Tetracyclines - Doxycycline Flashcards

1
Q

What are common indications for the use of doxycycline?

A
  • Acne Vulgaris
  • LRTI
  • Infective exacerbation of COPD
  • Pneumonia
  • Atypical pneumonia
  • PID
  • Chlamydia
  • Typhoid
  • Anthrax
  • Malaria
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2
Q

How do tetracylines work?

A

Inhibit bacterial protein synthesis

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3
Q

What are important adverse effects of tetracyclines?

A
  • Nausea
  • Vomiting
  • Diarrhoea
  • Hypersensitivity
  • Oesophageal irritation/ulceration/dysphagia
  • Photosensitivity
  • Discolouration of tooth enamel
  • Intracrenial hypertension
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4
Q

When are tetracyclines contraindicated?

A
  • Pregnancy
  • Breastfeeding
  • Children under age of 12 years
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5
Q

What are important interactions which occur with tetracyclines?

A
  • Calcium
  • Antacids
  • Iron
  • Warfarin
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6
Q

When should tetracyclines be given in relation to calcium, antacids or iron supplements?

A

2 Hours after administration of calcium, iron or antacids

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7
Q

What routes can tetracyclines be given?

A

Oral only

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8
Q

What is the dose of doxycycline usually given?

A

100-200 mg daily

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9
Q

What advice would you give to someone taking tetracyclines?

A

Wash down with water or take whilst standing - stops them getting stuck and causing ulceration

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