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Re: The Infamous "Amoxil Rash"

I was following this string eagerly since I have very liberally re-
tried many "allergic" kids on the amoxil again in the practice I
inherited over the last 3 years.  I have not had one kid have any
recurrence of the rash or other problems.  I have however had a few
parents think I had lost my mind to suggest that they should try the
amoxil again, and one pharmacy refuse to fill a penicillin
prescription since they had it on file that the kid was "allergic".

My question to you all is: when have you felt it was NOT safe to
retry a child again?  Was it the type of rash/reaction (which is not
always remembered correctly anyway by parents), or the length of time
that has elapsed since the original incident, or the age of the
child?

Anyone have any bad outcomes?  Do you document in the chart that the
parent is agreeing to take this risk (along with yourself)?

Dianna Tolen, M.D.

Kids First Pediatric Care
Canfield, Ohio