Hi. I've had the pouch for 15 years. Pouchitis once every 9 months or so. I've always taken Levaquin and Flagyl. I get the side effects of Flagyl same as others (metallic taste, stomach issues, etc). I'd like to replace the Flagyl if I can. I've seen that Xifaxan and Augmentin are good. Do they have any side effects? What dosage and for how long do you take? I would do just Levaquin if I could, but want a second antibiotic to be safe. Flagyl has just caused too many issues. It works though. Thanks.
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cipro, tindamax
My rotation was Cipro, Augmentin, and Pepto Bismol. I'd stay on each for maybe 3 weeks then switch. I was able to be on PB solely for about a year. I just started Flagyl back in December. Cipro and Augmentin do nothing for me now...have been on them too long :-/
Cipro usually works for me, but Flagyl and Xifaxan don't. Doxycycline can be helpful if there are signs of SIBO (e.g. major gassiness). Two antibiotics at once are normally reserved for antibiotic resistant pouchitis. I think it may be overkill.
I forgot to answer your other questions...I did not have any side effects with Cipro, Augmentin, or PB. I would take Cipro 500mg twice daily. I forget the Augmentin dosage (I think they are 750mg Amoxicilin/250mg clavulanate) and I would take twice daily. PB would be 2 tabs for me in the am and two in the pm. I never took more than one antibiotic at a time.
Thanks all. Flagyl alone has never worked for me. I have not tried Levaquin alone though. Cipro did not sit well with me. Docs have always prescribed two antibiotics at a time. I believe that my insurance does not cover Xifaxan, so I will possibly try Augmentin and Levaquin together the next time.