Tetracyclines for pneumonia
Examples
| doxycycline |
Doryx, Vibramycin |
How It Works
Tetracyclines make it difficult for
bacteria to reproduce.
Why It Is Used
Doctors use tetracyclines to treat
lower respiratory tract infections in otherwise healthy
people younger than 65. These medicines are an alternative antibiotic when you
cannot take one of the macrolide antibiotics.
Doxycycline is not
effective against some types of Streptococcus pneumoniae, the bacteria that cause most identified cases of pneumonia.
This is because the bacteria are
resistant to it.
How Well It Works
In general, all antibiotics used have
a high cure rate for pneumonia caused by bacteria. Cure rates are greater than
80%, meaning at least 80 people out of 100 are cured.1
Tetracyclines are effective against some types
of bacteria. But bacteria that are
resistant to tetracycline are common.
You most likely will see some improvement in symptoms within 2 to 3 days after
beginning treatment. Unless you get worse during that time, your treatment will
not change for at least 3 days. The number of days you continue to take
antibiotics depends on your illness and the type of antibiotic.
Side Effects
The most common side effects of
tetracyclines include:
- Increased sensitivity to sun (sunburn
easily).
- Stomach upset, nausea,
vomiting.
- Dizziness.
- Sore mouth.
Doctors do not use tetracyclines for children younger than
age 8 because the medicine can discolor a child's teeth.
See Drug
Reference for a full list of side effects. (Drug Reference is not available in
all systems.)
What To Think About
Tetracyclines cost less than some
other antibiotics, but certain strains of bacteria may be
resistant to tetracyclines.
You should
not take tetracyclines with dairy products (such as milk or cheese), because
this can affect the way your body absorbs the medicines.
Complete the new medication information form (PDF)(What is a PDF document?)
to help you understand this medication.
References
Citations
-
Loeb M (2008). Community-acquired pneumonia, search
date June 2007. Online version of BMJ Clinical Evidence:
http://www.clinicalevidence.com.
Last Updated:
March 18, 2009
Author:
Maria G. Essig, MS, ELS
Medical Review:
Kathleen Romito, MD - Family Medicine
& E. Gregory Thompson, MD - Internal Medicine & R. Steven Tharratt, MD, MPVM, FACP, FCCP - Pulmonology, Critical Care, Medical Toxicology
Loeb M (2008). Community-acquired pneumonia, search
date June 2007. Online version of BMJ Clinical Evidence:
http://www.clinicalevidence.com.