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Follow all directions on your prescription labelDo not take this medicine in larger or smaller amounts or for longer than recommended.

This medication is not recommended for use during pregnancyIt may harm an unborn babyConsult your doctor for more details.

Fanconi’s syndrome is characterized by renal glycosuriaphosphaturiaaminoaciduriaand acidosis with or without proteinuria and ricketsIt is associated with the ingestion of outdated or degraded tetracyclineAdditionallyprevious formulations of tetracycline contained citric acid which may contribute to metabolic acidosishowevercurrent formulations of the drug do notPatients generally require hospitalization with intravenous medication to correct the accompanying metabolic abnormalitiesMost cases resolve over time after discontinuation of tetracycline without permanent sequelaePatients should be instructed to discard any unused portions of tetracycline at the end of therapy and to never use tetracycline remaining from a previous prescriptionRef]

Hepatic side effects have included increased liver enzyme levelshepatotoxicityliver failureand bile duct paucity with prolonged cholestasisThese may be dose-relatedRef]

If you need surgerytell the surgeon ahead of time that you are using Panmycin.

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