Newsletter. Azithromycin (Zithromax) is an antibiotic that's used to treat a variety of bacterial infections in adults and children. Azithromycin is a commonly prescribed antibiotic that belongs to the class of macrolide antibiotics. It is widely used in the treatment of various bacterial infections in both adults and children.DESCRIPTION. Sulfamethoxazole and trimethoprim is a synthetic antibacterial combination product available in DS (double strength) tablets, each containing 800 mg …Get the right antibiotics, if you can't afford to fix the tooth, have it extracted soon after you get the antibiotics. Some dentists will work with you on extractions when you have no insurance. I think mine is like $135 without insurance. ... Can the h49 pill take away the pain from a toothache. Votes: +0. JO. Joamenda2 8 Oct 2018. Yes or no ...That tool is doxyPEP, an antibiotic that works like a morning-after pill — but instead of preventing pregnancy within hours of unprotected sex, it prevents STIs like chlamydia and syphilis. Ever ...Enter the imprint code that appears on the pill. Example: L484; Select the the pill color (optional). Select the shape (optional). Alternatively, search by drug name or NDC code using the fields above. Tip: Search for the imprint first, then refine by color and/or shape if you have too many results. 1. Penicillins. Another name for this class is the "beta-lactam" antibiotics, referring to their structural formula. The penicillin class contains five groups of antibiotics: aminopenicillins, antipseudomonal penicillins, beta-lactamase inhibitors, natural penicillins, and the penicillinase resistant penicillins. Septra Generic name: sulfamethoxazole and trimethoprim (oral) [ SUL-fa-meth-OX-a-zole-and-trye-METH-oh-prim ] Brand names: Septra, Septra DS Drug class: …Enter the imprint code that appears on the pill. Example: L484; Select the the pill color (optional). Select the shape (optional). Alternatively, search by drug name or NDC code using the fields above. Tip: Search for the imprint first, then refine by color and/or shape if you have too many results. Antibiotics, such as amoxicillin with clavulanic acid (Amoclav), macrolides, or tetracyclines, can help treat COPD exacerbations. They work by killing the bacteria that cause symptoms. Keep ...diarrhea caused by taking antibiotics; or. food or drug allergies (especially to a cephalosporin antibiotic such as Omnicef, Cefzil, Ceftin, Keflex, and others). It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Amoxicillin can make birth control pills lessAntibiotics help treat many ailments — These medications are prescribed for bacterial infections internally as well as on the surface of a dog’s body. Common antibiotics include amoxicillin and cephalexin — There are several common antibiotic treatments for urinary tract infections (UTIs), skin infections, and ear and eye infections. …Metronidazole is an antibiotic that may be used to treat certain infections of the vagina, stomach, liver, skin, joints, brain and spinal cord, lungs, heart, or bloodstream. Metronidazole has been approved to treat: Symptomatic trichomoniasis (a sexually transmitted infection) in adults that has been confirmed by culture or wet smear testSep 20, 2023 · Fluoroquinolone antibiotics can cause serious or disabling side effects that may not be reversible. Ciprofloxacin should be used only for infections that cannot be treated with a safer antibiotic. Warnings. Ciprofloxacin can cause serious side effects, including tendon problems, nerve damage, serious mood or behavior changes, or low blood sugar. H49 Pill is an antibiotic combination of Sulfamethoxazole 800 mg and Trimethoprim 160 mg. which works by inhibiting the growth of any bacteria and ultimately …An antimicrobial is an agent that kills microorganisms (microbicide) or stops their growth (bacteriostatic agent). Antimicrobial medicines can be grouped according to the microorganisms they act primarily against. For example, antibiotics are used against bacteria, and antifungals are used against fungi. They can also be classified according to ...Bactrim Generic name: sulfamethoxazole and trimethoprim [ SUL-fa-meth-OX-a-zole-and-trye-METH-oh-prim ] Brand names: Bactrim, Bactrim DS Drug class: …Adults—1 tablet (DS tablet) of 800 milligrams (mg) of sulfamethoxazole and 160 mg of trimethoprim, 2 tablets of 400 mg of sulfamethoxazole and 80 mg of …H49 Pill is an antibiotic combination of