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Translation: Taking expired doxycycline can harm your kidneys. While it is true that some drugs merely lose strength after their expiration date, many drugs (especially antibiotics!!) break down into harmful chemical products, similar to the way juice or wine can ferment if left too long. Bottom line--don't take them.
If you take antibiotics for any infection (eg, urine infection or skin infection), as well as killing the bacteria that cause the infection, the antibiotics will also kill many of the harmless bacteria that live in your gut. C. difficile bacteria are not killed by many types of antibiotic.