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Doxycycline Acne

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					DBL(R) Doxycycline
Doxycycline Hydrochloride (dox-I-SYE-kleen)

Consumer Medicine Information




What is in this leaflet                  Ask your doctor if you have any          As with many medicines,
                                         questions about why this medicine        tetracyclines may harm your
                                         has been prescribed for you.             developing or breast-feeding baby.
This leaflet answers some common
questions about DBL(R)                                                            Tetracyclines may cause enamel loss
                                         Your doctor may have prescribed it
Doxycycline. It does not contain all                                              and staining of your child's teeth or
                                         for another reason.
                                                                                  increase the pressure on your child's
the available information. It does not
                                         This medicine is not addictive.          brain.
take the place of talking to your
doctor or pharmacist.                    It is available only with a doctor's     High doses of tetracyclines may also
                                         prescription.                            cause liver problems in pregnant
All medicines have benefits and
risks. Your doctor has weighed the                                                women.
risks of you taking DBL(R)                                                        Do not give this medicine to
Doxycycline against the benefits this                                             children aged eight years or under
medicine is expected to have for you.    Before you take DBL(R)                   unless directed by the child's
                                         Doxycycline                              doctor.
If you have any concerns about
taking this medicine, ask your                                                    Doxycycline like other tetracyclines,
doctor or pharmacist.                                                             may cause enamel loss and staining
                                         When you must not take it                in developing teeth. It may also
Keep this leaflet with the medicine.
                                         Do not take DBL(R) Doxycycline if        cause increased pressure on the brain
You may need to read it again.           you have an allergy to:                  if used in infants.

                                         * any medicine containing                Do not take this medicine after the
                                           doxycycline                            expiry date printed on the pack or
                                                                                  if the packaging is torn or shows
                                         * other tetracyclines
What DBL(R)                                                                       signs of tampering.
                                         * any of the ingredients listed at the
Doxycycline is used for                                                           If it has expired or is damaged, return
                                           end of this leaflet.
                                                                                  it to your pharmacist for disposal.
This medicine is an antibiotic used      Some of the symptoms of an allergic
to:                                      reaction may include shortness of        If you are not sure whether you
                                         breath, wheezing or troubled             should start taking this medicine,
* treat certain types of infections      breathing; swelling of the face, lips,   talk to your doctor.
* control acne                           tongue or other parts of the body;
* prevent some forms of malaria,         rash, itching or hives on the skin.      Before you start to take it
  sometimes in combination with
                                         Do not take this medicine if you         Tell your doctor if you have
  another antimalarial medicine.         are taking preparations containing       allergies to any other medicines,
This medicine belongs to a group of      vitamin A, isotretinoin or               foods, preservatives or dyes.
medicines called tetracyclines.          etretinate. Ask your doctor or
                                         pharmacist if you are not sure if
It works by killing or stopping the
                                         you are taking one of these              Taking other medicines
growth of bacteria which cause           medicines.
infections or make acne worse. It                                                 Tell your doctor if you are taking
also works against parasites that        Do not take this medicine if you         any other medicines, including any
                                         are more than 18 weeks pregnant          that you get without a prescription
cause malaria.
                                         or are breast-feeding.                   from your pharmacy, supermarket
Tetracyclines will not work against                                               or health food shop.
viral infections such as colds or flu.




