Dosing & Uses
Dosage Forms & Strengths
tablet/capsule
- 50mg
- 75mg
- 100mg
tablet, extended-release
- 45mg (Solodyn)
- 55mg (Solodyn)
- 65mg (Solodyn)
- 80mg (Solodyn)
- 90mg (Solodyn)
- 105mg (Minolira, Solodyn)
- 135mg (Minolira, Solodyn)
injection, intravenous
- 100mg/vial
Acne Vulgaris
50-100 mg PO twice daily
Solodyn, Minolira (extended-release tablets): 1 mg/kg PO qDay
Administer therapy for 12 weeks
Extended-release tablets
Solodyn
- 45-49 kg: 45 mg qDay (1-0.92 mg/kg)
- 50-59 kg: 55 mg qDay (1.1-0.93 mg/kg)
- 60-71 kg: 65 mg qDay (1.08-0.92 mg/kg)
- 72-84 kg: 80 mg qDay (1.11-0.95 mg/kg)
- 85-96 kg: 90 mg qDay (1.06-0.94 mg/kg)
- 97-110 kg: 105 mg qDay (1.08-0.95 mg/kg)
- 111-125 kg: 115 mg qDay (1.04-0.92 mg/kg)
- 126-136 kg: 135 mg qDay (1.07-0.99 mg/kg)
Minolira
- 45-59 kg: 52.5 mg qDay (half of the 105-mg tab)
- 60-89 kg: 67.5 mg qDay (half of the 135-mg tab)
- 90-125 kg: 105 mg qDay
- 126-136 kg: 135 mg qDay
Purulent Cellulitis (Off-label)
Community acquired MRSA: 200 mg PO initially
Maintenance: 100 mg PO twice daily for 5-10 days
Chlamydial or Ureaplasma Urealyticum
Uncomplicated infection: 100 mg PO q12hr for at least 7 days
Gonococcal Infection
Uncomplicated infection in males (no anorectal infections or presence of urethritis: 200 mg PO initially)
Maintenance: 100 mg PO twice daily for at least 4 days
Uncomplicated gonococcal urethritis in men: 100 mg PO q12hr for 5 days
Meningococcal Carrier State
100 mg PO q12hr for 5 days
Urethral, Endocervical, or Rectal Infections
Caused by C. trachomatis or U. urealyticum (uncomplicated infection): 100 mg PO q12hr for 7 days
Mycobacterium marinum
100 mg PO q12hr for 6-8 weeks
Syphilis
200 mg PO initially, followed by 100 mg q12hr for 10-15 days
Rheumatoid Arthritis (Off-label)
100 mg PO twice daily
Infective Endocarditis
100 mg IV twice daily for at least 5 weeks
Infections, General Dosing
200 mg PO/IV initially, THEN 100 mg PO/IV q12hr; not to exceed 400 mg/day, OR
Alternatively, 200 mg PO initially, THEN 100 mg PO q12hr; OR 100-200 mg initially; THEN 50 mg PO q6hr
Dosage Modifications
Renal impairment: Reduce dose and/or frequency
Dosing Considerations
Susceptible organisms
- Acinetobacter baumannii, Actinomyces spp, Afipia felis, Bacteroides spp, Bartonella bacilliformis, Borrelia recurrentis, Brucella spp, Burkholderia cepacia, Klebsiella granulomatis, Campylobacter jejuni, Chlamydia spp, Clostridium spp, Coxiella burnetii, Eikenella corrodens, Escherichia coli, Entamoeba spp, Francisella tularensis, Haemophilus ducreyi, Legionella pneumophila, Leptospira interrogans, Listeria monocytogenes, Mycoplasma hominis, Mycoplasma pneumoniae, Neisseria meningitidis, Neisseria gonorrhoeae, Nocardia asteroides, Prevotella melaninogenica, Propionibacterium acnes, Rickettsiae, Shigella spp, MRSA, Streptococcus pneumoniae, Streptococcus pyogenes, Treponema pallidum, Ureaplasma urealyticum, Vibrio cholerae, Yersinia pestis, Yersinia enterocolitica, Yersinia pseudotuberculosis, mycobacteria other than tuberculosis
Sarcoidosis (Orphan)
Orphan indication sponsor
- Autoimmunity Research Foundation; Autoimmunity Research, Inc; Thousand Oaks, CA 91360
Dosage Forms & Strengths
tablet/capsule
- 50mg
- 75mg
- 100mg
tablet, extended-release
- 45mg (Solodyn)
- 55mg (Solodyn)
- 65mg (Solodyn)
- 80mg (Solodyn)
- 90mg (Solodyn)
- 105mg (Minolira, Solodyn)
- 135mg (Minolira, Solodyn)
injection, intravenous
- 100mg/vial
Acne Vulgaris
<12 years: Safety and efficacy not established
Immediate-release products: 4 mg/kg PO initially (not to exceed 200 mg), THEN 2 mg/kg/day PO q12hr; not to exceed 400 mg/day
Solodyn, Minolira (extended-release tablets): 1 mg/kg PO qDay
Administer therapy for 12 weeks
Extended-release tablets
Solodyn
- 45-49 kg: 45 mg qDay (1-0.92 mg/kg)
- 50-59 kg: 55 mg qDay (1.1-0.93 mg/kg)
- 60-71 kg: 65 mg qDay (1.08-0.92 mg/kg)
- 72-84 kg: 80 mg qDay (1.11-0.95 mg/kg)
- 85-96 kg: 90 mg qDay (1.06-0.94 mg/kg)
- 97-110 kg: 105 mg qDay (1.08-0.95 mg/kg)
- 111-125 kg: 115 mg qDay (1.04-0.92 mg/kg)
- 126-136 kg: 135 mg qDay (1.07-0.99 mg/kg)
Minolira
- 45-59 kg: 52.5 mg qDay (half of the 105-mg tab)
- 60-89 kg: 67.5 mg qDay (half of the 135-mg tab)
- 90-125 kg: 105 mg qDay
- 126-136 kg: 135 mg qDay
C. trachomatis or U. urealyticum
100 mg PO q12hr for 7 days
Infections, General Dosing
≤8 years: Not recommended, unless unable to take other, alternate antibiotics
>8 years: 4 mg/kg PO/IV initially; not to exceed 200 mg; THEN 2 mg/kg PO/IV q12hr; not to exceed adult dose; not to exceed 100 mg PO/IV q12hr for 5-10 days
