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Use during pregnancy is not recommended. [1] Like other agents of the tetracycline class, it either slows or kills bacteria by inhibiting protein production. [1] [4] It kills malaria by targeting a plastid organelle, the apicoplast. [5] [6] Doxycycline was patented in 1957 and came into commercial use in 1967.
Tetracyclines are generally used in the treatment of infections of the urinary tract, respiratory tract, and the intestines and are also used in the treatment of chlamydia, especially in patients allergic to β-lactams and macrolides; however, their use for these indications is less popular than it once was due to widespread development of resistance in the causative organisms.
The pregnancy category of a medication is an assessment of the risk of fetal injury due to the pharmaceutical, if it is used as directed by the mother during pregnancy. It does not include any risks conferred by pharmaceutical agents or their metabolites in breast milk. Every drug has specific information listed in its product literature.
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[4] [5] Common side effects include vomiting, diarrhea, rash, and loss of appetite. [3] Other side effects include poor tooth development if used by children less than eight years of age, kidney problems, and sunburning easily. [3] Use during pregnancy may harm the baby. [3] It works by inhibiting protein synthesis in bacteria. [3]
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It is used as a precursor in the industrial synthesis of doxycycline hyclate. [citation needed] It has been found to act as an agonist of the human pregnane X receptor ligand-binding domain and to induce CYP3A4 expression in vitro. [1]