There is a lack of accepted safety for use under medical supervision. official website and that any information you provide is encrypted We want to reduce traffic in your GI tract so that nothing else irritates them, says Taylor. Three fourths of the remaining 15 to 20 percent of patients have symptomatic diverticular disease with colicky abdominal pain but no inflammation. If youre breastfeeding your child, talk with your doctor before taking Augmentin. HHS Vulnerability Disclosure, Help The following list of medications are in some way related to or used in the treatment of this condition. Symptoms of an overdose of Augmentin can include: If you think you or your child has taken too much of this drug, call your doctor or seek guidance from the American Association of Poison Control Centers at 1-800-222-1222 or through their online tool. Cipro, This can cause dangerous side effects. Would you like email updates of new search results? Choksey R, Stead TS, Mangal R, Amatea J, Ganti L. Cureus. Laboratory studies and imaging can be used judiciously to confirm a diagnosis of diverticulitis and to exclude other potential causes of similar symptoms ( Table 2Table 2). CT-guided percutaneous drainage may be appropriate for small abscesses or while patients with sepsis are being stabilized for surgery.3,6. Multiple attacks can lead to progressive fibrosis and stricture of the colonic wall. 2022 Oct 15. doi: 10.1007/s00432-022-04405-3. Tylenol (acetaminophen) or a heating pad for abdominal pain. NuLev, Patients were seen again at between 4 and 7 days after starting treatment to confirm symptom improvement. FOIA These nonspecific symptoms overlap considerably with those of irritable bowel syndrome; disorders of inhibitory control of neuromuscular function may play a role in the development of both diseases.7. Patients often note that attacks are precipitated by eating. WebBackground: The American Academy of Pediatrics 2004 guidelines on diagnosis and management of acute otitis media (OM) recommends use of high-dose amoxicillin for the treatment of acute uncomplicated OM. Augmentin and amoxicillin are often used to treat similar types of infections. eCollection 2022 Jul. Symax SL, MRI is an alternative for pregnant and young patients ( 1 , 2 ). Steroids also may mask symptoms and delay appropriate therapy. 2006 Dec;80(6):369-72. doi: 10.1016/s0009-739x(06)70989-7. After a micro-perforation, infection generally is contained by pericolonic fat, mesentery, or adjacent organs, and a localized phlegmon occurs. Although barium enema was used commonly in the past, it is no longer recommended because of the risk of extravasation of contrast material if perforation has occurred. It can also interact with certain foods. Ann Med Surg (Lond). Co-trimoxazole, When Augmentin is dispensed from the pharmacy, the pharmacist will add an expiration date to the label on the bottle. Septra DS, The severity of the inflammatory and infectious processes, as well as the underlying health of the patient, determines the appropriate treatment for patients with diverticulitis. Learn about side effects, interactions, warnings, dosage, Augmentin, which is used to treat certain bacterial infections, can cause side effects. 2022 Aug 18;81:104431. doi: 10.1016/j.amsu.2022.104431. Expand current row for information about Cipro XR, Expand current row for information about Cleocin, Expand current row for information about Flagyl 375, Expand current row for information about Cleocin HCl, Expand current row for information about Cleocin Pediatric, Expand current row for information about Cleocin Phosphate, Expand current row for information about Septra, Expand current row for information about Co-trimoxazole, Expand current row for information about Septra DS, Expand current row for information about hyoscyamine, Expand current row for information about Sulfatrim Pediatric, Expand current row for information about Ed-Spaz, Expand current row for information about Hyosyne, Expand current row for information about Levbid, Expand current row for information about Levsin. The dosage depends on the condition being treated, its severity, and the age or weight of the child. Amoxicillin is a prescription drug for short-term treatment of certain bacterial infections. However, its used off-label to treat it. In addition, the Infectious Diseases Society of America does not recommend Augmentin for treating most cases of strep throat. Augmentin is a penicillin-type antibiotic. However, according to the American Academy of Pediatrics, Augmentin is not usually the first-choice antibiotic for treating ear infections in children. WebAmoxicillin doses in BNF Publications may differ from those in product literature. This date is typically one year from the date the medication was dispensed. 13 Sources. Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use in pregnant women despite potential risks. Main results: This means it works against many different types of bacteria. 