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Metabolic side effects have included azotemia.hyperphosphatemia.and metabolic acidosis. Increases in serum BUN levels may occur as a result of the anti-anabolic action of tetracycline (the active ingredient contained in Panmycin) and not necessarily indicate renal disease. [Ref]

Do not use generic retin-a without first talking to your doctor if you are taking any of the following medicines a thiazide diuretic such as hydrochlorothiazide hctz.hydrodiuril.esidrix.microzide.oretic .chlorothiazide diuril .chlorthalidone hygroton.thalitone .indapamide lozol .metolazone mykrox.zaroxolyn .and others. a tetracycline antibiotic such as tetracycline sumycin.panmycin.robitet.others .minocycline dynacin.minocin.vectrin .doxycycline doryx.monodox.vibramycin.vibra-tabs .demeclocycline declomycin .and others. a fluoroquinolone antibiotic such as lomefloxacin maxaquin .sparfloxacin zagam .ciprofloxacin cipro .ofloxacin floxin .and others. a sulfonamide antibiotic such as Tenormin generic name sulfamethoxazole gantanol .sulfisoxazole gantrisin .sulfamethoxazole-trimethoprim bactrim.septra.cotrim .and others. or a phenothiazine such as chlorpromazine thorazine .prochlorperazine compazine .fluphenazine permitil.prolixin .promethazine phenergan.promethegan .perphenazine trilafon .and others.

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Nausea.vomiting.diarrhea.loss of appetite.mouth sores.black hairy tongue.sore throat.dizziness.headache.or rectal discomfort may occur. If any of these effects persist or worsen.tell your doctor or pharmacist promptly.

Most brands of doxycyline may be taken with food or milk if the medicine upsets your stomach.

Do not use this medication if you are allergic to tetracycline.or to similar medicines such as demeclocycline (Declomycin).doxycycline (Adoxa.Doryx.Oracea.Vibramycin).or minocycline (Dynacin.Minocin.Solodyn.Vectrin). Before taking tetracycline.tell your doctor if you have liver or kidney disease.

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