Doxycycline
Explore a selection of our essential drug information below, or:
Identification
- Summary
Doxycycline is a tetracycline antibiotic used to treat a wide variety of bacterial infections.
- Brand Names
- Acticlate, Adoxa, Apprilon, Atridox, Doryx, Doxy, Doxycin, Lymepak, Mondoxyne, Monodox, Morgidox, Okebo, Oracea, Periostat, Targadox, Vibramycin
- Generic Name
- Doxycycline
- DrugBank Accession Number
- DB00254
- Background
Doxycycline is a broad-spectrum antibiotic synthetically derived from oxytetracycline.13 It is a second-generation tetracycline that was first discovered in 1967.6 Second-generation tetracyclines exhibit lesser toxicity than first-generation tetracyclines.5 Doxycycline is used to treat a wide variety of gram-positive and gram-negative bacterial infections. It is also used to treat acne and malaria.8
- Type
- Small Molecule
- Groups
- Approved, Investigational, Vet approved
- Structure
- Weight
- Average: 444.4346
Monoisotopic: 444.153265754 - Chemical Formula
- C22H24N2O8
- Synonyms
- 5-hydroxy-α-6-deoxytetracycline
- 6-alpha-deoxy-5-oxytetracycline
- 6alpha-deoxy-5-oxytetracycline
- 6α-deoxy-5-oxytetracycline
- Anhydrous doxycycline
- Doxiciclina
- Doxycyclin
- Doxycycline
- Doxycycline (anhydrous)
- Doxycycline anhydrous
- Doxycyclinum
Pharmacology
- Indication
Doxycycline is indicated for the treatment of various infections by gram-positive and gram-negative bacteria, aerobes and anaerobes, as well other types of bacteria, including:
- Early Lyme disease (as evidenced by erythema migraines) due to Borrelia burgdorferi in adults and pediatric patients 8 years of age and older weighing 45 kg and above 12
- Rickettsial infections,11 such as Rocky Mountain spotted fever, typhus fever and the typhus group, Q fever, rickettsialpox, and tick fevers 13
- Sexually transmitted infections 11
- Respiratory tract infections 11 caused by Mycoplasma pneumoniae and Haemophilus influenzae 13
- Specific bacterial infections 11 after indicative bacteriologic testing. These include infections caused by Escherichia coli, Enterobacter aerogenes, Shigella species, Acinetobacter species, and Klebsiella species 13
- Ophthalmic infections,11 such as inclusion conjunctivitis caused by Chlamydia trachomatis 13
- Anthrax, including inhalational anthrax (post-exposure) 11
- Alternative treatment for selected infections when penicillin is contraindicated 11
- Adjunctive therapy in acute intestinal amebiasis and severe acne 11,13
- Lymphogranuloma venereum caused by Chlamydia trachomatis 13
- Psittacosis (ornithosis) caused by Chlamydophila psittaci 13
- Trachoma caused by Chlamydia trachomatis, although the infectious agent is not always eliminated, as judged by immunofluorescence 13
- Uncomplicated urethral, endocervical, or rectal infections in adults caused by Chlamydia trachomatis 13
- Nongonococcal urethritis caused by Ureaplasma urealyticum 13
- Relapsing fever due to Borrelia recurrentis 13
- Prophylaxis of malaria due to Plasmodium falciparum in short-term travelers (<4 months) to areas with chloroquine and/or pyrimethamine-sulfadoxine resistant strains 11,13
It is also used to treat infections caused by the following gram-negative microorganisms:
- Chancroid caused by Haemophilus ducreyi 13
- Plague due to Yersinia pestis 13
- Tularemia due to Francisella tularensis 13
- Cholera caused by Vibrio cholerae 13
- Campylobacter fetus infections caused by Campylobacter fetus 13
- Brucellosis due to Brucella species (in conjunction with streptomycin) 13
- Bartonellosis due to Bartonella bacilliformis 13
- Granuloma inguinale caused by Klebsiella granulomatis 13
Reduce drug development failure ratesBuild, train, & validate machine-learning modelswith evidence-based and structured datasets.Build, train, & validate predictive machine-learning models with structured datasets.- Associated Conditions
Indication Type Indication Combined Product Details Approval Level Age Group Patient Characteristics Dose Form Treatment of Acinetobacter infections •••••••••••• Treatment of Anthrax •••••••••••• Treatment of Bacterial infection caused by enterobacter aerogenes •••••••••••• Treatment of Bartonellosis •••••••••••• Used in combination to treat Brucellosis Regimen in combination with: Streptomycin (DB01082) •••••••••••• Treatment of Campylobacter infection •••••••••••• Treatment of Chancroid •••••••••••• Treatment of Chlamydia trachomatis infection •••••••••••• Treatment of Early lyme disease •••••••••••• •••• •••••• •• •• ••••• •• •• •••••• Treatment of Granuloma inguinale •••••••••••• Treatment of Infection due to escherichia coli •••••••••••• Treatment of Klebsiella infections •••••••••••• Treatment of Lymphogranuloma venereum •••••••••••• Prophylaxis of Malaria caused by plasmodium falciparum •••••••••••• Treatment of Nongonococcal urethritis •••••••••••• Treatment of Plague caused by yersinia pestis •••••••••••• Treatment of Psittacosis •••••••••••• Treatment of Rectal infection caused by chlamydia trachomatis •••••••••••• Treatment of Relapsing fever caused by borrelia recurrentis •••••••••••• Treatment of Respiratory tract infection bacterial •••••••••••• Treatment of Respiratory tract infection bacterial •••••••••••• Treatment of Rickettsial infectious disorders •••••••••••• Adjunct therapy in treatment of Severe acne •••••••••••• Treatment of Sexually transmitted infections (stis) •••••••••••• Treatment of Shigella infection •••••••••••• Treatment of Trachoma inclusion conjunctivitis •••••••••••• Treatment of Tularemia •••••••••••• Treatment of Vibrio cholerae infection •••••••••••• Adjunct therapy in treatment of Acute intestinal amebiasis •••••••••••• Treatment of Inhaled anthrax caused by bacillus anthracis •••••••••••• Treatment of Susceptible bacterial infections •••••••••••• Treatment of Uncomplicated endocervical infection •••••••••••• Treatment of Uncomplicated urethral infection •••••••••••• - Contraindications & Blackbox Warnings
- Prevent Adverse Drug Events TodayTap into our Clinical API for life-saving information on contraindications & blackbox warnings, population restrictions, harmful risks, & more.Avoid life-threatening adverse drug events with our Clinical API
- Pharmacodynamics
Doxycycline and other tetracyclines are mainly bacteriostatic and are thought to exert antimicrobial effects by the inhibition of protein synthesis. They suppress the growth of bacteria or keep them in the stationary phase of growth.3 Tetracyclines have antimicrobial spectrum of activity against a variety of gram-positive and gram-negative microorganisms.11 Cross-resistance of these microorganisms to tetracyclines is a common occurrence.11
As it is a highly lipophilic drug, doxycycline crosses multiple membranes of target molecules.8 Doxycycline shows favorable intra-cellular penetration, with bacteriostatic activity against a wide range of bacteria.9 Doxycycline also exhibits antiparasitic properties 1,2,3 and anti-inflammatory actions.4,8 Its anti-inflammatory effects were investigated in various inflammatory skin conditions, such as bullous dermatoses 8 and rosacea.4,8
- Mechanism of action
Protein synthesis is essential for survival and functioning of cells, including bacteria.7 Doxycycline inhibits bacterial protein synthesis by allosterically binding to the 30S prokaryotic ribosomal subunit.8,11 The drug blocks the association charged aminoacyl-tRNA (aa-tRNA) with the ribosomal A site, which is the acceptor site on the mRNA-ribosome complex. Doxycycline ultimately impedes the elongation phase of protein synthesis and halts the production of essential proteins for bacterial survival and functioning.7,8
Doxycycline mediates anti-inflammatory actions by preventing calcium-dependent microtubular assembly and lymphocytic proliferation, thereby inhibiting leukocyte movement during inflammation.8 It also inhibits nitric oxide synthase, which is an enzyme that produces nitric oxide, an inflammatory signaling molecule.8
Target Actions Organism A30S ribosomal protein inhibitor- Absorption
Doxycycline is virtually completely absorbed after oral administration 11 with a bioavailability of ranging from 73-95%.10 Following an oral dose of 500 mg, the Cmax of 15.3 mg/L was reached in four hours.10
Following a 200 mg dose, normal adult volunteers averaged peak serum levels of 2.6 mcg/mL of doxycycline at 2 hours, decreasing to 1.45 mcg/mL at 24 hours.13 While a high-fat meal lowers Cmax and the rate of absorption, the effect is not clinically significant.11
- Volume of distribution
There is limited information available.
- Protein binding
While there is limited information available, tetracyclines bound to plasma proteins in varying degree.13
- Metabolism
There is limited information available.
- Route of elimination
Tetracyclines, including doxycycline, are concentrated in bile by the liver and excreted in the urine and feces at high concentrations and in a biologically active form.11 Excretion of doxycycline by the kidney is about 40%/72 hours in individuals with a creatinine clearance of about 75 mL/min. This percentage may fall as low as 1-5%/72 hours in individuals with a creatinine clearance below 10 mL/min.11
- Half-life
There is limited information available.
- Clearance
Population pharmacokinetic analysis of sparse concentration-time data of doxycycline following standard of care intravenous and oral dosing in 44 pediatric patients two to 18 years of age showed allometrically -scaled clearance (CL) ranging from 3.27 to 3.58 L/h/70 kg.13
- Adverse Effects
- Improve decision support & research outcomesWith structured adverse effects data, including: blackbox warnings, adverse reactions, warning & precautions, & incidence rates. View sample adverse effects data in our new Data Library!Improve decision support & research outcomes with our structured adverse effects data.
- Toxicity
Oral LD50 is 2000 mg/kg in rats, 1870 mg/kg in mice, and 500 mg/kg in dog.14
In case of overdosage, doxycycline should be discontinued and symptomatic and supportive treatment should be initiated. Dialysis does not alter serum half-life and thus would not be of benefit in treating cases of overdosage.11
- Pathways
Pathway Category Doxycycline Action Pathway Drug action - Pharmacogenomic Effects/ADRs
- Not Available
Interactions
- Drug Interactions
- This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Drug Interaction Integrate drug-drug
interactions in your softwareAbacavir Doxycycline may decrease the excretion rate of Abacavir which could result in a higher serum level. Abciximab The risk or severity of bleeding can be increased when Doxycycline is combined with Abciximab. Aceclofenac Aceclofenac may decrease the excretion rate of Doxycycline which could result in a higher serum level. Acemetacin Acemetacin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Acenocoumarol The risk or severity of bleeding can be increased when Doxycycline is combined with Acenocoumarol. Acetaminophen Doxycycline may decrease the excretion rate of Acetaminophen which could result in a higher serum level. Acetazolamide Acetazolamide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Acetylsalicylic acid Acetylsalicylic acid may decrease the excretion rate of Doxycycline which could result in a higher serum level. Acitretin The risk or severity of pseudotumor cerebri can be increased when Acitretin is combined with Doxycycline. Aclidinium Doxycycline may decrease the excretion rate of Aclidinium which could result in a higher serum level. Acrivastine Doxycycline may decrease the excretion rate of Acrivastine which could result in a higher serum level. Acyclovir Acyclovir may decrease the excretion rate of Doxycycline which could result in a higher serum level. Adefovir dipivoxil Adefovir dipivoxil may decrease the excretion rate of Doxycycline which could result in a higher serum level. Albuterol Doxycycline may decrease the excretion rate of Salbutamol which could result in a higher serum level. Albutrepenonacog alfa Doxycycline may decrease the excretion rate of Albutrepenonacog alfa which could result in a higher serum level. Alclofenac Alclofenac may decrease the excretion rate of Doxycycline which could result in a higher serum level. Aldesleukin Aldesleukin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Alitretinoin The risk or severity of pseudotumor cerebri can be increased when Alitretinoin is combined with Doxycycline. Allopurinol Doxycycline may decrease the excretion rate of Allopurinol which could result in a higher serum level. Almasilate Almasilate can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Almotriptan Doxycycline may decrease the excretion rate of Almotriptan which could result in a higher serum level. Alogliptin Doxycycline may decrease the excretion rate of Alogliptin which could result in a higher serum level. Alprazolam Doxycycline may decrease the excretion rate of Alprazolam which could result in a higher serum level. Alteplase The risk or severity of bleeding can be increased when Doxycycline is combined with Alteplase. Aluminium Aluminium can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Aluminium phosphate Aluminium phosphate can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Aluminum hydroxide Aluminum hydroxide can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Amantadine Doxycycline may decrease the excretion rate of Amantadine which could result in a higher serum level. Ambroxol The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Ambroxol. Amikacin Doxycycline may decrease the excretion rate of Amikacin which could result in a higher serum level. Amiloride Amiloride may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Aminophenazone Aminophenazone may decrease the excretion rate of Doxycycline which could result in a higher serum level. Amitriptyline Doxycycline may decrease the excretion rate of Amitriptyline which could result in a higher serum level. Ammonium chloride Doxycycline may decrease the excretion rate of Ammonium chloride which could result in a higher serum level. Amobarbital The serum concentration of Doxycycline can be decreased when it is combined with Amobarbital. Amoxicillin The therapeutic efficacy of Amoxicillin can be decreased when used in combination with Doxycycline. Amphetamine Amphetamine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Amphotericin B Amphotericin B may decrease the excretion rate of Doxycycline which could result in a higher serum level. Ampicillin The therapeutic efficacy of Ampicillin can be decreased when used in combination with Doxycycline. Amrinone Doxycycline may decrease the excretion rate of Amrinone which could result in a higher serum level. Ancestim Doxycycline may decrease the excretion rate of Ancestim which could result in a higher serum level. Ancrod The risk or severity of bleeding can be increased when Doxycycline is combined with Ancrod. Anistreplase The risk or severity of bleeding can be increased when Doxycycline is combined with Anistreplase. Antihemophilic factor (recombinant), PEGylated Doxycycline may decrease the excretion rate of Antihemophilic factor (recombinant), PEGylated which could result in a higher serum level. Antipyrine Antipyrine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Antithrombin Alfa The risk or severity of bleeding can be increased when Doxycycline is combined with Antithrombin Alfa. Antithrombin III human The risk or severity of bleeding can be increased when Doxycycline is combined with Antithrombin III human. Antrafenine Antrafenine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Apalutamide Doxycycline may decrease the excretion rate of Apalutamide which could result in a higher serum level. Apixaban The risk or severity of bleeding can be increased when Doxycycline is combined with Apixaban. Apremilast Doxycycline may decrease the excretion rate of Apremilast which could result in a higher serum level. Ardeparin The risk or severity of bleeding can be increased when Doxycycline is combined with Ardeparin. Arformoterol Doxycycline may decrease the excretion rate of Arformoterol which could result in a higher serum level. Argatroban The risk or severity of bleeding can be increased when Doxycycline is combined with Argatroban. Arsenic trioxide Doxycycline may decrease the excretion rate of Arsenic trioxide which could result in a higher serum level. Articaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Articaine. Ascorbic acid The therapeutic efficacy of Doxycycline can be decreased when used in combination with Ascorbic acid. Ascorbyl phosphate The therapeutic efficacy of Doxycycline can be decreased when used in combination with Ascorbyl phosphate. Atazanavir Atazanavir may decrease the excretion rate of Doxycycline which could result in a higher serum level. Atomoxetine Doxycycline may decrease the excretion rate of Atomoxetine which could result in a higher serum level. Atracurium The therapeutic efficacy of Atracurium can be increased when used in combination with Doxycycline. Atracurium besylate The therapeutic efficacy of Atracurium besylate can be increased when used in combination with Doxycycline. Auranofin Doxycycline may decrease the excretion rate of Auranofin which could result in a higher serum level. Aurothioglucose Doxycycline may decrease the excretion rate of Aurothioglucose which could result in a higher serum level. Azacitidine Doxycycline may decrease the excretion rate of Azacitidine which could result in a higher serum level. Azathioprine Doxycycline may decrease the excretion rate of Azathioprine which could result in a higher serum level. Azelaic acid Doxycycline