Medications for Cellulitis: Doxycycline, Keflex, Bactrim, Clindamycin

They use antimicrobial medicine to eradicate cellulitis. Typically, Beta-lactam agents are used to as a go-to treatment for cellulitis. Sadly, times are changing and the genetics of bacteria are evolving at a rapid pace. Now the prevalence community-acquired MRSA (CA-MRSA) has increased throughout the nation. If an infection forms an abscess or reaches a purulent drainage stage, then treatment becomes complicated

Various Types of Medication for Cellulitis

Clinical diagnosis will determine tabs, pills, and other oral medication used for treatment. They prescribe medication for cellulitis based on the symptoms and the advancement of the germs.

What is Doxycycline for Cellulitis

Doxycycline has become a standby for bacterial infections. Dermatologists often prescribe it to treat acne and abscesses that arise from rosacea. They have also used it as a preventative for malaria and to handle anthrax. They group doxycycline for cellulitis in alongside tetracycline. It actively kills bacteria and halts growth. It is ineffective on viruses. They require a prescription to obtain Doxycycline delayed-release capsules and tablets. For individuals with swallowing problems or young children, they also market it as a syrup or powder. This is a drug that is given in the early stages of cellulitis.

Common brand names include:

  • Monodox
  • Vibramycin Calcium
  • Oracea
  • Vibramycin Calcium
  • Adoxa Pak
  • Vibra-Tabs

Doxycycline when ingested by youngsters often causes permanent discoloration of their adult teeth. It also slows bone growth. In most areas of the world, physicians have stopped giving the antibiotic to children younger than eight.

Using Keflex for Cellulitis

Nonpurulent cellulitis requires less stringent drug protocols. Keflex for cellulitis has proven effective. An oral antibiotic Keflex (cephalexin) is made up of the active ingredient cephalexin monohydrate. It can successfully eliminate gram-positive bacteria. They should perform a culture to determine the bacteria’s resistance levels prior to treatment. If a culture is not obtained then epidemiology and susceptibility patterns must be used to determine if Keflex for cellulitis is the best choice.

Using Bactrim for Cellulitis

Bactrim is a combination of both ftrimethoprim and sulfamethoxazole The ratio of the drug mixture is a fixed 1:5 ratio. Bactrim for cellulitis has been used successfully. They can provide medication to children over the age of three. The following brand names include:

  • Bacter-Aid DS
  • Septra DS
  • Sulfatrim Pediatric
  • Bactrim DS
  • Sultrex Pediatric

Using Clindamycin for Cellulitis

Around the world, many people suffer from severe allergic reactions to penicillin that can lead to anaphylactic shock. Such individuals cannot use the common medication but there are alternatives that are just as potent.

Clindamycin for cellulitis is ideal for anyone who cannot take penicillin-based drugs. It is available as a capsule or liquid. The drug slowly halts the growth spurts of bacteria. Unfortunately, Clindamycin (brand name Cleocin) is lethal to all bacteria in the body and can cause the demise of good bacteria within the intestinal tract which can lead to stomach pain, flatulence, and diarrhea.

Using Antibiotics on Cellulitis

With the rise in drug resistance, many think that removing antibiotics from the treatment protocol is the answer. However, cellulitis can advance rapidly and prove fatal if not treated. The treatment has become complicated as bacteria genetically alter themselves and evolve methicillin-resistant Staphylococcus aureus (MRSA) has become a nightmare for many with limbs having to be imported to save lives. Macrolide- or erythromycin-resistant Streptococcus pyogenes has also proven virulent and able to withstand even the most vigorous antibiotic regimes.

Treatments for Cellulitis

To avoid even more aggressive bacteria, a treatment standard is being followed by most clinics and hospitals. First, prescriptions of semisynthetic penicillins are provided to those with no allergies. Then oral cephalosporins, macrolide, or clindamycin are employed.

Additional Antibiotics Used for Cellulitis

  • Levofloxacin
  • Moxifloxacin
  • Clarithromycin
  • Azithromycin

Treating Advanced Cellulitis

If all oral therapies have failed, then the sufferer must be hospitalized and proved with intravenous drugs to gain control of the infection. Oxacillin, cephalosporin,and nafcillin are provided. For drug-resistant MRSA, Linezolid has displayed impressive promise. Daptomycin is another drug currently being placed on the front lines in the battle against MRSA. Outside the USA, Teicoplanin is utilized.

Three drugs are taking center stage for their effectiveness against MRSA. ortavancin, dalbavancin , and tedizolid. They only use the drugs as a last ditch effort to gain hold of the infection. They are only prescribed for the most drug-resistant forms of cellulitis.

Fungal Infections and Cellulitis

Fungal infections are often a gateway to cellulitis. The person will scratch the area and make tiny tears in the skin that might only be microscopic but they are large enough to allow bacteria to pass into the wound and the downward spiral starts. Any time you suffer from a fungal infection, promptly treat the problem with an antifungal powder, spray, or cream. Also, avoid scratching the site because it will just make it worse as you pass on bacteria beneath the skin’s surface. Removing the fungus should be your first step.

Every year, the battle against cellulitis and other infections becomes more daunting as bacteria morph to fight the antibiotics. Sadly. 20,000 people, many tiny children, die from MRSA every year because medications no longer destroy the bacteria.

 

 

Article References:

  1. https://www.mayoclinic.org/drugs-supplements/doxycycline-oral-route/before-using/drg-20068229
  2. https://www.rxlist.com/keflex-drug.htm#dosage
  3. https://www.merckmanuals.com/professional/dermatologic-disorders/bacterial-skin-infections/cellulitis
  4. https://www.pdr.net/drug-summary/Bactrim-Bactrim-DS-sulfamethoxazole-trimethoprim-686
  5. https://medlineplus.gov/druginfo/meds/a682399.html
  6. http://mrsa-research-center.bsd.uchicago.edu/

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