Popular antibiotic Amoxicillin could trigger harmful side-effects


 

Popular antibiotic Amoxicillin, prescribed for bacterial infections of the chest, urine or ear and dental abscesses, could be harmful, suggest medical researchers, while warning that the drug could lead to side-effects such as diarrhoea, rash, vomiting and the development of resistance.

Amoxicillin is commonly used to treat coughs accompanied by lower respiratory tract symptoms (LTRI), and since viruses are believed to cause most of these infections, even whether or not antibiotics — used against bacteria — are at all effective in treating these conditions is hotly debated.

In the study, 2,061 adults with acute uncomplicated LRTI from primary care practices in 12 European countries — including England, the Netherlands, Belgium, Germany, Sweden, France, Italy, Spain and Poland — were randomly assigned to receive either amoxicillin or a placebo three times a day for seven days. Doctors assessed symptoms at the start of the study and the participants completed a daily symptom diary, the journal Lancet reports.

Results showed there was little difference in severity or duration of symptoms reported between the two groups, even among older patients aged over 60 where antibiotics appeared to have a very limited effect, according to the Daily Mail.

More patients in the placebo group experienced new or worsening symptoms, 30 people needed to be treated to prevent one case of worsening symptoms, and just two patients in the placebo group and one in the antibiotic group required hospitalisation.

But the study also revealed that patients taking antibiotics reported significantly more side effects — including nausea, rash, and diarrhoea — than those given the placebo.

Paul Little, professor at the University of Southampton, said: “Patients given amoxicillin don’t recover much quicker or have significantly fewer symptoms. Using amoxicillin to treat respiratory infections in patients not suspected of having pneumonia is not likely to help and could be harmful.”

IANS

Indian Women Outdo Men in Smoking


An average Indian female smoker smokes more cigarettes a day than male, 7 as compared with 6.1. Further, an average Indian woman is taking up smoking at 17.5 years as against 18.8 years among men, as reported by Kounteya Sinha for TOI.  However, 21 percent Indian male tobacco users smoke daily as against only 3 percent of women. And almost half of Indian men (47.9 percent) aged 15 years and above consume tobacco.

Smokeless tobacco use is high among Indian men at 32.9 percent. Further, nearly 206 million Indians use smokeless form of tobacco (loose-leaf chewing tobacco and snuff). One in every five female tobacco users in India uses the smokeless form of tobacco as against one in 10 who smoke. These are the new numbers on global tobacco use, as published by the medical journal, Lancet.

It is noted that an average Indian smoker smokes two cigarettes a day. At 16.1 percent, men smoking bidis was common. The percentage of men who used both smoked and smokeless products was second highest in India at 9.3 percent.

China has the highest number of tobacco users (300.8 million), followed by India (274.9 million).

India has the most smokeless tobacco users at 205.9 million. The quit rate was noted to be low in India with less than 20 percent of adults who had ever smoked saying they had given up. China, Egypt, Russia and Bangladesh also have poor quit rates. Quit ratios were found to be highest in the UK, the U.S., Brazil and Uruguay, with over 35 percent of smokers saying they had stopped.

Dr K Srinath Reddy, president of Public Health Foundation of India told TOI “While tobacco use among men has dipped from 51 percent to 48 percent, it has actually doubled among women from 10 percent to 20 percent. Women and girls are the new target of tobacco companies. Increase of tobacco use among women is alarming. “

The study also revealed that manufactured cigarettes were favoured by most smokers (82 percent) overall, but smokeless tobacco and bidis were commonly used in India and Bangladesh. India recorded for 23 percent of men who were smokers during 2008-2010.

Further, with 6.1 mean cigarettes a day smoked, India showed the lowest figure among the 16 countries. At almost 33 percent, the country has the highest male smokeless tobacco users, just above Bangladesh (26.4 percent).