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This drug is contraindicated in individuals who have shown hypersensitivity to any of its components.
As with all antibiotic preparationsuse of this drug may result in overgrowth of nonsusceptible organismsincluding fungiIf superinfection occursthe antibiotic should be discontinued and appropriate specific therapy should be instituted.
Bulging fontanels in infants and benign intracranial hypertension in adults have been reported in individuals receiving full therapeutic dosagesThese conditions disappeared rapidly when the drug was discontinued.
If renal impairment existseven usual oral or parenteral doses may lead to excessive systemic accumulation of the drug and possible liver toxicityUnder such conditionslower than usual total doses are indicated andif therapy is prolongedserum level determinations of the drug may be advisableThis hazard is of particular importance in the parenteral administration of tetracyclines to pregnant or postpartum patients with pyelonephritisWhen used under these circumstancesthe blood level should not exceed 15 mcg/ml and liver function tests should be made at frequent intervalsOther potentially hepatotoxic drugs should not be prescribed concomitantly.
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