Question: What prophylactic regimens are recommended for traveler’s diarrhea?
Answer:
- Ciprofloxacin, 500 mg twice daily for 5 days (or one of the other fluoroquinolones)
- Bismuth subsalicyate (Pepto-Bismol), 2 tablets with every meal and at bedtime for 5 days
- Bactrim DS, one tablet twice daily for 3 days (Note: Many organisms are now resistant to Bactrim.)
Reference: Sleisenger MH, Fordtran JS (eds): Gastrointestinal Disease: Pathophysiology, Diagnosis, and Management, 7th ed. Philadelphia, W.B. Saunders, 2003
