My doctors basically have told me to rotate when the time is right but usually around 2 weeks or so. I have antibiotic dependent pouchitis which means if I go off for like 5-6 days things start to get really hairy. So I am on a permanent rotation since 1995. Along the way I made mistakes and learned from them. I should also note that with Cipro I get what I like to call “false start” fungal infections. I will feel itchy and maybe see a red patch in my armpits or on my legs and then it will be gone. Usually your body can fight it off. When I had the really bad fungal infection in 2010, coupled with a massive breakout of warts which are a viral infection of the skin, it was a perfect storm of factors:
1. 1000 mg Cipro daily and 1000 mg flagyl and no rotation for months- significant bacteria kill.
2. 9 mg entocort - further suppressing immune system
3. Fatigue/stress
4. Poor shower hygiene which I define as not using a blow dryer where the sun doesn’t shine and just toweling dry- that’s not gonna cut it when you are itchy.
Since I implemented assiduous antibiotic rotations, scrupulous showering hygiene, and started taking Remicade (which enabled me to cut dosages of antibiotics in half), I have had no fungal infections of any significance. If I see a red patch I douse with Zeabsorb AF powder and it’s done before it really started. It’s very rare I even see that now since lowering Cipro dosages after starting Remicade in 2015.
BTW any dermatologist can confirm a yeast infection in 30 seconds by scraping your skin and looking at it under a microscope. It’s like 7th grade biology class revisited. He confirmed mine on the spot.
You might want to get a scrip for Xifaxin. Always rotate into Xifaxin after cipro. It’s a no brainer. Xifaxin stays in your gut, it’s not systemically absorbed, so your skin bacteria can repopulate for 2-3 weeks and then you worry even less about fungal and viral skin infections such as yeast and warts, because the skin bacteria repopulate and crowd out the other less desirable microorganisms in your skin that cause the bad stuff when they overpopulate.