may decrease the excretion rate of Azelaic acid which could result in a higher serum level. Azlocillin The therapeutic efficacy of Azlocillin can be decreased when used in combination with Doxycycline. Aztreonam Doxycycline may decrease the excretion rate of Aztreonam which could result in a higher serum level. Bacampicillin The therapeutic efficacy of Bacampicillin can be decreased when used in combination with Doxycycline. Bacitracin Bacitracin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Baclofen Baclofen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Balsalazide Balsalazide may decrease the excretion rate of Doxycycline which could result in a higher serum level. Baricitinib Doxycycline may decrease the excretion rate of Baricitinib which could result in a higher serum level. BCG vaccine The therapeutic efficacy of BCG vaccine can be decreased when used in combination with Doxycycline. Bemiparin The risk or severity of bleeding can be increased when Doxycycline is combined with Bemiparin. Bendroflumethiazide Bendroflumethiazide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Benorilate Benorilate may decrease the excretion rate of Doxycycline which could result in a higher serum level. Benoxaprofen Benoxaprofen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Benserazide Doxycycline may decrease the excretion rate of Benserazide which could result in a higher serum level. Benzatropine Benzatropine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Benznidazole Doxycycline may decrease the excretion rate of Benznidazole which could result in a higher serum level. Benzocaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Benzocaine. Benzthiazide Benzthiazide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Benzydamine Benzydamine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Benzyl alcohol The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Benzyl alcohol. Benzylpenicillin The therapeutic efficacy of Benzylpenicillin can be decreased when used in combination with Doxycycline. Benzylpenicilloyl polylysine The therapeutic efficacy of Benzylpenicilloyl polylysine can be decreased when used in combination with Doxycycline. Bepotastine Doxycycline may decrease the excretion rate of Bepotastine which could result in a higher serum level. Betrixaban The risk or severity of bleeding can be increased when Doxycycline is combined with Betrixaban. Bexarotene The risk or severity of pseudotumor cerebri can be increased when Bexarotene is combined with Doxycycline. Bicisate Doxycycline may decrease the excretion rate of Bicisate which could result in a higher serum level. Bismuth subcitrate potassium The serum concentration of Doxycycline can be decreased when it is combined with Bismuth subcitrate potassium. Bismuth subgallate Doxycycline may decrease the excretion rate of Bismuth subgallate which could result in a higher serum level. Bismuth subnitrate Bismuth subnitrate can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Bismuth subsalicylate The serum concentration of Doxycycline can be decreased when it is combined with Bismuth subsalicylate. Bisoprolol Doxycycline may decrease the excretion rate of Bisoprolol which could result in a higher serum level. Bisoxatin Doxycycline may decrease the excretion rate of Bisoxatin which could result in a higher serum level. Bivalirudin The risk or severity of bleeding can be increased when Doxycycline is combined with Bivalirudin. Bleomycin Doxycycline may decrease the excretion rate of Bleomycin which could result in a higher serum level. Botulinum toxin type A The therapeutic efficacy of Botulinum toxin type A can be increased when used in combination with Doxycycline. Botulinum toxin type B The risk or severity of adverse effects can be increased when Doxycycline is combined with Botulinum toxin type B. Brivaracetam Doxycycline may decrease the excretion rate of Brivaracetam which could result in a higher serum level. Bromazepam Doxycycline may decrease the excretion rate of Bromazepam which could result in a higher serum level. Bromotheophylline Bromotheophylline may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Budesonide Doxycycline may decrease the excretion rate of Budesonide which could result in a higher serum level. Bumadizone Bumadizone may decrease the excretion rate of Doxycycline which could result in a higher serum level. Bumetanide Bumetanide may decrease the excretion rate of Doxycycline which could result in a higher serum level. Bupivacaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Bupivacaine. Bupropion Doxycycline may decrease the excretion rate of Bupropion which could result in a higher serum level. Buspirone Doxycycline may decrease the excretion rate of Buspirone which could result in a higher serum level. Butabarbital The serum concentration of Doxycycline can be decreased when it is combined with Butabarbital. Butacaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Butacaine. Butalbital The serum concentration of Doxycycline can be decreased when it is combined with Butalbital. Butamben The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Butamben. Calcium acetate The serum concentration of Doxycycline can be decreased when it is combined with Calcium acetate. Calcium ascorbate The therapeutic efficacy of Doxycycline can be decreased when used in combination with Calcium ascorbate. Calcium carbonate Calcium carbonate can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Calcium chloride The serum concentration of Doxycycline can be decreased when it is combined with Calcium chloride. Calcium citrate The serum concentration of Doxycycline can be decreased when it is combined with Calcium citrate. Calcium glubionate anhydrous The serum concentration of Doxycycline can be decreased when it is combined with Calcium glubionate anhydrous. Calcium glucoheptonate The serum concentration of Doxycycline can be decreased when it is combined with Calcium glucoheptonate. Calcium gluconate The serum concentration of Doxycycline can be decreased when it is combined with Calcium gluconate. Calcium lactate The serum concentration of Doxycycline can be decreased when it is combined with Calcium lactate. Calcium levulinate The serum concentration of Doxycycline can be decreased when it is combined with Calcium levulinate. Calcium Phosphate The serum concentration of Doxycycline can be decreased when it is combined with Calcium Phosphate. Calcium polycarbophil The serum concentration of Doxycycline can be decreased when it is combined with Calcium polycarbophil. Canagliflozin Doxycycline may decrease the excretion rate of Canagliflozin which could result in a higher serum level. Cangrelor The risk or severity of bleeding can be increased when Doxycycline is combined with Cangrelor. Canrenoic acid Canrenoic acid may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Capecitabine Doxycycline may decrease the excretion rate of Capecitabine which could result in a higher serum level. Capreomycin Doxycycline may decrease the excretion rate of Capreomycin which could result in a higher serum level. Capsaicin The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Capsaicin. Carbamazepine Doxycycline may decrease the excretion rate of Carbamazepine which could result in a higher serum level. Carbenicillin The therapeutic efficacy of Carbenicillin can be decreased when used in combination with Doxycycline. Carbidopa Carbidopa may decrease the excretion rate of Doxycycline which could result in a higher serum level. Carbocromen The therapeutic efficacy of Carbocromen can be increased when used in combination with Doxycycline. Carboplatin Carboplatin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Carindacillin The therapeutic efficacy of Carindacillin can be decreased when used in combination with Doxycycline. Carmustine Doxycycline may decrease the excretion rate of Carmustine which could result in a higher serum level. Carprofen Carprofen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefaclor Cefaclor may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefadroxil Cefadroxil may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefalotin Cefalotin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefamandole Cefamandole may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefapirin Cefapirin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefazolin Cefazolin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefdinir Doxycycline may decrease the excretion rate of Cefdinir which could result in a higher serum level. Cefditoren Cefditoren may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefepime Cefepime may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefmenoxime Cefmenoxime may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefmetazole Cefmetazole may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefonicid Cefonicid may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefoperazone Cefoperazone may decrease the excretion rate of Doxycycline which could result in a higher serum level. Ceforanide Ceforanide may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefotaxime Cefotaxime may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefotetan Cefotetan may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefotiam Cefotiam may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefoxitin Cefoxitin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefpiramide Cefpiramide may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefpirome Cefpirome may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefpodoxime Cefpodoxime may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefprozil Cefprozil may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefradine Cefradine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Ceftaroline fosamil Ceftaroline fosamil may decrease the excretion rate of Doxycycline which could result in a higher serum level. Ceftazidime Ceftazidime may decrease the excretion rate of Doxycycline which could result in a higher serum level. Ceftibuten Ceftibuten may decrease the excretion rate of Doxycycline which could result in a higher serum level. Ceftizoxime Ceftizoxime may decrease the excretion rate of Doxycycline which could result in a higher serum level. Ceftobiprole Ceftobiprole may decrease the excretion rate of Doxycycline which could result in a higher serum level. Ceftolozane Doxycycline may decrease the excretion rate of Ceftolozane which could result in a higher serum level. Ceftriaxone Ceftriaxone may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cefuroxime Cefuroxime may decrease the excretion rate of Doxycycline which could result in a higher serum level. Celecoxib Celecoxib may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cephalexin Cephalexin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cephaloglycin Cephaloglycin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Certolizumab pegol Doxycycline may decrease the excretion rate of Certolizumab pegol which could result in a higher serum level. Cetirizine Doxycycline may decrease the excretion rate of Cetirizine which could result in a higher serum level. Cevimeline Cevimeline may decrease the excretion rate of Doxycycline which could result in a higher serum level. Chloral hydrate Doxycycline may decrease the excretion rate of Chloral hydrate which could result in a higher serum level. Chloroprocaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Chloroprocaine. Chloroquine The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Chloroquine. Chlorothiazide Chlorothiazide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Chlorpromazine Doxycycline may decrease the excretion rate of Chlorpromazine which could result in a higher serum level. Chlorpropamide Doxycycline may decrease the excretion rate of Chlorpropamide which could result in a higher serum level. Chlorthalidone Chlorthalidone may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Chlorzoxazone Doxycycline may decrease the excretion rate of Chlorzoxazone which could result in a higher serum level. Cholestyramine Cholestyramine can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Choline C 11 Doxycycline may decrease the excretion rate of Choline C 11 which could result in a higher serum level. Choline magnesium trisalicylate Choline magnesium trisalicylate may decrease the excretion rate of Doxycycline which could result in a higher serum level. Choline salicylate Doxycycline may decrease the excretion rate of Choline salicylate which could result in a higher serum level. Chondroitin sulfate Doxycycline may decrease the excretion rate of Chondroitin sulfate which could result in a higher serum level. Chromic chloride Doxycycline may decrease the excretion rate of Chromic chloride which could result in a higher serum level. Chromic nitrate Doxycycline may decrease the excretion rate of Chromic nitrate which could result in a higher serum level. Chromium Doxycycline may decrease the excretion rate of Chromium which could result in a higher serum level. Chromium gluconate Doxycycline may decrease the excretion rate of Chromium gluconate which could result in a higher serum level. Chromium nicotinate Doxycycline may decrease the excretion rate of Chromium nicotinate which could result in a higher serum level. Chromous sulfate Doxycycline may decrease the excretion rate of Chromous sulfate which could result in a higher serum level. Cidofovir Cidofovir may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cilostazol Doxycycline may decrease the excretion rate of Cilostazol which could result in a higher serum level. Cimetidine Doxycycline may decrease the excretion rate of Cimetidine which could result in a higher serum level. Cinchocaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Cinchocaine. Ciprofloxacin Doxycycline may decrease the excretion rate of Ciprofloxacin which could result in a higher serum level. Cisatracurium Doxycycline may increase the neuromuscular blocking activities of Cisatracurium. Cisplatin Doxycycline may decrease the excretion rate of Cisplatin which could result in a higher serum level. Citric acid The therapeutic efficacy of Doxycycline can be decreased when used in combination with Citric acid. Clevidipine Doxycycline may decrease the excretion rate of Clevidipine which could result in a higher serum level. Clindamycin The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Clindamycin. Clobazam Doxycycline may decrease the excretion rate of Clobazam which could result in a higher serum level. Clofarabine Doxycycline may decrease the excretion rate of Clofarabine which could result in a higher serum level. Clomipramine Doxycycline may decrease the excretion rate of Clomipramine which could result in a higher serum level. Clonazepam Doxycycline may decrease the excretion rate of Clonazepam which could result in a higher serum level. Clorazepic acid Doxycycline may decrease the excretion rate of Clorazepic acid which could result in a higher serum level. Clove oil Doxycycline may decrease the excretion rate of Clove oil which could result in a higher serum level. Cloxacillin The therapeutic efficacy of Cloxacillin can be decreased when used in combination with Doxycycline. Clozapine Doxycycline may decrease the excretion rate of Clozapine which could result in a higher serum level. Cocaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Cocaine. Colchicine Doxycycline may decrease the excretion rate of Colchicine which could result in a higher serum level. Colesevelam Colesevelam can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Colestipol Colestipol can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Colistimethate The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Colistimethate. Colistin Doxycycline may decrease the excretion rate of Colistin which could result in a higher serum level. Collagenase clostridium histolyticum The therapeutic efficacy of Collagenase clostridium histolyticum can be decreased when used in combination with Doxycycline. Conivaptan Conivaptan may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Conjugated estrogens Doxycycline may decrease the excretion rate of Conjugated estrogens which could result in a higher serum level. Corifollitropin alfa Doxycycline may decrease the excretion rate of Corifollitropin alfa which could result in a higher serum level. Cyanocobalamin Cyanocobalamin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Cyclacillin The therapeutic efficacy of Cyclacillin can be decreased when used in combination with Doxycycline. Cyclopenthiazide Cyclopenthiazide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Cyclosporine The risk or severity of neuromuscular blockade can be increased when Cyclosporine is combined with Doxycycline. Cyclothiazide Cyclothiazide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Cyproterone acetate The serum concentration of Cyproterone acetate can be decreased when it is combined with Doxycycline. Dabigatran The risk or severity of bleeding can be increased when Doxycycline is combined with Dabigatran. Dabigatran etexilate The risk or severity of bleeding can be increased when Doxycycline is combined with Dabigatran etexilate. Dacarbazine Doxycycline may decrease the excretion rate of Dacarbazine which could result in a higher serum level. Dalfampridine Doxycycline may decrease the excretion rate of Dalfampridine which could result in a higher serum level. Dalteparin The risk or severity of bleeding can be increased when Doxycycline is combined with Dalteparin. Danaparoid The risk or