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Dublin: 10 °C Thursday 20 June, 2013

Taking antibiotics for colds and flu is pointless – pharmacists

Pharmacists have warned that overuse of antibiotics is a major public health threat – and that we could eventually run out of effective antibiotics.

Image: Triff via Shutterstock

PHARMACISTS HAVE WARNED that overuse and misuse of antibiotics is creating a major public health threat which could mean we eventually run out of effective antibiotics to treat infections.

The head of the Irish Pharmacy Union said today that people who take antibiotics for colds, coughs, sore throats or sinus infections are putting their future health at risk by not realising that antibiotics are useless for treating the minor ailments.

“Lots of people don’t understand when it’s appropriate to take antibiotics and when it’s not,” said Rory O’Donnell, the president of the IPU.

“Antibiotics are a precious medicine designed only to be used for infections caused by bacteria,” he said. “Unfortunately, antibiotics are the only medicine in which widespread use decreases their effectiveness so taking them for the wrong reason or taking them incorrectly allows bacteria to develop resistance against antibiotics”.

His comments were backed up by the HSE which is running a campaign telling people that there’s no point in taking antibiotics for colds or flu.

One in four people in a HSE-commissioned survey believed that antibiotics could prevent colds from developing into more serious illnesses or help to speed up recovery.

Dr Fidelma Fitzpatrick, a consultant microbiolgist, warned that antibiotics have transformed modern medicine when it comes to treating bacterial infections, but that they were in danger of being taken for granted.

“Before antibiotics were available, common injuries such as cuts and scratches that became infected sometimes resulted in death or serious illness because there was no treatment available,” she said. “Thankfully this does not happen anymore as we have antibiotics available to treat these infections”.

She said that a “casual attitude to antibiotics” is damaging their effectiveness and warned that it could lead to a return to a pre-antibiotic era.

Read: One in 20 patients has hospital acquired infection >

Read: Gonorrhoea hits highest rate ever recorded in Ireland >

Read: Group wants increase in number of medicines available without prescription >

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Comments (41 Comments)

  • Hot whiskey with a lemon slice!

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  • Hang on a min… Aren’t antibiotics only available on prescription?

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    • Yup. But some mothers won’t leave the GPs without an antibiotic for their precious little kids who have nothing more than a common cold.

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    • And then don’t finish the doses out, which is akin to child abuse and wonder why the antibiotic doesn’t work the next time and blame the medical staff for not curing the darlings faster.
      If you’re gonna ask for an a/b the least you can do is finish the course out as directed.

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    • Barry 21/11/12 #

      Ok, so its the fault of the Doctors/GP’s not the pharmacists.

      Should Doctors not be pushing this home in a big way?

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    • The doctors are but as a previous commenter said, some insist on a prescription before leaving the surgery. I heard of 1 doctor who prescribed sugar pills instead, amazing what the placebo effect will do

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    • You Know what.. I think its more to do with paying 50 – 60 euro to see a doctor just for him to look at you for 5 mins and then say go home take some paracetamol and rest. you’ll be fine. There is defiantly a need to feel you are getting something for your hard earned monies.

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    • A bruised ego is no reason to take an antibiotic though

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    • @Simon I work in the UK where treatment is free and people still try to insist on antibiotics. I spend a lot of time explaining why they aren’t necessary for viral illnesses, even print the local guidelines with references for them and they still go to other doctors to get their antibiotic fix. Some cave in, so.e don’t

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    • I hate this idea that people are demanding them from powerless doctors. The doctors wouldn’t just accede to ‘demands’ if the patients walked in asking for morphine or valium. They can and should refuse to prescribe them. They are the ones with medical degrees, not the patients.

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  • the ones that are poppin em are getting them for nothing. if it was 100 euro a shot they wouldn’t be so quick.