Dosing Considerations
Susceptible organisms
- Acinetobacter baumannii, Actinomyces spp, Afipia felis, Bacteroides spp, Bartonella bacilliformis, Borrelia recurrentis, Brucella spp, Burkholderia cepacia, Klebsiella granulomatis, Campylobacter jejuni, Chlamydia spp, Clostridium spp, Coxiella burnetii, Eikenella corrodens, Escherichia coli, Entamoeba spp, Francisella tularensis, Haemophilus ducreyi, Legionella pneumophila, Leptospira interrogans, Listeria monocytogenes, Mycoplasma hominis, Mycoplasma pneumoniae, Neisseria meningitidis, Neisseria gonorrhoeae, Nocardia asteroides, Prevotella melaninogenica, Propionibacterium acnes, Rickettsiae, Shigella spp, MRSA, Streptococcus pneumoniae, Streptococcus pyogenes, Treponema pallidum, Ureaplasma urealyticum, Vibrio cholerae, Yersinia pestis, Yersinia enterocolitica, Yersinia pseudotuberculosis, mycobacteria other than tuberculosis
Interactions
Interaction Checker
No Results
Contraindicated
Serious - Use Alternative
Significant - Monitor Closely
Minor
Contraindicated (2)
- acitretin
minocycline, acitretin. Other (see comment). Contraindicated. Comment: Both acitretin and tetracyclines can cause increased intracranial pressure.
- tretinoin
minocycline, tretinoin. Either increases toxicity of the other by Other (see comment). Contraindicated. Comment: Both tretinoin and tetracyclines can cause increased intracranial pressure.
Serious - Use Alternative (57)
- aluminum hydroxide
aluminum hydroxide decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug. Separate by 2 hours.
- aminolevulinic acid oral
aminolevulinic acid oral, minocycline. Either increases toxicity of the other by pharmacodynamic synergism. Avoid or Use Alternate Drug. Avoid administering other phototoxic drugs with aminolevulinic acid oral for 24 hr during perioperative period.
- aminolevulinic acid topical
minocycline increases toxicity of aminolevulinic acid topical by pharmacodynamic synergism. Avoid or Use Alternate Drug. Coadministration of photosensitizing drugs may enhance the phototoxic reaction to photodynamic therapy with aminolevulinic acid.
- amoxicillin
minocycline decreases effects of amoxicillin by pharmacodynamic antagonism. Avoid or Use Alternate Drug. Tetracyclines may interfere with the bactericidal action of penicillins. Monitor for decreased therapeutic effects of penicillins if concomitantly used with a tetracycline.
- ampicillin
minocycline decreases effects of ampicillin by pharmacodynamic antagonism. Avoid or Use Alternate Drug. Tetracyclines may interfere with the bactericidal action of penicillins. Monitor for decreased therapeutic effects of penicillins if concomitantly used with a tetracycline.
- atracurium
minocycline increases effects of atracurium by pharmacodynamic synergism. Avoid or Use Alternate Drug. Risk of respiratory depression.
- BCG vaccine live
minocycline decreases effects of BCG vaccine live by pharmacodynamic antagonism. Contraindicated. Wait until Abx Tx complete to administer live bacterial vaccine.
- bismuth subsalicylate
bismuth subsalicylate decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- calcium acetate
calcium acetate, minocycline. Either decreases levels of the other by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug. Separate by 2 hours.
- calcium carbonate
calcium carbonate, minocycline. Either decreases levels of the other by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug. Separate by 2 hours.
- calcium chloride
calcium chloride, minocycline. Either decreases levels of the other by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug. Separate by 2 hours.
- calcium citrate
calcium citrate, minocycline. Either decreases levels of the other by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug. Separate by 2 hours.
- calcium gluconate
calcium gluconate, minocycline. Either decreases levels of the other by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug. Separate by 2 hours.
- carbonyl iron
carbonyl iron decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- cholera vaccine
minocycline, cholera vaccine. pharmacodynamic antagonism. Avoid or Use Alternate Drug. Avoid coadministration of cholera vaccine with systemic antibiotics since these agents may be active against the vaccine strain. Do not administer cholera vaccine to patients who have received oral or parenteral antibiotics within 14 days prior to vaccination.
