Some people may have an allergic reaction to antibiotics, especially penicillin and a type called cephalosporins. In very rare cases, this can lead to a serious allergic reaction (anaphylaxis), which is a medical emergency.
Some antibiotics are not suitable for people with certain medical problems, or women who are pregnant or breastfeeding. Only ever take antibiotics prescribed for you – never "borrow" them from a friend or family member.
Some antibiotics do not mix well with other medicines, such as the contraceptive pill and alcohol.
Types of antibiotics
There are hundreds of different types of antibiotics, but most of them can be classified into 6 groups.
Penicillins (such as penicillin, amoxicillin, co-amoxiclav, flucloxacillin and phenoxymethylpenicillin) – widely used to treat a variety of infections, including skin infections, chest infections and urinary tract infections
Cephalosporins (such as cefalexin) – used to treat a wide range of infections, but some are also effective for treating more serious infections, such as septicaemia and meningitis
Aminoglycosides (such as gentamicin and tobramycin) – tend to only be used in hospital to treat very serious illnesses such as septicaemia, as they can cause serious side effects, including hearing loss and kidney damage; they're usually given by injection, but may be given as drops for some ear or eye infections
Tetracyclines (such as tetracycline, doxycycline and lymecycline) – can be used to treat a wide range of infections, but are commonly used to treat acne and a skin condition called rosacea
Macrolides (such as azithromycin, erythromycin and clarithromycin) – can be particularly useful for treating lung and chest infections, or as an alternative for people with a penicillin allergy, or to treat penicillin-resistant strains of bacteria
Fluoroquinolones (such as ciprofloxacin and levofloxacin) – are broad-spectrum antibiotics that were once used to treat a wide range of infections, especially respiratory and urinary tract infections.
These antibiotics are no longer used routinely because of the risk of serious side effects
Other antibiotics include chloramphenicol (used for eye and ear infections), fusidic acid (used for skin and eye infections), and nitrofurantoin and trimethoprim (used for urinary tract infections).
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Side effects of antibiotics
As with any medicine, antibiotics can cause side effects. Most antibiotics do not cause problems if they're used properly and serious side effects are rare.
The common side effects include:
being sick
feeling sick
bloating and indigestion
diarrhoea