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Prescription medicine

Demeclocycline First approved as Declomycin

Demeclocycline (Declomycin) is a prescription medicine with an FDA approval on record since 1960. FDA's NDC Directory lists it from 5 generic labelers, and pharmacies paid $2.27 per demeclocycline 150 mg tablet in the October 7, 2026 NADAC survey.

  • Generic listed

Check it at the source: the demeclocycline FDA label on DailyMed (effective April 2, 2026, Amneal Pharmaceuticals of New York LLC); the NDA 50262 record on Drugs@FDA; every demeclocycline label on DailyMed.

Highlights of the record

FDA label of April 2, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

Demeclocycline hydrochloride tablets are indicated in the treatment of infections caused by susceptible strains of the designated microorganisms in the conditions below: Rocky Mountain spotted fever, typhus fever and the typhus group, Q fever, rickettsialpox and tick fevers caused by rickettsiae;

Forms and strengths

  • 150 mg
  • 300 mg

Tablet; film-coated tablet.

On the market

Earliest approval on file
January 14, 1960 Declomycin, Lederle; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
5 first March 22, 2004; 3 with a marketed status in Drugs@FDA
Labelers listed (NDC)
5 of which 5 under generic applications, 0 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
$2.27 per tablet Demeclocycline 150 mg tablet
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
228 through July 30, 2026

What is demeclocycline used for?

From the label: indications and usage

Demeclocycline hydrochloride tablets are indicated in the treatment of infections caused by susceptible strains of the designated microorganisms in the conditions below: Rocky Mountain spotted fever, typhus fever and the typhus group, Q fever, rickettsialpox and tick fevers caused by rickettsiae; […]

Conditions named in the indications of demeclocycline's FDA labels, with every medicine labeled for each:

From other demeclocycline labels

Bacterial infections: INDICATIONS AND USAGE Demeclocycline hydrochloride tablets are indicated in the treatment of infections caused by susceptible strains of the designated microorganisms in the conditions below:

Urinary tract infections: Respiratory tract and urinary tract infections caused by Klebsiella species.

FDA pharmacologic class: Tetracycline-class Antimicrobial.

Source: FDA drug label (Demeclocycline Hydrochloride), Amneal Pharmaceuticals of New York LLC, effective April 2, 2026 (SPL set 539add06-e0a0-401a-b4f6-20776084aa9c), via openFDA; the full label on DailyMed

Is there a generic for demeclocycline (Declomycin)?

The FDA approved the first generic demeclocycline on March 22, 2004. 5 generic applications are approved; 3 of them carry a current (not discontinued) marketing status in Drugs@FDA; that status is not evidence that the generic is on sale.

FDA's NDC Directory lists demeclocycline from 5 labelers under a generic (ANDA) application. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.

  • 1960 earliest approval on file
  • 2004 first generic approved

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do pharmacies pay for demeclocycline (Declomycin)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $2.27 per Demeclocycline 150 mg tablet, down 30% from $3.25 on October 8, 2025. The survey records the price, not the reason for a change; large moves often follow a new generic or a list-price change. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.

  • Demeclocycline 150 mg tablet (generic)
$3.97
$2.27
April 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Demeclocycline 150 mg tabletGeneric$2.27 per tablet$68.18-30%
Demeclocycline 300 mg tabletGeneric$3.05 per tablet$91.37-45%

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

What does the demeclocycline label say about other medicines?

The demeclocycline label names 1 other medicine in its interaction, contraindication or warning sections. The labels of 1 other medicine name demeclocycline. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
TetracyclinewarningsIF ANY TETRACYCLINE IS USED DURING PREGNANCY, OR IF THE PATIENT BECOMES PREGNANT WHILE TAKING THESE DRUGS, THE PATIENT SHOULD BE APPRISED OF THE POTENTIAL HAZARD TO THE FETUS.

Other labels that name demeclocycline

Check demeclocycline against other medicines

Source: FDA drug label (Demeclocycline Hydrochloride), Amneal Pharmaceuticals of New York LLC, effective April 2, 2026 (SPL set 539add06-e0a0-401a-b4f6-20776084aa9c), via openFDA; the full label on DailyMed

What do FAERS reports show for demeclocycline?

The FDA Adverse Event Reporting System holds 228 reports that list demeclocycline among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 39 are coded as a death and 131 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

The most reported reactions

  • Hyponatraemia41
  • Diarrhoea (named in the label)27
  • Asthenia22
  • Oedema Peripheral18
  • Fatigue17
  • Dizziness (named in the label)15
  • Nausea (named in the label)15
  • Pneumonia15

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What else is labeled for the same conditions as demeclocycline?

26 other medicines are given the same way (oral) and in the same FDA class as demeclocycline or labeled mainly for the same use (bacterial infections), the same class first. Bacterial infections lists all 51 medicines labeled for it, by any route. The first 8 are below. They are listed as records, not as substitutes: whether one can replace another is a prescriber's decision.

MedicineShared indicationGeneric labelers (oral)Pharmacy costShortage
TetracyclineBacterial infections10 labelers$0.247 per capsule 250 mg capsuleNo current entry
DoxycyclineBacterial infections, Urinary tract infections71 labelers$0.118 per tablet 100 mg tabletA presentation being discontinued
AmoxicillinBacterial infections38 labelers$0.0788 per capsule 500 mg capsuleNo current entry
Amoxicillin and clavulanateBacterial infections, Urinary tract infections31 labelers$0.0693 per mL 600-42.9 mg/5 mL susNo current entry
AzithromycinBacterial infections47 labelers$0.266 per tablet 250 mg tabletA presentation being discontinued
CephalexinBacterial infections, Urinary tract infections36 labelers$0.120 per capsule 500 mg capsuleNo current entry
NitrofurantoinBacterial infections, Urinary tract infections47 labelers$0.165 per capsule 50 mg capsuleA presentation being discontinued
MetronidazoleBacterial infections40 labelers$0.102 per tablet 250 mg tabletIn shortage

Every medicine labeled for the same conditions as demeclocycline

Source: FDA drug labels (indications), NDC Directory, NADAC of October 7, 2026, FDA shortages (October 8, 2026)

What next?

Alternatives to demeclocycline
26 medicines for the same use
Other tetracycline-class antimicrobials
the pharmacologic class, with prices and generics
Demeclocycline side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other