The invention discloses a minocycline hydrochloride sustained release tablet which is prepared from the following components in parts by weight: 40-90 parts of hydrochloride sustained release tablet, 80-120 parts of hydroxypropyl methylcellulose, 200-260 parts of lactose, 3-8 parts of silicon dioxide, 2-6 parts of magnesium stearate and 4-10 parts of coating materials. The invention also discloses a preparation method of the sustained release tablet. According to the minocycline hydrochloride sustained release tablet disclosed by the invention, the known unhealthy acute vestibule events caused by minocyline can be reduced, the tablet is released stably; and the preparation method has the advantages that the concept is ingenious, the flow is simple, the process is stable, the operation is simple and convenient, the production period is short, the product yield and the product stability are increased, and the production cost is lowered.