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At a glance

Tigecycline is a glycylcycline antibiotic used for complicated skin and skin structure infections, complicated intra-abdominal infections, and community-acquired bacterial pneumonia. It inhibits bacterial protein synthesis by binding to the 30S ribosomal subunit.

Indications
  • Complicated skin and skin structure infections
  • Complicated intra-abdominal infections
  • Community-acquired bacterial pneumonia
Pharmacology

Tigecycline binds to the 30S ribosomal subunit, blocking amino-acyl tRNA entry into the A site, inhibiting protein synthesis and peptide chain elongation. It is not affected by tetracycline resistance mechanisms and is generally bacteriostatic.

Dosage

Adult Dose (IV):

  • Loading dose: 100 mg
  • Maintenance: 50 mg every 12 hours
  • IV infusion over 30-60 minutes
  • Treatment duration: Complicated skin/IAA infections: 5-14 days; CAP: 7-14 days

Hepatic Impairment:

  • Mild-moderate: No dose adjustment needed
  • Severe: 100 mg single dose, then 25 mg every 12 hours
Side effects

Common Side Effects:

  • Nausea, vomiting (first 1-2 days)
  • Headache
  • Increased liver enzymes
  • Abdominal pain, diarrhea

Less Common:

  • Injection site inflammation and pain
  • Allergic reactions, chills
  • Thrombophlebitis, bradycardia, tachycardia
  • Hypoglycemia, hyponatremia
Use in pregnancy

Use in Pregnancy: Unsafe; evidence of fetal risk; use only in life-threatening situations; consult your doctor.

Pregnancy Category: D — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Caution in hypersensitivity to tetracycline-class antibiotics
  • Do not use in hospital-acquired pneumonia and ventilator-associated pneumonia
  • Do not use during tooth development
  • May affect driving ability (dizziness)
Overdose effects

Single IV dose of 300 mg increased nausea and vomiting; no specific antidote; provide symptomatic treatment.

Storage conditions

Before reconstitution: Store at 2-8°C in a refrigerator; do not freeze; after reconstitution: store at room temperature for up to 24 hours or at 2-8°C for up to 48 hours.

Tigecycline — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.