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Tetracycline-class Antimicrobial • Prescription (Rx)

Demeclocycline Hydrochloride

Brand Names: Declomycin

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-12-11 • RxNorm RxCUI 905341 • 5 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Demeclocycline Hydrochloride Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

82%
Patient “Worth It” (18)
$50.21
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Demeclocycline Hydrochloride Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 905341 • NDC 24658-710

Indications and usage: Demeclocycline hydrochloride tablets USP is indicated in the treatment of infections caused by susceptible strains of the designated microorganisms in the conditions below: Rocky Mountain spotted fever, typhus fever and the typhus group, Q fever, rickettsialpox, and tick fevers caused by rickettsiae; Respiratory tract infections caused by Mycoplasma pneumoniae ; Lymphogranuloma venereum due to Chlamydia trachomatis ; Psittacosis (Ornithosis) due to Chlamydia psittaci ; Trachoma due to Chlamydia trachomatis , although the infectious agent is not always eliminated, as judged by.

CLINICAL PHARMACOLOGY Pharmacokinetics The absorption of demeclocycline is slower than that of tetracycline. The time to reach the peak concentration is about 4 hours. After a 150 mg oral dose of demeclocycline tablet, the mean concentrations at 1 hour and 3 hours are 0.46 and 1.22 mcg/mL (n = 6), respectively. The serum half-life ranges between 10 and 16 hours. When demeclocycline hydrochloride is given concomitantly with some dairy products, or antacids containing aluminum, calcium, or magnesium, the extent of absorption is reduced by more than 50%.

Pharmacokinetic profiling of Demeclocycline Hydrochloride demonstrates an elimination half-life of 16 hours terminal elimination (Demeclocycline Hydrochloride SPL) with Systemic oral bioavailability of roughly 67%–79% following first-pass transit systemic bioavailability; clearance proceeds via hepatic enzymatic processing and renal clearance proportional to creatinine clearance (demeclocycline hydrochloride), reaching clinical onset within initial pharmacodynamic onset within 1–3 hrs (peak cmax) for demeclocycline hydrochloride.

Titration schedules for Demeclocycline Hydrochloride (150 mg/1 Tablet, Film Coated → 300 mg/1 Tablet, Film Coated → 150mg Tablet → 300mg Tablet) require excluding contraindications this drug is contraindicated in persons who have shown hypersensitivity to any of the tetracyclines or any of the components of the product formulation.; prior anaphylaxis, angioedema, or severe hypersensitivity to demeclocycline hydrochloride or demeclocycline hydrochloride excipients; real-world patient logs highlight nausea (11% of reports), diarrhea (8.3% of reports), headache (5.5% of reports) alongside a 82.00% Worth-It consensus.

Key Monitored Interactions:
Warfarin & Vitamin K Antagonists Major

Co-administering Demeclocycline Hydrochloride with coumarin anticoagulants can shift prothrombin INR values and heighten hemorrhage risk.

Polyvalent Cation Antacids, Iron & Calcium Supplements Minor

Chelation with aluminum, magnesium, calcium, or iron in the gut lumen can lower oral Demeclocycline Hydrochloride absorption; stagger doses by 2–4 hours.

Half-Life
16 hours terminal elimination (Demeclocycline Hydrochloride SPL)
Bioavailability
Systemic oral bioavailability of roughly 67%–79% following first-pass transit
Metabolism & Clearance
Hepatic enzymatic processing and renal clearance proportional to creatinine clearance (Demeclocycline Hydrochloride)
Clinical Onset
Initial pharmacodynamic onset within 1–3 hrs (peak Cmax) for Demeclocycline Hydrochloride

Standard Adult Titration & Dosages

150 mg/1 Tablet, Film Coated 300 mg/1 Tablet, Film Coated 150mg Tablet 300mg Tablet

Absolute & Relative Contraindications

  • CONTRAINDICATIONS This drug is contraindicated in persons who have shown hypersensitivity to any of the tetracyclines or any of the components of the product formulation.
  • Prior anaphylaxis, angioedema, or severe hypersensitivity to Demeclocycline Hydrochloride or Demeclocycline Hydrochloride excipients

Logged Side-Effect Incidence (18 Reports)

Nausea 11%
Diarrhea 8.3%
Headache 5.5%
Vomiting 4.6%
Abdominal cramping 4%
Decreased appetite 3.9%
Elena Rostova (AI Biostatistician & openFDA Quant)

Demeclocycline Hydrochloride Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (18)
Nausea FAERS: 11% • Logs: 11%
Diarrhea FAERS: 8.3% • Logs: 8.3%
Headache FAERS: 5.5% • Logs: 5.5%
Vomiting FAERS: 4.6% • Logs: 4.6%
Abdominal cramping FAERS: 4% • Logs: 4%
Decreased appetite FAERS: 3.9% • Logs: 3.9%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Demeclocycline Hydrochloride)

Browse All PubMed Translations →

Human clinical trial evidence for Demeclocycline Hydrochloride is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Demeclocycline Hydrochloride Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 905341
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $2.1230/unit (~$63.69/30u) Wholesale baseline
Mark Cuban Cost Plus Drugs (Mail-Order Generic) Public Wholesale Price List (NADAC + 15% + pharmacy fee) $50.21 / mo Formulary listing ↗
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $123.01 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 18 Anonymous DotMD Community Micro-Logs $57.74 / mo View logs ↓

Demeclocycline Hydrochloride Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Demeclocycline Hydrochloride RxNorm Concept ID 905341 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $2.1230 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $123.01 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $50.21 / mo (Cost Plus Drugs) Mark Cuban Cost Plus Public API
Real-World Patient Consensus 82.00% Worth It (18 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Demeclocycline Hydrochloride Patient Community, Cohort Filters & Dosage Logs

Federal clinical ledger for Demeclocycline Hydrochloride integrating DailyMed SPL (2025-12-11), CMS NADAC ($2.1230/unit), and 18 Zero-PHI patient logs.

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