DBL(R) DOXYCYCLINE                                                                                                        1
Some medicines and doxycycline          careful with or avoid while taking        Do not chew the capsules.
may interfere with each other. These    this medicine.
include:                                                                          When to take it
* preparations containing Vitamin                                                 Take your medicine at about the
  A                                                                               same time each day (usually in the
* some medicines used for skin          How to take DBL(R)                        morning).
  problems, such as isotretinoin or     Doxycycline                               Taking it at the same time each day
  etretinate                                                                      will have the best effect. It will also
* warfarin, a medicine used to          Follow all directions given to you        help you to remember when to take
  prevent blood clotting                by your doctor and pharmacist             it.
* another group of antibiotics          carefully.
                                                                                  Take your medicine during or
  called penicillins                    They may differ from the
                                                                                  immediately after a meal.
* some medicines used in the            information contained in this leaflet.
  treatment of epilepsy such as                                                   If taken on an empty stomach, it may
                                        If you do not understand the              cause stomach upset.
  phenytoin, carbamazepine or           instructions on the pack, ask your
  phenobarbitone                        doctor or pharmacist for help.
* methoxyflurane, an anaesthetic
                                                                                  How long to take it
* acetazolamide, a medicine used to     How much to take                          Continue taking your medicine
  help the body get rid of salt and                                               until you finish the pack or for as
  water                                 Your doctor or pharmacist will tell       long as your doctor recommends.
* the contraceptive pill (birth         you how many capsules you will
                                        need to take each day.                    Keep taking this medicine for the
  control pill). Doxycycline may                                                  full time of treatment even if you
  decrease the effectiveness of         For treating infections, the usual dose   begin to feel better after a few
  some birth control pills.             of doxycycline is two 100 mg              days.
  Your doctor may advise you to         capsules on the first day, followed by
                                                                                  If you do not complete the full
  use an additional method of           one 100 mg capsule each day from          course prescribed by your doctor, the
  contraception while taking            then on.                                  infection may not clear completely or
  doxycycline and for 7 days            For controlling acne, the usual dose      your symptoms may return.
  after taking finishing                is one 50 mg capsule each day.
  doxycycline. Refer to your                                                      For treating infections, doxycycline
  doctor or pharmacist for              For the prevention of malaria, the        is usually taken for one to two
                                        usual dose is one 100 mg capsule          weeks.
  advice.
                                        each day, commencing two days
These medicines may be affected by                                                For controlling acne, doxycycline is
                                        before entering the malarious area,       normally taken over a period of 12
doxycycline or may affect how well
                                        during the visit, and for two weeks
it works. You may need different                                                  weeks.
                                        after leaving the area.
amounts of your medicine or you                                                   For preventing malaria, doxycycline
may need to take different medicines.   Your doctor may ask you to take a         is recommended to be taken for up to
                                        different dose, depending on your         a maximum of 8 weeks. However,
If you are taking the following         condition and how you react to the
medicines, take them at least two                                                 your doctor may prescribe
                                        medicine.                                 doxycycline for longer periods.
hours before or two hours after
taking doxycycline:
                                                                                  If you are not sure how long you
                                        How to take it
* antacids (containing aluminium,                                                 should be taking this medicine, talk
  calcium or magnesium), used for       Swallow the capsules whole with a         to your doctor.
  indigestion                           full glass of water or milk while
* bismuth salts, found in some          sitting or standing upright.              If you forget to take it
  medicines used to treat stomach       Do not lie down immediately after         If it is almost time for your next
  ulcers                                swallowing doxycycline.                   dose, skip the dose you missed and
* preparations that contain iron                                                  take your next dose when you are
                                        It is important to stay upright, for
  including vitamin preparations.                                                 meant to.
                                        example sitting, standing or walking
These medicines may interfere with      around for at least half an hour after    Otherwise, take it as soon as you
the absorption of doxycycline.          swallowing your capsule. This is to       remember, then go back to taking
Your doctor and pharmacist have         help avoid irritation to your food        your medicine as you would
more information on medicines to be     pipe, also called the oesophagus.         normally.


