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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Prescribed Efudix And Erythromycin For Bowen S Disease. Chest Pain. Reason?

I am undergoing treatment for Bowen s disease for an irritating patch on top of my foot . I have been prescribed some chemotherapy cream (Efudix 5%)which seemed to make the patch so much bigger and more painful and aggressive l so was also prescribed a boost of antibiotic Erythromycin 250mg at 2 4 times per day. I managed to take these for 6 days but found that I felt dreadful. Reading the instructions in the packet I saw that care should be taken as these tablets may effect phenytoin which I also need to take for epilepsy . A return visit to Dr who assured me that it was Ok to try to finish the antibiotic course. She has referred me to a skin specialist for further advice about the mess on my foot. I tried but had a dreadful day on Thursday when I was dizzy and actually fell over from imbalance ( usually I am very active and capable) and perspiring badly. However after a day of taking it easy felt a lot better on Friday. I stopped the anti-biotics as I am sure that they were the main cause. Since then I have had a nasty pain in the centre of my chest (breastbone) and have tried Gaviscon and Rennies without success thinking that the day without food on Thursday may be the cause but am still VERY aware of the ache and pain there this morning.
Thu, 3 Oct 2013
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General & Family Physician 's  Response
Hello.Your doctor may replace erythromycin by another antibiotic effective for skin infections (for example ciprofloxacin).About your chest pain, the causes can be varied.Chest pain with sweating is necessary to make an electrocardiogram to rule out cardiac pathology.If the ECG is normal, other diagnoses to consider are anxiety or gastritis (in this case better than the antiacids drugs that you say is recommended omeprazole 20 mg per day).
Go to your doctor as soon as possible for evaluation,additional tests and prescription.I wish you good health.
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Prescribed Efudix And Erythromycin For Bowen S Disease. Chest Pain. Reason?

Hello.Your doctor may replace erythromycin by another antibiotic effective for skin infections (for example ciprofloxacin).About your chest pain, the causes can be varied.Chest pain with sweating is necessary to make an electrocardiogram to rule out cardiac pathology.If the ECG is normal, other diagnoses to consider are anxiety or gastritis (in this case better than the antiacids drugs that you say is recommended omeprazole 20 mg per day). Go to your doctor as soon as possible for evaluation,additional tests and prescription.I wish you good health. (If the answer has helped you, please indicate this)