Periostat Side Effects Center
Medical Editor: Melissa Conrad Stöppler, MD
Periostat (doxycycline hyclate) is a tetracycline antibiotic. Periostat is indicated for use as an adjunct to dental procedures including scaling and root planning to promote attachment level gain and to reduce pocket depth in patients with adult periodontitis. Some side effects may include severe headache, dizziness, and blurred vision.
Periostat dosage differs from that of doxycycline used to treat infections. Exceeding the recommended dosage may result in an increased incidence of side effects including the development of resistant microorganisms. Periostat is taken orally in capsule form. Results from animal studies indicate that doxycycline crosses the placenta and is found in fetal tissues. The use of Periostat may cause discoloration of the teeth in the fetus when administered in the last half of pregnancy and may discolor the teeth when taken as an infant or child up to age 8 years.
Our Periostat (doxycycline hyclate) Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What is Patient Information in Detail?
Easy-to-read and understand detailed drug information and pill images for the patient or caregiver from Cerner Multum.
Periostat in Detail - Patient Information: Side Effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have a serious side effect such as:
- severe headache, dizziness, blurred vision;
- fever, chills, body aches, flu symptoms, swollen glands, rash or itching, joint pain, or general ill feeling;
- urinating less than usual or not at all;
- diarrhea that is watery or bloody
- pale or yellowed skin, dark colored urine, fever, confusion or weakness;
- severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate;
- loss of appetite, jaundice (yellowing of the skin or eyes); or
- severe skin reaction -- fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Less serious side effects may include:
- mild nausea, mild diarrhea;
- upset stomach;
- mild skin rash or itching; or
- vaginal itching or discharge.
Read the entire detailed patient monograph for Periostat (Doxycycline Hyclate)
What is Patient Information Overview?
A concise overview of the drug for the patient or caregiver from First DataBank.
Periostat Overview - Patient Information: Side Effects
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if you have any serious side effects, including: sunburn (sun sensitivity), painful/difficult swallowing, change in the amount of urine.
Tetracycline drugs such as doxycycline may rarely cause a serious increase in pressure inside the skull (intracranial hypertension-IH). The risk of this side effect is greater for women of childbearing age who are overweight or who have had IH in the past. If IH develops, it usually goes away after doxycycline is stopped; however, there is a chance of permanent vision loss or blindness. Get medical help right away if you have: persistent/severe headache, vision changes (such as blurred/double vision, decreased vision, sudden blindness), persistent nausea/vomiting.
This medication may rarely cause a severe intestinal condition (Clostridium difficile-associated diarrhea) due to a type of resistant bacteria. This condition may occur during treatment or weeks to months after treatment has stopped. Do not use anti-diarrhea products or narcotic pain medications if you have any of the following symptoms because these products may make them worse. Tell your doctor immediately if you develop: persistent diarrhea, abdominal or stomach pain/cramping, blood/mucus in your stool.
Use of this medication for prolonged or repeated periods may result in oral thrush or a new vaginal yeast infection. Contact your doctor if you notice white patches in your mouth, a change in vaginal discharge, or other new symptoms.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Read the entire patient information overview for Periostat (Doxycycline Hyclate)
What is Prescribing information?
The FDA package insert formatted in easy-to-find categories for health professionals and clinicians.
Periostat FDA Prescribing Information: Side Effects
Adverse Reactions in Clinical Trials of a bioequivalent form of doxycycline hyclate capsules: In clinical trials of adult patients with periodontal disease 213 patients received 20 mg BID over a 9 - 12 month period. The most frequent adverse reactions occurring in studies involving treatment with a bioequivalent form of doxycycline hyclate capsules or placebo are listed below:
Incidence (%) of Adverse Reactions in Clinical Trials of
Doxycycline Hyclate Capsules, 20mg (Bioequivalent to Doxycycline Hyclate Tablets,
20mg) vs. Placebo
|Adverse Reaction||Doxycycline Hyclate
Capsules 20 mg BID
|Headache||55 (26%)||56 (26%)|
|Common Cold||47 (22%)||46 (21%)|
|Flu Symptoms||24 (11%)||40 (19%)|
|Tooth Ache||14 (7%)||28 (13%)|
|Periodontal Abscess||8 (4%)||21 (10%)|
|Tooth Disorder||13 (6%)||19 (9%)|
|Nausea||17 (8%)||12 (6%)|
|Sinusitis||7 (3%)||18 (8%)|
|Injury||11 (5%)||18 (8%)|
|Dyspepsia||13 (6%)||5 (2%)|
|Sore Throat||11 (5%)||13 (6%)|
|Joint Pain||12 (6%)||8 (4%)|
|Diarrhea||12 (6%)||8 (4%)|
|Sinus Congestion||11 (5%)||11 (5%)|
|Coughing||9 (4%)||11 (5%)|
|Sinus Headache||8 (4%)||8 (4%)|
|Rash||8 (4%)||6 (3%)|
|Back Pain||7 (3%)||8 (4%)|
|Back Ache||4 (2%)||9 (4%)|
|Menstrual Cramp||9 (4%)||5 (2%)|
|Acid Indigestion||8 (4%)||7 (3%)|
|Pain||8 (4%)||5 (2%)|
|Infection||4 (2%)||6 (3%)|
|Gum Pain||1 (<1%)||6 (3%)|
|Bronchitis||7 (3%)||5 (2%)|
|Muscle Pain||2 (1%)||6 (3%)|
Note: Percentages are based on total number of study participants in each treatment group.
Adverse Reactions for Tetracyclines: The following adverse reactions have been observed in patients receiving tetracyclines:
Gastrointestinal: anorexia, nausea, vomiting, diarrhea, glossitis, dysphagia, enterocolitis, and inflammatory lesions (with vaginal candidiasis) in the anogenital region. Hepatotoxicity has been reported rarely. Rare instances of esophagitis and esophageal ulcerations have been reported in patients receiving the capsule forms of the drugs in the tetracycline class. Most of these patients took medications immediately before going to bed. (See DOSAGE AND ADMINISTRATION Section).
Renal toxicity: Rise in BUN has been reported and is apparently dose related. (See WARNINGS Section).
Read the entire FDA prescribing information for Periostat (Doxycycline Hyclate)
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