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What Medicines to stock?
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<blockquote data-quote="tRidiot" data-source="post: 2607502" data-attributes="member: 9374"><p>Ok, here's some little tips. My disclaimer is that this is for strictly SHTF kind of scenarios, do your own research, yadda yadda yadda. I'm not liable for anyone going off half-cocked and taking ANY of these meds at ANY time without talking to their own personal physician about the individual situation. Capische?</p><p></p><p>Ok...</p><p></p><p>Antibiotics will last beyond the date they have on the bottle - usually. <strong>USUALLY.</strong> This is assuming regular storage conditions with HVAC, controlled humidity, out of sunlight, etc. I'd recommend cool, dry storage. And those little moisture-absorbing beads wouldn't be a bad idea if you're doing more long-term storage. I <strong>have</strong> noticed decreased efficacy of meds stored in hot cars in summer for months on end, etc. Things like tylenol, ibuprofen, psuedoephedrine, etc. Heat causes them to degrade. My favorite cough med is benzonatate, but it is a liquid in a gelcap and it degrades more rapidly than tablets (all liquids usually will).</p><p></p><p>So... I usually keep a bottle of Bactrim around the house. It's cheap. It lasts. It works. it's a good broad-spectrum kinda thing. I replace it once or twice a year or if it gets used.</p><p></p><p>Here're some tips for different antibiotics you might think about acquiring for SHTF scenarios - your "Walking Dead-era pharmacy shopping list", if you will. The prices I am including assume generic where available, as well as shopping around. Lots of variability in pharmacy pricing. Don't get me started on that... <sigh></p><p></p><p>If you can convince your healthcare provider to get you a refillable script to keep a few of these in your supply, make sure to rotate them, and make sure you discuss with your provider when they are to be used! (And no, I can't help with that. Sorry.)</p><p></p><p><strong>Skin infections -</strong></p><p>That yellowish crusty, draining rash on your 3 year-old's lips and chin may be impetigo. Most skin infections these days are staph, and 50-75% of them in just the general public are MRSA. So keep a supply of Hibiclens liquid soap. It's good stuff, not harsh, and the chlorhexadine is great for killing anything. And not too expensive, either. </p><p>amoxicillin - good antibitioc for mild skin stuff, especially in kiddos. $4 list.</p><p>cephalexin - as above. $4 list. Cephalosporins, especially early-generation ones (cephalexin/Keflex is first-gen) have a rep for having a cross-reactivity allergy with people who have a penicillin allergy. Some of the PharmDs I know told me that they were able to trace back a good number of these early reactions by lot number to factories manufacturing cephalosporins where penicillins were previously manufactured. So take that for what it's worth.</p><p>cipro - as mentioned above, good for anthrax. Otherwise, not a usual choice for me on skin infections. So look for those characteristic black nasty eschars. $4 list.</p><p>Bactrim (trimethoprim/sulfamethoxazole) - my usual go-to when it comes to most skin things like abscesses and cellulitis. Also on the $4 list.</p><p>Augmentin is also a great skin antibiotic, it's just amoxicillin with added clavulonic acid. Good stuff, but not cheap, really. Although amox/clav is available generic, just not cheap cheap. Diarrhea almost guaranteed. </p><p>Avelox - same class as Cipro, new generation, good good stuff. Expensive.</p><p>doxycycline - great skin antibiotic, especially for those repetitive multiple nodular abscesses in the armpits, groin, under breasts, etc. This is usually something called hidradenitis suppurativa, and doxy works extremely well on it. Used to be on the $4 list - now it's something like $92.</p><p>clindamycin - very good at killing MRSA, not too cheap, probably around $60 or so. Lots of diarrhea with this one. Clostridium difficile is a real risk, especially if using after another antibiotic failure or with another antibiotic. Google it.</p><p></p><p><strong>Lung infections -</strong> keep in mind, the vast vast <strong>VAST </strong>majority of bronchial lung infections in America are VIRAL. Antibiotics may make you feel like you're doing something, may help prevent secondary bacterial infections (though these are mostly in asthmatics, uncontrolled diabetics, CHF and COPD), but really, lots of rest, keeping warm, chicken soup, plenty of fluids and hacking all that **** out of your lungs along with symptomatic therapy is going to help much more in the longrun than antibiotics.</p><p>amoxicillin or cephalexin - these are used mostly just to give people an antibiotic so they think they got their money's worth from an office visit/urgent care/ER for lungs, honestly. See above.</p><p>Augmentin (amoxicillin/clavulonic acid) - better for a true bacterial lung infection</p><p>Cipro/Avelox/Levaquin - Cipro is cheap, but <strong>not </strong>a good solo choice for a lung infection. Google Jim Henson. The others are great, but expensive. These are the three main meds in the fluoroquinolone class.</p><p>Zithromax (azithromycin) - pretty good, covers atypical pneumonias like Mycoplasma, but not too expensive - around $20 or so, I think. Newer generation of erethromycin, clarithromycin, etc. Probably an option for skin stuff, too, but won't usually kill MRSA.