Doryx (Doxycycline Hyclate (Hydrochloride))
Complete patient guide for uses, dosage, side effects, and safety information
Prescription RequiredQuick Facts
What Is Doryx Used For?
Doryx contains doxycycline hyclate, which belongs to a group of medicines called tetracyclines. It’s an antibiotic that works by killing or stopping the growth of bacteria and parasites.
Primary Uses
Doryx is used to treat certain types of bacterial infections, control acne, and prevent some forms of malaria (sometimes combined with another antimalarial medicine).
How It Works
It works by killing or stopping the growth of bacteria which cause infections or make acne worse. It also works against parasites that cause malaria. Tetracyclines will not work against viral infections such as colds or flu.
Good to know: This medicine is not addictive and is available only with a doctor’s prescription.
How to Take Doryx
Your doctor will tell you exactly how many capsules to take each day. Always follow their instructions carefully, as they may differ from general guidelines.
Dosage Instructions
For treating infections: Usually two 100 mg capsules on the first day, then one 100 mg capsule daily. For controlling acne: Usually one 50 mg capsule daily. For preventing malaria: Usually one 100 mg capsule daily, starting two days before entering the malarious area, during the visit, and for four weeks after leaving. Swallow capsules whole with a full glass of water or milk while sitting or standing upright. Take during or immediately after a meal. Stay upright for at least 30 minutes after taking to avoid throat irritation.
What If You Miss a Dose?
If you miss a dose and it’s almost time for your next dose, skip the missed dose and take your next dose when scheduled. Otherwise, take it as soon as you remember, then return to your normal schedule. If you’re unsure, ask your doctor or pharmacist.
Important: Never take a double dose to make up for a missed dose. This may increase your chance of getting unwanted side effects.
Available Tablet Strengths
Side Effects
Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.
Common Side Effects
These side effects occur relatively frequently and usually don’t require emergency care:
- Oral thrush (white, furry, sore tongue and mouth)
- Vaginal thrush (sore and itchy vagina with or without discharge)
- Rash or itching
- Nail changes
- Stomach upset or vomiting
- Mild irritation of the esophagus (food-pipe)
- Taste loss
- Ringing or other persistent noise in the ears
Seek immediate medical attention if you experience:
- Depression
- Feeling anxious or nervous
- Muscle tenderness or weakness (not from exercise)
- Painful swollen joints
- Increased pressure in the brain (headache, blurred vision, vomiting)
- Severe blisters and bleeding in lips, eyes, mouth, nose and genitals
- Severe skin reactions with painful red areas, large blisters, and peeling skin
- Difficulty or pain with swallowing
- Dizziness
- Fast heart rate
- Frequent bruising
- Passing less urine
- Yellowing of eyes or skin (jaundice)
- Severe upper stomach pain with nausea and vomiting (pancreatitis)
- Allergic reaction symptoms (shortness of breath, wheezing, swelling of face/lips/tongue, rash, hives)
Important Warnings
There are several important situations where Doryx should not be used or requires special caution.
Who Should Not Take Doryx
Do not take if you’re allergic to doxycycline, other tetracyclines, or any ingredients. Do not take if you’re taking vitamin A preparations, isotretinoin, or etretinate. Do not take if you’re more than 18 weeks pregnant or breastfeeding. Do not give to children under 8 years old (or under 50 kg) unless directed by a doctor, as it may cause tooth staining and enamel loss.
Medical Conditions to Discuss
Tell your doctor if you have allergies to medicines, foods, preservatives or dyes; any other medical conditions; work outdoors or are exposed to strong sunlight (doxycycline increases sun sensitivity); or are scheduled for surgery under general anesthetic.
Pregnancy and Breastfeeding
Tetracyclines may harm your developing or breastfeeding baby, potentially causing tooth enamel loss and staining, or increased brain pressure in children. High doses may also cause liver problems in pregnant women. Check with your doctor if you’re pregnant, planning to become pregnant, or breastfeeding.
Drug Interactions
Some medicines may interfere with Doryx and affect how it works. Always tell your doctor about all medicines you’re taking.
Timing Important: Take antacids, bismuth salts, and iron preparations at least 2 hours before or 2 hours after Doryx to avoid absorption problems.
- Vitamin A preparations
- Isotretinoin or etretinate (skin problem medicines)
- Warfarin (blood clotting prevention)
- Penicillin antibiotics
- Epilepsy medicines (phenytoin, carbamazepine, phenobarbital)
- Methoxyflurane (anesthetic)
- Acetazolamide (diuretic)
- Birth control pills (may decrease effectiveness)
- Antacids containing aluminum, calcium, or magnesium
- Bismuth salts
- Iron preparations and vitamins containing iron
Alcohol & Driving
Be cautious with activities that require alertness and discuss alcohol use with your doctor.
Alcohol
Tell your doctor if you drink alcohol. The interaction effects are not fully detailed, but it’s important for your doctor to know about your alcohol consumption.
Driving and Operating Machinery
Be careful before you drive or use any machines or tools until you know how Doryx affects you. The medication may cause dizziness or other effects that could impair your ability to operate machinery safely.
Sun Exposure
Protect your skin when in the sun, especially between 10am and 3pm. Wear protective clothing and use 30+ sunscreen. Doryx makes your skin much more sensitive to sunlight, which may cause rash, itching, redness, or severe sunburn. If your skin appears to be burning, see your doctor immediately.
Storage
Keep capsules in their original pack until it’s time to take them to protect from light. Store below 25°C in a cool, dry place away from moisture, heat, and sunlight. Don’t store in the bathroom, near a sink, in the car, or on windowsills. Keep out of reach of children.
Overdose Information
If you think you’ve taken too much Doryx, seek urgent medical attention immediately. Call the Poisons Information Centre (13 11 26), contact your doctor, or go to the nearest hospital Emergency Department, even if you don’t feel unwell. Overdose symptoms may include upset stomach or vomiting.
Frequently Asked Questions
For infections, you should continue taking Doryx for the full treatment period (usually 1-2 weeks) even if you start feeling better after a few days. For acne control, treatment is normally taken over 12 weeks. For malaria prevention, it should be started 2 days before entering a malarious area.
Yes, you should take Doryx during or immediately after a meal. Taking it on an empty stomach may cause stomach upset.
No, Doryx is not addictive according to the medication information.
If you miss a dose and it’s almost time for your next dose, skip the missed dose. Otherwise, take it as soon as you remember, then return to your normal schedule. Never take a double dose to make up for a missed dose.
You should tell your doctor if you drink alcohol. While specific interactions aren’t detailed, it’s important for your healthcare provider to know about your alcohol consumption when prescribing Doryx.
You should stay upright (sitting, standing, or walking) for at least 30 minutes after taking Doryx to help avoid irritation to your esophagus (food pipe). Don’t lie down immediately after swallowing the capsule.
If you’re taking iron preparations or vitamins containing iron, you must take them at least 2 hours before or 2 hours after taking Doryx to ensure proper absorption of both medications.
Important Disclaimer
This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.
If you think you may have a medical emergency, call your doctor or emergency services immediately.