Tygacil Generic Name & Formulations
Legal Class
Rx
General Description
Tigecycline 50mg/vial; lyophilized pwd for IV infusion after reconstitution and dilution; preservative-free.
Pharmacological Class
Tetracycline antibiotic.
How Supplied
Single-use vials (5mL, 10mL)—10
Manufacturer
Generic Availability
YES
Tygacil Indications
Indications
Susceptible complicated skin and skin structure and intra-abdominal infections. Community-acquired bacterial pneumonia (CABP).
Limitations of Use
Not for treating diabetic foot infection, hospital-acquired or ventilator-associated pneumonia.
Tygacil Dosage and Administration
Adult
≥18yrs: Give by IV infusion over 30–60 mins. 100mg once, then 50mg every 12hrs. Skin, skin structure, and intra-abdominal infections: treat for 5–14 days. CABP: treat for 7–14 days. Severe hepatic impairment (Child Pugh C): 100mg once, then 25mg every 12hrs.
Children
<18yrs: not recommended. See full labeling for suggested dosages when no alternative antibacterial drugs are available.
Tygacil Contraindications
Not Applicable
Tygacil Boxed Warnings
Boxed Warning
All-cause mortality.
Tygacil Warnings/Precautions
Warnings/Precautions
Risk of increase in all-cause mortality; reserve for use when alternatives are not suitable. Monitor for hepatic dysfunction and pancreatitis; consider discontinuing if occurs. Ventilator-associated pneumonia. Complicated intra-abdominal infections secondary to intestinal perforation: avoid monotherapy (sepsis/septic shock may develop). Monitor blood coagulation parameters (including fibrinogen) at baseline and during treatment. Severe hepatic impairment. Risk of tooth discoloration, enamel hypoplasia, and reversible bone growth inhibition (during 2nd/3rd trimester of pregnancy, infancy, and childhood up to age 8yrs). Pregnancy (2nd/3rd trimester). Nursing mothers (avoid if therapy >3 weeks): may consider interrupting breastfeeding and pumping and discarding breastmilk during and for 9 days after the last dose.
Tygacil Pharmacokinetics
See Literature
Tygacil Interactions
Interactions
Monitor warfarin. May potentiate calcineurin inhibitors (eg, cyclosporine, tacrolimus); monitor. May antagonize oral contraceptives.
Tygacil Adverse Reactions
Adverse Reactions
Nausea, vomiting, diarrhea, abdominal pain, headache, increased SGPT; pancreatitis, anaphylaxis, hypofibrinogenemia, C. difficile-associated diarrhea.
Tygacil Clinical Trials
See Literature
Tygacil Note
Not Applicable
Tygacil Patient Counseling
See Literature