Antibiotics and Their Use in Collapse Medicine v1

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Antibiotics And Their Use in Collapse Medicine(tm), Part 1

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November 28, 2011 Hey Prepper Nation, One of the most common questions that I am asked from prospective survival medics is “What antibiotics should I stockpile and how do I use them?” There isn’t a 60 second answer to this. Actually, there isn’t a 60 MINUTE answer to this, but anyone that is interested in preserving the health of their loved ones in a collapse will have to learn what antibiotics will work in a particular situation. Use Antibiotics Sparingly Medical Antibiotic Storage

It’s important to start off by saying that you will not want to indiscriminately use antibiotics for every minor ailment that comes along. In a collapse, the medic is also a quartermaster of sorts; you will want to wisely dispense that limited and, yes, precious supply of life-saving drugs. Liberal use of antibiotics is a poor strategy for a few reasons: · Overuse can foster the spread of resistant bacteria. Antibiotics routinely given to turkeys recently caused a resistant strain of Salmonella that put over 100 people in the hospital. 36 million birds were destroyed. · Potential allergic reactions may occur that could lead to anaphylactic shock (see my recent article on this topic). · Making a diagnosis may be more difficult if you give antibiotics before you’re sure what medical problem you’re actually dealing with. The antibiotics might temporarily “mask” a symptom, which could cost you valuable time in determining the correct treatment. You can see that judicious use of antibiotics, under your close supervision, is necessary to fully utilize their benefits. Discourage your group members from using these drugs without first consulting you. What Antibiotics Should I Store? There are many antibiotics, but what antibiotics accessible to the average person would be good additions to your medical storage? Here are some common antibiotics (most available in veterinary form without a prescription) that you will want in your medical arsenal and their veterinary equivalent: · Amoxicillin 250mg AND 500mg (FISH-MOX, FISH-MOX FORTE) · Ciprofloxacin 250mg and 500mg(FISH-FLOX, FISH-FLOX FORTE) · Cephalexin 250mg and 500mg (FISH-FLEX, FISH-FLEX FORTE) · Metronidazole 250mg (FISH-ZOLE) · Doxycycline 100mg (BIRD-BIOTIC) · Ampicillin 250mg and 500mg (FISH-CILLIN, FISH-CILLIN FORTE) Clindamycin 300mg (FISH-CIN) Page 1 of 4

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· Sulfamethoxazole 400mg/Trimethoprin 80mg (BIRD-SULFA) There are various others that you can choose, but the selections above will give you the opportunity to treat many illnesses and have enough variety so that even those with Penicillin allergies with have options. Cephalexin, although not in the same drug family, has been quoted as having a 10% cross-reactivity rate with Penicillin. Amoxicillin (Aquarium version: FISH-MOX, FISH-MOX FORTE, AQUA-MOX): comes in 250mg and 500mg doses, usually taken 3 times a day. Amoxicillin is the most popular antibiotic prescribed to children, usually in liquid form. More versatile and better absorbed than the older Pencillins, Amoxicillin may be used for the following diseases:

· Anthrax (Prevention or treatment of Cutaneous transmission)

· Chlamydia Infection (sexually transmitted)

· Urinary Tract Infection (bladder/kidney infections)

· Helicobacter pylori Infection (causes peptic ulcer)

· Lyme Disease (transmitted by ticks)

· Otitis Media (middle ear infection)

· Pneumonia (lung infection)

· Sinusitis

· Skin or Soft Tissue Infection (cellulitis, boils)

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· Actinomycosis (causes abscesses in humans and livestock)

· Bronchitis

· Tonsillitis/Pharyngitis (Strep throat)

This is a lot of information, but how do you approach determining what dose and frequency would be appropriate for what individual? Let’s take an example: Otitis Media is a common ear infection, especially in children. Amoxicillin is often the “drug of choice” for this condition.

First, you would want to determine that your patient is not allergic to Amoxicillin. The most common form of allergy would appear as a rash, but diarrhea, itchiness, and even respiratory difficulty could also manifest. If your patient is allergic, another antibiotic such as Sulfamethoxazole/Trimethoprin or Cephalexin could be a “second-line” solution.

