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Two medicines, side by side

Moxifloxacin vs doxycycline

Moxifloxacin and doxycycline are both labeled for bacterial infections. Drugs@FDA records approvals of moxifloxacin since 1999 and of doxycycline since 1967. Pharmacies paid $1.60 per mL (Moxifloxacin 0.5% eye drops) and $0.118 per doxycycline hyclate 100 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Doxycycline's other strengths are brand-only: $18.18 per Doryx mpc DR 60 mg tablet. In FDA's classes, moxifloxacin is a fluoroquinolone antibacterial and doxycycline a tetracycline-class drug.

Check it at the source: the moxifloxacin FDA label on DailyMed (effective March 17, 2026); the doxycycline FDA label on DailyMed (effective July 25, 2025).

Highlights of the moxifloxacin record

Moxifloxacin (Avelox) · label of March 17, 2026

Boxed warning

SERIOUS ADVERSE REACTIONS INCLUDING TENDINITIS, TENDON RUPTURE, PERIPHERAL NEUROPATHY, CENTRAL NERVOUS SYSTEM EFFECTS andEXACERBATION OF MYASTHENIA GRAVIS Fluoroquinolones, including moxifloxacin tablets, have been associated with disabling and potentially irreversible serious adverse reactions that have occurred together [see Warnings and Precautions ( 5.1 )], including: Tendinitis and tendon rupture [see Warnings and Precautions ( 5.2 )] Peripheral neuropathy [see Warnings and Precautions (

Used for

From the label: indications

Moxifloxacin tablets are a fluoroquinolone antibacterial indicated for treating infections in adults 18 years of age and older caused by designated susceptible bacteria, in the conditions listed below: Community Acquired Pneumonia ( 1.1 ) Skin and Skin Structure Infections: Uncomplicated ( 1.2 ) and Complicated ( 1.3 ) Complicated Intra-Abdominal Infections ( 1.4 ) Plague ( 1.5 ) Acute Bacterial Sinusitis ( 1.6 ) […]

On the market

Earliest approval on file
December 10, 1999
Generic labelers
32 labelers
Pharmacy cost
$1.60 per mL

Supply and safety

Shortage
A presentation being discontinued
Recalls
10

Highlights of the doxycycline record

Doxycycline (Vibramycin) · label of July 25, 2025

Used for

From the label: indications

To reduce the development of drug-resistant bacteria and maintain effectiveness of doxycycline capsules and other antibacterial drugs, doxycycline capsules should be used only to treat or prevent infections that are proven or strongly suspected to be caused by susceptible bacteria. When culture and susceptibility information are available, they should be considered in selecting or modifying antibacterial therapy. […]

On the market

Earliest approval on file
December 5, 1967
Generic labelers
83 labelers
Pharmacy cost
$0.118 per tablet

Supply and safety

Shortage
A presentation being discontinued
Recalls
19

Source: FDA drug labels via openFDA (Moxifloxacin label of March 17, 2026, Doxycycline label of July 25, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do moxifloxacin and doxycycline differ on the record?

In FDA's classes, moxifloxacin is a fluoroquinolone antibacterial and doxycycline a tetracycline-class drug.

Half-life, in each label's words: Moxifloxacin, “The mean (± SD) elimination half-life from plasma is 12 ± 1.3 hours; steady-state is achieved after at least three days …”; Doxycycline, “1.62 0.95 0.37 0.15 (μg/mL) Average Observed Values Maximum Concentration 3.61 μg/mL (± 0.9 sd) Time of Maximum …”

Only the moxifloxacin label carries a boxed warning.

Generics: moxifloxacin since 2014; doxycycline since 1973 (Drugs@FDA).

MoxifloxacinDoxycycline
Labeled forBacterial infectionsUrinary tract infections, Bacterial infections, Acne
Pharmacologic classFluoroquinolone Antibacterial, Quinolone AntimicrobialTetracycline-class Drug
How it works (label)Moxifloxacin is a member of the fluoroquinolone class of antibacterial agents [see Microbiology ( 12.4 )].n/a
Half-life (label)The mean (± SD) elimination half-life from plasma is 12 ± 1.3 hours; steady-state is achieved after at least three days with a 400 mg once daily regimen.1.62 0.95 0.37 0.15 (μg/mL) Average Observed Values Maximum Concentration 3.61 μg/mL (± 0.9 sd) Time of Maximum Concentration 2.60 hr (± 1.10 sd) Elimination Rate Constant 0.049 per hr (± 0.030 sd) Half-Life 16.33 hr (± …
Earliest approval on file (Drugs@FDA)December 10, 1999December 5, 1967
First generic approvedFebruary 18, 2014June 18, 1973
Generic labelers (NDC)32 labelers83 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$1.60 per mL (Moxifloxacin 0.5% eye drops)$0.118 per tablet (Doxycycline hyclate 100 mg tablet)
12-month price change-14%-2%
Boxed warningYesNo
Shortage nowA presentation being discontinuedA presentation being discontinued
Recalls recorded1019
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)20,16869,571
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to moxifloxacin
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