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Suggest Treatment For Heartburn After Having Doxycycline

Posted on Tue, 15 Jul 2014

Question: I have a urinal infection ,on my CBC.my doctor gave me prescription DOXYCYCLINE 100 mg. I have Gastaperese and getting heart burn ,,today is Sat., can,t get to talk to any one, label says do not take milk or antacids , what can ij do? Chest pains? Please help soon ,thank you.

Answered by Dr. Lohit K (4 hours later)

Brief Answer:
you can take antacids and milk

Detailed Answer:
Hi,

I went through the query and understood your concern.

You can take antacids and even milk but not at the time of consuming doxycycline as chelation can take place preventing the absorption of drug. During other time you can take antacids or milk.

If chest pain is severe or any variation in BP then you need evaluation for this. If the chest pain is due to reflux gastro esophageal disorder then antacid or protin pump inhibitor like pantoprazole with anti emetic like domperidone will help you. If due to cardiorespiratory problem then needs examination once.

I hope this information helps you and answered your questions. Feel free to ask for any further queries. I will be glad to answer them.

Wish you good health and faster recovery.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Lohit K (1 hour later)

How long do I wait after taking the DOXYYCYCLINE before I can take a ZAnTac or yogurt or milk? I have tried CIPRO, didn,t agree with me,had to change prescription, also I took my last pill at 3pm do I get up at 3am to take another one? Bottle says every 12hrs, thank u waiting for an answer.

Answered by Dr. Lohit K (7 hours later)

Brief Answer:
Cipro.12 hours apart.slight variation is acceptabl

Detailed Answer:
Hi,

you need to wait for atleast 1 hour after taking doxycycline. By 1 hour most of the the drug will be absorbed into plasma. Even slightly reduction of absorption due to food won't affect much.

With cipro its twice daily dose and hence should be taken at 12 hour intervals. A slight variations of 30 min to an hour may be acceptable. As far as possible avoid changing antibiotics before its complete course.

I hope this information helps you and answered your questions. Feel free to ask if any further queries.

Wish you faster recovery and good health.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Lohit K (41 minutes later)

Hi it's early morn 6 am I have been itching all over my upper body head for about an hour ,my stomach is upset , I just took an allergy pilli called Loratadinem ,will that help or is that an emergency? Or is that from the Cipro or doxycycline pill I took last night at 5 last night could I be elergict to both pills? The itching stoped momentarilym. Should I stop taking the antibiotic it's sun, don't know that I can talk to any one? Hope you get this message soon . What to do? Thank you.yyb

Answered by Dr. Lohit K (29 minutes later)

Brief Answer:
if infection not severe, stop drug. rechallenge

Detailed Answer:
Hi,

The drug loratidine is an antihistamine and will help in reducing the symptoms. Good that you started this drug.

The cause may be allergic reaction to any one of the drugs. The allergic reaction to doxycycline is more compared to cipro. But we cannot tell which drug is allergic to you without re challenge. So my advise is to stop doxycycline and if allergic symptoms comes with cipro then stop both.

Or if the infection is not severe stop both the drugs till the symptoms subside and later can restart with any one drug with your doctor's advice.
For Urinary tract infection you can take any one antibiotic. I usually prefer ofloxacillin because of lesser side effects and is similar to cipro.

I hope this information helps you. If reactions are severe then needs immediate consultation.

Wish you faster recovery.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Lohit K (25 minutes later)

I will stop all antibiotics for now, cause it's a week end I can't get to talk to my doctor, do you think I should ask for something else with less side effects, apparently I am very sentisive to many antibiotics ? I will try to reach my doctor Mon. She usually calls at evening time.when u
I leave a message. Your thoughts will be accepted thank you unless I have to go to E&R ?

Answered by Dr. Lohit K (49 minutes later)

Brief Answer:
penicillin group of drugs. ofloxacillin

Detailed Answer:
Hi,

Considering your age there is a rare chance of tendinitis or tendon rupture or myositis with cipro and the doxycycline can cause hypersensitivity. And since you already presented with reactions, if you are not allergic to penicillin group of drugs then you can ask for penicillins or cephalosporins as they are safer alternative. If they want to select cipro or doxycycline then oflox is better than cipro interms of side effects.

For now you can take loratidine twice daily and can stop it if there is no reaction.

You can discuss the same with your doctor.

Hope this information helps you. If any further information feel free to ask me.

Wish you good health.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar