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JAC Advance Access published online on July 1, 2006

Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dkl224
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© The Author 2006. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Review

Pharmacokinetics and pharmacodynamics of the tetracyclines including glycylcyclines

Kenneth N. Agwuh 1 and Alasdair MacGowan 2 *

1 Department of Medical Microbiology, Old Medical School, Leeds General Infirmary, Great George Street, Leeds LS1 2EX, UK
2 Bristol Centre for Antimicrobial Research & Evaluation, Department of Medical Microbiology, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK

* To whom correspondence should be addressed.
Alasdair MacGowan, E-mail: alasdair.macgowan{at}nbt.nhs.uk


   Abstract

The pharmacokinetics of tetracyclines and glycylcyclines are described in three groups. Group 1, the oldest group, represented by tetracycline, oxytetracycline, chlortetracycline, demeclocycline, lymecycline, methacycline and rolitetracycline is characterized by poor absorption after food. Group 2, represented by doxycycline and minocycline, is more reliably absorbed orally, while group 3, represented by the glycylcycline tigecycline, is injectable only, with an improved antibacterial spectrum compared with the tetracyclines. Though incompletely understood, the pharmacodynamic properties of the tetracyclines and glycylcyclines are summarized.

Keywords: pharmacokinetics; pharmacodynamics; tetracyclines.
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