Minocycline
A to Z Drug Facts
Minocycline |
(min-oh-SIGH-kleen) |
Arestin, Dynacin, Minocin, Minocin IV, Alti-Minocycline, Apo-Minocycline, Novo-Minocycline, Vectrin |
Class: Antibiotic/tetracycline |
Action Inhibits bacterial protein synthesis.
Indications Treatment of periodontitis as an adjunct to scaling and root planing. Treatment of infections caused by susceptible strains of gram-positive and gram-negative bacteria, Rickettsia and Mycoplasma pneumonia, and trachoma; treatment for susceptible infections when penicillins are contraindicated; adjunctive treatment of acute intestinal amebiasis; treatment of asymptomatic carriers of Neisseria meningitidis to eliminate meningococci from nasopharynx, chlamydia, inflammatory acne, syphilis, gonorrhea, and lymphogranuloma nervosum. Unlabeled use(s): Alternative to sulfonamides in treatment of nocardiosis; sclerosing agent to control malignant pleural effusion.
Contraindications Hypersensitivity to tetracyclines.
Periodontitis
ADULTS: Subgingival 1 mg minocycline microspheres are to be inserted by an oral health care professional.
Susceptible Infections
ADULTS: PO/IV 200 mg initially, then PO/IV 100 mg q 12 hr or PO 50 mg qid. CHILDREN > 8 YR: PO/IV 4 mg/kg initially, then 2 mg/kg q 12 hr.
Gonococcal Infection
ADULTS: PO 200 mg initially, then 100 mg bid for minimum of 4 days; 100 mg bid for 5 days.
Inflammatory Acne
ADULTS: PO 50 mg 1to 3 times daily.
Primary/Secondary Syphilis
ADULTS: PO 200 mg initially then 100 mg q 12 hr for 10 to 15 days.
Chlamydia
ADULTS: PO 100 mg bid for ³ 7 days.
Meningococcal Carrier State
ADULTS: PO 100 mg q 12 hr for 5 days.
Antacids (containing aluminum, calcium, magnesium, zinc), bismuth salts, divalent or trivalent cations: May decrease oral absorption of minocycline. Anticoagulants, oral: Increased anticoagulant activity. Contraceptives, oral: May reduce effect of oral contraceptives. Digoxin: May increase digoxin serum levels. Insulin: Increases hypoglycemic potential. Iron salts: May decrease absorption of minocycline. Methoxyflurane: Increased potential for nephrotoxicity exists; do coadminister. Penicillins: May interfere with bactericidal action of penicillins. Urinary alkalinizers, zinc salts: May decrease serum minocycline levels. INCOMPATIBILITIES: Calcium-containing solutions other than Ringer's Injection and Ringer's Injection Lactate.
Lab Test Interferences May increase liver function test values and BUN. False-negative results in urine glucose testing with glucose oxidase (eg, Clinistix, Tes-tape). False increase in urinary catecholamines with fluorometric method.
CNS: Lightheadedness; dizziness; vertigo. DERM: Urticaria; rash; photosensitivity; blue-gray pigmentation of skin and mucous membranes. EENT: Glossitis, black hairy tongue, dysphagia, sore throat; hoarseness. GI: Diarrhea; nausea; vomiting; abdominal pain or discomfort; esophageal ulcers; norexia; bulky, loose stools. GU: Increased BUN. HEMA: Hemolytic anemia; thrombocytopenia; neutropenia. HEPA: Hepatitis; increased liver enzymes. OTHER: Hypersensitivity, including anaphylaxis; pseudotumor cerebri.
Pregnancy: Category D. Lactation: Excreted in breast milk. Advise against nursing. Children: Avoid in children < 8 yr unless other appropriate drugs are ineffective or contraindicated because abnormal bone formation and discoloration of teeth may occur. Esophageal irritation/ulceration: May result from tablet or capsule lodging in esophagus. Greater risk in patients with esophageal obstructive disease or hiatal hernia. Expiration: Do not use outdated product; degraded product is highly nephrotoxic. Hepatic effects: Large IV doses can be dangerous, leading to liver failure. Parenteral therapy: Prolonged periods of parenteral use may result in thrombophlebitis. Pseudotumor cerebri (benign intracranial hypertension): Has been reported in adults. Usual manifestations are headache and blurred vision. Superinfection: Prolonged use may result in bacterial or fungal overgrowth.
PATIENT CARE CONSIDERATIONS |
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Copyright © 2003 Facts and Comparisons
David S. Tatro
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