Sulfamethoxazole 800 mg and Trimethoprim 160 mg. which works by inhibiting the growth of any bacteria and ultimately …Enter the imprint code that appears on the pill. Example: L484; Select the the pill color (optional). Select the shape (optional). Alternatively, search by drug name or NDC code using the fields above. Tip: Search for the imprint first, then refine by color and/or shape if you have too many results. The pill imprint "H 49" is identified as Sulfamethoxazole (800 mg) + Trimethoprim (160mg). You didn't specify the color or shape of the pill, but this one happens to be white and oval shaped. Sulfamethoxazole + Trimethoprim is a sulfonamide antibacterial combination that is used in the treatment of a variety of bacterial infections.seizure (black-out or convulsions). Less serious penicillin V side effects are more likely to occur, such as: nausea, vomiting, stomach pain; vaginal itching or discharge; headache; swollen, black, or "hairy" tongue; or. thrush (white patches or inside your mouth or throat). This is not a complete list of side effects and others may occur.Mar 31, 2023 · Both antibiotics also cross the placenta and are excreted in human milk. Bacterial resistance is less likely to develop with the combination of sulfamethoxazole and trimethoprim than if either ingredient (sulfamethoxazole or trimethoprim) is taken alone. Jun 3, 2021 · Sulfamethoxazole and trimethoprim, given at a common clinical dosage, increased the phenytoin half-life by 39% and decreased the phenytoin metabolic clearance rate by 27%. When administering these drugs concurrently, one should be alert for possible excessive phenytoin effect. Methotrexate. Avoid concurrent use. Augmentin (amoxicillin and clavulanate) is an antibiotic used to treat bacterial infections, such as sinusitis, pneumonia and bronchitis. Includes Augmentin side effects, interactions and indications. ... Store the tablets at room temperature away from moisture and heat. Store the liquid in the refrigerator. Throw away any unused liquid after ...This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim.It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and ... Antibiotic resistance can develop if an antibiotic is overused. If a bacteria becomes resistant to an antibiotic, that antibiotic (and often others like it) will be less able to cure an infection. Although there may be second- and third-line treatments available, those medications can cause serious side effects, such as organ failure and ...Skipping a dose of an antibiotic allows the level of the medication in your bloodstream to drop off, which can set back your recovery. You'll also give the microbe more of a chance to develop immunity to the antibiotic [source: Brody ]. The good news is that if you miss just one dose, medical experts say you probably won't be hurt too much.Takeaway. Combining alcohol and antibiotics can increase your chance of developing side effects. It’s best to wait until you’re done with your antibiotic course before you have an alcoholic ...Fluconazole side effects. Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).. Fluconazole may cause serious side effects. Call your doctor at once if …An antibiotic is a type of antimicrobial substance active against bacteria.It is the most important type of antibacterial agent for fighting bacterial infections, and antibiotic medications are widely used in the treatment and prevention of such infections. They may either kill or inhibit the growth of bacteria. A limited number of antibiotics also possess …Official answer by Drugs.com From the 2015 Sexually Transmitted Disease (STD) guidelines, the CDC recommends treatment for a gonorrhea-chlamydia coinfection …a seizure; hearing problems (rare); pancreatitis - severe pain in your upper stomach spreading to your back, nausea and vomiting; or. liver problems - loss of appetite, stomach pain (upper right side), tiredness, easy bruising or bleeding, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).diarrhea caused by taking antibiotics; or. food or drug allergies (especially to a cephalosporin antibiotic such as Omnicef, Cefzil, Ceftin, Keflex, and others). It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Amoxicillin can make birth control pills lessFlucloxacillin is an antibiotic. It's used to treat: skin and wound infections. bone infections ( osteomyelitis) ear infections in children. Flucloxacillin is only available on prescription. It