Pharm
Omadacycline
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Omadacycline
, Nuzyra
See Also
Tetracyclines
Indications
Community Acquired Pneumonia
(IV)
Acute
Skin Infection
(IV or oral)
Contraindications
Children
Pregnancy
Mechanism
See
Tetracyclines
Broad-spectrum
Antibiotic
structurally similar to
Tigecycline
Gram-positive
Gram-negative
Aerobic and
Anaerobic Bacteria
Atypical
Bacteria
Dosing
IV Dosing for
Community Acquired Pneumonia
or Acute
Skin Infection
s
Day 1
Give 200 mg IV infused over 60 minutes once on first day OR
Give 100 mg IV infused over 30 minutes twice on first day
Day 2 until completed course (7 to 14 days total)
Give 100 mg IV infused over 30 minutes once on first day OR
Give 300 mg orally daily on an empty
Stomach
with a large glass of water
Oral Dosing for Acute
Skin Infection
Day 1: Take 450 mg orally once on an empty
Stomach
with a large glass of water
Day 2: Take 450 mg orally once on an empty
Stomach
with a large glass of water
Day 3 until completed course (7 to 14 days total)
Take 300 mg orally once on an empty
Stomach
with a large glass of water
Drug Interactions
Food
Take on an empty
Stomach
with a large glass of water
No food 4 hours before dose or 2 hours after dose
Avoid the following specific agents for 4 hours after dose
Dairy
Antacid
s (aluminum,
Magnesium
or
Calcium
containing
Antacid
s)
Iron
Supplements
Bismuth Subsalicylate
Intravenous Fluid
s
Incompatible with
Calcium
or
Magnesium
containing solutions
Adverse Effects
See
Tetracyclines
Nausea
and
Vomiting
are most common (>10% of patients)
Safety
Pregnancy Category X
Avoid in
Lactation
Avoid restarting
Breast Feeding
until 4 days after last dose
Pharmacokinetics
Excreted in stool
Half-Life
13.5 to 17.1 hours
Bioavailability
: 34.5% after single dose
Resources
Omadacycline (DailyMed)
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=51591524-4703-44c6-8bde-dce3e6a463d1
References
Gallagher (2019) Clin Infect Dis 69(Suppl 1):S1-S5 +PMID: 31367739 [PubMed]
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