by Rural Pharmacist, Survival Blog:
(Continued from Part 1. This concludes the article.)
My thoughts on the kit, it is a good grouping of valuable broad-spectrum antibiotics. I would like to store larger quantities. I think the kit could be purchased cheaper through a local Doctor/Pharmacy if available for you.
A good emergency antibiotic kit should include the previous mentioned drugs; Augmentin 500mg or 875mg, Azithromycin 250mg Z-pack, Ciprofloxacin 500mg tablets, Doxycycline 100mg, and Metronidazole 500mg.
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I would add:
Amoxicillin 500mg capsules; a broad-spectrum antibiotic, easier on the stomach than Augmentin, good for dental infections, and upper respiratory infections, pneumonia, usual dosage is 500mg 3 times a day for 10 days.
Clindamycin 150mg capsules; a gram negative, more specialized antibiotic if drugs like Amoxicillin fail. Good for bacterial infections, strep throat, dental infections, given with Quinine Sulfate for Malaria. Usual dosage is 150mg to 300mg every 8 hours for 10 days.
Cephalexin 500mg capsules: a good broad-spectrum antibiotic works well with skin infections, or wounds. A good follow up after a dose of IM Rocephin 500mg mentioned in Dr. Forgey’s kit. Bacterial infections dosage is 1000mg every 6 hours, strep throat 500mg every 12 hours x 10 days, UTI 500mg every 6-12 hours for 3-7 days, Skin/sutures infections 250mg to 500mg every 6 hours for 5-7 days.
Cefadroxil 500mg capsules or Cefdinir 500mg: A good substitute for Cephalexin, same indications, but dosed 500mg every 12 hours for 7-10 days, requiring less quantity for each round of therapy.
Topical antibiotics
No kit would be complete without a supply of topical antibiotics. Triple Antibiotic Ointment with pain relief is my go-to choice. It is OTC and cheap. An RX example of a topical antibiotic is Mupirocin 2% ointment, a good choice if a patient is allergic to Neomycin one of the ingredients in Triple Antibiotic Ointment. Dosage is 3 times a day for 7-14 days.
While Dr. Forgey recommended Tobramycin/Dexamethasone we use a lot of Neomycin/Polymyxin/Dexamethasone which comes in a 5ml suspension. Dosage in ears is 5 drops in affected ear(s) twice daily for 7-10 days, dosage for eyes: 1 to 2 drops in eye(s) every 4-6 hours x 5 days. It also comes in an eye ointment.
More Topicals:
Triamcinolone 0.1% cream & ointment; a good cheap all around steroid cream, not as strong as Dr’s recommended generic Topicort, but stronger than OTC Hydrocortisone 1%. Usual dosage is apply 3 times a day.
Clotrimazole/Betamethasone Cream; a good combination of antifungal and steroid cream, good to treat the common fungus associated with poor hygiene especially after the ‘crunch’. Usual dosage is twice a day for 2 weeks.
Nystatin cream and powder: Also good for yeast and fungus, apply 2-3 times daily
SSD 1% (Silver Sulfadiazine) Cream; The gold standard for 2-3rd degree burns, maybe one of the most important RX creams to have. Usual dosage is a thin layer (don’t rub in) applied twice a day.
Cyclobenzaprine 10mg tablets, Tizanidine 4mg tablets; These are RX muscle relaxers, usual dosage is 1 tablet 3 times a day. Anyone that works outside or lives on a farm knows how valuable these can be.
