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doxycycline hyclate

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Brand names: Doryx MPC

Tetracycline Antibiotic (Antimalarial) Rx

Doxycycline hyclate is an antibiotic that fights bacteria in your body. It can treat many different types of infections.

Drug Pricing (NADAC)

Generic Price

$0.11/unit

Generic Available

Yes (32 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

This medicine can treat infections like Rocky Mountain spotted fever and typhus.

Common side effects

Nausea, Vomiting, Diarrhea

Key warnings

Doxycycline can cause permanent tooth discoloration if used during tooth development.

How It Works

Doxycycline stops bacteria from growing by interfering with how they make proteins. This helps your body fight off the infection. It is a tetracycline antibiotic.

How to Take It

Take doxycycline exactly as your doctor tells you. The usual dose for adults is 200 mg on the first day, then 100 mg each day after. For some infections, you may need to take 100 mg every 12 hours. You can take it with food or milk if it upsets your stomach.

Pregnancy & Breastfeeding

Doxycycline can harm an unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant. It is not known if doxycycline passes into breast milk, so talk to your doctor if you are breastfeeding.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store doxycycline at room temperature, away from light and moisture.

Side Effects (from patient reports)

Based on 41,171 FDA adverse event reports.

The medicine is not working
4,953
Feeling sick to your stomach
4,734
Using the medicine for something it's not approved for
4,410
Feeling very tired
4,376
Skin irritation
3,920
Loose or watery stools
3,814
Discomfort
3,793
Difficulty breathing
3,788
Pain in your head
3,723
Throwing up
3,660

FDA Adverse Event Report Analysis

Detailed analysis of 63,762 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2003–2025.

Total Reports

63,762

Death-Related Reports

6,312

Hospitalization Reports

20,575

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 36,519 (63%)
Male 21,321 (37%)

Age Distribution

0–17 1,693
18–44 13,107
45–64 14,257
65–74 8,419
75+ 6,843

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG INEFFECTIVE 4,954
2 NAUSEA 4,733
3 OFF LABEL USE 4,410
4 FATIGUE 4,376
5 RASH 3,919
6 DIARRHOEA 3,813
7 PAIN 3,796
8 DYSPNOEA 3,786
9 HEADACHE 3,723
10 VOMITING 3,658
11 DRUG HYPERSENSITIVITY 3,630
12 MALAISE 2,812
13 CONDITION AGGRAVATED 2,770
14 DIZZINESS 2,755
15 PRURITUS 2,729

Reactions in Death Reports

DEATH 1,422
FATIGUE 1,050
OFF LABEL USE 980
HYPERTENSION 961
HYPOAESTHESIA 956
GENERAL PHYSICAL HEALTH DETERIORATION 946
VOMITING 941
HYPERSENSITIVITY 921
RASH 921
GLOSSODYNIA 916

Reactions in Hospitalization Reports

DYSPNOEA 2,216
FATIGUE 2,066
OFF LABEL USE 1,933
NAUSEA 1,901
DRUG INEFFECTIVE 1,878
VOMITING 1,864
PAIN 1,842
PNEUMONIA 1,829
DIARRHOEA 1,826
PYREXIA 1,740

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Doxycycline can cause permanent tooth discoloration if used during tooth development. Tell your doctor if you have kidney problems.

Known Drug Interactions

Drug Interactions Because tetracyclines have been shown to depress plasma prothrombin activity, patients who are on anticoagulant therapy may require downward adjustment of their anticoagulant dosage. Since bacteriostatic drugs may interfere with the bactericidal action of penicillin, it is advisable to avoid giving tetracyclines in conjunction with penicillin. Absorption of tetracyclines is impaired by antacids containing aluminum, calcium, or magnesium, and iron-containing preparations.

Mechanism: These drugs are very similar and work in the same way, so taking them together can lead to too much medicine in your system and more side effects.

What to do: Check with your doctor or pharmacist before using these two medications at the same time.

