Doxycycline doesn’t work against all bacterial infections. It’s particularly weak against bacteria producing beta-lactamases, enzymes that break down many common antibiotics. This limits its use in treating certain infections, especially those caused by Pseudomonas aeruginosa or Enterobacteriaceae.
Common side effects include nausea, vomiting, and diarrhea. Less frequent but potentially serious reactions are esophageal irritation (requiring upright posture during ingestion), photosensitivity (increased sun sensitivity), and yeast infections. Rarely, it can impact liver function, so regular monitoring is crucial if you have pre-existing liver conditions.
Dental discoloration, especially in children under eight and pregnant women, presents a significant concern. This discoloration stems from doxycycline’s binding to calcium in developing teeth. Therefore, alternative antibiotics are strongly preferred for these demographics.
Furthermore, long-term use may disrupt gut flora, potentially leading to Clostridium difficile infection (CDI). This is a serious complication, warranting careful consideration and potentially probiotic supplementation alongside treatment.
Always discuss potential side effects and alternative treatments with your doctor. They can assess your specific situation and determine the most appropriate course of action. Self-treating with doxycycline is unwise and potentially harmful.