comes as capsules or as a liquid that you swallow. It can also be given by injection, but this is usually done in hospital.Your dose will depend on the infection you are treating. Vaginal infections are often treated with only one pill. For other infections, your first dose may be a double dose. Carefully follow your doctor's instructions. You may take Diflucan with or without food. Shake the oral suspension (liquid) before you measure a dose. Use the dosing ...Antibiotics are too safe. Most antibiotics, particularly ones like penicillin and cephalexin, are very well tolerated. Adverse events are rare, and are fairly minor — diarrhea and allergies are the principal side effects. Thus there is little incentive to minimize either the dose or the duration of antibiotic treatment, and few trials are ...Cipro is a fluoroquinolone (flor-o-KWIN-o-lone) antibiotic that fights bacteria in the body. Cipro is used to treat different types of bacterial infections. Cipro is also used to treat people who have been exposed to anthrax or certain types of plague. Fluoroquinolone antibiotics can cause serious or disabling side effects that may not be ...Mar 31, 2023 · Official answer. From the 2015 Sexually Transmitted Disease (STD) guidelines, the CDC recommends treatment for a gonorrhea-chlamydia coinfection with azithromycin ( Zithromax) 1 gram given orally in a single dose, plus ceftriaxone ( Rocephin) 250 mg given intramuscularly as first-line therapy. As dual therapy, ceftriaxone and azithromycin ... Levofloxacin is an antibiotic that that may be used to treat different types of bacterial infections. Levofloxacin may also be used to treat people who have been exposed to anthrax or certain types of plague. ... You may take levofloxacin tablets with or without food. Take levofloxacin oral solution (liquid) on an empty stomach, at least 1 hour ...Sulfamethoxazole and trimethoprim is a combination antibiotic used to treat ear infections, urinary tract infections, bronchitis, traveler's diarrhea, shigellosis, and …Uses. This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory ... Store the tablets and capsules at room temperature away from moisture, heat, and light. Detailed Keflex dosage information. ... antibiotics for tooth infection include: Amoxicillin, Penicillin, Cephalexin, Clindamycin, Azithromycin. Amoxicillin is often the first choice because it is widely effective and has the fewest gastrointestinal side ...Enter the imprint code that appears on the pill. Example: L484; Select the the pill color (optional). Select the shape (optional). Alternatively, search by drug name or NDC code using the fields above. Tip: Search for the imprint first, then refine by color and/or shape if you have too many results. That tool is doxyPEP, an antibiotic that works like a morning-after pill — but instead of preventing pregnancy within hours of unprotected sex, it prevents STIs like chlamydia and syphilis. Ever ...An antibiotic is a type of antimicrobial substance active against bacteria.It is the most important type of antibacterial agent for fighting bacterial infections, and antibiotic medications are widely used in the treatment and prevention of such infections. They may either kill or inhibit the growth of bacteria. A limited number of antibiotics also possess …Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Pill with imprint H 48 is White, Round and has been identified as Sulfamethoxazole and Trimethoprim 400 mg / 80 mg. It is supplied by Aurobindo Pharma. Cipro is a fluoroquinolone (flor-o-KWIN-o-lone) antibiotic that fights bacteria in the body. Cipro is used to treat different types of bacterial infections. Cipro is also used to treat people who have been exposed to anthrax or certain types of plague. Fluoroquinolone antibiotics can cause serious or disabling side effects that may not be ...Cephalexin is the generic name for the medication commonly known as Keflex. Keflex is a brand name for cephalexin, which belongs to the class of antibiotics called cephalosporins. Both cephalexin and Keflex refer to the same medication with the same active ingredient. Keflex (cephalexin) can be an effective treatment option for certain types of ...This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim.It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and ... Oregano ( Origanum vulgare) is an herb used to make oil of oregano, which has antioxidant, anti-inflammatory and antimicrobial properties. Oregano oil health benefits include fighting bacterial infections, fungal infections, digestive problems, inflammatory conditions and tumor growth.No, H49 pills (Sulfamethoxazole/Trimethoprim) can not be used for toothache. It is an antibiotic which is used to treat bacterial infections and is not a …Fluconazole side effects. Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning eyes, skin pain, red or purple skin rash with blistering and peeling).. Fluconazole may cause serious side effects. Call your doctor at once if …Enter the imprint code that appears on the pill. Example: L484; Select the the pill color (optional). Select the shape (optional). Alternatively, search by drug name or NDC code using the fields above. Tip: Search for the imprint first, then refine by color and/or shape if you have too many results. Probiotics can also help restore the gut bacteria after antibiotics. 2. Eat fermented foods. Certain foods can also help restore the gut microbiota after damage caused by antibiotics. Fermented ...This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and... Pill Identifier Results for h49 Print "h49" Pill Images Showing closest matches for " h49 ". Search Results Search Again Results 1 - 1 of 1 for " h49" 1 / 3 H 49 Sulfamethoxazole …Feb 1, 2024 · redness, swelling, or soreness of the tongue. seizures. soreness of the muscles. stiff neck or back. stomach tenderness. swelling of the face, hands, legs, and feet. unsteadiness, trembling, or other problems with muscle control or coordination. weakness in the hands or feet. weakness or heaviness of the legs. President Biden said Americans can soon order more free at-home COVID-19 tests, and free pills for treating COVID will be available too. By clicking "TRY IT", I agree to receive ne...Store the tablets and capsules at room temperature away from moisture, heat, and light. Detailed Keflex dosage information. ... antibiotics for tooth infection include: Amoxicillin, Penicillin, Cephalexin, Clindamycin, Azithromycin. Amoxicillin is often the first choice because it is widely effective and has the fewest gastrointestinal side ...topiramate (Topamax, Qudexy XR) felbamate (Felbatol) oxcarbazepine (Oxtellar XR, Trileptal) and barbiturates like phenobarbital. Some HIV medications, such as efavirenz, protease inhibitors, or antiviral boosters may also affect birth control effectiveness. Two small studies suggest that St. John's wort can induce liver enzymes, which may ...By the end of 2020, the fast food chain plans to have gotten most of its beef suppliers to stop using antibiotics on their animals. The biggest single purchaser of beef on the plan...Enter the imprint code that appears on the pill. Example: L484; Select the the pill color (optional). Select the shape (optional). Alternatively, search by drug name or NDC code using the fields above. Tip: Search for the imprint first, then refine by color and/or shape if you have too many results. Enter the imprint code that appears on the pill. Example: L484; Select the the pill color (optional). Select the shape (optional). Alternatively, search by drug name or NDC code using the fields above. Tip: Search for the imprint first, then refine by color and/or shape if you have too many results. This means Augmentin is a better choice for some infections, while amoxicillin is better for treating others, and either can be used in some cases. The antibiotic a healthcare provider prescribes will depend on the type of bacteria and illness being treated (like a urinary tract infection, for example).SMZ-TMP DS . Generic Name: sulfamethoxazole and trimethoprim (SUL fa meth OX a zole and trye METH oh prim) Brand Name: SMZ-TMP DS What is SMZ-TMP DS? SMZ-TMP DS (sulfamethoxazole and trimethoprim) is a combination antibiotic used to treat ear infections, urinary tract infections, bronchitis, traveler's diarrhea, shigellosis, and Pneumocystis jiroveci pneumonia. FAQ. Antibiotics work by killing bacteria and preventing them from multiplying. Common antibiotics include gentamicin, cephalexin, ertapenem, erythromycin, ciprofloxacin, and metronidazole. They ...Apr 2, 2021 · What pill has h49 on it? sulfamethoxazole 800 mg-trimethoprim 160 mg tablet This medicine is a white, oval, scored, tablet imprinted with “H 49”. What is sulfamethoxazole trimethoprim 800 160 mg used for? Aug 23, 2023 · low blood cell counts - fever, chills, mouth sores, skin sores, easy bruising, unusual