Sjogrens World Forums

Sjogrens Topics => Living With Sjogren's => Topic started by: Sharon on November 01, 2018, 03:27:03 PM

Title: Doxycycline for eyes
Post by: Sharon on November 01, 2018, 03:27:03 PM
Has anyone here had relief using low dose Doxycycline for their eye symptoms?
I suffer from severe allergic reactions in my eyes due to the dryness from SS
and NOTHING helps with it besides Prednisone. Antihistamines whether topical or oral just make
the dryness worse and Restasis, plugs and every drop on the market has not helped.
I was told Doxycycline has an anti-inflammatory effect on the eyes and was given a prescription for it
that I have not yet filled. I'm really suffering with this and need a solution.
Could this help?
What do you all think?
 
Title: Re: Doxycycline for eyes
Post by: Sooki on November 01, 2018, 09:38:02 PM
I take doxycycline for rosacea, both skin and ocular.  The Doxy really helps keep my eyes (and skin) from being so red and irritated.  I'm not sure what the mechanism is; it might be that it's killing mites.  My eyes are probably less dry now, although dryness hasn't been much of a problem as I also take Xiidra.  Too many variables.

I've had no negative effects from the doxycycline.

I also get irritation from environmental causes and the Similisan Eye Allergy drops help, but your reaction sounds much more severe. 
Title: Re: Doxycycline for eyes
Post by: Sharon on November 02, 2018, 04:39:51 AM
Thanks Sooki, what dose are you on? Do you take it continually or in breaks?
Title: Re: Doxycycline for eyes
Post by: Maria3667 on November 02, 2018, 06:43:35 AM
Hi Sharon,

For me almost immediate relief comes from 2.5 mg Dhea - but ONLY if I apply it using the intervaginal route. Oral or dermal application are useless. Have you tried this route yet?

I don't know if this is a safer option than doxycycline, but it sure is a cheap one. Besides that, Dhea brings me other benefits such as sounder sleep.

Whatever you choose, good luck!
Title: Re: Doxycycline for eyes
Post by: susanep on November 02, 2018, 07:47:10 AM
Sharon, my eyes stay so dry too. I have had the humidifier going full blast, and use the Restasis, and over the counter drops, and also have the punctal plugs. I recently had my eyes examined and needed stronger glasses so I got them, but I still have the dry eyes. They will feel infected at times and I will wipe them like when you first get up in the morning and the stuff that comes out is almost greenish as that bit of morning yuck.

I have not taken any of this antibiotics for it, but I am curious if it could work. I have mostly taken it in the past for the H-pylori thing in my stomach.

I hope it helps you. I would wonder too if you take a small dose ongoing or just a treatment of it.

susanep
Title: Re: Doxycycline for eyes
Post by: Sharon on November 03, 2018, 05:08:46 PM
Maria- I tried the DHEA in the past in the way you suggested, but no matter what I get an allergic reaction to it of horrible itching.
I really wish I could tolerate it.

Susanep- I'm trying to work up the bravery to try it right now. It's an ongoing treatment supposedly to combat the ongoing inflammation.
Title: Re: Doxycycline for eyes
Post by: jazzlover on November 05, 2018, 06:03:30 AM
One of my friends takes doxy for her eyes. She can barely see without it. She also suspects that she has mites.

If you take doxy, I would suggest taking it in the MIDDLE of a full meal or your stomach will take a big hit. Also be sure to take probiotics every day, at least two hours away from the doxy.
Title: Re: Doxycycline for eyes
Post by: Sharon on November 05, 2018, 12:50:09 PM
Thanks Jazz, is it such a threat to the stomach even at the low dose of 100mg?
Title: Re: Doxycycline for eyes
Post by: Sooki on November 05, 2018, 01:04:47 PM
I take 50 mg of doxycycline a day orally, continually.  Once I took a break for a couple of weeks when I wasn't feeling well and trying to figure out why.  My eyes got red again and then better when I resumed it. 
Title: Re: Doxycycline for eyes
Post by: jazzlover on November 05, 2018, 01:06:51 PM
Quote from: Sharon on November 05, 2018, 12:50:09 PM
Thanks Jazz, is it such a threat to the stomach even at the low dose of 100mg?

I know it would be to MINE! Just be careful.
Title: Re: Doxycycline for eyes
Post by: Sharon on November 05, 2018, 02:48:20 PM
Sooki- Thanks, how long did it take for you to notice an improvement when you first began?

