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  #11  
Old 02-13-2007
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Hellosailor - I hope I didn't mis-state my intent previous reply to your post - it is just that any medication powerful enough to make a difference will have powerful side effects and that this is why they need to be used with caution; so the list of "bad" aspects for any medication is going to be long and we could sit here all day and write about potential negative effects for just about everything.


I've got another meeting with a RYA-recommended GP next week, so I've added "Azithromycin" to the list. I checked my Amoxy, the lot was produced 10/2006 and it's labelled expiry is 09/2007 OTOH, I did work for a pharma company many years ago, and know that the labelled expiry dates are very, very conservatively calculated.
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Old 02-13-2007
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Appendicitis

The one main situation that bothers me is acute appendicitis. Studies have shown that medical treatment with a broad spectrum antibiotic (while not a substitute for surgey) has a good chance to give you enough time to get surgical treatment.
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Old 02-13-2007
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Ahh... Flamazine is the UK equivalent of Silvadene here.. and Co-dydramol is very similar to Tylenol 3 with codeine.

As for the anti-nasuea medication... did you inquire about Zofran transdermal patches???
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Old 02-13-2007
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Snider - I had the same worry, and mentioned it to the doctor when we were discussing the antibiotics for the list of medications. She was a very "proper" British lady and I was on my best formal behaviour as well. When she didn't reply directly to my question about what to do with a bout of appendicitis while 5 days from any help she didn't reply directly but her expression spoke volumes. In my best American idiom, I noted "In that case I'm screwed, aren't I?" and she laughed out load and nodded her head. then again, she doubled the amount of antibiotics she allocated to me, so my directness probably broke the ice

Sailingdog - I didn't inquire about "Zofran" patches; I didn't realize they existed!
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Old 02-13-2007
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Zanshin, she didn't offer you a prophylactic appendectomy?

No wonder they complain that British docs can't make any money, they just don't know how to sell up!
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Old 02-16-2007
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Here is a company that sells this stuff. I think the prices are a bit too high but it may prove to be a good place to start. I was going to take the list they sell to my doctor and see what he thinks. They also have some cool medical things like Marine Defibrillator Kits.

http://www.oceanmedix.com/
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I can heartily recommend the Silvadene cream-get a big tub of it. While it is effective on all levels of burns, your most likely usage would be for severe sunburn or scalding. It is easy to forget the level of incapacitation that a severe sunburn can cause. It was one of the most frequently used items in my medecine chest on merchant ships-who'd think there were so many ways to get burnt?
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Sailaway21 - the "Flamazine" creme is the UK equivalent of Silvadene. Even though I don't quite have a tub I am glad I have it. I also have a large amount of aloe vera cream for day-to-day sunburn care - a necessary thing as I'm fair-haired (or would be, if I had any left on top of my head) and fair-skinned.
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Old 02-16-2007
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Zanshin, howabout when you're through collecting all your medication for the trip that you compile a list for the rest of us to use/reference. Perhaps the forum Moderator could even put it in the "Sticky" group.
BTW, your medical list beats mine my a very big magine so sorry that I couldn't contribute any suggestion.
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Trantor,

I'm still working on this list. I am fairly certain that I can get EpiPens added and perhaps some alternatives to the antibiotics and antifungals and analgesics (I would like to get Percocet or the like, but will wait until I get to a country which hasn't made them illegal). I'll keep the board posted on additions. I'm also tempted to stop putting together the non-prescription components and first-aid supplies piecemeal, and at the moment this Marine 2000 kit looks like a good and complete deal.
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Last edited by Zanshin; 02-16-2007 at 06:40 AM.
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