Once you have identified Amoxicillin as your choice to treat your patient’s ear infection, you will want to determine the dosage. As Otitis Media often occurs in children, you might have to break a tablet in half or open the capsule to separate out a portion that would be appropriate. For Amoxicillin, you would give 20-50mg per kilogram of body weight (20-30mg/kg for infants less than four months old). This would be useful if you have to give the drug to a toddler less than 30 pounds. A common child’s dosage would be 250mg and a common maximum dosage for adults would be 500 mg. Take this orally 3 times a day for 10 to 14 days (twice a day for infants). Luckily, these dosages are exactly how the commercially-made medications come.

If your child is too small to swallow a pill whole, you could make a mixture with water (called a “suspension”). To make a liquid, crush a tablet or empty a capsule into a small glass of water and drink it; then, fill the glass again and drink that (particles may adhere to the walls of the glass). You can add some flavoring to make it more palatable. Do not chew or make a liquid out of time-released capsules of any medication, you will wind up losing some of the gradual release effect and perhaps get too much into your system at once. These medications should be plainly marked “Time-Released”.

Anytime you, as medic, place a person on a new medication or supplement, they should be carefully watched for signs of allergy. If they develop a rash, itching, diarrhea, or other untoward symptoms, you should discontinue your treatment and look for other options. Page 3 of 4

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You will be probably see improvement within 3 days, but don’t be tempted to stop the antibiotic therapy until you’re done with the entire 10-14 days. Sometimes, you’ll kill most of the bacteria but some colonies may persist and multiply if you prematurely end the treatment. In a collapse, however, you might be down to your last few pills and have to make some tough decisions.

For official recommendations regarding the use of Amoxicillin to treat the other illnesses listed, consider investing in a book called the Physician’s Desk Reference. It will have all this information (and more) on just about any medication manufactured today. Listed are indications, dosages, side effects, risks, and even how the drug works in the body. Online sources such as drugs.com or rxlist.com are also useful, but you are going to want a hard copy for your library. You never know when we might not have a functioning internet.

In my next article, I will be reviewing some of the other antibiotics that I listed above.

Dr. Bones For part 2, go to this link: http://www.doomandbloom.net/antibiotics-and-their-use-in-collapse-medicinetm-part-2/ 1. Carrolwidener says: March 28, 2012 at 10:48 pm how long could you store these say in pill bottles or food saver sealed up Reply 1. doomandbloom says: March 31, 2012 at 8:46 pm Hi Carrol, If they come in pill form, they will remain effective for 2-10 years beyond the expiration date, depending on the medication. This information is from the Shelf Life Extension Program study conducted on FEMA medications that were stored and had expired. Check out my article “The Truth About Expiration Dates” by accessing the Search feature in the upper right on the Doom and Bloom(tm) main page.

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Antibiotics And Their Use In Collapse Medicine(tm), Part 2

doomandbloom.net

November 30, 2011 Important Antibiotics in a Collapse Situation Hey Prepper Nation, One of the most common questions that I am asked from prospective survival medics is “What antibiotics should I stockpile and how do I use them?” There isn’t a short answer to this. Actually, there isn’t even a long answer to this, but anyone that is interested in preserving the health of their loved ones in a Doom and Bloom Antibiotics collapse will have to learn what antibiotics will work in a particular situation. This is part 2 of a series on the most important antibiotics to have in a collapse situation and how to use them. To read part one, click here. One thing that I didn’t mention in my last article is that antibiotics only work against bacteria. The common cold, influenza, and other infections caused by viruses. Don’t waste your precious supplies treating illnesses for which they will have no effect. More Antibiotics Last time we discussed Amoxicillin, certainly an important antibiotic for many purposes. What if you’re allergic to medications in the Penicillin family, however? Consider Ciprofloxacin (aquarium equivalent: FISH-FLOX). Ciprofloxacin is an antibiotic in the fluoroquinolone family. It kills bacteria by inhibiting the reproduction of DNA and bacterial proteins. This drug usually comes in 250mg and 500mg doses. Ciprofloxacin (brand name Cipro) can be used for the following conditions: · · · · · · · · ·

Bladder or other urinary infections, especially in females Prostate infections some types of lower respiratory infections, such as pneumonia Acute sinusitis Skin infections (such as cellulitis) Bone and joint infections Infectious diarrhea Typhoid fever caused by Salmonella Inhalational Anthrax

In most cases, you should give 500mg twice a day for 7-14 days, with the exception of bone and joint infections (4-6 weeks) and Anthrax (60 days). You can get away with 250mg doses for 3 days for most mild urinary infections. Generally, you would want to continue the medication for 2 days after improvement is noted. Ciprofoxacin has not been approved for use in pregnancy. Among other side effects, Cipro has been reported to occasionally cause weakness in muscles and tendons. Look other risks and side effects up at drugs.com or rxlist.com. Cipro may also cause joint and muscle complications in children, so it is restricted in pediatric use to the following: Page 1 of 3

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Urinary tract infections and pyelonephritis due to E. coli (the most common type) Inhalational anthrax In children, the dosage is measured by multiplying 10mg by the weight in kilograms (1 kg = 2.2 lbs.) and the maximum dose should not exceed 400mg total twice a day, even if the child weighs more than 100 pounds. Ciprofloxacin should be taken with 8 ounces of water. Another useful antibiotic in a collapse would be Doxycycline (veterinary equivalent: Bird-Biotic). Doxycycline is a member of the Tetracycline family, and is also acceptable in patients allergic to Penicillin. It inhibits the production of bacterial protein, which prevents reproduction. Doxycycline is marketed under various names, such as Vibramycin and Vibra-Tabs. Indications for Doxycycline include the following: · · · · · · · · · · · · · · ·

E. Coli, Shigella and Enterobacter infections (some diarrheal disease) Chlamydia (sexually transmitted disease) Lyme disease Rocky Mountain spotted fever Anthrax Cholera Plague (Yersinia) Gum disease (severe gingivitis, periodontitis) Folliculitis (boils) Acne and other inflammatory skin diseases, such as hidradenitis (armpits and groins) Some lower respiratory tract (pneumonia) and urinary tract infections Upper respiratory infections caused by Strep Methicillin-resistant Staph (MRSA) infections Malaria (prevention) Some parasitic worm infections (kills bacteria in their gut needed to survive)

In the case of Rocky Mountain spotted fever, doxycycline is indicated even for use in children for this illness. Otherwise, doxycycline is not indicated for use in children under the age of eight years. It has not been approved for use during pregnancy. Although antibiotics may be helpful in diarrheal disease, always start with hydration and symptomatic relief. Prolonged diarrhea, high fevers, and bleeding are reasons to consider their use. The risk is that one of the side effects of antibiotics is….diarrhea! The recommended Doxycycline dosage for most types of bacterial infections in adults is 100 mg to 200 mg per day for 7-14 days. For chronic (long-term) or more serious infections, treatment can be carried out for a longer time. Children will receive 1-2mg per pound of body weight per day. For Anthrax, the treatment should be prolonged to 60 days. To prevent malaria, adults should use 100mg per day. A working knowledge of antibiotic use is important for anyone that will serve as the medic for their survival group. Antibiotics are a weapon in your medical arsenal; use them wisely and frugally. I’ll discuss more medications in my next article. Here is Part 3: http://www.doomandbloom.net/antibiotics-and-their-use-in-collapse-medicinetm-part-3/ Dr. Bones 1. How to Use Antibiotics Effectively « thesurvivalplaceblog says: Page 2 of 3

May 11, 2014 05:39:58PM MDT


October 11, 2012 at 1:12 am [...] Antibiotics And Their Use In Collapse Medicine(tm), Part 2 One of the most common questions that I am asked from prospective survival medics is “What antibiotics should I stockpile and how do I use them?” There isn’t a short answer to this. Actually, there isn’t even a long answer to this, but anyone that is interested in preserving the health of their loved ones in a collapse will have to learn what antibiotics will work in a particular situation. This is part 2 of a series on the most important antibiotics to have in a collapse situation and how to use them. [...] Reply

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doomandbloom.net

December 2, 2011 Antibiotics and Preparedness Hey Preppers,

Storage of Antibiotics

Anyone that is interested in preserving the health of their loved ones in a collapse will have to learn what antibiotics will work in a particular situation. I have found that two additional antibiotics are available in aquatic equivalents. As such, I’ve chosen to discuss them in this part of the series. They are:

