Medicines have benefits and some have risks. Always read the label and use only as directed. If symptoms persist or you have side effects see your health professional. Brands and generics both contain the same active ingredient(s) and are medically equivalent. Some brands are marketed under different names by the same manufacturer depending on the country of origin. Images are provided as a reference only, the received medicine may vary in packaging, color, pill shape, etc, from one batch to the next. For an item marked "generic" any quality brand may be sent, however you will always receive the active ingredients ordered in the strength(s) ordered.
Cendox (doxycycline) is a tetracycline antibiotic used to prevent or treat a wide range of bacterial infections. In addition to being a potent antibiotic in its own right, it is often used when penicillin is unavailable or unsuitable.
In smaller doses, usually sold as Periostat, the medication is often used to promote gum health. In larger doses, such as those offered by Cendox, it is used to treat infection.
Cendox, or any medication containing doxycycline, should not be used in patients under 8 years old. The exceptions to this rule are when penicillin is unsuitable or when treating Rocky Mountain spotted fever.
Patients are strongly advised to have the infection diagnosed by a doctor if possible. This ensures Cendox will be effective; while it's a versatile medication, it is not effective against all types of bacteria. Additionally resistant bacteria are a concern in some places; Cendox may not be the best choice when these resistant bacteria are present.
Assuming the bacteria are susceptible, Cendox can be used to treat:
And to prevent:
Treatment should always continue until finished, even if feeling fine. Ending treatment early can contribute to resistant bacteria, and may result in a resurgence of the infection now much harder to treat.
Cendox comes in tablets, typically taken once or twice per day. Food is optional; food may help alleviate gastrointestinal side effects, but many types must be avoided. These include:
The above are commonly found in antacids and can interfere with absorption of Cendox. A 2-hour gap before or after taking Cendox before consuming the above should prevent any issues.
A treatment plan is best developed by a doctor, who can take into account numerous personal variables that may influence treatment. Patients taking other medications or who have other medical conditions present are strongly encouraged to consult a doctor before initiating treatment.
General guidelines for treating infection are:
Improvements are sometimes noticed with the first dose, and most patients feel as though the infection is completely resolved several days before treatment ends. There may still be some lingering bacteria, however, and again it's important to complete treatment even if feeling fine.
Prevention guidelines are:
Regular doctor checkups are advisable if taking Cendox for more than 14 days. The medication can alter laboratory results, so doctors should be advised the medication is being taken if seen for something else.
At lower doses Cendox promotes gum health, promotes tooth attachment, and reduces periodontal pockets (also called gum pockets), as well as prevents infection after some dental procedures.
For these purposes doses higher than 40 mg (20 mg twice per day) are unusual, but some individuals are instructed to take up to 200 mg per day. If so instructed, pay particular attention to duration of treatment. 20-mg doses are often given for three months or longer, which, at higher doses, considerably increases risks of severe side effects.
Patients taking this treatment want to get better quickly and safely. For the most part that will happen with Cendox, but there are some things to keep in mind while the medication is being taken:
If used properly side effects are typically mild and similar to those encountered with any antibiotic, including nausea, vomiting, diarrhea, and other stomach upset. These symptoms are not cause for concern unless severe.