Tetracycline Use in Pregnancy

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Tetracycline is avoided in pregnancy because it can: a. Affect the bones and teeth of the fetus b. Cause excessive vomiting in the mother c. Cause abortions d. Cause excessive postpartum hemorrhage

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Step 1

Hi Kalkidan, let's solve this together. The question asks why the antibiotic tetracycline is avoided during pregnancy.

Tetracycline in Pregnancy

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Step 2

Let's first write down the options provided in the question so we can review them step by step.

Options:

- a. Affect the bones and teeth of the fetus

- b. Cause excessive vomiting in the mother

- c. Cause abortions

- d. Cause excessive postpartum hemorrhage

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Step 3

To understand why tetracycline is contraindicated, we need to review how it behaves inside the human body during pregnancy.

Pharmacokinetics of Tetracycline

- Tetracycline is a broad-spectrum antibiotic.

- It easily crosses the placental barrier to enter fetal circulation.

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Step 4

Once inside the fetus, tetracycline binds strongly to divalent metal ions, most notably calcium.

$$\text{Tetracycline} + \text{Ca}^{2+} \rightarrow \text{Tetracycline-Calcium Orthophosphate Complex}$$
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Step 5

Because of this calcium-binding behavior, the drug gets deposited in tissues that are actively undergoing calcification, such as the growing bones and teeth of the fetus.

Mechanism of Action:

This complex is deposited in newly forming bone and dental structures.

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About This Question

Subject
Medicine
Topic
Pharmacology
Difficulty
Medium
Question Type
Multiple Choice

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