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Do you have to taper off Vancomycin? ALSO does Vanco treat other issues?

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Crohn's Disease
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Posted 5/19/2015 3:05 AM (GMT 0)
I have been on Vancomycin 250mg 4x per day for about 30 days for Cdiff. Today is my last day. My GI didn't tell me to taper off, but I have read online that people taper off of it. Is that always necessary?

Also, as some of you know, I have been having severe rectal pain for the past couple months. Since I've been on the Vanco, the pain has lessened a bit. My GI kept me on Vanco because the pain has gotten better since I've been taking it, but my CRS said the Vanco had nothing to do with my rectum feeling better. Keep in mind, neither Dr know what's going on with me. I did not have any D before I developed cdiff and then I only had it for a couple days until the Vanco kicked in.

So my question is, could the Vanco have anything to do with my rectal pain feeling better? I am getting 2 different opinions from my doctors.
Posted 5/19/2015 4:04 AM (GMT 0)
I am not sure about the rectal pain, but I only tapered off vanco when I hit my 5th or so bout of c. diff. Before that, they would have me just stop. I think the taper was to allow the good bacteria to have a bit easier time growing back before the vanco disappeared from killing the c. diff. I am totally guessing on that reasoning, though.
Posted 5/19/2015 12:41 PM (GMT 0)
I took Vanco for a month for c.diff and my doc didn't have me taper. Unless your rectal pain is being caused by an ongoing bacterial infection (which I doubt) then Vanco is probably not going to be responsible for making it better.
Posted 5/21/2015 2:33 AM (GMT 0)
Not necessary to taper - is this your first time with c diff?

I have had c. diff 3 times now and they are now making me taper (was on your dosage for 7 weeks, then 3 for a week, 2 for a week, 1 for a week and now I am taping 1 every day for a while haha)


If within about 6-8 weeks your c diff symptoms re-appear they may choose to put you on a dose that tapers at the end but otherwise you should be good! The first time I had it I was only taking vanco twice a day for two weeks and it disappeared completely.
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