Demeclocycline Hydrochloride (Page 4 of 4)
OVERDOSAGE
In case of overdosage, discontinue medication, treat symptomatically and institute supportive measures. Tetracyclines are not removed in significant quantities by hemodialysis or peritoneal dialysis.
DOSAGE AND ADMINISTRATION
Therapy should be continued for at least 24 to 48 hours after symptoms and fever have subsided.
Concomitant Therapy
Absorption of tetracyclines is impaired by antacids containing aluminum, calcium, or magnesium, and by iron-containing preparations. Foods and some dairy products also interfere with absorption. Oral forms of tetracycline should be given at least 1 hour before or 2 hours after meals.
In Patients With Renal Impairment
(See WARNINGS). Tetracyclines should be used cautiously in patients with impaired renal function. Total dosage should be decreased by reduction of recommended individual doses and/or by extending time intervals between doses.
In Patients With Liver Impairment
Tetracyclines should be used cautiously in patients with impaired liver function. Total dosage should be decreased by reduction of recommended individual doses and/or by extending time intervals between doses. Administration of adequate amounts of fluid with the oral formulations of tetracyclines is recommended to wash down the drugs and reduce the risk of esophageal irritation and ulceration. (See ADVERSE REACTIONS).
HOW SUPPLIED
Adults
Usual Daily Dose
Four divided doses of 150 mg each or two divided doses of 300 mg each.
For Pediatric Patients Above Eight Years of Age
Usual daily dose, 7 to 13 mg per kg body weight per day, depending upon the severity of the disease, divided into two to four doses not to exceed adult dosage of 600 mg per day.
Gonorrhea patients sensitive to penicillin may be treated with demeclocycline administered as an initial oral dose of 600 mg followed by 300 mg every 12 hours for four days to a total of 3 grams.
Demeclocycline Hydrochloride Tablets USP, 150 mg, are round, biconvex, red film-coated tablets, debossed “Є” above “143” on one side and plain on the other side, and are supplied as follows:
NDC 10135-0625-01 — Bottle of 100
Demeclocycline Hydrochloride Tablets USP, 300 mg, are round, biconvex, red, film-coated tablets, debossed “Є” above “144” on one side and plain on the other side, and are supplied as follows:
NDC 10135-0626-48 — Bottle of 48
Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature].
Dispense contents in a tight, light-resistant container as defined in the USP, with a child-resistant closure as required.
KEEP THIS AND ALL MEDICATIONS OUT OF THE REACH OF CHILDREN. ANIMAL PHARMACOLOGY AND ANIMAL TOXICOLOGY
Hyperpigmentation of the thyroid has been produced by members of the tetracycline class in the following species: in rats by oxytetracycline, doxycycline, tetracycline PO4 and methacycline; in minipigs by doxycycline, minocycline, tetracycline PO4 , and methacycline; in dogs by doxycycline and minocycline; in monkeys by minocycline.
Minocycline, tetracycline PO4 , methacycline, doxycycline, tetracycline base, oxytetracycline HCl, and tetracycline HCl were goitrogenic in rats fed a low iodine diet. This goitrogenic effect was accompanied by high radioactive iodine uptake. Administration of minocycline also produced a large goiter with high radioiodine uptake in rats fed a relatively high iodine diet.
Treatment of various animal species with this class of drugs has also resulted in the induction of thyroid hyperplasia in the following: in rats and dogs (minocycline), in chickens (chlortetracycline), and in rats and mice (oxytetracycline). Adrenal gland hyperplasia has been observed in goats and rats treated with oxytetracycline.
REFERENCES
1. Clinical and Laboratory Standards Institute (CLSI.) Methods for Dilution Antimicrobial Susceptibility Tests for Bacteria that Grow Aerobically. Approved Standard — 9th Edition. CLSI document M7-A9, 950 West Valley Rd. Suite 2500, Wayne, PA 19087, 2012.
2. CLSI. Performance Standards for Antimicrobial Susceptibility Testing. 22nd Informational Supplement. CLSI document M100-S22. Wayne, PA, 2012.
3. CLSI. Methods or Antimicrobial Dilution and Disk Susceptibility Testing of Infrequently Isolated or Fastidious Bacteria: Approved Guideline — 2nd Edition. CLSI document M45-A2, CLSI, Wayne, PA, 2011.
4. CLSI, Performance Standards for Antimicrobial Disk Susceptibility Tests. Approved Standard — 11th Edition. CLSI document M2-A11. Wayne, PA, 2012.
Manufactured for:
Marlex Pharmaceuticals, Inc. New Castle, DE 19720
Distributed by:
Marlex Pharmaceuticals, Inc. New Castle, DE 19720
Manufactured in USA
Rev.07/16EP
PRINCIPAL DISPLAY PANEL
NDC 10135-0625-01
Marlex
Demeclocycline
Hydrochloride
Tablets, USP
150 mg
100 TabletsRx Only
PRINCIPAL DISPLAY PANEL
NDC 10135-0626-48
Marlex
Demeclocycline
Hydrochloride
Tablets, USP
300 mg
48 TabletsRx Only
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Labeler — Marlex Pharmaceuticals Inc (782540215) |
Revised: 07/2016 Marlex Pharmaceuticals Inc
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