Jazz- Thanks, I'm so sensitive it might happen to me as well...hate to ruin my stomach. Actually probiotics give me digestion issues
all on their own for some reason.
Title: Re: Doxycycline for eyes
Post by: Sooki on November 05, 2018, 08:16:45 PM
I think I noticed improvement within a week or so. 
Title: Re: Doxycycline for eyes
Post by: irish on November 05, 2018, 11:12:33 PM
Doxycycline does have an anti-inflammatory effect orally also. I have noticed this when I have taken it for infection. I am so allergic to antibiotics that doxy is the one they use for years. When it doesn't work anymore I will have to go to the more expensive oral ones(of which there are not many), or IV antibiotics which have a few more I could take.

The word of caution I have is that I would not use the Doxy eyedrop for any length of time. It is not a strong anti-inflammatory but it is, first of all, an antibiotic and taking it more than a couple weeks or so could put you at high risk for a secondary infection that could be hard to clear up. Long term use of steroid eye drops also puts one at risk for secondary infections in the eyes plus it can cause thinning of the tissues of the eyes which isn't good.

Have you looked into the googles that are made for dry eyes to be worn at night. People used to use these a few years back but I don't hear them mentioned lately.  People found them to work well. They used the lubricant eyedrops and the googles and would have improvement in eyes because of the ability of the eyes to have a chance to heal some at night.

Also, if the Restasis was irritating your eyes, they have come out with a lower strength dose that the doc can order. This might help. Do you put your eye drops in the refrig?? Some people do this and the cool temp soothes the eyes. I would let them warm up 10 minutes or so to prevent eye tissue from being subjected to too much cold.

Also, eye docs often have people use artificial tears 20 minutes prior to Restasis and 20 minutes after the Restasis. This cuts down on the burning. Sometimes it takes a very long time to decrease the inflammation in the eyes because it is so bad. When the inflammation becomes less the burning is usually less. Good luck. Irish
Title: Re: Doxycycline for eyes
Post by: Maria3667 on November 06, 2018, 04:25:47 AM
Thanks Irish,

Very informative piece about doxycycline, usage and eye dryness!
Title: Re: Doxycycline for eyes
Post by: Sharon on November 06, 2018, 08:26:38 AM
Hi Irish- I was prescribed oral Doxycyline at 100mg, not drops. The idea is to take it continuously to damper down the eye inflammation. It was also suggested I might take Azitromycin oral antibiotic 5 days a month for this same reason instead of the Doxy.
My main issue is during the day when my eyes are exposed to all the elements and allergens which I have no tears to protect against.
When I sleep it's usually okay since my eyes are closed shut.
Restasis simply does not help me enough and its been over 2 years on them. I don't mind the stinging, just wish it would help more.
What's your take given these 2 options I'm now down to (after trying everything else!)?
Azitromycin (oral) 5 days every month
Doxyxyclin (oral) 100mg every day

Title: Re: Doxycycline for eyes
Post by: Sharon on November 06, 2018, 02:32:59 PM
Studies regarding the use of oral Azithromycin on eye issues:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066808/
Title: Re: Doxycycline for eyes
Post by: trejonina on November 06, 2018, 03:43:01 PM
Hi Sharon, google is doxycyclene anti inflammatory and you''ll find lot's of info.You cannot eat dairy products or food that has iron in it for 2 hrs before or after taking doxy. You can also take it with a gastric protector omeprazole,lanzoprazole etc. Don't forget probiotics. Ask your dr. if you can start at a lower dose of 50 mg daily or twice daily ? Good luck.
Title: Re: Doxycycline for eyes
Post by: Sharon on November 06, 2018, 03:50:53 PM
Thank you for the tips trejonia  :)
Title: Re: Doxycycline for eyes
Post by: irish on November 08, 2018, 11:55:44 PM
My feeling is that taking an antibiotic everyday can cause us problems. I would do the Azithromycin 5 days a month and see what happens. It will be interesting to see if your dryness decreases. Let us know how this works for you.

I keep hoping that someone will find that a food will decrease our dryness.....or maybe a junk food. Good luck. Irish
Title: Re: Doxycycline for eyes
Post by: Sharon on November 09, 2018, 04:42:04 AM
Thanks irish, I also think the Azithromycin would be a better choice.
I'll keep you all posted if I get any positive results with this.  :)
Title: Re: Doxycycline for eyes
Post by: jazzlover on November 12, 2018, 04:40:08 PM
I would personally be more willing to go with the zith.
Title: Re: Doxycycline for eyes
Post by: Sharon on November 13, 2018, 01:38:52 PM
Thanks Jazz, I will see an eye specialist next week who I know prescribes this for MGD
and see if he will write me an RX for it for the SS eye inflammation.