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Seysara Dosages for Acne: Your GoodRx Guide

Gabrielle Colina, PharmDAustin Ulrich, PharmD, BCACP
Published on September 3, 2024

Key takeaways:

  • Seysara (sarecycline) is a prescription-only medication used to treat moderate-to-severe acne in people ages 9 and older.

  • Seysara comes as an oral tablet that’s taken once daily, with or without food, for up to 3 months. It’s available in three doses: 60 mg, 100 mg, and 150 mg. The typical Seysara dosage depends on your body weight.

  • There are ways to save on Seysara. GoodRx can help you access Seysara at an exclusive cash price of $175. A manufacturer savings card is also available.

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Seysara (sarecycline) is an oral medication that belongs to a class called tetracycline antibiotics. Like many other medications in its class, it can be helpful in treating acne by targeting the bacteria that causes it. If you have moderate-to-severe acne, Seysara is one option that your dermatologist may consider.

Certain factors can influence your Seysara dosage, such as your body weight. But what’s a typical dose? Here’s what you should know about Seysara dosages.

What’s the typical Seysara dosage for adults?

Seysara comes as an oral tablet that you take by mouth once a day. It’s available in three doses: 60 mg, 100 mg, and 150 mg. You can take Seysara with or without food, but taking your dose with food may help if it makes you feel nauseated. Since the tablet can irritate your esophagus, be sure to take it with enough fluid to swallow it whole.

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The Seysara dosage for acne in adults is usually determined by body weight, as detailed in the chart below.

Body weight

Dosage

33 to 54 kg (73 to 119 lbs)

60 mg tablet once daily 

55 to 84 kg (121 to 185 lbs)

100 mg tablet once daily

85 to 136 kg (187 to 299 lbs)

150 mg tablet once daily 

Keep in mind that your prescriber may have you take a Seysara dosage that’s different from what’s covered above.

Good to know: When taken together, products containing magnesium, aluminum, and calcium can bind to Seysara, potentially making it less effective. This is also the case for iron supplements. It’s recommended to take Seysara 2 hours before or 6 hours after products with magnesium, aluminum, and calcium. For iron supplements, it’s recommended to take Seysara 2 hours before or 4 hours after.

What’s the typical Seysara dosage for children?

In addition to adults, Seysara is also approved for children ages 9 and older. Safety and effectiveness hasn’t been established in younger children. What’s more, tetracycline antibiotics can cause tooth discoloration in children younger than 8 years old.

The typical Seysara dosage for acne in children is also based on body weight. It’s the same as it is for adults, as described in the table above.

Are there any dosage adjustments for medication interactions?

Seysara may interact with other medications you’re taking. In some cases, this can influence your medication dose. This is usually because Seysara can prevent certain medications from being broken down, increasing the risk of side effects.

One example is digoxin, which requires regular monitoring to ensure that your dose is safe and effective. Seysara can increase digoxin (Lanoxin) levels in the body, increasing the risk of toxicity. If you start Seysara, your prescriber may lower your digoxin dose.

Seysara can also increase the risk of bleeding, especially if you take it with anticoagulants (blood thinners). One example is warfarin (Jantoven), which also requires careful monitoring and dosage adjustments. Your prescriber may want to monitor your blood work more often after you start Seysara. If needed, they’ll adjust your warfarin dose. Tell them right away if you notice signs of bleeding, such as easy bruising. Get immediate medical attention if your bleeding is severe.

This is not the entire list of all medication interactions and dosage adjustments associated with Seysara. Be sure to share your medication list with your healthcare team. This helps them identify potential interactions and adjust your dosage in advance.

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What happens if you miss a dose of Seysara?

If you miss a dose of Seysara, you should take the missed dose as soon as you remember. If you miss an entire day’s dose, don’t take two doses at once to make up for the dose you missed. Instead, skip the missed dose and resume your usual schedule.

Skipping doses or not taking Seysara consistently can lower its effectiveness or lead to bacterial resistance. Follow up with your dermatologist if you miss multiple doses of Seysara. Consider setting a daily alarm or using a medication reminder app to help you stay on track.

What should you do if you take too much Seysara?

If you take too much Seysara, contact your prescriber right away. They will assess if the dose you’ve taken warrants further evaluation. It’s possible that taking too much Seysara may result in a higher likelihood of side effects, such as nausea, headaches, and dizziness.

You can also contact Poison Control at 1-800-222-1222 for guidance. If you have any symptoms that feel life-threatening, call 911 or go to the ER.

How to save on Seysara

There are ways to save on Seysara, which is available as a brand-name medication. GoodRx can help you navigate between GoodRx coupons and copay savings cards to save money on your prescription.

  • Save with GoodRx: Anyone with a valid prescription, regardless of insurance status, can use GoodRx to purchase a 30-day supply of Seysara at an exclusive cash price of $175.

  • Save with a copay savings card: If you have commercial insurance, you may be eligible to pay as little as $35 for Seysara using a savings card from the manufacturer. Refills may cost as little as $0.

The bottom line

Seysara (sarecycline) is an oral medication for moderate-to-severe acne in people ages 9 and older. The Seysara dosage is typically determined by body weight. You’ll take your dose once daily, with or without food. Be sure to swallow the tablet whole with plenty of fluids so it doesn’t irritate your esophagus.

If you miss a dose of Seysara, take it as soon as you remember. Never take two tablets at once. If you think you’ve taken too much Seysara, contact your prescriber or Poison Control for guidance.

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Why trust our experts?

Gabrielle Colina, PharmD
Gabrielle has 14 years of experience in community pharmacy. During her senior year of high school, she worked as a pharmacy technician at a local retail pharmacy.
Alyssa Billingsley, PharmD
Alyssa Billingsley, PharmD, is the director of pharmacy content for GoodRx. She has over a decade of experience as a pharmacist and has worked in clinical, academic, and administrative roles.
Austin Ulrich, PharmD, BCACP
Austin Ulrich, PharmD, BCACP, is a board-certified ambulatory care clinical pharmacist. In his early career, he provided direct patient care in a variety of settings, including hospital and community pharmacies, and in a primary care clinic as a clinical pharmacist.

References

Almirall. (2024). Seysara- sarecycline hydrochloride tablet, coated [package insert]. DailyMed.

MedlinePlus. (2018). Sarecycline.

GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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