Sometimes, your doctor may prescribe an injection instead of pills for a medical condition you have. Especially when you have a serious bacterial infection. One of the most powerful antibiotics used in such cases is doxycycline . So today, let's talk about this injection, what it does, and what you need to be careful about, in a very simple way that you can understand.
What kind of medicine is Doxycycline ?
Simply put, Doxycycline is a drug that belongs to the tetracycline class of antibiotics. Its main function is to kill harmful bacteria in our bodies that cause disease. It is used to treat a wide variety of bacterial infections.
But this will not cure viral infections, such as the common cold or flu. This is because bacteria and viruses are two completely different types of organisms. Therefore, the doctor will prescribe this type of medicine only after finding out the exact cause of your illness.
Things you need to tell your doctor before using this medicine
Before you are given Doxycycline injection, it is very important for your doctor to know your medical history. This is because some medical conditions require special care when using this medicine. See the table below. If you have any of these conditions, do not hide them from your doctor.
| Your health condition | Why should you inform the doctor? |
|---|---|
| Kidney disease | If your kidneys aren't working properly, your body won't be able to properly remove the medication. Your doctor may need to adjust your dosage. |
| Liver disease | The liver is where most medications are broken down in the body. If there is a problem with the liver, the effects of the medication may change. |
| Bowel diseases such as colitis | Antibiotics can sometimes worsen intestinal problems, so it's important to let your doctor know if you have a pre-existing problem. |
| Vision problems | Very rarely, this medicine can cause increased pressure around the brain, affecting vision. |
| Allergies to Doxycycline , Tetracycline or other medications, foods | If you have had an allergy before, there is a risk of developing a severe allergy again. |
| Being pregnant or trying to get pregnant | This medicine can affect the baby in the womb, especially the development of the baby's teeth and bones. |
| Breastfeeding the baby | A small amount of the medicine can pass to the baby through breast milk, so you should talk to your doctor about this. |
How can I give you this medicine?
This is not a medicine you can take home. This is an injection into a vein (intravenous injection). Therefore, it is only given in a hospital or clinic by a doctor or trained nurse. They slowly inject the required dose into the body over a period of time.
Can this medicine be given to young children?
Special care should be taken when giving this medicine to young children, especially those under 8 years of age. This can cause permanent discoloration of the teeth (enamel discoloration) and affect bone growth. However, in severe cases of infection where there is no other option, the doctor may decide to give this medicine to a child after weighing the pros and cons.
What if I take too much medicine?
Since this is given in a hospital, the chances of that happening are very low. But let's say that somehow the medicine is ingested in excess. If that happens, you should immediately inform the ETU, that is, the emergency treatment unit . Or you can call the National Poisons Information Center at the Colombo National Hospital and get advice.
Other things that may interact with this medicine (Interactions)
Some medications, foods, and supplements can affect the way the main medication we take works. We call these interactions. There are several things that can interact with doxycycline .
- Birth control pills: This medication may reduce the effectiveness of birth control pills, so you may need to consider using an additional form of birth control.
- Blood thinners such as Warfarin: May increase the risk of bleeding.
- Medicines used to treat seizures (fits) such as Carbamazepine and Phenytoin: These can reduce the effects of Doxycycline .
- Other antibiotics
- Oral retinoids (medicines used for skin diseases such as Isotretinoin and Acitretin)
- Barbiturates (some sleeping pills)
Therefore, it is very important to tell your doctor about all the medications you take, as well as any herbal products or vitamins you use. Also tell him if you drink alcohol or smoke.
Things you should be careful about when taking medication
- Be careful of the sun: Your skin may become very sensitive to the sun (photosensitive) while taking this medicine. Your skin may burn and turn red more quickly than you think. So avoid the sun as much as possible. If you go out, wear clothes that cover your body well, and use sunscreen. Do not use things like sun lamps or tanning beds.
- Diarrhea: It's normal to have diarrhea while taking antibiotics. But if your diarrhea lasts more than two days, is watery, or is accompanied by a fever and stomach ache, talk to your doctor right away instead of taking over-the-counter medication.
- Sexually transmitted infections (STIs): If you are being treated for a sexually transmitted infection, avoid having sex until you have finished treatment. Talk to your doctor about whether your partner may also need treatment.
- Birth control:As we mentioned before, birth control pills may not work as well while taking this medication, so talk to your doctor about using an additional form of birth control, such as condoms, during this time.
What are the possible side effects?
Like any medicine , Doxycycline can cause side effects. But not everyone gets them. Let's break these down into two categories.
| Side effect | Description |
|---|---|
| Side effects that require immediate medical attention | |
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue or throat, difficulty breathing. |
| Increased pressure around the brain | Severe headache, blurred vision, nausea, vomiting. |
| Severe skin reactions | Skin redness, blistering, peeling (even inside the mouth). |
| Severe diarrhea | Watery diarrhea, fever, severe stomach pain. |
| Side effects that are usually not serious, but should be reported to the doctor if they persist | |
| Nausea/Heartburn | It can occur during or after the medication is given. |
| Headache | It could be a normal headache, but if it's severe, tell your doctor. |
| Tooth discoloration | This is often seen in young children. |
Take-Home Message
- Doxycycline is a strong antibiotic injection given to treat bacterial infections. It does not treat viral infections.
- This medicine is only given intravenously in a hospital or clinic.
- Be sure to tell your doctor about any other illnesses you have and any other medications you are taking.
- Be very careful when going out in the sun while taking this medication. It is best to use sunscreen.
- If you are using birth control pills, their effectiveness may be reduced while taking this medication. So ask your doctor about using an additional form of birth control.
- If you experience difficulty breathing, facial swelling, or severe headache, it is an emergency. Seek medical attention immediately.











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