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Clindamycin Root Canal

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Posted 8/29/2016 9:37 AM (GMT 0)
Hi there. Hoping MyUC or someone else might be able to assist.

Have had severe flares in my life but luckily in remission thanks to Immunomodulators.

Dentist wants to do root canal and use a topical Clyndamycin gel inside the tooth riot.

As old timers of the UC brigade would know, antibiotics are a big no-no.

I'm wondering about the absorption of the topical Clyndamycin and how that might relate to the exacerbating a flare.

If anyone has any similar experiences or advice I'd be grateful if you would please share it.

Cheers
Posted 8/29/2016 1:13 PM (GMT 0)
Is your tooth abscessed? I can't remember if they used this on me with my last root canal but I'm pretty sure I had some sort of anti-biotic when they had to cut away part of my gums to make room for a crown. My gum grew over a broken tooth and I had to wear a gum cast. I believe they used an anti-biotic and it didn't cause me any issues.
Posted 8/29/2016 2:13 PM (GMT 0)
I recently had a root canal done. I did take an antibiotic and much to my surprise, I did not have any UC issues at all.
Posted 8/29/2016 2:25 PM (GMT 0)
I would suspect a topical would have very little effect. How would it even affect you colon unless it was applied there.

Generally the antibiotic picture is more complicated than "big no-no." There is evidence some cases of UC appeared after chronic or massive antibiotic use. Mine did. There are accounts of people taking an antibiotic for sinus or such, and then having many more symptoms or even a flare start. I had that experience.

But some antibiotic therapies are use to try to put UC into remission, and other antibiotics are used to control c-diff in UC patients.

What we need is a list of antibiotics that general are inactive in the gut. I would love to have that list.

good luck
Posted 8/29/2016 4:05 PM (GMT 0)
Generally we try to limit our antibiotics as their usage can sometimes worsen our uc symptoms. Antibiotics don't always worsen our symptoms but certainly we're at increased risk. If we can safely avoid a course of antibiotics then it's often wise to do so. That said, sometimes antibiotics are just necessary, so we take them. Just make sure uc and perhaps an inquiry to your gastroenterologist are always part of the discussion whenever antibiotics come up from your dentist or any other MD. Properly weigh risk versus benefits and act on a case-by-case basis. Good luck,
Posted 8/29/2016 4:24 PM (GMT 0)
I know Clyndamycin is a big no-no for UCers, but, like iPoop said, you need to weight the risks vs. benefits.

I remember when my dermatologist prescribed something called Ziana for me. It's a Clyndamycin topical ointment for skin. The packaging said not to use if you have IBD. I called her to ask, and she said it was fine, but i wasn't comfortable with it, so I didn't use it.

I haven't seen MyUC around in a while. He did so well with Imuran (last i remember), he moved on with life. Happy that he has done so well. :)
Posted 8/29/2016 8:16 PM (GMT 0)
Thanks guys.

Still awaiting reply from my wonderful GI professor. Noticed in 'resources' pinned-post that there's a list of antibiotics approved for UC.

Can anyone explain where the list came from? I a be passed this on to dentist to see if a topical version of those can be used in preference to Clindamycin.
Posted 8/29/2016 8:39 PM (GMT 0)
You need something broad spectrum. Take the recommendation of your GI & Dentist. We are not doctors. I made that list and it's not saying those are OK for people with IBD. It's saying that those are drugs prescribed for treating IBD in some circumstances. Some are for C diff, some are for treating overpopulation of potentially bad bacteria.
Posted 8/29/2016 9:13 PM (GMT 0)
I was using Dalacin Topical clindamycin for 15 months before I got my UC diagnosis last month, I don't have a clue if it caused for certain but I certainly have my suspicions. It does say on the bottle that it's not to be used if you've got a Ibd.
Posted 9/1/2016 4:47 AM (GMT 0)
Yuk to clindamyacin, its evil. I had a tooth extraction and was given it by dentist and told to take to prevent infection. Being a good little patient, i followed his directions. Week later was diagnosed with Shingles and short time later UC. Will NEVER take this antibiotic again.
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