Tetracyclines · Pharmacology

Which of the following substances should be avoided when taking oral tetracyclines because they decrease the drug's absorption?

  1. Acidic fruit juices such as orange and grapefruit juice
  2. High-protein meals such as red meat
  3. Dairy products and antacids containing Mg, Al, or Ca
  4. Leafy green vegetables rich in Vitamin K
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Correct answer: Dairy products and antacids containing Mg, Al, or Ca

Tetracyclines form insoluble chelates with multivalent cations ($Ca^{2+}, Mg^{2+}, Al^{3+}, Fe^{2+}$). This chemical interaction significantly reduces the bioavailability of the antibiotic.

Difficulty: Medium Question 8 of 20

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