Teratogenic study of doxycycline

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Objective

To study the human teratogenic risk of doxycycline treatment during pregnancy.

Methods

Paired analysis of cases with congenital abnormalities and matched healthy controls was performed in the large population-based data set of the Hungarian Case-Control Surveillance of Congenital Abnormalities 1980–1992.

Results

Of 32,804 pregnant women who had infants with no defects in the study period (control group), 63 (0.19%) were treated with doxycycline. Of 18,515 pregnant women who had offspring with congenital abnormalities, 56 (0.30%) were treated with doxycycline, a rate that is higher than that of the control group (P = .01). However, the case-control pair analysis did not show a significantly higher rate of doxycycline treatment in the second and third months of gestation in any group of congenital abnormalities.

Conclusions

Treatment with doxycycline during pregnancy presents very little if any teratogenic risk to the fetus. Thus, if doxycycline treatment is necessary during pregnancy, there would appear to be no contraindication.

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    In a third study, eight pregnant women from Thailand and 18 pregnant women from Zambia received a three day course of AP during their third trimester of pregnancy. No miscarriages or birth defects were detectable [38]. Doxycycline is considered as contraindicated in pregnant women and children below the age of 8 years.

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