Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Primaquine and doxycycline hyclate are both prescription medications, but they serve different purposes and belong to different drug classes. Primaquine is an antimalarial medication used to treat and prevent malaria caused by the *Plasmodium vivax* parasite. It works by interfering with the parasite's growth processes. On the other hand, doxycycline hyclate is a tetracycline antibiotic that treats a variety of bacterial infections, including respiratory infections, sexually transmitted infections, and severe acne. It also prevents malaria caused by *Plasmodium falciparum* by stopping bacteria and parasites from making certain proteins. Primaquine is typically taken once daily for 14 days, while doxycycline hyclate can be taken once or twice daily depending on the condition being treated. Primaquine must be taken with food to avoid stomach upset, whereas doxycycline hyclate should be taken with plenty of water and you should avoid lying down immediately after taking it to prevent esophageal irritation. Primaquine is not safe for use during pregnancy and requires testing for G6PD deficiency before starting, while doxycycline hyclate is not recommended for young children or pregnant women due to risks of tooth discoloration and harm to unborn babies. Both medications can cause stomach upset, but doxycycline hyclate also increases your risk of sunburn and can interact with blood thinners and birth control pills.
Primaquine
Doxycycline hyclate
Primaquine
Doxycycline hyclate
Summary of Primaquine vs. Vibramycin
Summary for Antimalarial
Prescription only
Primaquine helps treat certain types of malaria. It's also commonly used for prevention of malaria if you're traveling to a region where the disease is commonly found. This medication can cause stomach upset, nausea, and diarrhea.
Doxycycline hyclate is used to prevent malaria due to the parasite Plasmodium falciparum and to treat many different infections caused by bacteria. Some examples include:
•Respiratory tract infections, including in the nose, throat, and lungs
•Infections caused by ticks, mites, or fleas (Rocky Mountain spotted fever or typhus fever)
•Sexually-transmitted infections (STIs) like chlamydia, gonorrhea, chancroid, and syphilis
•Lyme disease
•Urinary tract infections (UTIs)
•Severe acne
•Anthrax
•Plague
•Cholera
Pros and Cons of Primaquine vs. Vibramycin
Pros and Const for Antimalarial
Pros
•Good choice to treat certain types of malaria
•Taken only once a day
•Good for last minute travelers for malaria prevention; can start the medication 1 to 2 days before traveling
Cons
•Must be tested for a genetic condition called glucose-6-phosphate dehydrogenase (G6PD) deficiency before starting
•Can cause stomach upset
•Can't be used in pregnancy
Pros and Const for Tetracycline antibiotic
Pros
•Good alternative for some infections if you're allergic to penicillins