Panmycin (Tetracycline)
Class and Category of Drug
Before you buy Panmycin (Tetracycline) online, read common information about the medication.
Chemical class: Chlortetracycline derivative
Therapeutic class: Antibiotic
Pregnancy category: D
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Drug Indications and Dosages
Before purchase Panmycin (Tetracycline) online , you must read how it works.
To treat actinomycosis caused by susceptible organisms
Capsules, Oral Suspension, Tablets
Adults and adolescents. 250 to 500 mg every 6 hr or 500 to 1,000 mg every 12 hr. Maximum: 4 g daily.
Children age 8 and over. 6.25 to 12.5 mg/kg every 6 hr or 12.5 to 25 mg/kg every 12 hr.
To treat acne vulgaris
Capsules, Oral Suspension, Tablets
Adults and adolescents. Initial: 500 to 2,000 mg daily in divided doses until improvement occurs (usually in 3 wk); then dosage reduced gradually. Maintenance: 125 to 1,000 mg daily. Maximum: 4 g daily.
To treat brucellosis caused by susceptible organisms
Capsules, Oral Suspension, Tablets
Adults and adolescents. 500 mg every 6 hr for 3 wk, given with 1 g of streptomycin intramuscular every 12 hr in week 1 and daily in week 2. Maximum: 4 g daily.
Children ages 8 to 12. 6.25 to 12.5 mg/kg every 6 hr, or 12.5 to 25 mg/kg every 12 hr.
To treat gonorrhea caused by Neisseria gonorrhoeae
Capsules, Oral Suspension, Tablets
Adults and adolescents. 1,500 mg, then 500 mg every 6 hr for 5 days. Maximum: 4 g daily.
To treat syphilis caused by Treponema pallidum
Capsules, Oral Suspension, Tablets
Adults and adolescents. 500 mg every 6 hr for 15 days (for early syphilis) or 30 days (for late syphilis). Maximum: 4 g daily. Children ages 9 to 12. 6.25 to 12.5 mg/kg every 6 hr, or 12.5 to 25 mg/kg every 12 hr.
To treat uncomplicated endocervical, rectal, or urethral infections caused by Chlamydia trachomatis
Capsules, Oral Suspension, Tablets
Adults and adolescents. 500 mg q.i.d. for at least 7 days. Maximum: 4 g daily.
Dosage Adjustment For patients with renal impairment, dosage possibly reduced because of extended half-life.
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Contraindications of Drug
Read contraindications if you want cheap Panmycin (Tetracycline) online.
Hypersensitivity to tetracycline or its components
Generic Drug Interactions
Drugs
aluminum-, calcium-, or magnesium-containing antacids; iron supplements (oral); magnesium-containing laxatives; magnesium salicylate; multivitamins (containing manganese or zinc salts); sodium bicarbonate: Possibly impaired absorption of oral tetracycline and formation of nonabsorbable complexes
cholestyramine, colestipol: Possibly impaired absorption of oral tetracycline digoxin: Possibly increased digoxin level
methoxyflurane: Possibly nephrotoxicity
oral contraceptives (containing estrogen): Advise patient to take each dose with a full glass of water while in an upright position to avoid esophageal or gastrointestinal irritation. Instruct patient taking oral suspension to shake container well before measuring dose and to use a calibrated measuring device.
Advise patient to avoid taking other drugs, including OTC antacids and other preparations, within 3 hours of oral tetracycline. Urge patient to complete entire course of tetracycline therapy even if she feels better. Caution her to avoid direct sunlight or UV light and to wear sunscreen when outdoors.
Advise women who use oral contraceptives containing estrogen to use another method of contraception while taking tetracycline because contraceptives may be less effective.
Stress the need to discard outdated tetracycline because of the risk of toxic effects. Encourage patient to take safety precautions if she experiences dizziness or other adverse CNS reactions.
Possibly reduced contraceptive reliability and increased risk of breakthrough bleeding (with long-term tetracycline use) penicillins: Possibly decreased bactericidal effect of penicillins
vitamin A: Possibly benign intracranial hypertension
Foods
dairy products and other foods: Possibly impaired absorption of oral tetracycline
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Drugs Adverse Reactions
Central Nervous System: Dizziness, light-headedness, unsteadiness
Eyes, Ears, Nose, And Throat: Darkened or discolored tongue, enamel hypoplasia, oral candidiasis, tooth discoloration (in children)
Gastrointestinal: Abdominal pain, diarrhea, hepatotoxicity, nausea, rectal candidiasis, vomiting
Genitourinary: Vaginal candidiasis
Skin: Photosensitivity
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Nursing Considerations for Generic Drugs
• Avoid giving tetracycline to children under age 8 because drug may cause permanent brown or yellow tooth discoloration and enamel hypoplasia.
• Be aware that tooth discoloration and enamel hypoplasia may occur in breastfeeding infants, along with inhibition of linear skeletal growth, oral and Vaginal candidiasis, and photosensitivity.
• To reduce the risk of esophageal irritation or ulceration, avoid bedtime dosing of tetracycline for patient with esophageal obstruction or compression.
• Assess for photosensitivity, which can develop within a few minutes or up to several hours after exposure to sunlight or other ultraviolet (UV) light. Effects may last for 1 to 2 days after discontinuation of drug.
• Be aware that citric acid in tetracycline preparations may accelerate drug deterioration and that using outdated drug may cause Fanconi's syndrome, characterized by multiple defects in renal tubular function. Symptoms include acidosis, bicarbonate wasting, glycosuria, hypokalemia, osteomalacia, and phosphaturia.
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