Home | Help | Contact Us

MALE QUESTIONNAIRE - PAGE 7(c)  You are on page 7(c) of 9 >     This section deals with prescription antibiotic use. Please note specifics in the box below. 805.  Have you taken tetracyclines (Sumycin, Panmycin Vibramycin, Minocin) in the last 5 years? No / don't know For 1 month 1 to 2 months 2 to 3 months 4 months or longer 806.  Have you taken other broad-spectrum antibiotics for urinary, respiratory or other infections within the last 5 years? Examples include Ciprofloxacin and levofloxacin. No / don't know One course under 2 months One course 2 months or longer Two courses in a single year Three or more courses in a single year 807.  Are you currently using prescription antibiotics, antifungals, antivirals or other drugs to kill/control organisms? If so, please answer this question and then list them in the box below. "Short term" is considered roughly 2 weeks or less. No Short term current use for a known infection Short term current use for a suspected infection Current use of 2 weeks to 3 months Current use for longer than 3 months Add any additional information here for the questions above: Please mention the question number(s) if possible.     GLOSSARY Antifungal (Antifungals) An agent that kills or inhibits fungi, or a compound that inhibits either a dermatomycosis like ringworm or athlete's foot, or one that inhibits Candida albicans either externally as a douche or internally as a systemic antifungal. Examples: Nystatin, griseofulvin, Tabebuia.

Home | Help | Contact Us Design by: RoyalWebHosting.com