WHY YOUR DOCTOR MIGHT BE RELUCTANT TO PRESCRIBE CLINDAMYCIN

I wanted to write some brief notes on why doctors may be hesitant to prescribe Clindamycin and why they might say it's dangerous. The main point I would like to make is that it is NOT dangerous when taken in the prescribed manner as referred to in the antibiotic protocol. Dr Brown in the many years he treated patients did not see one case of C.difficile colitis.

Patients taking antibiotics are at risk of becoming infected with a bacterium called Clostridium difficile. Antibiotics disrupt the normal bacteria of the bowel sometimes allowing the C.difficile bacteria to establish itself instead. The exo-toxin produced by the C.difficile causes diarrhoea, abdominal pain, fever, vomiting, dehydration etc.

Clostridium difficile itself is extremely common in the environment. It can be found growing in soil, water, decomposing plant and animal material. It can also be found on furniture, toilet seats etc.

The condition is often called Antibiotic-Associated Colitis or Pseudomembraneous Colitis. Clindamycin has been widely recognised as causing this condition but many other prescribed antibiotics have also been implicated. It can be very serious but antibiotics are extremely important medications to help fight infections. C.difficile colitis should not discourage the appropriate use of antibiotics. Many antibiotics can cause C.difficile infection and all should be used as prescribed (as per the protocol).

Acidophilus preparations can help keep Clostridium difficile at bay. By recolonising the bowel with "healthy" bacteria, the growth of C.difficile is inhibited.

Imagine how many billions of bacteria live in a healthy colon. Soon after you swallow your acidophilus capsule those bacteria begin to replicate, and during log phase, some bacteria double every twenty minutes. Just imagine... if this rate was maintained for 24 hours, the progeny of a SINGLE bacterial cell would be about 1 x 10 (to the power of 21)
ie. 10,000,000,000,000,000,000,000.
This would have a mass of approximately four thousand tons !

Of course the conditions in anybody's colon would never permit such a rate of multiplication for more than a short time, generally because of an insufficiency of nutrients. However the acidophilus bacteria do replicate and help recolonise the colon.

If ever a C.difficile infection is suspected, a stool (faeces) sample is collected and tested for the bacteria and/or its toxins. Your doctor will need to fill out a request form for the analysis to be performed.

This information is intended to help you to understand why the doctors might say it is dangerous. So, when asking for a prescription for Clindamycin and your doctor says that it's dangerous, you can respond by saying that Dr. Brown in all his years of treating patients didn't see one case !


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