Tetracycline H 250 mg (Capsule)

Unit Price: ৳ 1.00 (100's pack: ৳ 100.00)

Medicine Details

Indications

  • Tetracycline H is the drug of choice in the following infections
  • 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
  • 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 diarrhea
  • Acne vulgaris
  • Prostatitis
  • As an alternative agent in the penicillin allergic patient with syphilis
  • Anaerobic infections with susceptible organisms
  • Granuloma inguinale
  • Cholera
  • Glanders
  • Relapsing fever
  • V. vulnifians

Pharmacology

  • Mechanism of action on protein synthesis
  • Active transport system pumps the drug through the inner cytoplasmic membrane of bacteria
  • Binds specifically to the 30s ribosomes
  • Inhibits bacterial protein synthesis
  • Susceptible Gram positive aerobic Cocci
  • Resistant staphylococci, streptococci and some pneumococci
  • Pseudomonas and many Enterobacteriaceae are resistant
  • Active against Brucella species, Calymmatobacterium granulomatis, Vibrio cholerae and V. vulnificus
  • Active against anaerobic species of bacteria
  • Incompletely absorbed from the gastrointestinal tract
  • Excretion in the urine and in the faeces
  • Half-life of about 12 hours

Dosage & Administration

  • Usual adult oral dosage of Tetracycline
  • 1-2 g daily given in 2-4 divided doses
  • Usual oral dosage of Tetracycline for children older than 8 years
  • 25-50 mg/kg daily given in 2-4 divided doses
  • Dosage for specific indications like Acne vulgaris, Acute staphylococcal infections, Acute streptococcal infections, Amoebiasis, Brucellosis, Subacute bacterial endocarditis, Syphilis

Interaction

  • Impaired absorption with antacids containing divalent and trivalent cations
  • Interference with the bactericidal action of penicillin
  • Potentiation of the effect of anticoagulants
  • Decrease in efficacy of oral contraceptives
  • Possible nephrotoxic effects exacerbation by diuretics or other nephrotoxic drugs
  • Increase in the hypoglycaemic effect of insulin and sulfonylureas in patients with DM
  • Possible increase in toxic effects of ergot alkaloids and methotrexate

Contraindications

  • Hypersensitivity to any of the 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 like epigastric distress, nausea, vomiting
  • Accentuated prerenal azotemia
  • Superinfections with oral and anogenital candidiasis
  • Esophageal ulcerations

Pregnancy & Lactation

  • Not to be used during pregnancy
  • Risk of hypertoxicity in the mother
  • Effects on the developing fetus
  • Potential effects in breastfeeding and in children

Precautions & Warnings

  • Care in patients with impaired liver function
  • Avoid high doses in such patients
  • Avoid concomitant use with potential hepatotoxic drugs

Therapeutic Class

  • Tetracycline group of drugs

Storage Conditions

  • Store between 20-25° C

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