</p><p>doxy - also pretty good for pneumonia</p><p>clindamycin - also good, not first choice mainly due to diarrhea and C.diff risk.</p><p></p><p><strong>STDs -</strong></p><p>chlamydia (the clap) - single 1000mg dose of Zithromax (azithromycin) </p><p>gonorrhea - single dose injectible Rocephin. Harder to get.</p><p>PID - Pelvic Inflammtory Disease - look up the "PID Shuffle". Doxycycline or Augmentin. AFTER both of the above.</p><p>Trichomonas - Flagyl</p><p>Yeast - besides OTC (over the counter) remedies, a single largish dose of diflucan usually works. Lots of women need this after taking almost any antibiotic for any other reason.</p><p></p><p><strong>UTIs - </strong></p><p>Roll your dice, pick one.</p><p>amoxicillin or cephalexin - this is mainly in little girls. Not first choice in adults.</p><p>Cipro</p><p>Bactrim</p><p>Macrobid (nitrofurantoin)</p><p>Levaquin (but not Avelox)</p><p></p><p><strong>GI infections -</strong> I would be very very hesitant to use antibiotics on any acute diarrhea, i.e., food poisoning, etc. VERY. If someone has a history of Crohn's, diverticulitis, colitis, etc., then maybe. But if you do things wrong, you can kill someone. </p><p>Cipro/Flagyl is a good combo for diverticulitis. You can substitute Levaquin for the Cipro if you have it. Augmentin is a possibility, but not my first choice. I saw a guy this week whose life was saved because someone put him on Cipro thinking he had a bad gallbladder... 5 days later when I found his ruptured appendix, the Cipro had kept things *somewhat* at bay and likely kept him alive. But in some cases (certain E.coli infections, for instance), it can hasten your death. GI infections are not ones to just throw antibiotics at.</p><p>Water-borne parasites like giardia get Flagyl.</p><p></p><p><strong>Ears/Throat -</strong> Most throat infections aren't strep, they're viral. Just like lungs. But if you have to have something to make you think you're treating it, here are some options. For ears, I go in this order until it stops working on kids, then move to the next on the list - usually. Throats are pretty similar progression.</p><p>amoxicillin or cephalexin</p><p>Augmentin</p><p>Bactrim</p><p>Zithromax</p><p>Omnicef (cefdinir) - expensive, and turns your poo red. I mean RED. It's not bleeding, it's the antibiotic.</p><p></p><p><strong>Dental - </strong></p><p>amoxicillin or cephalexin</p><p>Augmentin</p><p>Bactrim</p><p>Clindamycin</p><p>doxy</p><p></p><p>I hope this is somewhat helpful. Lots of inexpensive meds that cover several areas you can keep, but the bottom line is, to really cover your bases you'd have to stock a whole room. lol Quick and dirty list for me would be multiple bottles of Bactrim, amoxicillin and some Zpacks (Zithromax). That's a good start that will keep your costs down and cover a whole whole bunch of the most common stuff.</p></blockquote><p></p>
[QUOTE="tRidiot, post: 2607502, member: 9374"] Ok, here's some little tips. My disclaimer is that this is for strictly SHTF kind of scenarios, do your own research, yadda yadda yadda. I'm not liable for anyone going off half-cocked and taking ANY of these meds at ANY time without talking to their own personal physician about the individual situation. Capische? Ok... Antibiotics will last beyond the date they have on the bottle - usually. [b]USUALLY.[/b] This is assuming regular storage conditions with HVAC, controlled humidity, out of sunlight, etc. I'd recommend cool, dry storage. And those little moisture-absorbing beads wouldn't be a bad idea if you're doing more long-term storage. I [b]have[/b] noticed decreased efficacy of meds stored in hot cars in summer for months on end, etc. Things like tylenol, ibuprofen, psuedoephedrine, etc. Heat causes them to degrade. My favorite cough med is benzonatate, but it is a liquid in a gelcap and it degrades more rapidly than tablets (all liquids usually will). So... I usually keep a bottle of Bactrim around the house. It's cheap. It lasts. It works. it's a good broad-spectrum kinda thing. I replace it once or twice a year or if it gets used. Here're some tips for different antibiotics you might think about acquiring for SHTF scenarios - your "Walking Dead-era pharmacy shopping list", if you will. The prices I am including assume generic where available, as well as shopping around. Lots of variability in pharmacy pricing. Don't get me started on that... <sigh> If you can convince your healthcare provider to get you a refillable script to keep a few of these in your supply, make sure to rotate them, and make sure you discuss with your provider when they are to be used! (And no, I can't help with that. Sorry.) [B]Skin infections -[/B] That yellowish crusty, draining rash on your 3 year-old's lips and chin may be impetigo. Most skin infections these days are staph, and 50-75% of them in just the general public are MRSA. So keep a supply of Hibiclens liquid soap. It's good stuff, not harsh, and the chlorhexadine is great for killing anything. And not too expensive, either. amoxicillin - good antibitioc for mild skin stuff, especially in kiddos. $4 list. cephalexin - as above. $4 list. Cephalosporins, especially early-generation ones (cephalexin/Keflex is first-gen) have a rep for