2010 The Authors. WebTreatment consisted of oral antibiotics for 7 days (amoxicillin-clavulanic or ciprofloxacin plus metronidazole in patients with penicillin allergy). Duration of treatment for acute otitis media differs from product literature and adheres to national guidelines. For the treatment of adults with gonorrhea, the dose is 3 g given as one dose. The dry powder for the liquid suspension should also be stored at room temperature. Authors' conclusions: 13 Sources. WebFlagyl effectiveness for Diverticulitis (number of people): Overall: not at all: 0 somewhat: 12 moderate: 8 high: 18 very high: 2 Long Term: not at all: 0 somewhat: 2 moderate: 2 high: 0 very high: 0 Gender of people who take Flagyl for Diverticulitis *: female: 77.5 % male: 22.5 % Disclaimer. Int J Colorectal Dis. If you have unused medication that has gone past the expiration date, talk to your pharmacist about whether you might still be able to use it. The general and surgical management of these infections are discussed in detail elsewhere. Beta-lactamase-producing bacteria are resistant to amoxicillin. Augmentin pills should be stored at room temperature in a tightly sealed and light-resistant container. Surprisingly, misinterpretation of the influence of hypoalbuminemia on pharmacokinetics and the clinical effects of drugs seems to be a current problem, even though hypoalbuminemia has no impact on the pharmacologically active exposure. government site. By Sarah Bence. 1 Most are for acute respiratory infections, and in quantities several-fold more than recommended by Australian guidelines. Click here to learn more. You can take Augmentin on an empty stomach or with a meal. The purpose of such expiration dates is to guarantee the effectiveness of the medication during this time. Epub 2019 Jan 25. Otherwise, findings often are nonspecific and include small or large bowel dilation or ileus, or evidence of bowel obstruction. If infection is the cause, then you may have fever, nausea, vomiting, chills, cramping, and constipation. The 2015 American Gastroenterological Association (AGA) guidelines stated that clinicians must be selective in using antibiotics in patients in this subgroup of patients. Amoxicillin is an antibiotic that doctors prescribe to treat certain bacterial infections. The most common site is the sigmoid colon, although diverticula can occur throughout the large bowel, with right-sided disease being more common in Asians and in patients younger than 60 years.2,3 Vegetarians and others who consume large amounts of dietary fiber have a lower incidence of diverticula. 1. The Augmentin dosage your doctor prescribes will depend on several factors. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Diverticulitis: An Update From the Age Old Paradigm. Careers. Taking Augmentin with allopurinol (Zyloprim, Aloprim) might increase your risk of developing a skin rash. Amoxicillinclavulanic acid (Augmentin) is effective against both types of bacteria. Augmentin use can cause a brown, gray, or yellow staining of childrens teeth. Yes, Augmentin is an antibiotic in the class of penicillins. Studies in animals have not found any harm to the fetus when given to pregnant mothers. MeSH Because of this, NSAIDs and glucocorticoids should be used with caution in patients who have known diverticular disease. 2017 Nov 13;11(11):CD012137. Recalculated strength: 125 mg/ 5 mL = 25 mg/ 1 mL 150 mg/ 25 mg = 6 mL needed. Colovesical fistulas are the most common variety and require surgery for treatment. Augmentin tablets or powder and Augmentin XR should be stored in the original container at temperatures of 77 degrees F (25 degrees C) or less. Approximately 85 percent of patients with diverticula are believed to remain asymptomatic. Applies to the following strengths: 250 mg; 500 mg; 125 mg/5 mL; 50 mg/mL; Randomised controlled trials (RCTs), including all types of patients with a radiologically confirmed diagnosis of left-sided uncomplicated acute diverticulitis. Flagyl, Learn about uses, side effects, dosage, and. Available for Android and iOS devices. To learn more about other medications that may work well for you, talk to your doctor. 