Do NOT use Terramycin if:

• you are allergic to any ingredient in Terramycin or other tetracycline antibiotics (eg, doxycycline)
• you are taking acitretin or methoxyflurane.

Contact your doctor or health care provider right away if any of these apply to you.

Some medical conditions may interact with Terramycin. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have diarrhea, a stomach infection, or kidney problems.

Some medicines may interact with Terramycin. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Acitretin or isotretinoin because side effects, such as increased pressure in the fluid surrounding the brain, may occur
• Digoxin, methotrexate, methoxyflurane, or oral anticoagulants (eg, warfarin) because the risk of their side effects may be increased by Terramycin
• Atovaquone, lithium, oral contraceptives (birth control pills), or penicillins (eg, amoxicillin) because their effectiveness may be decreased by Terramycin.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Terramycin may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

Important safety information:

• Terramycin may cause dizziness or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Terramycin with caution. Do not drive or perform other possible unsafe tasks until you know how you react to it.
• Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
• Be sure to use Terramycin for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
• Terramycin may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Terramycin. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
• Do not use after expiration date. Outdated medicine is highly toxic to the kidneys.
• Long-term or repeated use of Terramycin may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
• Hormonal birth control (eg, birth control pills) may not work as well while you are using Terramycin. To prevent pregnancy, use an extra form of birth control (eg, condoms).
• Lab tests may be performed while you use Terramycin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Use of Terramycin in children may cause permanent discoloring of the teeth.
• Terramycin should be used with extreme caution in children younger 8 years; safety and effectiveness in these children have not been confirmed.
• Pregnancy and breast-feeding: Terramycin has been shown to cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Terramycin while you are pregnant. Terramycin is found in breast milk. Do not breastfeed while taking Terramycin.

All medicines may cause side effects, but many people have no, or minor, side effects.

Check with your doctor if any of these most common side effects persist or become bothersome:

Black hairy tongue; blurred vision; bulky loose stools; diarrhea; difficulty swallowing; fever; headache; hives; hoarseness; indigestion; inflammation or redness of tongue; joint pain; loss of appetite; mouth sores; nausea; rash; sensitivity to sunlight; sore throat; stomach pain; swelling and itching of the rectum.

Seek medical attention right away if any of these severe side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); infection (fever, chills, sore throat); itching; nausea; severe skin reaction to the sun; vaginal irritation or discharge; vomiting.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.