BCG / Antibiotic conflict.

[Roger]

Is there a list of antibiotics that may conflict with BCG treatments? I have a 7 day prescription for  Clindamycin which will overlap a BCG treatment. Does the antibiotic wind up in the urine and consequently the bladder?

Thanks

 

• This topic was modified 4 years, 2 months ago by Roger.

[Jack Moon]

Hi Roger

Below is an article from Dr Lamm who has studied BCG and is considered a world renowned expert regarding BCG.

http://www.bcgoncology.com/treatment/bcgInst.html

Paragraph 2 lists the antibiotics that may interfere with the performance of BCG treatments.

During my BCG treatments I had several bladder infections, I was usually prescribed Cipro, so if I did have an infection and was taking Cipro at the time, my BCG treatment was delayed 1 week

All the best,

Jack

• This reply was modified 4 years, 2 months ago by Jack Moon.

[Roger]

Thanks for the link, Jack. Unfortunately the way I read that is as a list of antibiotics suitable for treating a breakout infection of BCG. It may be the same thing as saying other antibiotics won’t interfere with a treatment but I will need to get this clarified.

FWIW if I find out otherwise I will get back to you. Unfortunately the “BCG section of Ask Dr. Lamm” seems to be inactive.

Roger

[marysue]

Hi Roger:

When I was doing BCG treatments I was told that if I needed an antibiotic for anything I was to check in with the clinic to let them know about it ahead of my next treatment.  I was told that antibiotics often kill the BCG because it is an attenuated bacteria and that is what antibiotics are designed to do – kill bacterial infections.  If this is the case it renders the treatment useless so it sometimes makes it necessary to postpone a treatment to deal with the other issue first. Delaying a treatment by a week or two doesn’t affect the outcome.

I’m not a doctor and someone can correct me if I’m wrong, but I’m of the understanding that a lot of prescription medications do end up in our blood stream and eventually make their way to our kidneys which means that residual meds will end up in our urine and bladder since urine is a byproduct of our kidneys filtration of our blood.

My recommendation would be to check in with your urologist or the clinic where you receive treatments to make sure that it would be okay to proceed with the next one while taking Clindamycin rather than rely on a list on a website.  Safety protocols with medications change all the time. I would still say the same for any other medications as well. Best Wishes going forward.  ((((HUGS))))

[Roger]

Thanks Marysue

Looks like that’s the route I’m going to have to go.

Roger

 

[marysue]

Hi Roger:

You’re welcome.  I’d say it’s better to be safe than sorry.  The docs have the inside track on drug info that we don’t.

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