To replenish the intestinal flora destroyed by antibiotics, get
acidophilus capsules sold in health food stores. Acidophilus
capsules usually contain a minimum of 4.6 billion active units of
lactobacillus and acidophilus bacteria which are indigenous to
the human lower intestinal tract. To prevent or minimize any
problem with diarrhea, take 2 capsules of acidophilus, 4 hours
before Zithromax and 2 hours after Zithromax or any other
antibiotic. If needed, take acidophilus 3 times per day. When
introducing medications, any problem with diarrhea should not last
beyond the first 4 weeks.
To reduce the risk of esophageal irritation and ulceration,
antibiotics should be taken with a large glass of water, while
standing or sitting upright. Take antibiotics on an empty
stomach, unless some food (no milk or dairy product) is needed to
prevent severe adverse effects. Do not take at bedtime. Wait at
least 30-45 minutes before lying on your back or stomach.
According to a Leyden study, the absorption of Minocin is reduced
by 13% if taken with solid food, whereas it is reduced by 27% if
taken with milk. When Minocin pellet-filled capsules were given
concomitantly with a meal, which included dairy products, the
extent of absorption was not noticeably influenced, but peak
plasma concentrations were decreased by 11.2% and delayed by one
hour, compared to dosing under fasting conditions.
Absorption of all tetracyclines is impaired by antacids
containing aluminum, calcium, or magnesium, and iron containing
preparations. Take Minocin 2 hours away from any dairy product,
calcium, magnesium or aluminum supplement and 3 hours away from
any iron supplement, such as a multivitamin containing iron.