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Doxycycline

Brand Name: Atridox®, Doryx®, Doxy®, Monodox®, Periostat®, Vibramycin®

Doxycycline Information

is a tetracycline-like antibiotic. is used to treat a wide variety of infections and to prevent traveler’s diarrhea.

Summary of Interactions with Vitamins, Herbs, and Foods
(for details about the summarized interactions, read the full article)

Beneficial May be Beneficial: Depletion or interference—The medication may deplete or interfere with the absorption or function of the nutrient. Taking these nutrients may help replenish them.

Vitamin K*

Beneficial May be Beneficial: Side effect reduction/prevention—Taking these supplements may help reduce the likelihood and/or severity of a potential side effect caused by the medication.

Bifidobacterium longum*

Lactobacillus acidophilus*

Lactobacillus casei*

Probiotics*

Saccharomyces boulardii*

Saccharomyces cerevisiae*

Vitamin K*

Beneficial May be Beneficial: Supportive interaction—Taking these supplements may support or otherwise help your medication work better.

Saccharomyces boulardii*

Avoid Avoid: Reduced drug absorption/bioavailability—Avoid these supplements when taking this medication since the supplement may decrease the absorption and/or activity of the medication in the body.

Minerals* (calcium, iron, magnesium, zinc)

Avoid Avoid: Adverse interaction—Avoid these supplements when taking this medication because taking them together may cause undesirable or dangerous results.

Milk or other dairy products

Check Check: Other—Before taking any of these supplements or eating any of these foods

An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.

Doxycycline Interactions with Dietary Supplements

Berberine-containing herbs
Berberine is a chemical extracted from goldenseal (Hydrastis canadensis),barberry (Berberis vulgaris), and Oregon grape (Berberis aquifolium), which has antibacterial activity. However, one double-blind study found that 100 mg berberine given with tetracycline (a drug closely related to doxycycline) reduced the efficacy of tetracycline in people with cholera.1 In that trial, berberine may have decreased tetracycline absorption. Another double-blind trial found that berberine neither improved nor interfered with tetracycline effectiveness in cholera patients.2 Therefore, it remains unclear whether a significant interaction between berberine-containing herbs and doxycycline and related drugs exists.

Minerals
Many minerals can decrease the absorption and reduce effectiveness of doxycycline, including calcium, magnesium, iron, zinc, and others.3 To avoid these interactions, doxycycline should be taken two hours before or two hours after dairy products (high in calcium) and mineral-containing antacids or supplements.

Probiotics
A common side effect of antibiotics is diarrhea, which may be caused by the elimination of beneficial bacteria normally found in the colon. Controlled studies have shown that taking probiotic microorganisms—such as Lactobacillus casei, Lactobacillus acidophilus, Bifidobacterium longum, or Saccharomyces boulardii—helps prevent antibiotic-induced diarrhea.4

The diarrhea experienced by some people who take antibiotics also might be due to an overgrowth of the bacterium Clostridium difficile, which causes a disease known as pseudomembranous colitis. Controlled studies have shown that supplementation with harmless yeast—such as Saccharomyces boulardii5 or Saccharomyces cerevisiae (baker’s or brewer’s yeast)6 —helps prevent recurrence of this infection. In one study, taking 500 mg of Saccharomyces boulardii twice daily enhanced the effectiveness of the antibiotic vancomycin in preventing recurrent clostridium infection.7 Therefore, people taking antibiotics who later develop diarrhea might benefit from supplementing with saccharomyces organisms.

Treatment with antibiotics also commonly leads to an overgrowth of yeast (Candida albicans) in the vagina (candida vaginitis) and the intestines (sometimes referred to as “dysbiosis”). Controlled studies have shown that Lactobacillus acidophilus might prevent candida vaginitis.8

Vitamin K
Several cases of excessive bleeding have been reported in people who take antibiotics.9 10 11 12 This side effect may be the result of reduced vitamin K activity and/or reduced vitamin K production by bacteria in the colon. One

Doxycycline Interactions with Foods and Other Compounds

Food
may be taken with or without food and should be taken with a full glass of water.14 However, doxycycline should not be taken with milk15 or other dairy products.



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Medication Reviews & Side Effects for Doxycycline



  Write an online review of Doxycycline
Review Date: 7/25/2008
Medication: Doryx - - Stay Far Away
Medication Type: Brand Name
Length Taken: More than 1 month but less than 3 months
Strength: 100 mg X 2 times per day
Side Effects: Depression, Mood Swings, Loss of Appetite, Loss of Energy, Increased Irritability
Other Products Taken:

This drug is the worst thing I have ever taken. I think it should be banned! It left me with excessive fatigue, depression and worst of all, a chronic sore tongue and burning mouth. It has dramatically altered my life, and not in a good way. If only I could turn the clock back and never have taken it.

Robin Kanstul
Arizona, USA

Review Date: 12/2/2008
Medication: Doxycycline - - Very Good
Medication Type: Generic
Length Taken: Less than 1 month
Strength: 100 mg. X 3 times per day
Side Effects: Headache, Nausea, Stomach Pain, Loss of Appetite
Other Products Taken: Nexium and celexa

I am taking this for Lymes Disease and dramatically seen positive changes. However, I couldn't figure out why I still had a chronic headache until I stopped taking my vitamins. Apparently, it was the combination of supplements along with the doxy that did it for me. I was taking supplements long before the doxy. But when I introduced the doxy into my system, I couldn't shake my headaches. You MUST take it with food too. I get super queezy otherwise. I also make sure I take probiotics in between doses as well as eating yogurt.

Anonymous
Philadelphia, PA USA



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