Doxycycline Tablets, Salicylic Acid Wash, and Sunscreen Lotion Kit

All products:

• Tell all of your health care providers that you take this medicine. This includes your doctors, nurses, pharmacists, and dentists.

Tablet:

• Have your blood work checked if you are on doxycycline tablets, salicylic acid wash, and sunscreen lotion kit for a long time. Talk with your doctor.
• This medicine may affect certain lab tests. Be sure your doctor and lab workers know you use this medicine.
• Do not use longer than you have been told. A second infection may happen.
• Do not take more than what your doctor told you to take. Taking more than you are told may raise your chance of very bad side effects.
• You may get sunburned more easily. Avoid sun, sunlamps, and tanning beds. Use sunscreen and wear clothing and eyewear that protects you from the sun.
• Birth control pills and other hormone-based birth control may not work as well to prevent pregnancy. Use some other kind of birth control also like a condom when taking doxycycline tablets, salicylic acid wash, and sunscreen lotion kit.
• This medicine may cause a change in tooth color to yellow-gray-brown in children younger than 8 years old. If this change of tooth color happens, it will not go away. Talk with the doctor.
• Most of the time, this medicine is not for use in children younger than 8 years old. However, there may be times when these children may need to take doxycycline tablets, salicylic acid wash, and sunscreen lotion kit. Talk with the doctor.
• This medicine may cause harm to the unborn baby if you take it while you are pregnant. If you are pregnant or you get pregnant while taking this medicine, call your doctor right away.

All skin products:

• Certain acne products that contain benzoyl peroxide or salicylic acid can rarely cause very bad and sometimes life-threatening allergic reactions or very bad irritation. Before first use, you may need to follow certain steps to make sure you do not have an allergic reaction. Use doxycycline tablets, salicylic acid wash, and sunscreen lotion kit as you were told by the doctor or read the package label. Talk with the doctor.
• Use care when putting on a large part of the skin or where there are open wounds. Talk with the doctor.
• Do not put on irritated skin.
• Do not use this medicine on birthmarks, moles, or warts with hair growth; or cervical, genital, or oral warts.
• If you use doxycycline tablets, salicylic acid wash, and sunscreen lotion kit too often, your skin problem may become worse.
• Use of other skin products while using this medicine may cause more irritation.
• Talk with your doctor before you use other drugs or products on your skin.
• Do not give to children and teenagers who have or are getting better from flu signs, chickenpox, or other viral infections due to the chance of Reye's syndrome. Reye's syndrome causes very bad problems to the brain and liver.
• Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using doxycycline tablets, salicylic acid wash, and sunscreen lotion kit while you are pregnant.

Use this medicine as ordered by your doctor. Read all information given to you. Follow all instructions closely.

All products:

• To gain the most benefit, do not miss doses.
• Keep using doxycycline tablets, salicylic acid wash, and sunscreen lotion kit as you have been told by your doctor or other health care provider, even if you feel well.

Tablets:

• Take with or without food. Take with food if it causes an upset stomach.
• Drink lots of noncaffeine liquids unless told to drink less liquid by your doctor.
• Do not take bismuth (Pepto-Bismol®), calcium, iron, magnesium, zinc, multivitamins with minerals, colestipol, cholestyramine, didanosine, or antacids within 2 hours of this medicine.
• Take with a full glass of water.
• Do not lie down for at least 30 minutes after taking doxycycline tablets, salicylic acid wash, and sunscreen lotion kit.

All skin products:

• Do not take this medicine by mouth. Use on your skin only. Keep out of your mouth, nose, ears, and eyes (may burn).
• Wash your hands before and after use. Do not wash your hands after use if putting this on your hand.
• Clean affected part before use. Make sure to dry well.

Lotion:

• Put a thin layer on the affected skin and rub in gently.

What do I do if I miss a dose?

• Use a missed dose as soon as you think about it.
• If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
• Do not take 2 doses at the same time or extra doses.

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
• Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
• Chest pain.
• Not able to pass urine or change in how much urine is passed.
• Fever or chills.
• Sore throat.
• Throat irritation.
• Trouble swallowing.
• Any unexplained bruising or bleeding.
• Joint pain.
• Feeling very tired or weak.
• Vaginal itching or discharge.
• Very bad skin irritation.
• Mood changes.
• Fast breathing.
• Very upset stomach or throwing up.
• Ringing in ears.
• Hearing loss.
• Very bad dizziness.
• It is common to have diarrhea when taking this drug. Rarely, a very bad form of diarrhea called Clostridium difficile (C diff)–associated diarrhea (CDAD) may occur. Sometimes, this has led to a deadly bowel problem (colitis). CDAD may happen while you are taking this drug or within a few months after you stop taking it. Call your doctor right away if you have stomach pain or cramps, very loose or watery stools, or bloody stools. Do not try to treat loose stools without first checking with your doctor.
• Raised pressure in the brain has happened with this drug. Most of the time, this will go back to normal after this drug is stopped. Sometimes, loss of eyesight may happen and may not go away even after this drug is stopped. Call your doctor right away if you have a headache or eyesight problems like blurred eyesight, seeing double, or loss of eyesight.
• A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away, and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes.

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

• Not hungry.
• Upset stomach or throwing up.
• Loose stools (diarrhea).
• Dry skin.
• Redness.
• Burning.
• Peeling.
• Scaling.
• Skin irritation.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

Some side effects of doxycycline / salicylic acid topical may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.