RiteMED Doxycycline

RiteMED Doxycycline

doxycycline

Manufacturer:

RiteMED

Distributor:

United Lab
Full Prescribing Info
Contents
Doxycycline hyclate.
Description
RiteMED Doxycycline (as hyclate) is a yellow crystalline powder presented in size "1" hard gelatin capsule with dark green cap and standard yellow body color.
Each capsule contains: Doxycycline (as hyclate), USP 100 mg.
Action
Pharmacology: Pharmacokinetics: Doxycycline is 90% to almost 100% absorbed in the gastrointestinal tract after oral administration, not much affected by milk and food. It is widely distributed in the body tissues and fluids. Plasma half-life is the longest of the tetracyclines, namely, 12 to 24 hours which accounts for its slow rate of excretion (25% to 40%).
Doxycycline is excreted slowly in the urine in patients with normal renal function. However, the majority of a dose of doxycycline is excreted in the feces after chelation in the intestines. It does not accumulate significantly in patients with renal impairment.
Indications/Uses
Doxycycline is clinically effective in the treatment of variety of infections such as: Rickettsial infections including ehrlichiosis, typhus, spotted fever, trench fever and Q fever; chlamydial infections including psittacosis, lymphogranuloma venereum, trachoma, non-gonococcal urethritis; mycoplasmal infections especially pneumonia; Legionnaires' disease; gonorrhea and syphilis; and surgical infections prophylaxis. Prophylaxis of leptospirosis.
Dosage/Direction for Use
Usual Adult Dose: 200 mg (2 capsules) on the first day (as a single dose) or 100 mg (1 capsule) repeated after 12 hours, followed by 100 mg (1 capsule) daily.
Children above 8 years old weighing 45 kg or less: The usual dose is 4 mg/kg body weight in 2 divided doses initially (on the first day) followed by 2 mg/kg body weight daily. In severe infections, the initial dosage is maintained throughout the course of treatment.
Patients with sensitive gonococcal infections: 300 mg (3 capsules) as a single dose or followed by a second similar dose one hour later.
Patients with Syphilis: 200 mg (2 capsules) or 300 mg (3 capsules) daily for at least 14 or 10 days respectively.
Treatment of acne: 50 mg daily.
For relapsing fever and louse-borne typhus: 100 mg (1 capsule) or 200 mg (2 capsules) as a single dose.
For prophylaxis of scrub typhus: 200 mg (2 capsules) as a single dose.
For prophylaxis of leptospirosis: 200 mg once every 7 days. Prophylaxis should be initiated 1 to 2 days before exposure and continued throughout the period of exposure.
Or as prescribed by a physician.
Contraindications
Contraindicated to patients known to be hypertensive to Tetracyclines.
Special Precautions
Oesophageal ulceration may be a particular problem if capsule or tablets are taken with insufficient fluid or in a recumbent posture: Doxycycline should be taken with at least half a glass of water. Use of Doxycycline in pregnant women should be avoided.
Care should be taken in giving Doxycycline to nursing mothers and children as this may cause permanent discoloration to the child's teeth.
Exceeding the recommended dosage may increase the incidence of side effects.
Adverse Reactions
Nausea, vomiting, diarrhea, dry mouth, glossitis, discoloration of the tongue, stomatitis, dysphagia, oesophageal ulceration, oral candidiasis, vulvovaginitis and pruritus, enterocolitis, severe uraemia and hepatotoxicity.
Drug Interactions
The absorption of Doxycycline is reduced by divalent and trivalent cations such as aluminum, bismuth, calcium, iron, magnesium and zinc and therefore, concomitant administration of tetracyclines with antacids, iron preparations, some foods such as milk and dairy products or other preparations containing such cations, whether as active ingredients or excipients may result in subtherapeutic serum concentrations of the antibacterial. Sodium bicarbonate, colestipol and kaolin-pectin will also reduce its absorption. Its nephrotoxic effects may be exacerbated by diuretics, methoxyflurane or other potentially nephrotoxic drugs.
Storage
Store at temperatures not exceeding 30°C.
MIMS Class
Tetracyclines
ATC Classification
J01AA02 - doxycycline ; Belongs to the class of tetracyclines. Used in the systemic treatment of infections.
Presentation/Packing
Form
RiteMED Doxycycline cap 100 mg
Packing/Price
100's (P45/cap, P4,500/box)
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