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» LymeNet Flash » Questions and Discussion » Medical Questions » uh-oh, high ammonia levels!! help!!

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Author Topic: uh-oh, high ammonia levels!! help!!
geniveve
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uh oh, i just got my bloodwork back and it's not good.

even tho i'm taking a low dose of amoxy at 1000 per day, my ammonia level is at 70 and normal should be 45 or less.

the doc said amoxy would not cause this, but i disagree. i have heard that the dieoff causes ammonia to rise, isn't that correct?

she said to continue but i'm wondering if i should stop. i am seeing a gastro/liver specialist on friday and will see what he says.

dang, this is my last chance at antibiotics and it looks like i'm running out of options.

maybe herbal next, i don't know. i'm getting pretty frustrated. everything i take ends up making me sicker.........

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treepatrol
Honored Contributor (10K+ posts)
Member # 4117

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Drug hepatotoxicity in the patient with cirrhosis

The institution of any new medical therapy warrants the performance of more frequent liver chemistries. Indeed, patients with liver disease can ill afford to have drug-induced liver disease superimposed on their condition. Medications frequently associated with drug-induced liver disease include NSAIDs, isoniazid, valproic acid, erythromycin, amoxicillin/clavulanate, ketoconazole, and chlorpromazine.


Here

It can get off amoxy


Amoxicillin
Active Ingredients: Amoxicillin
Representative Names: Amoxil, Biomox, Polymox, Trimox, Wymox
Available Product Images:

What are amoxicillin capsules, tablets or chewable tablets?
What should my health care professional know before I take amoxicillin?
How should I take this medicine?
What if I miss a dose?
What drug(s) may interact with amoxicillin?
What side effects may I notice from taking amoxicillin?
What should I watch for while taking amoxicillin?
Where can I keep my medicine?

What are amoxicillin capsules, tablets or chewable tablets? (Back to top)
AMOXICILLIN (Amoxil�, Trimox�, Wymox�) is a penicillin antibiotic. Amoxicillin kills or stops the growth of bacteria that cause infection. It treats many different kinds of infections of the skin, respiratory tract, sinuses, ear, and kidney. Amoxicillin also treats some sexually transmitted disease. Generic amoxicillin capsules and tablets are available, but not generic chewable tablets.

What should my health care professional know before I take amoxicillin? (Back to top)
They need to know if you have any of these conditions:
*asthma
*eczema
*kidney disease
*leukemia
*mononucleosis
*intestinal problems (especially colitis)
*other chronic illness
*phenylketonuria
*viral infection
*an unusual or allergic reaction to amoxicillin, other penicillins, cephalosporin antibiotics, other medicines, foods, dyes, or preservatives
*breast-feeding

How should I take this medicine? (Back to top)
Take amoxicillin capsules, tablets, or chewable tablets by mouth. Swallow the regular capsules or tablets whole with a glass of water; take while in an upright or sitting position. Chew or crush the chewable tablets, do not swallow whole. You may take amoxicillin with or without food. Follow the directions on the prescription label. Take your doses at regular intervals. Do not take your medicine more often than directed. Finish the full course prescribed by your prescriber or health care professional even if you think your condition is better. Do not stop taking except on your prescriber's advice.

What if I miss a dose? (Back to top)
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses. There should be an interval of at least 6 to 8 hours between doses.

What drug(s) may interact with amoxicillin? (Back to top)
*allopurinol
*birth control pills
*methotrexate
*neomycin
*probenecid

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from taking amoxicillin? (Back to top)
Side effects that you should report to your prescriber or health care professional as soon as possible:
*difficulty breathing, wheezing
*dark yellow or brown urine
*dizziness
*fever or chills, sore throat
*increased thirst
*pain or difficulty passing urine
*pain on swallowing
*redness, blistering, peeling or loosening of the skin, including inside the mouth
*seizures (convulsions)
*skin rash, itching
*stomach pain or cramps
*swollen joints
*severe or watery diarrhea
*unusual bleeding or bruising
*unusual weakness or tiredness
*vomiting
*yellowing of the eyes or skin

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
*diarrhea
*headache
*loss of appetite
*nausea
*stomach gas or heartburn

What should I watch for while taking amoxicillin? (Back to top)
Tell your prescriber or health care professional if your symptoms do not improve in 2 or 3 days.

