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Antibiotics kill bacteria or prevent them from reproducing.
Doctors use antibiotics to treat
pneumonia caused by bacteria. There are many types of antibiotics. Your doctor will decide which antibiotic will work best for you.
Doctors do not use tetracyclines for children younger than age 8. These medicines can discolor a child's teeth.
Doctors use vancomycin to treat people who are in the hospital for severe infections that do not respond to other antibiotics.
In general, all antibiotics used have a high cure rate for pneumonia caused by bacteria. Cure rates are greater than 80%, meaning at least 80 people out of 100 are cured.1
Vancomycin works against some types of bacteria that have become resistant to other antibiotics.
You most likely will have some improvement in symptoms 2 to 3 days after treatment begins. Unless you get worse during that time, treatment is not changed for at least 3 days. The number of days you keep taking antibiotics depends on your illness and the type of antibiotic.
All medicines have side effects. But many people don't feel the side effects, or they are able to deal with them. Ask your pharmacist about the side effects of each medicine you take. Side effects are also listed in the information that comes with your medicine.
Here are some important things to think about:
Call 911 or other emergency services right away if you have:
Call your doctor right away if you have:
Common side effects of this medicine include:
Some fluoroquinolones and tetracyclines may make it easier to get a sunburn when you are taking them. Avoid direct sunlight and tanning salons while you are taking these medicines and for 5 days after you have stopped taking them.
A large study showed that people who take erythromycin along with certain common medicines have an increased risk of sudden cardiac death.2 The study showed that the risk of sudden cardiac death is greater when erythromycin is taken with some medicines that inhibit certain liver enzymes—such as some calcium channel blockers, some antifungal medicines, medicines to stop vomiting, and some antidepressants—than when erythromycin is taken by itself.
Vancomycin can cause hearing loss. This is rare. But it has occurred in people who received excessive doses or who have kidney disease. Hearing loss also has occurred in people who were taking another medicine that may cause hearing loss or who already had some hearing loss.
See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)
Antibiotics cannot always kill bacteria (antibiotic resistance), in part because they are used too much or are used incorrectly. You can help prevent antibiotic resistance by taking all of your medicine as directed, even if you feel better after a few days. If you stop taking your medicine too soon, bacteria that are not killed in the first few days of treatment can grow stronger and become resistant to the antibiotic.
Doctors are careful about the use of vancomycin, because it is the only antibiotic that can kill some types of bacteria. Using vancomycin too often can lead to antibiotic resistance in these bacteria.
Medicine is one of the many tools your doctor has to treat a health problem. Taking medicine as your doctor suggests will improve your health and may prevent future problems. If you don't take your medicines properly, you may be putting your health (and perhaps your life) at risk.
There are many reasons why people have trouble taking their medicine. But in most cases, there is something you can do. For suggestions on how to work around common problems, see the topic Taking Medicines as Prescribed.
If you are pregnant, breast-feeding, or planning to get pregnant, do not use any medicines unless your doctor tells you to. Some medicines can harm your baby. This includes prescription and over-the-counter medicines, vitamins, herbs, and supplements. And make sure that all your doctors know that you are pregnant, breast-feeding, or planning to get pregnant.
Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.
Complete the new medication information form (PDF)new medication information form (PDF)(What is a PDF document?) to help you understand this medication.
Loeb M (2010). Community-acquired pneumonia, search date January 2010. Online version of BMJ Clinical Evidence: http://www.clinicalevidence.com.
Ray WA, et al. (2004). Oral erythromycin and the risk of sudden death from cardiac causes. New England Journal of Medicine, 351(11): 1089–1096.
March 6, 2013
E. Gregory Thompson, MD - Internal Medicine & R. Steven Tharratt, MD, MPVM, FACP, FCCP - Pulmonology, Critical Care Medicine, Medical Toxicology
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