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Guidelines
Pathogens
Antimicrobials
Medium
NA
Severe Impairment - Child Pugh C 100mg load on day 1 then 25mg IV q12h
100mg IV load on day 1 then 50mg IV q12h
No dosing adjustment necessary
This medication is currently not on hospital formulary - please contact pharmacy if it is needed.
Reserved for highly resistant infections or when significant allergies restrict other options and when there is documented susceptibility.
Associated with more treatment failures than alternatives and excess mortality - Black Box Warning.
Avoid or use with caution in patients with tetracycline reactions.
GI side effects very prominent with significant nausea and vomiting.
Tetracycline related adverse events: photosensitivity, acute pancreatitis.
Rash, abnormal liver enzymes.
Oral contraceptives less effective.
Requires Infectious Disease consultation.
Documented safety concerns in bacteremia especially.
Antimicrobial class: Tetracycline derivative
Pregnancy category: D
Average serum half life: 42 hours
Lung penetration: Therapeutic
Biliary penetration: Therapeutic