Barbiturates, carbamazepine, and phenytoin decrease the half-life of doxycycline.

Mechanism: Certain medications can cause your body to clear doxycycline from your system much faster than usual.

What to do: Your doctor may need to adjust your treatment plan to make sure the medicine stays at a helpful level in your body.

Barbiturates, carbamazepine, and phenytoin decrease the half-life of doxycycline.

Mechanism: Carbamazepine causes your body to break down doxycycline faster than it should. This means the antibiotic leaves your system too quickly to work effectively.

What to do: Your doctor may need to adjust your dose of doxycycline or monitor you to make sure the infection is clearing up.

Absorption of tetracyclines is impaired by bismuth subsalicylate.

Mechanism: Bismuth subsalicylate stops your body from absorbing doxycycline into your blood. This can prevent the antibiotic from working to kill bacteria.

What to do: Do not take these two medicines at the exact same time. Ask your doctor or pharmacist how to space them out during the day.

Barbiturates, carbamazepine, and phenytoin decrease the half-life of doxycycline.

Mechanism: Phenytoin speeds up how fast your body gets rid of doxycycline. This lowers the amount of medicine in your body, which might make it less effective.

What to do: Your healthcare provider may need to increase your doxycycline dose or check that the treatment is still working.

Common Questions

Can I take doxycycline with food?
Yes, you can take doxycycline with food or milk if it upsets your stomach.
What should I do if I miss a dose?
Take the missed dose as soon as you remember. If it's close to your next dose, skip the missed dose.
Can doxycycline affect my birth control?
Yes, doxycycline may make oral contraceptives less effective. Talk to your doctor about other birth control options.
How long should I take doxycycline?
Take doxycycline for as long as your doctor tells you, even if you feel better.
Can doxycycline cause sun sensitivity?
Yes, doxycycline can make your skin more sensitive to the sun. Wear sunscreen and protective clothing when you are outside.
Can I drink alcohol while taking doxycycline?
It's best to avoid alcohol while taking doxycycline, as it can decrease the drug's effectiveness.
What if I experience severe diarrhea?
Tell your doctor right away if you have severe diarrhea while taking doxycycline.
Can doxycycline cause yeast infections?
Yes, doxycycline can sometimes cause yeast infections. Talk to your doctor if you think you have a yeast infection.
Is it safe to take doxycycline if I have kidney problems?
Talk to your doctor if you have kidney problems, as doxycycline can affect kidney function.
Can doxycycline cause tooth discoloration?
Yes, doxycycline can cause permanent tooth discoloration if used during tooth development (in children).
What are the common side effects of doxycycline hyclate?
The most commonly reported side effects of doxycycline hyclate include Nausea, Vomiting, Diarrhea. Based on 41,171 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does doxycycline hyclate interact with other medications?
Yes, doxycycline hyclate has 5 known drug interactions. Notable interactions include tetracycline, doxycycline, carbamazepine. Always inform your doctor about all medications you are taking.
What drug class is doxycycline hyclate?
doxycycline hyclate belongs to the Tetracycline Antibiotic (Antimalarial) drug class. It requires a prescription (Rx). This medicine can treat infections like Rocky Mountain spotted fever and typhus.
Is doxycycline hyclate safe during pregnancy?
Doxycycline can harm an unborn baby. Talk to your doctor if you are pregnant or plan to become pregnant. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

Related Medications in Tetracycline Antibiotic (Antimalarial)

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What the FDA Data Shows for doxycycline hyclate

The FDA label for doxycycline hyclate (sold under brand names such as Doryx MPC) classifies it as a prescription-only medication in the Tetracycline Antibiotic (Antimalarial) class. This medicine can treat infections like Rocky Mountain spotted fever and typhus. Official labeling lists 3 commonly reported side effects, including Nausea, Vomiting, Diarrhea.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 41,171 voluntary reports. The database also lists 5 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. NADAC pricing from CMS shows a generic unit cost of $0.11.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: September 18, 2024

All federal data sources used on this page