LIST OF PHARMACEUTICS AND THEIR INTENDED USES  FROM A DOCTOR WHO WENT CRUISING

DOC TALK !
Here in Panama there are a lot of vessels prepping for the Puddle Jump to the Marquesas and luckily one of the vessels is skippered by a doctor  who speaks on all sorts of medical topics on the local morning net at Vista Mar Marina.
He recently shared with us details about Antibiotics which he keeps on board and when he would use them.

 

Keflex/Cephalexin
Keflex/Cephalexin
Boat stores:40 tablets 500 mg
Infections of the skin and periphery-infected cuts, stabs, thorns, legs and arms.
Dosing: 1 pill every 6 hours till redness gone plus one day then stop. Also let’s say a penetrating wound or open wound.
This is the antibiotic to use for prophylaxis.

Levofloxacin
Levofloxacin

Boat stores:250mg. 20 tabs 2nd line but powerful.
Reason: can be associated with tendon tears, peripheral nerve and central nerve issues later on.
Pneumonia, severe uti, urogenital infection, kidneys, anthrax, plague, severe stomach infections, chronic bronchitis
Dosing: for pneumonia or severe infection:750mg once a day. For Uro 250mg once a day for 3 days. GI issue: 500mg x 3-5 days.

 

 

Azithromycin
Azithromycin

Boat stores: 250mg 20 tabs
Acute sinusitis, pneumonia, respiratory infections but also gonorrhea, chlamydia Lyme disease
Dosing: Always taken same way: 500mg first day, then 250 each day after. Usually for 5 days

 


Bactrim DS

Bactrim DS
Boat stores: 850mg. 40 tabs
Urinary tract infection, meningitis, salmonella

Penicillin V
Penicillin V

Boat stores:
500mg. 50 tabs
Pneumonia, strep throat, some skin infections
Dosing: Adults 250-500mg every 6 hrs for 5 days
Kids age 6-teens 250mg every 6 hrs for 5 days
Kids 2-6 125mg every 6 hrs for 5 days

Metronidazole
Metronidazole

Boat stores: 500mg 40 tabs
Amoebic disease, Acute appendicitis, guardia,

 

Doxycycline
Doxy

Boat stores: 100mg 40 tabs
Pneumonia, respiratory and tick borne diseases
Dosing:1 pill q12 hours 10-14 days and malaria prophylaxis one pill once a day start one day prior to entering endemic areas and continue for 4 full weeks afterwards


Augmentin
Augmentin
Boat stores: amoxicillin/clavulanate 500mg/125mg 40 tabs
Sore throats, strep, sinusitis and pneumonia
Dosing: 500mg every 12 or 250mg every 8 hrs

Acute Appendicitis.
Combine the Metronidazole and Levoflaxacin for 10 days using the standard dosing regime of each respective medic


IBIS

Doc no longer on call as he is about to head into the sunset

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