Medications not yet evaluated by P&T are considered NON-FORMULARY . . . . . Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step! . . . . . Please be sure to document all clinical activities daily.
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doxycycline

DOXYcycline
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Vibramycin Hyclate CAPSULE, ORAL 50 mg, 100 mg      
Doryx, Oracea, Monodox DELAYED RELEASE CAPSULE, ORAL 40 mg, 75 mg, 100 mg, 150 mg    
Doxy-D, Doxy-100 POWDER FOR INJECTION, INJECTABLE 100 mg hyclate      
Vibramycin Monohydrate SUSPENSION, ORAL 25 mg/5 mL      
Acticlate, Adoxa, Vibra-tabs, Periostat TABLET, ORAL 20 mg, 50 mg, 75 mg, 100 mg    


Comments:

ORDERED FORMULATION

THERAPEUTIC INTERCHANGE

NOTES

DOXYcycline (Acticlate)

  • 75 mg tablet oral
  • 100 mg tablet oral

DOXYcycline (Adoxa)

  • 75 mg tablet oral
  • 100 mg tablet oral

DOXYcycline (Doryx)

  • 75 mg capsule oral
  • 100 mg capsule oral

DOXYcycline (Monodox)

  • 100 mg capsule oral

DOXYcycline (Vibramycin)

  • 100 mg capsule oral

DOXYcycline (Vibra-tabs)

  • 100 mg table oral

DOXYcycline (Vibramycin Hyclate)

  • 100 mg capsule oral
Interchange at same dosing interval

DOXYcycline (Doryx)

  • 150 mg capsule oral

DOXYcycline (Acticlate)

  • 150 mg table oral

DOXYcycline (Vibramycin Hyclate)

  • ONE 50 mg doxycycline hyclate capsule PLUS ONE 100 mg doxycycline hyclate capsule oral (Total: 150 mg)
Interchange at same dosing interval

DOXYcycline (Acticlate)

  • 50 mg tablet oral

DOXYcycline (Adoxa)

  • 50 mg tablet oral

DOXYcycline (Adoxa)

  • 75 mg tablet oral

DOXYcycline (Monodox)

  • 50 mg capsule oral

DOXYcycline (Vibramycin)

  • 50 mg capsule oral

DOXYcycline (Vibramycin Hyclate)

  • 50 mg capsule oral
Interchange at same dosing interval

DOXYcycline

  • 75 mg capsule oral

DOXYcycline (Vibramycin Monohydrate)

  • 25 mg/5 mL oral suspension
Give liquid at same strength and interval

DOXYcycline (Periostat)

  • 20 mg tablet BID

DOXYcycline (Oracea)

  • 40 mg capsule once Daily

DOXYcycline (Vibramycin Monohydrate)

  • 25 mg/5 mL oral suspension 20 mg BID

 

Interchange PERIOSTAT BID and Oracea once daily to VIBRAMYCIN BID


Acticlate is classified as non-formulary, not stocked. Interchange to generic DOXYcycline in similar daily doses.

Doryx-150 is a new strength of DOXYcycline delayed release capsules. It is classified as non-formulary, not stocked. Interchange to DOXYcycline 150 mg (100 mg plus 50 mg) once daily.

Oral acne and periodontal indications are non-formulary. If medication needed for non-formulary use, recommend that patient to use own supply.

 


Reviewed: March 27, 2007 (Doryx, Oracea), August 26, 2008 (Doryx-150) and 23 June 2015 (Acticlate)


Last updated: Dec. 8, 2023







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