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Help the Medicine Go Down

Help the Medicine Go Down

Doxycycline and potassium tablets can cause ulceration and severe burning of the esophagus if they get stuck and dissolve in that location. Gelatin capsules pose a heightened risk because they can adhere to the wall of the esophagus. To prevent this significant adverse effect, try the following:
•Include directions in the prescription to “take with 8 oz of water.”
•Tell patients not to lie down for 30 minutes after taking these medications.
•Ask the pharmacist to dispense coated tablets instead of gelatin capsules.

—— Richard A. Honaker, MD
        Carrollton, Tex

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