A Tale of Unequal Substitution: Minocycline and Acute Autoimmune Hepatitis

J Pharm Technol. 2014 Apr;30(2):69-72. doi: 10.1177/8755122513520400. Epub 2014 Jan 10.

Abstract

Objective: In this case report, we describe the development of an acute autoimmune hepatitis associated with a short course of minocycline prescribed for a skin infection. Due to a drug shortage, minocycline was substituted for doxycycline. Conclusions: It is imperative that practitioners be aware of the different risks that accompany switching between drugs in the tetracycline class, particularly the risk of autoimmune conditions including hepatitis.

Keywords: autoimmune hepatitis; doxycycline; drug shortage; minocycline.