Typhoid Antibiotic Guidance:**
1. First-Line Treatment Options:**
- Cefixime 400mg** (preferred over amoxicillin in many regions due to resistance patterns)
- Azithromycin** (alternative for uncomplicated cases)
- Ciprofloxacin** (where resistance isn't prevalent)
2. Critical Considerations:**
- Never self-medicate** for typhoid - improper treatment can lead to complications or chronic carriage
- Diagnostic confirmation** is essential (blood culture/Widal test)
- Allergy alert:** Since you're allergic to paracetamol, fever management alternatives include:
* Tepid sponging
* Mefenamic acid (if no contraindications)
* Adequate hydration
3. When Hospitalization May Be Needed:**
- High fever persisting >72 hours
- Signs of complications (intestinal bleeding, altered consciousness)
- Severe vomiting/dehydration
Next Steps:**
1. **Immediate:**
- Get proper diagnostic testing
- Maintain oral rehydration
- Monitor temperature pattern
2. **Professional Evaluation Required:**
- Treatment duration typically needs 10-14 days
- Follow-up testing to confirm clearance
- Monitoring for complications
**Important Warning:**
Typhoid requires careful antibiotic selection based on:
- Local resistance patterns
- Disease severity
- Your medical history
For proper management, please consult immediately. You can reach me on WhatsApp at eight zero zero nine eight two one three three two for an urgent consultation.
Answered2025-04-01 08:34:03
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