Doxycycline prophylaxis is generally recommended for individuals at high risk of developing Lyme disease after a tick bite. This includes people living in or frequently visiting areas with high Lyme disease incidence.
Specific groups who should strongly consider doxycycline prophylaxis after a tick bite are those with known tick exposure exceeding 36 hours, those bitten by blacklegged ticks (Ixodes scapularis or Ixodes pacificus), and individuals with a history of Lyme disease or a strong family history of the condition.
Children under eight years of age are typically excluded from doxycycline prophylaxis due to potential side effects. Pregnant or breastfeeding women should also consult their physician before taking doxycycline, as it can have adverse effects on the developing fetus or infant. Those with known allergies to tetracyclines should avoid doxycycline.
Always consult with a healthcare professional to assess your individual risk and determine if doxycycline prophylaxis is appropriate for your situation. They can provide tailored guidance based on your health history, risk factors, and the specific circumstances of the tick bite.