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Re: Klaron vs Noritate

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> I was on minocycline but when it seemed to lose its effectiveness,

I switched to

> doxcycline. You mention zithromax which I am not familiar with.

Is this a new

> drug for rosacea or one which has been around for awhile but is

less known than

> the tetracyclines? Do you take it every day and does it make you

photosensitive?

a, Zithromax (azithromycin) is another type of antibiotic, a

variant of erythomycin. All antibiotics work by the same proposed

anti-inflammatory mechanism. Its chief benefit is that it is easier

to maintain a good blood level because it is taken only once a day

and isn't inactivated by dairy products or antacids. It also does not

cause photosensitivity, and can be taken on an empty stomach. The

downside is that it is quite expensive, far more so than even

doxycycline, and has more potential side effects than does the

tetracyclines (although it is still a relatively safe drug). The

erythromycins as a group are less effective in most rosaceans than

are the tetracycles/doxycyclines, but if doxycycline doesn't work for

you it is an option to discuss with your doctor, especially if it's

inconvenient to take pills every 12 hours.

Marjorie

Marjorie Lazoff, MD

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a's repsonse from email:

Thanks for the information. I was taking 100 mg. of minocycline and

switched to

100 mg. of doryx (doxycycline). The minocycline had helped but after

18 months it

seemed to lose its effectiveness. I've been on doryx for 4 months

and thus far it

is working. However, we are coming to warm weather and I do spend

some time

outdoors riding my horse so was just wondering if there is a better

option.

Yes, incidentally on the Cigna formulary, www.cigna.com, Monodox is

covered as a brand but only generic minocyline is covered. The

rhemagologist types using minocyline for arthritis, don't even bother

with the generic and use only Minocin. Prior authorizations for

nonformulary requests being a pain in the a**, you received Dorx,

most probably. Anways, there is about a 1.5 to 2 capsule equivalency

of the generic minocyline to Minocin. For generic minocyline the

starting dose should definately be 200 mg per day, at minimum.

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a's repsonse from email:

Thanks for the information. I was taking 100 mg. of minocycline and

switched to

100 mg. of doryx (doxycycline). The minocycline had helped but after

18 months it

seemed to lose its effectiveness. I've been on doryx for 4 months

and thus far it

is working. However, we are coming to warm weather and I do spend

some time

outdoors riding my horse so was just wondering if there is a better

option.

Yes, incidentally on the Cigna formulary, www.cigna.com, Monodox is

covered as a brand but only generic minocyline is covered. The

rhemagologist types using minocyline for arthritis, don't even bother

with the generic and use only Minocin. Prior authorizations for

nonformulary requests being a pain in the a**, you received Dorx,

most probably. Anways, there is about a 1.5 to 2 capsule equivalency

of the generic minocyline to Minocin. For generic minocyline the

starting dose should definately be 200 mg per day, at minimum.

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Guest guest

a's repsonse from email:

Thanks for the information. I was taking 100 mg. of minocycline and

switched to

100 mg. of doryx (doxycycline). The minocycline had helped but after

18 months it

seemed to lose its effectiveness. I've been on doryx for 4 months

and thus far it

is working. However, we are coming to warm weather and I do spend

some time

outdoors riding my horse so was just wondering if there is a better

option.

Yes, incidentally on the Cigna formulary, www.cigna.com, Monodox is

covered as a brand but only generic minocyline is covered. The

rhemagologist types using minocyline for arthritis, don't even bother

with the generic and use only Minocin. Prior authorizations for

nonformulary requests being a pain in the a**, you received Dorx,

most probably. Anways, there is about a 1.5 to 2 capsule equivalency

of the generic minocyline to Minocin. For generic minocyline the

starting dose should definately be 200 mg per day, at minimum.

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