Studies have shown no significant difference in serum half-life of Doxycycline in individuals with normal and severely impaired renal function. As well as. excretion of Doxycycline by the kidney is about 40%/72 hours in individuals with normal function (creatinine clearance about 75 mL/min). This percentage excretion may fall as low as 1 to 5%/72 hours in individuals with severe renal insufficiency (creatinine clearance below 10 mL/min).
Primarily, doxycycline is excreted in bile to feces, and part of doxycycline is inactivated in the liver and 40 % of it is excreted by kidneys in urine, while the majority of first-generation tetracyclines are not metabolized Instead, they are most often eliminated by renal excretion.