- cisatracurium
minocycline increases effects of cisatracurium by pharmacodynamic synergism. Avoid or Use Alternate Drug. Risk of respiratory depression.
- dicloxacillin
minocycline decreases effects of dicloxacillin by pharmacodynamic antagonism. Avoid or Use Alternate Drug.
- ferric maltol
ferric maltol decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- ferrous fumarate
ferrous fumarate decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- ferrous gluconate
ferrous gluconate decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- ferrous sulfate
ferrous sulfate decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- iron dextran complex
iron dextran complex decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- iron sucrose
iron sucrose decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- isotretinoin
isotretinoin, minocycline. Mechanism: unknown. Contraindicated. Risk of pseudotumor cerebri.
- magnesium chloride
magnesium chloride decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- magnesium citrate
magnesium citrate decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- magnesium hydroxide
magnesium hydroxide decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- magnesium oxide
magnesium oxide decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- magnesium sulfate
magnesium sulfate decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- methoxyflurane
minocycline, methoxyflurane. Mechanism: pharmacodynamic synergism. Avoid or Use Alternate Drug. Risk of nephrotoxicity.
- methyl aminolevulinate
minocycline, methyl aminolevulinate. Either increases toxicity of the other by pharmacodynamic synergism. Avoid or Use Alternate Drug. Each drug may increase the photosensitizing effect of the other.
- nafcillin
minocycline decreases effects of nafcillin by pharmacodynamic antagonism. Avoid or Use Alternate Drug. bacteriostatic antibiotics may interfere with the bactericidal actions of penicillins.
- onabotulinumtoxinA
minocycline increases effects of onabotulinumtoxinA by pharmacodynamic synergism. Avoid or Use Alternate Drug. Risk of respiratory depression.
- oxacillin
minocycline decreases effects of oxacillin by pharmacodynamic antagonism. Avoid or Use Alternate Drug. bacteriostatic agents may inhibit the effects of bactericidal agents.
- pancuronium
minocycline increases effects of pancuronium by pharmacodynamic synergism. Avoid or Use Alternate Drug. Risk of respiratory depression.
- penicillin G aqueous
minocycline decreases effects of penicillin G aqueous by pharmacodynamic antagonism. Avoid or Use Alternate Drug.
- penicillin VK
minocycline decreases effects of penicillin VK by pharmacodynamic antagonism. Avoid or Use Alternate Drug.
- pexidartinib
minocycline and pexidartinib both increase Other (see comment). Avoid or Use Alternate Drug. Pexidartinib can cause hepatotoxicity. Avoid coadministration of pexidartinib with other products know to cause hepatoxicity.
- pivmecillinam
minocycline decreases effects of pivmecillinam by pharmacodynamic antagonism. Avoid or Use Alternate Drug.
- polysaccharide iron
polysaccharide iron decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- pretomanid
minocycline, pretomanid. Either increases toxicity of the other by Other (see comment). Avoid or Use Alternate Drug. Comment: Pretomanid regimen associated with hepatotoxicity. Avoid alcohol and hepatotoxic agents, including herbal supplements and drugs other than bedaquiline and linezolid.
- rapacuronium
minocycline increases effects of rapacuronium by pharmacodynamic synergism. Avoid or Use Alternate Drug. Risk of respiratory depression.
- rocuronium
minocycline increases effects of rocuronium by pharmacodynamic synergism. Avoid or Use Alternate Drug. Risk of respiratory depression.
- rose hips
rose hips decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- sodium bicarbonate
sodium bicarbonate decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug. Separate by 2 hours.
- sodium citrate/citric acid
sodium citrate/citric acid decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug. Separate by 2 hours.
- sodium sulfate/?magnesium sulfate/potassium chloride
sodium sulfate/?magnesium sulfate/potassium chloride decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug. Administer tetracyclines at least 2 hr before and no less than 6 hr after each dose to avoid chelation with magnesium. .
- sodium sulfate/potassium sulfate/magnesium sulfate
sodium sulfate/potassium sulfate/magnesium sulfate decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug. Administer tetracyclines at least 2 hr before and no less than 6 hr after each dose to avoid chelation with magnesium. .
- strontium ranelate
strontium ranelate decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Contraindicated. Suspend strontium ranelate during antibiotic therapy.
- succinylcholine
minocycline increases effects of succinylcholine by pharmacodynamic synergism. Avoid or Use Alternate Drug. Risk of respiratory depression.
- temocillin
minocycline decreases effects of temocillin by pharmacodynamic antagonism. Avoid or Use Alternate Drug.
- ticarcillin
minocycline decreases effects of ticarcillin by pharmacodynamic antagonism. Avoid or Use Alternate Drug.
- tretinoin
minocycline, tretinoin. Either increases levels of the other by Mechanism: pharmacodynamic synergism. Avoid or Use Alternate Drug. Increased phototoxicity.
- tretinoin topical
minocycline, tretinoin topical. Mechanism: pharmacodynamic synergism. Avoid or Use Alternate Drug. Increased phototoxicity.
- tripotassium dicitratobismuthate
tripotassium dicitratobismuthate decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Avoid or Use Alternate Drug.
