doxycycline monohydrate tablets
Consumer Medicine Information
WHAT IS IN THIS LEAFLET
This leaflet answers some common questions about Doxycycline Sandoz.
It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you taking this medicine against the benefits
they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
WHAT DOXYCYCLINE SANDOZ IS USED FOR
This medicine is used to:
treat certain infections
prevent a form of malaria
treat anthrax infection or for use after exposure to anthrax.
It contains the active ingredient doxycycline.
Doxycycline belongs to a group of medicines called tetracyclines.
It works by killing or stopping the growth of bacteria which cause infections or make acne worse. They also work against parasites
that cause malaria.
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Your doctor may have prescribed it for another reason.
This medicine is available only with a doctor's prescription.
BEFORE YOU TAKE DOXYCYCLINE SANDOZ
When you must not take it
Do not take this medicine if you have an allergy to:
doxycycline, the active ingredient, or to any of the other ingredients listed at the end of this leaflet under Product Description
any other similar medicines such as tetracyclines.
Some of the symptoms of an allergic reaction may include:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin.
Do not take this medicine if you are taking preparations containing isotretinoin, etretinate or Vitamin A.
Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it
Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.
Tell your doctor if:
you have or have ever had any other health problems
you are scheduled to have surgery under general anaesthetic
you work outdoors or you are exposed to direct sunlight or ultra-violet light.
Tell your doctor if you are pregnant or plan on getting pregnant.
Tell your doctor if you are breastfeeding or plan on breastfeeding.
Your doctor can discuss with you the risks and benefits involved.
This medicine is not recommended during the last half of pregnancy, nor for children eight years and under.
Doxycycline Sandoz, like other tetracyclines, may cause enamel loss and staining in developing teeth or increase the pressure
on your child's brain. High doses of tetracyclines may also cause liver problems in pregnant women.
If you have not told your doctor about any of the above, tell him/her before you start taking Doxycycline Sandoz.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from
your pharmacy, supermarket or health food shop.
Some medicines and Doxycycline Sandoz may interfere with each other. These include:
preparations containing Vitamin A
some medicines used for skin problems such as isotretinoin or etretinate
warfarin, a medicine used to prevent blood clots
methoxyflurane, an inhaled anaesthetic
the contraceptive (birth control) pill.
Doxycycline Sandoz may decrease the effectiveness of some birth control pills. Your doctor may advise you to use an additional
method of contraception while you are taking this medicine.
barbiturates such as phenobarbitone
anticonvulsant medicines that are used to treat seizures, such as phenytoin and carbamazepine
acetazolamide, a medicine used to treat glaucoma.
These medicines may be affected by Doxycycline Sandoz or may affect how well it works. You may need different amounts of your
medicines, or you may need to take different medicines.
Alcohol and some medicines may interfere with the absorption of Doxycycline Sandoz. These include:
iron preparations (including vitamin preparations containing iron)
antacids and other medicines containing aluminium, calcium or magnesium.
Do not drink alcohol or take any of these medicines if you are taking Doxycycline Sandoz.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.
HOW TO TAKE DOXYCYCLINE SANDOZ
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions, ask your doctor or pharmacist for help.
How much to take
For treating infections, the usual dose of Doxycycline Sandoz is:
two 100 mg tablets on the first day followed by one 100 mg tablet each day from then on.
For controlling acne, the usual dose is:
one 50 mg tablet each day.
For the prevention of malaria, the usual dose is:
one 100 mg tablet each day, commencing two days before entering the malarious area, during the visit, and two weeks after
leaving the area.
Doxycycline Sandoz is normally used in combination with other antimalarial medicine.
For the treatment of anthrax infection or after exposure, the usual dose is:
one 100 mg tablet every 12 hours in adults and 2.2 mg/kg every 12 hours for children (8 years or younger and children weighing
45 kg and less).
Depending on your condition and how you react to the medicine, your doctor may ask you to take a different dose.
Ask your doctor or pharmacist if you are unsure of the correct dose for you.
They will tell you exactly how much to take.
Follow the instructions they give you.
If you take the wrong dose, Doxycycline Sandoz may not work as well and your problem may not improve.
How to take it
If you need to break Doxycycline Sandoz 100 mg tablets, hold tablet with both hands and snap along break line.
Swallow the tablets whole with a full glass of water or milk while sitting or standing upright.
Do not lie down immediately after swallowing your tablet(s).
It is important to stay upright, for example sitting, standing or walking around for at least half an hour after swallowing
your tablet. This is to help avoid irritation to your food pipe (oesophagus).
When to take Doxycycline Sandoz
Take your medicine during or immediately after a meal, at about the same time each day (usually in the morning).
If you take it on an empty stomach, it may cause stomach upset.
If you need to take an antacid, take it at least 2 hours before or 2 hours after your dose of Doxycycline Sandoz.
How long to take Doxycycline Sandoz
Continue taking your medicine for as long as your doctor tells you, even if you begin to feel better after a few days.
If you do not complete the full course prescribed by your doctor, the infection may not clear completely or your symptoms
For treating infections, Doxycycline Sandoz is usually taken for one or two weeks.
For controlling acne, Doxycycline Sandoz is usually taken for a period up to 12 weeks.
For preventing malaria, Doxycycline Sandoz is normally recommended to be taken up to a maximum of 8 weeks.
For treating or after exposure to anthrax, Doxycycline Sandoz is usually taken for at least 60 days.
If you forget to take it
Take your dose as soon as you remember, and continue to take it as you would normally.
