Vibramycin (Doxycycline) is a prescription antibiotic medication of the tetracycline class of drugs. It is used to treat a variety of conditions, including chlamydia and nongonococcal urethritis, acne vulgaris, syphilis, cholera, periodontitis, lyme disease, Ehrlichiosis, anthrax in a setting of bioterrorism or cutaneous anthrax, and prophylaxis for malaria, and other severe infections. It is considered highly unsafe in pregnancy and unsafe in nursing. It has multiple interactions with other drugs and patients are advised to review the literature and consult with their physician prior to initiating therapy. The usual dose is 100mg twice daily in adults, and weight-based in children. It has been associated with photosensitivity and pseudotumor cerebri. It may decrease the effectiveness of oral contraceptives and increase the INR when taken with warfarin. It can be taken with food or milk but should not be taken within 2 hours of antacids or calcium supplements.
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