DBL(R) DOXYCYCLINE                                                                                                          2
Do not double a dose to make up       that you are taking this medicine        If you get thrush (a fungal
for the dose you have missed.                                                  infection which can affect the
                                      If you become pregnant while             mouth and/or vagina) or any other
This may increase the chance of you   taking this medicine, tell your          infection while taking, or soon
getting an unwanted side effect.      doctor immediately.
                                                                               after stopping doxycycline, tell
If you are not sure what to do, ask   If you are about to have any blood       your doctor.
your doctor or pharmacist.            tests, tell your doctor that you are     Sometimes the use of this medicine
                                      taking this medicine.                    allows fungi to grow as they are not
If you have trouble remembering
to take your medicine, ask your       It may interfere with the results of     killed by this medicine.
pharmacist for some hints.            some tests.
                                      If you are taking iron
If you take too much                  preparations, including vitamin
(overdose)                            preparations containing iron,            Side effects
                                      bismuth salts or antacids
Immediately telephone your doctor     (containing aluminium, calcium or        Tell your doctor or pharmacist as
or Poisons Information Centre         magnesium), you must take them           soon as possible if you do not feel
(telephone 13 11 26) for advice, or   at least two hours before or two         well while you are taking DBL(R)
go to Accident and Emergency at       hours after doxycycline to make          Doxycycline.
your nearest hospital, if you think   sure there is no problem with
                                                                               This medicine is effective against
that you or anyone else may have      absorption.
                                                                               infections/acne and helps prevent
taken too much doxycycline. Do
                                                                               malaria for most people, but it may
this even if there are no signs of    Things you must not do
                                                                               have unwanted side effects in some
discomfort or poisoning.
                                      Do not stop taking your medicine         people. Sometimes they are serious,
You may need urgent medical           because you are feeling better           most of the time they are not. You
attention.                            unless advised by your doctor.           may need medical attention if you get
Symptoms of an overdose may           If you do not complete the full          some of the side effects.
include an upset stomach or           course, all of the bacteria causing      Do not be alarmed by the following
vomiting.                             your infection may not be killed.        lists of side effects.
                                      These bacteria may continue to grow
                                                                               You may not experience any of them.
                                      and multiply so that your infection
                                      may not clear completely or it may       Ask your doctor or pharmacist to
                                      return.                                  answer any questions you may
While you are taking                                                           have.
DBL(R) Doxycycline                    Do not give your medicine to
                                      anyone else, even if they have the       Tell your doctor or pharmacist if
                                      same condition as you.                   you notice any of the following and
Things you must do
                                                                               they worry you:
                                      Do not take doxycycline to treat
If you are taking doxycycline for                                              * oral thrush - white, furry, sore
                                      any other complaints unless your
an infection and your symptoms do                                                tongue and mouth
                                      doctor tells you to.
not improve within a few days or
                                                                               * vaginal thrush - sore and itchy
they become worse, tell your
                                      Things to be careful of                    vagina with or without discharge
doctor.
                                                                               * rash or itching
If you get severe diarrhoea, tell     Protect your skin when you are in
                                                                               * nail changes
your doctor or pharmacist             the sun, especially between 10am
immediately. Do this even if it       and 3pm. If outdoors, wear               * stomach upset or vomiting
occurs several weeks after            protective clothing and use a 30+        * mild irritation of the oesophagus
doxycycline has been stopped.         sunscreen.                                 (food-pipe)
Diarrhoea may mean that you have a    Doxycycline may cause your skin to       * taste loss
serious condition affecting your      be much more sensitive to sunlight       * ringing or other persistent noise
bowel. You may need urgent            than it is normally. Exposure to           in the ears.
medical care.                         sunlight may cause a skin rash,
                                                                               The above list includes the more
                                      itching, redness, or a severe sunburn.   common side effects.
Do not take diarrhoea medicine
without first checking with your      If your skin does appear to be           Tell your doctor as soon as possible
doctor.                               burning, see your doctor as soon as      if you notice any of the following:
                                      possible. You may need
Tell any other doctors, dentists,     alternative treatment.                   * depression
and pharmacists who treat you


