1. why is it a problem if you don’t completely finish the course of an antibiotic treatment?

If you have ever taken an antibiotic, you likely know the drill: Finish the entire course of treatment, even if you are feeling better, or else you risk a relapse. Worse, by not finishing, you might contribute to the dangerous rise of antibiotic-resistant bacteria.

Full Answer

Why do I have to finish my course of antibiotics?

So why is it that your doctor recommends finishing your course of antibiotics? It's because taking them regularly until the prescription is complete helps ensure that all of the illness-causing bacteria are killed or prevented from multiplying. Even if your symptoms go away, the bacteria may still be present in your body.

What happens if you don't take your antibiotics?

The danger to the rest of us is that the general population of the infecting bacterium will become more resistant to the antibiotic concerned. If you fail to complete a course of antibiotics, some of the bacteria causing the infection may survive - and these will be the ones with the greatest resistance to the antibiotic.

Should doctors prescribe antibiotics without properly determining the cause of infection?

So, prescribing antibiotics without properly ascertaining the cause of infection is indeed an equally real danger. This debate is meaningless in light of the fact that decision to go to a doctor was that of the patient and he/she decided to go because of the confidence in the doctor's ability.

How long should you take antibiotics before stopping?

We will get ill, head to the doctor, get prescribed antibiotics, then take them for a few days before thinking ‘right I’m better now’ – so we stop taking them. However, courses of antibiotics have been thoroughly researched to work out how long they should be, so cutting your treatment short isn’t a wise option.

Why is it important to finish the course of antibiotics?

It's important to take the medication as prescribed by your doctor, even if you are feeling better. If treatment stops too soon, and you become sick again, the remaining bacteria may become resistant to the antibiotic that you've taken.

What happens if you stop antibiotics early?

The current recommendation by the World Health Organization (WHO) is to "always complete the full prescription, even if you feel better, because stopping treatment early promotes the growth of drug-resistant bacteria.”

What happens if you miss a few days of antibiotics?

If you forget to take a dose of your antibiotics, take that dose as soon as you remember and then continue to take your course of antibiotics as normal. But if it's almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Should you always finish antibiotics?

Traditionally, clinicians and health authorities advocate that patients should complete their full course of antibiotics as prescribed, even when their symptoms have improved, to prevent relapse of infection and the development of antibiotic resistance.

What are the side effects of taking too much antibiotics?

5 Frightening Consequences of Overusing AntibioticsAntibiotics Increase Fatal Diarrhea Cases in Children. ... Antibiotics Can Upset Sensitive Gut Flora. ... Antibiotics Help Teach Good Bacteria to Go Bad. ... Antibiotics Are Increasing Cases of Untreatable Gonorrhea. ... Antibiotics Are Helping Drive Up Drug and Hospital Costs.

What are the side effects of antibiotics?

The most common side effects of antibiotics affect the digestive system. These happen in around 1 in 10 people.vomiting.nausea (feeling like you may vomit)diarrhoea.bloating and indigestion.abdominal pain.loss of appetite.

What happens if antibiotic course is not completed?

“When you halt treatment early, you allow a small portion of bacteria to remain in your body and that bacteria has the potential to strengthen, change, and develop resistance.” So even if you're feeling better after a few days, that doesn't mean all of the bacteria which made you sick is actually gone yet.

What happens if you miss a day of antibiotics Reddit?

As a rule, if you miss a dose of an antibiotic, you can take it as soon as you realize you've forgotten. In many cases, you can double up on the next dose safely. But be sure to check with your doctor, pharmacist or at the very least a book on prescription drugs to see if it's safe to do so.

Why do antibiotics make you sick?

Antibiotics fight bacteria, and they can upset the balance of bacteria in the microbiome. The gut microbiome keeps the digestive system functioning and helps the immune system to defend against viral infection.

Where do antibiotics not penetrate?

These include the fact that there are areas of the body where antibiotics do not achieve good penetration (e.g. the lungs and sinuses). The quantity of infective material that may have built up in the body, and from which re-infection may occur, must also be taken into account.

How long should an antibiotic be effective?

If the drug manufacturers know the antibiotic is effective in 48 hours then a recommended five-day treatment would keep everybody happy, including their shareholders. Allan Wilson, Pharmacist, Comrie, Perthshire. AS A pharmacist, Allan Wilson should know better if he is suggesting that antibiotic courses are too long.

Why did Nikhil Ravishanker decide to go to a doctor?

This debate is meaningless in light of the fact that decision to go to a doctor was that of the patient and he/she decided to go because of the confidence in the doctor's ability. Once prescribed by the doctor, I strongly believe that one must complete the course as prescribed.

Can you treat a bacterial infection with the same antibiotic?

As the surviving bacteria reproduce, the resulting infection would not be treatable with the same antibiotic. If the infection is passed on to someone else, their infection will also be resistant to the antibiotic. Jim Lodge, London SE4.

Can antibiotics cure viral infections?

Antibiotics will not cure viral infections. So, prescribing antibiotics without properly ascertaining the cause of infection is indeed an equally real danger.

Is antibiotic resistant bacteria real?

Mary Ingham, Ramsgate, Kent. I think the danger of creating antibiotic-resistant bacteria is very real. Bacterial infections, before antibiotics, quite often proved to be fatal and by discontinuing a course of prescribed antibiotics, we run the risk of going back there.

Why is it important to cut antibiotics short?

By cutting treatment short, you increase the chances of the existing bacteria mutating and becoming resistant, therefore making it harder to treat the next time around.

Why stop treatment early?