Clindamycin 150 mg. and Azithromycin 250mg. Azithromycin is a member of the macrolide (Erythromycin) family. It works by stopping the growth and multiplication of bacteria. it is used to treat various types of: Bronchitis Pneumonia Ear infections Skin infections Some throat infections Sinusitis Tonsillitis Typhoid fever Lyme disease (early) Chlamydia and Gonorrhea Whooping cough Azithromycin is taken 250mg or 500mg once daily for a relatively short course of treatment (usually five days). The first dose is often a “double dose,” twice as much as the remainder of the doses given. For acute bacterial sinusitis, azithromycin way be taken once daily for three days. If you are taking the 500mg dosage and have side effects such as nausea and vomiting, diarrhea, or dizziness, drop down to the lower dosage. Azithromycin is not known to cause problems in pregnant patients (pregnancy category B). Clindamycin is part of the family of drugs called lincomycin antibiotics. It, like Azithromycin, works by slowing or stopping the growth of bacteria. It works best on bacteria that are anaerobic, which means that they thrive in the absence of oxygen. It can be used to treat: Acne Dental infections Soft tissue (skin, etc.) Peritonitis (inflammation of the abdomen) Pneumonia and lung abscesses Uterine infections (such as after miscarriage or childbirth) Page 1 of 3

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Blood infections Pelvic infections MRSA (Methicillin-resistant Staph. Aureus infections) Parasitic infections (Malaria, Toxoplasmosis) Anthrax Clindamycin is given in 150mg or 300mg doses every 6 hours with a glass of water. Clindamycin should be prescribed with caution in individuals with a history of gastrointestinal disease, particularly colitis. Discontinue the medication if you develop diarrhea during treatment, as sometimes a very serious colitis (infection of the intestine) can develop. This drug is, like Azithromycin, pregnancy category B, which means that no ill effects have been determined in animal studies. With most drugs, testing cannot be done ethically on pregnant humans, so very few drugs are willing to say that any medicine is completely safe during pregnancy. Both Clindamycin and Azithromycin are acceptable for use in patients with Pencillin allergies. This is not to say that you might not have a different allergy to one or the other, however. Natural Alternatives to Antibiotics Don’t forget to consider natural alternatives which also have antibiotic-like effects, such as garlic and honey. These substances can be used on many infections with good results. See Nurse Amy’s article on natural burn remedies for an example on how to use honey for treatment. Use the search engine function on the upper left of this blog to find it. Keeping your loved ones healthy in a collapse will require some knowledge on stockpiled medicines, their uses, mechanism of action, risks, side effects, and other information. The survival medic should have references such as the Physician’s Desk Reference (comes out yearly), which has all of this information for just about every drug manufactured today. With this knowledge, you’ll succeed if everything else fails. Dr. Bones Here is part 2: http://www.doomandbloom.net/antibiotics-and-their-use-in-collapse-medicinetm-part-2/ Here is Part 4: http://www.doomandbloom.net/antibiotics-and-their-use-in-collapse-medicinetm-part-4/ 1. Heidi says: May 8, 2012 at 7:30 pm Hi there – and thank you for a great site! You wrote “Clindamycin is given in 150mg or 300mg doses every 6 hours with a glass of water.” I would like to know for how long you should typically continue the treatment? And would you say that a “normal” family without penicillin allergies should stockpile a wide vareity of antibiotics? Thanx from Heidi Reply 1. Dr Bones says: May 11, 2012 at 10:49 pm Page 2 of 3

