Minocycline (Minocin®, Dynacin®, Vectrin®)
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INTRODUCTION
Minocycline inhibits the growth of Propionibacterium acnes. Anti-inflammatory actions.
Drug Class: Antibiotic, Anti-inflammatory-long acting tetracycline...
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CLININCAL EXPERIENCE
Oral antibiotics have had a significant role in the treatment of inflammatory disease such as acne, rosacea, perioral dermatitis and others. Tetracycline has long been the first line antibiotic for acneform eruptions because of its efficacy and affordability although in inconvenience of divides doses on an empty stomach has compromised compliance in some. P. acnes resistance to Tetracycline and Erythromycin has meant looking elsewhere for an alternative antibiotic. Bacterial resistance to Minocycline has been much slower to develop...
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INDICATIONS
Labeled Indications: Dermatologic Dermatologic:
Acne vulgaris,
Inflammatory acne,
Anthrax,
Chancroid,
Granuloma inguinale,
Lymphogranuloma venerum,
Skin and soft tissue infections ,
Syphilis,
Yaws...
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PATIENT PROFILE
Any inflammatory acne or rosacea patient who is not likely to respond to topical therapy alone. If scarring present or nodulocystic acne a more aggressive approach may be necessary...
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DOSING
Capsules: Minocycline 50 and 100mg (Minocin* Dynacin*)
Suspension: Minocycline 50mg (Minocin* Dynacin*)
Parenteral: Minocycline 100mg (Minocin IV*) ...
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EFFICACY
Improvement in inflammatory lesion in acne is about a 20% reduction a month. It may take 1-2 months to see initial benefit. After 6 months there is an approximate 60-70% improvement in inflammatory acne counts. Studies over the last 20 years have shown that tetracycline, erythromycin, doxycycline and minocycline have about the same efficacy in acne...
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COMPLIANCE
All tetracyclines are broad-spectrum bacteriostatic agents. They are well absorbed, although oxytetracycline and tetracycline should not be taken with food. Minocycline as well as Doxycycline are absorbed almost as well on an empty as full stomach...
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SIDE EFFECTS, SAFETY AND RISKS
Discard outdated tetracyclines as degradation products may be toxic.
Not recommended in pregnancy and in children under 8 years of age as permanent enamel hyperplasia, discoloration of teeth, and inhibition of fetal skeletal growth may occur...
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COST OF TREATMENT
Cost of treatment of 1 month of standard dose for acne: Minocycline 100 mg daily for 1 month $42.
Tetracycline 1gm daily for 1 month ...
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