Minocycline

Kathryn Dzintars, Pharm.D., BCPS, Paul A. Pham, Pharm.D.

INDICATIONS

INDICATIONS

INDICATIONS

FDA

FDA

FDA

  • Pneumonia due to susceptible strains, e.g.,
    • Mycoplasma pneumoniae
    • S. pneumoniae
    • H. influenzae
  • Skin and skin structure infections, including those caused by S. aureus(if susceptible, MRSA)
  • Uncomplicated urethral, endocervical or rectal infections
    • Granuloma inguinale caused by Calymmatobacterium granulomatis
    • Lymphogranuloma venereum caused by Chlamydia species
    • Nongonococcal urethritis (caused by Ureaplasma urealyticum or Chlamydia trachomatis)
    • Chancroid caused by Haemophilus ducreyi
  • Psittacosis caused by Chlamydia psittaci
  • Rocky Mountain spotted fever, typhus and the rickettsial typhus group, Q fever, rickettsialpox and other tick fevers caused by Rickettsiae
    • Doxycycline is preferred for RMSF and most acute tick-borne rickettsial diseases because of greater clinical experience and guideline support; however, minocycline is likely equivalent in efficacy.
  • Cholera caused by Vibrio cholerae (resistance reported)
  • Yaws caused by T. pertenue
  • Relapsing fever due to Borrelia recurrentis
  • Tularemia due to Francisella tularensis
  • Campylobacter fetus infections caused by Campylobacter fetus
  • Brucellosis due to Brucella species)
  • Bartonellosis due to Bartonella bacilliformis
  • Mild-moderate acne vulgaris (age >12, minocycline ER only)
  • IV Minocycline is also indicated for the treatment of Enterobacterales infections caused by the following Gram-negative bacteria when bacteriologic testing indicates appropriate susceptibility to the drug:
    • E. coli
    • Klebsiella aerogenes(formerly Enterobacter aerogenes)
    • Shigella species
  • Other microorganisms, if susceptible
    • Acinetobacter species
    • Plague (Yersinia pestis)
    • Listeria monocytogenes
    • Neisseria spp.
      • N. meningitidis
      • N. gonorrheae
    • Shigella
    • Ureaplasma urealyticum
    • Cutibacterium (Propionibacterium) acnes
    • Clostridiumspp.
    • Mycobacterium marinum
    • Fusobacterium nucleatum subspecies fusiforme
    • Entamoebaspp.
    • Actinomyces spp.
  • Acne vulgaris (adjunctive treatment)
    • Oral minocycline products are approved for inflammatory lesions of non-nodular moderate-to-severe acne vulgaris; topical foam is approved down to age ≥9 depending on the product.
  • Acne rosacea
    • Topical 1.5% foam and Emrosi are FDA-approved for inflammatory lesions of rosacea

NON-FDA APPROVED USES

NON-FDA APPROVED USES

NON-FDA APPROVED USES

  • Hardware-associated infections, septic arthritis
  • Lyme disease
    • Doxycycline preferred.
  • Atypical mycobacterial infections, e.g., M. abscessus

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