Minocycline

— THERAPEUTIC CATEGORIES —
  • Acne
  • Bacterial infections

Minocycline Generic Name & Formulations

General Description

Minocycline (as HCl) 50mg, 75mg, 100mg; caps.

Pharmacological Class

Tetracycline antibiotic.

How Supplied

Contact supplier

Minocycline Indications

Indications

Adjunct in severe acne.

Minocycline Dosage and Administration

Adult

Swallow whole. Take with fluids. 200mg once then 100mg every 12 hours; or 100–200mg once then 50mg four times daily.

Children

≤8yrs: not recommended. Swallow whole. Take with fluids. >8yrs: 4mg/kg once then 2mg/kg (max 100mg) every 12 hours.

Minocycline Contraindications

Not Applicable

Minocycline Boxed Warnings

Not Applicable

Minocycline Warnings/Precautions

Warnings/Precautions

Monitor blood, renal, and hepatic function in long-term use. Discontinue if skin erythema, DRESS syndrome, or superinfection develops. Overweight women. History of intracranial hypertension. Monitor for visual disturbances. Renal impairment; monitor BUN and creatinine. Hepatic impairment. Avoid sun or UV light. Pregnancy, nursing mothers: not recommended.

Minocycline Pharmacokinetics

See Literature

Minocycline Interactions

Interactions

Avoid concomitant penicillins, isotretinoin. Fatal renal toxicity with concomitant methoxyflurane. Caution with other hepatotoxic drugs. May need to reduce concomitant anticoagulant dose. Absorption reduced by antacids containing aluminum, calcium, magnesium and iron. May antagonize oral contraceptives. Concomitant ergots or derivatives; increased risk of ergotism. May interfere with fluorescence test.

Minocycline Adverse Reactions

Adverse Reactions

Dizziness, GI upset, pruritus, increased BUN; teeth discoloration, delayed skeletal development, intracranial hypertension, C.difficile-associated diarrhea, photosensitivity, hepatotoxicity, skin/hypersensitivity reactions (may be severe).

Minocycline Clinical Trials

See Literature

Minocycline Note

Notes

Formerly known under the brand name Dynacin.

Minocycline Patient Counseling

See Literature

Minocycline Generic Name & Formulations

General Description

Minocycline (as HCl) 50mg, 75mg, 100mg; caps.

Pharmacological Class

Tetracycline antibiotic.

How Supplied

Contact supplier

Minocycline Indications

Indications

Tetracycline-susceptible infections including respiratory, genitourinary, rickettsial, trachoma. Alternative for selected infections when penicillin is contraindicated. Anthrax due to B. anthracis.

Minocycline Dosage and Administration

Adult

Swallow whole. Take with fluids. 200mg once then 100mg every 12 hours; or 100–200mg once then 50mg four times daily. Syphilis: treat for 10–15 days. Meningococcal carrier state: 100mg every 12 hours for 5 days. Mycobacterium marinum infection: 100mg every 12 hours for 6–8 weeks has been used. Uncomplicated urethral, endocervical, or rectal infection w. C.trachomatis or U. urealyticum: 100mg every 12 hours for at least 7 days. For men: Uncomplicated gonococcal infection (not urethritis or anorectal): 200mg once then 100mg every 12 hours for at least 4 days; urethritis: 100mg every 12 hours for 5 days.

Children

≤8yrs: not recommended. Swallow whole. Take with fluids. >8yrs: 4mg/kg once then 2mg/kg (max 100mg) every 12 hours.

Minocycline Contraindications

Not Applicable

Minocycline Boxed Warnings

Not Applicable

Minocycline Warnings/Precautions

Warnings/Precautions

Monitor blood, renal, and hepatic function in long-term use. Discontinue if skin erythema, DRESS syndrome, or superinfection develops. Overweight women. History of intracranial hypertension. Monitor for visual disturbances. Renal impairment; monitor BUN and creatinine. Hepatic impairment. Avoid sun or UV light. Pregnancy, nursing mothers: not recommended.

Minocycline Pharmacokinetics

See Literature

Minocycline Interactions

Interactions

Avoid concomitant penicillins, isotretinoin. Fatal renal toxicity with concomitant methoxyflurane. Caution with other hepatotoxic drugs. May need to reduce concomitant anticoagulant dose. Absorption reduced by antacids containing aluminum, calcium, magnesium and iron. May antagonize oral contraceptives. Concomitant ergots or derivatives; increased risk of ergotism. May interfere with fluorescence test.

Minocycline Adverse Reactions

Adverse Reactions

Dizziness, GI upset, pruritus, increased BUN; teeth discoloration, delayed skeletal development, intracranial hypertension, C.difficile-associated diarrhea, photosensitivity, hepatotoxicity, skin/hypersensitivity reactions (may be severe).

Minocycline Clinical Trials

See Literature

Minocycline Note

Notes

Formerly known under the brand name Dynacin.

Minocycline Patient Counseling

See Literature