severity of bleeding can be increased when Doxycycline is combined with Danaparoid. Dantrolene The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Dantrolene. Daptomycin Daptomycin may decrease the excretion rate of Doxycycline which could result in a higher serum level. DaxibotulinumtoxinA The therapeutic efficacy of DaxibotulinumtoxinA can be increased when used in combination with Doxycycline. Decamethonium The therapeutic efficacy of Decamethonium can be increased when used in combination with Doxycycline. Deferiprone Doxycycline may decrease the excretion rate of Deferiprone which could result in a higher serum level. Defibrotide The risk or severity of bleeding can be increased when Doxycycline is combined with Defibrotide. Delafloxacin Doxycycline may decrease the excretion rate of Delafloxacin which could result in a higher serum level. Demeclocycline The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Demeclocycline. Desipramine Doxycycline may decrease the excretion rate of Desipramine which could result in a higher serum level. Desirudin The risk or severity of bleeding can be increased when Doxycycline is combined with Desirudin. Desmopressin Desmopressin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Desogestrel The serum concentration of Desogestrel can be decreased when it is combined with Doxycycline. Desvenlafaxine Doxycycline may decrease the excretion rate of Desvenlafaxine which could result in a higher serum level. Deutetrabenazine Doxycycline may decrease the excretion rate of Deutetrabenazine which could result in a higher serum level. Dexibuprofen Dexibuprofen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Dexketoprofen Dexketoprofen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Dexlansoprazole Dexlansoprazole can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Dexmedetomidine Doxycycline may decrease the excretion rate of Dexmedetomidine which could result in a higher serum level. Dexpanthenol Doxycycline may decrease the excretion rate of Dexpanthenol which could result in a higher serum level. Dexrazoxane Doxycycline may decrease the excretion rate of Dexrazoxane which could result in a higher serum level. Dextran The risk or severity of bleeding can be increased when Doxycycline is combined with Dextran. Diatrizoate Doxycycline may decrease the excretion rate of Diatrizoate which could result in a higher serum level. Diazepam Doxycycline may decrease the excretion rate of Diazepam which could result in a higher serum level. Dichlorobenzyl alcohol Doxycycline may decrease the excretion rate of Dichlorobenzyl alcohol which could result in a higher serum level. Diclofenac Diclofenac may decrease the excretion rate of Doxycycline which could result in a higher serum level. Diclofenamide Diclofenamide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Dicloxacillin The therapeutic efficacy of Dicloxacillin can be decreased when used in combination with Doxycycline. Dicoumarol The risk or severity of bleeding can be increased when Doxycycline is combined with Dicoumarol. Dicyclomine Doxycycline may decrease the excretion rate of Dicyclomine which could result in a higher serum level. Didanosine Didanosine can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Dienogest The serum concentration of Dienogest can be decreased when it is combined with Doxycycline. Diethylstilbestrol The serum concentration of Diethylstilbestrol can be decreased when it is combined with Doxycycline. Diflunisal Diflunisal may decrease the excretion rate of Doxycycline which could result in a higher serum level. Difluocortolone Doxycycline may decrease the excretion rate of Difluocortolone which could result in a higher serum level. Digoxin Doxycycline may decrease the excretion rate of Digoxin which could result in a higher serum level. Dihydrostreptomycin The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Dihydrostreptomycin. Dimercaprol Doxycycline may decrease the excretion rate of Dimercaprol which could result in a higher serum level. Dimethyl sulfoxide Doxycycline may decrease the excretion rate of Dimethyl sulfoxide which could result in a higher serum level. Diphenhydramine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Diphenhydramine. Dipyridamole The risk or severity of bleeding can be increased when Doxycycline is combined with Dipyridamole. Disopyramide Doxycycline may decrease the excretion rate of Disopyramide which could result in a higher serum level. DL-Methylephedrine Doxycycline may decrease the excretion rate of DL-Methylephedrine which could result in a higher serum level. Dobutamine Doxycycline may decrease the excretion rate of Dobutamine which could result in a higher serum level. Dopamine Doxycycline may decrease the excretion rate of Dopamine which could result in a higher serum level. Doripenem Doxycycline may decrease the excretion rate of Doripenem which could result in a higher serum level. Doxacurium The therapeutic efficacy of Doxacurium can be increased when used in combination with Doxycycline. Doxepin Doxycycline may decrease the excretion rate of Doxepin which could result in a higher serum level. Drospirenone The serum concentration of Drospirenone can be decreased when it is combined with Doxycycline. Drotrecogin alfa The risk or severity of bleeding can be increased when Doxycycline is combined with Drotrecogin alfa. Droxidopa Doxycycline may decrease the excretion rate of Droxidopa which could result in a higher serum level. Duloxetine Doxycycline may decrease the excretion rate of Duloxetine which could result in a higher serum level. Dyclonine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Dyclonine. Dydrogesterone The serum concentration of Dydrogesterone can be decreased when it is combined with Doxycycline. Dyphylline Doxycycline may decrease the excretion rate of Dyphylline which could result in a higher serum level. Edetic acid The risk or severity of bleeding can be increased when Doxycycline is combined with Edetic acid. Edoxaban The risk or severity of bleeding can be increased when Doxycycline is combined with Edoxaban. Edrophonium Doxycycline may decrease the excretion rate of Edrophonium which could result in a higher serum level. Enalaprilat Doxycycline may decrease the excretion rate of Enalaprilat which could result in a higher serum level. Enoxaparin The risk or severity of bleeding can be increased when Doxycycline is combined with Enoxaparin. Enzalutamide Doxycycline may decrease the excretion rate of Enzalutamide which could result in a higher serum level. Eplerenone Eplerenone may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Epoprostenol The risk or severity of bleeding can be increased when Doxycycline is combined with Epoprostenol. Ertapenem Doxycycline may decrease the excretion rate of Ertapenem which could result in a higher serum level. Esculin The therapeutic efficacy of Esculin can be increased when used in combination with Doxycycline. Esomeprazole Esomeprazole can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Estazolam Doxycycline may decrease the excretion rate of Estazolam which could result in a higher serum level. Estetrol The therapeutic efficacy of Estetrol can be decreased when used in combination with Doxycycline. Estradiol Doxycycline may decrease the excretion rate of Estradiol which could result in a higher serum level. Estradiol acetate Doxycycline may decrease the excretion rate of Estradiol acetate which could result in a higher serum level. Estradiol benzoate The serum concentration of Estradiol benzoate can be decreased when it is combined with Doxycycline. Estradiol cypionate Doxycycline may decrease the excretion rate of Estradiol cypionate which could result in a higher serum level. Estradiol dienanthate Doxycycline may decrease the excretion rate of Estradiol dienanthate which could result in a higher serum level. Estradiol valerate Doxycycline may decrease the excretion rate of Estradiol valerate which could result in a higher serum level. Estrone sulfate Doxycycline may decrease the excretion rate of Estrone sulfate which could result in a higher serum level. Eszopiclone Doxycycline may decrease the excretion rate of Eszopiclone which could result in a higher serum level. Etacrynic acid The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Etacrynic acid. Etafedrine Doxycycline may decrease the excretion rate of Etafedrine which could result in a higher serum level. Ethambutol Doxycycline may decrease the excretion rate of Ethambutol which could result in a higher serum level. Ethinylestradiol The serum concentration of Ethinylestradiol can be decreased when it is combined with Doxycycline. Ethyl chloride The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Ethyl chloride. Ethynodiol diacetate The serum concentration of Ethynodiol diacetate can be decreased when it is combined with Doxycycline. Etidocaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Etidocaine. Etodolac Etodolac may decrease the excretion rate of Doxycycline which could result in a higher serum level. Etomidate Doxycycline may decrease the excretion rate of Etomidate which could result in a higher serum level. Etonogestrel The serum concentration of Etonogestrel can be decreased when it is combined with Doxycycline. Etoricoxib Etoricoxib may decrease the excretion rate of Doxycycline which could result in a higher serum level. Eucalyptus oil Doxycycline may decrease the excretion rate of Eucalyptus oil which could result in a higher serum level. Ezogabine Doxycycline may decrease the excretion rate of Ezogabine which could result in a higher serum level. Fecal microbiota The therapeutic efficacy of Fecal microbiota can be decreased when used in combination with Doxycycline. Fenbufen Fenbufen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Fenofibrate Doxycycline may decrease the excretion rate of Fenofibrate which could result in a higher serum level. Fenofibric acid Doxycycline may decrease the excretion rate of Fenofibric acid which could result in a higher serum level. Fenoldopam Doxycycline may decrease the excretion rate of Fenoldopam which could result in a higher serum level. Fenoprofen Fenoprofen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Fentanyl Doxycycline may decrease the excretion rate of Fentanyl which could result in a higher serum level. Ferric ammonium citrate Doxycycline can cause a decrease in the absorption of Ferric ammonium citrate resulting in a reduced serum concentration and potentially a decrease in efficacy. Ferric cation Doxycycline can cause a decrease in the absorption of Ferric cation resulting in a reduced serum concentration and potentially a decrease in efficacy. Ferric maltol Doxycycline can cause a decrease in the absorption of Ferric maltol resulting in a reduced serum concentration and potentially a decrease in efficacy. Ferric sulfate Doxycycline can cause a decrease in the absorption of Ferric sulfate resulting in a reduced serum concentration and potentially a decrease in efficacy. Ferrous bisglycinate Doxycycline can cause a decrease in the absorption of Ferrous bisglycinate resulting in a reduced serum concentration and potentially a decrease in efficacy. Ferrous fumarate Doxycycline can cause a decrease in the absorption of Ferrous fumarate resulting in a reduced serum concentration and potentially a decrease in efficacy. Ferrous gluconate Doxycycline can cause a decrease in the absorption of Ferrous gluconate resulting in a reduced serum concentration and potentially a decrease in efficacy. Ferrous succinate Doxycycline can cause a decrease in the absorption of Ferrous succinate resulting in a reduced serum concentration and potentially a decrease in efficacy. Ferrous sulfate anhydrous Doxycycline can cause a decrease in the absorption of Ferrous sulfate anhydrous resulting in a reduced serum concentration and potentially a decrease in efficacy. Ferumoxides Doxycycline can cause a decrease in the absorption of Ferumoxides resulting in a reduced serum concentration and potentially a decrease in efficacy. Ferumoxsil Doxycycline can cause a decrease in the absorption of Ferumoxsil resulting in a reduced serum concentration and potentially a decrease in efficacy. Fesoterodine Doxycycline may decrease the excretion rate of Fesoterodine which could result in a higher serum level. Finerenone Finerenone may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Flavoxate Doxycycline may decrease the excretion rate of Flavoxate which could result in a higher serum level. Floctafenine Floctafenine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Florbetaben F-18 Doxycycline may decrease the excretion rate of Florbetaben (18F) which could result in a higher serum level. Florbetapir (18F) Doxycycline may decrease the excretion rate of Florbetapir (18F) which could result in a higher serum level. Floxuridine Doxycycline may decrease the excretion rate of Floxuridine which could result in a higher serum level. Flucloxacillin The therapeutic efficacy of Flucloxacillin can be decreased when used in combination with Doxycycline. Fluconazole Fluconazole may decrease the excretion rate of Doxycycline which could result in a higher serum level. Flucytosine Doxycycline may decrease the excretion rate of Flucytosine which could result in a higher serum level. Fludeoxyglucose (18F) Doxycycline may decrease the excretion rate of Fludeoxyglucose (18F) which could result in a higher serum level. Fluindione The risk or severity of bleeding can be increased when Doxycycline is combined with Fluindione. Flumazenil Doxycycline may decrease the excretion rate of Flumazenil which could result in a higher serum level. Fluocinolone acetonide Doxycycline may decrease the excretion rate of Fluocinolone acetonide which could result in a higher serum level. Flurazepam Doxycycline may decrease the excretion rate of Flurazepam which could result in a higher serum level. Flurbiprofen Flurbiprofen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Flutamide Doxycycline may decrease the excretion rate of Flutamide which could result in a higher serum level. Fluvoxamine Fluvoxamine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Folic acid Folic acid may decrease the excretion rate of Doxycycline which could result in a higher serum level. Fomepizole Doxycycline may decrease the excretion rate of Fomepizole which could result in a higher serum level. Fondaparinux The risk or severity of bleeding can be increased when Doxycycline is combined with Fondaparinux. Formestane Doxycycline may decrease the excretion rate of Formestane which could result in a higher serum level. Foscarnet Foscarnet may decrease the excretion rate of Doxycycline which could result in a higher serum level. Fosfomycin Doxycycline may decrease the excretion rate of Fosfomycin which could result in a higher serum level. Fosinopril Doxycycline may decrease the excretion rate of Fosinopril which could result in a higher serum level. Fosphenytoin The serum concentration of Doxycycline can be decreased when it is combined with Fosphenytoin. Framycetin The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Framycetin. Furosemide Furosemide may decrease the excretion rate of Doxycycline which could result in a higher serum level. Gabapentin enacarbil Doxycycline may decrease the excretion rate of Gabapentin enacarbil which could result in a higher serum level. Gadobenic acid Doxycycline may decrease the excretion rate of Gadobenic acid which could result in a higher serum level. Gadodiamide Gadodiamide may decrease the excretion rate of Doxycycline which could result in a higher serum level. Gadofosveset trisodium Doxycycline may decrease the excretion rate of Gadofosveset trisodium which could result in a higher serum level. Gadopentetic acid Doxycycline may decrease the excretion rate of Gadopentetic acid which could result in a higher serum level. Gadoteric acid Doxycycline may decrease the excretion rate of Gadoteric acid which could result in a higher serum level. Gadoteridol Doxycycline may decrease the excretion rate of Gadoteridol which could result in a higher serum level. Gallamine triethiodide The therapeutic efficacy of Gallamine triethiodide can be increased when used in combination with Doxycycline. Ganciclovir Doxycycline may decrease the excretion rate of Ganciclovir which could result in a higher serum level. Gemcitabine Doxycycline may decrease the excretion rate of Gemcitabine which could result in a higher serum level. Gemfibrozil Doxycycline may decrease the excretion rate of Gemfibrozil which could result in a higher serum level. Gentamicin Doxycycline may decrease the excretion rate of Gentamicin which could result in a higher serum level. Gestrinone The serum concentration of Gestrinone can be decreased when it is combined with Doxycycline. Gimeracil Doxycycline may decrease the excretion rate of Gimeracil which could result in a higher serum level. Givosiran Givosiran may decrease the excretion rate of Doxycycline which could result in a higher serum level. Glipizide Doxycycline may decrease the excretion rate of Glipizide which could result in a higher serum level. Glycerol phenylbutyrate Doxycycline may decrease the excretion rate of Glycerol phenylbutyrate which could result in a higher serum level. Golodirsen Doxycycline may decrease the excretion rate of Golodirsen which could result in a higher serum level. Goserelin Goserelin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Guanethidine Doxycycline may decrease the excretion rate of Guanethidine which could result in a higher serum