Tetracyclines

Tetracycline was the first therapeutically superior drug to be made by chemical alteration of an antibiotic produced by microbial metabolism. It sparked a wide-scale search for superior structurally modified antibiotics, which has provided most of the important antibiotic discoveries made since then - 3dchem.com

Tetracyclines
Tetracyclines

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Re-establishing the utility of tetracycline-class antibiotics for current challenges with antibiotic resistance

The latest generation of tetracycline-class antibiotics overcome the most common mechanisms of tetracycline resistance that limit the use of prior tetracyclines and are well suited to treat various infectious syndromes including skin-soft tissue infections, community acquired pneumonia and intra-abdominal infections. While all antibiotics are subject to the development of resistance, judicious use of tetracyclines not only provides another class of antibiotic activity but also helps by not promoting resistance to other commonly used antibiotic classes (e.g. beta-lactams, fluoroquinolones). Therefore, the third-generation tetracycline class has the potential to play a key role in the treatment…

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 Re-establishing the utility of tetracycline-class antibiotics for current challenges with antibiotic resistance

We provide an overview of the three generations of tetracycline-class drugs, focussing on the efficacy, safety, and clinical utility of these three new third-generation tetracycline-class drugs.

Doxycycline

The dose of doxycycline is most often 100mg BID, and the length of treatment varies by indication. There are no dosing adjustments for renal/hepatic failure, or for geriatric patients. For MRSA skin and soft tissue infections, the treatment is for 5-10 days. For chlamydial infections, the duration is less than seven days. For Lyme disease, 10-21 days are recommended. For malaria prophylaxis, treatment should begin 1-2 days prior to travel, and continue for four weeks after leaving the endemic area. For RMSF, the treatment course is 5-7 days, or longer for complicated disease. Treatment of anaplasmosis/ehrlichiosis is for 10-14 days . Doxycycline can be given IV or PO. It has high oral bioavailability, on the order of 80-95%, though absorption is reduced if it is taken with a meal.

StatPearls

Tetracyclines are a class of broad-spectrum antibiotics used in the management and treatment of a variety of infectious diseases. Naturally occurring drugs in this class are tetracycline, chlortetracycline, oxytetracycline, and demeclocycline. Semi-synthetic tetracyclines are lymecycline, methacycline, minocycline, rolitetracycline, and doxycycline.

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