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prescribing Keflex with Allergy to PCN



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  #1  
Old Sep 11, 2005, 12:01 AM
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Join Date: Jul 2004
prescribing Keflex with Allergy to PCN

Hi

If a patient is allergic to penicillin, can a patient still be prescribed Keflex? Pharmacist tells me that patient cant take keflex due to allergy to PCN and a doctor who prescribed it tells me that unless a patient has a life threatening reaction to PCN, patient still can take Keflex. So which one is it?


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  #2  
Old Sep 11, 2005, 12:34 AM
JentheRN05's Avatar
Just Jen 2 U
Join Date: Aug 2005
My personal answer

I'm seriously allergic to PCN (anaphalactic shock type), yet I can still take Keflex. I don't know how this differs from one person to the next. I only can tell you my personal experience. I hope that helps.
Jen

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  #3  
Old Sep 11, 2005, 12:47 AM
Registered User
Join Date: Feb 2005

We had a surgeon who always ordered Keflex, even with PCN allergy.
He said that the were molecularly dissimilar enough not to cause a reaction.
Another surgeon put it better, why bother taking the chance when we have so many other meds.

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  #4  
Old Sep 11, 2005, 12:52 AM
sirI's Avatar
Iris backwards, Co-Administrator
Join Date: Jun 2005

I, too, prescribe Keflex to my PCN allergic patients. There is a cautionary issue and I weigh the benefits/risks beforehand....

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  #5  
Old Sep 11, 2005, 02:04 AM
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Join Date: Jul 2003

I too have a PCN allergy and had never been prescribed Keflex until once about 5 years ago, when I was told that there would be no problem. After the second dose I began to experience a precursor to anaphylaxis where my lips and tongue became alarmingly swollen, and I began to have difficulty breathing.

I ofcourse immediately discontinued the medication and required benadryl po for over a week before the swelling completely receded.

This was during a period of time when I found that a lot of providers were questioning claims of allergy. During that 2 year period I don't know how many times that I heard " So how do you know that you are allergic to PCN?" It seems that I heard it every time I saw a MD.

I

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