Here’s why you should ALWAYS finish your antibiotics:
What we can do to help
You can help reduce the development of antibiotic resistance if you:
Until now, the advice has always been to finish taking a prescribed course of antibiotics, even if you already feel better (unless a doctor tells you otherwise). Most experts believe that if you stop taking an antibiotic part way through a course, the bacteria you're trying to get rid of can become resistant to the medication.
You see, there are crucial reasons as to why you are instructed to finish the full course of antibiotics. For one, it's to ensure that all the bacteria that's causing your illness or infection are completely eliminated. Stock photo for illustration purposes only. Image via Dignity Health. Cutting short your prescribed course of 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.
Taking antibiotics responsibly But you need to take the full treatment to kill the disease-causing bacteria. If you don't take an antibiotic as prescribed, you may need to start treatment again later. If you stop taking it, it can also promote the spread of antibiotic-resistant properties among harmful bacteria.
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.”
Researchers from the CDC point out that, when antibiotics are deemed necessary for the treatment of acute bacterial sinusitis, the Infectious Diseases Society of America evidence-based clinical practice guidelines recommend 5 to 7 days of therapy for patients with a low risk of antibiotic resistance who have a ...
An article in the BMJ argues that contrary to long-given advice, it is unnecessary to make sure you finish all the antibiotics you’re prescribed. The article sparked debate among experts and more worryingly widespread confusion among the general public, who are still getting to grips with what they need to do to stem antibiotic resistance.
If the latter is true, the persistent population in your body that is causing your recurrent infection could well be resistant to that first set of antibiotics, meaning those antibiotics may well be useless against your infection. Antibiotic resistance is about survival of the fittest.
She says recommended courses of antibiotics are "not random" but tailored to individual conditions and in many cases courses are quite short. And she says: "We are concerned about the concept of patients stopping taking their medication mid-way through a course once they 'feel better', because improvement in symptoms does not necessarily mean ...
Prof Martin Llewelyn, from the Brighton and Sussex Medical School, together with colleagues, argues that using antibiotics for longer than necessary can increase the risk of resistance.
Should you finish a course of antibiotics? It is time to reconsider the widespread advice that people should always complete an entire course of antibiotics, experts in the BMJ say. They argue there is not enough evidence to back the idea that stopping pills early encourages antibiotic resistance.
1. Antibiotic resistance. When you don’t finish your antibiotic, those “bugs” still left in your body can develop resistance to that antibiotic. If so, you may get sick again and it will be even harder to treat because that antibiotic may not work as well.
Antibiotics are prescribed for specific time periods and amounts because that is what we know works best to kill off the infections. There are some infections that could cause further problems if not treated right the first time.
If your doctor prescribes an antibiotic, ask for one that is dosed once or twice per day.
Antibiotic resistance is certainly becoming a worrying problem these days, with cases of incurable gonorrhoea becoming more and more common and an estimated 700,000 people dying from antibiotic-resistant infections in the UK every year. If the current situation does not improve, this could lead to as many as 10 million deaths per year by 2050, according to a recent UN report. It is therefore important that more research like this is conducted to avoid resistance from developing.#N#The report certainly makes lots of interesting and likely valid points, and it will be interesting to see what further research is conducted into this concept in the future. From a clinical point of view, it is clear that some people recover faster than others and using antibiotics for longer (or more) than is necessary is one of the causes of antibiotic resistance – so there is some logic in this suggestion.#N#It may be that future generations will not be advised to always finish the full course of antibiotics as we have.#N#However, until more research is conducted into this concept, I would recommend following your GP's instructions when it comes to taking antibiotics, and in most cases, this will be to complete the course.
Making sure your immune system is in tip-top condition is a good way to avoid infections or make it easier to fight them off when they do occur, further reducing the need for antibiotics. Follow my top tips for supporting your immune system:
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Here’s the bottom line 1 Antibiotics are a limited resource, and they should be used wisely and selectively. 2 Antibiotics may also have serious side effects, such as the major intestinal ailment Clostridium difficile colitis. 3 There is no evidence that longer courses prevent the development of antibiotic resistance. In fact, just the opposite may be true. 4 Instructions about length of antibiotic therapy are sometimes arbitrary, and some patients may recover faster and need fewer days of antibiotics than others. 5 You should still follow your doctor’s instructions about the length of antibiotic therapy. 6 If you are feeling better and think that you may not need the entire course, be sure to ask your doctor first. 7 Antibiotic administration is not necessary for all infections. In particular, most upper respiratory infections are viral, and do not respond to antibiotics.
Today, we know that patients with bloodstream infections may require several weeks of antibiotics for cure, and those with active tuberculosis need many months of multiple antibiotics. But these patients are not representative of most people who receive antibiotics today.
In patients with viral infections, which do not respond to antibiotics, procalcitonin levels are suppressed. Currently, procalcitonin levels are used in the hospital setting to help decide whether patients with flares of COPD (chronic obstructive pulmonary disease) or pneumonia are likely to need antibiotics or not.
Doctors are studying new clinical tools to help limit unnecessary antibiotic use. One of these is a blood test called procalcitonin. Levels of procalcitonin rise in patients with serious bacterial infections. In patients with viral infections, which do not respond to antibiotics, procalcitonin levels are suppressed.
According to a new study in the BMJ, the answer is no. The notion that a longer course of antibiotics prevents resistance started early in the antibiotic era, when doctors found that patients with staphylococcal blood infections and tuberculosis relapsed after short antibiotic courses.
Antibiotics are a limited resource, and they should be used wisely and selectively. Antibiotics may also have serious side effects, such as the major intestinal ailment Clostridium difficile colitis . There is no evidence that longer courses prevent the development of antibiotic resistance. In fact, just the opposite may be true.
If you are feeling better and think that you may not need the entire course, be sure to ask your doctor first. Antibiotic administration is not necessary for all infections. In particular, most upper respiratory infections are viral, and do not respond to 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.
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.
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.
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.
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.
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.