A patient reports increased pain and swelling one week after implant surgery, still taking Amoxicillin. What is a possible option for changing antibiotics?

In this scenario, the patient's increased pain and swelling one week post-implant surgery, despite being on Amoxicillin, suggests that the infection may not be adequately controlled or that the bacteria causing the infection may be resistant to Amoxicillin. Each of the options provided can be relevant in managing the situation.

One option is to switch from Amoxicillin to Augmentin, which contains amoxicillin and clavulanate. This combination can help combat bacteria that produce beta-lactamase, making it effective against a broader spectrum of pathogens that could be contributing to the patient's infection.

Another possibility is to introduce Flagyl (metronidazole) alongside the continued use of Amoxicillin. Metronidazole is effective against anaerobic bacteria, which are often implicated in dental infections. Combining both antibiotics can provide a more comprehensive approach to treating polymicrobial infections.

Switching to Clindamycin is also a viable option as it is effective against many of the same bacteria covered by Amoxicillin, as well as some that are resistant to it. Clindamycin is particularly useful in treating infections caused by anaerobes or in patients who are allergic to penicillin.

Given the patient's worsening condition, considering various options for antibiotics is crucial to