Tetramin 250 mg (Capsule)

Unit Price: ৳ 1.00 (10 x 10: ৳ 100.00)
Strip Price: ৳ 10.00

Medicine Details

Indications

  • Treats Rocky Mountain spotted fever
  • Treats scrub typhus fever
  • Treats Mycoplasma pneumoniae infections in adults
  • Treats Chlamydia psittaci infections
  • Treats non-gonococcal urethritis
  • Treats Lyme disease
  • Treats Brucellosis
  • Treats urinary tract infections
  • Treats bronchitis
  • Treats pelvic inflammatory disease
  • Treats travelers diarrhea
  • Treats acne vulgaris
  • Treats prostatitis
  • Used as an alternative agent in penicillin allergic patients with syphilis
  • Treats anaerobic infections

Pharmacology

  • Main mechanism of action is on protein synthesis
  • Active transport system pumps the drug through inner cytoplasmic membrane of bacteria
  • Binds to 30s ribosomes and inhibits bacterial protein synthesis
  • Susceptible to many Gram positive aerobic Cocci
  • Not the drug of choice for infections due to gram positive aerobes
  • Active against Brucella species, Calymmatobacterium granulomatis, Vibrio cholerae and V. vulnificus
  • Active against anaerobic species of bacteria
  • Incompletely absorbed from the gastrointestinal tract
  • Widely distributed through body tissues and fluids
  • Half-life of about 12 hours
  • Excreted in the urine and in the faeces

Dosage & Administration

  • Usual adult oral dosage is 1-2 g daily in 2-4 divided doses
  • Usual oral dosage for children older than 8 years is 25-50 mg/kg daily in 2-4 divided doses
  • Recommended to be taken one hour before or 2 hours after meals
  • Specific dosages for acne vulgaris, staphyococcal infections, streptococcal infections, amoebiasis, brucellosis, subacute bacterial endocarditis, and syphilis

Interaction

  • Impaired absorption with antacids containing divalent and trivalent cations, iron, zinc, and sodium bicarbonate preparations
  • May interfere with the bactericidal action of penicillin
  • May potentiate the effect of anticoagulants
  • May decrease efficacy of oral contraceptives
  • May increase the hypoglycemic effect of insulin and sulfonylureas in patients with diabetes
  • May increase toxic effects of ergot alkaloids and methotrexate

Contraindications

  • Contraindicated in patients hypersensitive to any of the tetracycline group
  • Avoided in patients with systemic lupus erythematosus
  • Considered contraindicated in severe renal impairment; if given, doses should be reduced

Side Effects

  • Can cause depression of bone growth
  • Can cause permanent gray-brown discoloration of the teeth
  • Can cause enamel hypoplasia when given during tooth development
  • Hypersensitivity reactions such as anaphylaxis, urticaria, and rashes
  • Photosensitivity reactions
  • Epigastric distress and nausea
  • Vomiting
  • Accentuated prerenal azotemia
  • Superinfections with oral and anogenital candidiasis
  • Esophageal ulcerations

Pregnancy & Lactation

  • Not recommended during pregnancy or breastfeeding
  • May result in impaired bone growth and permanent discoloration of the child's teeth if used in children up to a certain age

Precautions & Warnings

  • Care should be taken if given to patients with impaired liver function
  • High doses should be avoided
  • Potential hepatotoxic drugs should not be given concomitantly

Therapeutic Class

Tetracycline group of drugs

Storage Conditions

Store between 20-25°C

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