DBL(R) DOXYCYCLINE                                                                                                    3
* feeling anxious or nervous            * fever in combination with one or     date has passed, ask your
* muscle tenderness or weakness,            both of the above.                 pharmacist what to do with any
    not caused by exercise              These are rare but serious side        medicine that is left over.
* painful swollen joints.               effects. You may have a serious
The above list includes serious side    condition affecting your bowel.
effects which may require medical       Doxycycline may cause the bacteria
                                        which are normally harmless and        Product description
attention.
                                        present in the bowel to multiply,
If any of the following happen, tell    resulting in the above symptoms.       What it looks like
your doctor immediately or go to        Therefore you may need urgent
Accident and Emergency at your                                                 DBL(R) Doxycycline capsules come
                                        medical attention.
nearest hospital:                                                              in two strengths:
* severe blisters and bleeding in the   Do not take any medicine for this      DBL(R) Doxycycline 100 mg - clear
  lips, eyes, mouth, nose and           diarrhoea without first checking
                                                                               capsules filled with yellow pellets,
                                        with your doctor.
  genitals                                                                     marked doxy 100 in black. It is
* severe skin reactions starting as     Ask your doctor or pharmacist to       available in both blister packs and
  painful red areas then large          answer any questions you may           bottles of 7 or 21 capsules
  blisters and ends with peeling        have about the side effects.
                                                                               DBL(R) Doxycycline 50 mg - clear
  layers of skin                        Do not be alarmed by this list of      capsules filled with yellow pellets,
* difficulty in swallowing              possible side effects.                 marked doxy 50 in black. It is
* pain when swallowing                  You may not experience any of them.    available in both blister packs and
* flaking of the skin                                                          bottles of 25 capsules.
* dizziness
* fast heart rate                                                              Ingredients
* frequent bruising
                                        After using DBL(R)
                                        Doxycycline                            Active ingredients:
* passing less urine
                                                                               DBL(R) Doxycycline 100 mg -
* yellowing of the eyes or skin                                                contains 100 mg of doxycycline as
  (jaundice)                            Storage                                doxycycline hydrochloride in each
* symptoms of an allergic reaction                                             capsule.
                                        Keep your capsules in their pack
  such as shortness of breath,
                                        until it is time to take them.         DBL(R) Doxycycline 50 mg -
  wheezing or troubled breathing;
                                        If you take the capsules out of the    contains 50 mg of doxycycline as
  swelling of the face, lips, tongue
  or other parts of the body; rash,     pack they may not keep as well.        doxycycline hydrochloride in each
                                                                               capsule.
  itching or hives on the skin.         Keep your capsules in a cool dry
These are serious side effects. You     place where the temperature stays      Other Ingredients:
may need urgent medical attention or    below 25 degrees C.                    *   lactose
hospitalisation.                        Do not store DBL(R) Doxycycline        *   cellulose (460)
Tell your doctor if you notice          or any other medicine in the           *   povidone
anything else that is making you        bathroom or near a sink. Do not
                                                                               *   hydroxypropyl methylcellulose
unwell.                                 leave it on a window sill or in the
                                                                                   phthalate
                                        car.
Other side effects not listed above                                            *   hypromellose
may occur in some people.               Heat and dampness can destroy some
                                                                               *   diethyl phthalate
                                        medicines.
                                                                               *   gelatin
After finishing it                      Keep it where children cannot          *   shellac (904)
                                        reach it.
Tell your doctor immediately if                                                *   carbon black (153)
you notice any of the following side    A locked cupboard at least one-and-a
                                                                               *   wheat starch (contains gluten)
effects, particularly if they occur     half metres above the ground is a
                                                                               *   magnesium stearate (470)
several weeks after stopping            good place to store medicines.
treatment with doxycycline:                                                    * hydroxypropylcellulose.
* severe abdominal cramps or            Disposal                               This medicine does not contain
  stomach cramps                                                               sucrose, tartrazine or any other azo
* watery and severe diarrhoea,          If your doctor tells you to stop       dyes.
  which may also be bloody              taking this medicine or the expiry



DBL(R) DOXYCYCLINE                                                                                                    4
Supplier
Hospira Australia Pty Ltd
ABN 58 097 064 330
Level 3
390 St Kilda Road
Melbourne VIC 3004
Australia

AUST R numbers
* DBL(R) Doxycycline 100 mg
    (blister pack) - AUST R 51689
* DBL(R) Doxycycline 50 mg
   (blister pack) - AUST R 51691
* DBL(R) Doxycycline 100 mg
   (bottle) - AUST R 107248
* DBL(R) Doxycycline 50 mg
    (bottle) - AUST R 107247

This leaflet was updated in February
2008.

DBL(R) is a registered trademark of
Hospira Australia Pty Ltd.




DBL(R) DOXYCYCLINE                     5