level. Guanfacine Doxycycline may decrease the excretion rate of Guanfacine which could result in a higher serum level. Haloperidol Doxycycline may decrease the excretion rate of Haloperidol which could result in a higher serum level. Heparin The risk or severity of bleeding can be increased when Doxycycline is combined with Heparin. Hetacillin The therapeutic efficacy of Hetacillin can be decreased when used in combination with Doxycycline. Hydralazine Doxycycline may decrease the excretion rate of Hydralazine which could result in a higher serum level. Hydrochlorothiazide Hydrochlorothiazide may decrease the excretion rate of Doxycycline which could result in a higher serum level. Hydroflumethiazide Hydroflumethiazide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Hydromorphone Doxycycline may decrease the excretion rate of Hydromorphone which could result in a higher serum level. Hydrotalcite The absorption of Doxycycline can be decreased when combined with Hydrotalcite. Hydroxocobalamin Hydroxocobalamin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Hydroxyethyl Starch Doxycycline may decrease the excretion rate of Hydroxyethyl Starch which could result in a higher serum level. Hydroxyprogesterone caproate The serum concentration of Hydroxyprogesterone caproate can be decreased when it is combined with Doxycycline. Ibuprofen Ibuprofen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Ibutilide Doxycycline may decrease the excretion rate of Ibutilide which could result in a higher serum level. Icatibant Doxycycline may decrease the excretion rate of Icatibant which could result in a higher serum level. Icosapent Icosapent may decrease the excretion rate of Doxycycline which could result in a higher serum level. Idarucizumab Doxycycline may decrease the excretion rate of Idarucizumab which could result in a higher serum level. Idebenone Doxycycline may decrease the excretion rate of Idebenone which could result in a higher serum level. Ifosfamide Doxycycline may decrease the excretion rate of Ifosfamide which could result in a higher serum level. Imipramine Doxycycline may decrease the excretion rate of Imipramine which could result in a higher serum level. Indapamide Doxycycline may decrease the excretion rate of Indapamide which could result in a higher serum level. Indigotindisulfonic acid Doxycycline may decrease the excretion rate of Indigotindisulfonic acid which could result in a higher serum level. Indomethacin Indomethacin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Inosine pranobex Doxycycline may decrease the excretion rate of Inosine pranobex which could result in a higher serum level. Inositol Doxycycline may decrease the excretion rate of Inositol which could result in a higher serum level. Inotersen Inotersen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Iobenguane sulfate I-123 Doxycycline may decrease the excretion rate of Iobenguane sulfate I-123 which could result in a higher serum level. Iodixanol Doxycycline may decrease the excretion rate of Iodixanol which could result in a higher serum level. Ioflupane I-123 Doxycycline may decrease the excretion rate of Ioflupane I-123 which could result in a higher serum level. Iopromide Doxycycline may decrease the excretion rate of Iopromide which could result in a higher serum level. Iothalamic acid Doxycycline may decrease the excretion rate of Iothalamic acid which could result in a higher serum level. Ioversol Doxycycline may decrease the excretion rate of Ioversol which could result in a higher serum level. Ioxilan Doxycycline may decrease the excretion rate of Ioxilan which could result in a higher serum level. Ipecac Doxycycline may decrease the excretion rate of Ipecac which could result in a higher serum level. Ipilimumab Doxycycline may decrease the excretion rate of Ipilimumab which could result in a higher serum level. Iron Doxycycline can cause a decrease in the absorption of Iron resulting in a reduced serum concentration and potentially a decrease in efficacy. Iron Dextran Doxycycline can cause a decrease in the absorption of Iron Dextran resulting in a reduced serum concentration and potentially a decrease in efficacy. Iron sucrose The serum concentration of Doxycycline can be decreased when it is combined with Iron sucrose. Isoniazid Doxycycline may decrease the excretion rate of Isoniazid which could result in a higher serum level. Isosorbide Isosorbide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Isosorbide mononitrate Doxycycline may decrease the excretion rate of Isosorbide mononitrate which could result in a higher serum level. Isosulfan blue Doxycycline may decrease the excretion rate of Isosulfan blue which could result in a higher serum level. Isotretinoin The risk or severity of pseudotumor cerebri can be increased when Isotretinoin is combined with Doxycycline. Isoxicam Isoxicam may decrease the excretion rate of Doxycycline which could result in a higher serum level. Isradipine Doxycycline may decrease the excretion rate of Isradipine which could result in a higher serum level. Ixazomib Doxycycline may decrease the excretion rate of Ixazomib which could result in a higher serum level. Kanamycin Doxycycline may decrease the excretion rate of Kanamycin which could result in a higher serum level. Ketamine Doxycycline may decrease the excretion rate of Ketamine which could result in a higher serum level. Ketazolam Doxycycline may decrease the excretion rate of Ketazolam which could result in a higher serum level. Ketoprofen Ketoprofen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Ketorolac Ketorolac may decrease the excretion rate of Doxycycline which could result in a higher serum level. Labetalol Doxycycline may decrease the excretion rate of Labetalol which could result in a higher serum level. Lactulose The therapeutic efficacy of Lactulose can be decreased when used in combination with Doxycycline. Lamivudine Doxycycline may decrease the excretion rate of Lamivudine which could result in a higher serum level. Lamotrigine Doxycycline may decrease the excretion rate of Lamotrigine which could result in a higher serum level. Lansoprazole Lansoprazole can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Lanthanum carbonate The serum concentration of Doxycycline can be decreased when it is combined with Lanthanum carbonate. Latamoxef Latamoxef may decrease the excretion rate of Doxycycline which could result in a higher serum level. Ledipasvir Doxycycline may decrease the excretion rate of Ledipasvir which could result in a higher serum level. Lenalidomide Doxycycline may decrease the excretion rate of Lenalidomide which could result in a higher serum level. Lepirudin The risk or severity of bleeding can be increased when Doxycycline is combined with Lepirudin. Lesinurad Doxycycline may decrease the excretion rate of Lesinurad which could result in a higher serum level. LetibotulinumtoxinA The therapeutic efficacy of Letibotulinumtoxina can be increased when used in combination with Doxycycline. Leuprolide Leuprolide may decrease the excretion rate of Doxycycline which could result in a higher serum level. Levobupivacaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Levobupivacaine. Levocarnitine Doxycycline may decrease the excretion rate of Levocarnitine which could result in a higher serum level. Levocetirizine Doxycycline may decrease the excretion rate of Levocetirizine which could result in a higher serum level. Levofloxacin Doxycycline may decrease the excretion rate of Levofloxacin which could result in a higher serum level. Levomilnacipran Doxycycline may decrease the excretion rate of Levomilnacipran which could result in a higher serum level. Levonorgestrel The serum concentration of Levonorgestrel can be decreased when it is combined with Doxycycline. Levosalbutamol Doxycycline may decrease the excretion rate of Levosalbutamol which could result in a higher serum level. Lidocaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Lidocaine. Lincomycin The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Lincomycin. Liothyronine Doxycycline may decrease the excretion rate of Liothyronine which could result in a higher serum level. Lisinopril Doxycycline may decrease the excretion rate of Lisinopril which could result in a higher serum level. Lithium carbonate Doxycycline may decrease the excretion rate of Lithium carbonate which could result in a higher serum level. Lithium citrate Lithium citrate may decrease the excretion rate of Doxycycline which could result in a higher serum level. Lixisenatide Doxycycline may decrease the excretion rate of Lixisenatide which could result in a higher serum level. Lofexidine Doxycycline may decrease the excretion rate of Lofexidine which could result in a higher serum level. Lopinavir Lopinavir may decrease the excretion rate of Doxycycline which could result in a higher serum level. Loracarbef Loracarbef may decrease the excretion rate of Doxycycline which could result in a higher serum level. Lorazepam Lorazepam may decrease the excretion rate of Doxycycline which could result in a higher serum level. Lorcaserin Doxycycline may decrease the excretion rate of Lorcaserin which could result in a higher serum level. Lornoxicam Lornoxicam may decrease the excretion rate of Doxycycline which could result in a higher serum level. Lorpiprazole Doxycycline may decrease the excretion rate of Lorpiprazole which could result in a higher serum level. Loxoprofen Loxoprofen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Lubiprostone Doxycycline may decrease the excretion rate of Lubiprostone which could result in a higher serum level. Lumiracoxib Lumiracoxib may decrease the excretion rate of Doxycycline which could result in a higher serum level. Lymecycline The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Lymecycline. Lynestrenol The serum concentration of Lynestrenol can be decreased when it is combined with Doxycycline. Macitentan Doxycycline may decrease the excretion rate of Macitentan which could result in a higher serum level. Magaldrate The absorption of Doxycycline can be decreased when combined with Magaldrate. Magnesium The absorption of Doxycycline can be decreased when combined with Magnesium. Magnesium acetate The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Magnesium acetate. Magnesium acetate tetrahydrate The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Magnesium acetate tetrahydrate. Magnesium Aluminum Silicate The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Magnesium Aluminum Silicate. Magnesium carbonate The absorption of Doxycycline can be decreased when combined with Magnesium carbonate. Magnesium cation The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Magnesium cation. Magnesium chloride The absorption of Doxycycline can be decreased when combined with Magnesium chloride. Magnesium citrate The absorption of Doxycycline can be decreased when combined with Magnesium citrate. Magnesium gluconate The absorption of Doxycycline can be decreased when combined with Magnesium gluconate. Magnesium glycinate The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Magnesium glycinate. Magnesium hydroxide The absorption of Doxycycline can be decreased when combined with Magnesium hydroxide. Magnesium oxide The absorption of Doxycycline can be decreased when combined with Magnesium oxide. Magnesium silicate The absorption of Doxycycline can be decreased when combined with Magnesium silicate. Magnesium sulfate The absorption of Doxycycline can be decreased when combined with Magnesium sulfate. Magnesium trisilicate The absorption of Doxycycline can be decreased when combined with Magnesium trisilicate. Mangafodipir Doxycycline may decrease the excretion rate of Mangafodipir which could result in a higher serum level. Mannitol Mannitol may decrease the excretion rate of Doxycycline which could result in a higher serum level. Maprotiline Doxycycline may decrease the excretion rate of Maprotiline which could result in a higher serum level. Mecamylamine Doxycycline may increase the neuromuscular blocking activities of Mecamylamine. Meclofenamic acid Meclofenamic acid may decrease the excretion rate of Doxycycline which could result in a higher serum level. Medrogestone The serum concentration of Medrogestone can be decreased when it is combined with Doxycycline. Medroxyprogesterone acetate The serum concentration of Medroxyprogesterone acetate can be decreased when it is combined with Doxycycline. Mefenamic acid Mefenamic acid may decrease the excretion rate of Doxycycline which could result in a higher serum level. Megestrol acetate The serum concentration of Megestrol acetate can be decreased when it is combined with Doxycycline. Meloxicam The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Meloxicam. Memantine Doxycycline may decrease the excretion rate of Memantine which could result in a higher serum level. Meperidine Doxycycline may decrease the excretion rate of Meperidine which could result in a higher serum level. Mepivacaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Mepivacaine. Meropenem Doxycycline may decrease the excretion rate of Meropenem which could result in a higher serum level. Mesalazine Mesalazine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Mestranol The serum concentration of Mestranol can be decreased when it is combined with Doxycycline. Metacycline The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Metacycline. Metamfetamine Doxycycline may decrease the excretion rate of Metamfetamine which could result in a higher serum level. Metamizole Metamizole may decrease the excretion rate of Doxycycline which could result in a higher serum level. Metaxalone Doxycycline may decrease the excretion rate of Metaxalone which could result in a higher serum level. Metformin Doxycycline may decrease the excretion rate of Metformin which could result in a higher serum level. Methadone Doxycycline may decrease the excretion rate of Methadone which could result in a higher serum level. Methazolamide Methazolamide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Methimazole Doxycycline may decrease the excretion rate of Methimazole which could result in a higher serum level. Methohexital The serum concentration of Doxycycline can be decreased when it is combined with Methohexital. Methotrexate Doxycycline can cause a decrease in the absorption of Methotrexate resulting in a reduced serum concentration and potentially a decrease in efficacy. Methoxsalen Doxycycline may decrease the excretion rate of Methoxsalen which could result in a higher serum level. Methoxyflurane The risk or severity of renal failure can be increased when Doxycycline is combined with Methoxyflurane. Methyldopa Doxycycline may decrease the excretion rate of Methyldopa which could result in a higher serum level. Methylene blue Doxycycline may decrease the excretion rate of Methylene blue which could result in a higher serum level. Methylnaltrexone Doxycycline may decrease the excretion rate of Methylnaltrexone which could result in a higher serum level. Methylphenobarbital The serum concentration of Doxycycline can be decreased when it is combined with Methylphenobarbital. Methyltestosterone Doxycycline may decrease the excretion rate of Methyltestosterone which could result in a higher serum level. Meticillin The therapeutic efficacy of Meticillin can be decreased when used in combination with Doxycycline. Meticrane Meticrane may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Metoclopramide Doxycycline may decrease the excretion rate of Metoclopramide which could result in a higher serum level. Metocurine The therapeutic efficacy of Metocurine can be increased when used in combination with Doxycycline. Metocurine iodide The therapeutic efficacy of Metocurine iodide can be increased when used in combination with Doxycycline. Metolazone Doxycycline may decrease the excretion rate of Metolazone which could result in a higher serum level. Metoprolol Doxycycline may decrease the excretion rate of Metoprolol which could result in a higher serum level. Metyrapone Doxycycline may decrease the excretion rate of Metyrapone which could result in a higher serum level. Mezlocillin The therapeutic efficacy of Mezlocillin can be decreased when used in combination with Doxycycline. Midazolam Doxycycline may decrease the excretion rate of Midazolam which could result in a higher serum level. Mifepristone The serum concentration of Mifepristone can be decreased when it is combined with Doxycycline. Migalastat Doxycycline may decrease the excretion rate of Migalastat which could result in a higher serum level. Milnacipran Doxycycline may decrease the excretion rate of Milnacipran which could result in a higher serum level. Milrinone Milrinone may decrease the excretion rate of Doxycycline which could result in a higher serum level. Minocycline The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Minocycline. Mipomersen Doxycycline may increase the hepatotoxic activities of Mipomersen. Mirabegron Doxycycline may decrease the excretion rate of Mirabegron which could result in a higher serum level. Mivacurium The therapeutic efficacy of Mivacurium can be increased when used in combination with Doxycycline. Moxisylyte Doxycycline may decrease the excretion rate of Moxisylyte which could result in a higher serum level. Muzolimine Muzolimine may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Mycophenolate mofetil Doxycycline may decrease the excretion rate of Mycophenolate mofetil which could result in a higher serum