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doxycycline Side Effects

Also known as: Vibramycin, Doryx

Analysis of 64,488 adverse event reports submitted to the FDA from 2003 to 2025.

Total Reports

64,488

Death-Related

6,297

9.8% of reports

Hospitalizations

20,682

32.1% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INEFFECTIVE
5,031
NAUSEA
4,769
OFF LABEL USE
4,436
FATIGUE
4,419
RASH
3,945
DIARRHOEA
3,843
PAIN
3,835
DYSPNOEA
3,798
HEADACHE
3,771
VOMITING
3,669
DRUG HYPERSENSITIVITY
3,635
MALAISE
2,832
CONDITION AGGRAVATED
2,797
DIZZINESS
2,784
PRURITUS
2,761
ARTHRALGIA
2,670
CHRONIC KIDNEY DISEASE
2,623
PNEUMONIA
2,590
PYREXIA
2,584
ANXIETY
2,500

Who Reports Side Effects

Gender Distribution

Female 37,095 (63%)
Male 21,469 (37%)
Unknown 142

Age Distribution

0-17 1,693 (4%)
18-44 13,215 (30%)
45-64 14,486 (32%)
65-74 8,504 (19%)
75+ 6,893 (15%)

Reporting Trend by Year

2003 2025

Reactions in Death Reports

Top reactions reported in 6,297 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 1,421
FATIGUE 1,050
OFF LABEL USE 976
HYPERTENSION 961
HYPOAESTHESIA 956
GENERAL PHYSICAL HEALTH DETERIORATION 945
VOMITING 941
HYPERSENSITIVITY 922
RASH 921
GLOSSODYNIA 916
PYREXIA 916
IMPAIRED HEALING 911
TYPE 2 DIABETES MELLITUS 906
HELICOBACTER INFECTION 905
INJURY 905
HAND DEFORMITY 901
INFECTION 899
FIBROMYALGIA 879
HEPATIC ENZYME INCREASED 874
JOINT SWELLING 871

Reactions in Hospitalization Reports

Top reactions in 20,682 reports where hospitalization was an outcome.

Reaction Reports
DYSPNOEA 2,219
FATIGUE 2,072
OFF LABEL USE 1,935
NAUSEA 1,910
DRUG INEFFECTIVE 1,879
VOMITING 1,867
PAIN 1,856
PNEUMONIA 1,843
DIARRHOEA 1,835
PYREXIA 1,750
RASH 1,689
HEADACHE 1,561
MALAISE 1,470
CONDITION AGGRAVATED 1,419
HYPERTENSION 1,373
ARTHRALGIA 1,371
INFECTION 1,333
ASTHENIA 1,305
ANXIETY 1,281
DIZZINESS 1,266

Nearby — Related Medications

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What the FAERS Data Reveals About doxycycline Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 64,488 voluntary reports linked to doxycycline and its brand equivalents (Vibramycin, Doryx), spanning 2003 through 2025. Of those, 6,297 (9.8%) listed death as an outcome and 20,682 (32.1%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 63% were female and 37% male; age distribution skews toward 45-64, with 14,486 reports in that bracket. The single most reported reaction is drug ineffective with 5,031 submissions, followed by nausea and off label use.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.