May 11, 2014 05:41:35PM MDT


hi Heidi, Clindamycin is given for 7-14 days, dependent on the infection being treated. I believe that a variety of 4-5 different antibiotics would be wise to stockpile, as each antibiotic has illnesses it is best used for. See my 4-part series “Antibiotics and Their Uses in Collapse Medicine”, use the search function on the upper right of the main page. all the best, Dr. Bones Reply 2. Mary says: May 30, 2012 at 5:28 pm Hello!! I’m having trouble finding azithromycin but found a powdered erythromycin with 500 mg scoop…is this an acceptable substitute? Thank You!! Mary – CA Reply 1. Dr Bones says: May 30, 2012 at 6:51 pm Azithromycin and Erythromycin are both macrolide antibiotics, but their indications, dosage and usage are somewhat different. If you’re storing a powdered version, vacuum seal it. here’s a link to erythromycin indications and dosages: http://www.druglib.com/druginfo/erythromycin/indications_dosage/ I looked for aquatic azithromycin and found it on ebay and various other sites. Google “aquatic azithromycin”. Remember, these are for use in settings where there is no modern medical care available. Dr. Bones Reply

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doomandbloom.net

How to Stock Up on Antibiotics Hey Preppers, Anyone that is interested in preserving the health of their loved ones in a collapse will have to learn what antibiotics will work in a particular situation. It’s not enough to have a supply of the medication; you have to know how and when to use it. Even more importantly, it’s important to know when NOT to use it. This is part 4 and the final part, for now, of the series. In part 1, I listed the antibiotics that I would recommend in times of trouble, and their veterinary equivalents. They are: Amoxicillin 250mg AND 500mg (FISH-MOX, FISH-MOX FORTE) Ciprofloxacin 250mg and 500mg(FISH-FLOX, FISH-FLOX FORTE) Cephalexin 250mg and 500mg (FISH-FLEX, FISH-FLEX FORTE) Metronidazole 250mg (FISH-ZOLE) Doxycycline 100mg (BIRD-BIOTIC) Ampicillin 250mg and 500mg (FISH-CILLIN, FISH-CILLIN FORTE) Sulfamethoxazole 400mg/Trimethoprim 80mg (BIRD-SULFA) For your reference, Part 1 discussed Amoxicillin, which is somewhat similar to both Cephalexin and Ampicillin in its indications, dosage, usage, and risk of allergy. Part 2 discussed Ciprofloxacin and Doxycycline. Part 3 discussed Azithromycin and Clindamycin, two antibiotics that were not on the original list but were recently found to be available on some aquarium medication websites. Antibiotics: Metronidazole 250mg and Sulfamethoxazole Today we’ll discuss the last two on the list: Metronidazole 250mg and Sulfamethoxazole 400mg/ Trimethoprim 80mg. Metronidazole is an antibiotic in the nitroimidazole family that is used primarily to treat infection with anaerobic bacteria and protozoa. “Anaerobes” are bacteria that do not depend on oxygen to live. Protozoa have been defined as single-cell organisms with animal-like behavior. In other words, they can propel themselves from place to place by the means of a flagellum; a tail-like “hair” they whip around whch allows them to move. Only some protozoans are like this; some do not move at all, and it’s probable that some new terminology will come out someday that explains this group more efficiently. Metronidazole works by blocking some of the functions within bacteria and protozoa, thus, resulting in their death. It is probably better known by the brand name “Flagyl” and usually comes in 250mg and 500mg tablets. Metronidazole is used in the treatment of: Bacterial · Diverticulitis (intestinal infection in older individuals) · Peritonitis (infection due to ruptured appendix, etc.) · Some pneumonias · Diabetic foot ulcer infections Page 1 of 3