level. Mycophenolic acid Doxycycline may decrease the excretion rate of Mycophenolic acid which could result in a higher serum level. N-acetyltyrosine Doxycycline may decrease the excretion rate of N-acetyltyrosine which could result in a higher serum level. Nabumetone Nabumetone may decrease the excretion rate of Doxycycline which could result in a higher serum level. Nadolol Doxycycline may decrease the excretion rate of Nadolol which could result in a higher serum level. Nadroparin The risk or severity of bleeding can be increased when Doxycycline is combined with Nadroparin. Nafcillin The therapeutic efficacy of Nafcillin can be decreased when used in combination with Doxycycline. Naldemedine Doxycycline may decrease the excretion rate of Naldemedine which could result in a higher serum level. Nalmefene Doxycycline may decrease the excretion rate of Nalmefene which could result in a higher serum level. Naloxone Doxycycline may decrease the excretion rate of Naloxone which could result in a higher serum level. Naproxen Naproxen may decrease the excretion rate of Doxycycline which could result in a higher serum level. Nateglinide Doxycycline may decrease the excretion rate of Nateglinide which could result in a higher serum level. Nedaplatin Doxycycline may decrease the excretion rate of Nedaplatin which could result in a higher serum level. Nedocromil Doxycycline may decrease the excretion rate of Nedocromil which could result in a higher serum level. Nefazodone Doxycycline may decrease the excretion rate of Nefazodone which could result in a higher serum level. Neomycin Doxycycline may decrease the excretion rate of Neomycin which could result in a higher serum level. Netilmicin Doxycycline may decrease the excretion rate of Netilmicin which could result in a higher serum level. Niacinamide ascorbate The therapeutic efficacy of Doxycycline can be decreased when used in combination with Niacinamide ascorbate. Nicorandil Doxycycline may decrease the excretion rate of Nicorandil which could result in a higher serum level. Nicotine The risk or severity of adverse effects can be increased when Doxycycline is combined with Nicotine. Nifedipine Doxycycline may decrease the excretion rate of Nifedipine which could result in a higher serum level. Nilutamide Doxycycline may decrease the excretion rate of Nilutamide which could result in a higher serum level. Nimesulide Nimesulide may decrease the excretion rate of Doxycycline which could result in a higher serum level. Nisoldipine Doxycycline may decrease the excretion rate of Nisoldipine which could result in a higher serum level. Nitric Oxide Doxycycline may decrease the excretion rate of Nitric Oxide which could result in a higher serum level. Nitrofurantoin Doxycycline may decrease the excretion rate of Nitrofurantoin which could result in a higher serum level. Nitroprusside Doxycycline may decrease the excretion rate of Nitroprusside which could result in a higher serum level. Nomegestrol The serum concentration of Nomegestrol can be decreased when it is combined with Doxycycline. Nomegestrol acetate The serum concentration of Nomegestrol acetate can be decreased when it is combined with Doxycycline. Norelgestromin The serum concentration of Norelgestromin can be decreased when it is combined with Doxycycline. Norethisterone The serum concentration of Norethisterone can be decreased when it is combined with Doxycycline. Norethynodrel The serum concentration of Norethynodrel can be decreased when it is combined with Doxycycline. Norgestimate The serum concentration of Norgestimate can be decreased when it is combined with Doxycycline. Norgestrel The serum concentration of Norgestrel can be decreased when it is combined with Doxycycline. Novobiocin The therapeutic efficacy of Novobiocin can be increased when used in combination with Doxycycline. Octinoxate Doxycycline may decrease the excretion rate of Octinoxate which could result in a higher serum level. Olsalazine Olsalazine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Omeprazole Omeprazole can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Opium Doxycycline may decrease the excretion rate of Opium which could result in a higher serum level. Oseltamivir Oseltamivir may decrease the excretion rate of Doxycycline which could result in a higher serum level. Oxacillin The therapeutic efficacy of Oxacillin can be decreased when used in combination with Doxycycline. Oxaprozin Oxaprozin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Oxazepam Doxycycline may decrease the excretion rate of Oxazepam which could result in a higher serum level. Oxetacaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Oxetacaine. Oxybenzone Doxycycline may decrease the excretion rate of Oxybenzone which could result in a higher serum level. Oxybuprocaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Oxybuprocaine. Oxyphenbutazone Oxyphenbutazone may decrease the excretion rate of Doxycycline which could result in a higher serum level. Oxyquinoline Doxycycline may decrease the excretion rate of Oxyquinoline which could result in a higher serum level. Oxytetracycline The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Oxytetracycline. Paliperidone Doxycycline may decrease the excretion rate of Paliperidone which could result in a higher serum level. Palonosetron Doxycycline may decrease the excretion rate of Palonosetron which could result in a higher serum level. Palovarotene The risk or severity of pseudotumor cerebri can be increased when Doxycycline is combined with Palovarotene. Pamidronic acid Pamidronic acid may decrease the excretion rate of Doxycycline which could result in a higher serum level. Pancuronium The therapeutic efficacy of Pancuronium can be increased when used in combination with Doxycycline. Pantoprazole Pantoprazole can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Parecoxib Parecoxib may decrease the excretion rate of Doxycycline which could result in a higher serum level. Parnaparin The risk or severity of bleeding can be increased when Doxycycline is combined with Parnaparin. Paromomycin The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Paromomycin. Patent Blue Doxycycline may decrease the excretion rate of Patent Blue which could result in a higher serum level. Pegaptanib Doxycycline may decrease the excretion rate of Pegaptanib which could result in a higher serum level. Peginesatide Doxycycline may decrease the excretion rate of Peginesatide which could result in a higher serum level. Pemetrexed Doxycycline may decrease the excretion rate of Pemetrexed which could result in a higher serum level. Penbutolol Doxycycline may decrease the excretion rate of Penbutolol which could result in a higher serum level. Pentaerythritol tetranitrate Doxycycline may decrease the excretion rate of Pentaerythritol tetranitrate which could result in a higher serum level. Pentamidine Pentamidine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Pentastarch Doxycycline may decrease the excretion rate of Pentastarch which could result in a higher serum level. Pentetic acid Doxycycline may decrease the excretion rate of Pentetic acid which could result in a higher serum level. Pentobarbital The serum concentration of Doxycycline can be decreased when it is combined with Pentobarbital. Pentolinium The risk or severity of adverse effects can be increased when Doxycycline is combined with Pentolinium. Pentosan polysulfate The risk or severity of bleeding can be increased when Doxycycline is combined with Pentosan polysulfate. Pentostatin Doxycycline may decrease the excretion rate of Pentostatin which could result in a higher serum level. Pentoxifylline Doxycycline may decrease the excretion rate of Pentoxifylline which could result in a higher serum level. Perflubutane Doxycycline can cause a decrease in the absorption of Perflubutane resulting in a reduced serum concentration and potentially a decrease in efficacy. Perindopril Doxycycline may decrease the excretion rate of Perindopril which could result in a higher serum level. Permethrin Doxycycline may decrease the excretion rate of Permethrin which could result in a higher serum level. Phenazopyridine Phenazopyridine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Phenelzine Doxycycline may decrease the excretion rate of Phenelzine which could result in a higher serum level. Pheneticillin The therapeutic efficacy of Pheneticillin can be decreased when used in combination with Doxycycline. Phenindione The risk or severity of bleeding can be increased when Doxycycline is combined with Phenindione. Phenobarbital The serum concentration of Doxycycline can be decreased when it is combined with Phenobarbital. Phenol The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Phenol. Phenoxymethylpenicillin The therapeutic efficacy of Phenoxymethylpenicillin can be decreased when used in combination with Doxycycline. Phenprocoumon The risk or severity of bleeding can be increased when Doxycycline is combined with Phenprocoumon. Phenylbutazone Phenylbutazone may decrease the excretion rate of Doxycycline which could result in a higher serum level. Phenytoin The serum concentration of Doxycycline can be decreased when it is combined with Phenytoin. Pholcodine Doxycycline may decrease the excretion rate of Pholcodine which could result in a higher serum level. Phosphoric acid Doxycycline may decrease the excretion rate of Phosphoric acid which could result in a higher serum level. Phylloquinone Doxycycline may decrease the excretion rate of Phylloquinone which could result in a higher serum level. Picosulfuric acid The therapeutic efficacy of Picosulfuric acid can be decreased when used in combination with Doxycycline. Pindolol Doxycycline may decrease the excretion rate of Pindolol which could result in a higher serum level. Pipecuronium The therapeutic efficacy of Pipecuronium can be increased when used in combination with Doxycycline. Piperacillin The therapeutic efficacy of Piperacillin can be decreased when used in combination with Doxycycline. Piracetam Doxycycline may decrease the excretion rate of Piracetam which could result in a higher serum level. Piretanide Piretanide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Piroxicam Piroxicam may decrease the excretion rate of Doxycycline which could result in a higher serum level. Pitolisant Doxycycline may decrease the excretion rate of Pitolisant which could result in a higher serum level. Pivampicillin The therapeutic efficacy of Pivampicillin can be decreased when used in combination with Doxycycline. Pivmecillinam The therapeutic efficacy of Pivmecillinam can be decreased when used in combination with Doxycycline. Plazomicin Doxycycline may decrease the excretion rate of Plazomicin which could result in a higher serum level. Plerixafor Doxycycline may decrease the excretion rate of Plerixafor which could result in a higher serum level. Polythiazide Polythiazide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Pomalidomide Doxycycline may decrease the excretion rate of Pomalidomide which could result in a higher serum level. Potassium Potassium may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Potassium acetate Doxycycline may decrease the excretion rate of Potassium acetate which could result in a higher serum level. Potassium bicarbonate Doxycycline may decrease the excretion rate of Potassium bicarbonate which could result in a higher serum level. Potassium cation Doxycycline may decrease the excretion rate of Potassium cation which could result in a higher serum level. Potassium chloride Doxycycline may decrease the excretion rate of Potassium chloride which could result in a higher serum level. Potassium citrate The therapeutic efficacy of Doxycycline can be decreased when used in combination with Potassium citrate. Potassium nitrate Doxycycline may decrease the excretion rate of Potassium nitrate which could result in a higher serum level. Potassium perchlorate Doxycycline may decrease the excretion rate of Potassium perchlorate which could result in a higher serum level. Potassium sulfate Doxycycline may decrease the excretion rate of Potassium sulfate which could result in a higher serum level. Pralatrexate Doxycycline may decrease the excretion rate of Pralatrexate which could result in a higher serum level. Pralidoxime Doxycycline may decrease the excretion rate of Pralidoxime which could result in a higher serum level. Pramipexole Doxycycline may decrease the excretion rate of Pramipexole which could result in a higher serum level. Pramocaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Pramocaine. Prasugrel The risk or severity of bleeding can be increased when Doxycycline is combined with Prasugrel. Prednisone Doxycycline may decrease the excretion rate of Prednisone which could result in a higher serum level. Pregabalin Pregabalin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Prilocaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Prilocaine. Primidone The serum concentration of Doxycycline can be decreased when it is combined with Primidone. Probenecid Doxycycline may decrease the excretion rate of Probenecid which could result in a higher serum level. Procainamide Doxycycline may decrease the excretion rate of Procainamide which could result in a higher serum level. Procaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Procaine. Procaine benzylpenicillin The therapeutic efficacy of Procaine benzylpenicillin can be decreased when used in combination with Doxycycline. Progesterone The serum concentration of Progesterone can be decreased when it is combined with Doxycycline. Promethazine Doxycycline may decrease the excretion rate of Promethazine which could result in a higher serum level. Propantheline Doxycycline may decrease the excretion rate of Propantheline which could result in a higher serum level. Proparacaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Proparacaine. Propiverine Doxycycline may decrease the excretion rate of Propiverine which could result in a higher serum level. Propoxycaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Propoxycaine. Propranolol Doxycycline may decrease the excretion rate of Propranolol which could result in a higher serum level. Protein C The risk or severity of bleeding can be increased when Doxycycline is combined with Protein C. Protein S human The risk or severity of bleeding can be increased when Doxycycline is combined with Protein S human. Prucalopride Doxycycline may decrease the excretion rate of Prucalopride which could result in a higher serum level. Prussian blue Doxycycline can cause a decrease in the absorption of Prussian blue resulting in a reduced serum concentration and potentially a decrease in efficacy. Pyrantel The therapeutic efficacy of Pyrantel can be increased when used in combination with Doxycycline. Pyrazinamide Doxycycline may decrease the excretion rate of Pyrazinamide which could result in a higher serum level. Pyridoxine Pyridoxine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Quetiapine Doxycycline may decrease the excretion rate of Quetiapine which could result in a higher serum level. Quinapril Quinapril can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Quinethazone Quinethazone may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Quinidine Doxycycline may decrease the excretion rate of Quinidine which could result in a higher serum level. Quinine The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Quinine. Rabeprazole Rabeprazole can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Ramelteon Doxycycline may decrease the excretion rate of Ramelteon which could result in a higher serum level. Ranitidine Doxycycline may decrease the excretion rate of Ranitidine which could result in a higher serum level. Ranolazine Ranolazine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Rapacuronium The therapeutic efficacy of Rapacuronium can be increased when used in combination with Doxycycline. Rasagiline Doxycycline may decrease the excretion rate of Rasagiline which could result in a higher serum level. Reserpine Reserpine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Resorcinol Doxycycline may decrease the excretion rate of Resorcinol which could result in a higher serum level. Reteplase The risk or severity of bleeding can be increased when Doxycycline is combined with Reteplase. Reviparin The risk or severity of bleeding can be increased when Doxycycline is combined with Reviparin. Ribavirin Doxycycline may decrease the excretion rate of Ribavirin which could result in a higher serum level. Ribostamycin Doxycycline may decrease the excretion rate of Ribostamycin which could result in a higher serum level. Rivaroxaban The risk or severity of bleeding can be increased when Doxycycline is combined with Rivaroxaban. Rizatriptan Doxycycline may decrease the excretion rate of Rizatriptan which could result in a higher serum level. Rocuronium The therapeutic efficacy of Rocuronium can be increased when used in combination with Doxycycline. Rofecoxib Rofecoxib may decrease the excretion rate of Doxycycline which could result in a higher serum level. Roflumilast Doxycycline may decrease the excretion rate of Roflumilast which could result in a higher serum level. Rolitetracycline The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Rolitetracycline. Ropivacaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Ropivacaine. Rosiglitazone Doxycycline may decrease the excretion rate of Rosiglitazone which could result in a higher serum level. Ruxolitinib Doxycycline may