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    May cause vestibular dysregulation (vertigo, incoordination, lightheadedness), nausea, and vomiting. Minocycline may cause serious adverse effects, including serum sickness-like reaction, hypersensitivity syndrome reaction, drug-induced lupus, benign intracranial hypertension, and irreversible tissue pigmentation. More likely to cause elevated intracranial pressure. Minocycline is 5-fold more lipophilic than doxycycline. In contrast to doxycycline, minocycline concentrations in skin are 47% higher than in serum because minocycline rapidly mobilizes from the blood into tissues, including lipid-rich tissues . Both antibiotics are very lipophilic and reach significant drug levels in the pilosebaceous unit. While minocycline has been proven to be as effective as doxycycline for the quantitative reduction of inflammatory acne lesions, it is considered by some practitioners to produce a more rapid and sustained clinical improvement. zoloft is awesome When treating ocular surface infections, optometrists typically feel comfortable with the use of topical antibiotics. But, when it comes to prescribing oral antibiotics, we often hesitate or exhibit less confidence. The most common systemic antibiotic that an OD is likely to prescribe is a member of the tetracycline family. So, in order to properly prescribe these agents, it is important to become familiar with this particular group of antibiotics. The tetracycline group is comprised of bacteriostatic antibiotics that demonstrate activity against a wide range of aerobic and anaerobic gram-positive and gram-negative bacteria. Tetracyclines bind to bacterial ribosome and inhibit bacterial protein synthesis. It is important to note, however, that the rise of antimicrobial resistance has eroded the bactericidal activity of these agents–––and tetracycline in particular.

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