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HIV NUTRITION UPDATE
VOLUME 7, ISSUE 1

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By William Palumbo, MS, RD, CDN

Indications And Usage

Tequin is an oral and injectable antibiotic used to treat lung, sinus, or urinary tract infections, and certain sexually transmitted diseases caused by bacteria. The sexually transmitted disease called gonorrhea is treated by Tequin while other diseases such as syphilis or non-gonococcal disease are not treated by Tequin.

Dosage and Administration

Tequin is available in a 200 mg and 400 mg film coated tablet. It can be administered without regard to food, including milk and dietary supplements containing calcium. Oral doses of Tequin should be taken with eight ounces of water at least four hours before the administration of ferrous sulfate, dietary supplements containing zinc, magnesium, or iron (such as multivitamins), aluminum/magnesium-containing antacids, or Videx (didanosine) buffered tablets. The recommended dosage for Tequin is once every 24 hours. Patients should insure liberal fluid intake.

Pharmacokinetics

Absorption: Tequin is well absorbed from the gastrointestinal tract after oral administration and can be given without regard to food. The absolute bioavailability of Tequin is 96%. Peak plasma concentrations of Tequin usually occur 1-2 hours after oral dosing.

Distribution: Serum protein binding of Tequin is approximately 20%.

Metabolism: Tequin undergoes limited biotransformation in humans with less than 1% of the dose excreted in the urine.

Excretion: Tequin is excreted as unchanged drug primarily by the kidney.

Adverse Reactions

Abdominal pain, anorexia, constipation, dyspepsia, gastritis, glossitis, mouth ulcers, nausea, vomiting, and taste perversion. Tequin should be avoided in those patients with hypokalemia (low blood potassium). Diuretics such as furosemide and hydrochlorothiazide may cause hypokalemia. Disturbances of blood sugar, including symptoms of hyperglycemia (high blood sugar) and hypoglycemia (low blood sugar) have been reported in diabetic patients treated with Tequin and oral antidiabetic drugs, with or without insulin. Other people at particular risk for serious hyperglycemia include those who may have unrecognized diabetes, decreased renal function, underlying medical problems, or people more than 75 years of age. 
 

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7/23/2002