2009 Feb;32(2):83-7. doi: 10.1016/j.gastrohep.2008.10.005. Two authors performed the searches, identification and assessment of RCTs and data extraction. These usually go away on their own after a few days. Treat diverticulitis naturally and avoid surgery and antibiotics by following this regimen. eCollection 2022 Sep. Hawkins AT, Wise PE, Chan T, Lee JT, Glyn T, Wood V, Eglinton T, Frizelle F, Khan A, Hall J, Ilyas MIM, Michailidou M, Nfonsam VN, Cowan ML, Williams J, Steele SR, Alavi K, Ellis CT, Collins D, Winter DC, Zaghiyan K, Gallo G, Carvello M, Spinelli A, Lightner AL. However, your symptoms may not start to improve for a few days after that. 2012 Nov 14;11:CD009092. Cipro XR, For professionals: Intravenous antibiotics resolved the inflammatory process in both cases. Augmentin is taken two or three times daily. Luckily, you can use our Augmentin XR discount card and save significantly up to 80% off the retail price when purchased from participating pharmacies near you. Outpatient diverticulitis treatment with amoxicillin-clavulanate was “just as effective” as treatment with a combination of metronidazole and a Comparator and interventions included antibiotics compared to no antibiotics, placebo, or to any other antibiotic treatment (different regimens, routes of administration, dosage or duration of treatment). For the outcome of short-term complications there may be little or no difference between antibiotics and no antibiotics (RR 0.89; 95% CI 0.30 to 2.62; 3 studies, 1329 participants; low-certainty evidence). Amoxicillin is a beta-lactam antibiotic that has bactericidal activity against Gram-negative and Gram-positive bacteria. The last trial compared short to long intravenous administration of antibiotics and did not report any events for our primary outcomes. The approach to antimicrobial selection and administration for intra-abdominal infections in adults is discussed here. sharing sensitive information, make sure youre on a federal Augmentin is not FDA-approved for treating strep throat, which is also known as streptococcus pharyngitis. Uncomplicated diverticulitis has traditionally been treated with antibiotics, as diverticulitis has been regarded as an infectious disease. These include bacteria that cause: Augmentin comes in three forms, all of which are taken by mouth: Augmentin is available in a generic form. If you take it three times daily, spread out the doses so that theyre roughly eight hours apart. Some antibiotics, including Augmentin, might decrease how well oral contraceptives (such as the birth control pill) work. Some patients may complain of dysuria and frequency, reflecting what has been called sympathetic cystitis induced by bladder irritation from the adjacent inflamed colon. Prompt surgical consultation also should be obtained when there is evidence of abscess formation, fistula formation, obstruction, or free perforation. A tender mass may be palpable on physical examination. Amoxicillin is one of the most commonly prescribed antibiotics and is used to treat everything from bronchitis to pneumonia to ear infections, tonsillitis, and more. Different doses of this drug are used for animals than for humans, so dont try to treat your pet with a human prescription of Augmentin. FOIA With diverticulitis, an abscess may appear in the abdomen. The current stance of the Food and Drug Administration (FDA) is to avoid using expired medications. If you think your dog or cat has an infection, see your veterinarian for an evaluation and treatment. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. It's not clear yet if we can prevent diverticulosis or diverticulitis. This pain typically is colicky in nature, but can be steady, and often is relieved by passing flatus or having a bowel movement. 2021 Feb 24;2(2):CD003811. Symptomatic disease without inflammation is a diagnosis of exclusion requiring colonoscopy because imaging studies cannot discern the significance of diverticula. All rights reserved. Ninety-six patients were diagnosed with uncomplicated acute diverticulitis and 26 presented at least one criterion for admission. Brand names: Most patients with acute diverticulitis respond to conservative medical management, although 15 to 30 percent may require surgery during hospital admission because of lack of response to treatment or because of development of complications.18 Surgery typically is not indicated after an uncomplicated first episode because only 7 to 35 percent of patients experience a recurrent episode. E. coli . Flagyl IV, Treatment options may include antibiotics to treat any infection, pain relief medication, and dietary changes to help manage symptoms. Antibiotics, in the case of infection Liquid diets, colonic rest, antibiotics, hospitalization with intravenous (IV) antibiotics and nourishment, abscess drainage, and surgery may all be recommended to treat diverticulitis. Only three RCTs on the need for antibiotics are currently available. Because of the theoretic potential to exacerbate perforation, endoscopic examination is acutely contraindicated unless inflammatory bowel disease, ischemic colitis, or carcinoma is highly suspected.17 Colonoscopy always should be performed six to eight weeks after recovery from acute diverticulitis to exclude coexisting neoplastic disease. Never try to catch up by taking two doses at a time. Acute diverticulitis is a common manifestation of diverticular disease. But even if you do feel better, dont stop taking Augmentin. Participants all received either metronidazole-with