Doxycycline Hydrochloride

Generic Details

Generic Name

Doxycycline Hydrochloride

Other Names

  • Vibramycin
  • Doryx
  • Adoxa

Drug Class

  • Tetracycline Antibiotic

Chemical Formula

C22H24N2O8.HCl

Molecular Weight

480.9 g/mol

Mechanism of Action

  • Inhibits bacterial protein synthesis by binding to the 30S ribosomal subunit

Indications

  • Acne
  • Respiratory tract infections
  • Urinary tract infections
  • Sexually transmitted infections
  • Lyme disease

Common Dosage Forms

  • Capsules
  • Tablets
  • Syrup

Typical Dosage

  • 100 mg - 200 mg per day, taken in 1 or 2 divided doses

Pediatric Dosage

  • Dosing based on weight and severity of infection

Geriatric Dosage

  • Adjust dosage based on renal function

Side Effects

  • Nausea
  • Vomiting
  • Diarrhea
  • Photosensitivity
  • Tooth discoloration in children

Contraindications

  • Hypersensitivity to tetracyclines
  • Pregnancy after the 15th week

Pregnancy Category

  • D

Lactation Safety

  • Usually compatible with breastfeeding in short-term use

Drug Interactions

  • Antacids, iron supplements, warfarin, penicillins

Overdose Symptoms

  • Nausea
  • Vomiting
  • Diarrhea
  • Intracranial hypertension

Antidote for Overdose

  • No specific antidote, mainly supportive care

Storage Conditions

  • Store at room temperature, protect from light and moisture

Pharmacokinetics

  • Absorption: Well absorbed orally
  • Distribution: Distributed widely in body tissues
  • Metabolism: Hepatic
  • Excretion: Primarily in feces, some in urine

Precautions

  • Avoid sunlight exposure
  • Take with plenty of water to prevent esophageal irritation

Warnings

  • Not recommended for use in children under 8 years
  • Can cause permanent tooth discoloration in developing teeth

Others

  • May interfere with certain lab tests (e.g., urine catecholamines)