bleeding, pale skin, cold hands and feet, feeling light-headed or short of breath. Common Septra side effects may include: nausea, vomiting, loss of appetite; or. skin rash. This is not a complete list of side effects and others may occur. Official answer. Sulfamethoxazole/TPM would be ineffective against gonorrhoea and chlamydia. Chlamydia is caused by the bacteria Chlamydia trachomatis. Chlamydia can be treated with a variety of antibiotics, including azithromycin, tetracyclines, quinolones, and erythromycin. Gonorrhea is caused by the bacteria Neisseria gonorrhoeae.Amoxicillin Pill Images. Note: Multiple pictures are displayed for those medicines available in different strengths, marketed under different brand names and for medicines manufactured by different pharmaceutical companies. Multi-ingredient medications may also be listed when applicable.Apr 28, 2022 · What is pill white oblong 513? Please make sure your description is complete and accurate. There is an elliptical/oval white tablet with 'par' on one side and '513' on the other. If that sounds like your pill, the drug could be Minocycline hydrochloride 100 mg, which is used to treat acne and bacterial infections. Most antibiotics will come with an expiration date between 2 and 3 years from the date of manufacture. To maximize the shelf-life of your medications they should be stored in air-tight containers in a cool, dry environment. Under proper storage conditions antibiotics, expiration dates can be extended for a minimum of an additional 5 years. ...low potassium level - leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling. Side effects on the kidneys may be more likely in older adults taking this medicine. Common vancomycin side effects may include:Antibiotics are powerful medicines used to treat certain illnesses. However, antibiotics do not cure everything, and unnecessary antibiotics can even be harmful. There are 2 main types of germs that cause most infections. These are viruses and bacteria. Antibiotics cannot kill viruses or help you feel better when you have a virus.According to drugs.com, it is not advisable to drink alcohol while taking Prednisone, one of the more commonly prescribed oral steroids. Many drugs can interact with Prednisone, in...There are numerous alternatives to eye surgery for glaucoma that you may want to try out first—especially considering the sometimes prohibitive eye surgery costs. These include eye...Bactrim is considered safe enough for dogs (when it’s used responsibly). Vets prescribe this antibiotic for various infections, but a diagnosis is an absolute must. You must be very familiar with side effects. And monitoring of your dog is essential while they are on this prescription and never, ever administer your own supply of Bactrim.Jan 25, 2024 · In order to take an antibiotic, you first need to get a proper diagnosis that your toothache is a symptom of a bacterial infection. Even in that case, H49 pills are not suitable. If you have a toothache, talk to your dentist. It is not recommended to start taking antibiotics for toothache without even knowing the exact cause of it. Doxycycline is an antibiotic that may be used to treat a wide range of infections caused by susceptible gram-negative, gram-positive, anaerobic, and other bacteria. Doxycycline is derived from oxytetracycline which was first manufactured in the 1950s and works by inhibiting bacterial protein synthesis by binding to a ribosomal …There are several antibiotics that kill the common mouth bacteria that cause tooth infections. The best (first-line) antibiotics for tooth infection include: Amoxicillin, Penicillin, Cephalexin, Clindamycin, Azithromycin. Amoxicillin is often the first choice because it is widely effective and has the fewest gastrointestinal side effects.Call your doctor to receive medical advice. If you think you may have a medical emergency, please dial 911." "Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in ...FAQ. Antibiotics work by killing bacteria and preventing them from multiplying. Common antibiotics include gentamicin, cephalexin, ertapenem, erythromycin, ciprofloxacin, and metronidazole. They ...
Apr 28, 2022 · What is pill white oblong 513? Please make sure your description is complete and accurate. There is an elliptical/oval white tablet with 'par' on one side and '513' on the other. If that sounds like your pill, the drug could be Minocycline hydrochloride 100 mg, which is used to treat acne and bacterial infections. . Hyde park prime steakhouse