To provide adequate coverage of gram-negative rods and anaerobic bacteria, patients with acute diverticulitis treated as outpatients should receive metronidazole (Flagyl) combined with a quinolone or with trimethoprim-sulfamethoxazole (Bactrim, Septra) or amoxicillin-clavulanate (Augmentin). Some of these uses are approved by the Food and Drug Administration (FDA) and some are off-label. Clipboard, Search History, and several other advanced features are temporarily unavailable. You might start to feel better before you finish your entire treatment. If you miss a dose, take it as soon as you can. Your pharmacist will determine the concentration of the suspension and the amount your child should take based on their doctors prescription. Heart failure: Could a low sodium diet sometimes do more harm than good? Amoxicillin-clavulanate (875mg/125mg) PO BID or amoxicillin-clavulanate extended release (1,000mg/62.5mg) PO BID or Moxifloxacin 400mg PO daily Duration of Free perforation with peritonitis is rare, but it carries a mortality rate as high as 35 percent and requires urgent surgical consultation. Rashes that develop several days after you take the medication and appear as flat, red patches often indicate a different kind of rash thats not caused by an allergic reaction. Augmentin side effects: What you should know. showall, Drug class: Careers. Prescribing Information, Generic name:sulfamethoxazole / trimethoprim systemic, Drug class: Epub 2020 Jul 18. Sulfatrim Pediatric Primary outcome measures were complications and emergency surgery. Admission was indicated in patients not able to tolerate oral intake and those with comorbidity or without adequate family support. Mild cases of diverticulitis are usually treated with antibiotics and a low-fiber diet, or treatment may start with a period of rest where you eat nothing by mouth, then start with clear liquids and then move to a low-fiber diet until your condition improves. Diverticulosis is a common disease among Western and developed nations. WebDiverticulitis is found among people who take Amoxicillin and clavulanate potassium, especially for people who are female, 60+ old, have been taking the drug fo Age of people who have Diverticulitis when taking Amoxicillin and clavulanate potassium *: 0-1: 0.0 % ; 2-9: 0.0 % ; 10-19: 0.0 % (the brand name). Sharing this information can help you avoid potential interactions. If your dog or cat eats your prescription Augmentin, call your vet right away. However, Augmentin XR should not be crushed. Common choices are metronidazole (Flagyl) plus a quinolone; metronidazole plus trimethoprim-sulfamethoxazole (Bactrim, Septra); or amoxicillinclavulanic acid (Augmentin). For this update, a comprehensive systematic literature search was conducted in Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, ClinicalTrials.gov and WHO International Clinical Trial Registry Platform on February 2021. PMC Cleocin, Another approach is to prescribe metronidazole (Flagyl, generic) for the anaerobes along with ciprofloxacin (Cipro, generic) or trimethoprim-sulfamethoxazole (Bactrim, generic) for the aerobes. 2012 Aug;16(4):301-7. doi: 10.1007/s10151-012-0847-0. [Applicability, safety and efficacy of an ambulatory treatment protocol in patients with uncomplicated acute diverticulitis]. Diverticulitis is a complication of the common condition, diverticulosis. Has a high potential for abuse. The usual adult dose of amoxicillin is 500mg every 8 hours or every 12 hours. Taking it with a meal may reduce stomach upset and help your body absorb the drug better. For severe infection, refer to severe secondary peritonitis. Nature's medicine is the fastest way to ensure your digestive tract gets proper cleansing and can rebuild itself with new walls. Risk Factors Risk factors for diverticulitis, however, may suggest that the condition is inflammatory rather than infectious which makes the use of antibiotics questionable. Antibiotics are sometimes used for treating certain types of acne. The mixed liquid suspension should be refrigerated. Has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions. Consensus guidelines6 recommend a high-fiber diet in these patients to prevent symptomatic diverticular disease, although there are no randomized controlled trials to support or refute this strategy. 