Thank you(!), Annette, for posting a rational response. Obviously the only problem with MOST meds is that they gradually lose potency, and the printed expiration date is not a magical transition point into badness -- newer meds are generally more potent; that is a reason ordering them sent through the mail can be a good idea, if you can get them from someplace that ships the product straight out from the assembly line. As you point out, discoloration is something to watch for, in meds as for vitamins and foods, and proper storage makes a lot more difference than calendar time. Even fairly new stuff can go off if it hasn't been stored properly, especially with regard to temperature and humidity. However, in any specific case under consideration, one always has a nagging suspicion that any particular item might be an exception to the general guidelines insofar as it might undergo some chemical transformation other than just reduction of potency.
Common current clinical practice is to promptly use antibiotics empirically in patients who demonstrate a fever or a change in sputum character. Such therapy should be directed against streptococcal species, Haemophilus species and Moraxella catarrhalis . Local resistance patterns in these organisms to ampicillin and other first-line antibiotics, such as tetracyclines (including doxycycline), trimethoprim-sulfamethoxazole (Bactrim, Septra, etc.) and the second-generation macrolides, guide initial therapy. All of these agents generally have good activity against these lower respiratory pathogens and penetrate well into bronchial tissues.
Hey, great list!
I don’t use them personally, but I train with a few women who do. I’ve noticed some of the side effects and they’ve mentioned it too.
But I didn’t know what to look for and how many alternatives there were – so while I’ll probably still choose not to use any (my goals are just to stay active), I’ll pass this along to my friends who want different results than I do. Maybe it’ll help them make some good choices, or to switch to something with fewer (or no) side effects.