MRCEM Notes

Tetracyclines

Tetracyclines are a class of antibiotics which are commonly used in clinical practice.

Examples
  • doxycycline
  • tetracycline

Mechanism of action
  • protein synthesis inhibitors
  • binds to 30S subunit blocking binding of aminoacyl-tRNA

Mechanism of resistance
  • increased efflux of the bacteria by plasmid-encoded transport pumps, ribosomal protection

Indications
  • acne vulgaris
  • Lyme disease
  • Chlamydia
-Mycoplasma pneumoniae

Adverse effects
  • discolouration of teeth
  • photosensitivity
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