- typhoid vaccine live
minocycline decreases effects of typhoid vaccine live by pharmacodynamic antagonism. Contraindicated. Wait until Abx Tx complete to administer live bacterial vaccine.
- vecuronium
minocycline increases effects of vecuronium by pharmacodynamic synergism. Avoid or Use Alternate Drug. Risk of respiratory depression.
Monitor Closely (35)
- bazedoxifene/conjugated estrogens
minocycline will decrease the level or effect of bazedoxifene/conjugated estrogens by altering intestinal flora. Applies only to oral forms of hormone. Low risk of contraceptive failure. Use Caution/Monitor.
- cefdinir
minocycline decreases effects of cefdinir by pharmacodynamic antagonism. Use Caution/Monitor. bacteriostatic agents may inhibit the effects of bactericidal agents.
- cefditoren
minocycline decreases effects of cefditoren by pharmacodynamic antagonism. Use Caution/Monitor. bacteriostatic agents may inhibit the effects of bactericidal agents.
- cefoxitin
minocycline decreases effects of cefoxitin by pharmacodynamic antagonism. Use Caution/Monitor. bacteriostatic agents may inhibit the effects of bactericidal agents.
- cefpodoxime
minocycline decreases effects of cefpodoxime by pharmacodynamic antagonism. Use Caution/Monitor. bacteriostatic agents may inhibit the effects of bactericidal agents.
- ceftriaxone
minocycline decreases effects of ceftriaxone by pharmacodynamic antagonism. Use Caution/Monitor. bacteriostatic agents may inhibit the effects of bactericidal agents.
- cefuroxime
minocycline decreases effects of cefuroxime by pharmacodynamic antagonism. Use Caution/Monitor. bacteriostatic agents may inhibit the effects of bactericidal agents.
- cholestyramine
cholestyramine decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.
- conjugated estrogens
minocycline will decrease the level or effect of conjugated estrogens by altering intestinal flora. Applies only to oral forms of hormone. Low risk of contraceptive failure. Use Caution/Monitor.
- dichlorphenamide
dichlorphenamide, minocycline. Either increases toxicity of the other by pharmacodynamic synergism. Modify Therapy/Monitor Closely. Both drugs can cause metabolic acidosis.
- didanosine
didanosine will decrease the level or effect of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Modify Therapy/Monitor Closely. Applies to didanosine chewable tablets and powder for oral solution; administer 2 hr before or several hours after didanosine oral solution or chewable tablet administration
- digoxin
minocycline will increase the level or effect of digoxin by altering intestinal flora. Applies only to oral form of both agents. Use Caution/Monitor.
- dihydroergotamine
minocycline, dihydroergotamine. Either increases toxicity of the other by Mechanism: unknown. Use Caution/Monitor. coadministration of ergot alkaloids and tetracyclines increases risk of ergotism.
- ergoloid mesylates
minocycline, ergoloid mesylates. Either increases toxicity of the other by Mechanism: unknown. Use Caution/Monitor. coadministration of ergot alkaloids and tetracyclines increases risk of ergotism.
- ergotamine
minocycline, ergotamine. Either increases toxicity of the other by Mechanism: unknown. Use Caution/Monitor. coadministration of ergot alkaloids and tetracyclines increases risk of ergotism.
- estradiol
minocycline will decrease the level or effect of estradiol by altering intestinal flora. Applies only to oral forms of hormone. Low risk of contraceptive failure. Use Caution/Monitor.
- estrogens conjugated synthetic
minocycline will decrease the level or effect of estrogens conjugated synthetic by altering intestinal flora. Applies only to oral forms of hormone. Low risk of contraceptive failure. Use Caution/Monitor.
- estropipate
minocycline will decrease the level or effect of estropipate by altering intestinal flora. Applies only to oral forms of hormone. Low risk of contraceptive failure. Use Caution/Monitor.
- ethinylestradiol
minocycline will decrease the level or effect of ethinylestradiol by altering intestinal flora. Applies only to oral forms of hormone. Low risk of contraceptive failure. Use Caution/Monitor.
- lanthanum carbonate
lanthanum carbonate decreases levels of minocycline by cation binding in GI tract. Use Caution/Monitor. Administer oral tetracycline antibiotics at least 2 hr before or after lanthanum. Interaction applies only to oral tetracyclines.
- levonorgestrel oral/ethinylestradiol/ferrous bisglycinate
minocycline will decrease the level or effect of levonorgestrel oral/ethinylestradiol/ferrous bisglycinate by altering intestinal flora. Applies only to oral forms of hormone. Low risk of contraceptive failure. Use Caution/Monitor. Antibiotics may decrease hormonal contraceptive efficacy.
- magnesium supplement
magnesium supplement will decrease the level or effect of minocycline by Other (see comment). Modify Therapy/Monitor Closely. Formation of an insoluble complex reduces absorption of the drug through intestinal tract; administer magnesium 2hr before the tetracycline or 4hr after the tetracycline.
- mestranol
minocycline will decrease the level or effect of mestranol by altering intestinal flora. Applies only to oral forms of hormone. Low risk of contraceptive failure. Use Caution/Monitor.
