Sunday, 23 October 2016

10:00 – Email from Brittany yesterday, CC’d to Jen. Like many preppers, with only a couple of weeks until the election, Brittany is trying to make sure she has all her ducks lined up.

She’s been reading about fish antibiotics, and wanted to know which specifically I’d recommend she buy RFN. With the usual disclaimer that I am neither a physician nor a pharmacist and so as an unqualified person all I can do is tell her what I would store in her place, I mentioned the following, assuming that neither she nor her family has any allergies to any of these antibiotics:

1. Doxycycline — probably the most flexible of readily-available broad-spectrum antibiotics. The usual adult course of treatment is one 100-mg tablet/capsule every 12 hours for a week to ten days, which means that a bottle of 60 tablets is 30 days’ worth, or three to four full courses. (For a dozen people, I’d keep 12 to 25 courses on hand.)

2. SMZ/TMP — another readily-available broad-spectrum antibiotic. The usual adult course of treatment is one 400/80-mg tablet every 12 hours for a week to ten days, which means that a bottle of 60 800/160-mg tablets is 60 days’ worth, or six to eight full courses. (For a dozen people, I’d keep 12 to 25 courses on hand.)

3. Metronidazole — another readily-available broad-spectrum antibiotic, which is also active against anaerobic bacteria and many protozoal pathogens. Although it varies with the disease being treated, the usual adult course of treatment is 2,000 to 4,000 mg total per day (at 7.5 mg/kg) divided into three or four doses for five to ten days, which means that a bottle of 60 500-mg tablets (30 grams total) is one to two full courses of treatment for a 150-pound adult. (For a dozen people, I’d keep 12 to 25 courses on hand.)

4. Ciprofloxacin — another readily-available broad-spectrum antibiotic. The usual adult course of treatment is one 500-mg tablet/capsule every 12 hours for seven to fourteen days, which means that a bottle of 60 500-mg tablets is two to four full courses. (For a dozen people, I’d keep 6 to 12 courses on hand.)

Although it’s harder to come by than the antibiotics listed above, I’d also want to keep a few courses of 875/125-mg amoxicillin/clavulanate on hand. Resistance to plain amoxicillin is now so widespread that many physicians treat it almost as a placebo, so don’t bother stocking it or other beta-lactam antibiotics.


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9 Responses to Sunday, 23 October 2016

  1. lynn says:

    First !

  2. Ed says:

    A quick update on the Aquabiotics fish pharm order I made a few weeks ago, for those interested in ordering.

    It was the 500mg Amoxicillin TO, and arrived promptly, and was Thai in origin. No refrigeration. The effectiveness seemed to be low – I resorted to more doses/ day than expected, but whether this was due to standard AB resistance or a weak dose I can’t say.

    I ordered more, for stocking up, and discovered an error in their database for me. Within a few minutes of an email to them it was corrected, the order filled, and my shipping and handling fee waived. Extraordinary service.

    The order arrived quickly, in a box, fully and securely packed (no rattling around) in bubble wrap, within was a zip lock bag, and within that each order was in its indivual packaging.

    Would, and did, buy there again.

  3. Dave Hardy says:

    ALERT! ALERT! ALERT!

    OFD is back on-site! Hide your womyn and chillunz!

    I’ll be catching up on reading here for a couple of days, so dangle loose, mes amis!

    Meantime, keep enjoying the fun pro-wrestling “election” show they’re putting on for us, complete with good guys and villains and bad words being thrown around. I’m stocking up on Moxie and pretzels accordingly.

  4. SteveF says:

    Hide your womyn and chillunz!

    If you want my wife, far be it for me to stop you. I might question your judgment, but I wouldn’t say a word to dissuade you. Er, except I just screwed that up. Dammit!

  5. SteveF says:

    Ha! Take a look at Drudge. Make it quick, before it’s taken down as an affront to all decency. Uh, and don’t have anything in your mouth when you look.

  6. Dave Hardy says:

    Just looked at Drudge; cleared out the strawberry ice cream from my mouth first, made sure I’d swallowed it all the way down first. Yikes. One horrifying pic and vid after another. The next President, probably, for a few months. And then we’ll have President Kaine. That should be a lotta boffo laffs, too.

    Coupla more weeks and the fun kicks in for real.

  7. MrAtoz says:

    You shouldn’t have said “swallowed” while looking at a Cankles pic, sir.

  8. Dave Hardy says:

    I swallowed the ice cream completely before even going to the Drudge site. And that nasty pic of that uber-nasty creature is still up. Matt Drudge is an evil man.

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