decrease the excretion rate of Ruxolitinib which could result in a higher serum level. Sacubitril Doxycycline may decrease the excretion rate of Sacubitril which could result in a higher serum level. Salicylamide Salicylamide may decrease the excretion rate of Doxycycline which could result in a higher serum level. Salicylic acid Salicylic acid may decrease the excretion rate of Doxycycline which could result in a higher serum level. Salmon calcitonin Salmon calcitonin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Salsalate Salsalate may decrease the excretion rate of Doxycycline which could result in a higher serum level. Saxagliptin Doxycycline may decrease the excretion rate of Saxagliptin which could result in a higher serum level. Secobarbital The serum concentration of Doxycycline can be decreased when it is combined with Secobarbital. Selenious acid Doxycycline may decrease the excretion rate of Selenious acid which could result in a higher serum level. Selenium Doxycycline may decrease the excretion rate of Selenium which could result in a higher serum level. Sevelamer Sevelamer can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Sibutramine Doxycycline may decrease the excretion rate of Sibutramine which could result in a higher serum level. Sitagliptin Doxycycline may decrease the excretion rate of Sitagliptin which could result in a higher serum level. Sodium acetate Doxycycline may decrease the excretion rate of Sodium acetate which could result in a higher serum level. Sodium ascorbate The therapeutic efficacy of Doxycycline can be decreased when used in combination with Sodium ascorbate. Sodium aurothiomalate Doxycycline may decrease the excretion rate of Sodium aurothiomalate which could result in a higher serum level. Sodium bicarbonate Sodium bicarbonate can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Sodium citrate The risk or severity of bleeding can be increased when Doxycycline is combined with Sodium citrate. Sodium feredetate Doxycycline can cause a decrease in the absorption of Sodium feredetate resulting in a reduced serum concentration and potentially a decrease in efficacy. Sodium fluoride Doxycycline may decrease the excretion rate of Sodium fluoride which could result in a higher serum level. Sodium sulfate Doxycycline may decrease the excretion rate of Sodium sulfate which could result in a higher serum level. Sofosbuvir Doxycycline may decrease the excretion rate of Sofosbuvir which could result in a higher serum level. Solriamfetol Doxycycline may decrease the excretion rate of Solriamfetol which could result in a higher serum level. Sorafenib Doxycycline may decrease the excretion rate of Sorafenib which could result in a higher serum level. Sorbitol Doxycycline may decrease the excretion rate of Sorbitol which could result in a higher serum level. Spironolactone Spironolactone may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Stiripentol Doxycycline may decrease the excretion rate of Stiripentol which could result in a higher serum level. Streptokinase The risk or severity of bleeding can be increased when Doxycycline is combined with Streptokinase. Streptomycin Doxycycline may decrease the excretion rate of Streptomycin which could result in a higher serum level. Strontium chloride Doxycycline may decrease the excretion rate of Strontium chloride which could result in a higher serum level. Strontium ranelate The serum concentration of Doxycycline can be decreased when it is combined with Strontium ranelate. Succinylcholine The therapeutic efficacy of Succinylcholine can be increased when used in combination with Doxycycline. Sucralfate Sucralfate can cause a decrease in the absorption of Doxycycline resulting in a reduced serum concentration and potentially a decrease in efficacy. Sulbactam Doxycycline may decrease the excretion rate of Sulbactam which could result in a higher serum level. Sulfadiazine Doxycycline may decrease the excretion rate of Sulfadiazine which could result in a higher serum level. Sulfamethoxazole Doxycycline may decrease the excretion rate of Sulfamethoxazole which could result in a higher serum level. Sulfasalazine Sulfasalazine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Sulindac Sulindac may decrease the excretion rate of Doxycycline which could result in a higher serum level. Sulodexide The risk or severity of bleeding can be increased when Doxycycline is combined with Sulodexide. Sultamicillin The therapeutic efficacy of Sultamicillin can be decreased when used in combination with Doxycycline. Sumatriptan Doxycycline may decrease the excretion rate of Sumatriptan which could result in a higher serum level. Synthetic Conjugated Estrogens, A Doxycycline may decrease the excretion rate of Synthetic Conjugated Estrogens, A which could result in a higher serum level. Synthetic Conjugated Estrogens, B Doxycycline may decrease the excretion rate of Synthetic Conjugated Estrogens, B which could result in a higher serum level. Tacrolimus Tacrolimus may decrease the excretion rate of Doxycycline which could result in a higher serum level. Tadalafil Doxycycline may decrease the excretion rate of Tadalafil which could result in a higher serum level. Talc The absorption of Doxycycline can be decreased when combined with Talc. Tamsulosin Doxycycline may decrease the excretion rate of Tamsulosin which could result in a higher serum level. Tasimelteon Doxycycline may decrease the excretion rate of Tasimelteon which could result in a higher serum level. Tazarotene The risk or severity of pseudotumor cerebri can be increased when Tazarotene is combined with Doxycycline. Technetium Tc-99m exametazime Doxycycline may decrease the excretion rate of Technetium Tc-99m exametazime which could result in a higher serum level. Technetium Tc-99m mebrofenin Doxycycline may decrease the excretion rate of Technetium Tc-99m mebrofenin which could result in a higher serum level. Technetium Tc-99m oxidronate Doxycycline may decrease effectiveness of Technetium Tc-99m oxidronate as a diagnostic agent. Technetium Tc-99m pyrophosphate Doxycycline may decrease the excretion rate of Technetium Tc-99m pyrophosphate which could result in a higher serum level. Teduglutide Doxycycline may decrease the excretion rate of Teduglutide which could result in a higher serum level. Tegafur Doxycycline may decrease the excretion rate of Tegafur which could result in a higher serum level. Telavancin Doxycycline may decrease the excretion rate of Telavancin which could result in a higher serum level. Temazepam Temazepam may decrease the excretion rate of Doxycycline which could result in a higher serum level. Temocillin The therapeutic efficacy of Temocillin can be decreased when used in combination with Doxycycline. Temozolomide Doxycycline may decrease the excretion rate of Temozolomide which could result in a higher serum level. Tenecteplase The risk or severity of bleeding can be increased when Doxycycline is combined with Tenecteplase. Tenofovir alafenamide The serum concentration of Tenofovir alafenamide can be increased when it is combined with Doxycycline. Tenofovir disoproxil Tenofovir disoproxil may decrease the excretion rate of Doxycycline which could result in a higher serum level. Tenoxicam Tenoxicam may decrease the excretion rate of Doxycycline which could result in a higher serum level. Terbutaline Doxycycline may decrease the excretion rate of Terbutaline which could result in a higher serum level. Testolactone Doxycycline may decrease the excretion rate of Testolactone which could result in a higher serum level. Testosterone Doxycycline may decrease the excretion rate of Testosterone which could result in a higher serum level. Testosterone cypionate Doxycycline may decrease the excretion rate of Testosterone cypionate which could result in a higher serum level. Testosterone enanthate Doxycycline may decrease the excretion rate of Testosterone enanthate which could result in a higher serum level. Testosterone propionate Doxycycline may decrease the excretion rate of Testosterone propionate which could result in a higher serum level. Testosterone undecanoate Doxycycline may decrease the excretion rate of Testosterone undecanoate which could result in a higher serum level. Tetracaine The risk or severity of methemoglobinemia can be increased when Doxycycline is combined with Tetracaine. Tetracycline The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Tetracycline. Tetradecyl hydrogen sulfate (ester) Doxycycline may decrease the excretion rate of Tetradecyl hydrogen sulfate (ester) which could result in a higher serum level. Tetraferric tricitrate decahydrate Doxycycline can cause a decrease in the absorption of Tetraferric tricitrate decahydrate resulting in a reduced serum concentration and potentially a decrease in efficacy. Thiabendazole Doxycycline may decrease the excretion rate of Thiabendazole which could result in a higher serum level. Thiamylal The serum concentration of Doxycycline can be decreased when it is combined with Thiamylal. Thiethylperazine Doxycycline may decrease the excretion rate of Thiethylperazine which could result in a higher serum level. Thiopental The serum concentration of Doxycycline can be decreased when it is combined with Thiopental. Tiaprofenic acid Tiaprofenic acid may decrease the excretion rate of Doxycycline which could result in a higher serum level. Ticagrelor The risk or severity of bleeding can be increased when Doxycycline is combined with Ticagrelor. Ticarcillin The therapeutic efficacy of Ticarcillin can be decreased when used in combination with Doxycycline. Ticlopidine Ticlopidine may decrease the excretion rate of Doxycycline which could result in a higher serum level. Tigecycline The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Tigecycline. Tiludronic acid Doxycycline may decrease the excretion rate of Tiludronic acid which could result in a higher serum level. Timolol Doxycycline may decrease the excretion rate of Timolol which could result in a higher serum level. Tinidazole Doxycycline may decrease the excretion rate of Tinidazole which could result in a higher serum level. Tinzaparin The risk or severity of bleeding can be increased when Doxycycline is combined with Tinzaparin. Tiopronin Doxycycline may decrease the excretion rate of Tiopronin which could result in a higher serum level. Tiotropium Doxycycline may decrease the excretion rate of Tiotropium which could result in a higher serum level. Tirofiban Doxycycline may decrease the excretion rate of Tirofiban which could result in a higher serum level. Tixocortol Doxycycline may decrease the excretion rate of Tixocortol which could result in a higher serum level. Tobramycin Doxycycline may decrease the excretion rate of Tobramycin which could result in a higher serum level. Tocopherol Doxycycline may decrease the excretion rate of Tocopherol which could result in a higher serum level. Tolazamide Doxycycline may decrease the excretion rate of Tolazamide which could result in a higher serum level. Tolbutamide Doxycycline may decrease the excretion rate of Tolbutamide which could result in a higher serum level. Tolcapone Doxycycline may decrease the excretion rate of Tolcapone which could result in a higher serum level. Tolfenamic acid Tolfenamic acid may decrease the excretion rate of Doxycycline which could result in a higher serum level. Tolmetin Tolmetin may decrease the excretion rate of Doxycycline which could result in a higher serum level. Tolterodine Doxycycline may decrease the excretion rate of Tolterodine which could result in a higher serum level. Tolvaptan Tolvaptan may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Topiramate Doxycycline may decrease the excretion rate of Topiramate which could result in a higher serum level. Topotecan Doxycycline may decrease the excretion rate of Topotecan which could result in a higher serum level. Torasemide Torasemide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Tositumomab Tositumomab may decrease the excretion rate of Doxycycline which could result in a higher serum level. Tramadol Tramadol may decrease the excretion rate of Doxycycline which could result in a higher serum level. Trametinib Doxycycline may decrease the excretion rate of Trametinib which could result in a higher serum level. Tretinoin The risk or severity of pseudotumor cerebri can be increased when Tretinoin is combined with Doxycycline. Triamterene Triamterene may decrease the excretion rate of Doxycycline which could result in a higher serum level. Triazolam Doxycycline may decrease the excretion rate of Triazolam which could result in a higher serum level. Trichlormethiazide Trichlormethiazide may increase the excretion rate of Doxycycline which could result in a lower serum level and potentially a reduction in efficacy. Triethylenetetramine Doxycycline may decrease the excretion rate of Triethylenetetramine which could result in a higher serum level. Trifluridine Doxycycline may decrease the excretion rate of Trifluridine which could result in a higher serum level. Triflusal The risk or severity of bleeding can be increased when Doxycycline is combined with Triflusal. Trimebutine Doxycycline may decrease the excretion rate of Trimebutine which could result in a higher serum level. Trimethaphan The risk or severity of adverse effects can be increased when Doxycycline is combined with Trimethaphan. Trimethoprim Doxycycline may decrease the excretion rate of Trimethoprim which could result in a higher serum level. Trimetrexate Doxycycline may decrease the excretion rate of Trimetrexate which could result in a higher serum level. Trioxsalen The therapeutic efficacy of Trioxsalen can be increased when used in combination with Doxycycline. Tropisetron Doxycycline may decrease the excretion rate of Tropisetron which could result in a higher serum level. Tubocurarine The therapeutic efficacy of Tubocurarine can be increased when used in combination with Doxycycline. Typhoid vaccine The therapeutic efficacy of Typhoid vaccine can be decreased when used in combination with Doxycycline. Ulipristal The serum concentration of Ulipristal can be decreased when it is combined with Doxycycline. Urokinase The risk or severity of bleeding can be increased when Doxycycline is combined with Urokinase. Vaborbactam Doxycycline may decrease the excretion rate of Vaborbactam which could result in a higher serum level. Valaciclovir Valaciclovir may decrease the excretion rate of Doxycycline which could result in a higher serum level. Valbenazine Doxycycline may decrease the excretion rate of Valbenazine which could result in a higher serum level. Valdecoxib Valdecoxib may decrease the excretion rate of Doxycycline which could result in a higher serum level. Valganciclovir Doxycycline may decrease the excretion rate of Valganciclovir which could result in a higher serum level. Vancomycin Doxycycline may decrease the excretion rate of Vancomycin which could result in a higher serum level. Varenicline Doxycycline may decrease the excretion rate of Varenicline which could result in a higher serum level. Vecuronium The therapeutic efficacy of Vecuronium can be increased when used in combination with Doxycycline. Venlafaxine Doxycycline may decrease the excretion rate of Venlafaxine which could result in a higher serum level. Verapamil Doxycycline may decrease the excretion rate of Verapamil which could result in a higher serum level. Vibrio cholerae CVD 103-HgR strain live antigen The therapeutic efficacy of Vibrio cholerae CVD 103-HgR strain live antigen can be decreased when used in combination with Doxycycline. Vilanterol Doxycycline may decrease the excretion rate of Vilanterol which could result in a higher serum level. Viloxazine Doxycycline may decrease the excretion rate of Viloxazine which could result in a higher serum level. Viomycin The risk or severity of neuromuscular blockade can be increased when Doxycycline is combined with Viomycin. Vitamin A The risk or severity of pseudotumor cerebri can be increased when Vitamin A is combined with Doxycycline. Vorapaxar The risk or severity of bleeding can be increased when Doxycycline is combined with Vorapaxar. Vortioxetine Doxycycline may decrease the excretion rate of Vortioxetine which could result in a higher serum level. Warfarin The risk or severity of bleeding can be increased when Doxycycline is combined with Warfarin. Ximelagatran The risk or severity of bleeding can be increased when Doxycycline is combined with Ximelagatran. Zaleplon Doxycycline may decrease the excretion rate of Zaleplon which could result in a higher serum level. Zanamivir Doxycycline may decrease the excretion rate of Zanamivir which could result in a higher serum level. Zinc ascorbate The therapeutic efficacy of Doxycycline can be decreased when used in combination with Zinc ascorbate. Zonisamide Doxycycline may decrease the excretion rate of Zonisamide which could result in a higher serum level. - Food Interactions
- Avoid multivalent ions. The absorption of tetracyclines is reduced when taken with foods, especially those which contain calcium.
- Take with or without food. The absorption of tetracyclines is reduced when taken with foods, but not to a significant extent. If gastric irritation occurs, it is recommended that doxycycline be given with food or milk.
Products
- Drug product information from 10+ global regionsOur datasets provide approved product information including:dosage, form, labeller, route of administration, and marketing period.Access drug product information from over 10 global regions.
