VetFluid

Antibiotic Therapy

Doxycycline

Tetracycline · bacteriostatic, protein-synthesis inhibitor (30S ribosome)

Species: Dogs & Cats16 dose protocols9 dosage forms

This page is a calculation and educational reference for veterinarians and veterinary students. It does not replace examination, culture and susceptibility testing, clinical judgment, or the attending veterinarian's final decision.

Drug overview

Tetracycline · bacteriostatic, protein-synthesis inhibitor (30S ribosome)

Brand names: Vibramycin®

General dose: 5 mg/kg PO · every 12 h (or 10 mg/kg once daily)Source: Plumb's (general)

Spectrum of activity

A broad-spectrum, bacteriostatic tetracycline; its strength is intracellular/atypical bacteria and spirochetesRickettsia, Ehrlichia, Anaplasma, Mycoplasma, Chlamydia and spirochetes (Borrelia of Lyme disease, Leptospira, Treponema). It also covers part of the Gram-positives (Actinomyces, Listeria, Cutibacterium) and Gram-negatives (Pasteurella, Bordetella, Brucella, Haemophilus, Vibrio). Activity against Staphylococcus, and especially Nocardia, is species-, isolate- and susceptibility-dependent and must not be assumed without AST; doxycycline is also unreliable against streptococci. Resistance is common among Enterobacteriaceae (E. coli, Klebsiella), Bacteroides and Pseudomonas.
Doxycycline spectrum of activity chart
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Veterinary uses and doses

General (susceptible) infections

DogSource: Greene 2006

General infection: 3–5 mg/kg · every 12 h · 7–14 days

DogSource: Greene 2006

Soft tissue / UTI: 4.4–11 mg/kg · every 12 h · 7–14 days

CatSource: Vaden 1995

General infection (cat): 5 mg/kg PO (or IV) · every 12 h

CatSource: Greene 2006

Systemic infection / bacteremia (cat): 5–11 mg/kg PO or IV · every 12 h

Ehrlichiosis / Anaplasmosis

DogSource: ACVIM / Merck

Canine ehrlichiosis/anaplasmosis (E. canis): 5 mg/kg every 12 h or 10 mg/kg every 24 h · 28 days

Clinical note: The standard course for canine monocytic ehrlichiosis (E. canis) is 28 days; shorter courses may transiently improve signs but relapse is common. Clinical improvement is usually seen within 24–48 hours.
DogSource: ACVIM / Greene

Severe/chronic cases (E. canis): 10 mg/kg · every 24 h · 28 days

Clinical note: Even in the chronic/severe (pancytopenic) phase the standard doxycycline course is still 28 days, and prolonging the antibiotic alone is not recommended. Hematologic abnormalities may take 3–6 months to normalize (this is not treatment failure). The prognosis of this phase is guarded and often needs supportive care (transfusion, and immunosuppression for the immune-mediated component); selected refractory cases are extended to about 6 weeks per clinical judgment.
CatSource: Greene 2006

Feline ehrlichiosis/anaplasmosis: 5–10 mg/kg · every 12 h · 21–28 days

Lyme disease

DogSource: ACVIM Lyme consensus (2018)

Lyme disease: 10 mg/kg · every 24 h · 30 days

Clinical note: Doxycycline is first-line for Lyme disease. The commonly used lower-dose regimen is 10 mg/kg every 24 hours (or the same total daily dose divided as 5 mg/kg every 12 hours) for 30 days.

Rocky Mountain spotted fever (Rickettsia)

DogSource: Breitschwerdt 2000

RMSF (Rickettsia rickettsii): 5 mg/kg · every 12 h

Leptospirosis (renal carrier clearance)

DogSource: ACVIM Leptospirosis Consensus Statement 2023

Leptospira renal carrier: 5 mg/kg · every 12 h · 14 days (alternative: 10 mg/kg every 24 h)

Clinical note: Doxycycline is the drug of choice for leptospirosis and eliminates renal carriage. The standard regimen is 5 mg/kg PO every 12 hours (or the equivalent 10 mg/kg every 24 hours) for a total 14-day antimicrobial course; avoid 10 mg/kg every 12 hours. If vomiting or another adverse effect initially prevents doxycycline, aqueous penicillin G 25,000–40,000 U/kg IV every 6–8 hours may be used only as initial therapy. Start doxycycline as soon as it is tolerated and continue it to complete the 14-day total course.

Hemoplasmosis / hemotropic mycoplasmosis

CatSource: ABCD feline haemoplasmosis guideline

Feline hemoplasmosis (M. haemofelis): 10 mg/kg · every 24 h (or 5 mg/kg every 12 h) · 28 days

Clinical note: The recommended course is usually 2–4 weeks; treatment does not necessarily eradicate the infection and the cat may remain a carrier.

Confirmed clinical bartonellosis

CatSource: ABCD feline bartonellosis guideline 2025

Clinical feline bartonellosis: 10–15 mg/kg PO · every 12 h · as part of an individualized combination regimen · about 6 weeks

Combination therapy: with a suitable fluoroquinolone such as pradofloxacin 5–7.5 mg/kg PO every 12 h; introduce regimen components at least 5 days apart to reduce the risk of a shock-like reaction, and individualize the final combination to the clinical presentation with specialist input
Clinical note: Consider this regimen only for the rare patient with clinically attributable Bartonella disease after exclusion of other diagnoses and appropriate laboratory support. A positive serology or PCR result alone is not an indication for treatment, and healthy carriers are not treated routinely. Controlled efficacy data in cats are lacking; a course of about 6 weeks must be individualized.

Toxoplasmosis

DogSource: Lappin 2000

Toxoplasma (dog): 5–10 mg/kg · every 12 h · 4 weeks

CatSource: Lappin 2000

Toxoplasma (cat): 5–10 mg/kg · every 12 h · 4 weeks

Salmon poisoning (Neorickettsia)

DogSource: Rikihisa 2005

Salmon poisoning: 10 mg/kg IV · every 12 h · at least 7 days

Anti-inflammatory (joint) effect

DogSource: Greene 2006

Anti-inflammatory joint effect: 3–4 mg/kg · once daily · 7–10 days

Dosage forms

Safety and clinical notes

Cited sources

  1. Plumb's (general)
  2. Greene 2006
  3. Vaden 1995
  4. ACVIM / Merck
  5. ACVIM / Greene
  6. ACVIM Lyme consensus (2018)
  7. Breitschwerdt 2000
  8. ACVIM Leptospirosis Consensus Statement 2023
  9. ABCD feline haemoplasmosis guideline
  10. ABCD feline bartonellosis guideline 2025
  11. Lappin 2000
  12. Rikihisa 2005
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