Doxycycline Monohydrate Tablets Rx
Generic Name and Formulations:
Doxycycline monohydrate 50mg, 100mg; tabs.
Indications for Doxycycline Monohydrate Tablets:
Tetracycline-susceptible infections including respiratory, genitourinary, rickettsial, trachoma. Postexposure prophylaxis and treatment of anthrax.
Usual dose: 200mg on first day (give as 100mg every 12hrs or 50mg every 6hrs) followed by maintenance dose of 100mg/day (may be given as a single dose or as 50mg every 12hrs). Management of severe infections (including chronic UTI): 100mg every 12hrs. Uncomplicated gonoccal infections (except anorectal infections in men): 100mg twice daily for 7 days or 300mg stat followed in one hour by a second 300mg dose. Acute epididymo-orchitis caused by N. gonorrhoeae, C. trachomatis: 100mg twice daily for at least 10 days. Primary and secondary syphilis: 300mg in divided doses for at least 10 days. Uncomplicated urethral, endocervical, or rectal infection caused by C. trachomatis, nongonococcal urethritis caused by C. trachomatis and U. urealyticum: 100mg twice daily for at least 7 days. Inhalational anthrax (post-exposure): 100mg twice daily for 60 days.
<8yrs: not recommended. >8yrs: ≤100lbs: 2mg/lb divided into two doses on the first day, followed by 1mg/lb as a single daily dose or divided into two doses, on subsequent days. Severe infections: up to 2mg/lb may be used. >100lbs: use adult dose. Inhalational anthrax (post-exposure): ≤100lbs: 1mg/lb twice daily for 60 days. >100lbs: use adult dose.
Monitor blood, renal, and liver function in long-term use. Avoid excessive sunlight or UV light. Pregnancy (Cat.D), nursing mothers: not recommended.
Antacids, iron, zinc, calcium, magnesium reduce absorption. Avoid concomitant penicillin, methoxyflurane. Carbamazepine, phenytoin, barbiturates may decrease effectiveness. Monitor prothrombin time with oral anticoagulants. May decrease effectiveness of oral contraceptives.
Photosensitivity, GI upset, esophageal irritation/ulceration (drink fluids liberally with dose), rash, increased BUN, hypersensitivity reactions, blood dyscrasias; pseudomembranous colitis.
Tabs 50mg—100; 100mg—50, 250
Sign Up for Free e-newsletters
Psychiatry Advisor Articles
- Adjunctive Therapies for Bipolar Disorder Show Promise, Need More Evidence
- Improving Performance of Everyday Activities Is Critical in Schizophrenia
- Analysis Finds Lithium Maintenance Most Effective as Monotherapy in Bipolar Disorder
- Web-Based Intervention Targets Parental Behaviors That May Affect Adolescent Anxiety, Depression
- Abnormalities of Cortical Thickness in Bipolar Disorder With Auditory Hallucinations
- The Way to the Head May Be Through the Gut: Probiotics for Depression
- Suicide-Screening Toolkit Can Help Identify Youths at High Risk for Suicide
- Agoraphobia: An Evolving Understanding of Definitions and Treatment
- Parental Pressure to Diet Linked With Long-term Harm in Adolescents
- Does Access to Medical Cannabis Reduce Risk for Opioid Abuse?
- Antidepressants Increase Seizure Risk in Youth and Severely Depressed
- Examining Associations Between Diabetes and Effects on Cognition
- Untreated Depression Common in Women of Childbearing Age
- Incidence of Psychiatric Disorders in Rheumatoid Arthritis
- Effect of Antidepressant Class, Dose on Pediatric Anxiety Disorders