- Product Ingredients
Ingredient UNII CAS InChI Key Doxycycline calcium 8ZL07I20SB 94088-85-4 IYECPECUTCOMMD-QFWOMMJSSA-N Doxycycline hyclate 19XTS3T51U 24390-14-5 HALQELOKLVRWRI-VDBOFHIQSA-N Doxycycline hydrochloride 4182Z6T2ET 10592-13-9 RUYHIJHUVHIMIR-CVHRZJFOSA-N Doxycycline monohydrate N12000U13O 17086-28-1 XQTWDDCIUJNLTR-CVHRZJFOSA-N - Product Images
- International/Other Brands
- Doxy (Galpharma) / Doxycin (Laboratoire Riva) / Doxylin (Actavis) / Jenacyclin / Microdox (Micro Labs) / NicAzelDoxyKit / Nu-Doxycycline (Nu-Pharm) / Supracyclin (Grünenthal) / Vibramycin (Pfizer)
- Brand Name Prescription Products
- Generic Prescription Products
- Unapproved/Other Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image BenoxylDoxy 30 Kit Doxycycline monohydrate (100 mg/1) + Benzoyl peroxide (44 mg/1mL) Kit Oral; Topical Elorac, Inc. 2014-07-01 2014-08-07 US BenoxylDoxy 60 Kit Doxycycline monohydrate (100 mg/1) + Benzoyl peroxide (44 mg/1mL) Kit Oral; Topical Elorac, Inc. 2014-07-01 2015-07-18 US BenzoDox 30 Kit Doxycycline monohydrate (100 mg/1) + Benzoyl peroxide (44 mg/1mL) Kit Oral; Topical Elorac, Inc. 2015-10-01 Not applicable US BenzoDox 60 Kit Doxycycline monohydrate (100 mg/1) + Benzoyl peroxide (44 mg/1mL) Kit Oral; Topical Elorac, Inc. 2015-09-22 Not applicable US NicAzel Doxy Kit Doxycycline monohydrate (100 mg/1) + Cupric oxide (2 mg/1) + Folic acid (500 ug/1) + Pyridoxine (8 mg/1) + Zinc oxide (12 mg/1) Kit Oral Elorac, Inc. 2014-06-30 2015-07-30 US
Categories
- ATC Codes
- J01AA02 — Doxycycline
- J01AA — Tetracyclines
- J01A — TETRACYCLINES
- J01 — ANTIBACTERIALS FOR SYSTEMIC USE
- J — ANTIINFECTIVES FOR SYSTEMIC USE
- A01AB — Antiinfectives and antiseptics for local oral treatment
- A01A — STOMATOLOGICAL PREPARATIONS
- A01 — STOMATOLOGICAL PREPARATIONS
- A — ALIMENTARY TRACT AND METABOLISM
- Drug Categories
- Agents that produce neuromuscular block (indirect)
- Alimentary Tract and Metabolism
- Anti-Bacterial Agents
- Anti-Infective Agents
- Antibacterials for Systemic Use
- Antiinfectives and Antiseptics for Local Oral Treatment
- Antiinfectives for Systemic Use
- Antiparasitic Agents
- Antiprotozoals
- Cytochrome P-450 CYP3A Inhibitors
- Cytochrome P-450 CYP3A4 Inhibitors
- Cytochrome P-450 CYP3A4 Inhibitors (strength unknown)
- Cytochrome P-450 Enzyme Inhibitors
- Drugs causing inadvertant photosensitivity
- Drugs that are Mainly Renally Excreted
- Naphthacenes
- OAT1/SLC22A6 inhibitors
- Photosensitizing Agents
- Stomatological Preparations
- Tetracyclines
- Chemical TaxonomyProvided by Classyfire
- Description
- This compound belongs to the class of organic compounds known as tetracyclines. These are polyketides having an octahydrotetracene-2-carboxamide skeleton, substituted with many hydroxy and other groups.
- Kingdom
- Organic compounds
- Super Class
- Phenylpropanoids and polyketides
- Class
- Tetracyclines
- Sub Class
- Not Available
- Direct Parent
- Tetracyclines
- Alternative Parents
- Naphthacenes / Anthracenecarboxylic acids and derivatives / Tetralins / Aryl ketones / 1-hydroxy-2-unsubstituted benzenoids / 1-hydroxy-4-unsubstituted benzenoids / Aralkylamines / Cyclohexenones / Tertiary alcohols / Vinylogous acids show 9 more
- Substituents
- 1-hydroxy-2-unsubstituted benzenoid / 1-hydroxy-4-unsubstituted benzenoid / Alcohol / Amine / Amino acid or derivatives / Anthracene carboxylic acid or derivatives / Aralkylamine / Aromatic homopolycyclic compound / Aryl ketone / Benzenoid show 24 more
- Molecular Framework
- Aromatic homopolycyclic compounds
- External Descriptors
- tetracyclines (CHEBI:50845) / Linear tetracyclines (C06973) / Linear tetracyclines (LMPK07000001)
- Affected organisms
- Gram negative and gram positive bacteria
- Various aerobic and anaerobic microorganisms
- Plasmodium falciparum
Chemical Identifiers
- UNII
- 334895S862
- CAS number
- 564-25-0
- InChI Key
- JBIWCJUYHHGXTC-AKNGSSGZSA-N
- InChI
- InChI=1S/C22H24N2O8/c1-7-8-5-4-6-9(25)11(8)16(26)12-10(7)17(27)14-15(24(2)3)18(28)13(21(23)31)20(30)22(14,32)19(12)29/h4-7,10,14-15,17,25,27-29,32H,1-3H3,(H2,23,31)/t7-,10+,14+,15-,17-,22-/m0/s1
- IUPAC Name
- (4S,4aR,5S,5aR,6R,12aS)-4-(dimethylamino)-3,5,10,12,12a-pentahydroxy-6-methyl-1,11-dioxo-1,4,4a,5,5a,6,11,12a-octahydrotetracene-2-carboxamide
- SMILES
- [H][C@@]12[C@@H](C)C3=CC=CC(O)=C3C(=O)C1=C(O)[C@]1(O)C(=O)C(C(N)=O)=C(O)[C@@H](N(C)C)[C@]1([H])[C@H]2O
References
- Synthesis Reference
Dai-Wu Seol, "DNA cassette for the production of secretable recombinant trimeric TRAIL proteins, tetracycline/ doxycycline-inducible adeno-associated virus vector, their combination and use in gene therapy." U.S. Patent US20020128438, issued September 12, 2002.
US20020128438- General References
- Hoerauf A, Mand S, Fischer K, Kruppa T, Marfo-Debrekyei Y, Debrah AY, Pfarr KM, Adjei O, Buttner DW: Doxycycline as a novel strategy against bancroftian filariasis-depletion of Wolbachia endosymbionts from Wuchereria bancrofti and stop of microfilaria production. Med Microbiol Immunol. 2003 Nov;192(4):211-6. Epub 2003 Mar 5. [Article]
- Taylor MJ, Makunde WH, McGarry HF, Turner JD, Mand S, Hoerauf A: Macrofilaricidal activity after doxycycline treatment of Wuchereria bancrofti: a double-blind, randomised placebo-controlled trial. Lancet. 2005 Jun 18-24;365(9477):2116-21. [Article]
- Bernatova S, Samek O, Pilat Z, Sery M, Jezek J, Jakl P, Siler M, Krzyzanek V, Zemanek P, Hola V, Dvorackova M, Ruzicka F: Following the mechanisms of bacteriostatic versus bactericidal action using Raman spectroscopy. Molecules. 2013 Oct 24;18(11):13188-99. doi: 10.3390/molecules181113188. [Article]
- Valentin S, Morales A, Sanchez JL, Rivera A: Safety and efficacy of doxycycline in the treatment of rosacea. Clin Cosmet Investig Dermatol. 2009 Aug 12;2:129-40. [Article]
- Smilack JD: The tetracyclines. Mayo Clin Proc. 1999 Jul;74(7):727-9. doi: 10.4065/74.7.727. [Article]
- Chopra I, Roberts M: Tetracycline antibiotics: mode of action, applications, molecular biology, and epidemiology of bacterial resistance. Microbiol Mol Biol Rev. 2001 Jun;65(2):232-60 ; second page, table of contents. [Article]
- Shutter MC, Akhondi H: Tetracycline . [Article]
- Patel RS, Parmar M: Doxycycline Hyclate . [Article]
- Bonnetblanc JM: [Doxycycline]. Ann Dermatol Venereol. 2002 Jun-Jul;129(6-7):874-82. [Article]
- Agwuh KN, MacGowan A: Pharmacokinetics and pharmacodynamics of the tetracyclines including glycylcyclines. J Antimicrob Chemother. 2006 Aug;58(2):256-65. Epub 2006 Jul 1. [Article]
- FDA Approved Drug Products: DORYX (doxycycline hyclate) delayed-release tablets, for oral use [Link]
- DailyMed Label: LYMEPAK (doxycycline hyclate) tablets, for oral use [Link]
- DailyMed Label: VIBRAMYCIN and VIBRA-TABS (doxycycline), for oral use [Link]
- Merck: Doxycycline MSDS [Link]
- External Links
- Human Metabolome Database
- HMDB0014399
- KEGG Drug
- D07876
- KEGG Compound
- C06973
- PubChem Compound
- 54671203
- PubChem Substance
- 46506491
- ChemSpider
- 10469369
- BindingDB
- 50041429
- 1545992
- ChEBI
- 50845
- ChEMBL
- CHEMBL1433
- ZINC
- ZINC000016052277
- Therapeutic Targets Database
- DAP001371
- PharmGKB
- PA449415
- PDBe Ligand
- DXT
- RxList
- RxList Drug Page
- Drugs.com
- Drugs.com Drug Page
- Wikipedia
- Doxycycline
- PDB Entries
- 2o7o / 2xrl / 5om2 / 5om3 / 6rbl / 6rcr / 6rgx / 7b8r / 7x5p
Clinical Trials
- Clinical Trials
Pharmacoeconomics
- Manufacturers
- Mylan pharmaceuticals inc
- Par pharmaceutical inc
- Ranbaxy laboratories ltd
- Sandoz inc
- Watson laboratories inc
- Watson pharmaceuticals inc
- Galderma laboratories lp
- Rachelle laboratories inc
- Ivax pharmaceuticals inc sub teva pharmaceuticals usa
- Pfizer laboratories div pfizer inc
- Lannett holdings inc
- Mutual pharmaceutical co inc
- Pliva inc
- Mayne pharma international faulding pharm
- Warner chilcott bermuda ltd
- Medicis pharmaceutical corp
- Halsey drug co inc
- Heather drug co inc
- Interpharm inc
- Private formulations inc
- Ranbaxy pharmaceuticals inc
- Superpharm corp
- Warner chilcott div warner lambert co
- West ward pharmaceutical corp
- Teva pharmaceuticals usa inc
- Collagenex inc
- App pharmaceuticals llc
- Baxter healthcare corp anesthesia and critical care
- Bedford laboratories div ben venue laboratories inc
- Tolmar inc
- Corepharma llc
- Larken laboratories inc
- Mutual pharmacal co
- Truxton inc
- Vintage pharmaceuticals inc
- Packagers
- Actavis Group
- Acura Pharmaceutical Technologies Inc.
- Advanced Pharmaceutical Services Inc.
- Advanced Vision Research
- Aidarex Pharmacuticals LLC
- Amerisource Health Services Corp.
- Amneal Pharmaceuticals
- Apace Packaging
- Apical Pharmaceutical Corporation
- Apotheca Inc.
- Apothecon
- APP Pharmaceuticals
- Aqua Pharmaceuticals
- A-S Medication Solutions LLC
- Avidas Pharmaceuticals
- Bedford Labs
- Belgomex Sprl
- Ben Venue Laboratories Inc.
- Bioglan Pharmaceuticals Co.
- Blenheim Pharmacal
- Block Drug Corp.
- Blu Pharmaceuticals LLC
- Bryant Ranch Prepack
- Bv Pharbita
- Cardinal Health
- Carlisle Laboratories Inc.
- Catalent Pharma Solutions
- Collagenex Pharmaceuticals Inc.
- Community Action Inc. Community Health Services
- Comprehensive Consultant Services Inc.
- Corepharma LLC
- Coupler Enterprises Inc.
- Darby Dental Supply Co. Inc.
- Dept Health Central Pharmacy
- DHHS Program Support Center Supply Service Center
- Direct Dispensing Inc.
- Dispensing Solutions
- Diversified Healthcare Services Inc.
- DSM Corp.
- Eon Labs
- Galderma Laboratories
- Golden State Medical Supply Inc.
- Goldline Laboratories Inc.
- H and H Laboratories
- H.J. Harkins Co. Inc.
- Hikma Pharmaceuticals
- Innoviant Pharmacy Inc.
- Ivax Pharmaceuticals
- Kaiser Foundation Hospital
- Keltman Pharmaceuticals Inc.
- Lake Erie Medical and Surgical Supply
- Lannett Co. Inc.
- Liberty Pharmaceuticals
- Major Pharmaceuticals
- Mayne Pharma International Pty Ltd.
- Mckesson Corp.
- Medisca Inc.
- Medvantx Inc.
- Mississippi State Dept Health
- Murfreesboro Pharmaceutical Nursing Supply
- Mutual Pharmaceutical Co.
- Mylan
- Nucare Pharmaceuticals Inc.
- Oclassen Pharmaceuticals Inc.
- Ohm Laboratories Inc.
- Palmetto Pharmaceuticals Inc.
- Par Pharmaceuticals
- Patheon Inc.
- Patient First Corp.
- PCA LLC
- PD-Rx Pharmaceuticals Inc.
- Pfizer Inc.
- Pharmaceutical Manufacturing Research Services Inc.
- Pharmaceutical Utilization Management Program VA Inc.
- Pharmaderm
- Pharmedix
- Pharmpak Inc.
- Physicians Total Care Inc.
- Pliva Inc.
- Preferred Pharmaceuticals Inc.
- Prepackage Specialists
- Prepak Systems Inc.
- Qualitest
- Ranbaxy Laboratories
- Rebel Distributors Corp.
- Redpharm Drug
- Remedy Repack
- Sandhills Packaging Inc.
- Sandoz
- Southwood Pharmaceuticals
- St Mary's Medical Park Pharmacy
- Stat Rx Usa
- Teva Pharmaceutical Industries Ltd.
- Tolmar Inc.
- Tya Pharmaceuticals
- Universal Laboratories Inc.
- Veratex Corp.
- Versapharm Inc.
- Warner Chilcott Co. Inc.
