Reply to "what meds work best?"

Jan DollarModerator, RN, retired

Scott is correct. Antibiotics do not cause C. difficile. However, they facilitate the infection. C. difficile is an opportunistic pathogen that causes a colitis-like infection when the normal flora is reduced because of antibiotics. The C. difficile flourishes in the absence of the competing normal bacteria.

This is why avoiding antibiotics is best if your can. Flagyl is safer than Cipro, but there are C. diff strains that are resistant to it. There are even strains resistant to Vancomycin, which is supposed to be the main treatment.

As for my pouchitis, I have had good luck with Remicade + Imuran.

Jan

4/25/212:07 AM

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