If you are diabetic and taking large doses of amoxicillin, you may get a false-positive result for sugar in your urine with certain brands of urine tests. Check with your prescriber or health care professional before you change your diet or the dose of your diabetic medicine.

If you get severe or watery diarrhea, do not treat yourself. Call your prescriber or health care professional for advice.

If you get a skin rash, do not treat yourself. Call your prescriber or health care professional for advice.

--------------------
Do unto others as you would have them do unto you.
Remember Iam not a Doctor Just someone struggling like you with Tick Borne Diseases.

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Posts: 10564 | From PA Where the Creeks are Red | Registered: Jun 2003  |  IP: Logged | Report this post to a Moderator
treepatrol
Honored Contributor (10K+ posts)
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Milk thistle

--------------------
Do unto others as you would have them do unto you.
Remember Iam not a Doctor Just someone struggling like you with Tick Borne Diseases.

Newbie Links

Posts: 10564 | From PA Where the Creeks are Red | Registered: Jun 2003  |  IP: Logged | Report this post to a Moderator
geniveve
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CAN I just stop taking the amoxy? will that lower the ammonia levels? any permanent damage done do you think??
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Jill E.
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Is it tomorrow (that Friday) that you are seeing the gastro/hepatologist? Even if you went off the Amoxy for just one day, that doesn't seem bad until your appointment tomorrow.

As you've already read on these posts, high ammonia levels can be caused by liver problems - the inability to convert ammonia to urea. But it can also be caused by bleeding in the intestines from what I've read.

I went through a major liver problem from antibiotics - and you only have one liver - so please be careful and if the doctors say to go off the abx, please do it. When I developed liver problems (it wasn't ammonia), I was told to get off the antibiotic immediately.

Please keep us posted as to what the doctor says.

Jill

--------------------
If laughter is the best medicine, why hasn't stand-up comedy cured me?

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seibertneurolyme
Frequent Contributor (5K+ posts)
Member # 6416

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Hubby had high blood ammonia levels for 5 months after finishing IV Rocephin (2 months)-- all liver enzymes were normal.

He was NOT taking any antibiotics at the time.

Culprit was overgrowth of Klebsiella and other bad intestinal bacteria which produce ammonia -- obviously he was not taking enough acidophilus or bifido while on Rocephin.

The Dr B prescribed Levaquin for possible Bartonella -- this in combo with IV magnesium fixed the ammonia problem after 1 month. Continued on the Levaquin for 2 more months.

Hubby would become very confused and almost unable to walk after high protein meals -- seizure-like episodes etc. Tried to get a non-fasting measure of ammonia levels and the lab messed it up.

I know you have G.I. problems and think that is the culprit -- not the antibiotics. Standard G.I. docs probably will not believe in yeast or dysbiosis or even know what tests to order.

Hope you are seeing an alternative G.I. doc -- they are few and far between though.

Alternative things did not correct the ammonia problem for hubby -- if the specific bacteria can be identified then the treatment would be an antibiotic targeted for that bacteria.

Good luck at your appointment.

Bea Seibert

P.S. The most useful test hubby had done was from Immunosciences Lab -- Ulcerative Colitis and Inflammatory Bowel Disease-Related Antibodies Panel

http://www.immuno-sci-lab.com/table_73_2003.htm

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geniveve
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i have an endoscopy tommorrow and have had the ct scan with contrast and iodine. as soon as the barium hit my stomach i started having severe pain and cramps. had to go to the bathroom twice before the test. then i had to drink another cup of that crap before the test and almost didn't make it through the test, had to go to the bathroom immediately afterwards.

i know i can't do dairy, gives me bad diahhrea and coke hurts my stomach.

so i'm hoping this doc can find out what;s wrong. my llmd said to continue the amoxy as i'm only taking 1000 mg per day but i'm sort of afraid to. she did say she will leave it up to the gastro to take me off the amoxy and see what he says.

geez, i wish these guys would work together tho, gets kind of confusing.

to complicate things, i am leaving for ohio on tuesday and will be gone a month. i don't know a doctor up there and am terrified of getting sick.

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