- methotrexate
minocycline increases levels of methotrexate by decreasing elimination. Use Caution/Monitor. If tetracyclines cannot be avoided in patients receiving high-dose methotrexate, closely monitor methotrexate plasma concentrations and patients for signs and symptoms of toxicity.
- methoxsalen
methoxsalen, minocycline. Either increases toxicity of the other by pharmacodynamic synergism. Use Caution/Monitor. Additive photosensitizing effects.
- methylergonovine
minocycline, methylergonovine. Either increases toxicity of the other by Mechanism: unknown. Use Caution/Monitor. coadministration of ergot alkaloids and tetracyclines increases risk of ergotism.
- mipomersen
mipomersen, minocycline. Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: Both drugs have potential to increase hepatic enzymes; monitor LFTs.
- piperacillin
minocycline decreases effects of piperacillin by pharmacodynamic antagonism. Use Caution/Monitor. bacteriostatic agents may inhibit the effects of bactericidal agents.
- polycarbophil
polycarbophil decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor.
- porfimer
minocycline, porfimer. Mechanism: pharmacodynamic synergism. Use Caution/Monitor. Enhanced photosensitivity.
- sodium picosulfate/magnesium oxide/anhydrous citric acid
minocycline decreases effects of sodium picosulfate/magnesium oxide/anhydrous citric acid by altering metabolism. Use Caution/Monitor. Coadministration with antibiotics decreases efficacy by altering colonic bacterial flora needed to convert sodium picosulfate to active drug.
sodium picosulfate/magnesium oxide/anhydrous citric acid decreases levels of minocycline by cation binding in GI tract. Use Caution/Monitor. Take at least 2 hours before and not less than 6 hours after administration of sodium picosulfate, magnesium oxide and anhydrous citric acid to avoid magnesium chelation. - tobramycin inhaled
tobramycin inhaled and minocycline both increase nephrotoxicity and/or ototoxicity. Modify Therapy/Monitor Closely. Avoid concurrent or sequential use to decrease risk for ototoxicity
- trimagnesium citrate anhydrous
trimagnesium citrate anhydrous decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Use Caution/Monitor. Multivalent cation-containing products may reduce bioavailability of tetracyclines; administer tetracycline at least 2 hr before or 6 hr after magnesium; use alternatives if available.
- warfarin
minocycline increases effects of warfarin by unspecified interaction mechanism. Use Caution/Monitor.
- zinc
zinc will decrease the level or effect of minocycline by cation binding in GI tract. Modify Therapy/Monitor Closely. Separate administration of oral tetracycline derivatives and oral zinc salts by at least 2 hr.
Minor (23)
- antithrombin alfa
minocycline increases effects of antithrombin alfa by pharmacodynamic synergism. Minor/Significance Unknown.
- antithrombin III
minocycline increases effects of antithrombin III by pharmacodynamic synergism. Minor/Significance Unknown.
- argatroban
minocycline increases effects of argatroban by pharmacodynamic synergism. Minor/Significance Unknown.
- balsalazide
minocycline will decrease the level or effect of balsalazide by altering intestinal flora. Applies only to oral form of both agents. Minor/Significance Unknown.
- bemiparin
minocycline increases effects of bemiparin by pharmacodynamic synergism. Minor/Significance Unknown.
- biotin
minocycline will decrease the level or effect of biotin by altering intestinal flora. Applies only to oral form of both agents. Minor/Significance Unknown.
- bivalirudin
minocycline increases effects of bivalirudin by pharmacodynamic synergism. Minor/Significance Unknown.
- colestipol
colestipol decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Minor/Significance Unknown.
- dalteparin
minocycline increases effects of dalteparin by pharmacodynamic synergism. Minor/Significance Unknown.
- enoxaparin
minocycline increases effects of enoxaparin by pharmacodynamic synergism. Minor/Significance Unknown.
- fondaparinux
minocycline increases effects of fondaparinux by pharmacodynamic synergism. Minor/Significance Unknown.
- heparin
minocycline increases effects of heparin by pharmacodynamic synergism. Minor/Significance Unknown.
- niacin
minocycline will decrease the level or effect of niacin by altering intestinal flora. Applies only to oral form of both agents. Minor/Significance Unknown.
- pantothenic acid
minocycline will decrease the level or effect of pantothenic acid by altering intestinal flora. Applies only to oral form of both agents. Minor/Significance Unknown.
- phenindione
minocycline increases effects of phenindione by pharmacodynamic synergism. Minor/Significance Unknown.
- protamine
minocycline increases effects of protamine by pharmacodynamic synergism. Minor/Significance Unknown.
- pyridoxine
minocycline will decrease the level or effect of pyridoxine by altering intestinal flora. Applies only to oral form of both agents. Minor/Significance Unknown.
- pyridoxine (Antidote)
minocycline will decrease the level or effect of pyridoxine (Antidote) by altering intestinal flora. Applies only to oral form of both agents. Minor/Significance Unknown.
- rose hips
minocycline decreases levels of rose hips by increasing elimination. Minor/Significance Unknown.
- sucralfate
sucralfate decreases levels of minocycline by inhibition of GI absorption. Applies only to oral form of both agents. Minor/Significance Unknown.
- thiamine
minocycline will decrease the level or effect of thiamine by altering intestinal flora. Applies only to oral form of both agents. Minor/Significance Unknown.
