My ‘wonderful’ abdominal issues continue sadly without abating. Following on from my rather bizarre hospital experience last week where Dr Beer Belly decided what caused my condition was a muscle strain from being overweight, I caught up with my rather excellent GP this week. I asked her about the scan results and the blood tests results from last week. Sadly there were no blood test results as the samples had deteriorated. Yes these were samples actually taken in an emergenciy room of a hospital. So Dr Beer Belly has yet failed even more, given he didn’t ask for more blood tests to be done again.
However the GP ordered some more and the CRP and ESR are exceptionally high showing that whatever is going on in my gut, it’s got an infection. So antibiotics here I come. Along with a more coherent referral to an abdo specialist which is currently being fast tracked.
I start the 7 day antibiotics today. So will obviously miss next week’s Benepali, since I take it on a Tuesday.
But for me all this doesn’t make a lot of sense. Say for example I took the Benepali Monday evening, started antibiotics Tuesday, finished antibiotics the next Monday, there would obviously be nothing stopping me taking the Benepali on Tuesday, would there? In that example I don’t lessen the effects of the biologic on the antibiotics at all, do I? And say I was on Humira which is taken only every two weeks, again I wouldn’t need to skip a dose of Humira for a seven day course of antibiotics then either. In both examples the dose of the biologic isn’t in reality reduced when taking antibiotics, is it?
So please can someone tell me why we’re told to skip doses of biologics? I understand the science of why a biologic can affect how an antibiotic works but I don’t understand the advice when in lots of situations the actual dosage of of the biologic isn’t actually affected.