2020 Oct;57(10):100862. doi: 10.1016/j.cpsurg.2020.100862. Laparoscopic versus open resection for sigmoid diverticulitis. Surgery may be required for patients in whom medical management is unsuccessful.6. Augmentin can cause mild or serious side effects. The Augmentin liquid suspension form may be used instead of the tablet for adults who have trouble swallowing pills. Both trials included few participants and one had overall high risk of bias. Accessibility But if you have a cough that doesnt go away and your doctor suspects its caused by a bacterial infection, they may consider treating you with antibiotics such as Augmentin. WebAmoxicillin with gentamicin and metronidazole Amoxicillin: 500 mg three times a day (increased to 1 g four times a day if severe infection) Gentamicin: Initially 5 to 7 mg/kg Although the sensitivity is excellent (97 percent), a normal CT does not preclude the diagnosis. Augmentin is commonly used in adults and children to treat infections of the urinary tract, respiratory tract, ear, sinuses, and skin. In patients with uncomplicated diverticulitis who are clinically stable and able to tolerate fluids, outpatient treatment with broad-spectrum antibiotics covering anaerobes and gram-negative rods is appropriate ( Table 3Table 36). If theyre more severe or dont go away, talk to your doctor or pharmacist. Rankings. If barium enema is performed, water-soluble contrast should be used. AHFS DI Monograph, Brand names: Authors of trials were contacted to obtain additional data if needed or for preliminary results of ongoing trials. In 2015, 30% of all patients attending a general practice received an antibiotic prescription. Applicability, safety and efficiency of outpatient treatment in uncomplicated diverticulitis. Liquid diets, colonic rest, antibiotics, hospitalization with intravenous (IV) antibiotics and nourishment, abscess drainage, and surgery may all be recommended to treat diverticulitis. Oral tablets and suspensions along with intravenous medications are available. The small bowel is affected most often, and obstruction usually is caused by adhesions. The three forms of Augmentin come in different strengths: For the strengths listed above, the first number is the amoxicillin amount and the second number is the clavulanic acid amount. Cleocin Phosphate Update on the Management of Irritable Bowel Syndrome, COVID-19 Pandemic, Response Increase U.S. Depression Rates More Than Threefold, Early Antacid Initiation for Reflux Raises Childrens Fracture Risks, Increased Risk of Kidney Stone Recurrence With Supplemental Calcium, Further Reduction of Low LDL Cholesterol Has CV Benefits Without Safety Concerns. This site needs JavaScript to work properly. Bookshelf Augmentin has not been studied enough in pregnant women to know for sure what effects it could have. Currently there is no medication available to prevent recurrence of diverticulitis. A total of 5ml Antibiotic therapy aimed at anaerobes and gram-negative rods is first-line treatment for diverticulitis. Morphine (Duramorph) should be avoided if possible because of its propensity to increase intracolonic pressure.3,10 Patients should improve within 48 to 72 hours, at which time the diet may be advanced cautiously. Nasogastric suction is not indicated unless there is significant ileus. Hematochezia is rare and should suggest other diagnoses.3. However, they dont interact with Augmentin. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 4. The presence of the pouches themselves is called diverticulosis. Fiber supplementation may prevent progression to symptomatic disease or improve symptoms in patients without inflammation. For most infections in adults the dose of amoxicillin is 250 mg every 8 hours, 500 mg every 8 hours, 500 mg every 12 hours or 875 mg every 12 hours, depending on the type and severity of infection. The objectives of this systematic review were to determine if antibiotic treatment of uncomplicated acute diverticulitis affects the risk of complications (immediate or late) or the need for emergency surgery. Abscess formation should be suspected when fever, leukocytosis, or both persist despite an adequate trial of appropriate antibiotics. In as many as 16 percent of patients with diverticular hemorrhage, bleeding may be the first sign of diverticular disease and is abrupt, voluminous, and painless in onset. Although computed tomography (CT) has been used commonly in the investigation of diverticular disease, the morphology of diverticular segments makes the diagnosis of underlying cancer difficult even with ideal technique.12 Consensus expert opinion recommends colonoscopy in all patients who present with symptomatic diverticular disease to exclude underlying neoplastic disease.6 CT colonography is a promising modality that may supplant colonoscopy once further data demonstrating its effectiveness are available. However, you may not notice improvement in your symptoms for a few days. Sarah Bence, OTR/L, is an occupational therapist and freelance writer. Examples of other drugs that may be used to treat urinary tract infection (UTI) include: Examples of other drugs that may be used to treat sinus infections include: Examples of other drugs that may be used to treat skin infections include: Examples of other drugs that may be used to treat ear infections include: Examples of other drugs that may be used to treat pneumonia include: Taking too much of this medication can increase your risk of severe side effects. 