Minor
Doxycycline × Estradiol
Tetracyclines×Estrogens — natural and semisynthetic
Mechanism
Doxycycline does not induce CYP3A4 and does not affect oestradiol metabolism. No clinically significant reduction in menopausal hormone therapy efficacy has been reported.
Symptoms
The combination usually causes no specific symptoms. Each drug's individual side effects remain.
Management
No dose adjustment needed. In women on menopausal hormone therapy, doxycycline is used without special precautions for infections requiring it.