Minocycline and Tetracycline interaction

Minocycline and Tetracycline: the Minocycline prescribing label flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Minocycline (EMROSI) label · effective 2025-04-22

Major

EMROSI is contraindicated in patients with a history of hypersensitivity to any of the tetracyclines [see Warnings and Precautions (5.1) ].

Contraindicationsnames TetracyclineView label on DailyMed
Major

Known hypersensitivity to any of the tetracyclines.

Contraindicationsnames TetracyclineView label on DailyMed
Moderate

A decrease in fibula growth rate has been observed in premature human infants given oral tetracycline in doses of 25 mg/kg every 6 hours.

Warnings and precautionsnames TetracyclineView label on DailyMed
Moderate

Metabolic Effects The anti-anabolic action of the tetracyclines, including EMROSI, may cause an increase in blood urea nitrogen (BUN).

Warnings and precautionsnames TetracyclineView label on DailyMed
Moderate

Anticoagulants Because tetracyclines have been shown to decrease plasma prothrombin activity, patients who are on anticoagulant therapy may require downward adjustment of their anticoagulant dosage.

Drug interactionsnames TetracyclineView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.