If you are unable to finish this course of doxycycline, contact your doctor. If you are using the liquid form of this medication, shake the bottle well before each dose.
Do not use a household spoon because you may not get the correct dose. The dosage is based on your medical condition and response to treatment. For children, the dosage may also be based on weight. For the best effect, take this antibiotic at evenly spaced times. To help you remember, take this medication at the same time s every day. Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days.
Stopping the medication too early may allow bacteria to continue to grow, which may result in a return of the infection. Use some other kind of birth control also like a condom when taking Vibramycin doxycycline syrup. This medicine may cause a change in tooth color to yellow-gray-brown in children younger than 8 years old. If this change of tooth color happens, it will not go away. Most of the time, Vibramycin doxycycline syrup is not for use in children younger than 8 years old.
However, there may be times when these children may need to take Vibramycin doxycycline syrup. Change in tooth color has also happened in adults. This has gone back to normal after Vibramycin doxycycline syrup was stopped and teeth cleaning at a dentist's office.
This medicine may cause harm to the unborn baby if you take it while you are pregnant. If you are pregnant or you get pregnant while taking Vibramycin doxycycline syrup , call your doctor right away. How is this medicine Vibramycin best taken? Use Vibramycin doxycycline syrup as ordered by your doctor. Read all information given to you.
Follow all instructions closely. To gain the most benefit, do not miss doses. Keep taking Vibramycin doxycycline syrup as you have been told by your doctor or other health care provider, even if you feel well. Some drugs may need to be taken with food or on an empty stomach. For some drugs it does not matter. Check with your pharmacist about how to take Vibramycin doxycycline syrup.
Drink lots of noncaffeine liquids unless told to drink less liquid by your doctor. Measure liquid doses carefully. Use the measuring device that comes with Vibramycin doxycycline syrup. If there is none, ask the pharmacist for a device to measure Vibramycin doxycycline syrup.
What do I do if I miss a dose? Take a missed dose as soon as you think about it. Treatment with antibacterial agents alters the normal flora of the colon leading to overgrowth of C. Hypertoxin producing strains of C. CDAD must be considered in all patients who present with diarrhea following the use of antibacterial drugs. Careful medical history is necessary since CDAD has been reported to occur over two months after the administration of antibacterial agents. Appropriate fluid and electrolyte management, protein supplementation, antibacterial treatment of C.
Severe skin reactions, such as exfoliative dermatitis, erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, and drug reaction with eosinophilia and systemic symptoms DRESS have been reported in patients receiving doxycycline. If severe skin reactions occur, doxycycline should be discontinued immediately and appropriate therapy should be instituted. Intracranial hypertension IH, pseudotumor cerebri has been associated with the use of tetracyclines including doxycycline.
Clinical manifestations of IH include headache, blurred vision, diplopia, and vision loss; papilledema can be found on fundoscopy. Women of childbearing age who are overweight or have a history of IH are at greater risk for developing tetracycline associated IH.
Concomitant use of isotretinoin and doxycycline should be avoided because isotretinoin is also known to cause pseudotumor cerebri. Although IH typically resolves after discontinuation of treatment, the possibility for permanent visual loss exists.
If visual disturbance occurs during treatment, prompt ophthalmologic evaluation is warranted. Since intracranial pressure can remain elevated for weeks after drug cessation patients should be monitored until they stabilize. All tetracyclines form a stable calcium complex in any bone-forming tissue.
This reaction was shown to be reversible when the drug was discontinued. Results of animal studies indicate that tetracyclines cross the placenta, are found in fetal tissues, and can have toxic effects on the developing fetus often related to retardation of skeletal development. Evidence of embryotoxicity has also been noted in animals treated early in pregnancy.
If any tetracycline is used during pregnancy or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to the fetus.
The antianabolic action of the tetracyclines may cause an increase in BUN. Studies to date indicate that this does not occur with the use of doxycycline in patients with impaired renal function. Photosensitivity manifested by an exaggerated sunburn reaction has been observed in some individuals taking tetracyclines.
Patients apt to be exposed to direct sunlight or ultraviolet light should be advised that this reaction can occur with tetracycline drugs, and treatment should be discontinued at the first evidence of skin erythema. Precautions General As with other antibacterial drugs, use of doxycycline may result in overgrowth of nonsusceptible organisms, including fungi. If superinfection occurs, doxycycline should be discontinued and appropriate therapy instituted.
Incision and drainage or other surgical procedures should be performed in conjunction with antibacterial therapy, when indicated.
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