Hi if taking duomox which I do not pomgl I can immediately take macroma ...

No, you cannot take an antibiotic on your own. Macromax is a prescription-only drug, so its inclusion in therapy should be decided by a doctor. Antibiotic therapy should be a targeted treatment, this means the selection of the drug based on the determination of the type of pathogen (culture) and its drug sensitivity (antibiogram). Empirical treatment solely on the basis of the patient's symptoms and the use of broad-spectrum antibiotics in an infection of unknown etiology is a mistake in art and contributes to the emergence of drug resistance. In this case, I encourage you to consult your doctor, who will recommend the appropriate therapeutic treatment for you. I also encourage you to read the article: https://www.gdziepolek.pl/artykuly/fakty-i-mity-o-antybiotykach