Antibiotics: What They Do and How to Use Them Safely

Antibiotics once turned deadly infections into treatable problems — now overuse is pushing us toward a world where simple cuts could become dangerous again. That’s a hard fact, and it changes how we should think about taking these drugs.

Antibiotics fight bacteria, not viruses. They treat strep throat, many urinary tract infections, skin infections, and bacterial pneumonia. They don’t help colds, the flu, or most sore throats caused by viruses. Using them for viral illnesses wastes medicine and raises resistance.

There are several classes: penicillins (like amoxicillin), cephalosporins, macrolides (like azithromycin), tetracyclines, and fluoroquinolones. Each class targets bacteria differently. Doctors pick one based on the infection, allergies, local resistance patterns, and side effect risks. Never substitute on your own — the wrong antibiotic can fail and cause harm.

When to use antibiotics

If you have a fever with a productive cough, a painful or frequent need to pee, a spreading skin sore, or a diagnosed bacterial infection, antibiotics might be needed. Your doctor will decide after examining you, and sometimes after tests like a urine dip or throat swab. If they say “wait and see,” ask why. Often mild infections improve without antibiotics.

Smart, safe antibiotic use

Take the exact dose and finish the full course your doctor prescribes. Stopping early can leave some bacteria alive and boost resistance. Don’t save leftovers or share pills. If you get side effects like severe diarrhea, rashes, or breathing trouble, stop and seek care fast. Some antibiotics interact with other drugs, supplements, or foods — tell your provider what else you take.

Antibiotic resistance is real and growing. You can help slow it by avoiding antibiotics for colds, using good hand hygiene, staying current with vaccines, and following prescriptions exactly. When traveling, be cautious buying antibiotics online. Several of our guides explain how to spot safe online pharmacies and what to avoid. Fake or low-quality antibiotics can make infections worse or be ineffective.

For viral illnesses, rest, fluids, and symptom relief are usually best. For minor skin infections, cleaning and warm compresses sometimes work until a doctor decides. If a particular antibiotic causes allergy or side effects, ask your clinician about safe alternatives — there are often multiple options depending on the bug.

What infection do you think I have? Is an antibiotic definitely needed? Which antibiotic and why? Any side effects to watch for? When should I follow up? These are simple questions that help you and your clinician make better choices.

Parents: never give adult antibiotics to children without medical advice. Tell the clinician about pregnancy or breastfeeding. If you have repeated infections, ask about culture tests or preventive measures like vaccine or targeted prophylaxis. Community efforts and smarter prescribing matter — ask questions and keep copies of prescriptions to track what you’ve taken for future visits and medical records.