if there is no allergy.
Now, I have found NO (NADA, NONE) comments in the literature about avoiding the drug if there are disorders of the nervous system. That sounds like the drug company or pharmacy is merely covering their #ss. For the most part, the people who developed SS while on metronidazole were also on another "serotoninergic" (raises levels of serotonin) drug.
The greatest threat to your health is the abcess. It is prudent to be aware of all potential side effect or adverse effects of a med, but that doesn't mean the med should be avoided.
I'm going to research a little more to see what this deal of having an underlying neuro disorder is.
Quix
The Serontonin syndrome is made up of
1) Altered mental status, such as delirium, hallucinations, tremor
2) Sudden autonomic dysfunction which might be manifested as loss of the ability to sweat and very high fever, along with nausea and vomiting, and others
3) Muscular rigidity and stiffness
This antibiotic has been in use for at least three decades, yet the reports of this syndrome count in the double digits (the number I found was 11, but that was not an exhaustive search.) I'm sure that hundreds of millions of courses of it have been prescribed. But, since the syndrome can be fatal if not recognized, the meds are carrying the warning. I have prescribed this med hundreds of times and never heard of this, until it began to be reported in the last decade.
The treatment of this syndrome is immediately stopping the drug. Since metronidazole (Flagyl) appears to be a drug that somehow stimulates the production of serotonin, stopping the drug will stop the over-production.
Now, this antibiotic is used to treat anaerobic infections, like the one you might have. The infection is far more dangerous to you than the extremely minimal chance you might get the serotonin syndrome. I would advise taking it as prescribed and watching for any bizarre side effects like confusion, high fever or stiff muscles.
Are you on an antidepressant or similar med?
Also, you can discuss this with your pharmacist, but the important thing is to treat the abcess. Can they not use penicillin? That is the firstline drug for oral abcesses if there is no allergy.
Now, I have found NO (NADA, NONE) comments in the literature about avoiding the drug if there are disorders of the nervous system. That sounds like the drug company or pharmacy is merely covering their #ss. For the most part, the people who developed SS while on metronidazole were also on another "serotoninergic" (raises levels of serotonin) drug.
The greatest threat to your health is the abcess. It is prudent to be aware of all potential side effect or adverse effects of a med, but that doesn't mean the med should be avoided.
I'm going to research a little more to see what this deal of having an underlying neuro disorder is.
Quix
So sorry. I answered this question in a hurry and did not read the whole post. Yes do what Lulu suggested.
I have called the pharmacy many times and they are always more than happy to help.
LA
I have called the pharmacy many times and they are always more than happy to help.
LA
Maggs, Ouch!!!
Pick up the phone and call your pharmacist. They are trained for these questions and can help you check any interactions that might be a concern. feel better, Lu
Pick up the phone and call your pharmacist. They are trained for these questions and can help you check any interactions that might be a concern. feel better, Lu
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