3 ms·
I'm not an expert either, but combinations are apparently used. For example, you mention amoxicillin, which is often combined with something called clavulanic a
by lobster_johnson 14y ago
I'm not an expert either, but combinations are apparently used. For example, you mention amoxicillin, which is often combined with something called clavulanic acid [1]. Another combination drug is Trimethoprim/sulfamethoxazole [2].
Some diseases, like resistant tuberculosis, are sometimes treated with antibiotic "cocktails".
The problem is that combinations of antibiotics may have cytotoxic effects even at doses lower than normally harmful. Those two combinations above are used because they are known to work in synergy, with few side effects.
Some antibiotics are not used except as a last resort precisely because they are so toxic to the human body that they might kill the host in the process of eradicating the target bacteria. In fact, antibiotics are found in nature all the time, but they tend to be too toxic to use.
[1] http://en.wikipedia.org/wiki/Amoxicillin/clavulanic_acid http://en.wikipedia.org/wiki/Amoxicillin/clavulanic_acid
[2] http://en.wikipedia.org/wiki/Trimethoprim/sulfamethoxazole http://en.wikipedia.org/wiki/Trimethoprim/sulfamethoxazole
- robbiep 14y agoPrecisely There are some infections that call for combination therapy but it must always be done with an eye to side effects; Effectively microbiologists work out what the 'MIC' or minimum inhibitOry concentration is, and then use that because hopefully that will be the least likely to cause other side effects, or I.e. totally obliterate the patients GI fauna which could open them up to attack by something worse
- lobster_johnson 14y agoSurely the worst side effect would not be obliterating GI fauna but systemic cell death (apoptosis) or similar, though?
- akiselev 14y agoI don't think (not a doctor) that antibiotics can cause large scale apoptosis (except in unrealistic quantities). Many antibiotics in a cocktail in significant dosages can cause kidney failure.