having a cross-reactivity allergy with people who have a penicillin allergy. Some of the PharmDs I know told me that they were able to trace back a good number of these early reactions by lot number to factories manufacturing cephalosporins where penicillins were previously manufactured. So take that for what it's worth. cipro - as mentioned above, good for anthrax. Otherwise, not a usual choice for me on skin infections. So look for those characteristic black nasty eschars. $4 list. Bactrim (trimethoprim/sulfamethoxazole) - my usual go-to when it comes to most skin things like abscesses and cellulitis. Also on the $4 list. Augmentin is also a great skin antibiotic, it's just amoxicillin with added clavulonic acid. Good stuff, but not cheap, really. Although amox/clav is available generic, just not cheap cheap. Diarrhea almost guaranteed. Avelox - same class as Cipro, new generation, good good stuff. Expensive. doxycycline - great skin antibiotic, especially for those repetitive multiple nodular abscesses in the armpits, groin, under breasts, etc. This is usually something called hidradenitis suppurativa, and doxy works extremely well on it. Used to be on the $4 list - now it's something like $92. clindamycin - very good at killing MRSA, not too cheap, probably around $60 or so. Lots of diarrhea with this one. Clostridium difficile is a real risk, especially if using after another antibiotic failure or with another antibiotic. Google it. [B]Lung infections -[/B] keep in mind, the vast vast [B]VAST [/B]majority of bronchial lung infections in America are VIRAL. Antibiotics may make you feel like you're doing something, may help prevent secondary bacterial infections (though these are mostly in asthmatics, uncontrolled diabetics, CHF and COPD), but really, lots of rest, keeping warm, chicken soup, plenty of fluids and hacking all that **** out of your lungs along with symptomatic therapy is going to help much more in the longrun than antibiotics. amoxicillin or cephalexin - these are used mostly just to give people an antibiotic so they think they got their money's worth from an office visit/urgent care/ER for lungs, honestly. See above. Augmentin (amoxicillin/clavulonic acid) - better for a true bacterial lung infection Cipro/Avelox/Levaquin - Cipro is cheap, but [B]not [/B]a good solo choice for a lung infection. Google Jim Henson. The others are great, but expensive. These are the three main meds in the fluoroquinolone class. Zithromax (azithromycin) - pretty good, covers atypical pneumonias like Mycoplasma, but not too expensive - around $20 or so, I think. Newer generation of erethromycin, clarithromycin, etc. Probably an option for skin stuff, too, but won't usually kill MRSA. doxy - also pretty good for pneumonia clindamycin - also good, not first choice mainly due to diarrhea and C.diff risk. [B]STDs -[/B] chlamydia (the clap) - single 1000mg dose of Zithromax (azithromycin) gonorrhea - single dose injectible Rocephin. Harder to get. PID - Pelvic Inflammtory Disease - look up the "PID Shuffle". Doxycycline or Augmentin. AFTER both of the above. Trichomonas - Flagyl Yeast - besides OTC (over the counter) remedies, a single largish dose of diflucan usually works. Lots of women need this after taking almost any antibiotic for any other reason. [B]UTIs - [/B] Roll your dice, pick one. amoxicillin or cephalexin - this is mainly in little girls. Not first choice in adults. Cipro Bactrim Macrobid (nitrofurantoin) Levaquin (but not Avelox) [B]GI infections -[/B] I would be very very hesitant to use antibiotics on any acute diarrhea, i.e., food poisoning, etc. VERY. If someone has a history of Crohn's, diverticulitis, colitis, etc., then maybe. But if you do things wrong, you can kill someone. Cipro/Flagyl is a good combo for diverticulitis. You can substitute Levaquin for the Cipro if you have it. Augmentin is a possibility, but not my first choice. I saw a guy this week whose life was saved because someone put him on Cipro thinking he had a bad gallbladder... 5 days later when I found his ruptured appendix, the Cipro had kept things *somewhat* at bay and likely kept him alive. But in some cases (certain E.coli infections, for instance), it can hasten your death. GI infections are not ones to just throw antibiotics at. Water-borne parasites like giardia get Flagyl. [B]Ears/Throat -[/B] Most throat infections aren't strep, they're viral. Just like lungs. But if you have to have something to make you think you're treating it, here are some options. For ears, I go in this order until it stops working on kids, then move to the next on the list - usually. Throats are pretty similar progression. amoxicillin or cephalexin Augmentin Bactrim Zithromax Omnicef (cefdinir) - expensive, and turns your poo red. I mean RED. It's not bleeding, it's the antibiotic. [B]Dental - [/B] amoxicillin or cephalexin Augmentin Bactrim Clindamycin doxy I hope this is somewhat helpful. Lots of inexpensive meds that cover several areas you can keep, but the bottom line is, to really cover your bases you'd have to stock a whole room. lol Quick and dirty list for me would be multiple bottles of Bactrim, amoxicillin and some Zpacks (Zithromax). That's a good start that will keep your costs down and cover a whole whole bunch of the most common stuff. [/QUOTE]
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