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For at least 2 hours before or 2 hours after taking panmycin avoid taking iron supplements, multivitamins, calcium supplements, antacids, or laxatives.

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Renal side effects have included increased BUN and Fanconi’s syndromeIn patients with preexisting renal impairmenttetracycline may cause azotemiahyperphosphatemiaand acidosisPatients with dehydration are particularly vulnerableRef]

Renal side effects generally occurred in patients with preexisting renal disease and have been the result of accumulation of tetracyclinethe active ingredient contained in PanmycinIncreases in BUN commonly occur because of tetracycline’s anti-anabolic effect but do not necessarily indicate renal dysfunction.

Throw away any unused Panmycin after the expiration date on the label has passedTaking expired this medicine can cause damage to your kidneys.

This medication passes into breast milk in very small amountsWhile there have been no reports of harm to nursing infantsconsult your doctor before breast-feeding.

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, e-mycin, eryc, ery-tab, pce, others or clarithromycin biaxin ; indomethacin indocin ; itraconazole sporanox ; metoclopramide reglan ; rifampin rifadin, rimactane ; sulfasalazine azulfidine ; or tetracycline broadspec, emtet, panmycin, sumycin, tetracap, others .

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