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Question answered:20/03/08
We found no specific advice commenting on the acceptability of lymecycline in place of penicillin in asplenia patients.
ATTRACT (the Welsh equivalent of the NLH Q&A Service) answered a related question in 2003. This included a table of alternates to penicillin.
To answer your question requires expert input and we can suggest two places:
1) The Centre for Infections (based at the Health Protection Agency) has an on-call doctor who should be able to advise, their number is 020 8200 4400
2) A specialist medicines information unit.
In the case of a local specialist medicines unit, we can forward your question to your local centre. If you would like us to do so, can you let us know via ‘Contact us’ (http://www.clinicalanswers.nhs.uk/index.cfm?action=contact)
Reference
1) http://www.attract.wales.nhs.uk/question_answers.cfm?question_id=1176
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