- Watson Pharmaceuticals
- WC Pharmaceuticals
- West-Ward Pharmaceuticals
- Dosage Forms
Form Route Strength Capsule Oral 150 mg/1 Kit Oral 50 mg/1 Kit Oral 50 mg/500mg Kit Oral; Topical Capsule, delayed release pellets Oral 100 mg/1 Capsule, delayed release pellets Oral 75 mg/1 Tablet, delayed release Oral 150 mg/1 Tablet, delayed release Oral 80 mg/1 Capsule, extended release Oral 100 mg / cap Tablet, delayed release Oral 120 mg/1 Tablet, delayed release Oral 60 mg/1 Tablet, film coated Oral Capsule, coated Oral 40 mg Capsule, coated Oral 10000000 mg Tablet Oral 100 mg Tablet Oral 200 MG Tablet, soluble Oral Tablet Oral 200 mg/1 Capsule Oral 200 mg/1 For suspension Oral 25 mg/5mL Injection, powder, for solution Intravenous 100 mg/1 Injection, powder, lyophilized, for solution Intravenous 100 mg/10mL Injection, powder, lyophilized, for solution Intravenous 200 mg/20mL Powder, for suspension Oral 25 mg/5mL Tablet, coated Oral 100 mg/1 Tablet, film coated Oral 150 mg/1 Tablet, film coated Oral 50 mg/1 Tablet, film coated Oral 75 mg/1 Capsule Oral 100 mg/1 Capsule Oral 50 mg/1 Capsule, gelatin coated Oral 100 mg/1 Capsule, gelatin coated Oral 50 mg/1 Powder Not applicable 1 g/1g Tablet Oral 100 mg/1 Tablet, coated Oral 150 mg/1 Tablet, coated Oral 75 mg/1 Tablet, delayed release Oral 100 mg/1 Tablet, delayed release Oral 200 mg/1 Tablet, delayed release Oral 50 mg/1 Tablet, delayed release Oral 75 mg/100mg Tablet, delayed release Oral 75 mg/1 Tablet, film coated Oral 100 1/1 Tablet, film coated Oral 100 mg/1 Tablet, film coated Oral 20 mg/1 Tablet Oral 150 mg/1 Tablet Oral 50 mg/1 Tablet Oral 75 mg/1 Tablet, film coated Oral 50 mg Tablet, film coated Oral 200 mg Tablet, coated Oral Tablet Oral Capsule Oral 40 MG Capsule, coated Oral 100 mg Capsule Oral Capsule Oral 50.000 mg Gel Periodontal 140 mg/g Capsule Oral 50 mg/50mg Capsule Oral 100 mg/100mg Capsule Oral 75 mg/1 Capsule Oral; Topical 50 mg/1 Kit Oral Capsule Oral 40 mg/1 Capsule, delayed release pellets Oral 40 mg/1 Capsule, extended release Oral 40 mg Capsule, delayed release Oral 40 mg Capsule Oral 20 mg Tablet Oral 20 mg/1 Capsule Oral 100 mg / cap Tablet Oral 100 mg / tab Capsule Oral 100.000 mg Capsule Oral 100 MG Solution Intravenous 25.370 mg Syrup Oral 50 mg/5mL Powder Intravenous 100 mg / vial Solution Intravenous 100 mg/5ml Tablet, delayed release Oral 100 mg Tablet, film coated Oral 100 mg - Prices
Unit description Cost Unit Vibramycin 25 mg/5ml Suspension 60ml Bottle 36.29USD bottle Adoxa pak 1-150 mg tablet 19.93USD tablet Doryx 150 mg Enteric Coated Tabs 17.51USD tab Doryx dr 150 mg tablet 16.83USD tablet Doxycycline hyc 100 mg vial 14.16USD vial Adoxa 100 mg tablet 13.86USD tablet Monodox 100 mg capsule 13.46USD capsule Adoxa 75 mg tablet 12.77USD tablet Oracea 40 mg Delayed Release Capsule 12.44USD capsule Oracea 40 mg capsule 11.96USD capsule Avidoxy 100 mg tablet 11.52USD tablet Monodox 75 mg capsule 11.02USD capsule Doryx 100 mg Enteric Coated Tabs 10.31USD tab Doryx dr 100 mg tablet 9.91USD tablet Adoxa pak 1-100 mg tablet 9.88USD tablet Doxycycline Monohydrate 150 mg tablet 9.51USD tablet Adoxa 50 mg tablet 9.29USD tablet Doxycycline mono 150 mg tablet 9.13USD tablet Doryx 75 mg Enteric Coated Tabs 8.76USD tab Doryx dr 75 mg tablet 8.42USD tablet Vibramycin 100 mg capsule 6.67USD capsule Vibra-tabs 100 mg tablet 6.67USD tablet Monodox 50 mg capsule 6.0USD capsule Doxycycline mono 100 mg tablet 5.98USD tablet Periostat 20 mg tablet 5.75USD tablet Doxycycline mono 75 mg tablet 5.74USD tablet Doxycycline Monohydrate 100 mg tablet 5.12USD tablet Doxycycline mono 50 mg tablet 4.17USD tablet Doxycycline Monohydrate 50 mg tablet 3.0USD tablet Doxycycline hyclate powder 2.56USD g Vibramycin 50 mg capsule 2.41USD capsule Doxycycline Monohydrate 100 mg capsule 2.22USD capsule Vibramycin 100 mg Capsule 1.91USD capsule Doxycycline Monohydrate 50 mg capsule 1.51USD capsule Doxycycline hyclate 100 mg tablet 1.28USD tablet Doxycycline hyclate 20 mg tablet 1.28USD tablet Doxycycline Hyclate 100 mg capsule 1.18USD capsule Doxycycline Hyclate 50 mg capsule 0.76USD capsule Vibramycin 50 mg/5ml Syrup 0.67USD ml Vibramycin 50 mg/5 ml syrup 0.64USD ml Apo-Doxy 100 mg Capsule 0.61USD capsule Apo-Doxy 100 mg Tablet 0.61USD tablet Doxycin 100 mg Capsule 0.61USD capsule Doxycin 100 mg Tablet 0.61USD tablet Novo-Doxylin 100 mg Capsule 0.61USD capsule Novo-Doxylin 100 mg Tablet 0.61USD tablet Nu-Doxycycline 100 mg Capsule 0.61USD capsule Pms-Doxycycline 100 mg Capsule 0.61USD capsule Pms-Doxycycline 100 mg Tablet 0.61USD tablet DrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.- Patents
Patent Number Pediatric Extension Approved Expires (estimated) Region US6958161 No 2005-10-25 2022-12-15 US US8715724 No 2014-05-06 2028-02-03 US US7211267 No 2007-05-01 2022-04-05 US US7232572 No 2007-06-19 2022-04-05 US US7749532 No 2010-07-06 2027-12-19 US US8206740 No 2012-06-26 2025-12-24 US US8394405 No 2013-03-12 2024-04-07 US US8394406 No 2013-03-12 2024-04-07 US US8470364 No 2013-06-25 2024-04-07 US US8603506 No 2013-12-10 2022-04-05 US US5789395 No 1998-08-04 2016-08-30 US US5919775 No 1999-07-06 2016-08-30 US US8709478 No 2014-04-29 2024-04-07 US US9241946 No 2016-01-26 2022-04-05 US US9511031 No 2016-12-06 2034-10-23 US US9446057 No 2016-09-20 2034-12-23 US US9295652 No 2016-03-29 2034-10-23 US US10058564 No 2018-08-28 2022-04-05 US
Properties
- State
- Solid
- Experimental Properties
Property Value Source melting point (°C) 201 °C https://www.sigmaaldrich.com/content/dam/sigma-aldrich/docs/Sigma/Product_Information_Sheet/d9891pis.pdf water solubility 50 mg/mL https://www.sigmaaldrich.com/content/dam/sigma-aldrich/docs/Sigma/Product_Information_Sheet/d9891pis.pdf logP 0.63 https://deepblue.lib.umich.edu/bitstream/handle/2027.42/64911/21954_ftp.pdf?sequence=1 pKa 3.09 https://www.ncbi.nlm.nih.gov/pubmed/34018 - Predicted Properties
Property Value Source Water Solubility 0.63 mg/mL ALOGPS logP -0.72 ALOGPS logP -3.3 Chemaxon logS -2.8 ALOGPS pKa (Strongest Acidic) 3.27 Chemaxon pKa (Strongest Basic) 8.33 Chemaxon Physiological Charge 0 Chemaxon Hydrogen Acceptor Count 9 Chemaxon Hydrogen Donor Count 6 Chemaxon Polar Surface Area 181.62 Å2 Chemaxon Rotatable Bond Count 2 Chemaxon Refractivity 113.89 m3·mol-1 Chemaxon Polarizability 43.65 Å3 Chemaxon Number of Rings 4 Chemaxon Bioavailability 1 Chemaxon Rule of Five No Chemaxon Ghose Filter No Chemaxon Veber's Rule No Chemaxon MDDR-like Rule No Chemaxon - Predicted ADMET Features
Property Value Probability Human Intestinal Absorption + 0.85 Blood Brain Barrier - 0.9881 Caco-2 permeable - 0.8706 P-glycoprotein substrate Substrate 0.699 P-glycoprotein inhibitor I Non-inhibitor 0.8038 P-glycoprotein inhibitor II Non-inhibitor 0.8628 Renal organic cation transporter Non-inhibitor 0.9562 CYP450 2C9 substrate Non-substrate 0.8008 CYP450 2D6 substrate Non-substrate 0.9116 CYP450 3A4 substrate Substrate 0.6551 CYP450 1A2 substrate Non-inhibitor 0.9045 CYP450 2C9 inhibitor Non-inhibitor 0.9144 CYP450 2D6 inhibitor Non-inhibitor 0.9293 CYP450 2C19 inhibitor Non-inhibitor 0.9099 CYP450 3A4 inhibitor Non-inhibitor 0.8567 CYP450 inhibitory promiscuity Low CYP Inhibitory Promiscuity 0.8086 Ames test Non AMES toxic 0.9132 Carcinogenicity Non-carcinogens 0.8632 Biodegradation Not ready biodegradable 0.9941 Rat acute toxicity 2.3159 LD50, mol/kg Not applicable hERG inhibition (predictor I) Weak inhibitor 0.9946 hERG inhibition (predictor II) Non-inhibitor 0.7466
Spectra
- Mass Spec (NIST)
- Not Available
- Spectra
Spectrum Spectrum Type Splash Key Predicted GC-MS Spectrum - GC-MS Predicted GC-MS splash10-0zfr-5392300000-04bc3e193569d5361cd9 Predicted MS/MS Spectrum - 10V, Positive (Annotated) Predicted LC-MS/MS splash10-004j-0000900000-935048b8d3cfe4303be1 Predicted MS/MS Spectrum - 10V, Negative (Annotated) Predicted LC-MS/MS splash10-004l-0001900000-6ec51b6c9a3b8ec21d1e Predicted MS/MS Spectrum - 20V, Positive (Annotated) Predicted LC-MS/MS splash10-004i-0000900000-0b59d411d391a9e10b5b Predicted MS/MS Spectrum - 20V, Negative (Annotated) Predicted LC-MS/MS splash10-004l-0044900000-b17186c06c8d328522e0 Predicted MS/MS Spectrum - 40V, Positive (Annotated) Predicted LC-MS/MS splash10-0f6x-5796200000-66f53c607488d1a33712 Predicted MS/MS Spectrum - 40V, Negative (Annotated) Predicted LC-MS/MS splash10-0g59-1292200000-ddc4c8c94295c8f4b0cc Predicted 1H NMR Spectrum 1D NMR Not Applicable Predicted 13C NMR Spectrum 1D NMR Not Applicable - Chromatographic Properties
Collision Cross Sections (CCS)
Adduct CCS Value (Å2) Source type Source [M-H]- 209.2471399 predictedDarkChem Lite v0.1.0 [M-H]- 209.6925399 predictedDarkChem Lite v0.1.0 [M-H]- 197.94159 predictedDeepCCS 1.0 (2019) [M+H]+ 212.1786399 predictedDarkChem Lite v0.1.0 [M+H]+ 212.9159399 predictedDarkChem Lite v0.1.0 [M+H]+ 200.33716 predictedDeepCCS 1.0 (2019) [M+Na]+ 212.2655399 predictedDarkChem Lite v0.1.0 [M+Na]+ 212.5330399 predictedDarkChem Lite v0.1.0 [M+Na]+ 206.24968 predictedDeepCCS 1.0 (2019)
Targets
References
Enzymes
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- Curator comments
- CYP3A4 inhibition was demonstrated in a single in vitro study, where doxycycline inhibited CYP3A4-mediated metabolism of quinine to 3-hydroxyquinine.
- General Function
- Vitamin d3 25-hydroxylase activity
- Specific Function
- Cytochromes P450 are a group of heme-thiolate monooxygenases. In liver microsomes, this enzyme is involved in an NADPH-dependent electron transport pathway. It performs a variety of oxidation react...
- Gene Name
- CYP3A4
- Uniprot ID
- P08684
- Uniprot Name
- Cytochrome P450 3A4
- Molecular Weight
- 57342.67 Da
References
- Zhao XJ, Ishizaki T: A further interaction study of quinine with clinically important drugs by human liver microsomes: determinations of inhibition constant (Ki) and type of inhibition. Eur J Drug Metab Pharmacokinet. 1999 Jul-Sep;24(3):272-8. [Article]
- Zhao XJ, Ishizaki T: The In vitro hepatic metabolism of quinine in mice, rats and dogs: comparison with human liver microsomes. J Pharmacol Exp Ther. 1997 Dec;283(3):1168-76. [Article]
- Tan KR, Magill AJ, Parise ME, Arguin PM: Doxycycline for malaria chemoprophylaxis and treatment: report from the CDC expert meeting on malaria chemoprophylaxis. Am J Trop Med Hyg. 2011 Apr;84(4):517-31. doi: 10.4269/ajtmh.2011.10-0285. [Article]
- CYP3A4 document, CTEP [File]
- MEDICATIONS METABOLIZED BY CYTOCHROME P450 3A4 [File]
Carriers
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- SubstrateBinder
- General Function
- Toxic substance binding
- Specific Function
- Serum albumin, the main protein of plasma, has a good binding capacity for water, Ca(2+), Na(+), K(+), fatty acids, hormones, bilirubin and drugs. Its main function is the regulation of the colloid...
- Gene Name
- ALB
- Uniprot ID
- P02768
- Uniprot Name
- Serum albumin
- Molecular Weight
- 69365.94 Da
References
- Aver'eva EV, Kivman GIa, Markovich MN, Shraiber NF, Pognoevskii OT: [Competition of antibacterial drugs for binding sites of human serum albumin]. Antibiot Khimioter. 1988 Jun;33(6):444-8. [Article]
Transporters
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inhibitor
- General Function
- Sodium-independent organic anion transmembrane transporter activity
- Specific Function
- Involved in the renal elimination of endogenous and exogenous organic anions. Functions as organic anion exchanger when the uptake of one molecule of organic anion is coupled with an efflux of one ...
- Gene Name
- SLC22A6
- Uniprot ID
- Q4U2R8
- Uniprot Name
- Solute carrier family 22 member 6
- Molecular Weight
- 61815.78 Da
References
- Babu E, Takeda M, Narikawa S, Kobayashi Y, Yamamoto T, Cha SH, Sekine T, Sakthisekaran D, Endou H: Human organic anion transporters mediate the transport of tetracycline. Jpn J Pharmacol. 2002 Jan;88(1):69-76. [Article]
- In Vitro and In Vivo Evidence of the Importance of Organic Anion Transporters (OATs) in Drug Therapy [File]
- Kind
- Protein
- Organism
- Humans
- Pharmacological action
- Unknown
- Actions
- Inducer
- General Function
- Efflux transmembrane transporter activity
- Specific Function
- Drug efflux transporter present in a number of stem cells that acts as a regulator of cellular differentiation. Able to mediate efflux from cells of the rhodamine dye and of the therapeutic drug do...
- Gene Name
- ABCB5
- Uniprot ID
- Q2M3G0
- Uniprot Name
- ATP-binding cassette sub-family B member 5
- Molecular Weight
- 138639.48 Da
References
Drug created at June 13, 2005 13:24 / Updated at May 30, 2024 20:36