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Do not take a double dose to make up for the dose that you missed.
This may increase the chance of you getting an unwanted side effect.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone Australia 13 11 26 or New Zealand 0800 POISON
or 0800 764766) for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else
may have taken too much Doxycycline Sandoz. Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
Symptoms of an overdose may include nausea and vomiting.
WHILE YOU ARE TAKING DOXYCYCLINE SANDOZ
Things you must do
If you are about to be started on any new medicine, remind your doctor and pharmacist that you are taking Doxycycline Sandoz.
Tell any other doctors, dentists, and pharmacists who treat you that you are taking this medicine.
If you are going to have surgery, tell the surgeon or anaesthetist that you are taking this medicine.
It may affect other medicines used during surgery.
If you become pregnant while taking this medicine, tell your doctor immediately.
If you are taking Doxycycline Sandoz for an infection and your symptoms do not improve within a few days, or if they become
worse, tell your doctor.
If you get severe diarrhoea, tell your doctor or pharmacist immediately. Do this even if it occurs several weeks after taking
Diarrhoea may mean you have a serious condition affecting your bowel.
If you are taking iron preparations (including vitamins that contain iron) or antacids, you must take them at least two hours
before or two hours after this medicine, to make sure there is no problem with absorption.
Things you must not do
Do not take Doxycycline Sandoz to treat any other complaints unless your doctor tells you to.
Do not give your medicine to anyone else, even if they have the same condition as you.
Do not stop taking your medicine or lower the dosage without checking with your doctor.
If you do not complete the full course prescribed by your doctor, all the bacteria causing your infection may not be killed.
These bacteria may continue to grow and multiply so that your infection may not clear completely or may return.
Things to be careful of
Protect your skin when you are in the sun, especially between 10 am and 3 pm. Do not use a sunlamp while taking this medicine.
Doxycycline Sandoz may cause your skin to be much more sensitive to sunlight than it is normally. Exposure to sunlight may
cause a skin rash, itching, redness, or severe sunburn.
If outdoors, wear protective clothing and use a 30+ sunscreen.
If your skin does appear to be burning, tell your doctor before you take your next dose.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Doxycycline Sandoz.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention
if you get some of the side effects.
Do not be alarmed by the following lists of side effects. You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
While taking it
Tell your doctor or pharmacist if you notice any of the following and they worry you:
oral thrush (white furry, sore tongue and mouth)
vaginal thrush (sore and itchy vagina and/or discharge)
nail changes from exposure to sunlight
upset stomach or vomiting
difficulty in swallowing
sore mouth or tongue, or irritation of the food pipe
These are the more common side effects of your medicine. These side effects are usually mild.
If any of the following happen, stop taking Doxycycline Sandoz and tell your doctor immediately or go to Accident and Emergency
at your nearest hospital:
rash or itching
flaking of the skin
swelling of the face, lips, mouth, tongue or throat which may cause difficulty in swallowing or breathing
fast heartbeat, or low blood pressure
more frequent bruising than normal
passing less urine than normal
yellowing of the eyes or skin (jaundice).
The above list includes very serious side effects. You may need urgent medical attention or hospitalisation. These side effects
Tell your doctor or pharmacist if you notice anything else that is making you feel unwell.
Other side effects not listed above may also occur in some people.
After finishing it
Tell your doctor immediately if you notice any of the following side effects, particularly if they occur several weeks after
stopping Doxycycline Sandoz:
severe stomach cramps
watery and severe diarrhoea, which may be bloody
fever in combination with one or both of the above.
These are rare but serious side effects. You may need urgent medicine attention. Doxycycline Sandoz can cause some bacteria
that are normally harmless and present in the bowel to multiply and cause the above symptoms.
Do not take any medicine for diarrhoea without first checking with your doctor.
AFTER TAKING DOXYCYCLINE SANDOZ
Keep your medicine in the original container.
If you take it out of its original container it may not keep well.
Keep your medicine in a cool dry place where the temperature stays below 25°C.
Keep your medicine where it is protected from light.
Do not store Doxycycline Sandoz or any other medicine in the bathroom or near a sink. Do not leave it on a window sill or
in the car.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking this medicine or the expiry date has passed, ask your pharmacist what to do with any
medicine that is left over.
What it looks like
Doxycycline Sandoz comes in two types of tablets:
Doxycycline Sandoz 50 mg - dull yellow, round, biconvex tablet.
Available in blisters of 25 tablets.
Doxycycline Sandoz 100 mg - dull yellow, round, biplane tablet with a single sided score notch.
Available in blisters of 7 tablets.
Doxycycline Sandoz 50 mg - 50 mg doxycycline (as monohydrate)
Doxycycline Sandoz 100 mg - 100 mg doxycycline (as monohydrate).
sodium starch glycollate type A
hydrogenated castor oil
colloidal anhydrous silica
This medicine does not contain lactose, sucrose, gluten, tartrazine or any other azo dyes.
Sandoz Pty Ltd
ABN 60 075 449 553
54 Waterloo Road
Macquarie Park, NSW 2113
Tel: 1800 634 500
Novartis New Zealand Ltd
PO Box 99102
Newmarket, Auckland 0754
Tel: 0800 354 335
This leaflet was revised in February 2016
Australian Register Numbers
Doxycycline Sandoz 50 mg tablets: AUST R 69049 (blisters)
Doxycycline Sandoz 100 mg tablets: AUST R 66302 (blisters)