500ml 3 times a day for 10 days. Different drug interactions can cause different effects. The best choice of antibiotic may depend on your age, the type and severity of your infection, previous treatments youve used, and patterns of bacterial resistance in your area. The diagnosis and treatment of lower GI bleeds require a coordinated approach. Before The liquid suspension form of Augmentin is typically used for children. Its called a broad-spectrum penicillin. as other brand or generic, max 2 g/dose; if 90 mg/kg/day regimen and wt >40 kg, give 2000 mg/125 mg ER According to the Infectious Diseases Society of America, Augmentin is not a first-choice antibiotic for UTI. This list does not include all possible side effects. Would you like email updates of new search results? Results: The arrowhead sign consists of focal thickening of the colonic wall with an arrowhead-shaped lumen pointing to the inflamed diverticula ( Figure 2Figure 2).14 In one large prospective study,15 investigators demonstrated the ability of CT to accurately predict medical treatment failure or risk of complications by determining the presence of severe disease (abscess or extraluminal air or contrast). The suspension comes in different concentrations. Kim JY, Park SG, Kang HJ, Lim YA, Pak KH, Yoo T, Cho WT, Shin DW, Kim JW. Probiotics are live beneficial bacteria that balance out the unhealthy bacteria found in the gut. A systematic review and meta-analysis. However, animal studies dont always predict the way humans would respond. Three studies compared no antibiotics to antibiotics; all three were original RCTs of which two also published long-term follow-up information. Copyright 2023 American Academy of Family Physicians. The generic name of Augmentin is amoxicillin/clavulanate potassium. Metronidazole People with more severe disease, such as an abscess (pocket of infection) or pus that needs drainage, often need hospitalization for intravenous antibiotics. It may also be reserved for those who have had previous ear infections that were not effectively treated by amoxicillin. showall, For professionals: Individual patient circumstances and local resistance patterns may alter treatment choices. Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters). [Diverticulitis (acute)/diverticulosis of the colon]. Surgical consultation is indicated for disease that does not respond to medical management or for repeated attacks that may be less likely to respond to medical therapy and have a higher mortality rate. Antibiotics: choices for common infections. Raised, itchy, white, or red bumps that occur after the first couple doses of Augmentin may indicate an allergy to the medication. Flagyl has an average rating of 6.5 out of 10 from a total of 73 ratings for the treatment of Diverticulitis. 51% of reviewers reported a positive effect, while 19% reported a negative effect. 73 ratings from 80 user reviews. Compare all 20 medications used in the treatment of Diverticulitis. Please DO NOT take Flagyl. Objectives: A more recent article ondiverticular diseaseis available. By Sarah Bence. This antibiotic can cause such side effects as headaches, rashes, nausea and vomiting and restlessness. We comply with the HONcode standard for trustworthy health information. Patients with asymptomatic diverticulosis should eat a high-fiber diet to prevent symptomatic diverticular disease. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 3. If your doctor suspects that your infection may be resistant to amoxicillin alone, they may recommend Augmentin instead. This list does not contain all drugs that may interact with Augmentin. Immature band forms may be present. Typical findings include spiculation of the mucosa, spasm, abscess, or evidence of frank perforation. Its good for 10 days in the refrigerator. The clavulanic acid ingredient makes Augmentin effective against bacteria that amoxicillin or other penicillin drugs may not work against when theyre taken by themselves. Before taking Augmentin, talk with your doctor about any medical conditions you have. Uncomplicated diverticulitis has traditionally been treated with antibiotics, as diverticulitis has been regarded as an infectious disease. Right-sided pain, however, does not preclude diverticulitis because some patients have redundant sigmoid colons, and right-sided diverticula can occur, particularly in Asian populations. Expand current row for information about metronidazole, Expand current row for information about ciprofloxacin, Expand current row for information about Flagyl, Expand current row for information about Cipro, Expand current row for information about Bactrim DS, Expand current row for information about clindamycin, Expand current row for information about sulfamethoxazole / trimethoprim, Expand current row for information about Bactrim, Expand current row for information about Flagyl IV.