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    • John F 21/11/12 #

      Ah ye the good old medical card!! But to be fair it does cost 50c per prescription now!:-) Everyone I know with a medical card has either a whole draw or cabinet dedicated to their accumulated prescriptions, they could flog the stuff and make a fortune, a lot of them probably do!

      Reply
  • My mother is the worst for taking antibiotics for the smallest little thing. I’m sure they just have a placebo effect on her at this stage.

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  • i don’t think it should be up to the general public to know when to take antibiotics. we don’t make the decision to take them. the doctors make the decision to dole them out. it angers me to here the same people again and again on antibiotics and the only common denominator is the doctor they go to not the ailment they have. the should be some sort of a track on the amount of antibiotics a doctor is prescribing. it’s not good enough to pay fifty euros and a doctor to be doing more harm than good

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    • As has been pointed out above Marie, doctor constantly tell people not to take antibiotics unless they can do some good. But there are some parents who insist on getting a prescription from the doctor because they’ve paid fifty euro, even though the doctor can tell them over and over again that it will do nothing for the illness.

      I saw the reverse once with a member of my family who came back from the doctor with nothing because her child had a severe cold and was giving out hugely because the doctor wouldn’t give her a prescription.

      What are doctors supposed to do in these circumstances?

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    • Good point. I believe that all doctors should be obliged to complete a record of the types and amount of antibiotics being prescribed and the illness that they are being prescribed for. This should be Inputted into a national database. This would allow the tracking of there use.
      The advent of MRSA and other superbugs can be linked to the overuse of antibiotics.

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    • Sheelah 21/11/12 #

      The fact that some people do not understand that antibiotics are not a cure for all ailments does not mean that doctors ought to prescribe them. The problem with colds is that they last a week if you take cold remedies, and if you take nothing they last 7 days. If you have a cough, you may need something to help it go but other than that, time is the only thing that actually heals.

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  • It’s not just patients demanding them..

    I had a massive argument with my GP about 10 years ago because she kept insisting upon prescribing antibiotics when a) they weren’t helping the problem and b) I had expressed concern about the frequency at which they were being prescribed and was told not to be “silly”.

    According to this doctor there was no reason to question being put on erythromycin for a week every month (guess she doesn’t understand the intestinal floras role in immunity), and she was quite peeved that I dare question her authority..

    Obviously not all doctors are like this, but some are a little too used to people always trusting that “doctor knows best”.. I wonder would she still try to push antibiotics on me now that the HSE has been running these campaigns for a decade (they were running them while this was going on too!)

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  • Eat oranges and take rubex everyday, problem prevented!!

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  • Darren 22/11/12 #

    Doctors need to grow a backbone and refuse to prescribe antibiotics if they’re not needed. Too afraid of receiving complaints. I don’t prescribe them unless needed and frequently educate patients about overuse.

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  • jn 21/11/12 #

    My 7 moth old had fever for a few days( no other symptoms ) and I brought her to my gp, she says ears are fine, throat and lungs fine, could be bladder infection…. Prescribed antibiotics. After talking to my mom and husband decided not to give it to her and couple of days latter no more fever!

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  • Considering the only way you can get antibiotics is through a doctors prescription it would suggest that most GP’s are misdiagnosing people or just being lazy to keep patients happy and also get a nice little back door commission from the drug firms for recommending their drug. No surprise there, I’ve always thought GP.s are a bit of an overpriced joke. If you go to them and they don’t get it right and you have to go bak you have to pay again…….eh not in my book sonny! And their prices apparently are still largely the same as they were in the Celtic tiger. I say apparently as I don’t go.

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  • DUUUUUUUUUUUUUHHHHHHHHHHH

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  • I have asthma all my life and my doctor has messed up many times and if ended up in a terrible state , years ago a doctor added extra tablets to my already reg meds .. After a week i ended up in hospital for 5 weeks I’d been taken tablets containing the same stuff that could have killed me. Doctors are human to and can make mistakes .. .. I’ve 2 sons 17 and 20 I’ve rarely taken them to the doctors one has never had doctor or over the counter meds except an odd pain killer and the other has only had meds on a few occasions. My boys are big and healthy and in the long run I think it will be better for them not to be fill with pills for every little thing .. . We are all to quick to run the doc .. People need to let ur bodies do their jobs and let it fight things and build up a defence .. As for antibiotics for colds that is madness waste of time and money .