- verteporfin
minocycline, verteporfin. Mechanism: pharmacodynamic synergism. Minor/Significance Unknown. Increased phototoxicity.
- vitamin A
minocycline, vitamin A. Mechanism: unspecified interaction mechanism. Minor/Significance Unknown. Risk of benign intracranial hypertension.
Adverse Effects
Frequency Not Defined
To report suspected adverse reactions, contact Valeant Pharmaceuticals North America LLC at 1-800-321-4576 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch
Discoloration of teeth (in children)
Vestibular symptoms (>30%)
Pericarditis
Myocarditis
Vasculitis
Angioedema
Alopecia
Erythema nodosum
Erythematous rash
Exfoliative dermatitis
Pruritus
Toxic epidermal necrolysis
Urticaria
Dizziness
Fever
Fatigue
Somnolence
Angioedema
Hyperpigmentation of nails
Pigmentation of skin and mucous membranes
Thyroid dysfunction
Thyroid discoloration
Thyroid cancer
Vulvovaginitis
Hemolytic anemia
Neutropenia
Thrombocytopenia
Agrunolocytosis
Pancytopenia
Hepatic cholestasis
Hepatitis
Hyperbilirubinemia
Jaundice
CNS effects
Clostridium difficile diarrhea
Postmarketing Reports
Anaphylaxis
Angioneurotic edema
Eosinophilia
Pneumonitis
Nephritis
Myocarditis
Swelling of the face
Lymphadenopathy
Warnings
Contraindications
Documented hypersensitivity
Cautions
Caution in significant renal impairment (may lead to azotemia, hyperphosphatemia, and acidosis; monitor BUN)
Adjust dose if renal impairment occurs
Anaphylaxis reported; discontinue use and institute supportive therapy
Prolonged use may result in fungal or bacterial superinfection
Lupus, hepatitis, and vasculitis autoimmune syndromes reported with use; discontinue if lupus symptoms occur and assess liver function tests; ANA and CBC
Discontinue therapy if pseudomembranous colitis occurs
Risk of vestibular reactions
Caution in hepatic impairment; discontinue if liver injury occurs
Photosensitivity may occur with prolonged exposure to sunlight or tanning equipment; use skin protection and avoid prolonged exposure to sunlight
Reduce dose in renal impairment; consider drug serum level determinations in prolonged therapy
Tetracycline use during tooth development (last half of pregnancy through age 8 years) can cause tooth enamel hypoplasia or permanent teeth discoloration; more common with long-term use and with repeated, short courses; during pregnancy, may retard skeletal development and reduce bone growth
Fanconi-like syndrome may occur with outdated tetracyclines
Lightheadedness and vertigo may occur; use caution when performing tasks that require mental alertness or operating heavy machinery
May increase BUN secondary to antianabolic effects
Cases of drug rash with eosinophilia and systemic symptoms (DRESS) reported, some fatal; discontinue immediately
Intracranial hypertension (pseudotumor cerebri) has been associated with use of tetracyclines including minocycline; avoid concomitant use of isotretinoin and minocycline; isotretinoin is also known to cause pseudotumor cerebri; although intracranial hypertension typically resolves after discontinuation of treatment, risk of permanent visual loss exists; seek ophthalmologic evaluation if visual disturbance occurs during treatment; since intracranial pressure can remain elevated for weeks after drug cessation, monitor until patient stabilizes
A decrease in fibula growth rate observed in premature human infants given oral tetracycline in doses of 25 mg/kg q6hr
Hyperpigmentation may occur in nails, bone, skin (including scars), eyes, sclerae, thyroid, oral cavity, visceral tissue, and heart valves
Increased risk of ergotism when coadministered with ergot alkaloids
Sporadic cases of serum sickness-like reaction have presented shortly after oral minocycline use, manifested by fever, rash, arthralgia, lymphadenopathy and malaise
Pregnancy & Lactation
Pregnancy category: D
Lactation: Enters breast milk, some manufacturers say do not nurse; however AAP considers nursing compatible due to calcium chelation of drug and prevention of its absorption; long-term safety of prolonged exposure unknown
Pregnancy Categories
A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.