According to the World Health Organisation, stopping treatment early involves the risk of not getting all of the bacteria that made you unwell killed off. As we don’t know who can safely stop treatment early, making your own judgement could result in you falling ill again.

What are regimens based on?

Regimens are based on clinical studies done when the drugs were first tested, Boucher said. Newer, more refined studies often reveal more effective lengths that strike the balance between killing the bacteria causing an infection and not flooding the environment with more antibiotics.

Is it bad to not finish antibiotics?

Worse, by not finishing, you might contribute to the dangerous rise of antibiotic-resistant bacteria. The advice to always finish your antibiotics has long been considered medical dogma, and can be seen today on the websites of the World Health Organization, the U.S. Food and Drug Administration and other leading health authorities.

Does stopping antibiotics increase antibiotic resistance?

The idea that stopping an antibiotic treatment early encourages antibiotic resistance is not supported by scientific evidence, he said. Moreover, having everyone finish their antibiotics all the time may actually be increasing antibiotic resistance worldwide, because it's the taking of antibiotics for longer than absolutely necessary ...

Is completing the course of antibiotics based on scientific evidence?

Boucher said she agrees with the BMJ authors' stance that "completing the course" merely for the sake of lowering the risk of antibacterial resistance is not based on solid scientific evidence. She added, however, that doctors don't often know when a shorter course of antibiotics is as effective as a longer one.

Why are antibiotics important?

They argue that it is not backed by evidence and should be replaced. Antibiotics are important for fighting off infections, but there is a growing global concern about the number of cases in which bacteria have become resistant to these medicines. So that more germs don't build up a resistance to antibiotics, it's important ...

Why do we need to complete the full prescription?

The current recommendation by the World Health Organization (WHO) is to "always complete the full prescription, even if you feel better, because stopping treatment early promotes the growth of drug-resistant bacteria.”. But several experts in infectious diseases are urging policymakers, educators, and doctors to reconsider ...

Is there evidence that stopping antibiotics early encourages antibiotic resistance?

They say that there is no evidence that stopping antibiotics early encourages antibiotic resistance -- and ...

What to do if you have leftover antibiotics?

If you wind up with leftover antibiotics, don’t hang on to them . Discard unused antibiotics by returning them to the pharmacy or a community take-back program. Or mix the medication with an unpalatable substance such as coffee grounds or kitty litter, seal it in a bag, and throw it out with the household trash.

How long can you be fever free?

If you have been fever-free for 24 to 48 hours and are feeling significantly better, “it’s reasonable to call your doctor and ask if you can stop your antibiotic,” she says. And be reassured that “stopping short of a full course of antibiotics won’t worsen the problem of antibiotic resistance,” Peto says.

Do you need to take all your antibiotics?

The idea that people need to take all their antibiotics, even after they’re feeling better, is based in part on outdated notions about what causes antibiotic resistance, says Lauri Hicks, D.O., a medical epidemiologist at the Centers for Disease Control and Prevention and head of the agency’s Get Smart: Know When Antibiotics Work program.

Can antibiotics cause diarrhea?

Plus, the longer you take antibiotics, the more likely you are to wipe out the “good” bacteria in your intestines, Hicks says. That leaves you vulnerable to infection from the bacterium clostridium difficile, or C. diff, which can cause dangerous inflammation, abdominal cramping, and severe diarrhea, and can even be deadly.

Do doctors prescribe antibiotics?

Talk to Your Doctor About Antibiotics. About one-third of antibiotics prescribed in doctors’ offices are unnecessary, according to a recent report from the CDC. Doctors commonly prescribe these drugs for upper-respiratory illnesses such as bronchitis, colds, and the flu.

Do you have to finish all the medication?

In those cases, it's usually important to finish all the medication prescribed for you. However, for less serious illnesses, such as pneumonia, a sinus infection, or a urinary tract infection, you may not need to finish, Hicks says.

Do antibiotics cause infections?

According to Hicks, scientists have come to realize that the larger problem is that antibiotics affect not only the bacteria causing the infection but also the trillions of other bacteria that live in and on your body. “We have more bacteria in our body than human cells,” she says.

What happens if you stop antibiotics?

If you stop treatment before the antibiotic cycle is over, the remaining bacteria can continue to multiply. If these bacteria become resistant to the antibiotics, they can potentially do even more harm. It may take longer for you to recover from your illness, and your physician may have to prescribe more medication.

What to do if you miss an antibiotic?

Talk to Your Doctor. If you're concerned about your ability to finish an antibiotic course, be sure to ask your doctor what will happen if you miss a dose. You may be able to take the forgotten pill as soon as you remember, or you may have to wait until your next dose.

What is the difference between amoxicillin and penicillin?

Broad-spectrum antibiotics such as amoxicillin affect a wide range of bacteria, while narrow-spectrum antibiotics like penicillin only affect a few different types of bacteria.

Can you take antibiotics if you have a bacterial infection?

If you've ever had a bacterial infection, you've probably been prescribed antibiotics to treat it . You also likely remember your doctor telling you that it's important to take all your pills, even after your symptoms have gone away.

Is it natural to have concerns about antibiotics?

It's natural to have concerns about antibiotics, but keeping open lines of communication with your doctor will give you the peace of mind that you're taking the right course of action. Posted in Family Health. Tayla Holman is a Boston-based writer and journalist.

Can antibiotics cause resistance?

But overusing antibiotics can also cause resistance, especially when they're not the correct treatment. For example, if you take an antibiotic for strep throat when you only have a common cold or other viral infection, the antibiotic still attacks bacteria in your body, but not illness-causing bacteria. That's why it's important not ...