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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.
Chances are you won't notice any changes physically for a few days after starting your antibiotic prescription. It will take time for the antibiotics to start killing off the bacteria to a level where your body can start to recover. And depending on how bad the infection is this process can take even longer. The one thing you need to remember is to take the full course of antibiotics that was prescribed to you. Often time's people stop taking them after they start to feel better, which is a big mistake. You've probably heard about all of the drug resistant superbugs that are out there. Well, that's how they start.