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  • i’m asthmatic and a lot of the time a cold for me turns into a chest infection. last time i delayed starting anti-biotics i had to be put on steroids and go into a&e. i think i’ll stick to what i know…as soon as cold gets chesty augmentin!

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    • @abi am asthmatic too, recently tried to fight off a sinus infection without an antibiotic, now on an ab along with a steroid :-( never again!

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    • I too have chronic asthma. When I get a cold, you know what I do? Take my preventer inhaler twice a day and my reliever 4 times a day. I drink lots of fluids and stay warm.

      If it spreads to my chest (and I can tell after 22 years of chronic asthma) I head to my doc, who gives me the once over and then, only if he deems it appropriate, prescribes me antibiotics. THAT’S how it’s supposed to go. I can pretty much self-diagnose at this stage, but I wouldn’t dream of self medicating with antibiotics.

      If every cold you get turns into a chest infection, perhaps it’s time to speak to an asthma nurse to help you manage your condition better.

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    • Yeah, but you guys are hardly the norm. You’s have underlying medical problems. It’s not the same thing.

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    • How can anyone self medicate, antibiotics are on prescription only? The whole thing is a money racket to be honest! Doctors bill, antibiotic when you need them, and I trust the doc to only prescribe when necessary. the preventative inhaler is nearly 100 quid a pop! I’m keeping someone in luxury :-)

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    • Dearbhla, my beclazone preventer (steroid) is €38. Yes, it is expensive and yes, it sucks asthma is not recognised as a Long Term Illness (for me and you it clearly is). But that’s just how it is. Take the meds, you don’t get sick as often or for as long.
      And I know people who got a tub of antibiotics over the counter in Spain (you can also get inhalers over the counter there FYI) and they dose their kids with them when they have an ear infection etc.

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    • If people were taking their ‘controller’ inhaler everyday as prescribed, and perhaps steroid nasal sprays too for people with concurrent rhinitis (very common in asthmatics) there would be a lot less of these infections.
      So many asthmatics just use the ventolin too much.

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  • Was just waiting on the “get vaccinated instead”

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  • Actually, for an individual, antibiotics are advisable, because they treat or preemptively prevent secondary bacterial infections such as pneumonia. Antibiotic resistance is a problem, but on a global population level, and there is evidence that disease works like a system in equilibrium, so that over prescription in one area results not so much in superbugs (most resistant strains are very very weak, and pose treaths mainly to prison and nursing home situations that are poorly managed) but in increases in other bacterial infections as the ecosystem if you will, reverts to a new equilibrium. And this in turn can be treated by antibiotics and public health measures.

    Essentially, this kind of story is all about saving money, not about proper public health. I worked in anti microbial resistance screening in the us and have read hundreds of journal articles over the years. There is always an agenda, and suppression of data occurs very frequently.

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    • As confident in your opinion as you seem to be, it’s not true. It’s a scientifically proven fact that overuse of antibiotics leads to more resilient bacteria and the antibiotic in question becomes defunct. There are only so many antibiotics that we can develop. If they continue to be misused, either by doctors doling them out for minor (and often non-bacterial) illnesses, or worse still, people not finishing their course when they are prescribed them, we will have a big problem on our hands.

      It’s got nothing to do with saving money.

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    • In my years on this planet with all it’s germs and bacteria out to get me I’ve never had antibiotics, I guess I’m lucky to be alive. in all fairness allot of the people in the US need a pill to start the day so I’m not surprised you have gone over to their way of thinking. I’ll stick with my immune system until it needs help when I get old.

      Reply

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