P-Tetracycline 250 mg (Capsule)

Unit Price: ৳ 1.30 (10 x 10: ৳ 130.00)
Strip Price: ৳ 13.00

Medicine Details

Indications

  • Ricketsial infection (Rocky Mountain spotted fever, endemic and scrub typhus fever and human ehrlichiosis)
  • Mycoplasma pneumoniae infections in adults
  • Chlamydial Infections
  • Non-gonococcal or non specific urethritis
  • Lyme disease
  • Brucellosis
  • Miscellaneous infections including granuloma inguinale, cholera, glanders, relapsing fever and V. vulnifians
  • Urinary Tract Infections with susceptible organisms
  • Bronchitis in patients with known underlying chronic lung diseases
  • Pelvic inflammatory disease and other sexually transmitted diseases (STDs) regimen
  • Travelers diarrhoea
  • Acne vulgaris
  • Prostatitis
  • As an alternative agent in the penicillin allergic patient with syphilis
  • Anaerobic infections with susceptible organisms

Pharmacology

  • Main mechanism of action on protein synthesis
  • Energy-dependent active transport system
  • Binds specifically to the 30s ribosomes
  • Inhibits bacterial protein synthesis
  • Gram positive aerobic Cocci susceptibility
  • Resistance in staphylococci, streptococci and some pneumococci
  • Resistance in Pseudomonas and many Enterobacteriaceae
  • Active against Brucella species, Calymmatobacterium granulomatis, Vibrio cholerae and V. vulnificus
  • Active against anaerobic species of bacteria
  • Incompletely absorbed from the gastro-intestinal tract
  • Half-life of about 12 hours
  • Excreted in the urine and in the faeces

Dosage & Administration

  • Usual adult oral dosage: 1-2 g daily given in 2-4 divided doses
  • Usual oral dosage for children older than 8 years of age: 25-50 mg/kg daily given in 2-4 divided doses
  • Acne vulgaris dosage:
    • 250 mg four times daily
    • 500 mg 12 hourly for 1 week
    • 125-250 mg for several weeks or months
  • Acute staphylococcal infections dosage: 1-2 g daily in divided doses for 10-14 days
  • Acute streptococcal infections dosage: 1-2 g daily in divided doses for 10 days
  • Amoebiasis dosage:
    • 1 g daily in four divided doses
    • 500 mg 12 hourly for 7 days
  • Brucellosis dosage:
    • 500 mg four times daily plus 1 g streptomycin twice daily for 1 week
    • 500 mg four times daily (no streptomycin) for 1 week
  • Subacute bacterial endocarditis dosage: 1-2 g daily in divided doses for 6 weeks
  • Syphilis dosage: Total 30-40 g given in divided doses over 10-15 days

Interaction

  • Impaired absorption with antacids containing divalent and trivalent cations
  • May interfere with the bactericidal action of penicillin
  • May potentiate the effect of anticoagulants
  • May decrease efficacy of oral contraceptives
  • Nephrotoxic effects may be exacerbated by diuretics or other nephrotoxic drugs
  • May increase the hypoglycaemic effect of insulin and sulfonylureas in patients with DM
  • May increase toxic effects of ergot alkaloids and methotrexate

Contraindications

  • Hypersensitivity to any of the member of tetracycline groups
  • Cross-sensitivity may occur
  • Systemic lupus erythematosus
  • Renal impairment, particularly if severe

Side Effects

  • Depression of bone growth
  • Permanent gray-brown discoloration of the teeth
  • Enamel hypoplasia when given during tooth development
  • Hypersensitivity reactions such as anaphylaxis, urticaria and rashes
  • Photosensitivity reactions
  • Gastrointestinal effects including epigastric distress, nausea and vomiting
  • Accentuated prerenal azotemia
  • Superinfections with oral and anogenital candidiasis
  • Esophageal ulcerations

Pregnancy & Lactation

Should not be used during pregnancy because of the risk of hypertoxicity in the mother as well as the effects on the developing foetus.

Precautions & Warnings

Care should be taken if P-P-Tetracycline is given to patients with impaired liver function and high doses should be avoided.

Therapeutic Class

Tetracycline group of drugs

Storage Conditions

Store between 20-25°C

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