One of the reasons doxycyclene is so effective is because it's less overprescribed. Antibiotic resistance is a real thing, and the day we run out of viable ones is going to be ugly. Having a gatekeeper isn't a bad idea.
I generally agree, but it seems darkly comical to be worried about gatekeeping antibiotics as a tick disease prophylactic when the vast majority of antibiotics are applied non-therapeutically to farm animals.
That's why I went amoxycillan. I can buy medical grade as "fish antibiotics".
Alpha-gal wasn't prevalent then. It was primarily Lyme and rocky mountain spotted fever. Doxy and amox is the gold/silver standard for both.
I don't need a fucking doctor to tell me I was bitten by 15 ticks. I removed them myself with a tick puller. I don't need to he told that I probably got a disease from at least 1 of them. So yeah, its either going to cure the infection before it starts up, or is a prophylactic to prevent it.
And in more sane countries, I can go in a pharmacy, tell the pharmacist and reasonablely and cheaply treat myself. US? Not so much.
But, I can smoke delta8, tobacco, and drink until my lungs and liver give out. But how dare I take some antibiotics when I need them.
To add to this, despite all efforts to educate people, many STILL don't know that antibiotics don't work against viruses and will want one when dealing with a cold or other viral infection.
If we let antibiotics be over-the-counter, every damn infectious bacteria will be a super-strain in a year.