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Known as Efracea internationally


Oracea is an oral capsule consisting of a tetracycline antibiotic called doxycycline monohydrate. This medication may also be known as Efracea, and can be purchased in 40mg!

Oracea is prescribed to adults who suffer from “adult acne” (rosacea). Rosacea is a long-term skin condition most commonly affecting the face. Usually, the nose, cheeks, forehead, and chin are the areas affected most by rosacea. These areas may be red and swollen with pimples and superficial dilated blood vessels. Sometimes, rosacea can be painful, but with certain medications, like Oracea, the condition and associated symptoms can be kept under control.

Oracea (doxycycline monohydrate) is effective in treating rosacea (“adults acne”) because doxycycline monohydrate is capable of reducing skin inflammation that rosacea causes.

Please note, even though this drug is an antibiotic, this particular product does not act like other antibiotics because it does not assist with preventing the growth of bacteria. Due to this, you should not use this medication to treat infections, including viral infections which include the common cold and flu. Use this medication only for the condition it is prescribed for by your doctor.

Take Oracea (doxycycline monohydrate) exactly the way your doctor has directed you too. It is important to follow directions given by your doctor to not only avoid adverse interactions and side effects but also to allow for the most effective dose to prevent/treat Oracea (doxycycline monohydrate). If you forget how your doctor would like you to take Oracea (doxycycline monohydrate), you may be able to find instructions on the prescription bottle.

Swallow Oracea whole with a full glass of water; when taking the capsule, stay in a sitting or standing position. Avoid laying down following the dose. Do not crush, chew, or break open this capsule.

The usually dose: one capsule in the morning on an empty stomach; taken 1 hour prior or two hours following a meal.

Store this medication at room temperature protected from moisture, heat and light.


Do not use Oracea (doxycycline monohydrate)

This product should not be used by those who are pregnant; using this drug during pregnancy could harm the baby, affect bone development, or cause permanent tooth discoloration later on in life.

If you have ever had an allergic reaction to other tetracycline antibiotics; do not use Oracea.

Do not use this medication if you are breastfeeding. This drug passes into breast milk and may affect bone development or cause permanent tooth discoloration. If you need to use this medication; do not breast feed.

Dose adjustment or special precautions may be required

Before using Oracea, tell our doctor if you have ever had liver disease, kidney disease, asthma or sulfite allergy, increased pressure inside your skull, or if you take isotretinoin, seizure medicine, or a blood thinner such as warfarin (Coumadin).


Children under the age of 8 years old should only use this product in case of severe or life-threatening conditions; this drug may cause permanent tooth discoloration in children.

This drug may cause ineffectiveness in birth control pills. If you want to avoid pregnancy; ensure you are using other methods of birth control such as a condom, diaphragm, or spermicide, during the time of treatment.

Skipping a dose or stopping suddenly may cause your condition to become resistant to treatment.

Avoid taking atacids with or around the time of your Oracea dose. This is the same for products that contain calcium, aluminum, magnesium, or iron. They may become less effective.

Side Effects

Common side effects of Oracea (doxycycline monohydrate) may include:

nausea, vomiting, upset stomach, loss of appetite; mild diarrhea; skin rash or itching; darkened skin color; or vaginal itching or discharge.

The above side effects should not alarm you.

Serious side effects of Oracea (doxycycline monohydrate) may include:

severe stomach pain, diarrhea that is watery or bloody; throat irritation, trouble swallowing; chest pain, irregular heart rhythm, feeling short of breath; or little or no urination.

If you have any of the above side effects, contact your doctor right away.

Contact your doctor if you notice signs of…

low white blood cell counts - fever, chills, swollen glands, body aches, weakness, pale skin, easy bruising or bleeding;

increased pressure inside the skull - severe headaches, ringing in your ears, dizziness, nausea, vision problems, pain behind your eyes;

liver or pancreas problems - loss of appetite, upper stomach pain (that may spread to your back), tiredness, nausea or vomiting, fast heart rate, dark urine, jaundice (yellowing of the skin or eyes).


What is Doxycycline Monohydrate?

Oracea, the brand name for Doxycycline Monohydrate, is a medication used to treat a skin condition called Rosacea. It helps reduce the number of pimples and bumps on the face, and it may also help decrease any redness that may show.  When applied, it is put to work and reduces the inflammation caused by the Rosacea. This medication comes in one strength which is 40mg and internationally it goes by a different name known as Efracea. If you have any questions regarding this medication or any questions in general, feel free to give us at a call at 1-877-385-8998.


How to take Oracea?

This medication is taken orally and it is usually best to take it on an empty stomach, at least 1 hour before or 2 hours after a meal. And when taking it, you should swallow it whole with a glass of water.  Do not crush or chew on the capsule.


What is the difference between Doxycycline Hyclate and Doxycycline Monohydrate?

Doxycycline monohydrate and doxycycline hyclate are actually very similar, the only difference is there salt form. Doxycycline hyclate is considered the more soluble salt form of doxycycline. It has also been the least expensive of the two salt forms. Whereas Doxycycline monohydrate is the less soluble salt form of doxycycline. Therefore, it may have less gastrointestinal side effects that come along with it.


How long does it take for Oracea to work?

Many patients begin to see a difference in about 3 week’s time, with many improvements that continue through the weeks to come. If you don’t see a difference within three weeks time, then you should speak with your doctor regarding this medication.


What are the side effects of Oracea?

Some of the most common side effects for Oracea include the following; Nausea, diarrhea, upset stomach, headache, skin rash, itching, and vaginal itching and discharge. Keep in mind that these are only just some of the side effects, and that there is more listed under this medication. If you have any questions or concerns regarding this medication, consult your doctor.


Why is Oracea so expensive?

Oracea is a tier 2 medication. Therefore, it usually includes preferred brand-name medications. Meaning it consists of medium cost prescription drugs. While most are generic, some are brand-name drugs as well. And while Oracea may be a bit more expensive locally, you can order this medication through an online Canadian Pharmacy such as My Drug Center. We have a starting price of $121.00 for 56 pills.

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