Wednesday, May 11, 2011

Be mindful of your scheduling when making dental appointments

One thing (amongst the many things) that sucks about CVID is having to take antibiotics before you get any dental work done.  Apparently this also holds true for people who have artificial joints and probably other implants.  Whenever I go to get my teeth cleaned I have to take 2 grams of amoxicillin one hour before my appointment (that's 4x500 ml capsules).

Last Wednesday I had such an appointment at 4:10.  At 3:10 I dutifully take my pills and take a quick shower, planning to leave at 3:30.  After I get out of the shower I notice there's a voice mail on my phone.  It's the dentist's office asking if I'm en route.

According to their records, my appointment was at 3:10.  And they have someone scheduled after me, so they can't squeeze me in.

I'm normally very fastidious about putting appointments into my iPod Touch, so I don't know if I made a mistake or they did, I don't recall the time being mentioned when they called with the reminder.  Regardless, a mistake was made and I consumed 2 grams of antibiotics needlessly.

Yesterday was the reschedule, this time everything came together.  Left home at 2:30, picked up and took the antibiotics at 3:00, cleaning at 4:00, out the door at about 4:45 and off to good Mexican food.

What I would like to know is the short-term effects of taking 2 grams of antibiotics in one shot versus, for example, a 14 day dose of augmentin 875 mg (12.25 grams).  When I took the dose last week, it didn't seem to greatly affect my digestive system.  I eat yogurt on a regular basis and supplemented this with acidophilus pills.  This additional 2 grams a week later is definitely more apparent on how it's affecting me.

Another thing that I'd like to know is whether or not I could substitute augmentin for amoxicillin.  I have a partial bottle of amox-clav (hence the example) that I've had sitting around since January when my doctor replaced the dose with a more powerful antibiotic, and I'm loath to throw it away.

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