Patient counselling for antibiotics: Tetracycline

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Tetracyclines

Information for pharmacist:

    1. Do not give this medication to infants and children below 8 years of age.
    2. Do not take this medicine with milk, milk products or other diary products. Also allow at least 1 to 2 hours of time between taking the medication and milk products.
    3. Proper storage of the medication is mandatory. If there is any discoloration, looks different and is out dated, do not take it. It may not be effective.
    4. It works best when taken with a full glass of water on an empty stomach. Or follow doctor's directions.
    5. Do not take antacids, calcium or magnesium supplements and laxatives within 1 to 2 hours after taking this medicine by mouth.
    6. Do not take iron supplements within 2 to 3 hours of taking this medicine orally.
    7. Advice patients on:
    • * Advice patients on using protective skin lotions, clothing and sunscreen lotions because the may experience increased photosensitivity while using this medicine.
    • * Suggest alternate methods of birth control other than oral contraceptives, as they contain estrogen which may not be compatible with some of the medicines of this class.

    Dosing for drugs:

    • Oxytetracycline
      • Capsules
        • Adults and teenagers: 250-500 mgevery 6 hours
        • Infants and children upto 8 years of age: not used as they stain teeth permanently
        • Children of 8 years and over: 6.25-12.5 mg/kg body weight every 6 hours
      • Injection (Muscle)
        • Adults and teenagers: 100 mg every 8 hours; 150 mg every 12 hours; 250 mg once daily
        • Infants and children upto 8 years of age: not used as they stain teeth permanently
        • Children of 8 years and over: 5-8.3 mg/kg of body weight every 8 hours; 7.5-12.5 mg/kg body weight every 12 hours
      • Injection (Vein)
        • Adults and teenagers: 250-500 mg every 12 hours
        • Infants and children upto 8 years of age: not used as they stain teeth permanently
        • Children of 8 years and over: 5-10 mg/kg of body weight every every 12 hours

    Information for patient:

      1. The dose will be different for different individuals.
      2. Follow doctor's directions for dosage strictly.
      3. Change of dose must be done only after consultation with the doctor.
      4. The dosage regimen is different for different disease conditions.
      5. Take doses on time. If a dose is missed, take it as soon as possible, avoid double dosing.
      6. Sensitivity to sunlight may persist for about 2 weeks to several months or more after stopping this medicine.

      Reference:

      1) Advice for the patient: Drug information in lay language; USP DI; 1995,15th edition; pg: 1571-1574 [access date: 16thSeptember, 2010]

      2) http://www.rxlist.com/sumycin-drug.htm [access date: 16th September, 2010]

      3) http://www.drugs.com/pdr/tetracycline.html [access date: 16th September, 2010]

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      About the Author

      Niklesh Rao V's picture
      Author: Niklesh Rao V

      Comments

      Uma Pratyusha's picture

      Dear Niklesh, Please tell me how and why the use of this medicine causes increase in photo-sensitivity?

      Regards

      Uma Prathyusha

      P.V.ABHIGNA's picture

      Niklesh, Nice blog.Why dont you make it a comparitive study so that it will be easy to understand the difference and good to read. Regards,

      ABHIGNA.P.V.

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