Ah, thanks for clarifying.  Good news!  I thought you meant he's allergic, but it's not anaphylactic.  Glad to hear the rash is being attributed to something else.

Oh no, I meant doc says it's unlikely to develop into a bad reaction based on his age.  The rashiness could be a number of things including a typical non-allergy reaction or related to illness or just eczema.  We're going to treat it like eczema until or unless it starts getting weird.

Sorry to hear there is yet another allergy. 

okeydoke so kiddo developed a rash necessitating a call to his doc who is an antibiotics guru.  even dermatographic ds should be okay because numbers are in his favor.  sensitizing is likely to happen in adults or as the kids age.  then again this child has distinguished himself as an outlier before.  but he's very confident that it's not likely to be anaphylactic this time.

should we start a pool? 

Guess, I hope you guys had a peaceful night.  For my DS the first reaction took an hour or so (I think - this was about 15 years ago!) but subsequent reactions to other meds were almost immediate - 5-10 minutes, like a FA. 

FWIW, DS developed his abx allergies after several years - I think he was only a few months old when he had his first dose.   

Well, first---    to your little cutie pie.


Yes, subsequent doses, but anything from 20 minutes to 12 hours is a possible window-- sorry, that's not great news, I know.

Need some S.O.A.K.

I don't have a lot of antibiotics experience with the kids.  This is the first time for the little one allergic to nearly everything.  We got back from urgent care it's a really bad ear infection, really the first for either kid.  The fever is reaching 103 even with a good dose of ibuprofen so I have to take a chance and shove the antibiotic down him tonight.

I scoured the list of inactive ingredients nothing easily identified.  If I remember correctly usually reactions to antibiotics aren't until subsequent doses.  This is amoxicillin.  If he wasn't so badly off I'd wait until morning but at this point if I don't start I think it may at the very least turn into a hospitalization.  So I guess if he has a severe reaction and goes to the ER we were heading that way anyhow.  I may have an old canister of Neocate somewhere.

What's the reaction like on antiobiotics? First dose ever?  Window of time?

Thx

Oh Mookie. Yikes. That sounds miserable!  Yeah, sometimes you just really need to take abx. 

I was able to get through my last bout of bronchitis without it (in November), but that is so rare.  Without it, I can develop pneumonia--have a history of that. 

Sometimes your body needs the help.

Agreed that Biaxin is evil.  There are few infections worth taking that one.

Quote from: maeve on January 16, 2015, 12:12:31 AM
Honestly, I avoid antibiotics if at all possible. I tend to get a sinus infection/sinusitis during allergy season but unless I have a fever, I just ride it out with saline nasal rinse and staying hydrated.

That's exactly what I do.  I'm prone to sinus issues, but they usually clear out on their own within 3-4 days of the crud becoming colored and thick.  After 12 days of coughing up really green, thick congestion, it was clear that it wouldn't be clearing out on its own this time.  Also, fever was getting higher and the amount of vomiting was increasing.  I was swimming in congestion that couldn't drain out my nose.

Quote from: Mookie86 on January 14, 2015, 08:48:42 PM
I got prescribed Doxycycline today for a sinus infection and bronchitis.  That's what got me thinking about my drug allergies.

Maeve, what's in Doxycycline to which you're allergic?

I imagine the medication itself. That one is an odd one as I took tetracycline in high school without problems.  Having all these antibiotics that I'm allergic to coupled with that I refuse to take clindamycin now because I had to be tested for C-diff 1.5 years ago while taking it after a root canal. I also will avoid Biaxin if at all possible because I'll have to just live on the potty for the entire course of medication (sorry TMI).

Honestly, I avoid antibiotics if at all possible. I tend to get a sinus infection/sinusitis during allergy season but unless I have a fever, I just ride it out with saline nasal rinse and staying hydrated.

I had forgotten about Cleocin. I used to take that for bronchitis as a kid.

Ooooh you can do a blood test for drug allergies? Then maybe I should do the blood test, and if it is negative, then do a skin test.

There are very few antibiotics I can take with penicillin and sulfa allergies, and the remaining options have worse side effects. It would be really good to have more options. Also, when I had shingles, there was no non-Sulfa alternative to something that would have helped.

Well, if you get secondary bronchitis that likes to flirt with the notion of becoming pneumonia frequently like I do, it's really good to have options. It's why I brought up having a challenge for penicillin.

I get bronchitis once a year, sometimes two. It's the rare occasion that I get get through it without abx (I did this last fall, buy typically no). I Have been allergic to penicillin since a baby--but not sure I still am. I refuse to do Quinolones. I'm guessing it's not a true allergy, but they make me so sick. I do not enjoy cephalosporins but can take them. I can do doxycycline (and my face loves it) but it does cause bad acid reflux for me--or at least bad acid. And doxycycline is associated with DS' accident. It's why I feel I. Part responsible (though I don't best myself up anymore).  I don't want to talk about it--just to say that there is a very emotional component to taking doxycycline.  And in the past it hasn't been effective against bronchitis anyway.

My go-to is a Z-pack, but it's obviously not an option to use it all the time.

I do need options. It woykd be great if I weren't allergic to penicillin.


So if there is an effective slow desens, I'd love to know about it. However, since my allergist who does slow desense of food and environmentals through OIT which I do at home didn't mention OIT as an option, I'm guessing the desens can't happen through OIT.  And as cm suggested, in guessing it's an in-office thing.

There's no realistic way that could happen for me in the next couple of years. I could not manage allergy shots for myself while working and taking time for managing kid things.  But maybe once DS goes off to school I would have time for that. It would be cool.

However, in my case, I want to see if I'm still allergic. My allergist has ordered penicillin for my July ImmunoCAP. Yea!

I'm guessing that the risk-benefit wouldn't make it worth it.  That is, it's a one-time, rare event to NEED the ABX, and desensitization is something that you do at the physician's office pretty regularly-- think allergy shots.

Going into SCIT, you sign a bunch of scary waivers that indicate that you understand that anaphylaxis is a possibility, and that the results are far from guaranteed-- either during or after.

That said, it doesn't add up to do slow desens. for abx unless you have a really compelling reason why you NEED to regularly be taking them.  I suppose if you planned major surgical procedures for a particular year, or something like that, then maybe.

I read online that there are 2 forms of desensitization for drug allergies. 1 is rapid, which needs to be inpatient. It sounds like you do it only if you need a medication to which you are allergic and there are no alternatives. The other form is gradual. That's the one that might be an option. However, if results don't stick,  there is no reason to do it.

Does gradual desensitization tend to last? I haven't looked if studies saying drug desensitization doesn't last were looking at rapid or gradual desensitization.