What pill has 255 on it? Pill with imprint 255 is White, Elliptical / Oval and has been identified as Carvedilol 6.25 mg. It is supplied by Solco Healthcare U.S., LLC. Carvedilol is used in the treatment of left ventricular dysfunction; high blood pressure; heart failure; angina and belongs to the drug class non-cardioselective beta blockers.Zithromax (azithromycin), also known as Z-Pak, is an antibiotic used to treat bacterial infections by inhibiting the growth of bacteria in the body. A Z-Pak is typically taken over a five-day course to treat infections such as bronchitis, pneumonia, and infections of the ears, lungs and other organs. First approved by the FDA in 1991 to treat ...H49 pill belongs to a class of medications called sulfonamides. It works by stopping the growth of bacteria. Antibiotics will not kill viruses that can cause colds, flu, or other viral infections. Introduced in 1968, …Antibiotics or antimicrobial drugs are effective medications for the treatment of bacterial infections in horses. Common equine infections requiring antibiotics include infected skin wounds and abscesses, pneumonia, infectious diarrhea, cellulitis, peritonitis and more. Many antibiotics have broad-spectrum action meaning they act against many …These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication. Major: Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. Moderate Common side effects of cefdinir may include: nausea, vomiting, stomach pain, diarrhea; vaginal itching or discharge; headache; or. rash (including diaper rash in an infant taking liquid cefdinir. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.Antibiotics are used to treat or prevent some types of bacterial infection. They work by killing bacteria or stopping them from growing. Antibiotics are usually prescribed as tablets or capsules that you swallow. Take your GP's advice on when to use antibiotics. Antibiotics do not work for viral infections.Bactrim Generic name: sulfamethoxazole and trimethoprim [ SUL-fa-meth-OX-a-zole-and-trye-METH-oh-prim ] Brand names: Bactrim, Bactrim DS Drug class: …Levofloxacin is an antibiotic that that may be used to treat different types of bacterial infections. Levofloxacin may also be used to treat people who have been exposed to anthrax or certain types of plague. ... You may take levofloxacin tablets with or without food. Take levofloxacin oral solution (liquid) on an empty stomach, at least 1 hour ...Antibiotics or antimicrobial drugs are effective medications for the treatment of bacterial infections in horses. Common equine infections requiring antibiotics include infected skin wounds and abscesses, pneumonia, infectious diarrhea, cellulitis, peritonitis and more. Many antibiotics have broad-spectrum action meaning they act against many …This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and...A 45 Pill - blue & pink capsule/oblong, 23mm . Pill with imprint A 45 is Blue & Pink, Capsule/Oblong and has been identified as Amoxicillin Trihydrate 500mg. It is supplied by Aurobindo Pharma. Amoxicillin is used in the treatment of Bacterial Infection; Bacterial Endocarditis Prevention; Anthrax Prophylaxis; Actinomycosis; Lyme Disease, Neurologic …Zithromax (azithromycin), also known as Z-Pak, is an antibiotic used to treat bacterial infections by inhibiting the growth of bacteria in the body. A Z-Pak is typically taken over a five-day course to treat infections such as bronchitis, pneumonia, and infections of the ears, lungs and other organs. First approved by the FDA in 1991 to treat ...DESCRIPTION. Sulfamethoxazole and trimethoprim is a synthetic antibacterial combination product available in DS (double strength) tablets, each containing 800 mg …Oct 1, 2023 · Does hydrocodone pills have H49 imprinted on them? No, it's sulfamethoxazole a antibiotic. What doesH49 oval white pill for bacterial infections treat? This means Augmentin is a better choice for some infections, while amoxicillin is better for treating others, and either can be used in some cases. The antibiotic a healthcare provider prescribes will depend on the type of bacteria and illness being treated (like a urinary tract infection, for example).That tool is doxyPEP, an antibiotic that works like a morning-after pill — but instead of preventing pregnancy within hours of unprotected sex, it prevents STIs like chlamydia and syphilis. Ever ....