Relax Chris and get some sleep. 
Let us know what the results are tomorrow.
Let us know what the results are tomorrow.
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Ross
Well-known member
He shouldn't of had to stop taking Coumadin for an extraction. It's the antibiotic and poopie problem that's causing the high INR. Get it undercontrol and things will gradually get back in line. 6.4 is nothing to freak over. 10 or above, time to freak a bit.
lisou
Well-known member
Why was he taking antibiotics after the extraction, don't you usually have to take that 1 hour prior going to the dentist? Just curious!
Chris:
Clindamycin is notorious for causing diarrhea, which as several others have pointed out is what is causing the high INR.
I've seen the diarrhea problems in cats when they've been RXed clindamycin after dentals/extractions. I usually stop the clindamycin and go to another antibiotic. I haven't used it systemically myself, only topically.
Lisou:
Clindamycin is RXed for treating anerobic bacteria -- bacteria that don't need oxygen to thrive. It probably wouldn't be RXed for a surface wound, unless it because a deep one.
My guess is clindamycin was RXed to treat any possible bacteria at the extraction site.
Clindamycin is notorious for causing diarrhea, which as several others have pointed out is what is causing the high INR.
I've seen the diarrhea problems in cats when they've been RXed clindamycin after dentals/extractions. I usually stop the clindamycin and go to another antibiotic. I haven't used it systemically myself, only topically.
Lisou:
Clindamycin is RXed for treating anerobic bacteria -- bacteria that don't need oxygen to thrive. It probably wouldn't be RXed for a surface wound, unless it because a deep one.
My guess is clindamycin was RXed to treat any possible bacteria at the extraction site.
KristyW
Well-known member
Lisou,
If he had an underlying infection/abcess, then extraction and a course of anitbiotics is the standard protocol if saving the tooth is not paramount. Like Marsha said, clindamycin is prescribed for anerobic bacterial infections, and that's what infections of the teeth/jawbone usually are.
Chris,
Get Gary some yogurt and/or some acidopholous lactobacillius (spelling). They help repopulate the gut with the beneficial bacteria that the clindamycin wiped out. It may take a while, but it's worth it. As a matter of fact, I make sure I have yogurt on hand EVERY time I have antibiotics.