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· Meningitis (infection of the central nervous system) · Bone and joint infections · Colitis due to Clostridia bacterial species (sometimes caused by taking Clindamycin!) · Endocarditis (heart infection) · Bacterial vaginosis (common vaginal infection) · Pelvic inflammatory disease (“female”infection which can lead to abscesses) – used in combination with other antibiotics · Uterine infections (especially after childbirth and miscarriage) · Dental infections (sometimes in combination with amoxicillin) · H. pylori infections (causes peptic ulcers) · Some skin infections Protozoal · Amoebiasis: dysentery caused by Entamoeba species (contaminated water/food) · Giardiasis: infection of the small intestine caused by Giardia Species (contaminated water/food) · Trichomoniasis: vaginal infection caused by Trichomonas species which can be sexually transmitted Amoebiasis and Giardiasis can be caught from drinking what appears to be the purest mountain stream water. Never fail to sterilize all water, regardless of source, before drinking it. Treatment of the highly varied groups of illness above varies; here are the dosages and frequency of administration of Metronidazole for several: Amoebic dysentery: 750 mg orally 3 times daily for 5-10 days. For children, give 35 to 50 mg/kg/day orally in 3 divided doses for 10 days (no more than adult dosage, of course, regardless of weight). Anaerobic infections (various): 7.5 mg/kg orally every 6 hours not to exceed 4 grams daily Clostridia infections: 250-500 mg orally 4 times daily or 500-750 orally 3 times daily Giardia: 250 mg orally three times daily for 5 days. For children give 15 mg/kg/day orally in 3 divided doses (no more than adult dosage regardless of weight) Helicobacter pylori: 500-750mg twice daily for several days in combination with other drugs like Prilosec (Omeprazole) Pelvic inflammatory disease (PID): 500 mg orally twice daily for 14 days in combination with other drugs, perhaps doxycycline or azithromycin Bacterial Vaginosis: 500mg twice daily for 7 days. Trichomoniasis: 2 g single dose (4 500mg tablets at once) or 1 g twice total Like all antibiotics, Metronidazole has side effects which you can review by picking up a Physician’s Desk Reference or going to drugs.com or rxlist.com. One particular side effect has to do with alcohol: drinking alcohol on Metronidazole will very likely make you vomit. Metronidazole should not be used in pregnancy. Sulfamethoxazole 400mg/Trimethoprim 80mg is a combination of medications in the Sulfonamide family. This drug is well-known as its brand names Bactrim and Septra. Our British driends may recognize it by the name Co-Trimoxazole. Sulfamethoxazole acts as a false-substrate inhibitor of an important bacterial enzyme. Trimethoprim interferes with the production of folic aicd in bacteria, which is necessary to produce DNA. The two antibiotics together are stronger in their effect than alone, at least in laboratory studies. Sulfamethoxazole 400mg/Trimethoprim 80mg is effective in the treatment of the following: · · · Page 2 of 3

Some upper and lower respiratory infections (chronic bronchitis and pneumonia) Kidney and bladder infections Ear infections May 11, 2014 05:42:56PM MDT


· · · ·

intestinal infections caused by E. Coli and Shigella bacteria skin and wound infections, Traveler’s diarrhea Acne

The usual dosage is one tablet every 12 hours for most of the above conditions in adults for 10 days (less in traveler’s diarrhea). The recommended dose for pediatric patients with urinary tract infections or acute otitis media is 8 mg/kg trimethoprim and 40 mg/kg sulfamethoxazole per 24 hours, given in two divided doses every 12 hours for 10 days. This medication is contraindicated in infants 2 months old or younger. In rat studies, the use of this drug was seen to cause cleft palate anomalies. Sulfamethoxazole 400mg/Trimethoprim 80mg is well known to cause allergic reactions in some individuals. This frequency is almost as common as seen in Penicillin allergies. Some countries have reported a significant rate of resistance to this antibiotic. Armed with your Physician’s Desk Reference and the rest of your medical library, you’ll be able to use the antibiotics in this series of articles effectively to keep your family healthy in the event of societal collapse. Don’t, however, practice medicine in the here and now; it’s illegal without a license. Remember that the medical strategies and information we provide here and in other medical preparedness sites are only for information purposes, and do not constitute the practice of medicine or actual medical advice. The practice of holistic medicine involves physically seeing and examining your patient, and online diagnosis and treatment is not only unethical, but foolhardy. Dr. Bones 1. Kitty Smart says: January 7, 2013 at 8:17 pm This 4 part series is great! I have read other similar recommendations and some of the antibiotics can be deadly of taken after expiration. Unfortunately, if in a SHTF situation you might have expired meds. Which ones are the ones absolutely not safe to take after expiration and which are best case scenario after expiration? Also which have the longest shelf life and what can you do to extend it to the fullest? Reply 1. Dr Bones says: January 9, 2013 at 2:24 pm Hi Kitty, Tetracycline was once thought to be dangerous if expired, but they have changed the formulation some years ago and that is probably no longer the case. The cases reported of renal damage, etc. are all over 30 years old unless there have been some recent ones I don’t know about. Dr. Bones Reply

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Antibiotics and Their Use in Collapse Medicine v1

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