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Sep 11, 2005, 12:01 AM
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prescribing Keflex with Allergy to PCN
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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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Sep 11, 2005, 12:34 AM
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Just Jen 2 U
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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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Sep 11, 2005, 12:47 AM
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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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Sep 11, 2005, 12:52 AM
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Iris backwards, Co-Administrator
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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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Sep 11, 2005, 02:04 AM
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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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