Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
5.1. Antibacterial drugs

5.1.3. Tetracyclines

Preferred List
Preferred List First Line
OXYTETRACYCLINE

Prescribing Notes:

This antibiotic is also used for the treatment of acne (chapter 13.6)

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DOXYCYCLINE

Prescribing Notes:

Doxycycline is no more effective than oxytetracycline and is several times more expensive. Uses include sinusitis and pelvic inflammatory disease.

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Total Formulary
MINOCYCLINE

Prescribing Notes:

Do not initiate for the treatment of acne as it is less suitable for prescribing compared with other tetracyclines.

As per Scottish Government guidance, is of low clinical value for treatment of acne. Please consider deprescribing where safe and appropriate.

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TETRACYCLINE

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Specialist and GP
TIGECYCLINE

Restrictions:

Restricted to specialist initiation. Restricted to second or third line use under the advice of local microbiologists or specialists in infectious diseases.

Prescribing Notes:

Please note: this is a PROTECTED ANTIBIOTIC (see policy here) and relevant paperwork should be completed.

BNF Link