B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk. C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done. D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk. X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist. NA: Information not available.Pharmacology
Mechanism of Action
Infection: Inhibits protein synthesis and thus bacterial growth by binding to 30S and possibly 50S ribosomal subunits of susceptible bacteria
Rheumatoid arthritis: Mechanism not fully understood; may play immunomodulatory, anti-inflammatory, or chondroprotective effects; thought to be a potent inhibitor of metalloproteinases, which are active in rheumatoid arthritis joint destruction
Absorption
Absorption: 90-100%
Peak plasma time: 1-4 hr (immediate release); 3.5-4 hr (extended release tablet)
Peak plasma concentration (200 mg dose): 2-3.5 mcg/mL
Distribution
Majority deposits for extended periods in fat; crosses placenta; enters breast milk
Protein bound: 70-75%
Metabolism
Liver (partially)
Elimination
Half-life, elimination: 15-23 hr (PO/IV)
Excretion: Feces and urine
Administration
Incompatibilities
IV solutions: Calcium containing solutions (precipitant may form, particularly with alkaline solutions)
Y-site: Adrenocorticotropic hormone (ACTH), aminophylline, amobarbital sodium, amphotericin B, bicarbonate infusion mixtures, calcium gluconate or chloride, carbenicillin, cephalothin sodium, cefazolin sodium, chloramphenicol succinate, colistin sulfate, heparin sodium, hydrocortisone sodium succinate, iodine sodium, methicillin sodium, novobiocin, penicillin, pentobarbital, phenytoin sodium, polymyxin, prochlorperazine, sodium ascorbate, sulfadiazine, sulfisoxazole, thiopental sodium, vitamin K (sodium bisulfate or sodium salt), whole blood
Compatibilities
IV solutions: 0.9% NaCl, dextrose solutions, dextrose and NaCl solutions, Ringer Injection, or Lactated Ringer
IV Preparation
Reconstitute cryodessicated powder with 5 mL sterile water for injection
Immediately dilute further with 500-1000 mL of 0.9% NaCl, dextrose solutions, dextrose and NaCl solutions, Ringer Injection, or Lactated Ringer
Reformulated Minocin IV
- Allows for dilution with lower fluid volume
- After vial reconstitution, dilute further with 100-1000 mL of 0.9% NaCl, dextrose solutions, dextrose and NaCl solutions, or 250-1000 mL of Ringer or Lactated Ringer injections
IV Administration
Avoid rapid IV infusion
Infuse over one hour
Not to exceed 400mg in 24 hours
Oral Administration
May take with or without food
Ingestion of food along with may help reduce the risk of esophageal irritation and ulceration
Extended-release tablets (ie, Solodyn) or capsules: Swallow whole without chewing, crushing, or splitting
Extended-release tablet (Minolira): These tablets are scored and intended to split to give precise dose
Storage
Unreconstituted vial: Store at controlled room temperature 20-25 degrees C (68-77 degrees F)
Final dilutions: Store at controlled room temperature or refrigerated for up to 24 hr
May be stored at room temperature for up to 4 hours
Images
| BRAND | FORM. | UNIT PRICE | PILL IMAGE |
|---|---|---|---|
| minocycline oral - | 100 mg capsule |  | |
| minocycline oral - | 100 mg capsule |  | |
| minocycline oral - | 90 mg tablet |  | |
| minocycline oral - | 80 mg tablet |  | |
| minocycline oral - | 135 mg tablet |  | |
| minocycline oral - | 105 mg tablet |  | |
| minocycline oral - | 55 mg tablet |  | |
| minocycline oral - | 80 mg tablet |  | |
| minocycline oral - | 55 mg tablet |  | |
| minocycline oral - | 50 mg tablet |  | |
| minocycline oral - | 50 mg capsule |  | |
| minocycline oral - | 50 mg capsule |  | |
| minocycline oral - | 50 mg tablet |  | |
| minocycline oral - | 100 mg capsule |  | |
| minocycline oral - | 50 mg capsule |  | |
| minocycline oral - | 100 mg capsule |  | |
| minocycline oral - | 100 mg tablet |  | |
| minocycline oral - | 50 mg tablet |  | |
| minocycline oral - | 100 mg capsule |  | |
| minocycline oral - | 80 mg tablet |  | |
| minocycline oral - | 100 mg tablet |  | |
| minocycline oral - | 75 mg tablet |  | |
| minocycline oral - | 75 mg tablet |  | |
| minocycline oral - | 135 mg tablet |  | |
| minocycline oral - | 90 mg tablet |  | |
| minocycline oral - | 45 mg tablet |  | |
| minocycline oral - | 115 mg tablet |  | |
| minocycline oral - | 115 mg tablet |  | |
| minocycline oral - | 100 mg tablet |  | |
| minocycline oral - | 75 mg tablet |  | |
| minocycline oral - | 75 mg capsule |  | |
| minocycline oral - | 65 mg tablet |  | |
| minocycline oral - | 75 mg capsule |  | |
| minocycline oral - | 50 mg capsule |  | |
| minocycline oral - | 55 mg tablet |  | |
| minocycline oral - | 105 mg tablet |  | |
| minocycline oral - | 100 mg capsule |  | |
| minocycline oral - | 75 mg capsule |  | |
| minocycline oral - | 50 mg capsule |  | |
| minocycline oral - | 75 mg capsule |  | |
| minocycline oral - | 75 mg capsule |  | |
| minocycline oral - | 105 mg tablet |  | |
| minocycline oral - | 65 mg tablet |  | |
| CoreMino oral - | 90 mg tablet |  | |
| CoreMino oral - | 45 mg tablet |  | |
| CoreMino oral - | 135 mg tablet |  | |
| Solodyn oral - | 105 mg tablet | | |
| Solodyn oral - | 55 mg tablet | | |
| Solodyn oral - | 80 mg tablet | | |
| Solodyn oral - | 115 mg tablet | | |
| Solodyn oral - | 65 mg tablet | | |
| Minocin intravenous - | 100 mg vial |  | |
| Minocin intravenous - | 100 mg vial |  | |
| Minocin intravenous - | 100 mg vial |  | |
| Amzeeq topical - | 4 % foam |  | |
| Minolira ER oral - | 105 mg tablet |  | |
| Minolira ER oral - | 135 mg tablet |  |
Copyright © 2010 First DataBank, Inc.
