Prescribe doxycycline only for pharyngitis caused by Chlamydia pneumoniae or Mycoplasma pneumoniae, confirmed by testing. Avoid using it for common viral pharyngitis, as it’s ineffective and contributes to antibiotic resistance.
The typical dosage for adults is 100mg twice daily for seven to ten days. Adjust dosage for children based on weight and always consult pediatric guidelines. Ensure patients complete the full course, even if symptoms improve sooner.
Monitor patients for side effects, including nausea, vomiting, diarrhea, and photosensitivity. Advise patients to use sunscreen and protective clothing when exposed to sunlight. Serious side effects, though rare, include esophageal irritation; instruct patients to take the medication with plenty of water and avoid lying down immediately afterward.
Doxycycline interacts with several medications, including antacids, oral contraceptives, and some anticoagulants. Obtain a complete medication history before prescribing and advise patients of potential interactions.
Consider alternative antibiotics like azithromycin for patients with doxycycline allergies or contraindications. Always refer to updated clinical guidelines for the most current recommendations and treatment protocols.
Patients should be informed about the proper use of antibiotics, the importance of completing the prescribed course, and the potential risks of antibiotic resistance. Educate them on preventing the spread of infection through good hygiene practices.
Regularly review treatment outcomes and adjust the treatment plan as needed based on patient response and clinical findings. Document all medication changes and patient responses in the medical record.
