What is Clarithromycin?
Clarithromycin is a macrolide antibiotic tablet. Macrolides are used to treat a variety of bacterial infections, including pneumonia, tonsillitis and sinusitis. These antibiotics are also used to treat sexually transmitted infections, and skin conditions like impetigo.[1]
Impetigo is a contagious skin infection that usually starts with red sores and blisters. When the blisters burst, they can leave crusty patches (often golden-brown coloured) on your skin that appear stuck-on. The patches can sometimes get bigger and spread to other parts of your body.[2]
How does Clarithromycin work?
Impetigo is a bacterial infection, and the two types that normally affect people are non-bullous impetigo (the most common type) and bullous impetigo. Because the condition is highly contagious, it can affect anyone, although it’s typically children that are the most likely to develop it.
Macrolide antibiotics work by stopping the bacteria that causes infection to spread.
Non-bullous impetigo usually causes red sores around the nose and mouth, but it can also spread to other parts of the face and sometimes limbs. When the sores burst, they leave behind small crusts (that often look like cornflakes) on the skin. Usually, the sores are more irritating than they are painful. Scratching them can spread the infection, both around your body and to others. The time it takes for the sores to heal without treatment can vary from a couple of days to several weeks.
Symptoms of bullous impetigo are slightly different from the more common non-bullous strain. It can cause bullae, which are blisters filled with fluid, in the middle of your body and sometimes on the arms and legs. The blisters can spread fast, and are often painful. Bullous impetigo can also cause fever-like symptoms, and swollen glands.[3]
Clarithromycin should work within 5-7 days. As your infection starts to clear, you should see the sores begin to heal. Impetigo doesn’t usually cause long-term scarring.
What doses of Clarithromycin are there?
There are two doses of Clarithromycin available: 250mg and 500mg. The usual dose for treating skin infections is two 250mg tablets a day. People often take one in the morning, and another in the evening. A routine like this means you’re less likely to forget a tablet, or take more than you need.
If a clinician thinks your infection is severe, it might be recommended you switch doses and take two 500mg tablets a day. This is usually in cases where the regular 250mg tablets aren’t enough to clear your impetigo completely.
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