Patient Handout
minocycline oral
MINOCYCLINE - ORAL
(MIN-oh-SYE-kleen)
COMMON BRAND NAME(S): Dynacin, Minocin
USES: Minocycline is used to treat a wide variety of infections. It may also be used along with other medications to treat severe acne. This medication belongs to a class of drugs known as tetracycline antibiotics. It works by stopping the growth of bacteria.This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections.
HOW TO USE: Read the Patient Information Leaflet if available from your pharmacist before you start taking minocycline and each time you get a refill. If you have any questions, ask your doctor or pharmacist.This medication is best taken on an empty stomach. Take this medication by mouth as directed by your doctor, usually every 12 hours, at least 1 hour before or 2 hours after a meal. Take this medication with a full glass of water (8 ounces/240 milliliters) unless your doctor directs you otherwise. If stomach upset occurs, taking it with food or milk may help. However, minocycline may not work as well if you take it with food or milk, so ask your doctor or pharmacist if you may take it that way. If you are taking the capsules, swallow them whole. Do not lie down for at least 10 minutes after taking this medication. For this reason, do not take it right before bedtime.Take this medication 2 to 3 hours before or after taking any products containing aluminum, calcium, iron, magnesium, or zinc. Some examples include antacids, didanosine solution, quinapril, vitamins/minerals, dairy products (such as milk, yogurt), and calcium-enriched juice. These products bind with minocycline, preventing your body from fully absorbing the drug.The dosage and length of treatment are based on your medical condition and response to treatment.For the best effect, take this antibiotic at evenly spaced times. To help you remember, take this medication at the same times every day.Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may result in a return of the infection.Tell your doctor if your condition lasts or gets worse.
SIDE EFFECTS: Nausea, vomiting, diarrhea, lightheadedness, dizziness, or a feeling of spinning may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor right away if you have any serious side effects, including: painful/difficult swallowing, hearing changes (such as ringing in the ears, decreased hearing), joint stiffness/pain/swelling, signs of kidney problems (such as change in the amount of urine, pink urine), signs of liver problems (such as loss of appetite, stomach/abdominal pain, yellowing eyes/skin, dark urine), yellow-gray-brown tooth discoloration, blue-gray skin/tongue/lips/gums.Minocycline may rarely cause increased pressure around the brain (intracranial hypertension-IH). The risk of this side effect is greater for women of childbearing age who are overweight or who have had IH in the past. If IH develops, it usually goes away after minocycline is stopped; however, there is a chance of permanent vision loss or blindness. Get medical help right away if you have: severe/lasting headache, vision changes (such as blurred/double vision, decreased vision, sudden blindness), nausea/vomiting that doesn't stop.This medication may rarely cause a severe intestinal condition due to a bacteria called C. difficile. This condition may occur during treatment or weeks to months after treatment has stopped. Tell your doctor right away if you develop: diarrhea that doesn't stop, abdominal or stomach pain/cramping, blood/mucus in your stool.If you have these symptoms, do not use anti-diarrhea or opioid products because they may make symptoms worse.Use of this medication for prolonged or repeated periods may result in oral thrush or a new yeast infection. Contact your doctor if you notice white patches in your mouth, a change in vaginal discharge, or other new symptoms.A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: fever that doesn't go away, new or worsening lymph node swelling, rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
PRECAUTIONS: See also Side Effects section.Before taking minocycline, tell your doctor or pharmacist if you are allergic to it; or to other tetracyclines (such as doxycycline); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney problems, liver problems, trouble swallowing, esophagus problems (such as hiatal hernia or reflux/heartburn).This drug may make you dizzy. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).This medication may make you more sensitive to the sun. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors. Tell your doctor right away if you get sunburned or have skin blisters/redness.Minocycline may cause live bacterial vaccines (such as typhoid vaccine) to not work well. Tell your health care professional that you are using minocycline before having any immunizations/vaccinations.Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).Children younger than 8 years may be more sensitive to the side effects of minocycline, especially tooth discoloration. Tooth discoloration has also occurred in older children and in young adults. Discuss the risks and benefits of this medication with the doctor.Tell your doctor if you are pregnant or plan to become pregnant. You should not become pregnant while using minocycline. Minocycline may harm an unborn baby. If you become pregnant, talk to your doctor right away about the risks and benefits of this medication.This medication passes into breast milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: See also How to Use section.Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.Some products that may interact with this drug are: retinoid medications taken by mouth (such as acitretin, isotretinoin), strontium.This medication may interfere with certain lab tests (such as urine catecholamine levels), possibly causing false test results. Make sure lab personnel and all your doctors know you use this drug.
OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.
NOTES: Do not share this medication with others.This medication has been prescribed for your current condition only. Do not use it later for another infection unless your doctor tells you to.If you are taking this medication for a longer time, lab and/or medical tests (such as complete blood count, kidney/liver function) may be done while you are taking this medication. Keep all medical and lab appointments.
MISSED DOSE: If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
STORAGE: Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Taking expired minocycline can cause serious illness. Consult your pharmacist or local waste disposal company.
Information last revised May 2022. Copyright(c) 2022 First Databank, Inc.
IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.
Formulary
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To view formulary information first create a list of plans. Your list will be saved and can be edited at any time.
Adding plans allows you to:
- View the formulary and any restrictions for each plan.
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- Compare formulary status to other drugs in the same class.
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